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0045 SPRUCE STREET
,�Zs I i Siam J��� UPC 12534 No.2 LOR HASTINGS. UN A � i i _. _ - ,_ ry. '� .1. - ..i .y�' ..� / .p. r — Xome Use Only I VID# 5723 I WO# 24360886 I PID# 2228199 I Regular Mail Town of Barnstable 1200 Main St. I Hyannis I MA 1 02601 1 508-862-4038 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Pronertv Information Property Address: 45 SPRUCE STREET,WEST BARNSTABLE MA 02668 Assessors Map#: N/A Parcel#: M216LO52 Land area and description N/A Building(s) description and contents N/A Occupied: N/A Occupant(s)(if borrowers so state and include name(s)) Borrower,if known: Phone: N/A email: N/A other: Vacant: Yes Date: Anticipated Length of Vacancy: N/A Last occupant(s) )(if borrowers so state and include name(s)) N/A Phone: 800-468-1743 email: XFSVPR@Xome.com other: Has possession been taken Yes If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) The property is vacant and will be maintained. Section 2—Foreclosing PLM Information Foreclosing Party(full name/title) Mr.Cooper Foreclosure Case Court: N/A Docket# N/A e��0 Please forward all notices/confirmations to XFSVPR@Xome.com, 9600 Great Hills Trail,Ste.150W,Austin,TX 78759,800-468-1743. I PID# 12228199 Date filed: N/A Current Status: N/A Foreclosing Party's representative(s) for property(entry,management,repair, etc.)(name,title,):Xome Field Services c/o CHRISTOPHER SIDEMAN Company(if different from foreclosing party): Xome Field services Address: 268 Mammoth Rd Lowell,MA 01854 Phone: 800-468-1743 email: XFSVPR@Xome.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title,other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone(s): N/A eniail(s): N/A other: Name,title, other: N/A = Company (if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: r Attorney representing foreclosing party N/A M,, 4 Firm name(if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: 07/12/2019 Name: Eric Knudtson Title: Assurant Field Services Manager Please forward all notices/confirmations to XFSVPR@Xome.com, i 9600 Great Hills Trail,Ste.150W,Austin,TX 787S9,800-468-1743. f PID# 12228199 I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable p � 1 '00 61d-Services BUILDING PLAN / STATEMENT OF INTENT Occupancy Status: _occupuied 45 SPRUCE STREET,WEST BARNSTABLE MA 02668 Property Address: AS OF: THIS BUILDING PLAN SERVES AS OUR STATEMENT OF INTENT TO MAINTAIN, SECURE,AND INSPECT PER ORDINANCE. THIS PROPERTY WILL NOT BE DEMOLISHED. THIS PROPERTY WILL BE LISTED FOR SALE. IF OCCUPIED,THE PROPERTY WILL BE INSPECTED ON A MONTHLY BASIS UNTIL VACANCY. Mr.Cooper OWNER CONTACT: 350 Highland Dr,Lewisville TX 75067 AGENT CONTACT IS: Xome Field Services 9600 Great Hills Trail,Ste. 150W Austin,TX 78759 8004681743 A o CERTIFICATE OF LIABILITY INSURANCE DATE(M29/201 YYY) O6/29,2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT 9 PRODUCER NAME: Aon Risk Services Southwest, Inc. o (866) 283-7122 FAX (800) 363-0105 `m Dallas Tx Office INC.No.Ext): ac.No.: „ Cityplace Center East E-MAIL s: _ 2711 North Haskell Avenue Suite 800 INSURER(S)AFFORDING COVERAGE NAIC# Dallas Tx 75204 USA INSURED INSURER A. Great Northern Insurance Co. 20303 Nationstar Mortgage Holdinqs, Inc. INSURERB: Chubb Indemnity Insurance Co. 12777 8950 Cypress waters Blvd INSURERC: XL Specialty insurance Co 37885 Dallas Tx 75063 USA - INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570072097262 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER IMMfDDrfYYYI (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $1,000,000 CLAIMS-MADEX❑OCCUR PREMISES Ea oceunen.a $1,000,000 MED EXP(Any one person) $10,000 PERSONALBADVINJURY $1,000,000 N GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 m POLICY ❑PRI X❑LOC PRODUCTS-COMPlOPAGG Included 0 OTHER: r 73542588 07/11/2018 07/11/2019 COMBINED SINGLE LIMIT u' A AUTOMOBILE LIABILITY Ea