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HomeMy WebLinkAbout0039 DESIRE'S LANE I I 1't sG IIII L UPC 12543 R �� No.®R iASTINGS�MU '�' .:.1- .� ... .a .�........Y.—� ---•te-�..._.r,.++�•.-�+�.,.v...,,_ ..-..••y...� ++�!+^..�.tiaa '•....�„�.�., ��5~s9 S-it..� ,�s.. _, —^. - �} C-ICY7 tJ C 'ro z. Lb CA TG�N Building Department Services Brian Florence, CB Building Commissioner ' ' F F t a�xxsrAscE, = 200 Main Street,Hyannis,ILIA 02601 MA MI www.town.barastable.ma us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: DO^1 E30ME OCCUPATION REGISTRATION Name: ,2�eiL! .'i� &J �hyc', Phone#: Address: ZQ 4e res (lox �CS�LYrr13�Gs� Village: Name of Bpsiae'ss: c � uA_ Ilrti Qt c 6^S Type of Business: CWt �Kl�l�c��7GttrwP Map/Lot IIiTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which'would suggest anydiing other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a sine family residential dwelling unit,located within that dwelling unit. •'' Sucli use occupies no more than 400 square feet of spare. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no-offside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production-of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat;glare,himmidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materiaLz,in excess ofnormal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no camDnercW vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one tan capacity,and one trailer not to exceed 20 feat in length and not to exceed 4 tires,parked on the same lot confainmgthe Gbstamary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Gbstomary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person loge the Customary Home Occupation who is not a permanent resident of the dwelling I,the undersigned, a ad and a e above restrictions ome occupation I am registering. Applicant~ Date: — I Ham dDr Rcv.06&0116 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date Gl ohs(� Map Parcel 008 Applicant Information Applicants Name ed"Gy,•i,14111-VCII Applicants Address c3 Qk1-e3 I rL Wal&m"L, Email Address),-,J[p auk 5���•l bu�c%�'� .C Telephone Number Listed ❑ Unlisted ❑ Business Information New Business? _ Yes No - -------------------------------------- Businessisaregisteredcorporation? -----------------------< Ye No If yes Name of Corporation M &/(1Lr'J-) R,,Idl2fS C6C Does business operate under the registered corporate name? (Yee) No Is the business a sole proprietorship or home occupation? --------- Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business ,) 1) s�'(I,Ucu, Ri�1ldC�S Cc- Business Address PC) QoR LIG y1h' OW66 Type of Business (ate-Jf iGa ACd'r CvY►'�ir�° -etc �>► {7`uC�� Building Commissioner Office Use Only Conditions _ 4- C. Building Commissioner V ` Date ) i Clerk Office Use Only i F I IXI � � � ono o ov i `DO$E Ts b p INWN oars � N I cz e� Noo vP 1 f N f l\ � i I a i Z ^ 60A 2� 9 q a\ i n N a �l a? 2 t J., TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,,. r "Application 3 q-- Map Parcel"' Applic # Health Oivisio'n' Date Issued O000�Conservats ion Division Application Fee 69 Planning'Dept-. .;'..Permit Fee' Date Definitive,Plan Approved by Planning Board Historic OKH Preservation Hyannis Project Street Address Village Owner Address Telephone 90 Permit Reques't Square feet: 1 st floor: existing proposed 2nd floor: existing proposed -Total new — Zoning District: Flood Plain Groundwater.Overlay Project Valuation G'400 oe onstruction Type .4;-- L6f Size I b Grandfathered: L]Yes �N o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family U Multi-Family (# units) Age of Existing Structurei-M Historic House: U Yes lko On Old King's Highway: El Yes*0 Basement Type: A Full Ll drawl Ll Walkout LJ 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 C> Total Room Count (not including baths): existing new First Floor Room Courif Heat Type and Fuel: )(Gas Ll Oil 0Electric Ll Other 21 — CD Central Air: Yes 0 No Fireplaces: Existing New Existing wood/coal stove: UZmes �No Detached garage: Ll existing El new size—Pool: U existing Ll new size existing new size &Barn: (2 existing::ib n, size Attached garage: existing U new size Shed: LJ existing cm X Zoning Board of Appeals Authorization L] Appeal # Recorded U Commercial U Yes U No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name — Telephone Number NAddress License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEB RESULTING FRO THIS PROJECT WILL BE TAKEN TO 117 &(044V AV/ AvaSIGNATURE At WbL DATE Y FOR OFFICIAL USE ONLY I� . APPLICATION# f DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME A�R 1P.dc ,00A&7/ �E��• INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.- ' j r The Commonwealth of Massachusetts .Department of lit dustrialAccidents Office of Investigations 600 FFashineon Street ,Boston, MA 02111 www.mass.gov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A Ucamt Information Ple' ase.Print Le 'bI Name (Bus inoss/Organization/Individual): + IJ�G1 Address: S l City/State/Zip: Phone.#: Are you an employer? Check the appropriate bor: Type of project(required): 1.❑ I am a employer with 4. [] I am a general contractor and I 6 VNw construction—�h&� . employecs (full and/or part-time).* have hired the stab-contractors listed on th 2.❑ 1 am a•sole proprietor or partner- These, attached sheet 7. ❑Remodeling These sub-contractors have g, ❑Demolition ship and have no employees and have workers' working for me in any capacity. employers # 9. ❑Building addition [No workers'.compA surance �mP insurance. l airs or additions. equired] 5. �] We are a corporation and its 10.❑-Electrical rep 3.LI i am a homeowner doing all work officers have exercised their l I- Plumbing repairs or additions myself. [No workers' comp. right of exemption per 1v1 n 12.❑ Roof repairs in.s trance required.]t c. 152, §I(4), and we have no employees. [No workers' 13.❑ Other . comp,insurance required.] *Any applicant that checla box#1 must also fin out the section below showing their workers'compcnsahon policy infarrmbon. t llomeowncrc who submit this affidavit indicating they arc doing all work and then hire outsidc contractors must submit a new affidavit imdieating such. IContractors that check this box must attached an additional shoat showing the name of the sub-contractors and state whether oT not those entities have employers. if the sub-contractors have employees,they must providb their workers'comp.policy number. Iam an employer that isproviding workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy# or Self-ins. Lie.M Expiration Date: Job Site Address: City/StatdZip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required der Section 25A of MGL c. 152 can lead to-the imposition of cri_m_ir_ia1 penalties of a fine tip to $1,500.00 and/or one-year' risonrnent, as well as civil penalties in the form of a STOP WORK ORDER and fine of up to $250.00 a day against olator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA for ' ra/cc coverage verification. Ido hereby certify under a •ai s•andpenalties ofperjury that the information provided aba a is true and correct Si mature: Date: — Phone Official use only. Do not write in this area, fb be completed by city or town official City or Town: Permit/License 4 Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Towu Clerk 4, Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone #: Information and 1nst puCt1 'Was Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees: pursuant to this statute, an employee is defined as "...every person in the service of another under aoy contract of hire, express or implied, oral or written." An employer is defined as "an iMzvidug partnership, association, corporation or other legal entity, or any two or more of the forcgoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees, However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required." AdditionaIly,MGL ohapter ]52, §25C(7)states 'Neither the commonwealth nor any of its political subdivisions shall enter-into any contract for,the performance of public work until acceptable widener of compliznce with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, i. necessary, supply sub-contractors)mamc(s), addresses) and phone numbers) along with their certificates)of insurance. Limited Liability Companies•(LLC) or Limited Liability Partnerships (LL.P)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. Bp advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for.the permit or license is being requested., n6t the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insuranco license number on the appropriate line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space, at the bottom of the)affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permiUhccnse number which will be used as a reference number. In addition, an applicant that must submit multiple permMicensc applications in any given year, need only submit onp affidavit indicating current policy information(if pecessary) and under`Job Site Address" tho applicant should write"all locations in (city or town)."A cbpy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.'Whero a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or•permit to born leaves etc.) said persoxi is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number; The Commonwl a th of Massachusetts L epartmemt of Iudustri•O Accidents (Office of Sayestigrati.ans 600 Washington Street BQstan, MA 02111 Tel; # 617-727-490.0 ext 4.06 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22.06 www..mass.gov/dia ' 'own .of Barnstable p�o '(Ht:rp , oT Regulatory Services Thomas F. Geiler, Director � BARIJS•rABL.E, MASS. Building Division cb 1619. pjFo '�A Tom Perry,building Commissioner 200 Main Street, Hyannis., MA 02601 wwtY.town.barnstable.ma.us Fax: 508-790-6230- Office: 508-862-4038 HOh4EOWNER LICENSE EXEMPTION Plense Print DATE: Z O Mj L,*". - . . - JOY LOCATION: street villa numb r "I-IOMEOWNER": Y. h me phone N ork hone amc Q� CURRENT MAILING ADDRESS: MA � ol�� --r—T state zip code city/town 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. DEI+TNITION OF HOAZEOWNER 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 codysbnws, rules and regulations. The undersigneowner"certifies that he/she understands the Town of Barnstable Building Department minimum in rocedures and requirements and that he/she��ill comply with said procedures and . requireme Signature f H cr 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 EXENrPTION 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 1 o9.1,,1-Licensing of eonsuuc6on Supervisors);provided that if the homeowner engages a persons)for hire to do such work, that such Homeowner shall act as supervisor," Appendix Q, Many homeowners who use this exemption are unaware that they are assuming the responsibilities of e supervisor(sec Rulcs&•Rcguldtions for Licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowncr 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 hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by crtification for use in your community. several towns. You may care t amend and adopt such a form/c �Op-,vHErO�,L Town of Barnstable °^ Regulatory Services a^RA�LE'� Thomas F, Geiler, Director 1619. o Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A. Builder - n1 �I � 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 th*e reverse side. IKE Tpk Town of Barnstable . p Old King's Highway Historic District Committee 0� 200 Main Street, Hyannis, Massachusetts 02601 'F�MAt° (508) 862-4787 Fax (508) 862-4784 Uj Big LD o Cn> N N ccz w MINOR MODIFICATION TO PRIOR APPROVED PLAN a- U-Q- 972 CMR Rules and Regulations, Section 1.03(2), zo 1.03: General Procedures �l _J o n (2.) (a.) Only minor changes may be approved by the Committee without the f lingo`—awn'-ewe application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. Submit 2 copies of the application and supporting materials and documentation Applicant(s), print name t' Wl ' V 0-V Cr Addre s f proposed rk: House 140. Street Village Assessors Map and parcel no. V I Date of approval of Certificate of Appropriateness Proposed Minor Modification: 4 (�C I `D 'OV) r 7. Xf 6 ,S bn 0�b b�s'l Signaiizre of applicant: Print name: tel no. ! D APPROVEDIDISAPPROVED: signed CHAIRMAN DATE: - APPROVED CC: BUILDING COMMISSIONER AUG 12 2009 Q:IGMD-Groups101d Kings Highway10KHNew.4pp0KH Minor Modification Form 07.doc Town of Barnstable 1 Old Kings Highway Commit;;, OR Framing: 7 • hyannis�pineharbor.com 2x4 Rafters @ 2' on center , (2X6 for Larger buildings) -2800 • info@pineharbor.com harbor.com 1 X6 Gussets 2x4 Collar ties iX6.GUSSETS (2x6 for larger buildings) 2X6 RAFTERS 4x4 Top plates (4x6 for larger buildings) 2X6 COLLAR TIES 4x5:Corner & Center posts 4X6 TOP PLATES 2x4 Purlins 2x4 Door & Window frame 4X4 ANGLE BRACES 4x4 Angle bracing 2x6 P.T Floor frame 4X5 CORNER POSTS 2x4 P.T Ledger board 2X4 PURLINS 5/8 Floor & Roof plywood 5/8 PLYWOOD 1 x 12 S 1 S Pine board siding 2X6 P.T FLOOR FRAME .Note: Rafters fastened with Simpson H2.SA clips 2x4 P.T LEDGER Or 3 timberlok screws r- - 4x5 CENTER POSTS Beams fastened to posts using Simpson AC,ACE, or LCE post caps (depending on if the post 2X4 DOOR 8 WINDOW FRAME Is midspan or at end) installed-in accordance with the Simpson C-2008 catalog WARK A. Vertical posts t p o be connected to sono tubes using r01c K EENzIE Q C_s�`' [ Simpson ST HD 8RJ straps installed in accordance wit] �c N., ". 