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HomeMy WebLinkAbout1375 MAIN ST./RTE 6A(W.BARN.) - `7r).49� t a ///n�� /� J�aEcvc�o�o • , UPC 12543 a� No.5lLOR HASTINQS,MN �'r...:.a•cavet�.:.i:�fb..�A.r e.�f.�.�Y.��:c�6iafi�a'f�'�.i6'd.'vr.:o,:i�'�"iitih.::�"v: s, �1_«_ � -..:.a,_.sw.wv.:�t'sue's.�.t.6 .e..._e.�.�„�...�n. }Lmoi2 _ — _ -.�.+ _ - 's....�,a-... Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained.on Job and this Card Must be Kept AM tee$ Posted Until Final Inspection Has Been Made." •&63 Permit M,Dr' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-2278 Applicant Name: Timothy Cabral Approvals Date Issued: 08/19/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/19/2021 Foundation: I Location: 1375 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 177-003 Zoning District: RF Sheathing: Owner on Record: DEWEY,DANIEL H Contractor Name: TIMOTHY CABRAL Framing: 1 Address: 1375 MAIN STREET Contractor License: CS�405454 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $2,366.00 Chimney: Description: T-dome,weatherstrip and sweep on doors,fg and 2" rigid for Permit Fee: $85.00 common wall, blower door and combustion safety test. Insulation: Fee Paid: $85.00 Project Review Req: Date: 8/19/2020 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced-within six months afte l an fficial Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the � work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable sign Ia tures by the Building-and-Fire-Officials-are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is* ailedR, Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: OYU L.'��E i .�V Town of Barnstable Building Post This Card So That it is Visible From the Street'-Approved Plans Must be Retained on Job and this'Ca�d Must be Kept v AE& Posted Until Final Inspection Has Been Made. r' w F x +' Where a Certificate of.Occupancy is Required,such Building shall Not be Occupied until a,Final Inspection has been made. Permit Permit No. B-18-1192 Applicant Name: John Vreeland Approvals Date Issued: 05/29/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/29/2018 Foundation: Location: 1375 MAIN ST./RTE 6A(W.BARN.),WEST Map/Loti 177-003— Zoning District: RF Sheathing: Owner on Record: DEWEY, DANIEL H Contractor Name`.`SJOHN VREELAND Framing: 1 i Address: 1375 MAIN STREET Contractor License: CS`-107947 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $19,207.00 Chimney: Description: A rooftop solar installation consisting of 17-315 watt modules and Permit Fee: $ 147.96 will be connected with micro-inverters.The total system size is ' Insulation: Fee Paid: $ 147.96 5.355kW. Final:Date: �;� 5/29/2018 Project Review Req: � 1 Plumbing/Gas Rough Plumbing: i - - ------- , ,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. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. I �� Electrical Service: 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:i Rough: 't 1.Foundation or Footing 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: ccT All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building 'Post This Card So That it is Visible From'the Street-Approved Plans Must be Retained onrJob and this Card Must be KeptHARIMA ~' M" '.Posted Until Final Inspection Has Been Made. Permit � lt 1639- ♦� ` m " Where a'Certificate'of.Occupancy,is Required,such Building shall Not be Occupied until a,Final Inspection has beenmade. Permit No. B-18-1359 Applicant Name: DEWEY, DANIEL H Approvals Date Issued: 05/24/2018 Current Use: Structure Permit Type: Building-Deck Expiration Date: 11/24/2018 Foundation: Location: 1375 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 177-003 Zoning District: RF Sheathing: Owner on Record: DEWEY, DANIEL H Contractor Name: Framing: 1 Address: 1375 MAIN STREET Contractor License: 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $800.00 Chimney: Description: REPLACE EXISTING 8X10 DECK, LIKE FOR LIKE' Permit Fee: $110.00 Fee Paid: $ 110.00 Insulation: Project Review Req: 4" Maximum spacing for ballusters I Date: 5/24/2018 Final: p Plumbing/Gas Rough Plumbing: 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. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for`public inspection for the entire duration of the work until the completion of the same. _ �' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing 'F Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT o�TME ApplicationN=be<........................................ .................. + � + + ...Over Fee........................ MA88. Permid Fee........................:......... 163 ........................................... . Total Fee Paid....................... TOWN OF BARNSTABLE Pe�Aal�...... .... . .. ............oa...... .... ...... ..._ BUILDINGPERMIT .....��7.........................Pareel............................................ APPLICATION Section I— Owner's Information and Project Location arc Project Address r v� VOlage , Owners Name Owners Legal Address 0A .,rj CJ -� State zip City _1 Owners Cell E-mail P)at A Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Strart=under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit e of use ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Chang of us ID ❑ Demo/(ent m structm) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ I� � ❑ Addition ❑ Retaining wall El Solar 4�Nop04 ?018 &Renovation ❑ Pool ❑ Insulations,gt Other—Specify Section 4 -Work Description get T ad nnda2e&219/201 S Application Number.................................................... Section 5—Detail Cost of Proposed Construction . Square Footage of Projects Age of Structure Dig Safe Number # Of Bedrooms Fills Total#Of Bedrooms(proposed) 110 MPH Wind Zone Rance Method � A Checklist M WFCM Checklist Design 0 ------ ❑ to Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone,Designation Within or adjacent to a wetland, coastal bank?.' Yes AL No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last im im'-i 2/9=18 Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State zip License Number License Type Expiration Date Contractors Email Cell# 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 const raction.inspection procedures,specific inspections and docInnentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Sigtature Date Section.10—Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date 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,specif c inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your HIC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: N r � 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 �U Print Name Telephone Number E-mail permit to: &"_r Section 12—Department Sign-Offs Health Department © Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For conunercial work,please take your plans directly to the fire deparknent for approval Section 13—Owner's Authorization F_ I, , as Owner of the-subject property hereby authorize to act on my beha.L y in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name 1 r Last=dam:219=19 i The Commonwealth of Massachusetts Department of Industrial Accidents ipOffice of Investigations 600 Washington Street Boston,MA 02111 www.ntassgov/tdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbiy Name(Business/Organization/Individual): M lor,�1�5. Address: City/State/Zip: l CR k Phone#: 6 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. 1 am a general contractor and I 6..*X New construction employees(full and/or part-time).* have hired the sub-contractors 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. y, Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp. insurance.: required.] 5. We are a corporation and its 10. Electrical repairs or additions 3.Y�. I am a homeowner doing all work officers have exercised their It. Plumbing repairs or additions myself-. [No workers'-comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: - City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the M&for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si afore: Date: lo/ Phone#: Official use only. Do not write in this area,to be completed by city or town ofjriciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Boord of Healtb Zt Building PQparhment 3.Qty/I'own Clerk 4,EkOricoi Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services Richard V.Scall,Director 'yY Building Division analveraBr.6. : Tom Perry,Building Commissioner 639. � 200 Main Street, Hyannis,MA 02601 IAI A www.town.barnstable.ma.us . Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: I"`I' rill 6,2018 —^� Please Print • JOB LOCATION:F13_7T7-771 Tin est Bamstable number street village "HOMEOWNER": an Dewey 89513984 name home phone# work phone# CURRENT MAILING ADDRESS:11375 Main St. • est Bamstable 2668 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 buildingpermit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and uiremen ' Signature of Homeown r 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. • HOMiOWNER'S EXEMPTION The Code#fates that: "Any homeowner performing work for which a building permit is required shall be exempt from the"provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part,of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. r • I i y Zx CD � t 1 00 A rh l!� - -- ` UK(p P i C- S Cv►vU • �'� I _ _ 12 �� j�+CTC.a l� 3 . 0 s w- 1 141 CC P L�Sf/■ (-yo c-r.ur-vit 2 ANAi s AJ� S N a.nrc.. oZ�� 6,q is-` 7,`i g� '8l,/4o/iVG �' —w•�-6.7� -�D-GE P M -�A SEMEN T AY 02 ?�J� A �i X I I PAVED PARKING 90 74 'g4. 94.65 14 3.65 15 6 �i2.44 3 � \ 1935 S TIC SYSTEM �12.-_= \ \ �12.1 . iJ 12.03 13--GAS 80 8 \ ;; 8 �1 1.9 6 11. 12 1•.75 AR A 7 k?'1.6i 2 i.90 \ `\ 10,37 1 1 79 \\ i 9 f '1.30 11.57 10 � -1 i0.i7 9 \ EXIST.' 1 i.23 �� \I 0. ^\4\9 5 DWELL.L I I F�cF `x .80 \ �, EL. 16:7\ 10.84 x 10.52 8.69 I 6 X7. 4 .39 .`5 GARAGE FEN NIX dAF #11 X7.14 8.30 ' 93 � 8.33 #114 4 q� \ 9.68 �11(C 9.17 ARpi 113ua5 # \ \#112 \ _ #11�6.38 r Town of Barnstable *Permit 12 �res 6 nths from' ue dare r Building Department ee Brian Florence,CBO g �B Building Commissioner s�a. p�Y 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I , 03 Not Valid without Red X-Press Imprint Map/parcel Number Property Address � _' t✓U r-14 LS� HA \ 6 " � v-> Residential Value of Work$� Minimum fee of$35.00 for work under$6000.00 Owner's Name&.Address i.AI Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ® . o ❑Workman's Compensation Insurance 0 2010 Check one: APR I am a sole proprietorpRNS f RgL� I am the Homeowner I have Worker's Compensation Insurance 1 U ►! Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 9 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must-sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\decollik\AppData\Local\Microwft\W indows\lNetCache\Content.Outlook\9NNOKXY W\RESIDENTILONLYEXPRESS.doc 09/26/17 i The Commonwea&h_ofMassachuse&...., Industrial Department of AccWenfs ... Of f ce of Invesfigatiorrs .................:.. B&ston,MA 02111 wow mass gov din-..