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0010 JOSIAHS PATH
IMM q a1Ocrct$a00 UPC 12534 � No.2�953LOR. �9arcoe�`' HASTI NGS. mm . / � . � . \ � � Q , . � � \ � � � ` � � § I ' ° � � � � ( , � z� � ` ) ) � j § . . � � ° ] � � � / . � � § � � � § � � � . � " � [ � � � § � ( ` � • � ) ] , � . . �� . . ' . \ . . . j . � . \ . . ( . » � � � � . � I � . � � � r] . � � � ` ] . . . . � � ] . . . . . . . � � " � . - ' ` � . . ^ � � `� \ \� � � � ] � � . . . ] ` � � � � � ! y � � � � � �~ ` � �� ' � - � � ` \ . : � \\ � � , ¥ . � � . . �� � � . .4 � � j� � . - � �. � . . . > . \ . . . . \ � � . � � � , ( , � ,� . � / . � . , . . . ) ; ! . � ) . . � � � ( �� ^ � § � � � � . ��� , . . � . : � . * 1 Se R IC r Locafion Bulkhead sfairs ' P0. Furnace Location El Existing 3 ply 2x10 girders and 4' concrete filled lolly columns00 4Q Stairs Up �� Electrical Panel 8 Well Location 0 0 � x � on5is nCond *if * 5�asemen ooFPc' n 5cc le 1/4 F. — — Client: Jason 8 Melanie Cassisfa Pro!ec}• Finish Basemen{ Revisions: Date: 4_22_19 P 1 — 0 — Keith C. Gilmore Enterprises LLC osia s a P.O.Box 17 Centerville. MA 02632 es Barns a e. MA 0 _ P: 508-420-9934 F. 508-420-9935 02668 E: ailmoreentermisesocomcost.net - www.giftreenterprises.info Scale: deeiane are not ko be mdf*led or woied If witha d the oenniseion of Keith C.Gikmre EnkWEdeee Lj C -�_ -�' -„�• sue-•-� r l �5 fi D D .- 0 �p . 00 0 p 0 0 x 0 0 o Proposed F *ln '15hed 5csemen - Perspec - *Ive — — Client: Jason 8 Melanie Cassista Pro�eCf: Finish Basement Revisions: Dade: 4_22_i9 P — 0 — Keith C. Gilmore Enterprises LLC osia s Path — _ O O P.O.Box 17 Centerville, MA 02632 es Barns a e. MA — 0 — P: 508-420-9934 F. 508-420-9935 02668 Dml 8 E: gilmoreenterp mc rises�coast.net _ www gihwreenterprises.info Scale: These desiane are not to be rtadified or copied witbg4 the permission of Keith C.6ihare Enterprises LLr - - s �--•.�-..�...,.--__, .�' - �--� !f Tn 9��rAek 1l 244 Am red d.•6'oc dM Mpt kaft phle R•6 Odk NAY d YwbRan V.r bw ON �-mvWW f f � f b i OLddead omm W 994' i i 6W sF l*,W fkw ado*v and k=kap 2& ceft(Al M1idad a o B E� wowd••6 m36 Ns 6 Pb!on, dos dsr aW d lop a slake Prra d cc��MM h!rw�qi 9e ai,rrldd!o koHam a dns. 6 Ow i 9 V7 7dE6 � A64ara d•6'ac 47 tQ lop eul!w/fmn rmlaM pke Nadal mw% j/4' TIT I 2 4'�� 1 b4..d slake vm 2m d ewm oak heat,pke dem B am rm dR,rod Pads 4-' Eb W d noel A—-ad Assets 9$ LW � � 0 Pro Dose n ,qhed FOO F P a n 5ca le 1/4" — — Client Jason 8 Melanie Cassis�a Pry Finish Basement ReVl5lons= Dade 4-22_i9 P — O — Keith C. Gilmore Enterprises LLC10 P.O.Box 17 Ce ervi osla H s a _ ntlle. MA 02632 es Barns MA 0 - P: 508-420 9934 F: 508-420 9935 02668 Drawn B — O — E: ailmoreenterprisesecomcost.netA�� _ www.ailweenterprises.info SCOIe; rl • la.iCIM o.• ad+g bg modified or coded Nifhota fhe permission of Yeilh C.6ibore Erierorises l r' - ��. - - m � ..� _ . - - _ _ ... _. _....� _.ram -_�___-• ley�,.�, ,.. - - 1 _�._.. ..-�._.�....�_---� _ -_,_.__---.__- _..__ � _ ---.....e _- ____ -�`---' Town of Barnstable Building Post This Card So That it is Visible From the Street=Approved Plans Must be'Retained on;Job and his Card Must be Kept • BAR?WAeM T v M"S& $ Posted Until Final Inspection Has Been Mader �Jl lilt l 163P ,.. . Where a Certificate of'Occupancy, is Required,such Building shall Not be Occupied until a Final Inspection has been made. _ Permit NO. B-19-1561 Applicant Name: KEITH C. GILMORE ENTERPRISES LLC. Approvals Date Issued: 05/24/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/24/2019 Foundation: Residential Map/Lot: 109-015-012 Zoning District: RF Sheathing: Location: 10 JOSIAH'S PATH,WEST BARNSTABLE Contractor Name-,, EITH C GILMORE Framing: 1 Owner on Record: CASSISTA, MELANIE M&JASON J Contractor License: CS-098047 2 Address: 10 JOSIAHS PATH Est. Project Cost: $37,728.00 Chimney: WEST BARNSTABLE, MA 02668 Permit Fee: $242.41 Description: FINISH 665 SQ. FT. BASEMENT TO INCLUDE NEW STAIR, RE- Insulation: Fee Paid:' $242.41 FRAMING,WALLS,INSULATION,SUSTENDED CEILING AND ` Final: e I/ LAMINATE FLOORING.oNE LARGE OPEN FLOOR PLAN PER DESIGN _..� -.. Dater 5/24/2019 � SPECIFICATIONS Zbt3s(rv� Plumbing/Gas Project Review Req: `` Rough Plumbing: t, Building Official ` Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ' Service: 1.Foundation or Footing r 2.Sheathing Inspection m ~' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: t ~O,* Application Number............ . . ...� .......... .� ..........Other Fee........................ MASS. Permit Fee..... TotalFee Paid..........s...,�..........�.�....w ... . ............�... TOWN OF BARNSTABLE Permit Approval by...�dt�.0..................on. ..... .. BUILDING PERMIT Map............f/ .Gl.\................Parcel........ APPLICATION Section 1 — Owner's Information and Project Location Project Address /Q fp S -,1'4 Village s e Q Owners Name asp Wle. wvl o -n t Owners Legal Address q City. wej- — V g rsys'i-J,L State_ YKh Zip 0 t- Owners Cell# 50 8 . 2 80- a 9 9 y E-mail So—b c o-ul Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify. Section 4 - Work Description e—/Ihm!%CJtT f�/IS /✓Tv A.�i' S f t ' Application Number..................................................... Section 5—Detail av Cost of Proposed Construction 7 —7 Z 0- Square Footage of Project (D (a 5 .S(�L Ft' Age of Structure_ '" Dig Safe Number #Of Bedrooms Existing ' ' Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom t Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No T act YmAct-4- 7 7/7 cnnl R ® Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards construction Supervisor CS-098047 Expires: 07/15/2019 I ' KEITH C GILMORE r� . PO BOX 17 CENTERVILLE MA 02632 r=.; Commissioner V"" i I Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: LLC Registration: 134443 KEITH C.GILMORE ENTERPRISES,LLC. Expiration: 10/28/2019 PO BOX 17 CENTERVILLE,MA 02632 Update Address and Return Card. 5CA I 1, 20h1-n5/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 134443 10/28/2019 10 Park Plaza-Suite 5170 KEITH C.GILMORE ENTERPRISES,LLC. Boston,MA 02116 KEITH C.GILMORE 28 HIDDEN VALLEY RD. �— MARSTONS MILLS,MA 02648 Undersecretary Not valid without signature i 02105/19 03:51:13 BBB —> RF Connect Page 003 .- CERTIFICATE OF LIABILITY INSURANCE 02/05/22019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. 3'RODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. PHONE FAX 150 SAWGRASS DRIVE . 877-266.6850 . 595-389.7426 RO•CHESTER,NY 14620 EMAILDRr Certs@paychex.com INSURER(S)AFFORDING COVERAGE NAIC It NSURED INSURER A: NorGUARD Insurance Company 31470 KEITH C GILMORE ENTERPRISES LLC INSURER B: PO BOX 17 CENTERVILLE, MA 02632 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POUCY EXP LIMITS TR INSR WVD MWDD/YYYY MWDD/YYY GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ =ICLAIMS-MADEEOCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY =PROJECT=LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ (Ea accident) ANY AUTO BODILY INJURY ALL OWNED O SCHEDULED (Per person) $ AUTOS ALTOS Npry AWNED BODILY INJURY $ HIRED AU.OS AUTOS I (Per accdent) O PROPERTY DAMAGE $ (Per accident) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKETISCOMPENSATION AND X WC STATU• OTH• WORKS EMPLOYERS*LIABILITY KEWC060351 02/04/2019 02/04/2020 FR E.L.EACH ACCIDENT $ 100,000.00 ANY PROPRIETOR/PARTNEROEXECUTIVE E.L.DISEASE•EA EMPLOYEE $ 100,000.00 OFFICEPoMEMBER EXCLUDED? (Mandatory in NH) N N/A E.L.DISEASE-POLICY LIMIT $ 500,000.00 It yes,descAbe under )ESCRPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more apace IB required) CERTIFICATE HOLDER CANCELLATION Keith C Gilmore Enterprises LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLEDBEFORE P.O.Box 17 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Centerville, MA 02632 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE qq t 3 ACORD 25(2016/03) 01988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TE DDIYYYY A�Ze , CERTIFICATE OF LIABILITY INSURANCE DA02/22/2019 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder.is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT John McShera Marshall K Lovelette Insurance Agency Inc PHONE FAx 396 Main St (508)775�559 ac-No)_(508)775-4577 Writ Yamouth,MA 02673 E-MAIL ESS: john@loveletteins.com INSURE S AFFORDING COVERAGE NAIC 0 INSURERA: WESTERN WORLD INS CO INC 13196 INSURED Keith C.Gilmore EnterprisesLLC INSURERB: PO Box 17 INSURER C: Centerville,MA 02632 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXP LTR TYPE OF INSURANCE ADDL�� POLICY NUMBER MMIDD/YCY YYY FF POLICY LIMITS A COMMERCIAL GENERAL LIABILITY NPP8479184 11/10/2018 11/10/2019, EACH OCCURRENCE $ 1,000,0( GE TO RENTED CLAIMS-MADE a OCCUR PRREM SES Ee occurrence $ 50,OC MED EXP(Any one person) $ 5,0C PERSONAL&ADV INJURY $ 1,000,0( GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0( POLICY JECT PRO LOC PRODUCTS-COMPIOPAGG $ 1,000,0C OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _AUTOS ONLY ^AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _..AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CAMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION STATUTE ERµ AND EMPLOYERS'LIABILITY Y ANY PROPRIEfOLPARRNERIEXECUrIVE 1 N/A E.L.EACH ACCIDENT $ CFFICER/NEMBER EXCLLOED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ H describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ES DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more spaae Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Deparbnent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Bulders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibiv q� Name(Business/Organi�tion/individual)• K-2._ t`- L, Address: 'P 0 1B (YX 1-7 City/State/Zip: 0,tm 4&ry)-Jk IMA �ZbRPhone#: 30 0�-'31A Z Are you an employer?Check the appropriate box: Type of project(required): l.[U lam a employer with- 4. I am a general contractor and I 6. ❑New construction iemployees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. NRemodeling ship and have no-employees These sub-contractors have 8. ❑Demolition working for mein any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.t 9. ❑Building addition rimed,] 5. We are a corporation and its 10.