3 The Simpson C-2008 catalog t'14-101J T���O�G� A U G 0 3 2009 p g TOWN OF BAR STABLE All purling, angle braces, and other minor elements to <Ja wyrh GP g HISTORIC PRESERVATION Be connected to posts or beams using a minimum of 3 Timberlok screws Pine Harbor sheds from 6x8 to 12x24 with roof pitches tin to I I .�. Lf% t Q PITS �R �y WOOD PRODUCTS It's all about the wood CHATHAM LOFT'SHED . - 12' x 14' (Elevations - Scale: 114" = 19 LEFT REAR 14' 12x 14 i 1 f '4 FLOOR FRAMING.SPECIFICATIONS FRONT (2 x -8 Pressure l.Treated @ 16" o.c.) RIGHT I4f I t �c 7 y11 CuS-I, 1 PINE *OR WOOD PRODUCTS.. Framing: 2x4 Rafters @ 2' on center 26 Yarmouth Road • Hyannis,MA 02601 • 508-771-5007 • hyannis®pineharbor.com (2x6 for larger buildings) 59 Queen Anne Road • Harwich, MA 02645 • 508-430-2800 • info®pineharbor.com 1 X6 Gussets 800-368-SHED (7433) • www.pineharbor.com 2x4 Collar ties 1X6 GUSSETS (2x6 for larger buildings) 2X6 RAFTERS 4x4 Top plates (4x6 for larger buildings) 2X6 COLLAR TIES 4x5:Corner & Center posts 4X6 TOP PLATES 2x4 Purlins 2x4 Door & Window frame 4X4 ANGLE BRACES 4x4 Angle bracing 2x6 P.T Floor frame 4X5 CORNER POSTS 2x4 P.T Ledger board 2X4 PURLINS 5/8 Floor & Roof plywood 5/8 PLYWOOD l x 12 S 1 S Pine board siding Note: 2x6 P.T FLOOR FRAME Rafters fastened with simpson H2.5A clips 2X4 P.T LEDGER Or 3 tmberlok screws 4X5 CENTER POSTS .Beams fastened to posts using simpson AC,ACE, or LCE post caps (depending on if the post 2X4 DOOR & WINDOW FRAME Is midspan or at end) installed in accordance with the _ Simpson C-2008 catalog ��Of�qS 1V MARK A Vertical posts to be connected to s tubes using j rJcKENzlE1 � Simpson ST HD 8RJ straps installed in accordance wit] . The simpson C-2008 catalog , L �aG J All purling, angle braces, and other minor elements to U-J If--"O 0E=)(&,,v' 1140►%'yh Epp g Be connected to posts or beams using a minimum of 3 Timberlok screws Pine Harbor sheds from 6x8 to 12x24 with roof Ditches un to l 9.1 9 Flo 0 5 PINE HARBOR WOOD PRODUCTS It's all about the wood"' - CHATHAM LOFT SHED - 12'x 14' (Elevations - Scale: 114"=17 LEFT REAR ,z N FLOOR FRAMING SPECIFICATIONS TL FRONT (2 x 8 Pressure Treated @ 16"ac.) RIGHT 3 oac� 2 x 11�r;ccn C(ai+sMg,� tSovh��.,�g .,t� w1-2S 76 '�Sr aloof Zq�� I Saect �oo� z G' y G ' 8" tt_ r rt .. 4, F �A 71 a tn vi J - q W ns 47 vz CD i ! W qj � Wou� wa � ,, �X a oh •cs�l .� 36 G N .Is �s Ink N � ` sg C> q\ �2 r F� at PERMIT: PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT .),200 MAIN STREET , i HYANNIS, MA 02601 ,y DATE: 10/27/08 TIME: 12:54 -----------------TOTALS----------------- PERMIT $ PAID 50.00 j ,.AMT TENDERED:--' 50.00 ` AMT APPLIED: 50.00 `. CHANGE: ' ' tom"/ 00 APPLICATION NUMBER: 200805678 PAYMENT METH: CHECK PAYMENT REF: 2062 76 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C Parce .I` b3gv � I Application# =� Health Division �l - 2 3( f Conservation Division Permit# Tax Collector Date Issued Treasurer _ Application Fee. � v Planning Dept. Permit-Fee Date Definitive/Plan Ap ove y�/Planning Board c A7. D�g v Historic-OKH)Z ,�j - Z)OPreservation/Hyannis Project Street Address �I_-DI -;1 YJ& I^� I , VU �V it sf A b l elTjlq& o�b e Village," wil Owner:ali _+. 1't ` upf Ive r Address ��� 1�_A N &)M5ki e Telephone Permit Request 0 X Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatioA 5) f DO Construction Type toy I L �h��� © � i —� Lot Size Grandfathered: ❑Yes ' zNo If yes, attach supporting<ocumentq£ion. n x- o Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 3 Age of Existing Structure Historic House: ❑Yes 410 On Old King's Hig ay: ❑Yes rb No Basement Type: XFull ❑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: AGas ❑Oil ❑Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: existing ❑new size Shed:❑existingXnew size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ko If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name C1 t, V e- Telephone Number Address `Jq !� f ' License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1� a lie,60 SIGNATURE DATE y 01 - ' FOR OFFICIAL USE ONLY PERMIT NO. 1 DATE ISSUED MAP/PARCEL NO. .ADDRESS - VILLAGE OWNER DATE OF INSPECTION: ' y FOUNDATION FRAME , INSULATION . ` r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:, ROUGH F' ' FINAL M ' GAS: ROUGH t FINAL + FINAL BUILDING DATE CLOSED OUT ] a ASSOCIATION PLAN NO. i —n �2u In7 ��� rX K/a a h c a oog0�5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parce Application# Health Division /11 a - Z 31 ( y i Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. " Permit Fee Date DefinitivenPlan Approd�by Planning Board Historic-OKHrJK , Preservation/Hyannis y Project Street Address I A— �1 p Village" - ,: -1' `,,Owner . �Y 1" � Address m � i Telephone Permit Reg6 st t 0 X Or III" 1 I I,IA I Sh j i� Square feet: 1 st floor:existing - proposed 2nd floor:existing proposed Total new Zoning-District Flood Plain Groundwater Overlay / ,� . heck Project Valuatio `� , GM i DO Construction TypeM Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. o Dwelling Type: Single Family Two Family ❑ Multi=Family(#units) Age of Existing Structure Historic House: ❑Yes dlI to On Old King's H_ igliway: ❑Yes ❑No Basement Type: XFull ❑Crawl ❑Walkout ❑Other , Basement Finished Area(sq.ft.) MIA 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: X Gas ❑Oil ❑ Electric ❑Other t. Central Air: 1 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes KNO Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:�(existing ❑new size . Shed:❑existing Xnew sizel6;K 16 Other: Zoning Board of Appeals Authorization ❑_ Appe_,al,# Recorded❑ Commercial .❑Yes �No Ifsyes,site plah,review# Current Use Proposed Use i BUILDER INFORMATION Narne2em 6Y IQ WAY(r Telephone Number f ��c��bo/ t� 'Ad d ress �M License# il� 1,�,f►((�Si�l��'1��. ► ► V—t UZ��V b Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Imm VIW& DATE L FOR OFFICIAL USE ONLY r PERMIT NO. . DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. : L ' ss66/-sus' s�lb-r��is'sb' ��.coQ L��N/ �'7Y✓S a'/C1b2�9 ntins t a O�UUSID bj 'b'Iiy F7S 6'1SN�/Y'S 3Nb'7 s�1J/S3Q £'ON 107 eases oN 111'31A00 0 N01�Ywa 9 �o �Nb'9 it1/N/7h/G✓O� �H� s�yJ�b NHor It, LDj/ p J0 „17/ng /'Y&'7c1 /vo/!bPNn0�71 Ef .L F ZZ t�C o69� 316a' �'7ivba'/7SN/ 7, a- (7 3W-Z NO S b' �NOZ Q?/b'Zb'N QGf77� (/ /V/ - £ O/v 107 L bf�1 PNy `�79P /v/)fCZ4 9&4 d0 b ��v? ,o•- •`�� �r/i��t� 9N//YVZ 3f•�1 �o s1N�G✓�a'/n fr�a' �t�1�r�l 01. SG✓a'O�NO✓ � 'O/v 1 v7 No P3loid3P /vO/1 bOiv/�O� > 's �i v � a- �13d'ONOJ �JN �fP�d'��/ Z iy� / /A! CV f £' 0/y 107 Z,/P V - �Nb'7 +LO SFe£L N �� C ` � } i /� r` � �,, ' �� ��'� L cam, e . . �, . � ,s ,: i - � , � . I� F �_ I Town of Barnstable o , Regulatory Se,.rvices + BARNSTABLE. y MASS. Thomas F. Geiler,Director 'FDru.�a Building Division Tom Perry,Building Commissioner 200 Main Street,IIyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Check One: Shed ❑Deck ❑Pool _]Porch ❑Gazebo FOR ALL APPLICATIONS: Determine map and parcel number and enter it on application. (This information maybe obtained from the Engineering or Building Dept.) . ❑Completed Building Permit Application 7royal/sign-offs are required and can be obtained at 200 Main Street: istoric District Commission [ Old King's Highway Historic District (North of Route 6) ❑Hyannis Main St. Waterfront Historic District (see map for boundaries) ❑Historic Preservation (if applicable) ealth Department`Hours are 8:00--9 30_'AM 6r'3 30=4:30'PM erv=afion-Com=missi"on=Hou-r,s a e 8 OOw9 30--AM or 3 30_ 4-50 PM gHomeowner License Exemption Form (if homeowner is acting as general contractor/builder for project) or Copy of Construction Supervisor's License must be submitted (except for in-ground pools) ❑Worlcer's Compensation Insurance Affidavit must be submitted. Copy of Insurance Compliance Certificate must be on file. ❑Copy of Home Improvement Contractor's License (residential only if applicable) ❑ Property Owner must sign Property Owner Letter of Permission.;, ❑ A NON-REFUNDABLE Application fee is due upon receipt of application number ❑ Permit fee. SHEDS ECKS/OPEN PORCHES/GAZEBOS: , Plot Plan or mortgage survey required to verify zoning compliance. Placement of proposed structure must be sketched in and the distance from property lines indicated. The location of the septic system should also be shown. ❑Two (2) sets of plans (8 1/2" x 11" or 8 1/2" x 14) showing cross section and framing schedule. ❑Prefab sheds require factory brochures & specifications. ❑Prefab sheds require a copy of the Home Improvement Specialist's License unless the homeowner is applying for the permit in their own name.- POOLS(250 sq. ft.and over or 2' deep or deeper require a building permit) ❑Plot Plan or mortgage survey showing the proposed location of pool and the distance.from property lines. Plans must also show location of backwash pits if applicable. ❑ Construction Drawings or Factory Brochure & specifications. ❑ Show placement of fence, list description of fence and materials used. Q:bid ghvpfi les/forms:shed-deck Rev:1 12807 _ - h IaA s-q} r5b's s e 088008003 .; F t rc�w xv. sR t,. •v , Y 7 4°` - MTR - rc � k�'�s.'".,�a'fit' _. r�i', 4 a`.�•a.s�:^k�'��'.sav w��.h,``T`c.�-y,025 .,5, - y 3�i r'�: qt'4 a.raF -x`` '::-mR t 'n•;". 4Z+ -S''safi� `f? "bz`�x 'qc ray M1et ,. - -M 0000cc 0000��.00,�'o ay� �3. . `4a. s- � .. j 4rc,�r'-� '4. '`z 2.rcm '' >��,.; £ -� k'°lr' � ���'` - ,1 "r� .. '� ^• J �"°'s"'"*y ...; #�-4,.—c s?" h' :.E j�.` a'rF-rcy 4 a x •` :T' S _ O Mlt 4�'€Y 's''3",z• Sc'`n�"'c'c ... ¢ 088009V vr � 3 oGc' �' MEW ...... 08 O' #3 @"d, r.r., rc � r x `' i vimy-z.«t L,,, ,w-.t _ y ` ,:.,� -` Ik- h rrY, K55 -,.y„t,v"'S. '"" ., _ p. a p.. Wr7. o JIM -.� s"ic '.:r. a j5�a�: �```�'sWx 'I�s •ca' k "' � a% '�'�'.�� - .. ? 31. 7� ,hri ft 0 " �'' :"`°: ��l*'iv 4:- ;'SY"'"r�' z�,a. •Y'"r-Y. -��,r`� r� '`•' �::, tom., ;Yv;. - './ .. J _ . "���� �" ¢-� �a.f��ar-� 'gyp-� ��`�'�� r������� n -����,�,;-���- •" , i.. ... s• k 4`¢'t ,4. "'v' 5. u x„ ak:i Mirc it r—M ',,a. 'r..- !. n :•:, O - �.i � rs'k1i. "t+a'�yam'+:C,\ "���`m'x•'hw�; �'�' :� �+'".�tn,��;uw '��. �v`�_ " x,_"may: �,�"-� -• - -. - • I 4,,.z -i'y r I .. :Y4 :s k.Cy"a rS 'Yra..& ,,,,�".Y..-x �3r" -ar.• :�"h" `Y`-a,�arM "` ,��s, `-��,�r, L ," .