-.:...... :::.:�............... ..:.:::..... ........................-. ......_........... .._.- Workers':Com ati penson Insu ee Affidavit:BulderslContraetordBIecfricbns/PImnbers Applicant Information Please PrintLetahly . Name(susmesslorpnizE mijIndfiftal): Add=: 3 S c�/statdzzip: 1� o�.co� Piwne#: �S Are you an employer?Check thJ appropriate bom T*.of project(req►m ed): 1. I am a amcploye-rwith 4. I am ageneial camiractor andI the sub-cmtsobors 6. ®New constroctiaa employees(fall and/or part time).$ have hired .listed en the atfached sheer. 7..E R� lug 2.❑I am a sole Pragnebor or Partner 8 hm ...:.. ._..: Demolition 8: ship andhave no.em�pl°gees... ..................� ......_.-.. ..... vvorlang .employees and have wow' . for me many capacity. i 9: Building additiam'; [No works' comp.msttranzo 5:[] We are a corporation and its . ` 10:[]Mectrical repairs or additions 3.&required-] officers have exa�cised their `.: 11. Phimb' or additions - I am a homeowner doing all work ❑ r�� myself,. mp. right of exemption per .[No worimas'co Mt3LL 12.❑Roof repairs insurance requfrt ]t a.152,.11(4).and we have no 13.[]Other .employees.[No workers' _. - ccsnzp.instntance regohed:]. *Any applicant diet cbecks box dl most also fill outtlie section below showing&ea worfms'oorapenaation policy iatanaeboa 1 t Homeewnas oho submit this affidavit indicating they me doing all wait diea'bire onteide ooabactors mnslsubmit anew a>$davit iiodieating such. �Ca ctors dwi.eheck this box must suachod an additional shed slowing die name of the sub contractors and strQa wbedmr or not those entities have employees.If the sub-coatraeOors have anploycm they mud pmvido dMk workers`cos;.policy mak a. I am an employer that is propOng workers'compensation insurance for my employees Below a the policy and job s ile infor nurdom - b=ance Company sore: Policy#or Self ins.Lie.#: _ Expiration D te: CityiStdm2v: Job Site Address: . Attach a copy of the workers'compensation policy deelmdoa.page(showing tie policy.nmmber and expiation ...........date}. . Far'lme to secure coverage as repimd under Section 25A.of MOL.o..152.can.lead to the iiuposition of cafininal penalties of a fore up to$1, 00.00 and/or one-year kgaisomne4 as well as:civil>penakes mthe Ram,of a STOP WORK ORDER and afore of up to$25000 a day against the violator. Be advised that FL-copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification..,.:. I do hereby cc*udder the pains and pmatiet of perjury drat the information provided above is true aan"d`corned S .... Date: hone Offlelal use only. Do not write in Ads ar Al be conpkft d by city or town official City or Town: rerfoiitiLicense# .. Issuing Authority(circle one): L Board of Health 2.Bading Department 3.City/Town-Clerk 4.Electrical Inspector S.Phmrbing Inspector, . 6. .> Phone#s Contact Person:- . 's Town of Barnstable Building Department Brian Florence,CBO dye Building Commissioner 200 Main Street, Hyannis,MA 02601 RAPNWASM MAss. www.town.barnstable.ma.us t639, Mis Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: -S TY`1 Uf:zE 4i be street village "HOMEOWNER": S n C na ll home phone# work Phone# CURRENT MAILING ADDRESS: l,� _Act tao) city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedur and require nts and that he/she will comply with said procedures and requirements. Signatu 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 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. C:\Users\decollik\AppData\Local\MicrosoR\W indowsWletCache\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.doc 09/26/17 Town of Barnstable Building au►�vsr�sis Post,Th�s CacdSo That rt'is'Visible Fromthe Street-,Approved PlansxMust lie.Retained on Job and hisCard Must be Kept PostedU ti�al� ;spection Has�Been Mader- �;.;es¢ Permit � Where a icat Certife�of Occupancy i"s Required;such Building shall Not be Oceupied�until a Final Inspect�on.has'been made. Permit No. B-17-536 Applicant Name: DEWEY,DANIEL H Approvals :Date Issued:. 04/06/2017 Current Use: Structure Permit Type: Building-Shed-Residential-200.sf•and under Expiration Date: 10/06/2017. foundation: Location: 1375 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot 177-003 Zoning District: .. RF Sheathing: �fi Owner on Record: DEWEY,DANIEL H r y:' a �,;Contractor£Name: Framing: 1 Address: 1375 MAIN STREET � y Contractor L e 2 _ -:� ' �. .S �r ." ,his s-:;rg.� r•d•,?r^� .� t 4 �'•�$ �. - - - , WEST BARNSTABLE,MA 02668 Est Project Cost: $0.00 Chimney: Description: 90 sgft r � Permit Fee: $35.00 Insulation: x Fee Pai S 35.00 Project Review Req: 90 sgft 4/6/2017 . Final: ;M Plumbing/Gas Rough Plumbing: r MEBuilding Official x Final Plumbing: This.permit shall be deemed abandoned and invalid;unless the work authorrzed by this permit is commenced within mk-rn nths after issuance. m ,; � L. Rough Gas: All work authorized by this permit shall conform to the approved applicatiodhe,approved construction documents-for whigh this.permit has been granted. g All construction,alterations and changes of use of any building and structures:shall be m compliance with the local zonmg`by laws and codes. Final Gas: "�^r,I. This permit shall be displayed in alocatiomclearly visible from access street or�road and shall be maintained open forlpublic��nspection for the entire duration of the work until the completion of the same. � �� � 4KI SElectrical �E a _ le i Oil, y th The Certificate of Occupancy will not be issued until all applicable signatures be,Buildin nd'Fire Officals are perm;`provided oti this= it. � gba n o- ��. Service: Minimum of five Call Inspections Required for-All Construction Work:: �y 1.Foundation or Footingx>` ` F � � � Rough. 2.Sheathing Inspection 3.All Fireplaces must be inspected at-the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections;to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection beforer.Occupancy Low Voltage final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector,has approved the various stages of construction. Final, "Persons contracting with unregistered.contractors do not.have access to the guaranty fund"-(as set forth in.MGL c.142A): . Fire Department Building plans are to be available on site Final: 'All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable s"E' Regulatory Services Richard V.Scali,Director '" MASS.`a'�+ Building Division �. i639. �m Paul Roma,Building Commissioner f0 MA 1► 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 / Fax: 508-790-6230 �rI V KJ PERMIT# FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY - 200 square feet or less Location of shed(address) Village l _ G3 �' - rn Property owner's name Telephone number = tn 0 U co rn rn Size of Shed Map'Narcel# Signature-" Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE' COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:06/20/16 R UPC, Town of Barnstable 'BA Old King's Highway Historic District Committee � 200 Main Street, Hyannis,Massachusetts 02601 � o (508) 862-4787 Fax(308) 862-4784 MINOR MODIFICATION TO PRIOR APPROVED PLAN 972 CMR Rules and Regulations, Section 1.03(2), 1.03: General Procedures (2) (a) Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. Submit 2 copies of the application and supporting materials and documentation Applicant(s),print name �� Address of proposed ork: House No. Street r� Village Assessors Map and parcel no. Date of approval of Certificate of Appropriateness Proposed Minor Modification: i Signature of applicant: Print name: tel no. APPROVED/DISAPPROVED: signed _ CHA Rt M l; DATE: CC: BUILDING COMMISSIONER C:(Documents and SettingsldecolliklLocal SettingslTemporary Internet FilesIOLK110KH Minor Modification Form 07.doc 1 �1 1 e " ��l ROUTE 64 EDGEPgVEMENT . �w..lfajl 6� I / . '` .. PAVED PARKING' . r4T.T 0 14 h4.194.65 .4_�r -On-_�-! 15 6 2.44 . to TIC SYSTEM nx 84 AR `li\ - q-0,, 72.03 t3-GA7 0 8 11.96 /1 11. 72 6 1 75 70 k7\6° a.02 1Q37 1t 7 1J.9 tts7 I �lt\o 17 ' \ �y�7' 94h.. 103 \ EXIST. \ \ �(i.88 \\9 5 J DEO C is O I SCE. �� \ �x•9 EL 16:7' x10.52 l 8.69 \80 77 � >< #116 7. 4 \ �� i x10.85 r GARAGE• CEI 7.14 _ I ARDE 115 \. �8.30 , I\ O \ .93 8.33 ff114 2 k7.7-3` .9 0 \ . 17 RDEN #113�6 \ °5 \ — #112 ' ei11,\6.38 #110 xS 94 • off 508-362-4541 t I fox 508-362-9880 t ' downcope.com down eepe eogioee�mg,ine. • civil engineers land surveyors 939'Main Street ( Rte 6A) YARMOU7HPOR7' MA 02675 - DATE 11-225 Projects 2007\11-225 Dewey\dwg\11-225 DEWEY.dwg,18 x 24 Site,4/5/2013 9:08:24 AM,ARCH'C(18x24 in.),1:1 Town of Barnstable ermit: B/ro- 303�- Regulatory Services ate: /D/iVIII, aprIm rq� Richard V. Scali,Interim Director ee:�5 Building Division easy M = Tom Perry, Building Commissioner t1 � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: l� Phone: Install at: N\v^\J S\—A Village: 1"�' Map/Parcel• � Date: � = `- Stove A. New/ sed B. Type: Radiant Circulating -n C. Manu-ac Lab.No. D. Model No. &oZ o � Ch77N6 oho A. /Existing (If existing,please note date of last cleanings B. Flue Size ..u C. Are other appliances attached to Flu ? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth 11 31 v e 5T;vog A. Materials: \ B. Sub Floor Con ction: wo Installer Name: 1 C - Address: �y � � C� o Phone: Location of Installation: S H.I.0 Registration# 1 a o 0 5q 3/�i8 Construction Supervisor#__CS_M 55,7 OR check—Homeowner Installing,no licens r quire LICENSED INSTALLERS SI URE: APPLICANTS SIGNATURE: APPROVED BY: /o / Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and,approved by the Building Inspector Q:forms:stove Rev 11/4/13 27te Comrkrorriveakh o,f Massachusetts eparbmait o,f rnd=ft iar Accidents �l Of,f"ace of investigations 600 Washington Street Boston,CIA 02111 wivi mass gov/dia Workers' Campensation Insurance Affidavit:Builders/Contractars/FIectricianslPlu nbers ApplicautlInfin-matiGn Please Print Legibly Name(BnsmessAOrgani tionlInndFpvidnal Address- City/Sta&Zip s Pllane'.4 Are you an employer?Checkthe appropriate bo=: ' Type of project(required): 1.❑ I am a employer with. 4_ ❑I am a general contractor and I 6. ❑New construction employees(full andfor part-time).* have hired the sub-contractors 2.❑ I am a sale proprietor orpartner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. . These sub-contractors have 8., Demolition worldng for me in any capacity employees and have wozkers' 9. ❑Building addition [No workers' comp.instance comp.fi muliance.1 lied-) 5. ❑ We area corporation and its 10.ElElectrical repairs or additions 30�am.a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself-[No wo�ikers'camp- right of exemption per MGL 12.