❑Electrical repairs or additions 3. officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 goof repairs insurance requhvd,]t c. 152,§1(4)9 and we have no employees.[No workers' 13.❑Other comp.insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. r I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Na IC ��J �vS7/�Z Policy#or Self-ins.Lic.#: K! UU C 06 6 35') Expiration Date: Z q 0 Job Site Address: /0 ToS A- S (��9` City/Stawzip: wt.:5 ' (3vy'�v- . b j/1/�A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). I 4-1 �O Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the parrs and penalties of perjury that the information provided above is true and correct Sitmattne: �— Date: Phone#: ,561 Ofj'icial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and'including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or.local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLP or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lilce to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number- The Commonwealth of Massachusetts Department of IndustW Accidents Office of Itvestigadous 600 Washington Street BostM MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 www:mass.gov/dia Vropae;at Keith C. Gilmore Enterprises, LLC HIC#134443 P.O. Box 17, Centerville, MA 02632 / �� Z �IIMA CSL#98047 Phone: 508-420-9934 (J r , Fax: 508-420-9935 "LA �( ,t / Date: 4-1-19 Project#CASO1 Client Name: Jason &Melanie Cassista Phone#508-280-8990 Billing Address: 10 Josiah's Path, West Barnstable. MA 02668' Alt.# Fax# Project Address: Email : sable9978(ayahoo.com Project Description: Design, permit and construct a new finished basement level of the home according to the preliminary floor plan dated 3-24-19. Framing of walls using pressure treated lumber plate and kd stock studs finished with R-19 batt insulation and 1/2" sheetrock. Frame and install one bifold storage room door;one pocket door and one single door at furnace storage room, one single door at stairway underside and at electrical panel storage room, and one glass 15 lite door at top of the stairs. Install Armstrong 2'x2'panel style drop ceiling in white. Install laminate wood plank floating floor. Install finish trims. Prep and paint all doors, trims and sheetrock with two coats latex paint. Reframe and finish stairway with oak treads and railing, painted risers newel posts and balusters. Frame new 3'high half walls at bar area and gaming tv area. Finish 42" bar wall with bead board sheet stock. Solid top material for bar, plumbing-hvac and electrical costs not included. Project Task Items: i Design, permitting, labor, materials and waste total. $ 37,728.00 i Total $ 37,728.00 Initials i v 1 I i NOTICE OF CONTRACT Notice is hereby given that by virtue of this contract dated 4-1-19 between. Jason&Melanie Cassista of 10 Josiah's Path, West Barnstable, MA 02668 Customer-Elomeowner(s) Residential address of Customer And Keith Gilmore Enterprises of: P.O. Box 17,Centerville, MA,02632 Contractor Address of Contractor's business Said contractor agrees to furnish or has furnished labor and/or materials for the erection, alteration, repair or removal of a building, structure, or other improvement on a lot of land or other interest in real property described on the previous estimate page [s] of this proposal. Said work to be performed in a timely and workmanlike manner on or before the Summer Season 2019 with permitting at the property located at: LEGAL DESCRIPTION OF THE PROPERTY 10 Josiah's Path West Barnstable MA 02668 Property address including street number Town' State Zip "Note: material availability, weather conditions,and permitting may affect scheduling and some delays are unavoidable. We will do our best to schedule work as conveniently as possible. Owner is responsible for moving all personal objects,furniture,fixtures,and other similar objects from work area. All items on or against walls should be considered for removal during any exterior and/or siding work to guard against damage. In the case of any roofing and/or ridge venting,dust and debris should be expected and any items in the attic should be removed and/or covered. Keith C.Gilmore Enterprises is NOT responsible for any damages if said items remain in,place. In the event of rot repairs,roof repairs,or any related work requiring immediate attention,we will proceed without customer approval or when appropriate,with verbal authorization. Curtains,drapes,and window&door treatments may need special removal,reinstallation,or replacement by customer due to sizing on door and window replacements. This is NOT included in this proposal. Keith C.Gilmore Enterprises is NOT responsible for any damages that may occur during construction to landscaping or any finish ground work,plantings,asphalt or stone driveway,etc. Flowers and shrubs against house may need to be repaired or replaced by homeowner. Any alteration or deviation from specifications contained in this proposal involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate except as specified above.All agreements are contingent upon strikes,accidents,and/or delays beyond our control. Owner agrees to carry fire, tornado,homeowners, liability,and other necessary insurance for the work,and owner's property. The Customer states that they are the legal owner of the property described above or acting for,on behalf of,or with the consent said owner. Page 1 of 2 Initials f� u Alf PAYMENT TERMS The amount or estimated amount of said contract is $37,728.00. Customer agrees to pay the Contractor according to the following terms: + $ 1,160.00 Design deposit paid $ 3,500.00 Due at scheduling PM 0 IZ 1 H)w $32,068.00 Due as invoiced in weekly production installments $ 1,000.00 Due as invoiced by completion Description of payment terms All work will cease under this contract if payments are not made pursuant to the terms described herein. Workmanship issues must be documented by the Customer, in writing,to the Contractor within fourteen(14)days that Homeowner knew or should have known. There will be no refund for special-order materials and/or any other non-stocked items after three days from approved proposal.Any other refunds shall be calculated and/or determined by Keith Gilmore Enterprises. The Contractor retains all legal remedies available if the Customer fails to pay including the recording of a mechanic's lien on the property pursuant to M.G.L.254,§.5 to secure the payment of all labor, including construction management and general contractor services and materials, including those furnished by Keith Gilmore Enterprises. ' Customer guaranties the payment of all sums owed to the Contractor. Customer understands that any debt to Contractor over 30 days past due is subject to a 1%%finance charge per month(APR 18%). Customer agrees to pay all legal fees and costs incurred in the collection of any money owed to Contractor. Customer acknowledges that Keith Gilmore Enterprises has a reasonable expectation of payment from the Customer for any materials furnished by Keith Gilmore Enterprises as part of this project between the Customer and Contractor notwithstanding any payments to or disputes with the Contractor. This Notice of Contract is to be construed and interpreted according to the laws of the Commonwealth of Massachusetts. The undersigned acknowledge that they have read and understood all of the enclosed terms and that their signatures appear freely and voluntarily below: Authorized Agent* D e S Contractor Date Page 2 of 2 Initials Application Number........................................... Section 9- Construction Supervisor Name Telephone Number 54 0-3&Z -0!o S(o Address . a. 6 fl x 1-7 City L&4-w v J&, State Vvy Zip D Z&3 Z License Number CS -0 j 90 q 7 License Type t/C,5 L . Expiration Date -7 Zl X 9 Contractors Email q r wt off. o_ t o m Cell # 5-V S -3& Z -06 0 _.ref I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR d the Town of Barnstable.Attach a copy of your license. Signature Date 3S1�/1 Section 10—Home Improvement Contractor I Name fie,i �.� 11 ,g, Telephone Number S7)0 - 3 - 0 6 86 Address V o 8 c7X t -1 City 6etj 4.4-y v j-& State_IJVV Zip 7,6 3 Z Registration Number 13 q q q 73 Expiration Date lo /ZB//9 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 C and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date S Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name 1 `i' �lg 0 rt, Telephone Number SDI E-mail permit to: i ` VA 0 V-e -e,A io_r a- v e_-�— _ ... - _ Section 12—Department Sign-Offs ' Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization as Owner of the subject property hereby authorize C 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 1 i a I .i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. V 1-5 f 0 rt/ Application* I✓S Health Division Date 191u d Conservation Division Application 9NG at", Planning Dept. Permit ZU1 Date Definitive Plan Approved by Planning Board 7-0 VV N 6 OF BARNST Historic - OKH _ Preservation/ Hyannis AeCE V _AA Project Streef//'1Addre(Rsss Village---_-- A&a!s 1 n �st C Ownei \ { S�1 f1 1 Address ;Telephone ; .��G) S 9 9 b Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � nstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name JASGr\� (:ASS -VA Telephone-Number �7 Address �,� C��I—NA , RTW License # Home Improvement Contractor# Email rn N >.orker's Compensation # ALL CONSTRU TION DEBRIS R SULTING FROM THIS PROJECT WILL BE TAKEN TO --- SIGNATURE DATE } FOR OFFICIAL USE ONLY APPLICATION # 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 DATE CLOSED OUT r' ASSOCIATION PLAN NO. Office 0}'Fts ' 600 Washhzeon Skmet AasWrr,MA 02111 wrvMmas3Lg P14 a Ww1mrs' Campers-,�,rm Ins1>r2nCe Affiizvit lkzU pTs/CAI IS ers AppEcaud Infarniatirobyl. Please Print y -N e - 7ASoo,3 1 s1A Addrt _ 10 SSA c � Phow ik Are you an emglorr?Check the appropriate bam Type of project.(rajaired}: L❑ I am a employ vwb h 4. ❑I am a geriea1 coatractor and I employees Cftd a=for part-timer* have hiredi ie suU-contoda s 6. [:]New cons tuction 2.