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Home My WebLink About1845 OLD STAGE ROAD 4i QZ OTCOI NO. 152 1/'3 ORA 10% 0 0 0 0 ►,N�} L S��Tco� �/a��r .�� "�.� G�.s ? 6 Z s 33 � � I I GK - v r ��•��..�� _ I SS.fic� el 70_�9 P �I ' ', ,4` • •'I J'<.O • T i.1� J�i ,L0C.47-/O/<-/ WEST hkNSThD LE I / CENT/.may 7';'-IA7- f,�,/OWit/h�E,2EO.1/ COM�L yS W/Th' SC,1 L z—: / = 5� Z:),4 " EX/CE -8,%AMST14 ` , X14:1 /S kl/OT PLAN/ FoK .4 o cA rEo W/Ty/N 7-;Z/E D A rE D 0 F- GATE- u i ,gAXrl=,e Ti�✓/S, �.�•A�/s NET BA,SEO DN�:4if/ .eEG/STE.2E0 L�/O SU.eV6Yt� /�✓.S7-,e!/i�'/.E,�/r,,sve✓6Y� Th'E= osTE,2>//,�.,C�� M,4S.s 0, SS�'TS.Sh�oy✓�✓Ss�ovt� �t/oT 9� AP,r 4/CA IV7 /,Vz!5-:5:. I 'down of Barnstable Regulatory Services Y TKE rqs� Richard V.Scan Director' Y Un • - Building Division i Re�NCf`ARi�F. � M ass.163q. Tom Perry,Building Commissioner �� 200 Main Street,Hyannis,MA 02601 www.towmbarnstable.ma us r�s Office: 508-862-4038 Fax: 508-790-6230 Approved: R f9 Fee: �J S Permit#: aoi S-0 HOME OCCUPATION REGISTRATION Date: Name: Phone& 'S d�s- Z�D ?j p y Address: $ S U C� �t�GQ ZV W age: �eSV 'i�af Name of Business: 'C �b��V(`� ?0 ��r L'ansu 4,2S I l�A 1N1+ �" D-S (�)f lc�Map/Lot 1 6 Z d 3� 0 U` — Type of Business: �uR?s`t IN71=: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. a There are no external alterations to the dwelling which are not customary in residential buildings,and there is . no outside evidence of such use. a No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. a Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. , O If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant `�C`�' ✓�� Date: -7 Q- KJ YOU WISH TO OPEN A BUSINESS?' For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to pperate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town lull) DATE: Z -Fill in please: fr R. 1- v �;q�ttir+.y.' APPLICANT'S YOUR NAME/S: "'1i!j+'^I �Jial�� 'Y' a�°{ BUSINESS YOUR HOME ADDRESS: S��IS S t�Ff% '��-"� rn,[ (yJ� f�1(� �- �CL. 5•�-CibL� l � O2&&2 i tit• fl" i� il.. i�l`�'�Sy�ltn� p I3 A}u:1H9�0'7K TELEPHONE # Home Telephone Number ,,,t ;®ff3�rr•_?'Ilf-:;rt;i t!1 r,k:•Sn� _ , NAME OF CORPORATION: 30 NAME OF NEW BUSINESS 4 ons.14.,oc TYPE OF BUSINESS CoAf,, IS THIS A HOME OCCUPATION? _YES NO ADDRESS OF BUSINESS 12q U - VZ t, ��- k MAP/PARCEL NUMBER �Sa Q 3� �)n� (Assessing] When starting a new,business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMAs S OFFICE This individuafo\ dtof ny p r t requirements that pertain to this type of business.MUST COMPLY WITH HOME OCCUPATIONd-Signatuc _ ue RULES ANDREGULATIONS. FAILURE TO COMMENT COMPI...Y MAY RESULT IN FINES. ��.� 2. BOARD HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS; _ �tT Town of Barnstable 0 Building Department - 200 Main Street "LE * Hyannis, MA 02601 MASS 9�A 1639- (508) 862-4038 rFD MA'i A certificate of 0ccupancy Application Number: 200803286 CO Number: 20100213 Parcel ID: 152035002 CO Issue Date: 12103/10 Location: 1845 OLD STAGE ROAD Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO KENNETH THIBEAULT - ELAINE THIBEAULT (MOTHER) TO l z�3�b B "ihi Department Signature Date Signed OFZHET � TOWN OF BARNSTABLE Bu-ilding Application Ref: 200803286 • BARNSTABLE, Issue Date: 09/16/08 Permit y MASS. 1639. a Applicant: THIBEAULT,KENNETH A&NANCY M Permit Number: B 20082017 Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/16/09 Location 1845 OLD STAGE ROAD Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 152035002 Permit Fee$ 255.00 Contractor PROPERTY OWNER Village WEST BARNSTABLE App Fee$ 50.00 License Num Est Construction Cost$ 50,000 i Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND NEW 2 CAR GARAGE WITH FAMILY APARTMENT-MOTHER ELARIE THIS CARD MUST BE KEPT POSTED UNTIL FINAL THIBEAULT WILL BE RESIDING IN APARTMENT INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: THIBEAULT, KENNETH A 81 NANCY M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1845 OLD STAGE RD INSPECTION HAS BEEN MADE. W BARNSTABLE, MA 02668 Application Entered by: RM Building Permit Issued By: n 6k loe;IL - � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING 1S INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 8 s o r Llsr 2 `'L 2 Il�l/�st� p 7 ram.R.G . 3�� j�,,Ylto;QL,% I Heating Inspection Approvals Engineering Dept i i Fire Dept W9A/Sr1kjZ F49f 2 T Board f Health C't> 6P)a Ck I . J `oFiME F, Town of Barnstable 9AR�STABLE. Regulatory Services t 9 MASS. t639. Building Division p�FO MPS a. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location lgt ®LIS S?mil "" ,W8 Permit Number z 0O 2- g)G Owner /t+l 8 6 A (i Builder �, -r--- One notice to remain on job site, one notice on file in Building Department. The following items need correcting: /Al L4-e as f t O U-5 Y ,a 9-: /Po[ c o Lib 4�7 lliC Q i�tS7G lE .t: •L Tit L kk Please call: 508-862-40ag-for re-inspection. �. Inspected by Date !� / • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J 5 2- Parcel 6 3 S 00 2. .Application# Health Division ,• 'r Date Issued. Conservation Division F A114dC?1PJ/��Ti�sl1P� Application Fee � • Tax Collector - Permit Fee ae6► LV Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0�A s-yr ae, �acuL Village Owner 16_nf-,e4, Q , £Na.nw W [yaL,(�- ' Address Sayhe Telephone S 6 Ff- 3 to 2 - 3 61 _ , 32 Permit Request New l_Mnsl�ic' 1 Z- Car RQ.Pa$0 n � m I r7 e� CL c,.rn.e ` L A( `year�rvvrcf 2s,d�,.t� q,? aocr' Square feet: 1st floor:existing 10(p14 proposed 2 .'- 2nd floor:existing yAtd) proposed Total new Zoning District Flood Plain - r Groundwater Overlay Project Valuation 6 u 0 Construction Type Lot Size Qc vr-g Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. I Dwelling Type: Single Family i i Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 3 y rs , Historic House: ❑Yes ANo On Old King's Highway: ❑Yes Q�No Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Zoo Basement Unfinished Area(sq.ft) Number of Baths: Full:existing - 2 new 1 Half:existing 0 new 0 Number of Bedrooms: existing 3 new l Total Room Count(not including baths):existing new 2-- First Floor Room Count s Heat Type and Fuel: AGas ❑Oil ❑Electric ❑Other i Central Air: ❑Yes 5kNo Fireplaces: Existing l New 0 Existing wood/coal sto e: ❑l' [ -No Detached garage:❑existing ❑new size Pool:❑existing El new size Barn:❑existin ❑nev�7=size Attached garage:❑existing anew sizea$Shed: ..existing ❑new size 1 D X l to Other: k Z Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ co Commercial ❑Yes J&No If yes, site plan review# o w Cn m Current Use Proposed Use BUILDER INFORMATION 2 Ced 2.�S0-3a�Y Name.iWA6.�ftn 3 �G.v �� Telephone Number Jt'G+��3 2- Address I qL q�- D V QC 0.6 License# `1� , I,LS i, 2 �� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 2aAo_ g 05J r ` n IGNA RE DATE Cg 1'2& r'� s , `S FOR OFFICIAL USE ONLY APPLICATION# ;PATE ISSUED s - MAP/PARCEL NO. \ ADDRESS VILLAGE OWNER DATE OF INSPECTION: ell e-c4uss,^s, FOUNDATION 43 ,� FRAME INSULATIO FIREPLACE i y ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL { FINAL BUILDING 07�a ' DATE CLOSED OUT. ASSOCIATION PLAN NO. . 09-19-21DI S a 11-3 m 47-a THE Town of Barnstable Op Tp� Regulatory Services BARNSTABLE, ; Thomas F.Geiler,Director y MASS �A 1639• ,0 Building Division �Fn Mpv a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT ](We), the undersigned, being the owner(s) of property situated at 1845 OLD STAGE in WEST BARNSTABLE, MA, holding title under a deed recorded with the Barnstable County Registry A Deeds or Barnstable County District Registry of the Land Court in Book 18664, Page 158, or as Document No. , being shown on Assessors' Map 152 as Parcel 035002, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for ELAINE THIBEAULT, MOTHER/MOTHER-IN-LAW OF THE OWNERS KENNETH & NANCY THIBEAULT associated with the residential use on the same premises. This unit shall be used for a"Family Apartment"(as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 200,?'. TOWN OF BARNSTABLE OWNER(S) r n By: � �tl-1 �(�v� wilding Commissioner ,p THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date OCt3 t Then personally appeared the above-named (owner), /� 7Tgl. fjgc�GT 4- and made oath as to the truth of the foregoing instrument,bef m�>1, G/ 7'-#1A_= a4-7 otary Public My Commission Expires: PATRICIA A. LAWRENCE NOTARY PUBLIC cammomwo of Mtn MY ConanlrNm Expkn Q:word/accessoryagreement 00to1w 13,2011 NOI>SI/i1Q 6Q iI �� 6I d]SBG'�� .�rAE r, Town- of Barnstable Regulatory 5erAces '"a'' .£ Thomas F. Geiler,Director Apr o; ;J& Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: l B E n Gc L 7- Map/Parcel: Z b O Z Project Address OiJ STar Auk Builder: GvB The following items were noted on reviewing: C"o � �►�}a �� duu.S� �E /t/s T�LLL�,d �7" �Y��2� . AGE W/Ndc?W.Y o ///U 0?`/ b�' ��a E f �o dl K 7*rn ;:F 8 V� �ic�.- t�c6!¢'Z' V�f 1r►�-"t'lfl�1Cr ��Q tl.t 62E-Wt.��?Z's -�o Lc�cry� ��C Kt./ld Q Reviewed by: Date: 91/6/o 00 Q:Fonns:Plnrvw T Town.of Barnstable Regulatory Services rye Thomas F.Geiler,Director Building Division j Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �iFf/./�C�u r Map/Parcel: - r Project Address Builder: s The following items were noted on reviewing: 3,r' O c. �p��t 0 K - � /ge Y1 c_ '4 vo!c iz / c,*N AVc -b e� ��A1e Gl111'GGS vK uSY �E S4 ZU-xi Opt/ /.*,.l QE ,1qL6 6 -4- G vf J'.-c E m s� o po P.. 0 �ET�4-rNG.v GcJ . 9 (,�r a elk 4v off-/ low r,^ Reviewed by: li�'JIZuY-' ` Date: Q:Forms:Plnrvw I 10/31/2007 10:14 5084205553 YANKEE SURVEY PAGE 01/01 ss� Elise Otis & Lillian Atwood s 9 LOT 1 LOT Z • 2 � n � gip•.' ;;•o. LOT 3 110 - 70. 79 •� N50 DD'15"E ma00 /JUD S .530 00'15"W y (� Y' ,GANG a RES. ZONE' Vfo' This MORTGAGE INSPECTION Flan is For F1.00.0 ZONE.• "C" Bak Use On TOWN: REGISTRY OWNER: , v1.�NCJ...