❑Roof repairs insurance required_]F c. 152,§1(4h and we have no employees-[No workers' 13.90ther (� Ste% camp.insurance required.) •Any appUcant d at checks box OR nmsY also fill out the section belaw shaming their workers'compensationporey information fi Homeowners who submit This afiichn t indicating they are doing all wank sadden hire autsule contractors nmst submit anew affidavit indicating sudL IConuactgrs Ybat,bea this boat must attadwd an additional sheet showhig the name of the sub-contractom and state whether or not those entities haste employees.Ifthesub-coutsecrotshaceemployee%dLeynmsrpmuidetheir workea'romp.policy number- .Tani Be1ory is the porky dRd job site anformatron. Insurance Company Mauve: Policy 44,of Self-ins.Lic.9: Expiration Date: Job Site Address: City/State/2 tp: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c 15 can lead to the imposition of criminal penalties of a fine up to$1,50D-00 anclrar one-year imprisonment,as well as civil penalties.ia the farm of a STOP WORK ORDERand 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 ofthe DIA for insurance coverage verification. I do Hereby certEfjr rsrtder t 'ns and petrahes ofgerjut}�8iattire inforrrratiarr prbvirT¢d abm�a is truerd correct Sit�ratur --�' Date: v Phone i;� Official use only. Do not mite in this area,to be campieted by city artocrn official City or.omm: PerumitUcense 4 Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.CityfFowu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Mstructions I hfassarhusetts Geheaal Laws chapter 152 reqnaes all en3pIoyeus to provide workers'compensation for their empIoyees. pm sun t-to this stye,an enplvyee is defined as-".every person in the service of another under any contract of hire, express or iinplied,oral or write" An ezrplayer is defined as"an individnA partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and including the legal Fepresenfafives of a deceased employer,or the receiver or trustee of an individual,pa tamship,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 occapant of the - dwelling house of another who ernploys pefsons to do mahitrzance,construction or repair worm on such dweIliag 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 wMhold the issuance or renewal of a ficerrse or permit to operate a'busutess or-to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.covearage required." Additionally,MCrL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the fimnranc0. requirements of this chapter have Been presented to the contracting authority_" APplicants Please fill oirt the workers'compensation affidavit completely,by checl®g the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone numbers)along with their certificates)of insu-a„ce. Limited LiahtD4 Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not rNui ed to carry workers' compensation msruumce. If an LLC or LLP does have employees,apolicy is rid 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 berettmmed to the city,or town that the application for the permit or license is being requested,not the Department of Indn.strial Accidents. Shouldyou have any questions regrading the law or ifyou are regz»red to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter thneir 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 pen� itllicense number which will be used as a reference n=ber. In addition, an applicant that must submit multiple permitllicense apphtations in any,given year,need only submit one affidavit indicating current policy mfomation Cif necessary)and under"Job Site Address"the applicant should write"all locations n ( 'or town)-"A copy of the-affidavit that has.been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future-permits or licenses- A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial veut1nm (Le. a dog license or permit to bum leaves eta.)said person is NOT refired to complete this affidavit The Office of Investigations wound like to thank you in advance for your cooperation and should you have any questions, I please do not hesitate to give us a call- The Departmenfs address,telephone and fax numuber. 'I11e C�amjoa atii-of h&gssachusf_-tb-, Depattnent of Iadustdal Awide is ]toe offvestigatiaw 604 Wasb vG1,Stc•Ex--t . Bastoia�MA Gi111 T61.#617'27-4900 Qxt 406 or 1477-MASSAFF, Fax#617-727-7749 Revised 424-07 ash gavidia Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division tRARNSTA33M Paul Roma,Building Commissioner MAM 639• 6 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 13 411d0 9T . number. street village "HOMEOWNER- ,0 7 Sl,,—f SIB lS 1 1 nailie l` ,� home phone# work phone# CURRENT MAILING ADDRESS: V" kx city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection dares ements and that he/she will comply with said procedures and requirements. Signatu 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 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:\WPFILES\FORMS\building permit fomns\EXPRESS.doc 06/20/16 �"E Town of Barnstable Regulatory Services MAM Richard V.Scali,Director " ►�� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 . I Property Owner Must Complete and Sign This Section If Using A Builder L -- , as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QYORMS:OWNERPERMISSIONPOOLS - "M Town of Barnstable Building »AI= • Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept _ Posted Until Final Inspection Has Been Made. Permit od• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has-b..een made _.,,.._,_A i..........-------- Permit No. B-16-3037 Applicant Name: DEWEY, DANIEL H Approvals Date issued: 10/14/2016 Current Use: Structure Permit Type: Building-Stove Expiration Date: 04/14/2017 Foundation: Location: 1375 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 177-003 Zoning District: RF Sheathing: Owner on Record: DEWEY,DANIEL H Contractor Name: Framing: 1 Address: 1375 MAIN STREET Contractor License:. 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $0.00 Chimney: Description: install a used jutul model 602 stove Permit Fee: $35.00 Insulation: Fee Paid: $35.00 Project Review Req: install a used jutul model 602 stove ' Date: 10/14/2016 Final: Plumbing/Gas Rough Plumbing: 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. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:: 1.Foundation or Footing Rough: 2.Sheathing Inspection - -- - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: I Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL.c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i 6A � t►k ROUTE z� 45.59, 166.63' R=820 .00' A=6 .08' cl N w 06.6' EXISTING DWELLING 44.5't CONCRETE FOUNDATION L 3 � 0 IL o3G' IL ® o 0 0 m FOUNDATION PLOT PLAN DCE #1 1 -225 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE 1375 MAIN ST (ROUTE 6A) LOCATION WEST BARNSTABLE, MASS. PREPARED FOR: SCALE : 1 " = 40' DATE : JAN UARY 24, 2014 DANK+L DE+WE+Y REFERENCE ASSESS. MAP 177 PCL 3 I HEREBY CERTIFY THAT THE STRUCTURE N°Fn/tissti.''a o� 7, SHOWN ON THIS PLAN IS LOCATED ON THE DANIELA. GROUND AS SHOWN HEREON. �� OJALA . off 34 362-41 .p N0.40S80 /J -fox 5W 508 362-9880 lE,g S . I l s down cape engineering, inc. ClV1L ENGINEERS --------- --- -----------———— —————— LAND SURVEYORS 939 Main Street — YARMOUTHPORT, MASS. DATE REG. LAND SURVEYOR J TOWN OF BARNSTABLE BUIL ING PERMIT APPLICATION Map . Parcel DU:5 Application # Health Division Date Issued 1 —ZJ 14 ' t Conservation Division Application Fee 4 LOP Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address I "ITS M Pr I i\J 5 1ac�eT Village WIE�51 6A-62.�\3 S` 8 F? L_t__ Owner DA N D&w c� Address 1 r Telephone N Permit Request- znA / rZ v f _Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 140, ' Total news Zoning District Flood Plain Groundwater Overlay C'Project,Valuation O 00 0 Construction Type Lot-Size I 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 ❑ No 0 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other e 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 wooWdoal stove ❑Y; ❑ No ra Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: O-existing O,newasize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:' w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ z r; Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION { r (BUILDER OR HOMEOWNER) Name D Telephone Number 5:0 Iff 615t 5924 Address l?J�`S MIA �An License # Wtkt galrnSta6L& Ma O Home Improvement Contractor# Email: I 1'tir1Q1`l ►C-91" Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . SIGNA U E' DATE Z 2 F FOR OFFICIAL USE ONLY ,APPLICATION# DATE ISSUED y - MAP/PARCEL N0. ADDRESS VILLAGE _ OWNER q_ • DATE OF INSPECTION: JAF".UNDATa FRAME ©D�� (m INSULATION-1111m FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: __ ROUGH FINAL Y FINAL BUILDING:- DATE CLOSED OUT ASSOCIATION PLAN NO. j The Commonwealth of Massachusetts r Department of IndmIrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizatiowlndividual): 'Address: I v I \VN• City/State/Zip: Phone#: S�� • �S 1 ' ��g� Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers'comp. insurance comp. insurance. � required..] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. . right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submii this affidavit indicating they are doing all work and then hire outside contractor must submit a new affidavit indicating such. tContracton;that check this box must attached an-additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy-declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50D: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 pains andpenalties of perjury that the information provided above ' true and correct. Si afore: L Date: Phone#: v �.� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Information and Instructions ` Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance.. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtaina workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TO.#617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.govfdia ��►,�, Town of Barnstable Regulatory Services s�s-rwsr� ` Thomas F.Geller,Director 516 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION j Please Print I DATE: JOB LOCATION: Ott J 1 w number street village Arn"HOIv1EowNER" \ �V�i� \ •�� e home phone# work phone# CURRENT MAILING ADDRESS: crtyttown state up 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,Rrovided that the owner acts as supervisor. DEFPgITION OF HOMEOWNER '`. Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures; A person who constructs,more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection rocedr d requirements and that he/she will comply with said procedures and requirements. � .�- )�', Jr Sigfiature of HornpdWer 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 a licensed Supervisor. The homeowner acting as Supervisor is proceed against the unlicensed person as it would with ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns: You may care t amend and adopt such a form/certification for use in your community. C.