�. A:,' k '�..- ,�c 7'u ,fti �.k„k.- ',;'.rcn "4. j ,-mow:"" •+. - .." h.. ns:,- k, •-, t r 31x�' :< S e h (rc � �c �' � '`', "'IY r,Crttarc: 5:trx .:`". y•. _ \�i•r w L t, " e"..; "' -.y`y 'w °• , " '�:.-'fi 's, ;, a's r •�- -zv.< a�"` a-'E �4y,a 5.�" •�k _ n 088GIN 0. 00800� # sy y,. ,� � x \ a - •SS.:x"``E ` „az-.rc`:. _ O f. 3 rc y g �,�.e "n #33 0 ,v i'rc' F a .,^ .+>ssx• .. z �,"»im F:'. „cy .•`4:.1" `�. `,rA O - .� .' '. ,. - C ON +•!�� yy' ry ..,.x r,. '' ,k 7c, v •at x rc"P, a..,�`'- 4Y ME V"�{ `!t,'��,.,y4'ry12 r •, -. •-re.x y-�.R•:. / �.•£V„H' "eiiZui-.x 08 V OOd�,o•. :' _ "�.� _ - ! - � �.. �°7``r i 4�1��k'h'*�•,. -(:fit. .. ... .. - .. - , �, sx;.?'•.-,.e>M Uric.-.;�;, �,1;`�;,�: '. .� _ - �••�,\ - _ ... � _� 210 s NOTE:PARCEL LINES MAY NOT BE ACCURATE. The DISCLAIMER:This map for planning purposes only. It / `� parcel hoes on this':nap are only graphic representations of 'may not be adequate for legal boundary determination or / \1 ,`-.� �� '= Assessors tax parcels. They are not true property regulatory Interpretation.T his mapdoes rot represent an - J 0' 5 10 20 Feet boundaries a0d do rov represent accurate relationships to on-the-gmund survey.. _ - 088008006 `'' physical objects on the map such as building locations. - - - - �• " j #200 \•' 1.inch a Duals 30 feet 16' d E t 077 Y) Ilk lb - ss M�`pFYHETO�y0 Barnstable Old Kings Highway Historic District Committee BARNSTABLE 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 y MA-M.0 o 059. `gym prEOMA�'�' APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with.four(4) complete sets, 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 all categories that apply; 1. Building construction: L�rNew ❑ Addition ❑ A teration o z: 2. Type of Building: ❑ House ❑ Garage/barn ETShed ❑ Commercial ❑ Comer c/' N -� 3. Exterior.Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, do8rr ' 4. n : ❑ New Sign ❑ Existing Sign El Existing Sign Si 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court Eli Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Pribt Legibly:; Date: Ot9loo Address of proposed work: House# Street:���� rz�S La e- Village 13/l/n.,5-�, /&sessors Map Lot# Description of Proposed Work: Give articulars of work to be done: l�xlb r�s�o�l c�loh�a L Shtt� Agent or Contractor(print): 060/)eY — �l.I.YJ L % Telephone.#: �� :3&2 a 20 Address: J S Contractor/Agent' signature: ,/lt.. NOTE ..4 1l appli ions mus signed by Me rrent owner 2008 Owner(print): fi Telephone#: (,<Z)p)&& Owners mailing address: Sq Pes ��Sh +(per hwtaY Owner's signature: �/h pld Commtiee For committee use only. This Certificate is hereby APPROVED/DENN%D l i T ti i i Date Members signatures ll JL l�Ll! SEP 1 9 2008 ' � TO�;J,�OF /;pN_J�AB!F l hiSTOPII r'PE,BEAiV 1.TUN A ons of a oval: 1 QAGMD-Groups101d Kings Highway10KHNew.4pplOKHCer1 Approprinteness 07.doc Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed) (material.-brick/cement, other) Siding Type CMa'KShiM /material: Color: ✓V Chimney Material: Xq Color: Roof Material: (make& style) �' ����" /� r es Color: 10)",L Trim material Color: Roof Pitch:-(7/12 minimum) Window: (make/mode&) barn sash GU/0da NO a✓ zr) color �V < Door style and make:Ca / Q!/S material Color: ��/(Q�7 L &e Garage Door, Style Lq Size Material Color Shutter Type/Material: N/1q- Color: Gutter Type/Material: A)f`} Color: Decks: material AV 4 Size Color: Skylight, type/make/model/: L material Color: Size: Sign size: 1 v,Lq Type/Materials: Color: Fence Type (max 6' ) Style , material: Color: Retaining wall: Material: LA Lighting, freestanding on building illuminating sign / Please provide samples of paint colors and manufacturers brochure of style of windows Ad f fences, lamp posts etc ADDITIONAL INFORMATION: o IT Signed: (plan preparer) print name tel. no. Location of application: Street no. Street Village 2 Q:IGMD-Groups101d Kings Highwny10KHNew AppIOKH Cert Appropriateness 07.doc I 4. SIGNS Diagram of sign, showing graphics, size, design and height of post, color and materials. Spec sheet. Site Plan on a GIS map or mortgage survey, OR photographs OR to-scale sketch of building elevation showing location of proposed sign; and any tree to be removed near a freestanding sign. Fee according to schedule. 5. FOR LIST OF ABUTTER': PLEASE SEE OKH STAFF SIGNED (plan preparer) Print tzeavel Date: �l���� Tel. Phone no's: r, NOTE The Old Kings Highway Historic District Committee MAY DEN Y INCOMPLETE APPLICATIONS (�'� r, t V ATTENDANCE AT MEETINGS: If the applicant or his/her representative is not present during the ,e�'ngt is schedc ed {spy � 1, j.t,• . application may be either CONTINUED OR DENIED ��� ,� SE• 1 } APPEAL PERIOD APPROVED PLANS PLAN PICK UP There is a fourteen(14) day appeal period for approved plans. This is necessary for each Certificate of Appropriateness and/or Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by the Old King's Highway Regional Historic District Committee may be picked up at Growth Management,Regulatory Division, 200 Main Street,Hyannis, after expiration of the 14 day appeal,period. If the 14`h day falls on a Saturday, your plans will be available the afternoon of the.following business day. DENIALS Applications that are denied may be appealed to the Old Kings Highway Regional Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information, see the Bulletin of the Old Kings Highway District Commission. BUILDING PERMITS, OTHER AGENCY CONTACTS In most instances, before commencing work, a Building Permit is required. The Building Division will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan :approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. . Other Regulatory Agencies at 200 Main St, Hyannis MA 02601: Building Division 508-862-4038p e Conservationbivision 508-862-4093 Health Division 508-862-4644 APPROVED ED QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL THE BARM RAR OLD KINGS HIGHWAY OFFICE AT 508 862-4787 Town of Barnstable Old Km hway Committee 5 Q:IGMD-Groups101d Kings HighwaylOKH New AppIOKHCenApproprinleness 07.doc i Thank-you for purchasing \ this Better Barns product. / DGEIEIOD For technical assistance please visit our web site: www.betterbarns.com A 10 .x 16 Custom BETrER o Cedar Colonial B,�M ,� Srnce 1979 ,o Plan #2015 A variation of our best selling 10'x16' Cedar Colonial Protective rake overhangs Plans prepared by: and generous four foot James CC Rice,.AIA wide windows make this barn unique. 04/24/2005 ©2004, 2005 by Better Barns Printed on recycled pope�110 r l p 1 9 2008 BET-FER O C T 0 9 2008 u TOWN OF BARNSTABLE� BARNS own of Barnstable Old Cing's Highway HISTORIC PRESE��I�'T�ON BETHLEHEM Committee Cr r Cedar keystone 1x6 TxG Cedar vertical siding N oaaaoa Ring Gate Latch Available through Better Bams 12" Strap hinges. Available through Better Barns Front Elevation (Door shown is for one side only) 188" 12" $ 11 Joists @16" O.C. 16" 2x6 P E v Joists _h -O s O = N r` I CO p � vr D OCT. o LSEP 1 9 20089 2008 Old Kin9BHnstable TOW!:Of ;3ARNSTArrLE Commirtee way HIS�OF'� PRESERVATION Ridge vent Eave Overhang II 2'x4' barn sash windows Side Elevation 92 96 00 48"x92" 48"x96" 00 48"x44" 48"x96" 48"x48" 3/4" T&G Ply Underloyment decking N 24"x92" 24"x96" /� i COVE® Lt IHISTAC G JE 0E � OCT 09ZppB ToSEP 1 9 UU8 ;�� oldCnfBarg�ale 9s NiOF S,., mmitfeA aY PRCSERVATION 1 2x6 PT 6x6 "16 Foundation timber t 1 Floor Framin I . 7-1/4" Diagonal member tn i to Note: M " Rabbet jamb 8 Min. i N studs prior to 2x4 lock 0No assembling wall. i N See drawing 19 for rabbet de ail. � I N 27-1/2" 58" 27-1/2" 113" 5 Front Wall Framing M 00 �--Simpson Wind bracing Q. ISS 1 I 113" Back Wall Framing r 1.92008 r Old Kin f8arnsrable �'Omm n PhwaY i 2 Floor Pl ood Layout Short 2x4s laid flat 1/2" Plywood both sides. Glued and header sandwiched I screwed through plywood. between short 2x4s. WA 1>1 Window R.O. 2x4 2x4 Simpson / C14 00 Blocking Girts Wind broci N (2) 2x4 DF Comers with 1/2' plywood Equal Equal Equal Equal i shims between N 24" 48-1/4" 21—3 4" 21—3 4" 48-1 4" 24" Rough Opening 188" Rough Opening 6 Side Wall Framing with windows Simpson Wind broclig CN LGirts / 00 r.. N a 2x4 Blocking N 22" 24" 24" 24" 24" 24" 24" 22" 188" 8 Side Wall Framing without windows) r I�Q � \0 � 9 Z008 �I�o I �G 3;�RNs� +LEA( 9 2008 . HISTORIC Id K1n t s 9srable CA�n ehwaY 4-3/8" 50' * 50' i i Ridge gusset ' 40' Plumb Cut Side Musset -- 12 10 2x4 framing typical Bottom chord of truss , 120" 3 Standard truss (24" on center) 50' Ridge gusset 120" Bottom chord Side gusset 76-3/4" l- -1 19" Attach shoe to truss prior to truss installation 96" (Truss Shoe) - C E E �t I tiEp All, Gable end truss I�j� L WNOF BARNS�TABLE ORIC PRF. r Rake Overhang Use 5—ply 1/2' COX roof sheathing or Standard truss locally approved equal. Architectural 1x6 Cedar style asphalt shingles vertical siding recommended. 1/2' Ply gusset Gable end truss 1/2' Ply gussets Gable and truss shoe Aluminum Attach to truss soffit vent prior to truss installation t• x2• Cedar fascia 1' x 4-3/8' Cedar fascia 2x4 Sub—fasclo (2) 2x4 OF Comers with 1/2' plywood shims between 2x4 Girt 1 x6 Cedar vertical siding tx4 Cedar comer board 3/4' TdcG Underlayment ply. 6x6 PT foundation timber set on compacted stone. RAKE SECT10 'N E A V E SECTION 9 wall sections D VJ CEP i � zoo$ o To' of BAN`,TABLE HISTORIC PRESERVAT10"4 E t t q Roof sheathing extends to edge of rake. 3/4' 3 Alum ( I Rake ge I 1 x2 Cedar rake trim I N 5/4 1 x4 Cedar rake trim Stock t I 7 I LO F I I Attach rake assembly I I to gable and truss with I 8" 3-1/2-' long wood thread screws and I I construction adhesive. IV I tx6x8 Cedar soffit trim 1-3/8' I I Exterior gable Keystone I I and siding 12 Gable end truss I (outline dashed) 11 Rake overhang detail 59' 1 j' 7r 1 j' 81' 11' 8r 1r 81' 1r 8j' 1r 7r 1 j' 1 x I gr muntin i 7-3/4' x 29-1/4" Double strength glass 7-3/4' x 29-1/4' Double strength glass Bed glass with dabs of exterior silicon sealant 59' T----------------------------+---------------------------- I I IOutline of'transom window 7r I 2x Wall framing j gr I 1 I L_ _�_ J ------------------------ --------------------------_ Rabbeted door jamb 10 Transom Window Detail Q , I I u �Ep 1 9 cuU8 l ► TOWN OF BAPn Vertical cedar siding Vertical cedar siding Attach shoe to top plate of wail with 2-1/2' screws or nags 4• Attach shoe to bottom chord of truss with L 3-1/2' screws or none prior to truss installation. 3' 3/4' I ,• 1� Corner trim detail Vertical cedar siding Siding 14 Detail at truss shoe. Keystone (Beyond) 3/4•x1' Accent Cap i1i 1x Header Trim 2- 16 Trim Detail at Window Head 3/16' Rabbet 1x muntin 1-1/2" n n � ^ Double strength __ -_- glass 3/4 Hole for wooden peg 1x Stock N 13 Transom window detail screw & glue -- -- extension to jamb stud 15 amb extension ECM >ti� � 9 LtJ�ii i HISTORIC p>=tr5 Cedar keystone See drawing 12 4j• --------------- --------------- Barrel bolt ! I I Barrel bolt Sash �\ c i Sash j I 48'W x 24'M I 3/4 In. Wooden peg set into jamb Leave 1 In. exposed I `� 48-1 4 j Jamb extension See drawing 15 � j 46-1/2' j 4f 1x2 cleat holds sash In place at base 3' 52-1/2' 3• 48-1/8' � Bevel front edge i of sill 10 degrees 5j 5/4 x 6 Cedar sill 3i. 5/4 x 6 Sill stock 54-1/8' Drip edge , E � V E D Side wall window details n 4 008 18 TOWS+OF B�K�STABLE HISTOgIC pFiLSER�ATION Purchaser's Responsibilities These design, plans, and specifications have been developed without knowledge or reference to a specific geographic or municipal location. Therefore, the designer and publisher cannot gourantee local code compliance or individual interpretation of the code. In granting construction rights to the purchaser of this design and his/her referenced use of the design's working drawings, the designer and the publisher are not responsible for, and are to be held harmless from inadvertant discrepancies, construction interpretations and/or construction results. Therefore, supplemental to these documents, is the owner's and his/her builder(s) responsibility for the current material and manufacturer's installation instructions and using recognized standards of good practice for each building craft trade. It is also the owner's and his/her builders) responsibility for compliance in full with all governing code requirements for the geographic and municipal area in which this design is to be built, including snow and wind loads, structural loading conventions, frost levels, required footing depths, zoning restrictions, etc. Any modifications or changes to the plans, whether or not made for code or local ordinance compliance are the sole responsibility and at the sole risk and expense of the purchaser. The design, plans, and the information shown hereon are protected under the architectural works copyright protection act. Therefore this design, drawings or any of the information they convey may not be reproduced in any way without express written permission. The sale of these drawings to the purchaser are for his/her personal one time use in building the design described therein. All rights reserved. 