__,10HJ SOS _._ .DEED REF: _. ..._ _-13UYER: _EZZ NAA1 CE — DATE: _malty PLAN REF: 364_119 SCALE:I _ 60 FT.I HEREBY CERTIFY TO I=J• :S_AfQ..67'GQ G YANl\"EE SURVEY __ T1iAT THE BUILDING SHOWN ON THIS PLAN IS LOCATEDON THE GROUND AS P"PL C0NSULTANTI SHOWN AND THAT ITS POSITION DOES ____ CONFORM 408 (SUITE 1) ITO THE ZONING LAW SETBACK REQUIREMENTS OF THE ft� INDUSTRY ROAD TOWN OF _ RARN-, &BLe--------------AND THAT AREA AS HMOWN ON TH12SNll,D.E �15CIAL FLOOD HAZARDCTF.O WS9.,�_35.. ��'�D SUfN�� MARS�FIL MILLS,NS 26 0055U2©40 v A 4 0- 55 THIS LAN NOT MADE FROM AN INS 1' UMONT 2�51e12 rg A murruLx —`-- SURVEY LOT TO E FOR FEN E THE Town of Barnstable �pP Tp�� Regulatory Services BARNSIABLE, Thomas F.Geiler,Director 9 MASS. g �A i639• ♦0 Building Division �Eo �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8.62-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: (byJ D(CL S`tC.�� V_O Wt'St—�C�srlStGbl�� number street II' village -7?S-S 7I S name home phone# work phone# CURRENT MAILING ADDRESS: Sr,t -- 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 su e�rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Le Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supenisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt "tZ ,p�pFTHEIOh, Town of Barnstable Regulatory Services BaaxsrABLE, v mass. Thomas F.Geiler,Director 16.19. 06. Building Division i Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section r If Using-A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date s . Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORMS:OWNERPERMISSION ~ ,per The Commonwealth of Massachusetts �\ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers _Applicant Information Please Print Legibly Name(Business/Organization/Individual): -Address:--- . City/State/Zip: l�r�ns �. c5i�6T Phone.#: Are you an employer?Check the appropriate bog: :Type of.pi•oject(required):. 4. I am a general contractor and I 1.❑ I am a employer with 6. E5_i4ew construction . employees(full aud/oryart-time).* • have hired the sub-contractors listed on the'attached sheet. 7. ❑Remodeling 2:❑ I am a'sole proprietor or partner- These sub-contractors have 8. Demolition ship and have no employees employee$and have workers' ovorking for me in any capacity. 9. [aBuilding addition [No workers' comp.insurance comp. insurance ' 5 10.❑Electrical repairs or additions . [] We are a corporation and its required.] officers have exercised their 11.❑Plumbing repairs or additions '3.[�I am a homeowner doing till�work . '. myself,[No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees. �o• 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 Homeownen.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . tcontractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. if the 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.Lie.#: Expiration Date: lob 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the.Office of Investigations of the DIA for insurance covera a verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. Stature 1�.�;�..cal Date Phone# 30 Official use only. Do not write in this area, to be completed by.crty or town offciaL City or Town: ' .Permit/License# Issuing Authority(circle one): '1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ENERGY'CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL'CONSTRUCTION (780 CMR 61.00) Applicant Name: '� g "�'"(n S �-- Site Address: I LJ' cL 5_4% pri r Town: Applicant Phone' 5 0k -U Z - Applicant Signature: ` 4ct Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling orMland Slab 1: nt -Option Fenestration exposedPerimeter AFUE FTSPF SI�L;R U-factor floors, e R-Value R-Valueand Depth National Appliance Energy 35 R-3$ R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or reatcr as applicable Note: This form is not required if you choose either of the two versions of RE-Scheck.as.listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR-6107.3.2 REScheck--Web which can be, accessed at http•//www.energycodes,gov/reschecld A:D0fT-ib iS<O�•�ALTERA:�IjON8::TO!:EXISTIlVG.BTJ7LDTNOS:'O �R 5:Y�.A.RS OLD* *Buildings under 5 years old must use option #1 or#2 in New Construction section above: . Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_ a) . --SF 100 x 10� =12U _ ?2 % of glazing a (b) Glazing area equals. 0 SF b If lazing is :40% yise.tlie chart below. if -Jaziri is>:4.0'�:%o proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS 7 .7.39 IMUM MINIMUM Ceiling and SlabjDh tration gxposed floors Wall Floor Basement Wall R ctor R-Value R-Value R-value R-Value anDepth: R-37 a R-13 ! R-19. R-10 R-1 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the'full R-value over the entire ceiling area(Le, not compressed over exterior walls, and includingan access o enin s).- ' SUNROOM—An addition or alteration to an existing building/dwelling unit where-th ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area addition. Note:. Owner to fill out Consc�merin ormation Form found in Ap endix 120.P) � � fiC Gi/�oe /o Woodho /�/�h 0/hid,�ruos� ��0 . ' ��nd��/no � . � / Massachusetts �� ieck�ct f»l ��0��Kl�� O ��K��01�%1l� , � ��-�' � ��-��^ �� Chock � - ' ConPmunov 11 SCOPE - ' ^ 11O mph Vy�dSpoed.C�oec gus�-------------------' -'-------------' -�-- 8 Wind ExposumCabegp�-'------------.�-------' --------------------' Wind Exposure Category -----EnginoarnQRnquirodForEnUre Project ....................................... 1.3 APPLICABILITY ^ v8�- Number of Stories' roof | exceeds 8in 12 slope shall be ubohas � Roof P�oh —''-,_-.'--.`-_----------.. u; 12 Mean Roof Ha�h ---,'—_.-_-------�--'' 2 Building Width,VV�-------�--�------___.,.. ---.�~----'-----.--�.�.0 �ou _�wel 07 BuildingL ---.---._'_.------'_'(nQu)---------------'' It Building Aod�o Ratio U�VV ................................................(�g4)----'�'.----''---'— Nominpl Height� of Tallest �-'_------......(Fig 4)................................................. 10 Its 6'O' 1.3 FRAMING CONNECTIONS General compliance W�lth framing onnneuUono.�..................(Table 2)........................... ..................................... -��- . �` ^ 2.1 FOU�NO/QlON'` '� � Foundation YVoUo requirements � u n � meeting .Concra ' �---------------.�-------�----.�-----'- ~ -------- ��__ � -Concrete Masonry .......... .................. -^^','^'�r�,`^'^,`...'r'.'.'..................................................... � '�"� �� ~=^ "~C~1'° ^ �� "w �� 2 � ' 5/8"Anchor Bolts:imb6dded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete ,^ 8ob3 end -----''---.(TaN 4)................. ........................ ~' BoKSpaoi6d p��---------' u)------:-----.._J7-_/nr�&2'' � in. T 8o�Embodman -xoncra�--------..:----' 5)---------..--.. 8o8Embadmen -meuong/-�_---.,-------�y`�:1----�--_------. m.� '5 � Plate Washer.................................................................(Fig 5)..............................................�_-3^x3^x�� ^ 3.1 FLOORS � Floor framing membar spans checked CMR Chapter 55) MaximumFull Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)............................... ....... Mt3ximurn Floor Joist Setbacks - - oists Floor Chapter � ' � 55) rFloor Sh m�r�n�amwSrwo�no/y----_-----------..(Table^) `_SL" '"a=~^-�sL^~~�~'�^� n field co � �� 4.1 WALLS , �r�� n | � � ! � VVaU( ` '~~' � '° and � & ~' LnadbeahngwaUo�.��-..;�--------.'---�--' �V � v�d�' ----�-:,-------- and Tab�5)------'-�Z��ft �2T Wall �`- ..�.—`---.-----'--- OandTab�5)-----... �~ �.�2�^u� � Wall �or ` - -------------,-----(Figs 7&8)..............................................aft gd 4.2 EXTERI]� ALLS' V� Wood Studs LoodbeohngwoUs---------------'---(Table 5)..........................._'~ «J - ~1 ft L in. Non-Loadbeohnwalls -_------------.(Tabh*5)----------2��L-�2_�_�_in. ~~� Gable Wal l Bracing � | Sbx� --------.----. 1 ------.�--------.---'.'-- / VV8F � ~ F�orLeng�--._-..�------'-- 11�---.----.--_--- �kVN3Gypsum _-� ;:.fig ' �� \` CoCeiling Length�WGph�u�d 11) �D�VV � or 1 x 3 celling,fufring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft..spacing in end joist.or truss bays_PO' Double Top'""= � Splice Length ..........................................................(Fig 13 and Table G)....................... ............ ft Splice Connection (nuif16d common nails)..............(Table G)................r--'--. ...................-�� ^ | � � A 6f'C Crii(/e try lYonr! Cor1strcictioir bi High 11hid Areas: 110,itph PKild Zone Massachusetts Cheddist foi- Compliance (780 CN1R 5301.2.1.1)� Loadbearing Wall Connections Lateral(no.of 16d common nails).... Non-Loadbearing Wall Connections """" .(Tables 7)............................... N ..................... Lateral(no.of 16d common nails)................ ..... Load Bearirig Wall Openings(record largest opening but check all openings for corripliance o�Table 9) .................... .............................. Jjeader Spans ........................................................(Table 9 Sill Plate Spans ................................ ) ......•••.......•••..... t ft in.s 111 ..........(Table 9)Full Height Studs (no. of'stbds) .................................. ...................................T ft�' n.s 11� Non-Load Bearing Wall Openings (Table 9 . )................................ Header Spa (record largest opening but check all openings for compliance to Table 9 ns............................................................. P A Sill Plate S :......................................................(Table 9).................................. ft O in.s 12' Spans............. (Table 9) ...... ................:...................... Full Height Studs (no.of studs).............. """"""""".................�ft o in.s 12" Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously9) Minimum Building Dimension, W Nominal Height of Tallest Opening2 „• /r i� SheathingType...............................................(note.4........................................................U15 6,8„ Edge N )....:......... Nail Spacing .......................................� Field Nail Spacing """""""""•••..•(Table 10 or note 4 if less)............... • P g................. ..