\Users\dewUDAAppData lM\Localcrosoft\Wmdows\Temporary Intemet Fnes\Contentoutiook\QRE6ZUBNUDTRESS.doc Revised 053012 : . Town of Barnstable o� Regulatory Services au+es. g Thomas F.Geiler,Director �0 ram` Building Division Tom Perry,Building Commissioner 200 Main Sh•eet,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L ,as Owner of the subject property hereby authorize to act on my behA in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner ' Signature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOL•S 62012 C C? 13 75- lJ �Tr VJ►B s`�9at,�, ! o� `� A 111'Gitide to Kood Cunc/r►►c•tiun in High Wind:•I reu.c: 110 n►ph Wind Luna Massachusetts Checklist for Compliance (7841 CMR 5301.2.1.1)' 0 Check Compliance 1.1 SCOPE WindSpeed(3-sec. gust).................................................................. .................................................110 mph WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY Number of Stories ..................................................... ........(Fig 2)............................ 2 stof es, s 2 stories RoofPitch ..........................................................................(Fig 2) .......................................0 Z� Zs 12A2 MeanRoof Height ..............................................................(Fig 2).............................................,�" ft s 33' BuildingWidth,W...............................................................(Fig 3)................................................ ft s 80, Building Length, L ..............................................................(Fig 3).................................................2Zit s 80, Building Aspect Ratio(L/W) ...............................................(Fig 4)................................... ... ......�.e6i/ s 3:1 Nominal Height of Tallest Opening2 ..................:................(Fig 4)................................(l��UOR?�_<_6'8" 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 FOUNDATION 13 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an piternative n3 �et on Bolt Spacing-general ..........................................(Table 4)........ o......... ........... in. Bolt Spacing from endl 6"oint of plate ............................(Fig 5)............................ �2 in. s 12" Bolt Embedment-concrete.........................................(Fig 5)............................ .... ............-Z-in.a 7" Bolt Embedment-masonry.........................................(Fig 5).......,.................................... _ in. a 15" PlateWasher...............................................................(Fig 5)...............................................t 3"x 3"x Y: 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 W2 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 s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)...................................................._ft s d FloorBracing at Endwalls...................................................(Fig 9).......................................................... .....--••.t,. Floor Sheathing Type ........................................................(per 780 CMR Chapter 55). fF!PLO- 44- Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55).................... in. Floor Sheathing Fastening..................................................(Table 2)..QLd nails at*in edge/=in field 4.1 WALLS �$C -j-f tm Wall Height F/ Loadbearing walls........................................................(Fig 10 and Table 5)...... .l.!J1 ._ft s 10' Non-Loadbearing walls................................................(Fig 10 and Table 5)..... 7vDS........._ft s 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5).......... ........f in. <_24"o.c. WaltStory Offsets ........................................................(Figs 7&8)....................... . .................=It s d 4.2 EXTERIOR WALLS3 Wood Studs ► Loadbearing walls........................................................(Table 5)...........�,X�?.�9...2x ft + in. Non-Loadbearing walls................................................(Table 5)...........ZX..[o... ...2x ft in. Gable End Wall Bracing 1 FullHeight Endwall Studs............................................(Fig 10)........ . ...............................:....................... WSP Attic Floor Length.........:......................................(Fig 11).. ,/Jd �.. _S ft 2tW/3 oFM Gypsum Ceiling Length(if WSP not used)...................(Fig 11)................................ _ft_0.9W ��� assq 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11 o= MICHELE a Top Plate ��qq , CUDILO �, lice Length' _ . (Fig 13 and Table 6). .Ato...... 50 ft STRUCTURAL y lice Con ec ion (no. of 16 co mon nails) .. ... .....(Table 6)..... .. ..... ... .. ... . .. . .�.. . No 34774 109 ►ONAL AWC Guide to {rood Coit.ctrttctiou in High Wind Areas: //D tttph Wind Zolle Massachusetts Checklist for Compliance (780 cMR -5301.2.1.1)' Loadbearing Wall Connections p, Lateral(no. of endnailed 16d common nails)... ...... (Table 7)...... 1 Non-Loadbearing Wall Connections Lateral(no. of endnailed 16d common nails)...............(Table 8).................... .................. .............. — Load Bearing Wall Openings(record largest.opening but check all openings for mpliance to Table 9) Header Spans ........................................................(Table 9)..................... .......�3 ft in:. Sill Plate Spans ........................................................(Table 9)..................... .........�ft_--Tn. s 11p'�,� Full Height Studs (no. of studs)...................................(Table 9)..................... ............................4.l�`�/ Non-Load Bearing Wall Openings(record largest opening but check all openings or compliance to Table 9) Header Spans.............................................................(Table 9)..................... .........Gj ft=in. <_ 12' Sill Plate Spans...........................................................(Table 9)......I............. ........ ft—in.�s 12" Full Height Studs(no. of studs)....................................(Table 9)..................... ......................... i'25� Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension, W = )4- Nominal Height of Tallest Opening2 ........................................................................... 6.8, SheathingType..............................................(note 4)........................-- ' L1. ...... Edge Nail Spacing.........................................(Table 10 or note 4 less).�X.. . r1 -... in. ..........................................(Table 10)........w.... t� .E1L�A.1�- — in. Field Nail Spacing .��..�... Shear Connection(no.of 16d common nails)(Table 10).............. .. .(!t.....F.v.( .....................= Percent Full-Height Sheathing.......................(Table 10)............ ............. % 5%Additional Sheathing for Wall with Opening>6'8"(Design Coi cepts)..................... Maximum Building Dimension, L ' 2 Z- ► Nominal Height of Tallest Opening2...................................................... ................ '8" SheathingType..............................................(note 4)................................. ................... Edge Nail Spacing.........................................(Table 11 or note 4 if less).... ..,................ — in. Field Nail Spacing..........................................(Table 11)......................... n. Shear Connection(no.of 16d common nails)(Table 11)............ ......... ....... ..... .... Percent Full-Height Sheathing.......................(Table 11).........................................J5.. f_% 5%Additional Sheathing for Wall with Opening>68"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ................................................... (Figure 19)..........G�ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls • 1 Proprietary Connectors Uplift................................................(Table 12)............................................U= Lateral.............................................(Table 12).............................................L= Shear.......... (Table 12)....................'..,,..y+ .. .. S= Ridge Strap Connections, collar ti n se er page 21..... (Table 13)2G.c.X.i 7....'.......T= p .......... Gable Rake Outlooker......................................... (Figure 20).......IY.I�ft s smaller of 2'or V2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).................. .......................U= lb. Lateral(no. of 16d common nails)...(Table 14)................ .....................L= - lb. Roof Sheathing Type...................................................(per 780-CMR Chapters 58 ano 59).................. Roof Sheathing Thickness........................................... ................... I. V Sp . ...#.. ..`I in.Z 7/16" Roof Sheathing Fastening ...........................................(Table 2).....�I.Ofr:.�.... ................ Notes: (N L FtOL-D 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. Corner 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 094 requirements shown in Tables 10 and 11. �� Gip 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated GNP O N UG��, PPS / c,���9A�1go cc � � � T i �d NP�t�h ( ( �► '� W5P AGE } �RkMI N G jl ;RAMItzG ( i d�'GN�ri ,TYY t�l�Mb>If.t TYF--Z j i mtt�. .2;' MIN. 4, P�cN IL . JSFP ATTACHMENT tyOT To 5C46 ; �'-OR V�RT• �u� ���iz. �n�c���t�r . . NOTES: 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. ii. All horizontal joints'shall occur over and be nailed to framing. iii. 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 die 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 3d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment Sd N�►1,5 c .�- o.c. �• I•I I•I .I . 1. i ► i 3 � I I - •� a I • ! I o ud I• I• I N COL 1 I � iI I II .a i WOOD -CauTua,a phN�,►. v5p g4�EAT tN WSP ATTACHMENT . NoT It S C/A I. ro IG L vRIZoNTAL Aw'TTih CH M BNT ' GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1. All workmanship to conform to the requirements of the Massachusetts State Building(:ode.latest edition. 2. For site location and grading information,see Site Plan.by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf;for a medium sand/gravel composition. Other soils encountered. contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi.3/4"aggregate.designed per American Concrete Institute Code. latest issue.maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min. 5/8"diameter. 12"long.w/2-1/2"hook spaced o/c.or in concrete piers Simpson ABU-series base:SPACED 2'o/c for slab-on-grade construction(i.e.Garage. Basement.etc.). FRAMING 1. All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load : Criteria used for 110 MPH Exposure B.unless noted otherwise 3. Structural Steel: (as required) a. ASTM A572 Grade 50:shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307. I/2"diameter: punched holes: 9,'16"diameter. b. Wel Shop weld cap and base plates to columns.shop weld bearing plates to beams.use E70xx electrodes. Alternatively.field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: �rt�t4 VJWI-L �gp — + EC(, a. All new timber framing: Spruce-Pine-Fir No.2 with Fh=1000psi. E=1.300.000 psi.or better. ' 1 — L b. Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi.E=1,600.000 psi,or better. 