❑ I am a sole prop6 tos or partner- listed on the aiUched sheet: 7- ❑Besnodeliug slip and have no emplayees These sub-contzactas.have 9- ❑Demol ion. warming for Mr.is any capacity_ employew andbare workers' 9. ❑Suit addition [Na Wod mrs'comp tnssncant e: comp.msucance-# al or actions N. ] 5- ❑ We are a�poralkm and 1 ❑Electric 3-G2r ama bomemmer doing all-Mark officers have exercised their 1L❑Piumbingrepairs or adclitions ' 44, o worlo�s' _ Per 1 fQ. � ins required`]i c.M§1(�nmdweIavemo 12_❑Roof ernployam[No vorlm=g 13_❑other camp-msazsace •Any sppTi�t wf-'hPdzbox R mast also fa1omt:tle sBc1i=b9vwkb=vdnZ fiudrvm&a am3p�pabcyia aa_, #EEaUMMVn=Vft &iS.a$d2T* they amdaia.-aif. sad&=hoe w3td&cao>sctasmnst submit anew afiid t mdiEsfims mcb =Ca��iiisS cherl�t3>is has must atte[he$su addilimsl street sbmcing ti a—z-of the sub-camps earl state akeths arnotihme a esl9 emplayees.Tftbeanb-�a:havemnplayee%dLeY—ztPmnided$ '—MP PGI!q � I am as sutplay�sr fiiatis praurdirtg�varksts'eaart iresurattes�or my empFa}� Blow is the paacy aroi job sits >}forraa�rt Insarance CompanyNamw Pdficy 9 or Self-im Iic k abate= Attach a oVy of the workers'coampensaflonpaIky dec1amfion bane(showing the poFcy number and expiration data}. Failure to seem coverage as segmreduader Section 25A of MGL c.1�can lead to the imposition.of cumiaal penalties of a fine up to SL50DOD author one-yearimpdsonmenk as well as civil penalties in ttie fa=of a STOP WORK ORDFBand a fim,e of up to a day against ffie violator. Be advised&9 a copy of this statement maybe fkwwded to the Office of Investgahiow of1he DIA for insurzam coverage won_ Ida her8by awpam" S and afye Wy dW Air ir formadunproP&W ahmw is hus and a rre e �itsmatm Date: Phan I a,�at u� Da ttat``rile fee this area�be caaripfeta+d by atp ar�ra a�rciat . City or Tows: Per,mhUeense; Leg Amffiarity(cirde one): L Shard of Heath Bwl ng Department 3.C Ai Yrvwn Clerk L Electrical 1nspecto Sr.Pimzbing Enspectur 6.other Coact Person: Phone#: 6 ►� v. 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R o ►il. ■ G■.. t u.a .- 71�• •u -■ a •�■ t•n - .kt.jsl.00lawu i:!I •.coon• ram• n t r.•n 1 I• ■�■ a .n •• n�. • ►•n n.+ r- •�nw ••• raa Is a amll 1 1• a wR■11 O .I an r• H rnI/1. ..a" U O• a- � ■■ • ■ •.�••:1■•1■ •'•a • A .■ n.[■. ••a [. :■•..•r. 1.I •a1 r•••:? .aa■n .11• ■•■ ■ •t ■. - .I■ ••w•n■ r■ O a+•:. ■u Zal :as. `. .- "./at/- .n a nainnu t r. �•:••.. see:a a d■M3i.Vr■: •a• r. i• 30-5 1J 1 �■ 1 n.I •-• ur AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7s0 ChIR 5301.2.1.1)' Q Cbeck 1.1 SCOPE Compliance WindSpeed(3-sec.gust).................................................................. .................................................110 mph — Wind Exposure Category...................................................... ........B ................................................................. 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................ stories 5 2 stories _ RoofPitch ..........................................................................(Fig 2)........................................... s 12.12 MeanRoof Height ..............................................................(Fig 2)................................................. ft 5.33' — BuildingWidth,W...............................................................(Fig 3)................................................— — BuildingLength,L ..............................................................(Fig 3)................................................. ft 5 80, — BuildingAspect Ratio(UW) ...............................................(Fig 4)................................................. 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ 5 618. — 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............................................................................................................................... _ ConcreteMasonry........................................................................ 2.2 ANCHORAGE TO FOUNDATION1'3 5/8'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing— n. Bolt Embedment nconcrete...................................... Fig 5)4,............................................. 5 in. -z17" _ Bolt Spacing from end/'oint of late (Fig 5 Bolt Embedment—masonry.........................................(Fig 5)............................................ in.z 15" PlateWasher...............................................................(Fig 5)...............................................z 3°x 3"x'YV 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... _ Maximum Floor Opening Dimension...................................(Fig 6)............................_ft s 12'or U2 or W/2 _ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ _ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................—ft 5 d _ Maximum Cantilevered Floor Joists Supporting Loadbearing Wails or Shearwall................(Fig 8)....................................................—ft 5 d Floor Bracing at Endwalls...................................................(Fig 9)..................... — ............................................... _ Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)............................. _ 55 _ Floor Sheathing Thickness................................................ (Per 780 CUR Chapter P )....................... in. Floor Sheathing Fastening..................................................(Table 2).._d nails at—in edge/ in field — 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)...........................—ft s 10' Non-Loadbearing walls................................................(Fig 10 and Table 5)...........................—ft 5 20' _— Wail Stud Spacing ....................................I....................(Fig 10 and Table 5)..................._in.5 24"o.c. _ Wall Story Offsets ........................................................(Flgs 7&8)............................................ ft 5 d 42 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..............................2x_-_it—in. — Non-Loadbearing walls................................................(fable 5)..............................25 -_ft_in. Gable End Wall Bracing' — Full Height Endwall Studs.:..........................................(Fig 10).................._. _............................................. WSP Attic Floor Length................................................(Fig 11).............................................._It>W/3 _ Gypsum Ceiling Length(if WSP not used)...................(Fig 11).................!........................._It z 0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)............................................................ — Double Top Plate — Splice Length ........................................................(Fig 13 and Table 6)..................................... _ Splice Connection(no.of 16d common nails)..............(Table 6)........................ ................................._ r i AWC Guide to Wood Construction in High Wind Areas:II0 mph Wind Zone Massachusetts Checklist for CompIiance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnalled 16d common nails)..._.........(Table T)........................................................ Non-Loadbearing Wall Connections — Lateral(no.of endnalled 16d common nails)...............(Table 8)........................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans able 9 .._ft—in.511' _ SillPlate Spans ........................................................(Table 9).................................. ft_In.511, _ Full Height Studs (no.of studs)...................................(Table 9).............................................. ..... _ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................. ft_In.512' SillPlate Spans...........................................................(Table 9).................................._—ft—in.512' Full Height Studs(no.of studs)....................................(Table 9)...........I............ Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV —' Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... 5 618" Sheathing Type..............................................(note 4)........................................ — Edge Nall Spacing.........................................(Table 10 or note 4 if less)........................—in. Field Nall Spacing ...(Table 10) Shear Connection(no.of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing.......................(Table 10).................................................... 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).............. ... Maximum Building Dimension,L — Nominal Height of Tallest Open1ng2........................................................................._5 618. _ SheathingType.............................................(note 4)...................................................... _ Edge Nall Spacing...................._...................(Table 11 or note 4 If less)........................_ in. _ Field Nail Spacing..........................................(Table 11)................................................. In. _ Shear Connection(no.of 16d common nails)(fable 11).................................................. _ Percent Full-Height Sheathing.......................(Table 11)....................................... ......... Wall Cladding _% _ 5%Additional Sheathing for Wall with Opening>618'(Design Concepts)..................... - Ratedfor Wind Speed?.....................:........................................................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) _ Roof Overhang ...................................................(Figure 19).............. ft 5 smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls — ProprieLW Connectors Uplift................................................(Table 12)............................................U= ptf Lateral.............................................(Table 12).............................................L= pif _— Shear...............................................(Table 12)...........................................S= plf Ridge Strap Connections,If collar ties not used per page 21.....(Table 13)............... = plf _— Gable Rake Outlooker.........................................