(Table 10) ......... Shear Connection (no. of 16d 6d common nails)(Table 10)........... in. Percent Full-Height Sheathing ...... 5%Additional Shea hing for Wall with Opening>6'8"(Design Concepts)........... —� Maximum Building Dimension, L Nominal Height of Tallest O enin ....80 ec�0�{�hBNi' g P gZ ... ...8 Sheathing ... ...................lpr_"s 6'8^ A- Edge Type............................:.................(note 4).. Edge Nail Spacing """ ••••••••••••.......(Table 11 or note 4 if less) Field Nail Spacing... ..................•••..._�in. Shear Con """" (Table 11 ... ........ Connection (no.of 16d common nails) 11) �m' Percent Full-Height Sheathing •••••.•••••.••••.• - 5%Additional Sheathing for Wall with Opening>6V(Design Concepts)........... -� Wall Cladding Rated for Wind Speed?.............. ' Ak ........................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use A Roof Overhang WC Span Tool,see BBRS Website) ...........(Figure 19 Truss or Rafter Connections at Loadbearing Walls ft s smaller of 2'or U3 Proprietary Connectors Uplift................................................(Table 12 Lateral. )......:.....................................U=- tPlf _tG Shear...............................................(Table 12).............................................L=�plf Rita e'Str (Table 12).......:................................... S= —� 9 ap Connections, i ollar ti of used per page 21... ( _-�plf 1L Gable Rake Outlooker... p g Table 13).......................... T_ plf Truss or Rafter Connections at Non-Loadbearing Walls F� ure 20 "" "'( g ) ............•..ft5smallerof2'orU2 Proprietary Connectors -� Uplift................ (Table 14 Lateral(no. of 16.d common nails) ( """""" U= Table 14 lb. Nf�Q Roof SheathingT ).......................................L= . 'Ib. hic •••• s........:.:.................... ••••fig Roof Sheathing Fastening .............................................ft in. >7/16"WSp Notes: ............................. (Table 2 r 1. This checklist shall 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.•.'• CBrner Stud Hold Downs per Figure 18a and Figure 18b 2. 'Exceptiow,Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing require tmi fts shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. 'A WC Guide to Wood ConstU•uction ill lligli 141ind Areus: 110 utplr 141ind Lolr.e Massachusetts Checklist for Compliance (780 CN1IZ s301.2JA). a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: {. 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 the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at'double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to shoe (generally,south of Rte. 28 or north of Rte.6) b)vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. --WHEN THIS EDGE RESTS ON FRAM MEW E W NAILS' AT6.oc. -e _. —--'err== --- 71 ' 11 r 11 II 1, 11 1 a II It 11 I.F- t o n n o 1-• 1 1 1 1 :E 14 i{ 1 i { FWAING MEMBERS 1 p :I I I ' { 1 EDGE ivf EDIATE 1 L 1 I 11 , � 1 1 ;E 1 1 I I J 11 I Q i l W U ►- , 1 {� F j{ 1i 3i 1 1 ♦ { rL 1 !_-_I_.. _ - _ -L 11 11----- 1 —f {{ i'I'1 -lli . - I�t• - �'• 3.M DOU9l E EDGE `------- t�' STAGGERED 7 RAIL•SPACkJG — I WUL PATTERN PANEL PANEL_ y; PANEL EDGE �+ DOUBLE'NAIL EDGE SPAWG DErAL See Detail on Next Page Detail Vertical and Horizontal Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment t _ t i I i nt : "t t�' , TAB i , t i : ?QQ UL. .2�8 8 Mue�roat`1 _ D?:Vl$i`ON 1 + �rov�....C.�C�S-�-t->3c•.;•�i�c�-c.+a -'T�n�rrrc � �_ .I 1 _ , : , 1 , : , : , i , . N : n� OLA.0 j Dldc $�.j5e �o. � t- S �- 1 ` Lon �Au� r ��S�+nSr C,2-G Qru e C� Ctckck)4-1 w. NJ -71 L2 Town of Barnstable _ OF THE Tp�•" ' ' BARNSTABL E. ,--- _ Regulatory Services '• -p(r�^'y 1. �. , S MASS f!fig• rtF.:•F t 'e� i :y,•.� pTEO3+ago _. Building Division 20,O&Maiin Street, Hyannis, MA:02601- Office: 508-8624038 Fax: 508-790-6230 , Inspection Correction Notice j 4v 4 • \ Type oftlrispection /� L �l/US' (. Location IR ot-8 S� .E Permit N- � (diber csz Owner Builder I One notice to remain on job site, one notice on file in Building Department. ThS,Wowing items need correcting: 1 104"-tiF'h 1f-r/oNs Nor 4o4%n4arc-W7f�y— f t AUC At&-.sT 46 &J-z Os&A �� v/8 � �l 1'L�Gy7�-� �T�r�-`�OGI�- • ��L�SSU6?� ��'1-"tom x (0-3 tkuSr RE Dane B�f�1e� FIN` c> lease call: 508-862-4038 for re-inspecti n. Inspected-by _ s,T..'r (, -.-t i. „r +� �j� ., yf�.::�,s.+:.ar,sit. 7�k �.nay. -. �sr.tv..s.�p*y..J•.p•s ipyr.'+�;,,.i.«.1.�, � �ji •i%�itv'� •'.S"�"Y�r'"'r'°`� ~ ua.(FhiYf v.. IME Town of Barnstable BARNSTABLE. - aw Regulatory Services MASS. w......-.` Building Division - . - 20olMain Streei,Hyannis,MA 02601 ! Office: 508-862-4038 - Fax: 508-790-6230 Inspection Correction Notice f Type of Inspection �/E-'i'YI ; Location / !s ��b �TqG ►.. wb Permit Numbe 200.903':1 96 Owner 2h t Q�1 i, Builder s ' One notice to remain on job site,one notice on file in Building Department. The following items need correcting: I ' i /0r6om6h Awd `�-o le -aant-d wl re rat�1 -Foam L ,I s ol/ K trF' -?Ire 810delno AIPPdC�C3I_rl G�+ ��Pa .Gable 619 Top Leif j re cPs . 446h o-E`s+qi r Ar i n qer, gay o-4 Z'"S 3 Mois-*u re Li rrler Unier {J[Tt1OYK oT k1 z'fri nae(,s m g arr±l e or P T . GO IUM41!2 it) ara a MU-4 .be a casej a e_ha!;W Ae ncl ca a ecl wi' i % fire Cnd(P_ 9kee rock-T Qhim,in Atamr, 4M Se M ' (S 144--4 14 n�l a r4 FM4 'Imes my*-� be 4m sep-ey-x4d, A 7 eu4( Cone iVltl, 4 6 IA-SI A u der �r2 UoorCfeTCoo4e) �II beck 1"os�s r\,,j +0 Le a,4a ckeJ 4o eoncre-le*ln -oho 4,6es. 0K To lki-<u LAr�z l r Soo Yn lMlts-r (f t.4;&,F- C�-C-r)b A)C G 4-r BE Ot)m PGE r&-6 Tb c3w-e---6-r b G1 Please call: 50&862-48:-3&'for re-inspection. Inspected by } Date Y . PROJECT., NAME: ��, _ f ADDRESS: PERMIT# a-'e-V S 0 PERMIT DATE: 9'/( —,5r7 M/P: AoZ LARGE ROLLED PLANS ARE IN: BOX SLOT 74 `f Data entered in MAPS program on: IY16T BY: q%wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map F Parcel Z Permit# 193 Health Division O 5 h�� Az bQ- Date Issued G Conservation Division r4. t / p , Application Fee Tax Collector ��/ /��/�� ` ''Q-'r sV Permit Fee o Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 1 06(4(�- Dtk S�4q 2O Village U ' Owner Address S A trot I Telephone 2- Permit Request C0V\S ('UJ1e,4A_ 5keA— (AL A t V ar SvAi tt� �- . o r_• Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total-new Zoning District Flood Plain Groundwater Overlay _T Project Valuation f2,R Gb- Construction Type Lot Size Grandfathered: O Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes ANo On Old King's Highway: D Yes N(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 Cl Oil ❑ Electric O Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool: O existing ❑new size Barn:O existing ❑new size Attached garage:O existing 0 new size Shed:0 existing O new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial O Yes 1 (No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION ,, Name- ' ,nc A Telephone Number 3 -2- - 36 I�( Address ,=_ 1p-o License# • �arAaL& .� �2f Q? Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECTWILL BE TAKEN TO SIGNATURE �Al BATE I°� , Zoo 6F FOR OFFICIAL USE ONLY PERMIT NO. a . DATE ISSUED MAP/PARCEL NO. ' ADDRESS, VILLAGE `j OWNER DATE OF INSPECTION: FOUNDATION is FRAME. INSULATION FIREPLACE ELECTRICAL: . . ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGti FINAL m � FINAL BUILDING )` Z 12R m DATE CLOSED OUT O d ASSOCIATION PLAN NOS _ � � QN lrn 0 S C+ , o • • Standard Features & Materials -- r Built to Last Roof ak front extended peak or gibr.m -e • 1/2"pl)avood Delivery ® •2"x 4"construction,24"on center will acknowledge th Sheds USA e receipt r order h ou t in both quality and service. _ S ece t of your ode b Sheds USA stands q Y Self-sealing shingles mailable in black g P Y Y - - Our sheds are built with your specifications in mind— white/gray Peak phone,email or by mail. Please provide a daytime phone il, i� •1 ti `, _ >> �_\ •6'wide sheds availablein peak roof only number and/or email address at time of purchase. all made with the finest quality material and backed Roof Heights Peak tat Peak Gambrel Delivery schedule will be established by Sheds USA.You t . by our Lifetime warranty. Unlike most shed companies, 6'wide 8'0' n1a n1a will be contacted by phone 1 to 2 weeks in advance. [S',wideJ 8'3°,8'.6'_9'.0'= Delive time will fluctuate based on seasonal volume, Sheds USA will deliver and assemble your shed for you„ 10,wide 8'11" 9'2" 9'5" ry _ :• 'I �� 9'•6'�,9'.9''9'J0'= Front weather conditions and other uncontrollable events. at no extra charge. From gardening tools to art [12;uide Extended Peak Please note our crews deliver/install multiple sheds per Walls supplies to sporting equipment, we have day;therefore the status of one order may affect many sheathing a shed for your storage needs. •Smart Panel:pre-primed sheathing(vertical) •2"x 4"construction,24" center others.We ask our customers to be understanding if an • Pine:6" g&tongue move(horizontal) unforeseen event affects their delivery/installation date. g •Cedar:6"orb"tongue&groove(horizontal) Gambrel • Site requirements must be fulfilled prior to scheduling � '� , �•.A � I How to Order Your Shed •Wall height-71"(FronlEd.Peak«allbeigbl=75) (please refer to the "Site Requirements" section,located - •Vinyl applied over 1/2"plywood on the flip side,to ensure understanding). Floor i-borsizesarueowminzme.ljprepming,portrotiw fmrndalionlfmNngs(smto-hrbee), - Sheds USA offers a flexible program for customizing • Cancellation of any product already in production plaice call Sleds QS4 ar 1-866-616.2687 or coif orrr«pb site at aanrslrerGTrsarorn/milLsforer or manufactured will incur a 20% cancellation fee. ` d shed to both your individual budget and needs— if�r��cloiio&,fl2�rdt,-isiots-dsyi,-redla�nuldirgmm. and it's easy. Use "Standard Features &Materials" I Please contact us immediate) If our order needs ► . �_ y •6'&8'wlde sheds:2"x 4"(16"on center)floor Y Y :�e'x 12 ping st>etcrpv.peak root. t (2"zG'(/G'or12"opt rznrer)prmurehmledjloorjoid