7SE Ir I2UU, I TOWN OF BARNST ," 58' HISTORI� C_ pRVA 3'Trim 1/2' x 1/2' Rabbet to accept door cleats. 1-3/8' 5' Barrel bolt. Mount on 1/2'x2'x7' plywood base. 2' 4}- I I I I I I� Go I N i . I I I I N I 74' 4 • 27-7/8' \ I 27-7/8- I I IA T&G cedar w/'Y' groove. Rough faced out. 1 I ao N I 1x Rags and Braces screwed w/1-1/4' exterior deck screws. Glued w/exterior 41' I construction adhesive. 2- 29-1/4' Typical both doors 2" 19 Barn door details e io ou ,p Ridge line of roof. 39. 39"x 56" 39"x 96" 39"x 56" 1/2" 5 Ply CDX Plywood 48"x 80" 48"x 96" 48"x 32" 48" Note: This diagram shows one side of the roof. Opposite side similar. &EMLIlMood layout Materials List i Nominal Dimensions NantityAength Part of project p r1Aatlorl Solid c cret bloc — 806 20 — antity ries Four)datVn Solid Joncrefe pa o bl — 8x16 10 QuantlK varies F96ndAon 6x6 Pressure Treated SYP 2 pcs. 16 ft. long Foundation timbers 2x6 Pressure Treated SYP 2 pcs. 16 ft. long Floor framing 13 pcs. 10 ft. long Floor framing 3/4" T&G ACX Plywood 5 pcs. 4 ft. x 8 ft. Floor sheathing 1/2" CDX Plywood 8 pcs. 4 ft. x 8 ft. Truss gussets and roof sheathing 2x4 kiln dried Doug Fir 68 pcs. 8 ft. long Wall framing, trusses 10 pcs. 10 ft. long Wall framing, trusses 10 pcs. 16 ft. long Wall framing Simpson wind bracing (or other) 6 pcs. Let—in wall bracing Cedar 1x6 T&G 160 pcs. 8 ft. long Siding and trim 4 pcs. 16 ft. long Siding and trim Asphalt shingles (Architect style) 6 bundles Roofing 3 tab roofing shingles 2 bundles Starters and ridge caps This material list Is just a guide — it gives you enough pieces for your project generally larger than what you need. Plywoods are shown in minumum full sheet quantities. You may be able to purchase smaller pieces for your project. Not included are nail and screw quantities and accessories, such as windows, trim, and hardware. Additional hardware such as ground anchors may be required In your area. Check local code. ri �BON The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia UV . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ApoUcant.Information Please Print Le gib Name (Business/Organization/Individual): ,Wf' U Address: City/State/Zip: .0il�!(1 Phone.#: 02 Are you an employer? Check the appropriate bog: Type o3 project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6 IvNew construction—Al-d, . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition and have workerrs' working for me in any capacity. employees � 9. []Building addition comp. insurance. [No workers' comp.insurance Vquired.] 5. � We are a corporation and its. 10.❑Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1�.0 Roof repairs insurance required]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers'. comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. IContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am att employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: . Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to-the imposition of criminal penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA for insurance coverage verification. I do hereby c fy u r he pains and penalties of perjury that the information provided abov "rs tr a and correct Si afore: Date: �. 6 phone 4: Official use only. Do not write in this area, to be completed by city or town offcciaL City or Town: Pernut/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states 'Neither the commonwealth nor any of its political subdivisions shall enter,into any contract for.the performance of public work until acceptable evidence of compliance Rzth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), address(cs) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships (LL.P).with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for.the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towli Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license numbcr which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits,or licenses. A new affidavit must be filled out each. year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a ca1L The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Departmnmt of Iadustd4 Accidents Office of luvestigati.ons 600 Washington Street Boston, MA 02 111 Tel. # 617-727-49-0.0 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 . www.mass..gou/dia �I SHE Town of Barnstable OF Tp� P` do Regulatory Services _ snxxsinsr.t. Thomas F.Geiler,Director MAW. �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 50$-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: "Sq JOB LOCATIO �hheern `�p�� street village "HOMEOWNER` � 1 �a" if name ,Mho pme phone# work phone# CURRENT MAE ING ADDRESS: I r Al ,r- bl.a, 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 oi•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"homeowne ;:certifies that he/she understands the Town of Barnstable Building Department minimum inspection 3o ur`es and requirements and that he/she will comply with said procedures and requirements. Si a er 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 be/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 f Thank-you for purchasing this Better Barns product. For technical assistance ❑D❑DOD please visit our web site: www.betterbarns.com A 10 x 16 Custom BETTER o Cedar Colonial Since 1979 A Plan #2015 A variation of our best selling 10'x16' Cedar Colonial Protective rake overhangs Plans prepared by: and generous four foot James CC Rice, AIA wide windows make this barn unique. 04/24/2005 ©2004, 2005 by Better Barns Printed on recycled paper. BETTER BARNS BETHLEHEM CT Cedar keystone 1 x6 TxG Cedar vertical siding N ❑❑❑❑❑❑ Ring Gate Latch Available through Better Barns 12" Strap hinges. Available through Better Barns Front Elevation (Door shown is for one side only) 188" 12" 11 Joists @16" O.C. 16" 2x6 P IE Joists {, 'o o N 00 I co f Ridge vent Eave Overhang 2'x4' bam sash windows a Side Elevation I 92" 96" i � i a0 48"x92" 48"x96" { 00 48"x44" 48"x96" 48"x48" 3/4" T&G Ply Underlayment decking 1 N 24"x92" 24"x96" i 2x6 PT 6x6 "16 Foundation timber 1 Floor Framing 7-1/4" Diagonal \ member r7 I r� Note: \ " Rabbet jamb = 2x4 Block i N studs prior to \ 000 assembling wall. j 04 , See drawing(9 for rabbet derail. a \ I N 27-1/2" 58" 27-1/2" 113" 5 Front Wall Framin _ � I \ / 00 N . Fr }• \ \ �—Simpson r , Wind bracing k I 113" t 7 Back Wall Framin i &E106r Plywood Layout Short 2x4s laid flat 1/2" Plywood both sides. Glued and header sandwiched screwed through plywood. between short 2x4s. Window R.O. I \ 2x4 2x4 Simpson / Blocking Girts Wind braci N (2) 2x4 DF Comers with 1/2" plywood Equal Equal Equal Equal i shims between L—/L ZZ 24" 48-1 4" �21-3/4" 21-3 4" 48-1 4" 24" Rough Opening 188" Rough Opening 6 Side Wall Framing with windows Simpson 40 M Wind braclig t c: \ 2x4 \ / 4 Girts � N 2x4 Blocking i N 22" 24" 24" 24" 24" 24" 24" 22" 188" 8 Side Wall Framing without windows 4-3/8" 50' 50' M I cD 17" i �' Ridge gusset � * 40' Plumb Cut Side gusset -- r , 12 10 2x4 framing typical Bottom chord of truss 120" 3 Standard"truss (24" on center) 50' Ridge gusset ---\�� 120„ Bottom chord Side gusset 76-3/4". 19" ' 1 Attach shoe to truss prior to truss installation 96" (Truss Shoe) A Gable end truss Rake Overhang Use 5—ply 1/2' CDX roof sheathing or Standard truss locally approved equal. Architectural 1x6 Cedar style asphalt shingles vertical siding recommended. 1/2' Ply gusset Gable end truss 1/2' Ply gussets Gable end truss shoe Aluminum Attach to truss soffit vent prior to truss Installation 1' x 2' Cedar fascia 1' x 4-3/8' Cedar fascia 2x4 Sub—fascia (2) 20 OF Comers with 1/2' plywood shims between 2x4 Girt k tx6 Cedar vertical siding s tx4 Cedar comer board 3/4' T&G Underloyment ply. 6x6 PT foundation timber set on compacted stone. R A K E S E C T 1 0 N E A V E S E C T 1 0 N 9 Wall Sections Roof sheathing extends to edge of rake. 3/4" Alum Rake dge I I 1x2 Cedar rake trim I I N 5/4 1x4 Cedar rake trim � Stock I L I I I I Attach rake assembly I to gable end truss with 8" 3-1/2' long wood P thread screws and I •I construction adhesive. 1x6x8 Cedar soffit trim 1-3/8" I Exterior gable 12 Keystone I I end siding Gable end truss (outline dashed) 11 Rake overhang detail 59" 1 J" 7r 14" B j" 1 j" 8r 1 j" 8 j" 14" 8 j" 1� 7r 1 j" 2"� i" muntin . 7-3/4" x 29-1/4" Double strength glass 7-3/4" x 29-1/4' Double strength glass Bed glass with dabs of exterior silicon sealant 59" r------------------ ----------—#----------------------------- I 1 I � IOutline of transom window 7r I 2x Wall framing I 9 " I I L— -------------------------- ------------------------------J Rabbeted door jamb 10 Transom Window Detail Vertical cedar siding Vertical cedar siding Attach shoe to top plate of wall with 2-1/2' screws or nails 4" 7 7 7 77-K/ Attach shoe to bottom chord of truss with 3-1/2' screws or nails prior to truss installation. 3" 3/4' 1" 17 Corner trim detail Vertical cedar siding Siding 14 Detail at truss shoe Keystone (Beyond) ZZZ 3/4'x1' Accent Cap 771 tx Header Trim 2" 16 Trim Detail at Window Head 3/16' Rabbet 1x muntln 1-1/2" Double strength --------- glass 3/4 0 Hole for wooden peg ff-_Ix Stock N n 13 Transom window detail Screw & glue extension to Jamb stud 15 amb extension Cedar keystone See drawing 0 4e --------------- --------------- Galy. Barrel Barrel bolt SashSash iv 48'W x 24'H 3/4 In. Wooden peg set into Jamb '4 j Leave 1 in. exposed 04 i 48-1 4 Jamb extension See drawing G � 46-1/2' 14r 1x2 cleat holds sash in place at base 3" 52-1/2" 3" 48-1/8" 4f Bevel front edge of sill 10 degrees 51" 5/4 x 6 Cedar sill 3�" 5/4 x 6 Sill stock 54-1/8" Drip edge r I I I 18 Side wall window details i I . j Purchaser's Responsibilities These design, plans, and specifications have been developed without knowledge or reference to a specific geographic or municipal location. Therefore, the designer and publisher cannot gaurontee local code compliance or individual interpretation of the code. In granting construction rights to the purchaser of this design and his/her referenced use of the design's working drawings, the designer and the publisher are not responsible for, and are to be held harmless from inadvertant discrepancies, construction interpretations and/or construction results. Therefore, supplemental to these documents, is the owner's and his/her builder(s) responsibility for the current material and manufacturer's installation instructions and using recognized standards of good practice for each building craft trade. It is also the owner's and his/her builder(s) responsibility for compliance in full with all governing code requirements for I the geographic and municipal area in which this design is to be built, including snow and wind loads, structural loading conventions, frost levels, required footing depths, zoning restrictions, etc. Any modifications or changes to the plans, whether or not made for code or local ordinance compliance are the sole responsibility and at the sole risk and expense of the purchaser. The design, plans, and the information shown hereon are protected under the architectural works copyright protection act. Therefore this design, drawings or any of the information they convey may not be reproduced in any way without express written permission. The sale of these drawings to the purchaser are for his/her personal one time use in building the design described therein. All rights reserved. 