1'' S/g�`I+Sr�L`tr v�un�f c. Laminated Veneer lumber: All L.V.L.shall be 1.9E L.V.L. with Fb=2925 psi.E=1.900 ksi. Fv=285 psi.Fc_per=750 psi. Fc_par=3035 psi. Parallam(PSL): All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1.900 ksi.Fv=285 psi.Fc_per=-750 psi, Fc_par--2900 psi. Note that Microllam and Parallam may be used interchangeablN I. Deflection Criteria: U480 Live Load.U360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements, with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c: Rafter to Ridge Plate: Collar ties min. I x6!a} 16"o/c at top or Simpson Straps over top of plywood spaced 16"o./c h. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c: CS-14R-50.5"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall be 1/32"larger than bolt diameter. Bolt heads and nuts shall bear on standard malleable iron washers.or square plate washers. All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls: provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"oic with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-I0d toenails ea.end,or 2-16d end-nails ea. End d. New Framing: Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges.attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall he in accordance with Appendix 120.Q.unless noted herein specifically. Multiple Studs 16d'u, 12"staggered a.All nails shall be common wire nails. b. Sub-bore where. nails tend to split wood. 9. I-leaders less than 4'-0".use 2-2x6:all others per MA State Building Code Table 5502.5(l)and(2). MICHELE� CUDILO P.E.Consulting Structural Engineer I e�r X 2Z r 123 Cottonwood Lone. Centerville. Yassochusetts 02632 Drawn 13y: MC Date: �� � Drawing C 17 s scale, AS NOTED Rev. 0 1 _ S K— 1 File Nome: Project No.. December 12, 2013 Attn: Town of Barnstable Building Dept. Subject: 1375 Main St West Barnstable- Dewey Garage Demolition There is no electrical service within the existing garage that is to be torn down. 40 50�� tvaILLi�,-x,m Illn /-}- December 9, 2013 Attn: Town of Barnstable Building Dept. Subject: 1375 Main St. West Barnstable-Dewey Garage Demolition There is no plumbing and/or gas within the existing garage that is to be torn down. S M � 62�0 ! - - y5 c e n i�c �h0,V7e e p n. - '-.i4`f'i:- :.4'?'a ::T,�.1.. I,. '�ti ii=.'.: wQ..tYi R..-rt:" i Ni .1 1t :..h!`i:!—Y: �' ...�':= 0' !lilt.. _ -.�14t -3.1:t.1'i a 7•' :i,::: 7. 4 ,.i 1';:a t•v-::v:,.+: '.�.. 1.'1»P-C�,.:l. ,-M1" l�1u' _:f ...M1. f.S F. .7.' !1 f.:t 11.L Y ;,at y'9. � -p - p•t s;. - ft.:.:. N. ,_t '- a+ 7 ft y yi i t t it••• " tea-�1-.b-�-r':. ® '':Sl s' � y• � ;ctse:q- �� .t. � ®.. .� ��'. � `3Pt i`ial 3'! � '� q•:•' :ff '(- ly.',,.e'.r '�_�..{_. �. ':'t i,i { . ,� °�"';' f 'r 'MI oil _ l4 y,i�:22- -\t �Lt 3.. :air•{-\7V: • • .• \t4\ R 7 V�r • �ww_,=7� ......T.....'... ` 1 .r- }7 : .n.� pit rxc•.....L. 0•", z�.' CERTEMATE OF APPROMATENESS SPEC submit 5 COPUS F Wm 12"e (matftial-kiEckkemelt other) Sing TyW. ClapboaW_ shgle. 7t . . Mated red-cedae — r r cedar . r fox: - - iyiatu COIW. Roof Nhiftrink (make:&style) R :F; (s); (7/.F2 invum) Z 1Z A (ms,on p for.neww bergs,mqjvr additions) Whu wv wd dwr tdm waterbft wood odmk mterial;specify- Cta MPcI�\M: - 7 9&k-e Size of girds X S size.of.casings(I X 4 mia) hk<_:�_ color R Bak es Ist member 2a°mew N3 Depth of over mIg. Mad6w. (tt eiWddei) Lk"fi reiateeial. �>-c�c�� color. W kk (Prov WWOW Ireft tle M,pta i�alr,rz id gs, i<artiyQr.i>Fdi ii it,r) Wig (plew check aU th w. O .: t€u&vid d lets e or;g id Offs_ galls between:glass.�removable interior None �t v N\ � G o _�— SiM of Opem'ns MOCHW. o� Color vfu� Type A>yEefA a4:. Color. TyPcolor.. )bcff—nn"fiak. wood:_ a Tnatewi-al,.veci y Color. R,ECEIVED OW Simi, yp _ moo. JUL. 0 3.2013 Jwparw. ( .6' Styk. -' _. .. .,....- ..GROWTH,MANAGEMENT WOW maw ; APPR®VE® AN __ _ _ _ __ JA 242013 TWATrACHWCHUM LM MUST BECOMPLEMAM SUMMED Town of Barnstable Old King's Highway Print:Nam k". c ►a, rrrorrr, o�taot�C,e�A�mesa D1Pa�'['�oi RECEIVED / c �°3c I'S H NtjST. 4J�;ZP.Ms�a.¢u� 3nev N y rnN E JUL 032013 z ° '0 GROWTH MANAGEMENT , Afu-H��ouva�tt,SHE u3. OC,�w woo DD I Z c, Y• L co lt� Ztt Vi:R-c IGAt U 1(r ;❑� . 6i x,t h tom:L)k% :fo CoP+wR6uAao AYH-• C&M I �� �TLN�7fl NiC°F.Oq� I I wr .. SiY..N lJ ftT�C'W41ZC(�r�G .3�•x�'Lwp„r u.�r�cK u Z° •��i i x�o�• OC..�o' PAVED PARKING A SEPTIC SYSTEM „ \ G 80 \ \\ / 0103 \ \ 6"o+ 'am. { PROPOSED '3 T GARAGE Vf •\ ` Eil.18:7'. 14'x22' 05 cAltner ' �` �li I ram: gus I 1 GARDEN 41114\ L 1 { IL 0112 AL IL I R,ECENED JUL 0 3,�013 ,\\$ERVER\land Projects 20bAll-225 Dewey\dvKg\1i-22S DEWEY.dwg,Model,5/7j2Q131:28,44 PM,T'ebt0ld,1:20 GROWTH MANAGEMENT L AUTHENTIC DIVIDED LIGHT , gR�S�O Doncio« Units � 1 1, • '_i1LIGHT =Sash opening 1'-9"is" 2'-05.-Y 2'-35ia 2'-6",-1 2'-951S' 3'-351a" • ?"LIGHT HORIZONTAL • 2i'LIGHT VERTICAL • 313 LIGHT • 4'4LIGHT • 61 LIGHT 3'1" • 66 L IGHT T-5" • NLIGHT 3'-g • 9.`9LIGHT a'-1 • 1'1112 LIGHT a'-F • COTTAGE STYLE 4'-9" Window Specifications s s" FRl\IE-S.dndard ia:ab Da.h of-'.5'i 6" 5'9" a U Z '�. , iea:ures Laztind:ed\ r,:.rcd L use r skies andcicar pine head jamb. all expcsed e x:en or!ram,e parts are m anu:ac.Lire *:wni r hiobly durable.loin-maimCnanee Co±nposi;e • • • - 'vla:erials including:he Blind Sxa SiL and s;a dard Brickmculd Ca:inc. ±he clear =Sash opening 2'-O511' 2'-35ti' 2'-65Ja" 2'-15/P 2'-9 51P 2'-1154' Dine inside sill stop is dadoed:o recciee d s;xl cap or"pic ure fram.d"ca ino. ea:hers;rined head pafjng sop is color iva:chcd:o;he vinyl jamb liner*»-i;h in;.Val T il:'nae-an.Bled;&lac'..le balances. 3'S" SILL—Ccmposi;,„o pies Sill SC Sill 3'-g„ Cone:or scsrem prcrides a comi_nnous sill nose across Combined\vP indow- as well 4 2 as alle.ino for z4he addition ci:he op;icnal Hisoric Sill Nosing. 4.-7„ a'-9" SASH-all sa:h ar_l--'/S":hkk glazed i;h 5,-1" Sii]cl:pare lass band pi ed im.o a pri ed 1 51-5" exterior.clear pine in:erior:rea:ed::ood sash. y-g 1:11 divided ii-h;mh ea:are a;radi;icnal narrow munun bar measuring !S"tide. Enhanced thermal performance is achieved 1 kh Lhe addition of a Le W-E Energc panel available for all latous exc:p;M. =Speci?v wlhi:e cr Beige =Sash opening 2'-65V ` Sash Opening 1 1'-751P , 2'-35/P 2'-61r" 2'-5" R 3'-9" 4'-5.. 1 1 1 ' I I I 11 1 1 1 111 AI l41. 1 � 0 r � fly A— .� l�: Il •;•111.11 • 11ui 1- •1 11 1 '1 � 1-. - 11J Shop Owens Coming TruDefinitionDwationUrtttwoodAKLamtnateS... nttp://www.iowes.com/pa_i.3i-yi:)-/-/a-iL"v v_rpfuuucuu—.3,rzoi.. • , Yburetam: Wareham,MA Owens Corning TruDefinition �- Duration Driftwood AR Laminate i FREE Store Pickup ShinglesYour order will be ready for pickup from Item#:1329151 Model#TD30 Lowe's Of Wareham,MA by — — k 07/17/2013. $40.17 Lowe's Truck Delivery T Your order will be ready for delivery to you from Lowe's Of Wareham,MA by ; 07/17/2013. Item sold per bundle Parcel Shipping rn 9 Unavailable for This Order , Sent by carriers like UPS, FedEx,LISPS,etc. Owens Corning $40.17 TruDefinition Duration Driftwood AR Laminate Description Shingles TruDefinition Duration Driftwood AR Laminate Shingles • TruDefinition Duration AR Dimensional Shingle with SureNail Technology • Ultra high-performance,high-style dimensional laminate shingles • Extensive selection of bold color blends • Algae resistance limited warranty • 130-MPH wind resistance limited warranty • See actual warranty for complete details,limitations and requirements Specifications Manufacturer Color/Finish Driftwood Shingles per Bundle 20-22 Collection TruDefinition Construction Material Asphalt Duration fiberglass Warranty Limited Fire Rating_ Class A lifetime Wind Rating(MPH) 130.0 Color/Finish Family Brown/Tan Impact Resistance None Shingle Length(metric)(Centimeters) 100.012 Underlayment Required Yes Shingle Width(metric)(Centimeters) 33.655 - • Attic Ventilation Required Yes Shingle Length(imperial)(Inches) 39.375 Algae Resistance Yes Shingle Width(imperial)(Inches) 13.25 ENERGY STAR Rated No Exposure Width(Inches) 5.625 Coverage Area(Sq.Feet) 32.8 Bundles per Square 3.0 ©2013 Lowe's.All rights reserved.Lowe's and the gable design are registered trademarks of LF,LLC APPROVE JUN 242013 Town of Barnstable Old King's Highway Committee 1 of 1 - — 7/3/2013 8:42 M Original footing forms&the best pier footings-concrete voltune calcul... http://www.bigfootsystenis.com/include/bf24.htm Our BF24 footing forms concrete volume calculations site map North America's #1 Selling Footing Forms! Bigfoot footing forms saves time,money&hassle! Click&see our Bigfoot video! Call us toll-free from Canada&the U.S.1-800-934-0393 Click&see our 7 Tips Videos ® Click for mobile website Concrete volume calculations for Bigfoot footing forms-BF24 home I products I technical I photos I customer projects I the bigfoot story resources contact how to buy bigfoot in the usa I how to buy bigfoot in canada BF24 Concrete Volume:2.5 Cubic Feet Bigfoot Systems®Model BF24 accepts 8"or 10"tubes-residential 25.S" (81cM) ADAPTOR RINGS FIT ALL SMALL, MEDIUM, AND LARGE CONSTRUCTION �! TUBES 19" (48CM) RIBS FOR STRUCTURAL STRENGTH t J AIR VENT HOLES 7 DETENT MARKINGS ON .. FLANGE FOR ABOVE GROUND APPLICATION • Back to Products Page top of page site by LuckyDuck web design ©2008-2013 bigfoot systems® 1 of 1 7/3/2013 8:55 AM •� Town.of Barnstable Old King's Highway Historic District Committee 2_013 AUG 9 PM12:4*3 „,MIM„,4; 200 Main Street, Hyannis, Massachusetts 02601 �PAWOL ' (508) 862-4787 Fax (508) 862-4784 BHRPdSTRELE T04'dhd�.LE�?k; rEa,ex�• APPLICATION, CERTIFICATE OF APPROPRIATENESS FOR DEMOLITION OR RELOCATION OF A BUILDING OR STRUCTURE (including partial demolitions of buildings,structures; outbuildings, stonewalls, etc.) Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date: 3 2j Address of Proposed work: Assessors Map and lot# House# Street Village: UUS\ F6GLq5 .qcu ; Demolition of: ❑house ❑part of house ❑Garage Y�l barn ❑stable ❑commercial ❑stone wall ❑other Description of Proposed Work: Please complete the following information: Square footage of footprint of building(s) to be demolished: Building 1: 3 Z C� 2: Square footage of to or area of uilding(s) to be demolished: Building 1: 2: Owner(please print c Tel#: t;`j l l Owner's mailing address: \ J\ Signature of Owner te: All applic4tions must be s ne by the owner,or evidence of authority to act for the owner submitted Agent/Contractor(please piint): Tel#: Address: Signature of Contractor/Agent: If application is for removal to a different location,state where: Note: A separate Certificate of Appropriateness is required for a relocation of a building or structure within the Barnstable Old Kings Highway Historic District . Checklist APPROVE® Application for Certificate of Appropriateness for Demolition or Removal,4 copies Site plan,4 copies, JUN 2 4 2013 Photographs of all elevations of building(s),outbuilding(s) or stone walls being demolished. Fee according to schedule. Town of Barnstable List of abutters,see staff Old Kings Highway Committee For Committee Use Only This Certificate is hereby Approved/Denied Date: _1 a ?Ak RECEIVED Committee Meers Signatures: JUL 0 3.201 Conditions �ovaf an GROWTH MANAGEMENT Q:I GMD-GroupsIO&Kings HighwaylOKH New App lOKH Demolition 07.doc j1K 1 n ijr+jf � t'� 1 fi'r�. �� y �.