to be cancelled. to help identify which best fits your needs. ophons available as(in upgrade) I •10'&12'wide.r o 2"x 6"(16" center)Floor joist Visit www.ShedsUSA:com/millstores for more Q u a''ty ,cus$Olr�l s u a�� A Choose a shed siding and size. (2" G'(/G' 12"mr or l2 ce,aer)presurereho•Vedjloor join oplimu available asanupgrade) detailed information. B Pick the roof style and shingle color. •5/8"(Ne Plywood rerea decking(exterior grade) Heavy Duty nst or R O lrage S h ea d s (Press«relre<rled578"pl�zcrood available rumcupgrade) Zx6 Floor Consfruetion w C Customize the placement of your doors&windows. •Concrete block supports (optional PT available) •Pressure treated 4A center beam on all 12'wide sheds D If you have specific requirements,see"Options&Upgrades"for details. rWindows ;; Sheds USA takes pride in its D D , i CM� IS •All windows come with flower boxes and shutters _ E Read our"Site Requirements"and"Delivery"information carefully ` •6x6,6x8,8x8,8x10 and 10x10 units include one 1' experienced staff of builders. l window-all others include two Window(optional screen) •See a store associate to fill out the Sheds USA Order FormWooden sheds come standard with functional windows. Most sheds are built within 3 hours of arrival— - - - •Vinyl sheds come standard with non-functional windows - backed b our outstanding Lifetime warranty. _ or simply c<dl us toll free at 866.616.2687 (Functional roindoresaenilrrbleasmr upgrade) - II Y g tY Doors - •40"double door standard;6x6 sheds come standard with 26"single door (54",66"618"doors size available as an upgrade) Standard 40"Double Door _ For more detailed information visit our Web site �• a / , -�� _. WWW.ShedsUSA.com/milistores 4 or call us toll free at 866.616.2687 - f door � si 'e 1 sheds Ulm — '�' • .a I d @11:J l'J�JW @G9 Crll a MS Shed Brochure 1 2004 �'•';� 1 READY TO FINISHSUPERSTORES �,;w. •to most areas Customize your shed . 0 o Options & Upgrades Site Requirements Note:Options and upgrades are an additional cost to the standard pricing. • Clearance around the shed site must be at least Floor Upgrades 3' from any fences, trees, etc. Please remove tree s Pressure treated 5/8"plywood Floor $1.20/sq ft branches, brush or other obstacles 3' around perimeter • 100%maintenance free • Pleasant aroma natural) repels •Most popular material •30 year manufacturer 6'&8'wide sheds:2"x 6"(16"on center)1'T Floor joist upgrade $.92/sq ft L •Variety of colors available insects and resists rotten y •Withstands all ty 1 upgrade q of shed and 12' above round. h g types of weather •Durable and economical 6'&8'wide sheds:2"x 6"(12"on center)PT Floor oast u rule $1.27/s ft g •Practical •Ages beautifully •Classic tongue-and-groove •Pre-primed surface makes an (12"on center floor joist upgrade increuses floor strenglb by 200%) •Long-tenn durability • )excellent base for stain and paint construction excellent base for paint(All hini botmG 10'&12'wide sheds:2"x 6"(12"on center)Floor joist upgrade $.35/sq ft • Land grade must be less than a 6" slope from the •Preferred choice •very stable-resists warping •Affordabl priced mweunfpu&4nquimigparnforskrtir). (12"oncerr[er oor ozstu crdeb:creases rstren lb more highest to lowest point,with no protruding rocks or Vinyl y p Upgraded and improved fl j Par / g by ) g P P g b colors and buckling •Urom fttllre r�) Pressure treated Door joist options for all Sheds see charl below stumps in the area. whae �i r iy� r- ' COMMON] M' Access to the site must be clear; sheds are delivered in 10x14 $ 70.00 b 6 x 6 $ 25.00� _ _ prefab panels-stairs, narrow walkways,fences, gates, ,� yellow Y 8x12 size shed shown, •' -,j� - - _ -= e 6 x 8 $ 30.00 10x16 $ 75.00 shrubs, carports, awnings, arbors, etc. may present front extende pea roo wit ramp i0x16 fired size-shown gamhrel'roa 8x12 shed size shown,peak roof 8x8 ed size shown, eak roo 0 8 x 8 $ 30.00 10x18 $100.00 difficulties and should be brought to Sheds USA's asta t! - - eF 8 00 $ 30.00 1202 $ 76.00 attention prior to delivery. 8 x12 $ 40.00 12x14 $ 88.00 • tan I pp I 1 I •- "-, , f " a Land quality is important.When choosing your site mil , l t i p1 i 8 x14 $ 40.00 12x16 $100.00 t iJyy }' . ii �r. consider all factors, including: proper drainage, firmness �� ` 8 x16 $ 50.00 12x18 $125.00 a �; Rr_'" M� j , ' �I �' 10x10 $ 55.00 12x20 $150.00 of earth,etc. r' 10x12 $ 60.00 Permits are the responsibility of the homeowner. 6x6 $ 1,599.00 $ 1,419.00 $ 1,189.00 $ 1,119.00 I Please contact your local town office prior to Door Upgra_d_es Note:6x6 si�z sheds come standard with 2 "sin le door. purchasing/ordering your shed to determine 6X8 $ 1,689.00 $ 1,509.00 $ 1,249.00 $ 1,189.00 S Size Price - - - • • town/county restrictions, if any. 8x8 $ 1,799.00 $ 1,629.00 $ 1,359.00 $ 1,299.00 Exchange standard 26"single door for 40"double door(6r6sbed only) $ 50.00 QExchangestandard40"doubledoorfor54" $ 60.00 • Shed site must be 150' or less from where large tractor 8x10 $ 1,999.00 $ 1,859.00 $ 1,619.00 $ 1,539.00 g e F.xchangestandard 40"double door for66" $ 90.00 trailer can ark. Sheds sites located.further than 150' 802 $2,359.00 $ 2,239.00 $ 1,899.00 $ 1,779.00 p )exchange standard 40"double door far 78" $ 120.00 Cfrom truck parking area will incur a minimum $50.00 8x14 $2,699.00 $ 2,459.00 $ 2,199.00 $ 2,129.00 Other Options fee, payable to Sheds USA at time of scheduling. 8x16 $2,999.00 $ 2,819.00 $ 2,389.00 $ 2,379.00 a Item Price Please inform/contact our office if this applies to your 10x10 $2,429.00 $ 2,249.00 $ 1,999.00 $ 1,899.00 1. Pressure treated 4'ramp FREE site (toll free 866.616.2687). 10x12 $2,839.00 $2,629.00 $ 2,319.00 $ 2,249.00 (Ramp?tillfz/to(looropezzuzg-onejreerernipprorder,,addiliomrlramlu$50) � Additional 26"single door $ 85.00 /foray of/be above SITF,REQUIREAIF.'tV%Sore no!firlfil/ed,your shed ntay not 10x 14 $3,299.00 $2,899.00 $ 2,689.00 $ 2,599.00 be boil[crud a fee of$150.00 will be charged for oil?-crews to return crud e Additional 40"double door $ 130.00 construe[your sbed once conditions are mel.1f Ibis occurs,delivery of your 10x16 $3,559.00 $3,329.00 $ 2,899.00 $ 2,849.00 Additional door $ 150.00 I shed rna[ericrls anust be accepted and placed on your properly in a loccr[iorz 10x18 $3,999.00 $3,749.00 $ 3,249.00 $ 3,149.00 a Additional 66"double door $ 175.00 accessible to Ibe final shed site to avoid a$.300 re-delrvoyfee71 is the cuslomers - Additional 78"double door $ 195.00 responsibilrly to cover ibe malm-rcr/s rvilh a non-transparent,walerproof malerial 1202 $3,299.00 $3,089.00 $ 2,719.00 $ 2,599.00 WOOD SHED ONLY-Additional window(includesfotver bar andsbudors)$ 69.00 lopeevent any unneceeraryweafficringcmd/orc&00%raJion.Allfeesare 1204 $3,659.00 $3,569.00 $ 3,049.00 $ 2,959.00 VIM'LSIIEDONLY-Functionalwindowupgrade* (each) $ 49.00 assessed bySbeds USA cr[lime ofnotifrarlion. (standard vinyl stied reindow does not open-f nrclional windoto opens) 'Please note:Some lotWcounly building codes may require customers to purdutse 12 x 16 $3,999.00 $3,859.00 $ 3,269.00 $ 3,169.00 i Hole:Punclional window upgrade must be purdrased on all tvbulows purchased wilb sbcKl can Andior kit and/or 2"1:6"(12"or 16"o%)Floor fors•?option/upgrade in order to 1208. $4,429.00 $4,199.00 $ 3,729.00 $ 3,599.00 ; S%anJdard I O toindows:I toindOw-6r6,6r$8,8,$r10,?OWO;2 mindoms-all olber sizes. meet totmz/cotn O,specific requiremelikVoo ks.Allhougb Sheds USA builds one of 12x20 $4,829.00 $4,559.00 $4,079.00 $4,029.00 Window screen(each) $ 15.00 ?be bighest quality shed producls available,some[owns bane very stringent Aluminum gable vents(pair) $ 30.00 building codes and Sheds USA cannot guarantee lbal all ojour sheds will meet 1l/ork bench(2"x4"construction with plywood top-approx.7.5') $ 6o.0o these codes.An),additional cast necessary to meet tole rcrluirenzezis will be lbe Shelf(12"?vide x T long) $ 45.00 customers rrsponsrbilrht Standard Program your choice of... DELIVERED and BUILT ON 4'storageloft for 8'wide sheds $ 65.00 `Cedar sheds may bebuillwitbCedarorCypressdependingoilavailcrbibly. r 4'storage loft for 10'wide sheds $ 80.00 Cipress and Cedar gave very similar appearance&cbaraclerWics,all blsHeted SITE FREE OF CHARGE' 4'storage loft for 12'wide sheds ilenzs under lbe Cedar bender apply to boll)wood types.Sbeds USA reserves the • Door&Window Layouts • Shingle Color • Options & Upgrades , g $ 95.00 rigbtlo substitute malerialstvi[blbe understanding lbadcnl),subsir[adionslvill (Positioning) (Black,white/gray,brown) (Window Screens,Ramps, Able:Sloragelof nol availablefor 0 tvideslkrls.tof slorage space will vary tvilb roofsode be ojcomparable quality and appearance to lbal being specified. Door Enlargements,and more) 14 not reconzrnendtrl oil Prom Erlended Ptrik roofsoles/xrls dire to 4.wce limitations. • Roof Style • Several Siding Options LIFETIME WARRANTY Anchor kit"(Arrdrorsatrdltrrriarrredips) $ 120.00 Visit www.ShedsUSA.com/milistoresformoredetailed information. (Gambrel,Peak, (See above chart for samples) Note:options and upgrades are an *to most areas Front Extended Peak) additional cost to the standard pricing. f The Commonwealth of 1Vlassachusetts •, Department of Industrial Accidents' - - 60o'Washington Street Boston,Mass. 02111'. W�kers9 Com ensation Insurance Affidavit-General Businesses •- �i _ Mam _ /. �y y ty. '.Tf erM•p�r"'Yr,,,. .. ^r,. . . 'yr^,, �'a: . � .+�Y3dY3 .. ' arne x t as � `�'1� ®�`^' �� .. .. • ate:' M av'©21Io4j- vhone# .5orQ-34 1 -3a 19 . work site locaticZ frill address : L' ❑ I am.a sole proprietor and have no one Business Type: Retail❑Restaurant%Bai/Bating'Establishment working in any capacity. Office[] Sales(mcluding•Real Estate, Autos etc.)' I am an em toyer with em to ees(full& art time. Other ' O w e, �%/ %/%%/%%%///�% j/%//%%//////.�..i � I am an �loyer providing.wrkers' compensation for my employees worltzng on this job. l:- •.to ri'3:1i :•.r:•Y: �,i,ic'l�: :i�. 'r.,, ..�:' w'' :•5 i'r .1'i�' ',h':.