(Figure 20)..............-ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls '— Proprietary Connectors Uplift.................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)...............................A......L= lb. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59).................. RoofSheathing Thickness..............................................................:.......................... in.z 7/16*WSP ......._. Notes: — Roof Sheathing Fastening...........................................(Table'2)......................... ...................... _ — 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met In its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate In exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-grade. i I i i AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301Z.1.1)' a. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. D. All horizontal joints shall occur over and be nailed to framing. "ui. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of Bd staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment i A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' -war,me EDGE RFsrs ON FRAAUNG NALs AT Gb=. Y 14 1 �1 11 1 41 11 If 1 11 1 1 1 1 N H 1 1 11 11 � 1 1 11 11 D I f 1 I F' +, I a I ti fl 49 ii Cf ' t w n ii z ii � 1 dc 4 1 1Ct� -j 11 1 l r 1 n 1 1L U 4i 1 Q II f� Jai1 1 � It 11 1411 1 1 '� 1 rI tl 1 MIE 1 � ✓`1M MMSPAGINf,< see DaWl on Next Page Vertical and Horizontal Nailing for Panel Attachment r Town of Barnstable .� Regulatory Services 9 n�►as Richard V.Scali,Director 659. 16 Building Division Tom Perry,Building Commissioner 200 Maim Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862.403 8 Fax: 508-790-6230 Propert Owner Must " Complete and Sign This Section If Using A Builder as of the subject property hereby authorize to act on my bebA in all matters relative to work authorized by b permit application for. (Address of ob) Pool fences and alarms are responsibility e applicant. Pools are not to be fled or before fence is ins d and.all inspections are perfonne and accepted. Signature of Owner. Signature of Applicant Print Name Print Name Date QF0RMS:0WNERPERMISSI0NP00LS Town of Barnstable Regulatory Services 4� ro�yM Richard V.Scali,Director BniIding Division Tom Perry,Building Commissioner p$ %65 ��� 200 Main Street; Hyannis,MA 02601 QED A www.towa.barnstable.maus Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICEt M EMUTTON t 1©I PIease Print t DATE�— JOB MCAnCn I O �' SI WS P l nnrn Cr sued VMW �xoMsowNr : � SS Sol �r�0 namc n homc phone# work phooc# CURRENT MAILING ADDRES S: QMG cit'hown 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. DEFINMON OR HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,br is intended to be,a one or two- f un ly dwelling,attached or detached stucttn-es accessory to such use and/or farm structures. A person who constructs more than me 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 Coda and other applicable codes, bylaws,rules and regulations. e!d "hom er"certifies that he/she understands the Town ofBamsfable Bu ilding Department minimum inspectiion r 'eats and that he/she M comply with said procedures and requirements. f gnat ue ofHomoo Approval ofBmldingOfficial Note: Three-family dwelings containing 35,000 cubic feet or lazges will be required to comply with the State Building Code Section 127.0 Canshvction Control HOMEOWNER'S E UMVEMON 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 109.11-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor. (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a formfeerfification for use in your community. Q 1WPFILESIFORIAMuildmg pmmitfonnsl£RPRFSS.doc Revised 061313 Town of Barnstable Old King's Highway Historic District Committee i 200 Main Street,Hyannis,Massachusetts 02601 (508)862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massarhasetts,1973,as amended,for proposed work as described below and on plans,drawings,or photographs asxompan- this application: Data 51 1-1 1 1 b Address of Proposed work, Assessor's Map and lot# �� House# 10 Street JQ5cc%w S 1 p�1 rk 1�1 Village: Yapplication is,for an exemption of the proposed construction on the grounds that work Will not be visible from any way or public place i Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission � ❑ Other 1 Q Description of Proposed work RCUC K, Sl?� G� CUBE-^S 1 ��r� 41A1� AA N P C � !ecis laa �,uts s Agent or contractor(please print): Tel.no. Address Owner(please print): JA SOM C N5S V T R Tel no. R Owners mailing address: 1 Signed,Owner/Contractor/Agent- For Committee Use Only This Certifl4ate is hereby Approve&Denied Date: Committee Members Signatures: - APPROVEU 06 Town of Barnstable Committee Any conditions of approval: C:Wvcsur®,Lc and SembtgsldeooUW&ocd SettbWITempormy Intoner Fd=IOLK110KX Exemption Form 07.doc S Town of Barnstable Geographic Information System May 23,2016 088008001 109003 • y �#740 #861 088007011 109004 088007010 0719 110026 0 14 #805 #0#11 5 0 765� �.T� 109015001C #690088007009 1109092 035 �� 0747® �. Q� 109016014 0731 088007008 #61 109016013 08606005 #717 060 109014003 109016002 #6 ♦ ® #16 760 088007007 #10 109093 040 � 109014002 #10 109016016 #30 109615003 0880 . ' #35 9 088007012 109015012 0 #0 #10 109#013 W1 109076 v> i Q S 109016004 109094 46 #65' #46 088006003 Sao) 109015011 109013001 109076 #25_ #50 #105 S. 109016010 #105 �Os 109074 ® 10.9013002 �� #91 109015009 06 #125 088006002 #140 109013003 109090 088011 109016006 #35 #34 109073 #136 #100 ��0� eat 109015008 1 #65 fts 1#501 076 losoo3"# 0 0120 #130 #0 DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:109 Parcel:015012 boundary detenninatian or regulatory interpretation. Enlargements beyond a scale of Selected Parcel ED 1'=100•may not meet established map ecouracy standards. The parcel lines on this map Owner.CASSISTA,MELANIE M&JASON J Total Assessed Value:$361100 are only graphic representations of Assessoes tax parcels. They are not true property Co-Owner. Acreage:1.00 acres Abutters E '• boundaries and do not represent eco rate relationships to physical features on the map Location:10 JOSIAH'S PATH such as building locations. Buffer �. d I� 9 CONSTRUCTION NOTES: 1. WILL BE BUILT IN ACCORDANCE WITH PRESCRIPTIVE RESIDENTIAL WOOD DECK CONSTRUCTION GUIDE. r . 2. ALL LUMBER SOUTHERN YELLOW PINE P.T.NO.2. 3. ALL 2X10 LUMBER JOISTS. • MAX SPAN:14'-0" • MAX JOIST SPACING:16" • MAX OVERHANG:YS" 3. FOOTING SONOTUBE SPACING:6'-6"MAX.WITH DOUBLE 2X10 r3, BEAM. \a 4. CONCRETE FOOTINGS. ROUND LARGE POST BASE MATH 12" SONOTUBE STEM. 4. 6X6 POSTS W/POST TO BEAM POST CAP ATTACHMENT 5. ALL GALVANIZED HARDWARE. CIS ' O Qs • Qa ' UC os a LOWER DECK 4U 74.5')C35't `o FIRST FLOOR 1�g $! b LEVEL DECK rn W/RAILING °7 14.SX16'3 i 53. ^7 47.5' v 46.7' �n REMOVE EX. 'u' DECK&STEPS 282 / '^JJSMIR PAT., � U / n} i J b` S� n ' 01 a • � Ea r , i N { y APPROVED MAY 2 2016 Town Of Barnstable a Old King's Highway Committee �. �-L=34.661,R=200.000 a 5 L=25,996.R=150.000 0 30 SCALE IN FEET 5 m: nq.a: Aa..at+l: 0aa.r: $ PROPOSED DECK_ Jr WdMMma•Cmtlrto N«wawm•o.wao. u 10 JOSIAM'S PATH 10,1w&.8'am eun.Mm.emar.l.l.am WOO 0—Wa,MA 0266E WEST BARNSTABLE,MA 02668 10 CASSISTA 1 —07r28116 �p 8 aw�T e1' 6avn Q/: Owti;By: MalaOfMta Town of Barnstable Geographic Information System May 23,2016 109015013 r 109015002 #717 q —Till5 ,, ;�..., � ...�a �..-�..� �'{t' � �+• � -,ri,. tip _ ,{ . i , 1 09093 r y• 1 tr i ` (. #40 :y 4-v i5 A01, t] :: #35 4 �1 09 01 5 01 5 L 7430r— N. 10901 �Y �r • + _ /�f/' j� _ /1;S•� ..: � .,� 1 �..�... rye ` . 4, r� .` • � F � ;X7'' `JQ�c,t .4��'�"'• 109015004 �. 109015011 IL 28 'Feet v L DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:109 Parcel:015012 a Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner.CASSISTA,MELANIE M&JASON J Total Assessed Value:$361100 bo pre 1'=100'may not meet established map accuracy standards. The parcei Ones on this map are only graphic representations of Asseswes tax parcels. They are not true property Co-Owner. Acreage:1.00 acres Abutters W E boundaries and do not represent accrete relationships to physical features an the map Location:10 JOSIAH'S PATH ••-.;' such as building locations. Buffer Aerial Photos Taken April 19,2008 CONSTRUCTION NOTES: 1 WILL BE BUILT IN ACCORDANCE PRESCRIPTIVE SIDENTIAL WOOD DECK GUIDE RESIDENTIAL 2. ALL LUMBER SOUTHERN YELLOW PINE P.T. NO. 2. 3. ALL 2X10 LUMBER JOISTS. • MAX SPAN: 14'-0" • MAX JOIST SPACING: 16" \ Ore • MAX OVERHANG: T-5" \ tis 773 3. FOOTING SONOTUBE SPACING: 6-6" MAX. WITH DOUBLE 2X10 \ � 73, BEAM. 4. CONCRETE FOOTINGS. ROUND LARGE POST BASE WITH 12" \\ \ \ SONOTUBE STEM. \ \ \ \ \ 4. 6X6 POSTS W/ POST TO BEAM POST CAP ATTACHMENT \ \ \ \ \ \ \ 5. ALL GALVANIZED HARDWARE. \ \ \ \ \\ \ \ \ \ \ \ \ \ \ \ 77 \ \ \ \ \7� \ \ \ \\\\ \ \\ 7 OHO \ \ \ \N, \ \\•\\ \ Opp \ \ \\ \ Op ` \ \ \ 1\ �\ ` ,0 °� \ `, \ O I LOWER DECK \ \. ` \ rID 14.5'X35'± �o FIRST FLOOR .- \966�9'\ I Iryo� r+`V LEVEL DECK rn 0 ��' W/ RAILING \ \ 00; 14.5'X16'± 47.5' / f \ sr, , 46.7' 1. r / /} ®moo SHED REMOVE EX. DECK& STEPS ''�'! ''�'��° �r1° W�' ` 28.2' 10 JOSIAH'S PATH % " �' 411 ico ^J S DECK p MI 2 O GRAVEL / PATH / GRAVEL DRIVE / Lu / / 01 En . o I I I I °) CU ID 10 19 \ �'9j 190 9151 919 o, E 01 S \\ L=34.661, R=200.000 ZZ L=25.996, R=150.000 U) 0 0 30 SCALE IN FEET to p co Title: Project: Prepared For: Design By: It o PROPOSED DECK Jason and Melanie Cassista Horsley Witten Group,Inc. 10 Josiah's Path Sustainable Environmental 10 JOSIAH S PATH Solutions WEST BARNSTABLE, MA 02668 West Barnstable,MA ozsss � Project: Sheet: Date: fio Route 6A E 10 CASSISTA 1 07/26/15 Sandwich,MA 02563 508-833-6600 voice Design ByJL Drawn BjjL Checkedjjy: 508-833-3150 fax / " SURVEYOR'S CERTIFICATION: ? � ON THE BASIS OF MY -KNOWLEDGE, INFORMATION AND BELIEF. I CERTIFY TO : TOM AND MARY BAUER THAT AS A RESULT OF A LOCATION SURVEY PERFORMED ON THE GROUND ON OCTOBER 7. 