58" 3"Trim 1/2' x 1/2' Rabbet to accept door cleats. 1-3/8' 5" Barrel bolt. Mount on 1/2"x2"x7" plywood base. 2" 4r 00 to Co N N 74" 4j" 27-7/8" j 27-7/8" n 1x6 T&G cedar w/"V' groove. Rough faced out. I N N 1x Rails and Braces screwed w/1-1/4' exterior deck screws. Glued w/exterior 4 " I construction adhesive. 2' 29-1/4' Typical both doors 2" 19 Barn door details r �o au 00 Ridge line of roof. 39" 39"x 56" 39"x 96" 39"x 56" 1/2" 5 Ply CDX Plywood 48"x 80" 48"x 96" 48"x 32" Note: This diagram shows one side of the roof. Opposite side similar. 0122LI21yEood layout Materials List Nominal Dimensions quantity/Length Part of project Solid concrete block — 8x16 20 ouan ty variek F ndati tn Solid c crete do bloc — 2K 10 — uantiA varies Fou data _y 6x6 Pressure Treated SYP 2 pcs. 16 ft. long.—. Foundation timbers 2x6 Pressure Treated SYP 2 pcs. 16 ft. long Floor framing 13 pcs. 10 ft. long Floor framing 3/4" T&G ACX Plywood 5 pcs. 4 ft. x 8 ft. Floor sheathing 1/2" CDX Plywood 8 pcs. 4 ft. x 8 ft. Truss gussets and roof sheathing: 2x4 kiln dried Doug Fir 68 pcs. 8 ft. long Wall framing, trusses 10 pcs. 10 ft. long Wall framing, trusses 10 pcs. 16 ft. long Wall framing Simpson wind bracing (or other) 6 pcs. Let—in wall bracing Cedar 1x6 T&G 160 pcs. 8 ft. long Siding and trim 4 pcs. 16 ft. long Siding and trim Asphalt shingles (Architect style) 6 bundles Roofing 3 tab roofing shingles 2 bundles Starters and ridge caps This material list is just a guide — it gives you enough pieces for your project generally larger than what you need. Plywoods are shown in minumum full sheet quantities. You may be able to purchase smaller pieces for your project. Not included are nail and screw quantities and accessories, such as windows, trim, and hardware. Additional hardware such as ground anchors may be required in your area. Check local code. Thank-you for purchasing this Better Barns product. For technical assistance DOEIDEID please visit our web site: www.betterbarns.com � A 10 x 16 Custom , BETTER ° Cedar Colonial BARNS Since 1979 Plan #2015 A variation of our best selling 10'x16' Cedar Colonial Protective rake overhangs Plans prepared by: and generous four foot James CC Rice, AIA wide windows make this barn unique. 04/24/2005 ©2004, 2005 by Better Barns Printed on rl recycled paper. B ETTER BARNS BETHLEHEM CT Thank-you for purchasing this Better Barns product. For technical assistance ODDDDD please visit our web site: www.betterbarns.com A 10 x 16 Custom BETTER o Cedar Colonial ,. BARNs Since 1979 ,o Plan #2015 A variation of our best selling 10'x16' Cedar Colonial Protective rake overhangs Plans prepared by: and generous four foot James CC Rice, AIA wide.windows make this barn unique. 04/24/2005 ©2004, 2005 by Better Barns Printed on recycled paper. BETTER BARNS BETHLEHEM CT Cedar keystone 1x6 TxG Cedar vertical siding N ❑❑❑❑❑❑ Ring Gate Latch Available through Better Barns 12" Strap hinges. Available through Better Barns Front Elevation (Door shown is for one side only) 188" 12" 11 Joists @16" O.C. 16" 2x6 Pf E v Joists 'o o N 00 n I ca f Ridge vent Eave Overhang 2'x4' bom sash windows i Side Elevation i I � 92" 96" I , i 00 48"x92" 48"x96" j i t a0 48"x44" 48"x96" .48"x48" ' 3/4" T&G Ply Underlayment decking t , , i N 24"x92" 24"x96" I i 2x6 _ PT 6x6 ` "16 Foundation timber 1 Floor Framing 7-1/4" Diagonal \ member I Note: \ " Rabbet jamb = 8 in.M 2x4 Block i N studs prior to \ oNo r- assembling wall. CV See drawing 19 for rabbet detail. \ i N 27-1/2" 58" 27-1/2" 113" 5 Front Wall Framing \ M \ M _ \_ � I \ / C N _ \ Simpson 4 I Wind bracing 113" 7 Back Wall Framin r 2 Floor Plywood Layout Short 2x4s laid flat 1/2" Plywood both sides. Glued and header sandwiched screwed through plywood. between short 2x4s. window R.O. \ \ 2x4 2x4 Simpson / CN,) .Blocking Girts wind braci N (2) 2x4 DF Comers with 1/2" plywood Equal Equal Equal Equal i shims between N 24" 48-1 4" 21-3 4" 21-3 4" 48-1 4" 24" Rough Opening 188" Rough Opening 6 Side Wall Framing with windows qt Simpson Wind I)racllg cv 2x4 00 Girts T tt 2x4 Blocking i N 22" 24" 24" 24" 24" 24" 24" 22" 188" 8 Side Wall Framing without windows i 4—3/8" 50' 50' M I ca 17" LO 11" r Ridge gusset Side gusset 40' Plumb Cut -- 0� 12 10 2x4 framing typical h r I Bottom chord of truss 120" QStan�dud truss (24" on center) 50' Ridge gusset 120" Bottom chord Side gusset I 76-3/4" I I ----J L---- Attach shoe to truss prior to truss installation 96" (Truss Shoe) Gable end truss i Rake Overhang Use 5—ply 1/2' CDX roof sheathing or Standard truss locally approved equal. Architectural tx6 Cedar style asphalt shingles vertical siding recommended. 1/2' Ply gusset Gable end truss �r - 1/2' Ply gussets Gable end truss shoe Aluminum Attach to truss soffit vent prior to truss installation 1' x 2' Cedar fascia 1' x 4-3/8' Cedar fascia 2x4 Sub—fascia (2) 2x4 DF Comers with 1/2' plywood shims between 2x4 Girt � 1x6 Cedar vertical siding x 1x4'Cedar comer board 3/4' T&G Underlayment ply. 6x6 PT foundation timber set on compacted stone. R A K E S E C T I O N E A V E S E C T 1 0 N 9 Wall Sections Roof sheathing extends to edge of rake. 3/4c• Alum I ' Rake dge I I E 1 x2 Cedar rake trim 77 I N 5/4, XI 1x4 Cedar rake trim Stock I I I Attach rake assembly a I I to gable end truss with 8" 3-1/2 long wood thread screws and ! i ( construction adhesive. 1x6x8 Cedar soffit trim 1-3/8" I Exterior gable 12 Keystone I I end aiding Gable end truss (outline dashed) I 11 Rake overhang detail 59' 1j• 7r 1j• 81" 1j• 8j• 1r 81" 1� 8j" 1� 7r 1j• 2'� 1x I gr muntin i 7-3/4" x 29-1/4" Double strength glass 7-3/4" x 29-1/4' Double strength glass Bed glass with dabs of exterior silicon sealant 59" ' I, r---------------------- -------I------------------------- ---- I IOutline of transom window 7}" I 2x Wall framing j 9r I I - I L— --------------------------- ----------------------------J Rabbeted door Jamb „ 10 Transom Window Detail i Vertical cedar siding Vertical cedar siding Attach shoe to top plate of wall with 2-1/2' screws or nails 4" Attach shoe to bottom chord of truss with 3-1/2' screws or nails prior to truss installation. 3" 3/4' I ,' 1� Corner trim detail I Vertical cedar siding Siding 14 Detail at truss shoe E Keystone (Beyond) 3/4'x1' Accent Cap 1x Header Trim I I -------- 16 Trim Detafl at Window Head 2" 3/16' Rabbet 1x muntin 1-1/2� M n Double strength ___ ___. 1;� glass 3/4 Hole for wooden peg 1x Stock N L 13 Transom window detail Screw & glue extension to jamb stud 15 amb extension r I Cedar keystone See drawing 0 4r Barrel bolt \ i I Barrel bolt \ I I \\ I I Sash Sash I \ \ 48"W x WH 3/4 In. Wooden \\\\ peg set Into jamb Leave 1 in. exposed \ \ `*4 I 48-1 4 Jamb extension \\ See drawing 15 \\\\ I 46-1/2" j 4; 1x2 cleat holds sash in place at base 3" 52-1/2" 3" 48-1/8" a Bevel front edge of sill 10 degrees 5 j" 5/4 x 6 Cedar sill 3r 5/4 x 6 Sill stock 1r 54-1/8" Drip edge ! 18 Side wall window details I Purchaser's Responsibilities These design, plans, and specifications have been developed without knowledge or reference to a specific geographic or municipal location. Therefore, the designer and publisher cannot gourantee local code compliance or individual interpretation of the code. In granting construction rights to the purchaser of this design and his/her referenced use of the design's working drawings, the designer and the publisher are not responsible for, and are to be held harmless from inadvertant discrepancies, construction interpretations and/or construction results. Therefore, supplemental to these documents, is the owner's and his/her builder(s) responsibility for the current material and manufacturer's installation instructions and using recognized standards of good practice for each building craft trade. It is also the owner's and his/her builder(s) responsibility for compliance in full with all governing code requirements for the geographic and municipal area in which this design is to be built, including snow and wind loads, structural loading conventions, frost levels, required footing depths, zoning restrictions, etc. Any modifications or changes to the plans, whether or not made for code or local ordinance compliance are the sole responsibility and at the sole risk and expense of the purchaser. The design, plans, and the information shown hereon are protected under the architectural works copyright protection act. Therefore this design, drawings or any of the information they convey may not be reproduced in any way without express written permission. The sole of these drawings to the purchaser are for his/her personal one time use in building the design described therein. All rights reserved. r 58" 3"Trim 1/2" x 1/2" Rabbet to accept door cleats. 1-3/8" 5" Barrel bolt. Mount on 1/2"x2"x7" plywood base. 2" 4j" LO ao I Co N I N I 74" 41" 27-7/8" j 27-7/8" n I tx6 T&G cedar w/"Y' groove. Rough faced out. Go Ln I N I Rails and Braces screwed w/1-1/4" exterior deck screws. Glued w/exterior 4}" I construction adhesive. 2" 29-1/4" Typical both doors 12" *-or 19 Barn door details r 'o ` Ridge line • of roof. 39" 39"x 56" 39"x 96" 39"x 56" 1/2" 5 Ply CDX Plywood 48"x 80" 48"x 96" 48"x 32" �• Note: This diagram shows one side of the roof. ' Opposite side similar. &E22LIlyEood layout Materials List Nominal Dimensions Quantity/Length Part of project ,)bo D bes' (104, -P�url on Solid c cret bloc — 4 806 20 — XuantitVaries Fou at n Solid loncrefe pa o bl ck — 8x16 10 Quanti varies 1794ndAon 6x6 Pressure Treated SYP 2 pcs. 16 ft. long Foundation timbers 2x6 Pressure Treated SYP 2 pcs. 16 ft. long Floor framing 13 pcs. 10 ft. long Floor framing 3/4" T&G ACX Plywood 5 pcs. 4 ft. x 8 ft. Floor sheathing 1/2' CDX Plywood 8 pcs. 4 ft. x 8 ft. Truss gussets and roof sheathing 2x4 kiln dried Doug Fir 68 pcs. 8 ft. long Wall framing, trusses 10 pcs. 10 ft. long Wall framing, trusses 10 pcs. 16 ft. long Wall framing Simpson wind bracing (or other) 6 pcs. Let—in wall bracing Cedar 1x6 T&G 160 pcs. 8 ft. long Siding and trim 4 pcs. 16 ft. long Siding and trim Asphalt shingles (Architect style) 6 bundles Roofing 3 tab roofing shingles 2 bundles Starters and ridge caps This material list is just a guide — it gives you enough pieces for your project generally larger than what you need. Plywoods are shown in minumum full sheet quantities. You may be able to purchase smaller pieces for your project. Not included are nail and screw quantities and accessories, such as windows, trim, and hardware. Additional hardware such as ground anchors may be required in your area. Check local code. _ ..... l � j I T— i .. ' I I ifl Ilii)1�11II Ifil j f I � • of � ' - I 1 . � e ! 11 I l t I i , <ot � (I II; •iLI�II..:il! i!�� `��!iil I }'� I ®0 iiwli 111I ljl 1t11 II 1 ;c'� � � �� . �! 11►I!�'I ; ,,).►i ; ,.i. ;, , . 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I Tr (�•� - -------- ------ a` III ;' Laup • i � j � - p.G:✓�(r 1 f'!'`b„GDP .. ���� 1 J I �'I%WQ(21u (;,�✓ain� Rli� .'�° f ✓�5 � t ��`I �� -��. �.. k — x �� 1v40.G'- Ir Imo( 4 f d6i % r• II� I(�-O• Jvr+" I i�`gn UM C;,I0- f f ' f i i I I ;.' f ��� LtIJT� �lti tour : i 3 1 II i _ I� � I .................. 