�;^t :'` :F:. '•' .r a. •.}•.':.rt 1 l _. ,�ja ••i' .3' �''-• ;�•l:�i :l: �j!. •'a`::.ta. :i colt•aII-'•zlame: .a.:�. .i.• ,:d.- ,,,.,:•{+ ry t: , ^'•a..r • .. .'i` .l t:`. i' .•y'•�•.'':•t':?'r•.', Vr:;:.�. 'it _ •� : •tea _ .i a � a. i•• 't,. fM ;'1.:�- '''i i. •- VZON :'1 ,. r '. . !.♦ V L..to `L ' j>'�' i • 't '• - ..i r:i• ":u'fJ�'; •'4' ''':•'�''• ..'::3:ri �:�ia.:. r., ..t::e. :) x•'C .. ij'-�•,:.r t. address' '•r• " '� '.i:..,•, i..�...\'r.•� �S•..� ••�♦ •.�l_ :1.; :t'. ;t.'M',�:'' ':�. 'kV,,Sc'. }ra4i•' .:::'.'''•'t�:•::.ti. ..�'. ,a.• 'y'' ':,a •1. '•} 'r, ,. . �: .,•1•: '• ',� '.t: 'tom '1•'' •',•. .S 1� �3'.'•r�•''': ,• fnsurance.c'dS•r...: I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: ',�''• 't':.<: ':irk .%• - ,i?,t-' 'r'•t ?':•'..'t�,.• -r' ,'f. :1:'t ••�;,�.:j:: :.s. ;�y''a.:w..�l.rti r ':n,.:'t':H:::: 'r c0II]�9II IISI1S�: " a y•:.,', �. b •.�i.'.Y„ '+ t %>:J •;nY;'• i:y`r'%. •.<' :y7;- ,1•.xci:.'.r• S�t:J 1�f` .3,.,a� '1•. ... . i' •i'•:' .rt';. ' 'i• ? "'_ ,-4:'�'�'r':.• ' .t - 'r tip:':.?S�•. siddre"ss:. a 'T•M' y•,a. - ,'A �33•...5•;Y`,"•`'?t'I'..•.i:•;-i q"i .:`. �L g.to i. :�, '•l: ..�•a�vt" '•rrl: ;'.• •_t,`• '�; .. , . 4'�•. r.. •li '1 110ne•3F.`. !',r:. _ .V:•P•...• cl ':t:• 1.1', 'r f.,�".:a:l.: 'r .i"j' {:�1.^.^t 17.�`. `t''};.: a''. 4 •1: •.i? ,.•t 3••�i •r.r nth:;'� ''r Y•`t'.•' '}r .•+ l• .•T.�:i�yi�.^ y:„/,•? ,.,'t ; Y`,.!^ ..wa7:., ,'•� �'3:,•;}: -e' Folic :#<• ,e,�it:2'ti::},i'.Y`:'•:•. r:4S:•" :i:. `S:t..t; •'t' :•: insurance co. =� // .i^ r:i y.,ti •'{.. :} J';Y ei• ':y,. '1.^, '..M 4 •:t� t. •''2••i r.":;:('a�i '�t•t. 1• 4 ''i�3 t,i,`1. L• •t t'•:. '�:.•a'(; yrl•• ,y• ::f.:�:•:..' :1�:�•',3•.' com eri. name: Yrt ,:•. :?• i; °, •' . .+ +•. y 3. h.• .r4.., - ''i'I.:y ,'1' i••'',�'i�i4i: iTLLt<.•` .. .i . • •ar � il,•: �i•(� :,�.. ai_,ti 'F• 'r•. .�t•;•�:a�i.'. .'S�`,: •• 1::;�j.•: �, °� ' ,:?- -.t �.1• '-l.•:,';'•,•fir .:1: .•i ,C'I: is �1.- :.•i; :ti•;r; i�'ui'..1.:- •'O�1CY:'#i� %'i: Failure to secure coverage s9 required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years+jmPr(sonment as well as civ11 penalties in the form of a STOP WORK ORDER and a fine orsimoo a day against me. I understand that 5 copy of this statement maybe forwarded to the Office of Investigations of the DLA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct /e )ate Simattue phone# 5120-- 3L 2- 3o 1 �{ / print name16 lie 1 .YJ Official we only do not write in this area to be completed by city or town official city or town: pgrmit/license# ❑Building Department . ❑Licensing Board P. -check if immediate response is required ❑Selectmen's Office ❑ ❑Health Departmeni contact person: phone#; ❑Other b ocvaed Sept 2003) Inforrriation and Instructions Io ers ovide workers' compensatidn for'their. Massachusetts G�e'al Laws chaapter 152 section 25.requires all emp , y to p.r mployees: As quoted from the `law", an employee is.defined as every person in the service'of another under any contract of hire; express or Mplied; oral or written. kn employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or mare of he foregoing engaged in a joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or artners , association or other legal entity, employing employees. 'However the owner of a trustee of an individual,P Swelling house having not1nore than three apartments and-who resides therein, or tbe.occupant:of the dwelling house of another who eznploys•persons to do.maintenauce, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment.be deemed to be:an employer. . MGL chapter 152 section 25 also'states that'every state'or local licensing agency shall withhold the issuance or renewal of a license or permit to operates business or to construct buildings in the.cOrnmonwealth for any applicant who has not produced acceptable its polce itical complianns wit enter into an the y contract for the performance of ublic work until commonwealth nor.any.of its political subdivisions shallY acceptable evidence of compliance with tie insurance requirements of this chapter have been presented to the contracting . authority. y NINO Applicants Please fill in .the workers',compensation affidavit completely,by checking the box that applies to your situation.;Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department•ri In Accidents-for confuination of insurance coverage. Also'be sure to sign and date the affidavit. The aff►da`nt should be returned to the city or town that the application for the permit or license is being requested, not the Dep artment of Industrial Accidents-. Should you have any questions regardin"'the'"law" or if you are required to obtain a_workers'•compensation policy,please call the Department at.the number'listedbelow. City or Towns . Please be sure that the affidavit is complete and-printed legibly. The Departrnent has provided a space at the bottorii 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 fain the PeTo�e number.which will be used as a reference number: The.affidavits+,may.be.returned to theDepartmntb}�.r or FAX unless other:arrangementshave been made' . , thank you in advance for you cooperation and should you have airy questions, The Office of Investigations would like to ' please do not hesitate to give us a-cal" The Departrnent's address,telephone and fax number: The Commonwealth Of Massachusetts- Department of Industrial Accidents Btf�ce of Ieves��atiens - 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 yip rHE � Town of Barnstable ' ' Regulatory Servides 1 13 Thomas F.Geller,Director pll`DMA'�k~ Building Division • Tom Perry,Building Commissioner" ' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. ' Dato AFMAVIT ' EYOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL e.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied boding containing at least one but not more than four dwelling units or to structures which are adj scent to • such residence or building b e done by registered contractors,with certain exceptions,along with other requirements,• Type of Work: coa4s_�e.6— 00CV- _ S V>9 �_ —Estimated Cost Address of Work: IS;H S' 61cL QAsgc_ 2r , 0•.� rnn-4-�� Owner's Name; `c�nPte� N4. t Date ofApplication—L-1- 1.- �2_60`f , I hereby certify that; Registration is not requixed for the following reason(s); ❑Work excluded bylaw ' []lob Under$1,000 ' []Building not owner-occupied gowner pulling own permit , Notice is hereby given that; OV MRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME I1MROYEMENT WORK D0 NOT SAYE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c,142A, - a SIGNED UNDERPENALTMS OF PERJURY Ihereby apply for&permit as the agent of the owner: Date Contractor Name Registrationldo. OR Owner's Name . i CIO LU It " 07 �' D! AQ � h W x 0 U 0 AA r \ Q � Q � •a J h lis Go V vi Q � Town of Barnstable FIKE rpm , Wow Regulatory Services Thomas F.Geiler,Director MASS.BAPJMABM .0� Building Division A�Eo �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.'us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I Zoo JOB LOCATION: O�I !_&4M L' Vz> L � number street��i village "HOMEOWNER": Vl oe_/ 11, �L�o 6-e&l;`+ �W 3`2—3c>(� r7?�=5-7 k g name home phone# work phone# CURRENT MAMJNG ADDRESS: I O s V 1 CL C� Iz0 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.bne 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 responstble for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section i09.1.1-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:forms1omeexempt E 9 I p I j BSon o4��LA- I rr I �i 3) Z r',ei ''sc i o ' TOWN OF BARNSTABLE CERTI.FIC,4TE'-Of OCCUPANCY PARCEL ID 152 035 002 GEOBASE ID 8789 ADDRESS 1845 OLD STAGE ROAD PHONE W BARNSTABLE ZIP LOT 2 BLOCK LOT SIZE, DBA DEVELOPMENT DISTRICT WB PERMIT 39072 DESCRIPTION SINGLE FAMILY DWELLING(BLD PMT #34675 & 879) ' PERMIT TYPE BC00 TITLE CERTIFICATE OF. 00CUPANCY : CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: DIME BOND $_00 CONSTRUCTION COSTS $_00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P .t 1>R 3TABL4 •' . 1YfA93: r' s6g9. A`0� . BUILD D V SIO BY DATE ISSUED 06/14/1999 EXPIRATION DATE THE. FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL(S) IM ^�C DATA ".A ilia APIPR VED b ,. TOWN OF BARNSTABLE PHONE - ❑LNG ZIP ❑ PLUMBING EL2mTEDfNG. LOT SIZE. LOPMENT DISTRICT WB. oilFINISH SING PAM HOME STARTED 1984 RESIDENTIAL ALT/CONY CONTRACTORS: l_,E BARON, STEVEN M. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $294.50 BONI) _ CONSTRUCTION COSTS $951000.00 � 434 RESID ADD/AaT/CONY I PRIVATE Pi +I • - +t► HARNSTABLE, MASS. BY DATE ISSUED A/10/1996 EXPIRATION- DATE, THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE,. SEPARATE 1.-FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MFOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. ECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i p�v V 2 2 2 �l�s✓ 3 Z-t� IA-5 5 z s ci — 41999 3 1 EATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2_5-. 2 $ ?� c� BooRn OF HEALTH OTHER: `--•- SITE PLAN REVIEW APPROVAL i r WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 1, .. y i I I I I I I BUILDING I 1'G PERMIT - APPROVED2/"0 TOWN OF BARNSTABL I - . ❑ GAS RVIRING El PLUMBING ❑ BUILDING I I _ / ova _ s o�VE The Town of Barnstable RAM9en M II �0�' Department of Health Safety and Environmental Services 'OTF16 9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / ,/ Type of Work: /N�SIr 1'��'�� e� Estimated Cost Address of Work: /��S a�II aA je +2� Owner's Name: Date of Application: A) I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: to �_ Al. 1,&Ae7L_ 11y63D Date Contractor Name Registration No. OR Date Owner's Name q:fbnns:Affidav a0 1;03 gQ1 ` W 1_ :z tj LP tp o Z h L4 ��.. W N h ct � , MAScheck COMPLIANCE REPORT ; Massachusetts Energy Code Permit # ; MAScheck Software Version 2.0 ; Checked by/Date ; r , CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE.: Other (Non-Electric Resistance) DATE: 8-26-1998 DATE OF PLANS: Aug.28,1998 TITLE: NEW HOME PROJECT INFORMATION: MARK L. BEATY TRUSTEE/ R&S TRUST NANCY L. JOHNSON P.O. BOX 342 HYANNIS, MASS. 02601 COMPANY INFORMATION: S.M. LEBARON CONSTRUCTION 54 TROWBRIDGE PATH W.BARNSTABLE, MASS. 02673 COMPLIANCE: PASSES Required UA = 390 Your Home = 285 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------7------------------------------------------------------------ CEILINGS 952 30 .0 0.0 . 