1991 IN ACCORDANCE WITH THE NORMAL STANDARD OF CARE EXERCISED BY PROFESSIONAL LAND SURVEYORS PRACTICING IN THE COMMONWEALTH. OF MASSACHUSETTS, I FIND THAT THE EXISTING POURED j CONCRETE FOUNDATION IS SITUATED ON LOCUS AS DELINEATED HEREON, AND IS IN COMPLIANCE WITH THE CURRENT ZONING BY-LAWS OF THE TOWN OF BARNSTABLE AS TO DIMENSIONAL SETBACK REQUIREMENTS. i I DATE• ROFESSIONAL SURVEYOR 44 CLARX 40 tiLOT10 • 8 OURED CONCRETE FOUNDATION 3 8 \q� Q � 7 v0s/ ,09 9 CERTIFIED PLOT PLAN OF LAND IN BARNSTABLE, . MASS. AS PREPARED FOR TOM & MARY BAUER [2. - OTES: SCALE: 11n.• 100ft. OCTOBER 7, 1991 . ZONING CLASSIFICATION: RF SCHOFIELO .� , I . FOR LOCUS REFERENCE SEE: REGISTERED PLAN BOOK 482, PAGES 30-34. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 161 CRANKY HIGHWAY - P.O. BOX 101 ORLEANS. MASS. 028M (308) 23.5-2098 i a Application to M 1 032 P G �E Vt .� aPPN OEN'P`'�EP�`PN Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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: ❑ New Building ❑ Addition JR Alteration Indicate type of building: ® House ❑ Garage F �IM�J }G mac. r/g 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 I — lG ADDRESS OF PROPOSED WORK iL' JOS1 r'4.H-, Pt+T r—I ASSESSORS MAP NO. 102 OWNER 1 Nc;.1'1 ram k- ►N1 I-ye-t i5f4i =V— ASSESSORS LOT NO. HOME ADDRESS IV TEL. NO. 3L_2 —5l-1G FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). L ►�-Z r�f Z r2 I '� ) [:5► �l) �n T'I� bt, ',�,�n;`_ J r--'F KE y III( _►L L_i F jr::>17 DAy i S G 13-'r rc 71'c" 1 E2U�Ele' (t H e —)6 1 K 0-3 I-7 C E Or)'- AGENT OR CONTRACTOR S49'm +1 f4 0�C TEL. NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). cc L-C i ( r-1 L_ .J T-� L-E a Signed Owner-C rector-Agent Space below line for Committee use. Received"N"H'D'C;; � rn— y r Date The Certificate is herebyW Axrul& I Ti 2 9ies ZB'Y• BF1s,iV5iA3LE -d-!]a iidl76 Ni 1111VAY J Approved ❑ IMPCRTAN �IfQorfificZ:approved, approval is subject to the 10 day appeal period provided in the Act. ;3 Town of Barnstable Old King's Highway Historic District.Committee SPEC SHEET FOUNDATION r3 SIDING TYPE W' t� 50 CHIMNEY TYPE N COLOR i ROOF MATERIAL 3 1 A �L 1 COLOR L1 c,E t-T e X 15'�r PITCH r� WINDOW SIZE TRIM COLOR •� J k=� I L C ` r� T rr �t\I 19-1'"1 I f lt '( ' ., l DOORS ��� '►�' COLOR SHUTTERS IU f GUTTERS Ld ( /1/ tJ DECK t-- �16rc) GARAGE DOORS COLOR .NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when E! applicable. Plot plan need not be "Certified", t Certifiel , but should. show all structures on the lot to scale. SPECSHT . J SURVEYOR'S CERTIFICATION: � j ON THE BASIS OF MY -KNOWLEDGE. INFORMATION AND BELIEF, 1 CERTIFY TO : TOY AND MIRY BAUER THAT AS A RESULT OF A LOCATION SURVEY PERFORMED ON THE GROUND ON OCTOBER 7, 1991 IN ACCORDANCE WITH THE NORMAL STANDARD OF CARE EXERCISED BY PROFESSIONAL LAND SURVEYORS PRACTICING IN THE COMMONWEALTH OF MASSACHUSETTS, I FIND THAT THE EXISTING POURED CONCRETE FOUNDATION IS SITUATED ON LOCUS AS DELINEATED HEREON. AND IS IN COMPLIANCE WITH THE CURRENT ZONING BY-LAWS OF THE TOWN OF BARNSTABLE AS TO DIMENSIONAL SETBACK REQUIREMENTS. DATE• ROFESSIONAL UW SURVEYOR , s XUL CLf:F:<. ti B 40 11 tiLOT10 • 8 OURED �0' CONCRETE two FOUNDATION 3 8 ,i d9s. \Q� 9 `o ti s A 9Ty CERTIFIED PLOT PLAN OF LAND BARNSTABLE, . MASS. AS PIWAM FOR NOTES: TOM & MY BAUER I . ZONING CLASSIFICATION: RF SCALE: 11n.m t00ft. OCTOBER 7, 1991 2. FOR LOCUS REFERENCE SEE: SCHOFIELO BROTHERS, INC. PLAN BOOK 402, PAGES 30-34. REGISTERED _ �- w_ PROFESSIONAL ENO IN "IND LAW-SURVEYORS 181 CRANIBERRY HIGHWAY - P.O. BOX 101 r ORLEANS. MASS. 02833 (308) 233-20981 f C>AUCk pk,19,,fD rA4m*-AS Fbtck A001-iio,-) V, �( = (NOT To Su-IE) �r(.e,,jr 1-10N . I fix;sr� 3Tn3 _-� Hs�kAlr SWA)6( �— - LT . _-_F I . ..s I . . - —LF11i ----_--_.—__.-_. 3'fM8 ASA`oa►i HIP ?Y-8 2Aft�QS pRoPosE�� Fn2w,ka S —� TD MA-tcI -.-_ ...._ < _f�ecq i I,Z G0Y rF 041AY, �_.__._.... _ . .... .......:.. ......._._.__...__..___.__.—.._—_ _ ovti2, IX$ fAcCA � X y PT Po STS I I -trZ P;NE d I i I I ITlitlit 'T u ll"Q GA I Iv51'(X S Cfl!: OG 36 £IEvnT:0,) I I I y$ x 12"Dir4 � Tv6E "emEd 6DOMW6$ VNO� 7 L _I w BAU64 Pt p,,,Lo Fg4MVS Fbacl, Aoo;+io,,J CNOT To Su►IE) Dell - i 3Tn6 95PtiAIr sN N6� i Ll LL� -_ 4S° E pRoNo *(b Fr #Mkfi.l TD MAIC), p VflL I X$ EAt.;A i yx4 PT Posr5 f I 1 i tt2 P;ME IT r I I f TLaNIP GA11VSIMS i (s oc, 36V£IEvn?;Oj ' I tlg X 12� DMA i Tv6E Fofmto i � I f00'�N6 S UNO I / All fbsTS �� w ' t t� The Commonwealth of Massachusetts cif -�_�.�: Department of Industrial Accidents - z AW pll/ceol/=9s1/gaUoos 600 If'nsltington Street Boston.Alass. O 111 Workers' Compensation Insurance AMdavit ,ARnitcant Jnfnrmatinnr Please PR1NT'lep�1�► location, 0 r�L� 4 lot l OL "� // /L citx 1` C/4'�✓I S'�Tf /2 M 1�7 0? DU 9 Rhone# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. 4i~ comrnny name: ' address• ci phone#: - insurance co. o�list'# I am a sole proprietor,general contractor,or homeowner(circle one)and have hived the contractors listed below who have the following workers' compensation polices: company n.IgB: oil address, to ci Rhone#: insurnnce co. Policy# I s'. N.--:T — �.ti[.r.-•.•G.:�.es�errr^.••:•�'�."NEL7 *ff •e 'c. 7T�M•T 7F::'tR!!=�9•:A�t13*9!�7!". - ctimpanv name: address: cih• phone#• Co. nolicx Al 'Attach additional'sheet if tieceua a = ;=-„5;" �++^++ * �•� `'� `�'' Failure to secure coverage as required under Section 25A of DIGL 152 can lead to the imposition of criminal penalli fine up toS1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. !do hereby ccrtifj• ter the pains and penalties of perjury that lire information provided above is true an ct and correct. Si=natu ate / — /0 — 9 G Print name �� a/?/l(!S !r 1• O lif P-d' Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ntluilding Department [3Ucensing Board ` 0 check if immediate response is required [3Seleetmen's Office C)lieallh Department contact person: phone#;. riOther (rt+ued 319a P1A) 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 emplmvee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrplityer is defined as an individual, partnership, association. corporation or other ;cgal entity, or amr two or more of the fore�soing 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 V52 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 in coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ( �w*.�r!r!.f•+��'! Y .a, •.i.rs. �.��.: 'iy: y�N ;,:r• y ' gyp.:i•r;':�: .1 •�::.!•f't:�',�':t .:.'.._. .I•,r. i':• e.A .v.;;��•' 9'�•�•••.'+• . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies t95 ur situation and supplying-company names, address and phone numbers 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 for regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. f- ..e .. i�•i`' .. ^.•t�-.. ::i.r:..•r'•.='� _ «:� rw.+ •:'.-<si,ls�!::i1 I�!•••'•:"�r' sxi•�R 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 fil t in the event the Office of Investigations has to contact you regarding tite applicant. Please be sure to fill in the l:--- Wense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. �'gMIS•wr�Mw+r . r... •:.. .:� Y:•✓. 1u. •�►�— ^\Jt- M::�. ..w� ` The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street — Boston,Z. 02111 Y' fax#: (617) 727-7749 •, phone#: (617) 7274900 ext. 406, 409 or 375 Y The Town of Barnstable of Health Safe and Environmental Services Department Building Division �a 367 Main Strert,Hyamtis MA 02601 Office: sos-79o-6W RaiQh Cmssea Fax SOS 775-33" Egg commis For office use only • - Permit no. , Date . AFFIDAVIT HOME IWROVEN ENT CONTRACTOR LAW SIIPPL ?dMTO PERNIITAPPLICATION MGL c I42A requires that the"reconstruction,alterations;renovation,fair,modunb2tion,conversion, iiaprvirement,.lemcnal, demolition. or construction of an addition to any pm aasting cww 00apied building containing at least one but not more than four doodling units or to===cs which am adlaoatt to such residence or building be done by registered eomtac tom with certain=option, along with other � s Type of Work: po" 490.,E� Est.Cost 3, Address of Work: /0 �S oA N5 W foss Oaner.Name: 7WO" M aA Date of Permit Application: I hercb<•certify that: Registration is not required for the following reason(s): J Work excluded b J !, Job under SI,000 Building not awner-ooeapied �Owncr Pulling own Pconit ' Notice is hereby gi<=that: OWNERS PULLING THM OWN PERMIT OR DEALING WITIIUNREGIS'fELMU CONTRACTORS FOR APPLICABLE HONM IMPROVEMENT WORK DO NOT HAVE .ACCESS M THE ; ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the eat of the owner. G — Dat Contractor a Registraion No. OR ` - Town of Barnstable �OFtHE r Regulatory Services Thomas F. Zeiler,Director M f Building Division w BARNSTABLE, " MASS. Tom Perry, Building Commissioner e i63q. � AtEoµp.ta 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit# t) HOME OCCUPATION REGISTRATION Name: Phone #: ribrd— '1 144-- Address: /L"_TQ s t b"a s &3. Village: Name of Business: n--7S.1 =29------i�eseze���,tram------------�—\---------- Type of Business: Mal)/Lot: INTENT: It is the intent of this section to allow the residents of the"Toawn of Barnstable to operate a home occupation al2tlaiu single Family dwellings,subject to the provislolis of Section 11-1.4 of the Zoning ordinance, provided that the actl6ty shall not be discernible from outside the dawelling: there shall be no increase iI noise or odor; no 69SUA;tkl""rLhOrl to OIC; premises which would suggest any(lling other HIM a residential Ilse;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 t11e folloawiug conditions: The activity is carried on by(lie permanent"resident of a single Family residential davelling unit, located Withlil that dwelling WILL. a Such use occupies Io more thau 400 squ;u"e feet of space. There are no extern;d alterations to the dwelling which are not customary III residential bLIIIdIaagS,find there is no outside evidence of such use. • No traffic mll be gener-ated in excess of normal residential volumes. The use does not.involve the production of oflensive noise, Vibration,smoke, (lust or other particular matter, Odors, electrical disturbance,heat,glare, humidity or other objectionable effects. a 'There is no storage or use of toxic or hazardous m'iteri.ds,or flammable or explosive materials, in excess of normal la.ouselrold quantities. • Any need for parking generated by such use shall be nnet on the same lot contaluing the CIlstonaaly Home Occupation,wicl not a%itluii the required Front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one wan or one pick-up truck not to exceed one ton capacity,and one ti7ailer not to exceed 20 feet III length and not to exceed 4 tires,parked on the same lot contaitaing the Customary Home Occupation. • No sigh shall be displayed indicating the.Customlary Home Occupation. • If the.Custonuuy Home Occupation is listed or advertised as a business,the street address snail not be included. 