1 .I I .. � I�$"- �f�.��p_�B� _�.I I I .___. —.---_____—_—._.—_I i//!/ ��u-✓Y �VP/�/ �'jj v" I _ _ ( I � -_ jam! ! _- 1 -_-: I � s I , �� I ' bpi l Ju,s?S �6 0� ct•.;'i,P II a; ! N ! I 4 17 I i T- � S111 zrb i,% I Ii I-; i =° r3 , i.: , Li I SPA 'i A D c s • i ........................ . t - ro � a fH .. .-!% I ��i � Ja III .. _ '�t .�.�- •;' ,. �� � � .. c !i Ii I, I I i � I I i I I. II , L-- I I ! I Iii i it i Ii o . r . • I I • i _ :.... .' .e.y,. .,r •� .. • :..lw�. ..mx..v�.v<.u..i�sa_rtn. r._ I — s:: 1` . _ .. �.._ _.-.- - - ,.I �• i III _ .,.-) 07, '77- i.I (• i _. !j. ' � I i ,.._�` �. III �� ' 3 I I ( E ' ' I I {{�I•1 i � I � i 1�I � � � I� { i L II { 1 , ( ;► III IiII�� li i II Ii ( � i tiLE l rT it Q i ' �� BOISE, BC CALCO 2003 DESIGN REPORT - US Wednesday,April 14,2004 13:52 Single 11 7/8" BCIO 6O0S SP File Name: F Capra_Lev.BCC:J01 Job Name: Leaver Description: TYPICAL JOIST Address: 39 Deseree Lane Specifier: City,State,Zip:West Barnstable,MA Designer: Joe Madera Customer: FRANK CAPRA Company: SHEPLEY WOOD PRODUCTS . Code reports: NER 594, ICBO 5208 Misc: Standard Load-40 psf 110 psf PC Spacing 16" Ak BO, 1-3/4" B1, 1-3/4" 507 Ibs LL 507 Ibs LL 127 Ibs DL 127 Ibs DL Total Horizontal Length-L19 0 00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 19-00-00 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 3008 ft-Ibs 54.5% 100% 2 1 -Internal Slope: 0/12 Neg. Moment 0 ft-Ibs n/a 100% OC Spacing: 16" End Reaction 633 Ibs 51.7% 100% 2 1 -Left Repetitive: Yes Total Load Defl. U517(0.441") 46.4% 2 1 Construction Type:Glued Live Load Defl. U646(0.353") 55.7% 2 1 Max Defl. 0.441" 44.1% 2 1 Live Load: 40 psf Span/Depth 19.2 n/a 1 Dead Load: 10 psf Partition Load: 0 psf Notes Duration: 100 Design meets Code minimum(U240)Total load deflection criteria. Disclosure Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is'-`!- /A".) the input must be verified by anyone Minimum bearing length for 61 is 1=3/4". who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a Connector Manufacturer: Simpson Strong-Tie®Company Inc. particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALCO, BC FRAMERO, BCIO, BC RIM BOARDTm, BC OSB RIM BOARD rm, BOISE GLULAM-, VERSA-LAMO,VERSA-RIM@, VERSA-RIM PLUSO, VERSA-STRAND-, VERSA-STUD@,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 - FEE VALUE WORKSHEET NEW LIVING SPACE 115-6 square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EMSTING SPACE D feet x$64/sq.foot= square plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1t >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= z.0031= STAND ALONE PEP2MS Open Porch ______x$30.00= (number) Deck _x$30.00= (number Fireplace/Chimney _x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 �--- (plus above if applicable) permit Fee 171 ptojcost ��S f i ' BOARD OE,gUILDING REGULATIONS' E License: rC-Orj STRUCTfON SIJPE}RVISOR a Numb(&Nc_St 012430, rt "Q6111940 i U�._—— 04 Tr.no: 25823 i Expf 0 a � { FRANK G CAPRA4T 40 GOPRER LN �' �� .— --.• Adrrrinmstrator ;1 CENTERVbLLE, MA?b2� piiaeur/urvi�ld ✓ -T�arr+�no��ea�C Board of Buildfu -Regylations`and Stan rds.,.. g.,. . Y I HOME Ip �VEMENT CONTRAG7OR } egisfrr o lo'�321 ; f) < 111 P t 0/'1004 .. . j ENx:� 'CAPRA HOME IIVI'RU .[ 7\M ��S"•e�^ .FRANK CAPRA 40 C.OPPER LANE ENTER'JILLE..MP;.02632 � _ qq Miq 7 ILI ST INn '• 1/ Jr'rf- p.� _ W5 0 cv cn OC /96 6 7 9-3.3 I C= mw M ¢cn w o m� 035 0 y ES/,eES C CC .3 N 73 GAME C LoT N0 73 � J 1 TN.9T 77� �' T//S NG CRATE - CON j q 7_0 o o FOG/NDAT/OJT I�EP/G7�� Ol✓ L07 �/O. 3 GONFfl.P�'!S a D� eve t C Z T/r� sETBAGK �P�'j'U/2EME�!lTs of TffE ZDrS�//✓G /3YL�l�� OF 7N , - 7 G aT NO•hO iBg17 3 /S NOT LOCATED /N A FLO017 f/i9ZA�ZD 71�NE i95 ` y � 1�EL/NEATEN ON 7i�f�/CEO E.2.9L /il/.SU.2/INGcr .Q4 Tc' � Z N ' � M•9�.T FOR 7H� Taw�v OF B-9��vs?-9a`E. 3 7 �r�.• GE,ej/F�FG �OUN.I� 9T/O/✓ FLAN t, ✓ ,A OF Af, "AS- BU/LT JOHNP. DOYLE,III H 7HE COMMUN/ ' BA.v i 9- ! - No.33589 QF 9EC/STERE��� SU30 R�Fy BA.�NSr,Q BGEJ MA. O' 30• 60' 'l I 4 DOYGE AS-yJG/i4TE5 .543-/9574 �l - -••---- i P-O-BOX �9S �'✓.�A�/.o�7�� % -s- Et °f t°wti Town of Barnstable °^ Regulatory Services s BAMSYA LL ' Thomas F.Geiler,Director 9�A 16J9 �,�� _. ,FD rug Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section -jf Using A Builder I n.-_............._:_..;as..0urner..of the.subject property ._....._._... ._ hereby authorize ,4 n/ C' /' .to`act on m ..behalf . in all matters relative to work authorized-by this building.pesm t-app]icati'Mfor: (Address of Job) 3 G / zo Signatur of Owner D e 71 Print 14 e ...rnn*�C•r1WNFRDFR MT.QCT(lN Application to etb Ring,o �Eqigbbjap Regional T�iotoric Miotritt Committ c� In the Town of Barnstable • To 3 CERTIFICATE OF APPROPRIATENESS srq�°pB'qq 1ooQ s for the issuance of a Certificate of A ro riateness under application is hereby made, with four complete sets, PP P i of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plan , irawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: U3 I. Exterior building construction: ElNew Addition Alteration �o Indicate type of building: [A House ❑ Garage ❑ Commercial El Other ' �a Z. Exterior Painting: ❑ r-. 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign , 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other DATE �313 O� i YPE OR PRINT LEGIBLY: r� ry 4DDRESS OF PROPOSED WORK,�� IS'f�t'S L/i. (lde:SI ASSESSOR'S MAP NO. o OWNER �� e�� � h'�L— '� ASSESSOR'S LOT NO. O I HOME ADDRESS. TELEPHONE NO.(gl19):3Q FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across arty-, public street or way. (Attach additional sheet if necessary.) N`(%0 Is[) 30 De";ir-'S In ia► al,5 He I MA 62toto<,s v) + OS9, b ro i e — . Z. i✓t✓S �� l e. (a � r Ov(t �)0 ' ;'email Po. �vL i� 5✓>7S A � L�(q ' ►�i)qq I r i ! b I.5no W t4i I I f h�►�I AGENT OR CONTRACTOR !-ri3Yik' / fGI/ TELEPHONE NO. %f�CyO) (v� - �%S- ADDRESS Ld�,a�� L�nP C�e17kry1Z Inn o2 L3 L I L S # 0/gh"50 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. 0 o Me- er z.)�-ail Zz' ��' �'do�n� aboi/6 ird�e_ oq Cx/she" borne, Signed 0 er-Contracto `- e For Committee Use Only* ��y-- This Certificate is hereby /AwilL. Date q/ox Approved Denied Committee Members' Signatures: V /N Town of Barnstable ,vN Old King's Highway Historic District Committee SPEC SHEET � �, �' � ) '' ��' '� TUD h�? A�SF9LTgB rOUNDAT I ONb a r (ate��r�'�, l� d� I M d- 1 0 X � Q 1,0 01� gloF N , per¢ � n c p } SIDING TYPE Whi �, CAtdre Shl()r, COLOR EgIMNEY TYPE Iy/ COLOR ROOF MATERIAL S hl4 � I �er�/1 COLOR ��t1C�llcl(,E/�l✓'�j 34 kz PITCH 3 11z - Dom-u— i 5 3/q IT(A(/l i h 1*n in)rNDOWS C1-COLOR , SIZE �� J�(� l °5 'x�5 ', t` TRIM COLOR ._j&jL(f, .p BOORS �}y �.�5 n ah o i I m I I�A I,f'COLORS ,jHUTTERS IV A COLORS BUTTERS COLORS MCKS N I, MATERIALS nI I GARAGE DOORS Iv COLORS SKYLIGHTS ►VA SIZE COLORS SIGNS' I V' 1 COLORS IiENCE f V COLOR hbTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. nn.ncvrn p ? TOWN OF BARNST E b LOCATION 3 S1 SEWAGE # VILLAGE W J F- s 11 ASSESOR'S MAP & LOT "�� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY o ' i LEACHING FACILITY: (ty )' x ���. (size) NO..OF BEDROOMS BUILDER OR OWNER F PERMTTDATE: b8i q COMPLIANCE DATE: i Separation Distance Between the: Maximum Adjusted Groundwater able to the Bottom of Leaching Facility Feet I Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge off'Wetland and Leaching Facility(If any.wetlands exist within 300 feet of-leaching facility) Feet Furriished by EC MAR 3 �004 y d01tV pFBAF? NS o t URIC PRESERVAt g 3 k rJw j - \a M i a u ! �' eta c:M%APPMC-9 I Table 131,Sb(carsttnste3j gated with F0011 Ewell trYe parkag,j far aAe and TwaF'aasltY Residaatirt HuildlaEt hMIM mt% 'Hca�tng/Ccaling h1A3C M Will Floor F3: eat Equtpracnt FiFciasry1 Ceiling R-yaiue c R-yalua! 61sz(n� Wsu R���c . A valuat p�agc 51Ol to 6500 Kesting Degm DS. ti Nara�sl 13 19 10 Normal 121/1 0.40 3i3 19 19 10 15 AFC RI21/1 0.52 31 13 19 to WA Normal 12Y. 0,50 21 NIA Namsal 5 r 036 3! 13 19 10 6 T I5/. 19 IS AfUE • 15vt 0.4d 3s 13 29 NIA NIA 15 ME Y 1SY� 0.44 3a 19 tg 10 KIA Norasat 15'/. 0,32 3a 13 25 NIA N/A Normal 1a�f� 03Z 19 25 NIA 90AFUE 0.4x 13 19 10 90•AFUE 0.30 0.4� 19 tg t0 x 30 1. ADDRESS OPPROPERTYI � 49� �f d �. SQVAgE FOOTAGE OF ALL EXTERIOR WALLS; 3, SgTJARE F00TADE OFALL GLAZI2qGs 4. %GLAZING AREA(#3 DIVIDED BY#2): , 5 SF,LECT PACKAGE(Q" ''See chart abova): �R.MORE INVOLVED METHODS OF) GY gg,QUrREMENTS 0 . ARE AVAILABLE, A5K US FOR'>*HI5 , BUa,DITtG INSPECTOR pkpPROV AL; _ NO' yES; oorms-fl80303a fEr Town of Barnstable o �y o* Regulatory Services Thomas F.Geller,Director 9� s639• ,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. Date AFFIDAVIT gOME TIYIPROVF,WMNT CONTRACTOR LAW SUppLEMENT TO PERMTT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,c onvers ied ion, •improvement,removal,demolition,or construction of an addition to any pre-existing OW P budding containing at least one but not more than four dwelling units or to stmr-tures which are adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. lie Estimated Cost Type of Work: rlA� Address of Work: �9 S A,, l� Owner's Name "" Date of Applicitio I hereby certify that: Registration is not required for the following reason(s): Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: N PERMIT OR DEALING WITH OWNERS PULLING THEIR LO ABLE HME Il12PR0 MENT WUORRY DO�NOT HAVE CONTRACTORS FOR APP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY Thereby apply for&permit as the agept of the owner: 6 ��(�2f� Contractor Name Registrationl�Io. Date OR Date Owner's Name j Information and Instructions. Massachusetts� ��laws cpter 152 section 25 requires all employers to provide workers' compensation for their. employees: As quoted'from the m the service of another under any contract law', an employee is.defined as every person of hire;express or implied; oral or.written. 1 er is defined as an individual,partnership, association, corporation or other legal entity, or any two or mgre of An emp oY the foregoing engaged-in a joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or trustee of an individual,partner'ship,.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 thepccupant,bf the.dwelling house bf another who employsperson to do.mainkenance, construction or repair work on such dwelImg fiouse or on the grounds or binding Vpurtenant thereto shall not because of such.entployment.be'deemed'tobe an employer.•.,. , M(3L chapter 152 section 25 also"states thafive'ry. 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•comphance with the insirance coverage required: Additionally;neither,the' ' commonwealth nor.any.of its political subdivisions shall enter into any eotrtract for the performance of public work until acceptable evidence of compliance with tie insurance requirements of this chapter have been presented to the contracting . authority: Applicants Please fill is the wrorkers' eompensatxar 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 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 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 listedielow. , 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 Din the pennit/license slumber which win be used as a reference number. The.affidavits maybe returned to or FAX unless other'ari ngements have beenmade. the Department bymail The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not h lesitate to give us a-cal .. . The Department's address,telephone and fax number: . : • • The Commonwealth Of Massachusetts- Department.of Industrial Accidents emce of Wesfigawlis 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 , .u. i4lT ►7'717_Aonn ate. An6 t. The Commonwealth of Massachusetts Department of IndustrialAceidents _ A11mOfIJIMPtSL 00 66o'Washington Street _ Boston,Mass. 02111 ' • R'orkers'..Com ensation.'Insnrance Affidavit-General Businesses MOM • ate: �. , ,_ ,• - �� G� ��• � • • .. •' . address: � � ... • . � � � � �o� • �Z �2/S �✓tF�(//�/f"R' state• ziu: (�� G3L• vhoae# _ 1 � V work site locatiori full address []Retail 0 RestauraniBai/Eating Establishment I ann•a sole proprietor•and haveno one $p!siness'I`ype7 Office❑ Sales (including Real Estate,Antos etc.)' working in.any capacity. • []I am an em to er with em 1 ees(full& art time . []Ocher /% %//�%/%%//��%/%�//l0/O///Arkin on this job.. . I am an;em-ployer providing viorkers compensation for my ems y : g coifs- , 7 .'j\LJ •0.i%• & ::.Nl''•:' lt�,o. f .