�~ ! .r�r r •'r .�''i a j p� ' y 1 '•ti�' #� z., 's' t ' `' �'�' :r :r; !{��i � 1 *'s i s s `14-1 � �. i.n• ` �r' 1� _ r{.� rf 6 , ar4• '.� �- 11]r{ .. �!• ► --;� Iti+� { , 1• ff-q' ` 1 .. [J i�r ha.t L ;I'.i'i ►r`y 'i 1j" RL�r,• #''-+. '`�'�`:;"' •. 1 Tt 15< , 1 ■■ k�parr''- yy rVT 14' l�,,r/'ZT �:. Y � i �. 1 �� � r I f ••� ► � � •� �rr ' , �; 1 rr.rr w., '��. L 1 ,`.I, y.,?�.�+ _,i' �i.}ri��i� `�� ��i`}j 5 FF 1tl �•� + 1 } —r]'� '� I�Sf �J3 � ~ ••� . -•� .� ]` :}fl�•\•�j7 •l�itt1::�`�1�1Y�� _y�_ 1i1: r ����RI �`11 � �r,f.� �� ;1 '� ;�� •�!'!+!- - .,,I�i,. t �� �• {� ���1�1C���7��..r '4�r.,�}',J� l.'�pR,�y���y��� :_ 1" � �� i, �i� �,�� � 'r � G r :,I �41 1Qi p,J�fca' c +. •+ 1 1 'I F �+�— +s a t ( �j i1 1`y .Ciatid ;o°' w 79`..' t. �1• \ r1 . I 1 ti�1' - e' f 1 R r• l+�io{Pa��e -'+► I �.�+ }a, .�i�i}T+1 �`{,�.�'��+��}�_;'�� ��,/R*�;{1{4�.�'�ja 1H�Y#'�1►'���11.1 � ►1:►1�, .,.,r _ �.� �. `.��1.4 t� I. � •. �{����y��.�������y�.1/r�i+�lr'i •n'`��1 1�+'. r-.vr-e"1., .....era �`I t'. F - !� � � t. }-}.Y�i(' ��h�.•� .�4�!a.y .. ,. L: ...7--•.4• •'*'' �;�, ""`': f .�'!" _ 'f�� �`;.•:fir k r, k• ;y}! • F- 1 > a t 1 t ►. 4\, F Alm.. •` y to 25 r ,1 .1t fie. i1.I-� '■1 �_ �y ,,..} M J s Town of Barnstable Geographic Information System July 9,2013 178031 198004 #0 #1310 198003 #0 moos 178021002 #1344 #1295 197046 #1374 197013 41426 MAIN ST/RTE 6A 177004 #1340 177003 197010 #1375 #1401 j 197040 177002 197011 #0 #0 #0 197001001 #96 197001003 086 0 73 Feet 197�2602 DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:177 Parcel:003 boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:DEWEY,DANIEL H Total Assessed Value:$260600 Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map W L� are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:1.31 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:1375 MAIN ST./RTE 6A(W.BARN.) ��� such as building locations. Buffer /// I ` Town.of Barnstable Old King's Highway Historic District Committee 2013 AUG 9 PM12:43 RARNSTABM 200 Main Street, Hyannis, Massachusetts 02601 2013 AUG 9 PM10643 16 "� (508) 862-4787 Fax (508) 862-4784 BARNSTABLE TOV)N CLERK: APPLICATION, CERTIFICATE OF APPROPRIATENESS FOR DEMOLITION OR RELOCATION OF A BUILDING OR STRUCTURE (including partial demolitions of buildings, structures; outbuildings, stonewalls, etc.) Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date: q, �, Address of Proposed work: Assessors Map and lot# House# _Street Lk)(J Village: uoS Demolition of: ❑house ❑part of house ❑Garage barn ❑stable ❑commercial ❑stone wall ❑other Description of Proposed Work: 3Cls4a t V l,>�.N Please complete the following information: Square footage of footprint of building(s)to be demolished: Building 1: 3 Z C-:> 2: Square footage of to or area 6f uilding(s)to be demolished: Building 1: 2: G Owner(please print): V KC j Tel#: a a�I • 3 l g1ji Owner's mailing address: S\ Signature of Owner /Vdfe: All appliedhions must be s ne by the owner,or evidence of authority to act for the owner submitted Agent/Contractor(please print): Tel#: Address: Signature of Contractor/Agent: If application is for removal to a different location, state where: Note: A separate Certificate ofAppropriateness is required for a relocation of a building or structure within the Barnstable Old Kings Highway Historic District: /► PP p®\/C . Checklist /'� r n �/ c Application for Certificate of Appropriateness for Demolition or Removal,4 copies JUN 2 4 2013 Site plan,4 copies, Photographs of all elevations of building(s), outbuilding(s) or stone walls being demolished. Town of Barnstable Old King's Highway Fee according to schedule. Committee List of abutters,see staff For Committee Use Only This Certificate is hereby A rove Date: i Committee Members Signa s. AL 0 3.2013 GROWTH MANAGE Editions of Approval, if any Q:IGMD-Groups101d Kings HighwaylOKHNewApplOKHDemolition 07.doc MCA '-n '� �• •1 1"-.y,'7'#►�� * jM'1'`�a� �� , �'•1"J" '.4- ■ �N�� j�.����+y` I,{r'� �} � �°►� + � � w�'g.: fi a 14::+ r R{?�I� 4t i` •f u Y i:�.ati. 4tA I4+ i �+{ ,f. •I,11 - .,�,* i. I , , t; \1 ,,1SJ �� r i ''f ► (f' �� t•r' t11./ rA..f '%^� 5{fl�i +.:•* Y�R:' �..+-.�-` ■ +1. l i1R471��,tk!ib ti d,�„4'*tia-�tltil.Ell �11, ', } _rs,+ �`♦1r' 11. 1 ,, _ ��r �L fq� r. � �dco .� �1tt1I"- •� 'i' �i: S 'i` �v',�'r�'►;y •� i �ILY r3� - �' � • ••;�+' i �,�,ei`ram ,17�1J �li :'�► +`.O, �l�.�r -` - r Zti�`` !, � .; �V '.y�.• r'. � J ,rVVGAf f 'r. sy'ry6 Yj t1�� � l' �f t1 9� ram'• , 1 _4a;ti• •1 ��' �• j„'i� � -.) � 4 i'�� ,� •{,` F<�}� � ! � 7Z4 7 ,'■ y777. pa �tiriS.;�jr�, 1 s :•.may ` . '! �r � �;�i1yy.��}��r;,.rr�F��� _w'�� � .►ti,i�1�� ,it�l yam, s 1 a f I } � a t ►f • O M Town of Barnstable Geographic Information System July 9, 2013 178031 198004 #0 #1310 198003 . #0 177006 178021002 #1344 #1295 197046 #1374 4111*411# • 40 197013 #1426 /"A//y ST/RTE 6A t77ooa #1340 197010 177003 #1376 #1401 197040 177002 197011 #0 #0 #0 197001001 #96 197001003 #86 0002 0 73 Feet 19#126 DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:177 Parcel:003 Q boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:DEWEY,DANIEL H Total Assessed Value:$260600 Selected Parcel Vol00'may not meet established map accuracy standards. The parcel lines on this map w, j� av are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:1.31 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:1375 MAIN ST./RTE 6A(W.BARN.) < such as building locations. Buffer W. TOWN OF BARNSTAB E R I S E Division of Thielsch Engineering,Inc. 2012 MAY _3 PM Q: L17 120 Maple Street,Suite 304 ENGINEERING Springfield,MA01103 DIVISION Thursday, April 26, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 RE: 1375 Main Street; West Barnstable, MA 02668 Bw( Barnstable Building Permit#: B20120661 Dear Mr. Perry, This affidavit is to certify that all work completed at1375 Main Street; West Barnstable, MA, has been inspected b�y a certified Building Performance Institute (BPI) inspector. The following weatherization/energy saving measures were completed: ➢ Perform 12 man-hours of air sealing to include all appropriate blower door tests, combustion safety tests and procedures. ➢ Install a 15" layer of R-52 Class 1 Cellulose added to 36 square feet of open attic space. ➢ Insulate and seal 1 attic hatch by installing 2" rigid foam board that meets the sections R-316.5.4 and 316.6 requirements of building code. ➢ Install [1] 12" x 12" primed wood gable vent. ➢ Install 1 8" diameter roof vent as indicated on the sketch. ➢ Install ventilation chutes in(15) rafter bays to maintain air flow. All work performed meets or exceeds Federal and State Requirements. Sincerely, Erik J.-Nerstheirner RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering 413.736-RISE(736.7473). 800-298.5757. Fax 413.736.1294 i 111610 CHECK #: d/SF- X TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 177 Parcel . 003 .Application C)1,:;) 1 C;�l Health Division Date Issued o� Conservation Division Application Fee Planning Dept. Permit Fee: Date Definitive Plan Approved by Planning Board , Historic - OKH Preservation/Hyannis Project Street Address 1375 MAIN STREET Village WEST BARNSTABLE Owner DAN DEWEY Address 1375 MAIN STREET Telephone 50.8-951-3984 WEST• BARNSTABLE, MA 02668 Permit Request WEATHERIZATION/ 'PERFORM AIR SEALING MEASURES; INSTALL CELLULOSE INSULATION TO OPEN ATTIC AREA; INSULATE ATTIC HATCH; INSTALL GABLE VENT; INSTALL ROOF VENT; INSTALL ' VENTILATION CHUTES TO OPEN ATTIC. SEE ATTACHED COPY OF CONTRACT FOR MORE INFORMATION. Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation $1,377.44 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. .❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ 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 N Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ isting ❑Qew ae_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 9 9 9 9 c� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ cn Commercial ❑Yes ❑ No If yes, site plan review# N Current Use Proposed Use `�`,� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering; A Division of Telephone Number 401-784-3700 EXT ift 6133 Thielsch Engineering Address 1341 Elmwood Ave, Cranston RI 0291 O License# 100459 exp. 3/28/12 Home Improvement Contractor# 120979 exp. 3/25/12 Worker's Compensation # 3730961-01 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RI Resource Recovery Corp; Sh n Pike; Johnston, RI SIGNATURE DATE -� Erik Nerstheimer for RISE Engineering FOR OFFICIAL USE ONLY `k 3 APPLICATION# DATE ISSUED. F, MAP PARCEL PARCEL NO... _ F s� ADDRESS VILLAGE y OWNER DATE OF INSPECTION: FOUNDATION - FRAME INSULATION. r'^ FIREPLACE Fl ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: E;:Ar.: ROUGH,P.�a,i�; GL( FINAL :RFINAL*BLUIL"•DING s DATE CLOSED OUT ' = ASSOCIATION.PLAN NO.:� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations A _ 600 Washington Street 1' Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RISE ENGINEERING; A DIVISION OF THIELSCH ENGINEERING Address: 1341 ELMWOOD AVENUE City/State/Zip: CRANSTON, RI 02910 Phone #: 401-784-3700 OR 800-422-5365 Are you an employer?Check the appropriate box: Type of project(required): 1. %M I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees. These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.t 9. ❑ Building addition comp.[No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.[1 Roof repairs insurance required.]t c. 152, §1(4), and we have no 13.❑X Other INSULATION employees. [No workers' comp. insurance required.] *Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: THE PRES TON AGENCY, INC. Policy# or Self-ins. Lic. #: 3730961-01 Expiration Date: 01/01/13 Job Site Address: 1375 MAIN STREET City/State/Zip: WEST BARNSTABLE, MA 0.2668 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der top ' s and p ealties of perjury that the information provided abo a is tru and correct. Si ature: Date: ERIK NERSTHEIMER F ISE ENGINEERING Phone#: 401-784-3700• EXT. 6133 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Federal ID#05-0406629 yI RISE ENGINEERING RI Contractor Registration No 8186 ` A division of Thielsch Engineering MA Contractor Registration No 120979 1 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 71 (401)784-3700 FAX(401)784-3710 CONTRACT Page 1 �i' PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client# Dan Dewey (508)951-3984 02/27/2012 111610 SERVICE STREET BILLING STREET . 1375 Main Street .1375 Main St SERVICE CITY,STATE,ZIP .. BILLING CITY,STATE,ZIP West Barnstable,MA 02668 W Barnstable,MA 02668, JOB DESCRIPTION Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality. Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) $1,050.00 Provide labor and materials to install a 15"layer of R-52 Class I Cellulose added to 36 square feet of open attic space. $55.44 Provide labor and materials to insulate the back of the attic hatch with 2"rigid foam board that meets the sections R-316.5.4 and 316.6 requirements of building code. $31.00 Provide labor and materials to install [i] 12"X 12"wood gable end attic vent. $110.00 Provide labor and materials to install(1)8"diameter roof vent(s)to increase ventilation in attic areas. The vent can be supplied in(circle color)black,brown,gray or mill finish. $83.00 Provide labor and materials to install ventilation chutes in(15)rafter bays to maintain air flow. $48.