0 No person shall be employed in the CWstonlaly Home Occupation u"ho-is'not a pernanent resident of the dwelling unit. I, the undersigned, have read and agee with the above restrictions for my home Occupation I am registering. Applicant: " �._ Date: /0—sS'— /O t YOU WISH TO OPEN A BUSINESS? For Your Information: YOU Certificates COST $30.00 for 4 ears. i (WHICH YOU MUST DO BY Y A Business Certificate ONLY REGISTERS at 200 Main St., Hyannis. Ta e the completed form to the T t does not g you permission t' operate). You must first obtain the necessary the Business Certificate that is required by law. RS YOUR NAME in the Town Town Clerk's Office, 1'' FI., 367 Main St. y signatures on this form , Hyannis, MA 02601(Town Hall) and Qet a F'II in please: APPLICANT'S DATE YOUR NAME: -. •;�: . =�,:' `'•: ��'; �-s:�?.r° •`' BUSINESS v-----�_ �� :__ :... ..::• .,::ri : YOUR HOME ADDRESS: r~ _ZD ✓ � TELEP— S i^ S NAME OF NEW BUSINESS Home Telephone Number: oa ISTHIS A HOME OCCUPATION? `�' soa �1 _YES TYPE OF BUSINESS Have you been given approval from the building division OYES / V ADDRESS OF BUSINESS NO When start-ing a new IV MAP/PARCEL NUMBER D I (� �5 �I Z business there are several things Barnstable. This form is intended to assist you in obtaining the o in order g you must do in order to be in compliance with the rules and regulations of th Yarmouth Rd. & Main Street) to make sure you have the on you may need. You MUST GO TO 200 e Town of fio�vn• appropriate permits and licenses required to legally operate Main St. — (corner of 7• BUILDING p #e Your business in this CON1 S_ION R'S OFFI E This individu h e irifer ed fan y per it requirements pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION COMMENT Authors d Si,gnatur RULES AND REGULATIONS. FAILURE TO , COMPLY MAY RESULT IN FINES. r-1 �i < 2. BOAR OF HEALTH t This individual has b�n • e�l•o the permit requirements that pertain _I(� P to this type of business. COMMENTS: Authorized Signature** MW CaftYVMAU HAZARDOUS MATERIALS REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that e p rtain to this type of business. COMMENTS: re Authorized Signatu ** F- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D f 2, - Permit# 3 q 7,�y Date Issued 11 ! J9 / Fee# 11 AAA Tax S� / Collector . easurer, —a:q d" SEPTIC SYSTEM U� �ID INSTALLED IN C07 PLe;.'`C'_' kii P� Project Street Address US j m S Pat 1_4 Village v V _ 6 Qt A�le_ Owner ' i 01.Ci A4 a 0 P—f` Address .l ().f l of In �S Pol 7 r Telephone J J7 7 5� J G G7�t� / Permit Request J Square feet: 1st floor: existing 1060 proposed 2nd floor: existing ig o proposed Total new Estimated Project Cost 43, 1. Zoning District Flood Plain Groundwater Overlay Construction Type e Lot Size AC,4 ei-1- Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O" Two Family ❑ Multi-Family(#units) Age of Existing Structure 7 Xe&tr.S Historic House: ElYes 9 No On Old King's Highway: O"Yes ❑ No Basement Type: ("Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 7, new ( Half: existing new Number of Bedrooms: existing new .&e Total Room Count(not including baths): existing new First Floor Room Count 3 eat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes Coo Fireplaces: Existing e S New Existing woo ocoalove: des ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size_ Barn:❑existing ❑new size Attached garage:Ca"existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t ' - FOR OFFICIAL USE ONLY ,> ' PERMIT NO. DATE ISSUED MAP/PARCEL NO. tn �y F ADDRESS r: t VILLAGE ,e OWNERl ' r DATE OF INSPECTION t FOUNDATION FRAME 9 INSULATION FIREPLACE ELECTRICAL: ROUGH. FINAL ` t t PLUMBING: ROUGH • FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION:PLAN NO. ' • ., .dsz,e, • The Town of Barnstable 1 AM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 - Office: 508-862-4038 r . Ralph Crosser Fax: 508-790-6230 Building'Commissioner Permit no. Date d f �3 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence.or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 1" Pal/ 0� 41� Estimated Cost 0 U /Address of Work: 0 J o.3!ffi h f �v�. VV. 1?a K ►+.S A ile-'. M j1 Xwner's Name: —J—Yl 0-,�x a J M - 6 "P.ri' ate of Application: U 1 I hereby certify that: i Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied 'L�Wmer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED.UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. ✓ 9OR / e-f f 6wee- Date Owner's Name q*mis:Affidav r 70CMRAppeafti Table JL=b(eondaaed) Prescriptive Psdmga for Gae and Two-Fau*Residential Buildup Hated with.FosW Faeb MAXIMUM mumuM Glazing Glazing Casing Wall Floor Basement Slab Hasiag/cooling Atm'('A) U-value= R value' R value' R valuer Wall pannew Egwpmmt Et d=T' 1padmge It-value' R value' 5701 to 6500 Heating Degree Days' Q 1251. 1 0.40 38 13 19 t0 6 Aomud R 12V. 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 83 AFUE T IS% 0.36 38 13 25 N/A WA Normal U 150/. 0.46 38 19 19 10 6 L Normal V 1SIA 0.44 38 13 25 1 WA W 85 AFUE W IS% 0.32 30 19 19 10 85 AFUE X 18% 0.32 38 13 23 WA WA Normal Y 18% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR W LLS: 3. SQUARE FOOTAGE OF ALL GLAZING 4. %GLAZING AREA(#3 DIVIDED B #2): S. SELECT PACKAGE(Q—AA-s e chart above): NOTE: OTHER MORE OLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILA E. ASK US FOR THIS INFORMATION. BUILD G INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the.ventilated portion of the roof. . 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, E.R49 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages). Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement.wail,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-Weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 i • _-- --.. The Commonwealth of Massachusetts _�.! Department of Industrial Accidents � •--• - == � OfTice of/ntvestigations ' 600 Washington Street V` `+� Boston Mass. 02111 Workers' Com nsation Insurance Affidavit ' c+��'� —name: ll� � location% S city Q Z(I one I am a homeowner performing all work myself. ❑ I am a soffnro etor and have no one working in any capacity11 am an eloyer providing workers' compensation for my employees working on this jobIZZ company name: address: city: phone#: insurance co. P01icV# r ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: .... .....::..::.:.:::.:. . address: city phone#: insurance co. :.:.... ... . oikv#.. ::.:.,..:.::... ::,:..:>..::.:;•::•::;.;:.;:.;:•:>.:<:... company name: :.:.::. .: ...:.;;;::::.::.: :.:....::..... address: city phone#i insurance co. poliev# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification I do hereby certify under _ e pains and penalties of perjury that the information provided above is truce an -correct Signature Date— f 3 F Print name Phone# (contact cial use only do not write to this area to be completed by city or town otncial or town: perndt/license# ❑Building Department ❑Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department person: phone#; ❑Other (tevueu 9/95 P1A) 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 con ra , 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 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 persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing ar,Ancy shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if 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 iminber. 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 Office of Imtestlgaucas 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r The Town of Barnstable ' o Department of Health Safety and Environmental Services Building Division . sa M 367 Main Street,Hyannis MA 02601 1639. Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print U �3 B LOCATION: S / GI S of W. er street village MEOwNER"O :�17 G z Q k( er— name < home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum in ection procedures and requirements and that he/she will comply with said procedures and requ' Signature of Homeowner Approval of Building Official Note: Three-family dwellings.containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:ExEMPT i ; ; q 0 o 19n 1 f-- l OWN � `�� I 5 d� r i t � O n l� Assessor's Office(1st floor) Map 09 Parcel 01 7 • 012 Permit# � G Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 1 Z°l F� a-, - Date Issued 3 —,, Board of Health(3rd floor)(8:15 -9:30/ 1:00-4:45) 2 il Fee 0,;?,5 Z Engineering Dept. (3rd floor) House# ('� t?c1s . S SYST ST BE PDive (1st floor/School Admin. Bldg.) INSTALLED 1 .CE VVIT AND Approved by Planning Board 19 f'Ie VIROlNME lovim R.