•' .T r 1:.• ' =1: $dress: r., t. Ai'•.' ,,,. �.:°.'> i' ��'•: ,r'S :r;:• y ,. =v`!G' i ' ' honk: tic . ::'•r. L 't : .• t r „........ r�f•r' -•t_• . ; i'i . ;:;. •' a• ' t•• L. J:.i• , Lam a sole proprietor and'have hired the independent contractors listed below.who have 1IJ a following workers' compensation polices: ; .:. t�� ' '; `•: ' CO3II�SII 'Il r !4' i'i`,t••xi:•;;a• ,fi•+� .i.'yrr"�t�:�1 .t��:. ... . .:i':}��•�:•'' .;:r.'.,• .�!;•, .. r:�. _'.t 'eit'i ,�,r•rn.:.•+ •'t _;y ' ,':• t:a• 'i.t :r' e�dze'§s' .t.' ,' 'Y•"�! •t. ., •:t •••v •r,l: -.r. .. :7�. .•t �. r". :�' .. ':i_'�, ,'A :tom.;S'';�f�:ai''!'.. •t:f;! 1i;:.:': �• .t ,.,i. .,• 't,t :.l:.or�' _ :jt�ta �,:•t• CI! t :, 77 :'i.,. f;- ,i, y'ytI'::• :;� 74 ,:i=y:t: ,S^t,r:n^'.: •pw'r :.��,..i :'i�'•`J�'Ya �'r'-j�^:`. a„' :'.5;• .,'t;:;, :i:a. ••(+.< '`• +. inSuran , 'r. �:7:,'( '1••:,�: ..�: ,..•:',. Wit+: ioi! :.. :,t r:�`.,+.,�'1.1' 1 !� r¢. �•: ..'ti�:' ,•. •i.I'�t.:•, •. ''r•t_'1'•:;�T• .(:p {• `:t f1• :'R•. :,•7 r•'! 1t '•r:Sr..:i„+••'• ''\ '.�•(.::' f'�i,J,�yi.s't: ,y'..^;j'7r.4:�t>..- .•i:'k: -.C. ' ,t �oS+.Fi��\, •tl•,•'it,:[•„�:' •rf:�v'••.i.�:...:i.' .1. ::(a.�t'.. coin`an iia e.•a r t: i'{ , .+ 4 f'M1 y,a4... .,.i_ '•i•I»A,1't r': is'/t��'�rt�'^�••+,�'yr"•.',.: �4•C, .�• . . .; .. :(•c ,rr:: ct.: ,+Fr ih r•.�. .;.: L4;:�tl:`d•' ..y,. ;'i. -• ' ;'A ?;,, '�• .r• 'a..i-jati}y;. '!::;-ja•i, ••a i1';': r .� .,�. r v ..�� +i��::rra ';'' •- ,r . •,.: '••: , ,t.. : ''' ttp ..,,ti"-•M` '..gyp. ,! 4, f�.•:ti '• _f;• ;•:...:. :�t �;a,!•:• c:!.�>.1;:s'_t.a'. O'11C, :�;�'.,•t.•:'..:: � .: in'sursnca�sb:•f��.�.,, ':•:,.:::' ,. Failure to secure coverage as required uadee hes In the f°�f M a STOP WORK n lead to the imposition of criminal ORDER and a fine of$100.00 day againses of a t m o and/or e. I understand that K one years'imprisonment ss well u civil pen 1 • copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify fhepains and penalties of perjury that the information provided above is true and correct.G/ • Date Signature /. GU./�lj��L!'�-. • Print name�-. A�t/K Phone# l official use only do not write in this area to be completed by city or town official permitlliceme# ❑Building Department city or town: []Licensing Board ❑Selectmen's OMce O-checitif immediate response is required ❑Health Department , phone#; ❑Other coatact person: TOWN OF BA STABLE BUILDING PERMIT APPL ATION May) -c�-�A� Parcel �-- TOE�N ov v§wlaa � �� Health Division Date Issued Conservation Division 4 I I I i ZI1'� F,PR 13 Ag12 ca?ion Fee 5-0, DD Tax Collector — l-- LOCTrylow Treasurer — ` } D IN COMPL CE WITH TITLE 5 Planning Dept. ENIIIROWAMAL CODE AND TOM REGULATIONS Date Definitive Plan Approved by Planning Board 3 Bo,{►rrizm s o n)y Historic-OKH Preservation/Hyannis Project Street Address 3 Q-9 S I D S 14 A,- Village 4y F 177 9 A R/v/S ?'^9/F 6 A Owner MR d- Zi R.� ,f o A.✓ 6,A V E R Address Telephone So -6F11 d e 570e Z l/2 90 Permit Request 400/7/ /Zr/a'l'! /9'.rZ 6-1 /Jd2 9 k 2-1!5;11 P�Mw t I U ::Roo W Square feet: 1st floor: existing `-36 proposed VS6 2ndfloor: existing `1—?6 proposed _0 Total new VA Zoning District Flood Plain Groundwater Overlay 10 Project Valuation Y D, 0 0 O Construction Type Woo D t. Lot Size y ,/ R !; Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family T( Two Family O Multi-Family(#units) Age of Existing Structure �71� Historic House: O Yes 91 No On Old King's Highway: ❑Yes b No Basement Type: 0 Full ❑Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 9,36 Number of Baths: Full: existing .. new a Half:existing I new D Number of Bedrooms: existing 3 new 0 Total Room Count(not including baths): existing —new— First Floor Room Count Heat Type and Fuel: N Gas Cl Oil O Electric O Other Central Air: O Yes W No Fireplaces: Existing New 0 Existing wood/coal stove: O Yes 4 No Detached garage:O existing O new size Pool:O existing ❑new size Barn:O existing O new size f Attached garage:54 existing O new size 90 Shed:O existing ❑new size Other: 1za iZ- Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use it I�/q 1 Proposed Use. R i o b o►✓T A BUILDER INFORMATION Name Mc A.-/( G C A P Telephone Number I A00 z 82/r Address Y O /'®e p4g I-A ivE License# - 01 .Z y 3 0 C Al-W Ve /it M A Home Improvement Contractor# 3� Worker's Compensation#6 M V ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO DVAC"Z� SIGNATURE DATE 1 IZ Zv0 �'�� y U - - FOR OFFICIAL USE ONLY PERMIT NO. , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 15 FR.n'l D ��/ g-I c � Svc � � �,_ �I �•--0 5 ..INSULATION f il0 9 U FIREPLACE a -'ELECTRICAL: ROUGH FINAL .' OWH FINAL PLUMBING: R . J m 3-6 GAS: . _ I2 H Q; FINAL FINAL�BUILDING N m0 r o - M0:2 ' DATE CLOSED OUT -, B ned , .-J S f41 co ASSOCIATION PLAT s s �v TOWNIOF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 146 GEOBASE. ID I ADDRESS 39 DESIRES LANE PHONE WEST BARNSTABLE ZIP - LOT 3 BLOCK.' LOT SIZE i DBA DEVELOPMENT DISTRICT PERMIT • 40996 DESCRIPTION SINGLE FAM HOME DETACHED (BLDG. PMT. 38139) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �TME BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P'. ( 1 '. STABLE. ; MASK. 1639. BUILDI 1 ' IVISI BY ez -ems DATE ISSUED 09/10/1999 EXPIRATION DATE Department of Health, Safety { and Environmental Services , pIr TNT 1AMISTABM ; MASS. i639• Fp�l A BUILDING DIVISION BY 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 (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �( (( 71 O 4 � I q 1 e-g I I I M� 1 EATING INSPECTION APPROVALS �IN DEPART 9-10-FT l//2 t�.-1 (�-gel BOARD OF HEALT IOTHER: r, L, AiZ U✓) SITE PLAN REVIEW APPROVAL 't 051 Igl 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. 11' A E f N � I I I - I - 1 i oFHETti -: The Town of Barnstable 6AR`1STA6LE. Department of Health Safety and Environmental Services MASS u v 1639. .00 °rEDMP1° Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Z 1 VD Location 3 / D)e s, R ?° ' S L A. Permit Number cO 3 Owner Builder r� P R One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 02 : VWDA/ 1'0w 7"d 9 f l o v p cl N G,eA 9-e V r r W. G R 19 D 7'0 T �r r r • �.�Ji-� �t//�/�, .f'l/� « .RL G!Z/��t' �T4' G� T e�' r/fll�M �Rl}17L Ta S, !)Ltlt,�/.+1�L i Please call: 508-862-4038 for re-inspection. Inspected by Date `7 L00 I, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division 2 9— / � � Date Issued Conservation Division ���� SEPTIC Fee _3 %l d d TIC SYSTEM MIDST BE Tax Collector. INSTALLED IN COMPLIANCE ��,, WITH TITLE 5 TreasurerL'/Y) aC1 q9 ENVIRONMENTAL CODE AND 6 Planning Dept. Date Definitive Plan Approved by Planning Board Iota,-) Historic-OKH Preservation/Hyannis 3 '040 Project Street Address Village r�5' Owner-6 yt� /`ic�� &A,, �i,��.,� �o �� Address � �� �Sy om!s4dv Telephone Ko 7 S Permit Request a6 x34, -n, 6_2 ::2, arc ZG Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost //D, V y^ Zoning District Flood Plain Groundwater Overlay Construction Type oe Lot Size,TT Grandfathered: 0 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-XYe's ❑No Basement Type: POW 0 Crawl O Walkout ❑Other 'Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new o Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: XGas 0 Oil ❑ Electric ❑Other Central Air: ❑Yes 0�No Fireplaces: Existing New Existing wood/coal stove: ❑Yes �(No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing new size�x2l Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes **No If yes,site plan review# Current Use L 4 Proposed Use Sin!3T /Lkie BUILDER INFORMATION Name )6�Ap n"ii c L 14, & ,IJ-, G, C Telephone Number �•" Y-6 71 Address ,1) �/V� License# A /yM Home Improvement Contractor# Worker's Compensation# ""Pic, (/ .36C) 0 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -24im r SIGNATURE DATE 6� FOR OFFICIAL USE ONLY z PERMIT NO. DATE ISSUED , MAP/PARCEL NO. t ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: FOUNDATION - FRAME - INSULATION FIREPLACE ELECTRI FINAL ,CAL: ROI��I��. ' PLUMBING: R'O,UE),ff= '' FINAL GAS: ROUGH- " . FINAL r FINAL BUILDING -! x - DATE CLOSED OUT ASSOCIATION PLAN NO. , r Application to !l nl �` �j � f 1i J t HP C�' Old King's Highway Regional Historic District'CommitteeN C c RK 6ARws.rAJ9 ..E, 3°9ASSC _ in the Town of Barnstable for a '99 APR 29 A 8 :57 CERTIFICATE 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:,9 New Building ❑ Addition ❑ Alteration Indicate type of building: 9 House ❑ Garage ❑ Commercial ❑ Other 2. 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 ADDRESS OF PROPOSED WORK-t ' eX1,,VJ I�A(i< ASSESSORS MAP NO. qV OWNER < .E "?rck !t. ASSESSORS LOT NO. HOME ADDRESS TEL. NO. PAX-"-323-7f FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR V `¢`��'� TEL. NO. ADDRESS EQ- r2A ArY 1- rfd 4l L Z19 62 6/ G° 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 ne signs. (Attach additional sheet, if necessary). Signed r-Contractor-Agent Space below line for Committee use. Received by Certificate is hereby i Date .d M r J If -r-e-�g6 a � e IMPORTANT: lf, ertificate is approved,approval is subject to the 10 day appeal period provided in the Act. �f I t D , . r • I Ilk y 'I i►I I {I ,I I 41. Lr I � . ► li i 11 1, i ii l��l jj 1 I � �I:I1 i II � I I II ... �• ;j�1 � ► j �_ ill � ���, � � � i;�l Ii :►•� �� I js; .ij • I � � 1� :I: I j I.'i li I � ii� i I ' �; • ii � �•i i'i ;' ® I MH F o 1 t ' � L f. IL 77 y7t1/ll q ./7"7r Qt - - IA- - A \\ t Q y c ^ 1 I J uF-74 , II � -7,00 F C, r � i I 1 V 3 I ('1 I � r r r i j9 I i Jl� w h i I i j rrr . J � I I y ' J 1 1 li i Lis � - '�iI I ► II111 ' I �I� � E � I � f - e J ° D ° D ° D 6 6 D D P Western Suretyom anye G LICENSE AND PERMIT BOND G ° ` For County,'City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; ° Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. n u KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P• 4291487 2 G u Thatwe, Fitzpatrick Home Building, Inc of the Village of F o r e s t d a l e , State of Ma s s a r h u s e r t s , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts ' , as Surety, are held and firmly bound unto the Town of B a n s a h l , State of Ma s s a c h n se r r s , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of One Hundred Ninety Two & 00/ 100-------------DOLLARS ($ CC ) (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 OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a single amily dwelling ar Lor 3 T)esire1c T.n West- Barnstable, MA - 02668 Frontage i s 4R feet by the Obligee. NOW,0 ' '` ft. FORE, if the Principal shall faithfully perform the duties and comply with the laws and war R" %, G� OrcLlnances.ranclfiIdi g�all amendments), pertaining to the license or permit, then this obligation to be void, o ki l yi''se�t�dna''�i in full force and effect for a period commencing on the 2 R t h day of '4i t,�: A n r i 1 1 9 9 9 , and ending on the 2 8 t h day of 4";y9P April ' , 9 1. 