34 WALLS : Wood Frame, 24" O.C. 2256 19 . 0 3.0 119 GLAZING: Windows or Doors 100 0 . 350 35 .GLAZING: Windows or Doors 84 0.400 34 GLAZING: Skylights 14 0 . 250 4 DOORS 21 0. 310 7 FLOORS : Over Unconditioned Space 1092 19.0 52 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 a 4.4.�)r � Builder/Designer Date �� 99 rC_ � D5�3o7 t� —_`- _�_� The Common►vealth of Afassachusetts ( ti Department of InArstrial Accarients '�--- =� I OI/Ice v�lnyestl�at/cos i = ' 400 4'+xsltirt,ltorr Sttc'e,' Bosion, .ifuaa_ 02111 1 Workers' Carllt;eas:ltlo:l lnsurancs; Lt'Iia?+/It { 1 i"�'n' n .LJji►n. _ ... -^,. •�,,._ ii1t � ",;tlr� wl :. - '1 I e nun`= ---------------- -•—•r _..�. - _ (] 1 am a homeowner performing all work.nvself'. :; [] 1 atn a soil: proprietor and have no one working in anv capaehy ' alll ,ul en+G10�'tr Drr)vid "!; 1i�orker�' cimpensauon 11.r Iily +7pIUl eGS 11'OrYiI.�on th15 Job. r.: Ilea� ...................... ....:.....::` :. ............... .......::.::....:.. X. r MA. :.:::.:......::.:::•:,....:: ::.:.:.. ;:.;..;.;..:::... .:........::::.::::..:.:;:.:•.::::::;;::...::.:.::.: otter#...... !%. ..+ t'j '.;>'c::,,: ;><»>'>`><:`: ::::.>;:. MI �.,• 'y,�'''T7�1T:."="~;"'.Y`�'}r �•.�:.4i'�`.w�ir.wf.>W:'T."7''1'.�+' :'�.�"9i7'�K�'i•`i,��"r ' r� } sole aropne.or; generai.co.tii.t...c_er, or llorneowner(circle one) and have hired the contractors listed below who have tt c EAlov ing O't •' S CJil?Dersatio'_1!7'JI!-25: • 1 l � 'i 7 3` .�.,.. i addre is 1,1fX "V<` I . • e C� 1nsi,r•tnc ....�.�+ ii1 F A ' ae :a alhon`s['s�leet�f.�ecasn =r ... 1, h, •.',', r+rl'Pr , „tt ' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the in: ,..itiou of c::m:rs! �•••_..i-_i,.:.:•.,c years'imprisonment as Well as Civil penalties in the form of a STOP WORK ORDER and a fire orS100.00 a!y ag�6:r t Inc. i p copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriiicatiov. I do hereby certify under the pains and penalties of perjury that the infornta-rion provided above is tm cnw'esrrcc: Date ak Signature _ _-_— --- I'rit i t; 1Phone, U.^.-Clal t..� co not write in this s rea to Le co^r. tcd by city or town ofil_:rl i city or to::,n: perr::i+Jiicense H n Building Department QLicensing Board =i Q checis iCic,r :dish response is required QSelectmen's Oflice j QHealth Department j ' contact person: phone H; nOther { (revised 3/95 NA1 ' l_. ,.. _..._- .end• - - _-.. I — - _ AP UP CERTIFICATE OF L.IABILITY'IlrflSURANC�E- '' C•r:, j �RDDucER h�THIS CERTIFICATE IS ISSUED AS A t,!Al-!'ER OF 1 ONI.Y Al-10 CONFERS NO F?!GHTS UPO'`! 1"r+E ^r, I . ,1._. HOLDER. ?HIS CERT!F!CA•TE DOES NUT ANIE ND, EXTENFED Ci? 1 P H I L I P W . R I CHARD INSURANCE I ALl Ft 114E C;0V EFi!1GE AFFORDED BY THE Pot-ICI— BELOW. 94 HIGH STREET COMPANIES AFFORDING COVERAGE D A i1 V>=R 5 , MA 9-3 3 � connPANv ..._ I � r?0E � � 7c�_g3gg MARYLAND CASUALTY j d,�uREt COMPANY + ! STEVEN LEGARON O LEGION INSURANCE �! -!'R O W B R I O G F P A T 1 j COMPANY j WEST VARMOLITH ; ' MA 9267 C I 4. L AVERAGES I TNS C ER F tiA, T TH. POLICIES CIF S U ED TO 7 tc INSURE )D N NIEO ABOVE FOR THE Lt+C': : EFt100 A I ^!GATE^,,"^i;,,'HS ANDING ANY Rc.v•JIRcM_` �r?. Cr.COr; ii;C�;C. .\N1'CCNTRACT Cl;l OTHER DOCUMENT WITH RESPECT TO",:Ii;" THIS I :;ER?IFv-AT= MAY C-E ISS.fED Or', h'.;,(P::RTA:?.. i!iE INS' R,'.f.'C'E: AFFORDED BY THE PCLICIES DESCRIBED HEREIN IS SUBJECT TO ALL MC TEMIMS. j E;:rL;!cJrJ,,�c AffO COM,01:*!CP!S O:SUC'r!POt" L N.!;TS S!i0'/N&AAY HAVE BEEN REDUCED BY PAID CLAIMS. j c0 fYPE OF INSURANCE: j CY!;_�;!nER POLICY EFFECTIVE POLICY EXPIRATION' -'R' : DATE(L.t.!/COA'Y) I DATE(tal`.VDD/YY) LIMITS I C.EhSRA!UABiUTY GENERAL AGGREGATE s2 0 0 0 0 0 0 1 -- ' LIA�:_:TY PRODUCTS-COMPIOP AGG 1 s 2 0 0 0 0 0 0 PERSONAL&ADV INJURY j S1*0 0 0 0 0 0 i CONTRALC TOR S PROT I S C l��? '�.f?'rI P 9 0 9/3 0/9 7 0 9/3 0/9 8 1 EACH OCCURRENCE s 1000000 1 I I FIRE DAMAGE(Any one fire) S 3 0 0 0 0 0 ' j 61ED EXP(Any one person) i s 10 0 0 0 ---- — _. !� I AUTO.'.1JBIL:!:ABi!t"i I , I I COMBINED SINGLE LIMIT S �,,y I 1 A'Ji-- I ' I I I — .U.OWNED AUTCS I BODILY INJURY --' E=H:DULED AU FaS i (Per person) I S BODILY INJURY I.s (Per accident) I ( PROPERTY DAMAGE S ' l fmil C!`IA2:L:.,Y I j AUTO ONLY•EA ACCIDENT ' S I I I I I OTHER THAN AUTO ONLY: ' h' I EACH ACCIDENT 5 AGGREGATE* . EXCESS LIABILITY ' I ( I ; EACH OCCURRENCE - UMBRELLA FORM i ! i AGGREGATE OTHER THAN UMBRELLA FORM i WORKERS COMPENSATION AND i rC aiA-0 "' EMPLOYERS'LIABILITY 70RY LL,.II'fS EL EACH ACCIDENT B : THE PROPRIETOR/ I INCL ° W C 3 2 8 310 3 PARTNERS/EXECUTIV"c 11/01/9 7 11 /O 1/9 8 ' EL DlseasE•POLICY I:'.t:' OFFICERS ARE: i EXCL I EL DISEASE•EA E:l;P_,,;:. OTHER — i ' I : IDESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ' _ •- CA.RPENTRY .,......k.,.,:k..:..,,,.,,rh...N..t.,w...........:..:::.::....:..:...... . ............ ......:.:::..:.................C....N...E.�..f,.:.:r. ort:::..,................. . ..:.:.::...::.:. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO.BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO %JAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIA=ILITY OF ANY KIND UPON ITl COMP:NY, IrS AGENTS j OR REPRESENTATIVES. ' • r AUTII;"f.�7::i)Ir.rv�l:.int 1'-:• -.'. :::;•:�:<:.,::.::.::.::::::.::.:::<::,;:.;;. �..:...� R �13FC3RATION 198&, E ��' m ti x .ai m N { .t>'. ,E � .-.s•" �5'C,h aY d.p F • i ' ' o z'��I�I�I' ��I 1i m�`o � 1 br c � .��.+ 1...�M��'Z-Z d' Z i -•� `a• o �� ( 2.¢ i n. tY '17+J ¢ /�� ', w"'7if-,zs,o : K r := CC 1•— w > ��'> N. i IS 14 K \\\V to i The Town of Barnstable M ��$ Department of Health Safety and Environmental Services Building DiVM* 10n 367 Main Street,Hyannis MA 02601 Ralph Cr=cn Office: 508-790.6M7 Building Ccmmissic::s Fax: 308-790- MC) For office use only Permit no. Date AFFIDAVIT SOME IMPROVEMENT'CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL 147 req wire that the oreconstruction, alterations, renovation, repair, modernization. conversion. improvement, removal, demolition, or construction of as addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors. with certain exceptions,along with other requirements. . Type of Work: ,/ fiS Est.Cost 5, 6 v Address of Work: o d S7�qe Owner's Nant / Date of Permit App ilcation: ! ¢ — I hereby certify that: Registration is not required for the following reason(s): Work excluded by taw _Job under 51.000. Building not owner-occupied __Owner pulling own permit Notice is hereby given that: OWNERS .PULLING THM OWN PERMIT OR DEALING WLIH UNREGLS'fERED CONTRACTORS FOR APPLICABLE HOME EMPROVEMENT WORK DO NOT HAVE ACCFSS TO THE,ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL r- 142A SIGNED UNDER MALTS OF PERJURY I Hereby apply for a.pe�it the agent of the owner. �� tioa No. D Contractor Name OR Owners Name Date " Assessor',,:'.map and lot number :. r�� '"-� "^��s T.�v'+!'�.'";{E� :`�4`'•.1 t3{ �. i TN E Sewage Permit number /............ ........... ...... House number .... ....... . ...11?l v: ro rhea TOWN OF BARNS'TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........�c:i A ,1.....•5x o.W-.'4...... F.. TYPE OF CONSTRUCTION .......... r1 ........................................................................................... . ...................PAY ..dA.........19.��. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies/f+orr a permit according to th\e following ,ineformation: Location ....�C .... ....................l..JA ...... ........ �`.:.,..............�N:��et��?� .......... � :............. ProposedUse ... -..� cs��Y......... A............................................................................................................. 1 Zoning District ........ r......................................................Fire District ......U.�.. 2�vS�A Ak.r....1�.................................. ..Q '�.............3. . Address S......�eQKrcz........�5�......W. Name of Owner ..NX......�.:. Nameof Builder ..... ..................................................Address .......��M;n:............................................................... Nameof Architect ..................................................................Address ...............................................,.................................... Number of Rooms ......6.........................................................Foundation ....��...�.r'....w�h �jf:r ...................................... .. .. .. Exterior ....�'. Ihl:�.��....:i....�1�P.elaa�ci!........Roofing ..... S.Q.�(1A`! ........................................................ Floors ..........AQc��:ec?c...........................................................Interior Rt4 nE01�n9 '. Fireplace ......110t.....................................................................Approximate Cost s 6ec: ..................................... Definitive Plan Approved by Planning Board ___ _ 19 . AreaQ.:l.z Diagram of Lot and Building with Dimensions 1� Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I !� I MAScheck COMPLIANCE REPORT 3 / � 7.' Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked y/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-10-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 330 Your Home = 279 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 952 30.0 0.0 34 WALLS: Wood Frame, 16" O.C. 1720 19.0 3.0 93 GLAZING: Windows or Doors 242 0.350 85 GLAZING: Skylights 14 0.600 8 DOORS 21 0. 