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for air sealing measures,the Cape Light Compact offers a 100%incentive. -$1,050.00 RISE Engineering will apply all applicable,eligible incentives to this contract. To show our appreciation for allowing RISE to use your home for training&testing purposes,.RISE offers a 100%incentive toward eligible meausres. Per Steve Hines. $327.44 rWE'1GREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF V.. � .'. `.;•.. �F+�R .".00/Dollars $0.00 UPON FINAL INSPECTION AND•APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE,AFTERj0 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. r DO NOT N THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZ -RISE NEERING CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE x ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE 30 SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE i t OWNER AUTHORIZATION FORM (Owner's Na e) owner of the property located at u 3�1J M Cc►h S (Property Address) .3afVst-I M lI o 2(,(.Co (Property Address c� hereby authorize I J r h E e� i,,; C> (Subcontractor) ' an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature h Date THIEL-1 OP ID:.27 A��Ro• CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) 01 L13/12 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 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 endorsement(s). PRODUCER _ , 401-886-8000 CONTACT The Preston Agency,Inc. 1350 Division Rd Suite 303- 401-885-1700 PHONE Ext: /C No): ' PO Box 810 E-MAIL East Greenwich,RI 028.1&.0810.. ADDRESS: Judith A.Wright CPCLI AAI ARM INSURER(S)AFFORDING COVERAGE NAIC aY INSURER A:Zurich-American "- - INSURED Thielsch Engineering,Inc. INsuRER a:American Guarantee 8r Liability Thielsch Group Inc. Hi Tech Realty Inc. INSURER c:Twin City Fire -Hartford AttTrent Avenue ux 195 Frances Ave INSURER D:North American Capacity 195 Cranston,RI 02910 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYYI (MMIDO/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 3730962-01 01/01/12 01/01/13 PREMISES Ea occurrence $ ,_300,00 CLAIMS-MADE FK OCCUR MED EXP(Any one person) b 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,00 POLICY X PRO- LOC Emp Ben. a 1,000,00 AUTOMOBILE LIABILITY EOMaBINdEDISINGLE LIMIT $ 2,000,00 A X ANY AUTO 3730963-01 01/01112 01/01/13 BODILY INJURY(Per person) E ALL OWNED SCHEDULED AUTOS - AUTOS BODILY INJURY(Per accident) $ HIRED AUTO NON-OWNED PROPERTY DAMAGE S AUTOS Per accident S S X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 IN B EXCESS UA9 CLAIMS-MADE AUC-4857188-01 01/01/12 01/01/13 AGGREGATE s 10,000,000 DED RETENTIONS S WORKERS COMPENSATION VvC STATU- TH- Y/N AND EMPLOYERS'LIABILITY X T RY M T R A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01 01/01/12 01/01113 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE E 1,000,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT b 1,000,00 C Property Section 02UUNHE6930 01/01M2 01/01/13 Property see belo D Professional Liab DVL000026802 01/01/12 01/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) When required by a written contract. CERTIFICATE HOLDER CANCELLATION TWNHARW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Licensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City,State,Zip North Scituate,RI,02857 Expiration Date 3/28/2012 Status Current Back jo.Search _ t ��`�}/' _�(1FI t-(�(il• h )�•lyyt-i tiii'iit .... . �� utitlilt:?� h'C'�� (,I �t?li�i(• :,�' L(^ •-.::i r y`�}yr. car�31f 111.4-FPI)(: .1i,lli tense: y, ; . Restricted �SSL 100459 -`ta:t: -?r~~� to: WS :.s ERIK NERSTHEIA4ER 228 GLEANER C NORTH SCI IiAPEL ROAD TUgTE, RI 02857 • r:ur,i..;,,,�� expiration: 3/28/2 •`_-012 _ -. 100459 http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL100459 4/20/2011 �l•e Of ce o onsumer airnd uSiness e u anon g 10 Park Plaza - Suite 5170 Boston ssachusetts 02116 Home Improved ontractor Registration -" Registration: 120979 sType: Supplement Card Expiration: 3/25/2012 THIELSCH ENGINEERING :r ERIK NERSTHEIMER 1341 ELMWOOD AVE. - CRANSTON, RI 02910 Update Address and return card.Mark reason for change. Address Renewal Employment ❑ Lost Card DPS-CAI 0 50M-04/04-G10I216 Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 0. Office of Consumer Affairs and Business Regulation Registrationr��Q979 Type: 10 Park Plaza-Suite 5170 Expira__ 012 Supplement Card Boston,MA 02116 THIELSCH ENdi == d �( � ERIK NERSTHEW 1341 ELMWOOD ii�x,gY�'rY='%l CRANSTON, RI 028f( :;,=r= Undersecretary Not valid without signature Control No: 34244 THE COMMONWEALTH OF MASSACHUSETTS b DEPARTMENT of LABOR DIVISION OF OCCUPATIONAL SAFETY a 19_STANIFORD STREET; BOsTON,MASSACHUSETTS 02114 LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER RISE Engineering A Division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 WAIVER: LW000672 EXPIRES: April 15,2015 IN ACCORDANCE WITH M.G.L. C. 111, § 197(B)(b)AND 454 CMR 22.03(3)(b), THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION WORK, THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C. 111, § 197B(b)AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE RENOVATION WORK. HEATHER E. ROWE,ACTING COMMISSIONER Lip Printed on Recycled Paper y Town of Barnstable Permit: Regulatory Services Date: °FVE r Thomas F. Geiler,Director $ r Building Division BARNSTABLE, Tom Perry, Building Commissioner MASS. . 1639. 200 Main Street, Hyannis, MA 02601 erfp eta www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: `/I� � .:.�^,�1.� Phone: Install at: ? MAIN S-%,, Villager W. RAVdNaMi �L Map/Parcel: ��� Qi��,(,c%.L Date: C� Stove A. � Used B. Type: Radia Circulating C. Manufacturer: Lab. No. D. Model No.: -.`Adb Mlc�-n, ry, s cy Chi ey A. Ne xisting (If existing, please note date of last cleaning) p B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer Ck'(-V56 "U E. Masonry: Lined/Unlined �Ac—MQG5 i Hearth I ti 1 A. Materials: 17, -(��✓�C�Y�7C �1W/ B. Sub Floor Construction: 2" c<,,- '?d,Z CAA 3�pa Installer C- Name: �`�` Address: Phone: Location of Installation: i�� /� t^1 S F-,• �� (Z�S� 3 �_ H.I.0 Registration # 1c� � Construction S pervisor# OR check Homeowner Installing, no license required APPLICANTS SIGNATURE �-- APPROVED BY: Please make checks a able to the Tower. of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 :• www.mass.gov/dia Workers' CompensationInsurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual Address: City/State/Zip: Phone.#: -7J l� Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, '❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.-insurance comp. insurance.; ,.�5Ff required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the'Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct signafore: Date: 1 Phone#: Official use.only. Do not write in this area,to be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and.phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete*and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 TO. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass-.gov/dia I i Town of Barnstable "o Regulatory Services EAENSrABLE Thomas F. Geiler,Director Mass. jL639. ,�� . Building Division 'DrEn WtAt a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION II Please Print DATE: V6 L J O ' JOB LOCATION: d p 1 ry ST number street village "HOMEOWNER": amine ome phone# work phone CURRENT MAILING ADDRESS: l JS V"lit�fN S� A city/town state zip co Fe The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she.resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department : minimum inspection.procedures and requirements and that he/she will comply with said procedures and re uirements. Signa re of Home her Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with.the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeexempt.DOC THE Tqy Town of.Barnstable ~T Regulatory Services. SAMSTABLE, ` Thomas F. Geiler,Director HAS& ��'DTEp Mp.(� � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Yfl".town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner ate Pnnt Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. i Q:FORMS:OWNERPERMIS SION i TOWN OF BARNSTABLE-BJ�L.DING PERMIT APPLICATION • /G r i..:,i•¢ v:v.��. . .a��. Diu".��' - . Map Parcel W6 c° 9�` 5 Permit# _ 33q'0 VIROWENTAL CODE AND _ • 6 Health Division ._ r,f - TOWN REGULATIONS Date Issued f 2©nC o Conservation Division - Fee Tax Collector Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH bea Preservation/Hyannis Project Street Address ST C P"T- . bA') Village 489-lll4r7-&'4A5 Owner 61,n &06 1 4 FlJaV,J lA Address 5�m� Telephone 393 a Permit Request ZJC�nj S ALL NEa) D 07)4 Gya.f JJJi NbI Uj 1)1! B&VgOdYp . '4 " T �� t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project.Cost v Zoning District Flood Plain Groundwater Overlay Construction Type V W Lot Size Grandfathered: ❑Yes VeNo If yes, attach supporting documentation. Dwelling Type: Single Family W/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes• WN'o On Old King's Highway: Giles ❑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 O new size Other: Zoning Board of Appeals Auth�o zation ❑ Appeal# Recorded❑ Commercial ❑Yes W o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name_ Telephone Numbero��— cJss��l Address���e �(5 416( License# as 0 r7.2.7 �,15 00q-b_/�7­ Home Improvement Contractor# /D s 9 qD Worker's Compensation# 8 to lO ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE 2 DATE ,r Gf1-p�u FOR OFFICIAL USE ONLY " PERMIT NO. DATE ISSUED MAP/PARCEL NO. l ADDRESS ., VILLAGE ' ` OWNERS - DATE OF INSPECTION FOUNDATION; • ' FRAME 7 . +f INSULATION FIREPLACE ELECTRICA ROUGH FINAL PLUMBI G: ROUGH FINAL GAS: ROUGH FINAL r r •! FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department oJlndustrial Accidents ....., -f• .----..�r .�-, _�� ._ a e< ,, OIIICCOI/�YCSt/A8!/O/IS' .. ., •. .._ . . ••• -.,-_,, :600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance davit can .o rmsiztm�• i. , ,r. '��'�ii, �///// 7//� r. �... ,,, name: ocation: city iphone# ❑ I am a homeowner performing all work myself. ❑ I am a sole propnetor and have no one W0 * in any capacity I am an emplgyer providing workers' compensation for my employees working on this job. eomaanvname: E =rGt�;�2ay�w��1f address. Ito ys Alete1723,W Al &. city: 0 7lt t T' DaZG 3S phone# �Saa') S1.�8- 9Sl fl insurance ca. olicv# UV 991 toG 21, ❑ 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: eomranv name• ' address: dtv phone#• insurance ca. Pali*v#.. :..:..,•.: " >.;::".';-. ......i/.irvi/ i///////ii//////////!/%/u//!