0 0 unless renewed by continuation certificate. �,his�bon may b -rininated at any time by the Surety upon sending notice in writing to the Obligee and to tncipal, In�ae�o�the Obligee or at such other address as the Surety deems reasonable, and at the expira- tiolP��f�itty�' 've°1 � days from the mailing of notice or as soon thereafter as permitted by applicable law, whiche a y��s3la ez�, his bond shall terminate a.nd the Surety shall be relieved from any li bility for ny subsequent acts or omissions of the Principal. Dated this 2 8 t h day of April Principal e Principal Countersigned - WESTERN S U E T Y CO A N Y By _nMQA� Q: By T Reside gent President ACKN LEDGMENT OF SURETY t STATE OF SOUTH DAKOTA l SS (Corporate Officer) o f G County of Minnehaha G On this day of ,before me, the undersigned officer,personally F appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing ; instrument for the purpose therein contained,by signing the name of the torpor on by himself as such officer.' ; R IN WITNESS WHEREOF, I have hereunto set my hand and official se-1/; G G J. RHONE . _V c , NOTARY PUBLIC SOUTH DAKOTA SEAL ;s otary Public, South Dakota c My Commission Expires 6-12-2004 Western Surety Company * 101 S. Phillips Ave. e G Form 849-A--12-97 �c Sioux Falls, SD 57104 • 1-605-336-0850 ® m r a r ACKNOWLEDGMENT OF PRINCIPAL R R (Individual or Partners) ; 6 STATE OF y r U c ss ° F County of G , 1 ° ,}e 6 On this day of , . ,before me personally appeared R e y R e i V e R i R ° � ` u R ° known to me to be the individual_ described in and who executed the foregoing instrument and acknowledged to me that—he_ executed the same. n My commission expires j r Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) .+ STATE OF ss County of On this day of h ,before me, personally appeared , who acknowledged himself to be the s of , a corporation, and that he as such officer :being authorized so to do, executed the foregoing instrument for the pur- poses-therein contained by signing the name of the corporation by himself as such officer. ' My commission expires R Notary Public ILI 1 r r r Q ~ R R O A ^r p ° A r D i Zi R R a /�'� iv W w � e S r L 1 a Ei - e P 7�r� rl e ►'��; F e I L a f ' r , V J � C o I t • a d OTown of Barnstable ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION 6 Lrti J e r e SIDING TYPE G./ i le rl COLOR CHIMNEY TYPE i ��' . COLOR r/J� ROOF MATERI COLOR PITCH !I WINDOWS COLOR rJ f SIZE TRIM COLOR 1C�f-eavO DOORS COLORS- SHUTTERS—�� /^P COLORS GUTTERS /Q��,/jYl!i� V-^ COLORS ZiV� 1 DECKS �, -►'�� MATERIALS /• GARAGE DOORS S` COLORS���C') SKYLIGHTS SIZE COLORS SIGNS a D O nn v[ar-m—,0 L 0 R S S 1! FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11198 - The Commonwealth of Massachusetts ; == Department of Industrial Accidents Office nl/n�estigations 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ///%/EM%///////%%"<'.... name: e- location: h A4 city 2S /� hone# S v—?S ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workin in anv ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. • compnnv name address: city: phone#• insurance cn. nnlicv# ED I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: com any name: address: S c%r phone A .. . ...:....: �r insurnnce cn. comnanv name: address: .. ... city: phone M :;;;:•;..;;::: ::.:...:....::. ... .:::..::.:.. . :..;::.:.:;. :.::.;.:: ... ::...;:;;::.: . ::.::>:;:::;.::>:::.. :: . .. lieu# ......... ....... .. insurance co. o 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 SI.500.00 and/or one vears'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 thb statement may be forwarded to the Otllce of Investigations of the DIA for coverage verification I do hereby certify under the pains a penalties of perjury that the information provided above is tru- d correct Signature Date _ Print name /.mod/G Phone official use only do not write in this area to be completed by city or town otIIcial city or town: permit/license# ❑Building Deent ❑Licensing B�OFM%ce ❑check if immediate response is required ❑Selectmen's❑HealthDept contact person: phone ft; ❑Other (nrvuea*95 PIA) 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 contr 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 receive:c: 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 peisons 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,neitherthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be " submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license"is .being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"pr if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of 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 io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number- The Commonwealth Of Massachusetts Department of Industrial Accidents Me of levesugatloDs 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 MAScheck COMPLIANCE REPORT 3 Massachusetts Energy Code ; Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis ' STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-28-1999 DATE OF PLANS: 4/28/99 TITLE: HANSEN JOB PROJECT INFORMATION: Lot 3 Desires COMPANY INFORMATION: Fitzpatrick Home Building Co. Inc. COMPLIANCE: PASSES Required UA = 354 Your Home = 318 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ---------------------------------------- -------------------------------------- CEILINGS 936 30. 0 0 . 0 33 WALLS: Wood Frame, 16" O.C. 1984 13 . 0 3 . 0 141 GLAZING: Windows or Doors 182 0 . 400 73 DOORS 77 0 . 350 27 FLOORS: Over Unconditioned Space 936 19 . 0 44 ------------------------------------------------------------ COMPLIANCE STATEMENT: The proposed building design represented in these documents 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 125% of the design load as specified in sections 780CMR 1310 and J . 4 . J Builder/Designer Date , /G and/or cooling input to each zone or floor shall be provided. Y � HVAC EQUIPMENT SIZING: [ J ; Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 . 4. MISC REQUIREMENTS: [ ] ; Refer to 780 CMR, Appendix J for requirements relating to swimming pools , HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only)------------------------- M4Scheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 HANSEN JOB DATE: 4-28-1999 Bldg. ; Dept . ; Use I CEILINGS: [ ] ; 1 . R-30 Comments/Location I I WALLS: [ ) ; 1 . Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location I WINDOWS AND GLASS DOORS: [ ] ; 1 . U-value: 0 . 40 For windows without labeled U-values , describe features : # Panes Frame Type Thermal Break? [ ) Yes [ ] No Comments/Location I I DOORS: [ ] 1 . U-value: 0 . 35 Comments/Location i I - I - FLOORS: [ ) ; 1 . Over Unconditioned Space, R-19 Comments/Location I . AIR LEAKAGE: [ ] ; Joints , penetrations , and all other such openings in the building envelope that are sources of air leakage must be sealed . Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 511 clearance from combustible materials and 311 clearance from insulation. I I VAPOR RETARDER: Required on the warm-in-winter side of all non-vented framed. ceilings , walls , and floors . I I MATERIALS IDENTIFICATION: [ ) ; Materials and equipment must be identified so that compliance can be determined . Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . I DUCT INSULATION: [ ] ; Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8 . 0. DUCT CONSTRUCTION: [ ] ; All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ) ; Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating ' I I O O A N C O G >t <j• .. .0 U 'J�i 1 "y -CP Z -•-1 C T p ✓ 9 i + N 'O •O X C C OC �t �I � � 1 b W T I _ d 01 f0 The Town of Barnstable • iARNSTABLE, • MAC' Department of Health, Safety and Environmental Services 'moo is Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 27 1999 � 1 Mr. Michael Fitzpatrick Fitzpatrick Homebuilding Co., Inc. PO Box 154 Forestdale, MA 02644 Re: Lots 1, 2, 3, & 4 Desires Lane, W. Barnstable This letter will acknowledge that Lots 1, 2, 3, & 4 on the attached plan are buildable lots from a zoning perspective. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn g990127a •JHrJ-25-1999 17: 10 REALTY EXECUTIVES :; Jf31tYJ" Jl i9mv u. .-et :m W-Iii :nuL uauu: i7,47 0851 P.01 cnn.Juu� rutuv� :nuc 1 CF MMSTABLB PUWgjpG 8OARD !►OPX O Rev=v of Y•ms DE R CQVENANT Barustetbls, M4asachasettes Decemb 19 98 The nuderstgaed+ being ao 6uthorised agent of the planning Soa3rd of M*=stable, Massachusetts, hereby certifies that the followLng G"ed by TIMOTHY HINCKLEY REALTY TRUST IX lots -securing t. a s# Back 172 �9_ik 19 8. an re+coxded in porn* able+ District Aaeds� Book 11728 pa e 3 S of Title No.- "•�-...•s 9 ,,, ,�,. (or registered an Certiflaate Documento ), Aud shown 01k a plan entitled" DEFZNI 'V PL . ► E T S or) BAYtNSTABI.E MASS. PREPARED FOR HANNAH AZ,TrJ HER SwSiERS REALTY TRUST" D JU'�'E 4 1997 mnd recoxde v A aa�d Dee $I Plan no 544 T 1�EvLTSED Au IS 7" registered Le said rand Aegixtry 3iietitict` 4�.Fa ge 27.,E-.,� for released from the restriestions as to, SA16 and bnild�,n`g pecfiiedhineby said COvenant. SAid lots are designated on said plan as follaws: � LOT 1 LOT 2 LOT OT DESIRES LANE and LOT 5 LOT 6 L CAPES TRAIT, �DZXiSIODi#_,;64. Authpriyea Agent A. Roy Fo gren, Ch an Planning Hoard Of the Town of Barnstable �aco�rreu.� or' x�s�xcgna�szs B�iznat�le. Kassaa�ins�tt®, ss ats� i Then pbxao ].y apptax Q o / P.J eux antbori�ed agent of the main v Be�azd o! o T a o e®knowla , lor+ego�,ng lost nt to be the v g��sa�db and deed of i d Planm p, �Bo . bStore me. . its pv c After vftCozdjAg,, vetoxa tat my acmdesion eacpiarasa t 191Wn of joarnstole plamdAg board -WAMcu G. MAC= 230 South*Street NOTARy p'Uy3UC Bymm'00 HN 02601 Doc IS. TOTAL P.01 t.a� • tGR nteztar':�all*`. J=l W. . WO It31o1■i1.t,�7 r l0!. Ips,. a �r L In® �Oa..Q.m ntv�ON . f nuom w 1% � ,0 � [Ltm[ORCt^LL e.Ll,n�If1< nor SK". r♦ •-m+.to 10 M•r.Mis ( �) ���n w a .n n IL..a■s.n It.lni,•t td n / aa1K�,&ROPLi19 Il aaa■>a owac a.w L.wr �„p�t* .a• Hyart yFj�� CN,nMt . lay L-A W..."lvw a """" .Iy 7 • � ■+Hoar[ F 1 ►.wa+rt .,I o• OIDp rwn taRl . �j Iw.Ln•ol f..><�ri tR.1l IM O •�Jr) IGgIn tntn✓eVl a.6 nf� `` f r�f/. 1 nW!N. LCLLI 6 / � a • Ilso.w Lt/L.Lwr ��/�/� _# •anser[ *te •••� w> twa rs*as ww � / . _```���t • ■war• 1� L1 1=.. ' 4T �a� �..�[t/Ctl•r 3e� 1 oa o K t0•.o aMv4�, Y •ram[ ` t w.n twt•1 lu DWl!%.'Aiia ���Q ti ►. ,®,o"^ ii oso Y • OfO MO A q,14 V rMN'W nmp ONa�t/Mn/; 4 I Mn.m rG MW 1�7 r umor�Yo.old • low&&a CAM IRAL � ` trenp• ■an rare siV • • (X-a • `G ` eorri n w s HILL ESTATES wrl..�r'� rr . • 1 atrtY• �4 ■ (11£Sl)9AtU;ST r'stnu•owi �� atlr • LMi[rl,w� WetW ABLE,MASS '..'ansiul°'u.r ••�,... l:� ..�:� i •■...1 ro Ia�s1a,rxn aun r t o 1 7 • m ti� ^i 1 rarlr• •AN .��• 1 ar100.'. .fif. 1 ie^.ry • 4I L GGiy/ (�If1 pfw-o •rar.r[ AlI II./ C'OI�p 1 IIr]Y• W. Oe.w/• t a1iRl'• 'i M , 1►••p(�` aar //rf■ar• 1 Icw ■Iy oan w la: 4[1 trq It,N armw YO 11� •�[ •ar9`Y• Id.11 1 Ir10a• LV IPO //�� tY • 1Y n uoo ;,^•- f \' rrc■n ci°`•""�'4 •.w.o.lam�l� 0 Eo»rr cyoa enp/naerSr¢ Arc ~ L.NO,i11 brnwx per,r•t.R—t — 'ruvnlrM.ua �� 776 3 t � lG ,� • � w l� G P4 r' 0 0 Q �z Go�g9 N f J� • �PSS � ti N 35'55'28" E 40.17' _ :.. . N Lp �b4���i— i�/J a i .ti N 36'10'32" E N 47p8,35" •. E EASEMENT DETAIL � 156.13' •'''S9e 12 E 5.31' 1" - 50 b C LOT 2 c M /� 41,572tsf 0.95tac SHAPE FACTOR: 21.99 N/ / o m w u, Ul 01 3s / ry a o'. / 2 LOT 1 LOT 3 ! ( { 4 APE FACTOR: 0.R: 20.c \ \ SHAPE FACTOR: 20.68 9 46,148tsf 1.06tac SHAPE FACTOR: 17.51 tO SHAPE FACTOR COMP. UNE 3 39'08'13" W iov� w N 38'13'29' E 262.15' I \ 'a a 50 �85r CL ad. rr6, �N LOT 4 DESIRES LANE 44,386tsf 1.02tac olJ+ SHAPE FACTOR: 16.97 0 1a n O aD 0.b CD is VO �p O w 54/LS 7L"S"'r AZ:SC/L/J MP AV.M/D//T/A�/ FiN• �,tADE Nji�✓. Sc.oPE OF Z7. ` � a f5k:W, Cow �►2"N/N./AiNE,e MF�IS�/Xf /ivY. 36"/y/jX. Z GaVER OF$/S - SToN& s4Nor P✓G o PVG 4 SG//. �o PyG //6, • a /3�3S /37,/• ' /3•!o AC 7 /ii•4e ��"-1Yz' ' cs c� c� c� .+ci / z Z.sY/1�3 " /N f}ram �T ' .� '!j �" • [ cH cN�1y> [s S�nivE G� �oy4M �¢ `,05-D ol: /Nc eT•/ter aioegA /sa23zC3�A. c� a s� Id Q 2 EfiF .bEPTN 55' ss" ./i� �o�riy J\ ,ti� a - Z'i=w. ^c`• ; �.. C,L'USHED A•, ,20 USE /sbo Go1[.. 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