350 7 FLOORS: Over Unconditioned Space 1092 19.0 52 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 11-10-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS: [ ] 1. U-value: 0.60 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ) Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- JOSEPH D. DALUZ TELEPHONE: 775-1120 Building Commissioner EXT. 107 t TOWN OF BARNSTAB➢..E BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 1 June 23, 1986 Mr. Mark Beaty , 137 Harbor Bluff Road Hyannis, MA 02601 RE: Lot #2 1845 Old Stage Road, West Barnstable Dear Mr. Beaty: This office has tried to work with you for the completion of the dwelling authorized by Town of Barnstable building permit #26374 dated May 2, 1984. There has not been any activity toward completion of this dwelling and this office is considering revoking your building permit if we do not get a firm commitment within seven (7) days of receipt of this notification. Peace, ds ph D. D uz Building Commissioner JDD/gr Certified mail #P517 442 200 R.R.R. r r JOSEPH D. `DALUZ TELEPHONE- 775.11�O Bvildinp Commiuiontr EXT. 107 4 TOWN. OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 a: June 23, 1986 Mr. Mark Beaty 137 Harbor Bluff Road Hyannis, MA 02601 RE: ' Lot #2 1845 Old Stage Road, West Barnstable Dear Mr. Beaty: This office has tried to work with you for the completion of the dwelling authorized by Town of Barnstable building permit #26374 dated May 2, 1984. There has not been any activity toward completion of this dwelling and this office is considering revoking your building permit if we do not get a firm commitment within seven (7) days of receipt of this notification. Peace, i. JbseP h D. Da, uz Building Commissioner JDD/gr _ Certified mail #P517 442 200 R.R.R. l JOSrEPH D. DALU2 TELEPHONE: 773-11IC Building Commissioncr EXT. 107 • TOWN: OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE- BUILDING HYANNIS, MASS. 02601 June 23, 1986 Mr. Mark Beaty 137 Harbor Bluff Road Hyannis, MA 02601 RE: Lot #2 1845 Old Stage Road, West Barnstable Dear Mr. Beaty: This office has tried to work with you for the completion of the dwelling authorized by Town of Barnstable building permit #26374 dated May 2, 1984. There has not been any activity toward completion of this dwelling and this office is considering revoking your building permit if we do not get a firm commitment within seven (7) days of receipt of this notification. Peace, � jbseph D. Datuz Building Commissioner - JDD/,gr - -- - -- - Certified mail #P517 442 200 R.R.R. sessorA-map and lot number . ..... . gyp+3 (� hAUST "''� OF THE t0 Sewage Permit number y- z ....... IAZI w r` y�yaAi� �33ARNSTAJB E, i House number 6Er 1....... ........�rn ........................................... a py Oo, 039. ♦� MAX a� TOWN OF BARN'STABLE �E BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... 5?.A. 11..... � ous . .... TYPE OF CONSTRUCTION .......... }, .s5,ezc:k..... !T-4.............................................. ......................................... ................... .........19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies//fou�r 1a permit according to the following 'information: Location ....(}.C�rt....a....................1./.1 ...... �. `�o'� ' �N �.. � ?� �:. ... ......... �........... I ProposedUse ... ..... . (ni\ .......... ��t,1�^-A............................................................................................................ Zoning District ........ ......................................................Fire District ...... (S-h,Ai V R)0,k.0................................... MRK Q�'T 3 G �.^Address ........ '15......� KKK........................ Nameof Owner ..Mf4: ........... ...........f . �......................... a.,,... . .......... .,. ......N:. Nameof Builder ..... .................................................Address .......�!7x?. ............................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... .........................................................Foundation ....�� ...�.I'....w4fh.....41."In ,........ nn r Exterior ....u? lrdi9rt ...Clhisu��s...."} �PQb6A4 ........Roofing ...... Floors � .Interior ....... 1i Heating ......F....W................................................................Plumbing ...... .......................................................................... Fireplace ...... .....................................................................Approximate Cost 5� ..........:: ...................................... Definitive Plan Approved by Planning Board -----------______-----------19_______. Area ... Z.. ............... Diagram of Lot and Building with Dimensions ' off- //////" Fee .......... ... . ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. /A CU Name ..... C.. `.... ............... -................ Construction Supervisor's License ... ........... �iTY, MARK J. �Jo . .... Permit for ..I-z..Story................. ` J �e.. .aulgle-Family-D rtelling....................... 11 r 51 Location Lot 2 _..�.............. ..........a... 7. West Barnstable ............................................................................... Owner ...Maz....`T . BeatX.................................. Type of Construction ...F'r ........................... ................................................................................ Plot .......................... Lot ................................ e I Permit Granted ....... ay..2!.....................19 84 Date,of Inspection ....................................19 Date Completed ......................................19 qY -r. ^(fir AO -Ire n � a _�✓ S 1 ,Q.�bj- z —moo 02 ,:� o - , . , . . � ` •{ t i . .. - -,r zf" r t a � - � �� _ � - � - • -� � - ---- -� _. _ _ yN� � LAJ 14 eQsCJJ_� --___ Al. ti t 10'X 14'DECK i 3'WALK AROUND __- .0 3� ,Eb a 1 w a D. ,o M DECK i \ I lJ� KITCHEN El BEDROOM °i �lQ az• � � I 2"hLL W.U. SriOM DNto-VBEDROOM BEAMED CE/LINC SMA" — re' eunYo®mm� �� Elvi �1. zna OE 3'S- 3? S/ORACS --, SWRACH o/tj Z: kkz3"r 3'1R- 5 11 t� � v 34W 2nd FLOOR � V 1/4"_/'SCALE 1,./ S. FJRST FLOOR _ / F Z 1 a V R oe•eamol `i°� �� SfEVEN M.I&BARON R3Mlr 51M9F9 9 no �_ Bulldar/Daelgnar IYOAtfl IIBBSTrt ®. 1 Y�9rnv� 606-3g4-B148 vA m•u o.Fn z a e 9nw a�a a 7B07BIDDDg PATH W.Ye -U,Me.02M R D� a 7. P w x � YID BmIMae tlaB.YY.�fF[pEg�@@g } eLL SDR.PUiIE OM i e n uJ 6� . Hill 7Y R 19 9elanrd POW e8 P o 7� ® qqpR yyp R .. ® 2448 EN8 ® e�oEasF� o m o uro GB�B rr,*n nrYou auor u DRAIIWG TYPE: .Dn rDmD n• eDum. �•• i S.r S8 m OLYf olnIDl ' 7-r ooranr mAOlm ry.. h CARACE I I I I SHM NUMBER: � noon � 1 1 i S7 i l5'2 -03S-OG2� Engineering Dept. (3rd floor) Map /s Parcel 4,7S- dQ Q Permit# 3 7 675 House# /��'Q Date.Issued /o Board of Health(3rd floor)(8:15 - 9:30/1:00-4:30) / $a� Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 11V-9 I S)e 44 ` Planning Dept. (1st floor/School Admin. Bldg.) - Z/IV® °� � �/`f1 Definitive Plan Approved by Planning Board 19 te��^.A``°3 Z�j r'. MRN6'fABLe. TOWN OF BARNSTABLE Building Permit Application ,Y Project Street Address Village .4lw/ Dn f�� L- /�E�,?V1`7)F113Tee ?-0,7a Na�S Owner�� J 74,e I� Address �9 s — Telephone �k— 77k- 5193 Permit Request Yllewe EWIS-UM Acw -rpyC—ro j2 I I First Floor 1092 square feet Second Floor 9;2 square feet Construction Type WOO Ct a Estimated Project Cost $ Zoning District !� Flood Plain i(JQ Water Protection 1&0 Lot Size /- f S ,kee5 Grandfathered ❑Yes ❑No Dwelling Type: Single Family Ql�_'Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 9-M6 On Old King's Highway ❑Yes p4,ta- Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) J'— I Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count 3 Heat Type and Fuel: ❑Gas 0,601 ❑Electric ❑Other Central Air ❑Yes U 10 Fireplaces: Existing l New Existing wood/coal stove ❑Yes EJM Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) 60' )S-K -TV ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ • Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name S.M.LelJar-en Telephone Number 39 �-/31!„ Address Carpent •Estimatin •Design License# D5 3c9^� West Yarmouth, A 02673 Home Improvement Contractor# 30 Worker's Compensation# OC 3,f8 3/0 3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ,, // // ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pel y,PTP /f.QOl ,e SIGNATURE DATE pu 141 . /998 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) % �/�0/1� I I-16 �le'?�-ram- / , fi�� a, T FOR OFFICIAL USEINNCY j •� a PERMIT NO. /� _ DATE ISSUED y ~� .ram•-', MAP/PARCEL NO. r ADDRESS - VILLAGE • "" c. ,` V o=_ OWNER i DATE OF INSPECTION: FOUNDATION I " /n /P —It4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBINGa ',,-,ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING , DATE CLOSED OUT ASSOCIATION PLAN NO. i '".avnf'kn..-.v.-s...N.� •rlr.w�.r "'-�.. :i, ^rm.. ,.. `i;. ...- --`- • J ;•[i 3. ;�>_,,. -. Yv'i:.....,:--.i�`es'�:1'.-ti..�i,� i.- '.� r♦ .��... r The-Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services MASS &6!319. 0, Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection P Location � �� > �1 Permit Number Owner � ., J ��,'t +�'Sd NJ Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: � � 4 -rz V U�-cc-i-C 9 ,f Please call: 508-790-6227 for re-inspection. Inspected by �2 � � �-rA x, Date 2, Z` 7 ,. _ ... . ... ,. .. ._.....,:.... -�:.,.:�_ ..Mcr—.. .,.:<._ n,_. .�6a ._ana�.r ,r,�.,,. �a:�'=as:areas=aa:nr_a,;�a�5ca�n��3woaoa_.on.�.�.�?a�o_._,.,�__. ___�.,..____,_.,1_.,-.._ . .� � ; ,. _ ,. - _ ....,,G. - � � ...� . � bi . v .. � _ .. Town of Barnstable OF SHE tp� o• Building Department Services • Brian Florence, CBO • BARNSfABLE, MASS. g Building Commissioner �'AlEn 39. 6. 200 Main Street, Hyannis, MA 02601 TQ',NN OF BAR NSTABLB www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment=AMWAvit I, being on oath, depose and state as follows: My name is arc y)T I am the owner/resident of the property located at: O t The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: Gam'c .j —TL,, ee-v t T The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. j Other Sworn to under the pains and penalties of perjury this /041 day of 2019. ,;;o� , `7 -7q <vZl`7 Signature Phone Number Print Name q:forms/famaffid.do c rev 11/08/13 Town of Barnstable Building Department Brian Florence, CBO EMMSTABM Mnss. Building Commissioner 200 Main.Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family pa men i avjt I, being on oath, depose and state as follows: m My name is Gi�� 1 e�U 1 I am the owner/residen6 'the property located at: V :)3. f N a r- The following members of my family will be the sole occupants of the Family Apaj tment alg e aforementioned address: Name & relationship to owner: v%v\c 1 .�eo,cJ T_ Name &relationship to owner: 1 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and palties of perjury this day of 2018. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable N � Regulatory Services of Richard V. Scali,Director Ln ` Building Division _0 w BAMSTABM • Paul Roma,Building Commissioner , 1639. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us •• e M rTa Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 1"I ok f'G �^ �3 P ea 0 't' I am the owner/resident of the proper�y located at: y.S Srt a e r�- The following members of my family will.be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: k e e=r� (n ��e a L�/ Name &relationship to owner: !S�avl c �Z• b�A �T — 1"10 C' The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree . to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of a,%vr_ 2017. • ?�( -353 -Co Zl 7 Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 Regulatory Services. Thomas F: Geiler,Director Building Division.. t RAIOWABIM ` Thomas Th Perry, CBO,Building Coin�issid"nef�' '�" '°r u a,. . 200 Main Street, .Hyannis, MA 02601 . www.town.barnsta*.ma.us� � Office: 508-862-4038 : Fax:. 508-790=6230 Town of Barnstable Family /apartment Affidavit I,being on oath, depose and state as follows: My name is D�eu1 V1 24 �u I am the owner/resident of the property located at: CL S+a C> The following members of my family will be the sole.occupants of the Family Apartment at the aforementioned address: Name &relationshiP to owner: 1 160-U Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no'longer a Family Apartment at this location,please explain: The apartment has been-dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to.under the pains and penalties of perjury this day of 2013. Signature.. : Phone Number Print Name I�e Vl Vl e�f- :: Ah 2 Cc U q:forim/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of Thomas F. Geiler,Director Building DivisionTM",1M OF P�e`'�7'�JSTABLE FrABLF, Thomas Perry, CBO,Building Commissioner AT 200 Main Street, Hyannis, MA-02601 10 tI 9: Z 1 www.town.barnsta' ble.ma.us Office: 508-862-4038 A - _ =-Fay: 508-790-6230 a`10 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is M neAgL:: i La- zw (�__ I am the owner/resident of the property located at: S G Ck 5k �C> (.�� (r- t3�ohs��.6Cc The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: rr Name & relationship to owner: rLL L4• t l e.av H 044¢i— Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable.Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this Co day of &CLnUorst 2012. Signature Phone Number Print Name \<<nr\c- A bee, u(#— soy - 3(.2- 3o1y q:forms/famafd.doc rev 11/08/11 Town of Barnstable Regulatory Services oFn+�rq Thomas F. Geiler, Directorof ,:'. .`STABLE �. Building Division 1AR1fSrAB� ' Thomas Per CBO Building Commissioner" 4 MASS. g Perry, > g At 039. p�0 200 Main Street, Hyannis, MA 02601 ED MA'S www.town.ba rnsta ble.ma.us Office: 508-862-4038 �''1` ' Fax: 508-790-6230 Town of Barnstable' Family Apartment Affidavit I, being on oath, depose and state'as follows: My name is (I.QIL[.11 ll��l� �r I am the owner/resident of the property located at: Lts- eg bLe-, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,.I will immediately note the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this_ day of 2011. 3nc�f Signature ` Phone Number Print Name I i I - 1ME Town of Barnstable Op Tp� . Regulatory Services BARNSTABLE, Thomas F. Geiler,Director ' MASS �o i639• Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being .the owner(s) of property situated at 1845 OLD STAGE in WEST BARNSTABLE, MA, holding title under a deed recorded with the Barnstable County Registry o� Deeds or Barnstable County District Registry of the Land Court in Book 18664, Page 158, or as Document No. being shown on Assessors' Map 152 as Parcel 035002, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for ELAINE THIBEAULT, MOTHER/MOTHER-IN-LAW OF THE OWNERS KENNETH & NANCY THIBEAULT associated with the residential use on the same premises. This unit shall be used for a"Family Apartment"(as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which. rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 200�. TOWN OF BARNSTABLE OWNER(S) By: uilding Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date99 Z Then personally appeared the above-named (owner), �� , r�/� T�B{f9uG7— q•. and made oath as to the truth of the foregoing instrument, bef me. 7&1A EA 6ft7 otary Public My Commission Expires: 'PATRICIA A. LAWRENCE NOTARY PUBLIC Camni Woft at mmumeeft. My Conwnl"I n Expbw 0001W 13�2011 Q:word/accessoiyagreement �I l I ( UNITED STATES POSTAL SERVICE t - OFFICIAL BUSINESS SENDER INSTRUCTIONS AtLS..MAILf41nt your name,address,and ZIP Code in them space below. I e Complete items 1,Z,3,and 4 on the reverse. e Attach to frorrt of amide if space permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE.$aco e Endorse article"Return Receipt Requested" I ad scent to number. RETURN i TO Mr. Joseph DaLuz, Bldg. Commissioner 1 Town of Barns6N"%of Sander) I 367 Main Street I (No.and Street,Apt.,Suite,P.O.Box or R.D.No.) Hyannis, MA 02601 (City,State,and ZIP Code) J !i _ 1 •SENDER: Complete items 1,2,3 and 4. T o Put your address in the"RETURN TO"space on the 3 revarse side.Failure to do this will prevent this card from �1 being returned to you.The return receipt fee will provide .+ you the name of the person delivered to and the date of delivery.For additional fees the following services are c e available.Consult postmaster for fees and check box(es) .� for service(s)requssted. w1. ❑ Show to whom,date and address of delivery. 2. ❑ Restricted Delivery. v 3. Article Addressed to: Mr. Mark Beaty 137 Harbor Bluff Road Hyannis, MA 02601 4. Type of Service: Article Number ❑ Registered ❑ Insured ❑ Certified ❑COD p517 442 200 ❑ Express Mail Always obtain signature of addresseegragent and DATE DELIVERED. G 5. Signature—Addressee X y 6. Signature—Agent -� X Q m 7. Date of Delivery 4 C Z 8. Addressee's Address(ONLY If rquest ee PVT— M m A m I i i i t D bxrn . �vo 1 Town of Barnstable r Regulatory Services _ o oFTMETgyti Richard V. Scali,Director °* Building Division o ' Thomas Perry, CBO,Building Commissioner -0039. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is '4WAC�h r�.QL-' L 1,1` I am the owner/resident of the property located at: O Ll V(Z. The following members of my family will be the sole occupants of the Family Apartment at the ' aforementioned address: Name &relationship to owner: Lzso cQ C>'IV41-k4if/ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the'listIed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this �� day of 'Y&V— 2016. Lf Signature ff Phone Number Print Name hv1"Z q:forms/famaffid.doc rev 11/08/12 Town of Barnstable oFTME, Regulatory Services Richard V. Scali,Director 70 -i OF BARNS i ABLE eatwsTnaiE Building Division MAS& g "! t" , '11 '6 23 s Thomas Perry, CBO, Building Commissioner fn►�+ 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 D4111510N Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: I r� My name is �9 6ea,9 l.Y I am the owner/resident of the property located at: I% L{S C9(A The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Mo�keC cAs&e C-W ' I Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA.Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2015. Signature Phone Number -Print Name �tk_n�L4A� q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services �VE rcy, Richard V. Scali,Interim Director Building Division TOWN OF BARNSTABLE BMWS'rABM Thomas Perry, CBO, Building Commissioner MAM `bA,Eo 39. 200 Main Street, Hyannis, MA(NO 91MI -9 All 1!: 4 0 www.town.barnstable.ma.us Office: 508-862-4038 _____F,,ax.:,_508-790-6230 DIVISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and(state as follows: My name is I am the owner/resident of the property located at: ' LA 5 V\c( S.A�c (29 i The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: �n Name &relationship to owner: II Name &relationship to owner:_�'�1 rtIM e k+ e,IMQc i n u . The Family Apartment will be the primary year-round residence for the above identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required tofle an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this � day ofStA!2o 2014. Signature Phone Number Print Name IC(2!!OiOCA� q:forms/famaffid.do c rev 11/08/11 'r_ err F 9 D H LOCUS pfNE (FND) s� •fir LOT I A.M. 152-035-001 a r� W 44 , PIPE 74°05'38 1► (FND) 1 J - CENTER VILLE S 69 99 SB3° 3'00"E W S,92.g'47��W - LOCUS MAP D.H 366.33' PLAN REF- 364-19 (FND) . W W DEED REF 18664-158 ZONING: "RF" \ LOT 2 i ; SETBACKS.• 30'-15'-15' A.M. 152—035—002 FLOOD ZONE. AREA=72, 774fS.F. q I PANEL NUMBER.- 250001 0015 C DATED. 08-19-85 �qwl s SHED PLOT PLAN OF LAND LOCATED AT. V 1845 OLD STAGE ROAD WELL WEST BARNSTABLE, MA. THE SEPTIC SYSTEM 60' I ' WAS DRAWN FROM THE 'ISHG`% I TOWN OF BARNSTABLE SEPTIC INSTALLERS CARD ^\ .3 L J i 161.6' "r " GRAVEL PREPARED FOR.- DRIVE3VAY Q KENNETH & NANCY THIBEA ULT �\�PRIOPIOSED °p' ♦A®A� `y D=ZON DRY WELLS 00 �' -% . �. DECEMBER 27, 2007 i ��Or hU.ss f ��. tS LOT 3 �� i�- ,'� a' �STEPN=N ► REV- J. A.M. 152-035-003 ° 1� e ooY�_ � REV .� REV.- ®1®41V SUP\l�a�d'1 YANKEE LAND SURVEYORS & CONSULTANTS GRAPHIC SCALE P. O. BOX 265 i' so o zs so 100 INDUSTRYUNIT 1, 40 ROAD MARSTONS MILL MA 5; 02648 r TEG• 508-42B-0055 FAX 508-420-5553 f 1 inch = 50 ft. . � SHEET 1 OF 1 54301 JF I r