/////�///(////�/%/// //i/'WE ... eompanv name- address: ... phoneingrance co. :.olicv# FaIIttre to secure coverage as required®der Section 15A of MGL 152 can lead to the imposition of ertminal penalties of a fine up to 3I.S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against ma I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage vetiamtiott. I do hereby certify under the pis and penalties perjury that the information provided above is tru:and eomd Signam.Yl-�--!4 e19L/- _ Pate =-e Aokv - Print name rie JF,6W aK V. RA s C HjX- 09,4i zz% Phone it �t�S—9 S Ccointact ly do not write in this am to be completed by city or form ofildal permit/license q ❑Building Deparunettt OLicensing Board mediate response is requuea —---- Sdectmen's Otace--- -- ❑Health Department n: phone Mt ❑Other (wAAC0 9,95 P1Ai r . A The Town of Barnstable . . BAMNSTMUZi 9 mom �' Department of Health Safety and Environmental Services i65¢ Building Division Ea►ua'' 367 Main Street, Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only Permit no. Date - AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, i 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. 5/? (G Work: � Est. Cost /off Type of o te-1,4-) 1 Vie Address of Work: Owner's Name A ®P'e/I Date of Permit Application: �4 �— r I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: UNREGISTERED OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH CONTRACTORS FOR APPLI N PROGRAM OR GUARANTY FUND UNDER MGLE HOME IMPROVEMENT WORK DO O 142A� ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: D D Date Contractor game Registration No. e'fl P /IV' . OR Name : . 9/4 61)11n1091".lealw. 0/1 AlIrlWa.clif"Je(Ij -r TV'.T F N"'L U, N qI 9 RV S 0 P Shirib r CAPItii HOME IMPROVEMENT CONTRACTOR Registration NEWTOWN -CORPORATION PRIVATE Type rEi-pi—Ta-tiTn--66—/2- -3-/-0-0" ------ - CAPIZZI HOME-IMPROVEMENT, INC as Capizzi, Sr. ADMINISTRATOR 1 45 Newton Rd. Cotuit MA 0.2635 DEPARTMENT OF PUBLIC SAFETY CONSTRUCT ION SUPERVISOR LICENSE Number: Expires: Bi.-thdate: CS 057,832. 09/2611999 09/26/1963 Restricted to: 00 THOMAS X- tAPIZ.11 JR PERCIVAL OR W BARNSTABLE, MA 82668 OEPARTWIT Of PUBLIC SAFETY COFTRLl,^-'-aN SUPERVISOR LICENSE Number: -xpires: n thdate: -01 Restricted To: ao [,lREOEP.Tfy. V RASCe ill W oprui--"im 6OURNE RO PLYNOU!H. MA 02369 rill. Application to +��f 10 Old Kings Highway Regional Historic.District Committee in the Town of Barnstable for a l 9 99 291 CERTI F.ICATE OF APPROPRIATENESS . Application is hereby made, id triplicate, fo(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, dratvings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition j (Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial- ❑ Other z Exterior Painting: ❑ ' 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). l TYPE OR PRINT LEGIBLY DATE �- ,(!S g,(,E pad b 8 ADDRESS OF PROPOSED WORK 2. � /ILIA! S1 (/IR °• �� ASSESSORS MOP NO. OWNER Al i J50,Q J4 1 ASSESSORS OW NO._Oa3 HOME ADDRESS � ��• TEL. NO. FULL NAMES AND ADDRESSES OFRtG OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). serf'. r S6 77 6 4� c/ea T �OYtsCitr+c�ll�t �anl'!K. l9� alb= �Mt��rrJ E &W4x- M90;-14,p 7_6' 6F 8;;��Ak 6' AGENT OR CONTRACTOR CW1 ZZ4/ AN r- yA4ACOVE?'iWL . 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). t. :PAsT-Au,W6, 60 Ac") OCT460X) W rtt.(DocJ ,iU 847 e&aom Ar?44, ® DDi no A, 7z1 ftb cf riul&a-wowA- ,.a s1x8'G►*" 57qtf- cr,(I-q Onl F-M s n"6v 00u tA�FaR 6?Pfl0VE1ned Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. O at. he Certificate is hereby Oate A — T By ,. ' o TpWN OF BARNSTABYE PORT T: If Certificate 4approved,approval subject to the 10 day appeal period provided In the Act. Disapproved 0 s ! j Town of Barnstable Old King's Highway Historic District Committee Nz SPEC SHEET FOUNDATION 17 N 6 C6AJ CI?F tl< 4tA1-FQfl,1 1 tdl gYLI A JIM 803 0-0oca'D W pl,t46 7? rn try/. W tWm V;tj e 0 A t Q U;0C.5;I SIDING TYPE LO �1�, CEDA-?— Sth)\JGLF.S COLOR r!Vh1q-Trif� F xL S T1 1�Ifsi) 1 CHIMNEY TYPE COLOR ROOF MATERIAL COLOR (a arc4N F Xi(5n A16) PITCH W001� VeAlUm6 WINDOWS 1,dr91��1 COLOR "C ) SIZE o�j 7 aC o? TRIM COLOR A-MH E 15 I (o i DOORS COLORS I SHUTTERS COLORS ii nnnn rrflou GUTTERS COLORS ! i ! . DECKS MATERIALS i GARAGE DOORS COLORS I SKYLIGHTS SIZE COLORS SIGNS COLORS I ! I ! FENCE COLOR NOT88s Fill out completely, including measurements and materials/colors to be used. Your copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape' plan and elevation plans, when applicable. r I SPECSBT Revised 11/$8 ! Decorative Windows Vinyl Clad Unprimed Wood • White Vinyl Clad Exterior—Clear Pine Interior •Preservative Treated Natural Pine Exterior/Interior W y • High Performance Low"E"Insulating Glass •Double-Pane Insulating Glass • Octagonal Inside and Outside •Brickmould Exterior Casing • One-piece Moulded Nail Fin/Flashing •Octagonal Inside and Outside • Basic Jamb 49/16 •Basic Jamb 49/16 _ 1 j 'Z OWV 2-0 OW 1-9 OWV 1-11 OW 1-8 -� Ventilating Unit Stationary Unit Ventilating Unit Stationary Unit (shown with optional Wood Grille) (shown with optional Wood Grille) •."Almond"colored 2-Position Rough Opening. •"Almond colored 2-Position Rough Opening Push Bar Operator 1'-9'/i x 1'=9'/2" -Push Bar Operator" 1'-9'/z°.x 1'-9'/2 • "Almond"colored Aluminum Unit Dimension •"Almond"colored Aluminum Unit Dimension , Framed Removable Screen V-91/%"x 1'-91b Framed Removable Screen 1'-119/,e"x 1'-119/1s , • Stainless Steel Continuous , •Fully Weatherstripped Hinge Rough Opening • Fully Weatherstripped 2'-01/2"x 2'-01/2" i Rough Opening Unit Dimension r. 2'-01/2"x 2-0'/2" 2'-23/4"x 2'-23/4" Unit Dimension 1! 2'-01/e"x 2'-0'/8" OCTAGON Window Options 9 Light Wood Removable Grille ' — 1-8/1-9 21/4" Colonial or Modern Casing 1-11/2-0 21/4" Colonial or Modern Casing R - 1-8/1-8 2" Extension Jambs 1-11/2-0 2" Extension Jambs — — Nimed Wood Shown Positioned Shown Positioned for Rectangular Lights for Diamond Lights Rough Opening 2'-10"x 2'-10" L � Unit Dimensions 3'-0"x 3'-0" Jamb Width 49/,s' OW 2-8 Stationary Unit i Octagonal Unit and Sash j Glazed 1 Light High Performance Low"E" ' Insulating Glass with Removable Wood Grille 214 / I TOWN OF BARNSTABLE, MASSACHUS I ASSESSORS MAPS ✓ '�. dL% 13 -. sr f:. to 0 I A& I 48 As fL r.. 4 i7o oc-s b.2f. UPLAND •V 3 wGTu�n+D � 1-BOAC TorA< .A (0.51 ® � ° N N> a. y 19 Ir 2 t 140y .'.. 72.70 0C-S i .. a lD •u tea„ ........... __... .. : • Ll IT I : I i 1 �._—:_—___ tY•�.T.J !tom.r. -.___—.__—_—. � �I i 1 _.....!�.1.lzH.1.._t.�4�'��1�]..OL�—_--.._____.. auaa: :,.. .rrvov[o a,: on•ww ar ._.SU.!.I,N.).C: oa.ww7 1�ecs a 2-c'• (55��. ' �.._._.._ f,..n OJ.• Gam, ',i i U°P li Gm ceonrc Aocr Grl Is> FtL, outer ALYM Cs..l1'��Z,r • JV0.,15 i ! I ✓Ica CUI�, F,tR�q a/moor. a '6 GE ua -0':'S _,.____.___..__.._........_.... .' ------__—. .. r(,D4L4 _;GFT,i vrr4 Iq ND4g Y,! �" � 'Z u•Yry P`n POy7� µrHP I� I i mi. on, v i LJl P/rJE �; MATGII —..1 ^ UocU6al Ja LE'�r�Cu��D R lT CA TJGE UN,Tk: V14ILL : .� d-JxVYL� �� ;" � E` RIx SIDts i II �2: 4)111T{ CEOAe Ly �..:.._,..._._......_.. _ -IS...-...�.�..�.� x( rA',C/A Y. iJ o i ru k S 6, - !_—.____.--.... — —_--_—�— I r!E.•y_y Coot , IX8 yoT F17'+- I S,k oy oP C:,/A POO Ji Town of Barnstable *Permit# 3 r Expires ti mouths front issue date Regulatory Services Fee STABM Thomas-F.Geiler,Director ED � Building Division X-PRESS PERMIT Tom Perry, Building Commissioner - 200 Main Street, Hyannis,MA 02601 J U N 2 1 2004 Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Lnprint f'7 7 Map/parcel Number r� ��, Property Address Value of Work (� R sidential Owner's Name&Address ` 0 �,Cr` _______Telephone Number��t Contractor's Name krr licable) l� QO S�3 Home Improvement Contractor License#(:f aPP applicable) O Q `G ` 5 ' Construction Supervisor's License#('if []Workman's Compensation Insurance s. C�he�ck ne: Z am a sole proprietor - 0 I am the Homeowner ►.� I have Worker's Compensation Insurance Insurance Company Name Workman's Comp•Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to not stri in Going over existing layers of roof) Re-roof( pp g• Re-side replacement Windows U-Value _ 3 (maxi "m.44) iance with other town department regulations,i.e.Historic,Conservation,etc. *Where.required: Issuance of this permit does not exempt compl ***Note: property Owner must sign Property Owner Letter of Permission. Home Im ov ent ontracto icense is required. Signature �, Q:Forms:expmtrg V� V Revise053003 Town of Barnstable •4�pFSHE TpkMo Regul.atory Services Thomas F.Geiler,Director i $ 9� s639• A,� Building Division jDlFn � Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . y w,town•barnstable.ma,us Fax: 509-790-6230 office: 508-862-4038 property owner Must Complete and Sign This Section. If Using A Budder h ,as owner of the subject property A P-7-- • vee .'to act on my behalf, hereby authorize in a matters relative to work authorized by this building permit application f or: s uJ• � _ �� Oi . {Address ot�obj 9, v /L� Date Signature of er Print Name i ~z Gi 1/1 S-1'Y2et Bat r 5 F-- 'Ph cN�: : — �ogC�sl �°IS OFMgssgcy VVVVVV_ TCIU010.L0 G-4 o STRUCTURAL n Q c- --I t,i._—� --- ------ u------ - �SSIONA-� �� I `' cfr1C• C -i+�I) ilk ` -p c�-r4c : z -3 t-I�D►�l ! 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A fe RECENED 3 2013 1 ANAGEMEI'T I - x i i I Locu e 6, ° erg°t P°rker Ro(] xa6.91 Gan'e R p U E Pond 7- j 6q � I 7=I EDGE pA VEM EN T - - �31 LOCUS MAP SCALE 1"=2000'f `7 ASSESSORS MAP 177 PARCEL 3 ��.45-_ _- 14;�Q7� . - 13.86 LOCUS IS WITHIN FEMIA FLOOD ZONE C AND I -'r r374 A3 ELEV. 11 NGVD (ELEV. 10 NAVD) x 1�`5r 13 0 i PAVED PARKING �,4 05 14 DATUM: NAVD L7, 209 - WETLAND FLAGGED BY CHRISTOPHER Q2.69 MASON, PWS OF MASON & ASSOCIATES, 90 14. 44. 94.65 14- 1 ENVIRONMENTAL CONSULTING 4S 5g, 3.65 Z' DRYWELLS PROPOSED FOR ROOF RUN-OFF, 15 6 512.44 3 7.31 OR STONE TRENCHES UNDER DRIP LINES ,1235 / #101 x 9 S TIC SYSTEM �(12.84 ♦ / .01\ » - AR A \ �12.1 .03#10 EXISTING GARAGE TO BE REMOVED. 24 3 11.05 12.03 73 eo j ♦ 0• #103 30" BLUEBERRY BUSHES TO BE PLANTED IN 1 �0� 8 x`9 4,86 7 11.96� ♦ AREA VACATED, 3' ON CENTER 12 1 75 2 k7 1.61 I 9 i 9 I1 �' x6.61 711.90 \ 02 0.37 11 12.07 \ 11. 1 *1 1.57 #104 { 105 EXIST. 4.3' i 94 \ 6.88 t)YVELL' DECK PROPOSED 9 x 9. 9. 5 ' 16.66 1S L BARN { EL. 16.7' 10.84 14'x 22' .80 8.69 / ' �( .24 Z77 1 ' 6 k 7. 2 6 305 #116 x7. 4 __ \ // ` \ I o 8.23 1 _ � 5 \ x10.85\ 2 , J/- GARAGE10. 1 � \ \ #106 �.555 REMOVE j �W F NCED I X 6.03 #115 7.14 (. 5 ) �� I ARDEN 6.80 \ \ 8.30 \ 8.33 ` � 4 ,� I 1 I. .93 ` ,Y I 6.95 \ j 114 � # 4 \ 9.68 95.Z . .. .. 8.04 #107 OF 7.77 16.4 \ 9. 7 RpE� 1 #1136 5 W.63 / \ \ 6.79 TOTAL 1.31t AC (PER ASSESSORS) WELL - SITE PLAN 18,810 SFt UPLAND ' 6 - - - - #112 �"54- -- -'i 2 �o 16.21 SHOWING PROPOSED BARN \ / #108 AT #111�6.38 Et Pam° #109 645 1375 MAIN STREET WEST BARNSTABLE #110 x PREPARED FOR I off 508-362-4541 fax 508-362-9880 DA IEL DEWEY I or downcape.com © �� S�c ,iDce'. c o DA[�1f L ANIELA. �n down ra�< <ng/n«ring, ✓�'�''�i JULY 10, 2013 r,IYIL C)JALA � s civil engineers 1 '11 `� No 46502 a� land surveyors ° Scale: 1 - 20 939 Uain Street Rte 6A 0sUR�E '/ONALNEEL YARMOUTHPORT MA 02675 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.L.S. I 11-225