- STOWN OF BARNSTABLE Building Permit Application Pddress 10 J 0 51(+H 5 P r+-r H L Village 1A) 6 f2 NS j a P,( "Owner -THk-n a�s I Migot-`{ L_�I'qui5P,Address (o IO5t faHS '�PFt-Tr-/ Telephone ,SOS — ,tea— .S�IOs _r Permit Request 8()ILI_� 3cD FA- W1r-L.5 r,>o e_c 14 d N ill STi/,J Hou S r 157fG►q T F6C E First Floor 10 b L=J(K i its 4o square feet a sa t1 Second Floor 1 D O K E(C l S—4 square feet Estimated Project Cost $ 03oo0 Zoning District A J% Flood Plain N 0 Water Protection 0 Lot Size i (`a C 1 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use 06S 119E N T 1 o L Proposed Use Construction Type E t?PHLI( Commercial Residential Dwelling Type: Single Family S/nl< L 6 Two Family N f (� Multi-Family Age of Existing Structure y y(-5 . Basement Type: Finished Historic House N 0 I Unfinished t% Old King's Highway Number of Baths a No.of Bedrooms Total Room Count(not including baths) rZ First Floor 3 Heat Type and Fuel F AS Central Air q A ( Fireplaces J Garage: Detached Other Detached Structures: Pool Attached Barn r None Sheds Other Builder Information Name N P H"W]C00 fAC-'f2 1 G 901 LD k Telephone Number 3(o2- ,5 VoO Address � � License e# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ✓ b SIGNATURE DATE 2 ! `J BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ' FOR OFFICIAL-USE ONLY • PERMIT NO. DATE ISSUED MAP/PARCEL NO. 1 ADDRESS VILLAGE o , OWNER DATE OF INSPECTION: FOUNDATION FRAME' • INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ,# `ROUGH FINAL FINAL BUILDING ' 16 A� DATE CLOSEQ-,'qt ''4 f ASSOCIATION PLAN NO. To Date Time WHILE Y WERE OUT M of Phone Area Code Num Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTSTO SEEYOU URGENT RETURNED YOUR CALL Message Operator AMPAD 23-021 -200 SETS �� EFFICIENCY® 23-421-400 SETS CARBONLESS Q (-ee S-- d pia'N,ti >v5 �oC, Asses*ofFloor):. ` I r r A P P R 0 V E V Assessor's map and lot number U 6"J ,l �` } THE t Barnstable Conservation Commi Board of Health(3rd-floor-): ___--5Sewage•Permit number Engineering Department(3rd floor): br J " ru°DLL ' J � s House number `� Signed �N�ei�'S 1639• } Definitive;`Plan"Approyed by-Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.onlyMp�AN TOWN OF ' BARNSTABI� �- BUILDING INSPECTOR 1 APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 3 7 IS 19 ci1 ' 1 . S j TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lo r' I() J OS i p H s p�:i tF W Proposed Uses Zoning District Fire District s Name of Owner (n dr-)� �uJs2 . Address IS-A Ca 22 Dr. PYMAS 4pBl� . J + " v Name of Builder Address r Q VjAjh, M 4S dveE Name of Architect L v FP A",ihL L ems)" Address Number of Rooms 7 Z �n-ri+ Foundation R" PC,,,, x-,C(>\m ,.�IiL w �(Yx,�r iran ' Exterior as o or- Roofing Floors rX Interior i Heating F µ W Plumbing 022- q�Gv` Fireplace 02 T_-Ive. �19,vi-4 Approximate Cost '7r onc) Area (J� -s -, i I Diagram of Lot and Building with Dimensions Fee O HS � 7 160 i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License '� r a1FR, TOM Mz y o 34635 permit For Build 2 Story Sir_cf1,e Family Dwelling Location Lot #10 , 10 Josiah' s Path West `Barnstable Owner. Tom & Mary Bauer Type of,Construction Frame Plot - Lot Permit Granted October 11 , 19 91 Date of.,Inspection -19 i f Z��©�`l 19 Date Completed ° N , f:1 tS� i C? V ate_ 17 TOWN OF BARNSTABLE Permit No. .34635 tv BUILDING DEPARTMENT 4 I swan TOWN OFFICE BUILDING Cash �$.„6 0.R Q). Ml 6 HYANNIS,MASS.02601 Bond ....I............ CERTIFICATE OF USE AND OCCUPANCY Issued to Tom & Mary Bauer i Address Lot #10, 10 Josiah' s Path West Barnstable. 'Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 110.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ` Janu ... ar 17 ....., t9...92..... .......... .........:. ............... .... Building nspector 04' !'f�ji! A::.+-,}�ti•7L.-+u�..� ,,.•s�+ 4.►''YS�vr�jf� �..rry"11A� A ' '"" 5nt�'+:;•4 + r' '-ti-4n+ W`w' 'h'�y' i'+�iIJ�+'�f '�=:� "v+'�ry.!'+.b •'7Y s - TOWN OF BARNSTABLE 34635 Permit No. ......: BUILDING DEPARTMENT 4 6 0,00) TOWN OFFICE BUILDING41 Cash 7 Yl �a4Y� HYANNIS,MASS.02601 Bond ................ t CERTIFICATE OF USE AND OCCUPANCY t Issued to Tom & Mary Bauer Address Lot #10', . 10 Josiah,' s Path ' West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE.WITH TOWN REQUIREMENTS,AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 001,1 January 9, , 19...9 2.......... ... .'�.�!�. Building Inspector w rwr TOWN OF BARNSTABLE 34635 y . Permit No. ......:......... BkJILDING DEPARTMENT I ....n I Cash ,($460.00) .... a TOWN OFFICE BUILDING q�e6JY• i ` HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Tom & Mary Bauer Address Lot #10, 10 Josiah' s Path West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND..IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. r January 9, 19 92 ....... ............ .......... .. Building Inspector • STABLE MASS ACHUSiTTS A 5-012 l§M"Lb 'N& 'PE' RM" 'fi t DATE Q C,t 19 91 PERMIT NO.N9 34.6335 CANT .13 Cc,o It G o _':.,,t;.:�'i�, ADDRESS A.00 I'lZO/t Mashoee #0412*t (NO.) (STREET) (CONTR'S LICENSVJ', PERMIT To L4u11(1 D tv t.,i 1 i 1-1 L-4 (;L—) STORY D�VC'jji."10 NUMBER OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USEI DWELLING UNITS AT (LOCATION) Li.)t gio , io • ZONING (NO.) (STREET) DISTRICT hr BETWEEN AND (CROSS STREET) (CROSS *-STREET) SUBDIVISION LOT LOT_BLOCK_SIZE BUILDING IS TO BE —FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO1, TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: D L w,1 c- ($460. 00) AREA OR Llend Wa V, lliushpec VOLUME 14 0 ESTIMATED COST $ ()00- ()0 PERMIT 122. 50 (CUBIC/SQUARE FEET) FEE OWNER ADDRESS 15A, Di:ivc- A BUILDING DEPT. BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER ORA PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY TEMP R LY OF PRO VVA UNDER THE BUILDING CODE, MUST BE AP- MVMBY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEC A PERMITTED FROM E DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION! OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS I ARE REQUIRED . FOR 1. CY I ELECTR:CAL,, PLUMBING AND MECHANICAL . , L I FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHAN CAL NSTALLATIONS. I PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION PPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I I Avoc) 4l/ J�4 ............. I lo 2 2 Z�; V .1 41 HEATING INSPECTION APPROVALS INR 2 41 OP( 0 EA b H OTHER SITE PLAN AN REVIEW APPROVAL Pi oe�JT 1,4 e,i WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIOLIUS STAGES OF WORK IS NOT STARTED WITHIN INSPECTIONS INDICATED ON THIS CARD CAtj BE CONSTRUCTION. SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRIT-TEN PERMIT ;S ISSUED A$ NOTED ABOVE. NOTIFICATION. ---------- BUILDING PERMIT NO. DA:E ASSESSORS PARCEL h'0._[Q 9 CONTINUATION OF ROAD BOND The undersigned owner/contractor hereby agree to maintain their road bond in force until the following worti ite=s are completed to the satisfaction of the :_Engineeng Section of the Depar"ent of Public worts: loa= and seed shoulders as soon as weather pe—its: (/ other (ex.plain LOCAT=O,N: (Cw,:;c R/CO.;;: FOR) ) (print name 4GINEFFiHO=tIZAT_ON ti. - i '1 -`'P:� ..7A 'q}.•. :i'r'Yw41DibI• lti,<.;:i..{ '..aik.- . t � .. l F1`r•,..�� .•T;.<, .F .�Ay,.. ,�,: ,�ty�,z�;r.{3+,i:?�'•i ti i1 4 i * TOWN OF BARNSTABLE 34635 • BUILDING DEPARTMENT Permit No................. TOWN OFFICE BUILDING Cash �0NO HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to M �JtT{ b Address ? _ * L 0 .)' USE GROUP FIRE GRADING '_OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED-U SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE' NTiL' .WITH.TOWN`.•'; REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE. :.••; ' BUILDING CODE. janu�,ry 17 ...... 19...:!:.......... C , - .......... Building nspector I _ • I is TOWN OF BARNSTABLE Payable to: BUILDING COMMISSIONERS OFFICE DATE 413 l q-9 Scott Goldstein ACCT.# Oi a/00 464 05 100 Horseshoe Bend Way VENDOR# t Mashpee, MA 02469 AMT. �l4 PO# P APPROVED BY . l BUILD i*Nit PERMIT N0. DnTI ASSESSORS PARCEL NO. f 0(? — 0 1S^—(�►2 _ CONTINUATION OF ROAD BOND The undersigned owner/contractor hereby agree to maintain their road bond in force until the following wore: items are completed to the satisLaction of the Engineering Section of the Depar-ent of Public worms: Ica= and seed shoulders as soon as weather pe omits: Other (e_xmlain) I LOCnTIO.T: l0JS gyp. / SiGi;ED (G-ZE'/CTNT .OR) (print nameo-A ) ;GI]NcE G ACT. O:cIZ�T_ON 1 i 1 4 1 TOWN OF BARNSTABLE, MASSACHUSETTS �BRLDI Wd" 'PERMIT 4 1�9-015-012 DATE October I1 19 91 PERMIT NO.N0 APPLICANT Scott Goldstein ADDRESS100 Horseshoe Bend Way, Mash ee0426 (NO.) (STREET) (CONTR•S 0CENSj6qNUMBER OF PERMIT TO Build Dwelling (2 1 STORY Single Family Dwelling DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE)" # .7PS AT (LOCATION) Lot 10, 10 Josiah' s Path, W1 Barnstable: ZONING CT �' (NO.) (STREET) - BETWEEN AND ' I (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE t BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT.;IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) _+ REMARKS: Sewage #91-311 ' Scott Goldstein ($460.00) �6q 100 Horseshoe Bend Way, Mashpee 0a, VAREA OLUME 1400 sq• ft• ESTIMATED COST � 'O 000'00 FEE $122 50 (CUBIC/SOUARE FEET) 4- OWNER Tom & Mary Bauer -„ BUILDING DEPT. ADDRESS 15A Cape Drive, 14ashpee BY :1 ' I THIS PERMIT CONVEYS KO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORAR LY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVF.p BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMYHE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS `I OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE x' j INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED - FOR ! ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS." MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. - 2. PRIOR TO COVERING STRUCTURAL QUIREO.SUCH BUILDING SHALL,NOT BE OCCUPIED UNTIL MEMBERS(REAOY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. .�.' OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET / BUILDING INSPECTION PPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS M L1 MLip 41 ;4, . 2 2 2/vz/_ ,vj �yr µ j HEATING INSPECTION APPROVALS Gr R 'W 2 �n/�3OAR O TH' OTHER SITE PLAN REVIEW APPROVAL fit fr- 06 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS .OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT ;S ISSUED AS NOTED'ABOVE. NOTIFICATION. 4' r SURVEYOR'S CERTIFICATION: ON THE BASIS OF MY KNOWLEDGE, INFORMATION AND BELIEF, I CERTIFY TO : TOM AND MARY SAUER THAT AS A RESULT OF A LOCATION SURVEY.PERFORMED ON THE GROUND ON OCTOBER 7, 1991 IN ACCORDANCE WITH THE NORMAL STANDARD OF CARE EXERCISED BY PROFESSIONAL LAND SURVEYORS PRACTICING IN THE COMMONWEALTH OF MASSACHUSETTS. I FIND THAT THE EXISTING POURED CONCRETE FOUNDATION IS SITUATED ON LOCUS AS DELINEATED HEREON, AND IS IN COMPLIANCE WITH THE CURRENT ZONING BY-LAWS OF THE TOWN OF BARNSTABLE AS TO DIMENSIONAL SETBACK REQUIREMENTS. 4y ' l DATE• ROFESSIONAL AND SURVEYOR s• Bann.e,�� a Jo d A. t a //a U CLRP:X ' LOT 10 M 8 POURED N r+� CONCRETE FOUNDATION 398, 29s, vo / S�9 , s ,o9Tti . CERTIFIED PLOT PLAN OF LAND IN BARNSTABLE, . MASS. AS PREPARED FOR TOM & MARY BAUER NOTES: SCALE: tin.n 100ft. OCTOBER 7. 1991 1 . ZONING CLASSIFICATION: RF SCHOFIELD BROTHERS, INC. 2. FOR LOCUS REFERENCE SEE: REGISTERED PLAN BOOK 402, PAGES 30-34. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 181 CRANBERRY HIGHWAY - P.O. BOX 101 ORLEANS, MASS. 02833 (508) 233-2098 0-8271 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ,1010 COMMONWEALTH AVE. MASSACHUSETTS .BOSTON.MASS,02215 ENCLOSE CHECK OR MONEY ORDER EXPIR ATIO N DATE �+ CONSTR. SUPERVISOR FOR REQUIRED FEE, � RICTIONS 1 i;, EFFECTIVE DATE LIC NO. MADE PAYABLE TO NONE �; 23 1 �1 �s� 94 2b2'3 "COMMISSIONER OF PUBLIC SAFETY" � (DO NOT SEND CASH). iCOTT ;; GOL-OSTEIN �. .� nAIN3JW CIRCLE SS Al 0-21-54•-4755 I B.ROCKTOt? a.V ^740 1 'LASf NOTE P << I� � ; PTO(BLASTING OPR ONLY) FEE: HO emu- , .— HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY SIGN NAME IN FULL-A.BOVESINATURE LINE STAMPED -OR-SIGNATURE OF THE COMMISSIONER DOB: rN ; '� •i 1 HI t' 2 U E T S E;2 D . �<T r,t "j°°1�r�t li A"-1 r E �S' �T u.8 THIS oocuMENr Musr BE. -�— SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF• SIGNATUAi RE OF LICENSEE ' ' THE HOLDER WHEN ENGAG- OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION _ ,j��'✓///1I �� ` COMMISSIONER r• - 4 ^ .. o- .. .per • �m ' j SECURITY/LOTFtELEASE/UPDATES Subdivision #731 Edward J & Elizabeth Fnnn; nr. Request reduction ' of security of $6 ,500 .00 from $10 ,000 .00 Subdivision #723 Anthony Drive Affordable housing development request to release all lots . Board i voted to accept completion of subdivision July 1 , 1991 . Reques o release lots 1 , 10 , 12 , 13 , 15 , 16 , 17 , 22 , 32., 35 , 37 , 38 , 44 , 48 and 49 except lots 18 and 30 . Release of security balance in escrow $4 ,000 .00 release $3 ,500 .00 . Subdivision 4507 Cotuit Woods Request from Attorney Michael Hayes to . substitute a letter of credit for $20 ,000 .00 which the Board is holding . Subdivision #702 Waterford Hills - Cot,111it Request to reduce $50 ,000 .00 cash security held by Town .to $10 ,000 .00 based on work performed . Subdivision #454 Whistleberry - Marston Mills Request from David Rome.iser , through Attorney Delaney , to release lot 50 from .covenant . Subdivision #680 Cranberry Blossom Update on letter of credit and request for a reduction in security I DISCUSSION I 8 .00pm Request from Michael Ford to discuss amendment to Zoning Ordinance of RAH text and zone assessors parcels 228/39-2 and 39-3 to RAH ( affordable housing ) . Zoning district - Route 132/exit 6 Amendment to sign ordinance 4-3 .5 . Signs in residential districts f t Zoning amendment - non-conforming buildings and• structures Planning Board procedures . - I -- IE I i I I � co �k,�'1 <�d9L1 V BL/►�ii�!ti1.6 ------` .��/++� �L`7'W O'l�"C•' - ____7 r .i. CIA FK,r, Air 4 1i = s �n •r�• r II Fes.[ W4 -'ems ';t °, 'r;� •yi,t�+j ,. '��Q.G�(�. �t': tr.s •��riZF�•U%Y� rL Y►.s1/+�� ---t X�/ AT'l �'O•.��/ Il-•l._. 11r _.. r•I., �����i.c�• t'-"'`7` •:,.ri- �.. .w I I L SLUM A PPRO bFc IP _ v� NO HANGES OF T AL U I I NSTAB� _ Building Inspection Department y-- -- - • fr ��•tl' � 15=f0" fv=Ir ' �,� I „• • t. .��� tl .,;fir - ���,!h- � a[ ,{ •.t' r �' a,, r•,.. ,Ay oo -� 41 I 7 i �• Q xl LOSE F• ! �. �. c . ;. ,•�, i • • � 6� sue, •� � ' L ..,.;,..._.,,..,..� ' _cr 54 ci ci ILI lr ' a 1 N/ • � � �, _ � � � .. t '1 xv jJ.�d r7•h9 _s,•'.1.r 'j,trsr a �'.., i t.... ,• ��.� 't`—_---- t y . r,. 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J.c•, ru fi'yt^l'W�'t itrTsj.t' +r `'4" ` wtpvi� W 't4. t df, mg<t4 I '`i . .�k"t, \ t Fy1y ;r�•� .7ay�,I: lS/ r ,�Sl ..a,, '� •'G•.r.'*' ,� . < - .}i %i'd�."'a' , r .i '•� - .f Y;S y"-ti' H %4 �d• :4'4 -et t: a 1:r wt s s' 1r v r.yr4; s� .t t:•{,r' d�1` 1". _s : t.t r i r ,• eti �vt, ti >fa,r.;gt r} dl.�S�y", g`+.'� ��.��.��E.i '��.- L u,,.. rrtt 1 �! �(t. ' � 'ft ;y '6 � � I ��, � +.. fT t: L '4.4 .r��....��r , ��v7, "•' '7l� S�iR♦ �.� V _ �(� t ,rt > ti ",'i^I a 1y�'1�l ,,r ,7�4 Y.M :L•'7J.r � ,+�+, fv:q r .,r V I ` # Y s.i' V', t -�� X "i d• r{?its M y��1��?j'�J�/���!yak: t' ,fi'.4-,,5��44.:7^�zJ . f•4✓.+t �,"'i� t Fj. t � .3� ' •'' .' ra w t 5 ,,�" htI`r,�t�,.I �f a,�'f �r i,�r�r k 5� {. � .� L�t`t�rt ,+ •• ,• �� j �' �. _ , ��'y �� ,�:�A!f*��it�r�q r��.�±'�a'�i�yr,.+t� k 4,��J�,�.ts'j�'5��,"i.RS`if '� j `- '1-r/ ,� .. , _r I -� — 2. • � Q•— 24j, 2Q �i I i I I • � ' — f i0t' 1I" o o PLA � T A��✓wc�� Garuse 2 �a� *TWE TOWN OF BARNSTABLE Permit No. .34 BUILDING DEPARTMENT i JAW? I Cash TOWN OFFICE BUILDING ���67Y• �► ' HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Tom & Mary Bauer Address Lot #10, 10 Josiah' s Path West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January..17...... , 19...9.�......... ........... ......... Building Inspector Application to •� ' fs �: Old Kings -itghway Regional Historic District Committee. in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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: 5� New Building ❑ Addition ❑ Alteration Indicate type of building: [ House [2 Garage ❑ Commercial ❑ Other i 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 DATES/%� ADDRESS OF PROPOSED WORK L�L/ �✓ % /�� S, ASSESSORS MAP N0. OWNER �`2J.�(' f •d9,-/ /yi:� Maier ASSESSORS LOT.NO. ���� HOME ADDRESS, /%� ��/ �r� �a�/-) TEL NO.C ;�_1�ay FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any publ'• street or way. (Attach additional sheet.if necessary). AGENT OR CONTRACTOR CO TEL. NO. 1V 6— O L166; o� L�JaD 64./N& OL aJ' ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed wne Contractor-Agent Space below line for Committee AP use. (:y'1 Received•by H.D.C: 0KHRIAM: f2rl 'et— , Date' The Certificate is hereby Date Ti��me' 'x 1 19911 ���� �dk- Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period \ provided in the Act. Disapproved ❑ L 0% ` � | | / / R109 015. 014 LOC 0000 CEDAR STREET C T Y 05 TDS' 500 W8 KEY 414279 � 7--MAILING ADDRESS------- PC0 1301 PCS 00 YR 90 PARENT 53088 | MANDEL' THEODORE S & SUSANA MAP AREA 85A8 JV MTG 2018 | 29 PAULA LANE BPI SP2 SP3 UT1 UT2 1 . 03 SO FT YARMOUTH MA 02673 AYB EY8 ODS CONST 0000 LAND 72000 IMP OTHER ----LEGAL DESCRIPTION---- TRUE MKT 72000 REA CLASSIFIED #LAND 1 72, 000 ASD LND 72000 ASD IMP ASD OTH #PL 731 CEDAR ST WB DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #DL LOT 5 TAX EXEMPT RESIDENT'L 72000 72000 72000 OPEN SPACE ' �� E� CO M RCIAL INDUSTRIAL ` ` SPLIT060O90 | EXEMPTIONS � SALE 11/90 PRICE 38500 ORB 7347/196 AFD V E LAST ACl'IVlTY 03/19/91 PCR N ' | � � ' | | � | � | | ^ . . , ' | � '-T 17 C7 t=: Tr'!` V F. .7 A Cp4 Lj ! 1iq F- 5( E! u G 1,I C1r4 ) M-1 TZ C.'I F TI -„jr Y:; -1 -1 0 r T r- 17! J . ..... T r:.,I.- 1%.1 -1- Y If F, -J 1-1 S P i T IF r..7 C,F�I'f.:,r rf D E.-., T Ell'.*.N T I .......1. L. C(-I JTj E7 T T E' E r-11 f 10 NS) t C C, 0FT! J.:-H' P F TI K I c r-A c3T C,T T i T ._._.._._hn:-•.71 INN ADDRESS ---'-'---.._- r}r-•r' 1301 PCst_,i R 90 . - �. T 4 �-•ir . I-: _ _ i5 RIP..II_''7 `.1j^I Af„L I = MA .� - n'B Nil `:ST- i10 OC!.Jr'II';EL I r,lni'.11.._ R ! I ! I I'.,:_ r:pl, = ._ CEDAR•.D::,E': i I fir+ r::l-;I'•.;'v r-.L_I Y T[? UT! UT2 1 . 03 SO Fi- P o BOA 390 - MAIN r-T •r-, r-'•'Ti "111 ^3 r, 11COI 1^T E-i) i;;:i;..i1,,i i `:> 1•,ii l 02601 LAND 72000 0 1 m1=, OTHER! . ----LEGAL DESCRIPTION---- Ti".i..,E_ MKT :2000 REA CLASSIFIED .. 72, 000 A,..i 1.1 L r':1..1 72000 tiS:...I .1. •f F.' !~l=.iL1 r.l r:t WL -. : ._.-„ _H .E TRAIL WB DESCRIPTION : ;=I:. i "t CURRENT EXEMPT TAXABLE OPEN SPACE COMMERCIAL T N(.Il STR E Ai.._ -rnr",-i r ONS SALE 10 _ PRICE 500 0 0 IORD 5 3-., 0,: r,,FD V r •1 CR" 0 1 5- i L_OC CEL!,^,Ct STREET CT f t a TL.! `,�:_0 WE KEY 414162 —-M AIUING ADDRESS PC + 1301 PCS (DO YR 9 PARENT 530 T:!,AV I C; TODD A; AP AREA 85r"B JV MTG 2018 r ANNE_SS I —Di�'�r I G- JU!_I E SP 1 SP ' SP_:! 5 BE.F::L';�.)!•�..IIRE TRAIL UT]. UT!' i. e C?]. SO FT 200:' WEST BlARNSTABLE Mai �?:�'!,6 �;'�0 AY8 1990 AB 1 OBS CONST LAND 70700 IMF' OTHER DESCRIPTION -— TRUE MKT 70700 REA CLASSIFIED #L._AND 1 70, 700 ASD LP-D 70700 ASD I MP ASD OTH 1 — !,5 BERH SHIRE TRAIL WS OFSCRIPTION TAX YR CURRENT EXEMPT TAXABLE frC•'I-- '- -- - �tclF' �c: JT I c; F'ATI1 4!L; TAX EXEMPT RES I.DENT'L. 70700 70700 70700 OPEN SPACE: COMMERCIAL I NE!LJSTR I F,I-. EXEMPTIONS SALE 10/90 PRICE 50000 ORB 7275f:::=3 AFL!- V TE LAST ACTIVITY 03/19/91 PCR N _a i� a i Form "A-l" OLD KING'S HIGHWAY HISTORIC DISTRICT i Spec Shaet Foundation Type _O GQ�t>01C-/ ecl Siding Type / ' i - ) V2 ., Chimney Type fir C �mnP�l Color rC��a/ clj/7c�r Roof Material B lal S,y (6 na(-� Color 6�-�- fe,ncl Pitch 1 I Windows 6ijLXtI& / /iiU Size obi{ X 2V Trim Color ��ja-irh Doors �n�r UL�r' 1 Ki {1P i'1 r 1Cb/— Color M►lSk � ,, L)S�ee�,n3 cJct d G�ar7�/ .J� ti/ �Y7c�•7 Inc .s-�le, Shutters i Te — S d� T /6' Orl Gutters (,�� all !Yl i (1 M Deck (,a X ( Z l n U a 1I 0r nG ruo YYl CIV Garage{Doors <CG lid ,.n - Viz? 4 AL11;17L Color >&y-al-)leiSAL-1 ' iN,otes: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for su,�mittal of an application, �Alpn,g with three copies each of the plot plan, landscape plan and elevation �planst,)when applicable. .iBlo plan need not be "Certified'', but should show .all structures on the lot to scale. 81AC^a �0 0 v y0 BoAL 5—e Oc W 83^C. .� i 3 ,p 2 s-7 e 43s � / / 4 O �j So 1.04 AG F " 1.13AC •al I.00AG +c ' IQ T nl 3c g r6 I5p3AG Ala ko \eqc 0 a^ y ,,� 1 •TFF 1, \ - / 15 1 4-5 ® O I 6IAG 1.21AC- IQnZA� ` 14-2 i 1.19AG r vO 1,00mc \ 1.0IK e 3 rl? 14 ` C ^fit° - pG v '9� �.O I � I.ItjAC- BIAc 0� co Fs.'n � • 1p ® is esKr •74 II pOPG e3 L►� �. 13-2 ` 9q. 82.t o eP IS-S 13-3 .85K. /1 I.05AC © © t.03AG ig a 90 O 1.09AG ° =4 � 0 1,03 AG IS-13 ® ® I.OSAC. �� ) I.OaAG L '1.0?-Ar- 1.o e AG PREPARED UNDE THE DIRECTION OF THE (m-i08-2--7) i'o y BARNSTABLE BO RD OF ASSESSORS AVIS Al NC/ ,- ,� NASSACHUSETTS CONNECTICUT 218 ��� !- � rp �t1� 1991 3 Co , tN. �':. '` �tit?ci'bs4D _ 1�11►1, '26 x � P� �i - -A6,leca E tITINlt __ '�,r 1� vLlaL b OP 1AY FT �i --UrIM7. I 'Ell I- . j , i i i R.w. ------------------------- FRONT ELEA/ATIoN I I ; M 9 p- - 19911 I --- --- •-'---------- FL.W ' FIGHT ELEVATION_ � � I i i i � y a - n ; n� Rn V F' ri r: - - I Ii Fim tI --- MECOMMItI- —- --- - -- - -- b BIGHT ELEVATION! r II 1 I 4 & W I ' I � i r-r-T-1 III i I Eli �li i • 1 ® rrhh ' g P-)EAF� ELE.N/ATION.