accident) $1,000,000 . BODILY INJURY(Per person) C Ix ANYAUTO Z OWNED SCHEDULED BODILY INJURY(Per accident) 2 AUTOS ONLY AUTOS PROPERTY DAMAGE AlHIRED AUTOS NON-OWNED Per accident ONLY AUTOS ONLY U500 EXCESS LULB 079378L118A 07 11 2018 07 11/2019 EACH OCCURRENCE $25,000,00 CD 0 V C X UMBRELLA UAB X OCLACCURIMS�tADE - AGGREGATE $25,000,000 DED RETENTION B WORKERS COMPENSATION AND 71701785 07 11 2018 07 11 2019 X STATUTE OTH- EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR l PARTNER I EXECUTIVE N 1 A ❑N E.L.EACH ACCIDENT $500,000 OFFICERlMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 - 0 SCRIPTION OF OPERATIONS below -_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ■- POLICY PROVISIONS. Nationstar Mortgage LLC AUTHORIZED REPRESENTATIVE 8950 Cypress waters Blvd. Coppell Tx 75019 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed for which possession has been taken (section 224- ,4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. o If you claim you are exempt from registering under Massachusetts law, pleased to the � reason(s)and complete section 1 (property information)and the first paragra a f o section 2 (foreclosing party, court, etc. and foreclosing party representative, OF of othera oo representatives and attorney) so that the Town can review the exemption and up=ate its records: a z cn w n ao to r o rn Section 1 —PropeLty Information �. 73 Property Address: 45 SPRUCE STREET, BARNSTABLE,MA 02668 Assessors Map#: 216052 Parcel #: Land area and description RESIDENTIAL Building(s)description and contents SINGLE FAMILY HOUSE Occupied: X . Occupant(s)(if borrowers so state and include name(s)) (BORROWER/HOMEOWNER)CHRISTOPHER HALL Phone: UNKNOWN email: other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s).)(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing PaM Information Foreclosing Party (full name/title) (SERVICING BANK)MR.COOPER Foreclosure Case Court: UNKNOWN Docket# r I Date filed: 5/14/2018 Current Status: STILL IN PREFORECLOSURE Foreclosing Party's representative(s)for property (entry, management,'repair, etc.)(name, title,): (PROPERTY MANAGER)CYPREXX SERVICES,LLC Company (if different from foreclosing party): PLEASE SEND.CORRESPONDENCE TO CYPREXX Address: 525 GRAND REGENCY BLVD, BRANDON, FL 33510 Phone: 877-339-8202 email: VPR@CYPREXX.COM other: If an exemption is claimed, please do not complete the remainder. Other representatives)(if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters l concerning the property and/or foreclosure, please so state and do not complete contact information (i. e. "none"or"see above")). Name,title, other: SEE ABOVE FOR ALL EMERGENCIES AND ISSUES Company (if different from foreclosing party):. ' Address: I Phone(s): email(s): other: Name,title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party UNKNOWN 'Firm name (if different from attorney's name): Address: UNKNOWN Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: 5/22/2018 Name:JAMIE RAY C/O CYPREXX SERVICES, LLC FOR MR.COOPER Title: VPR COORDINATOR r I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3-of chapter 224 of the Code of the'Town of Barnstable. Date: Building Commissioner, Town of Barnstable i M , Y , 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 operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI-, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Dec 7,2017 Fill in please: -,11 WI sr I APPLICANT'S YOUR NAME/S: Kathieen Hall,Christopher Hall BUSINESS YOUR HOME ADDRESS: as spruce street,West Barnstable,MA 02668 978-440-9948 ro ,��yr.r 3t'ull!}Sty TELEPHONE # Home Telephone Number s78-760-3024 p O C C ;.;;t u-raxntt+d. r- •� SOC I AL' SECUR I TY OR E I N *: 82-3012673 E-MA I L: info@bluebirdchildcare.com M N m NAME OF CORPORATION: sweet Dreams LLc a C NAME OF'NEW BUSINESS The Bluebirds• TYPE OF BUSINESS Night-time Infant Respite Care =Z O 15 THIS A HOME OCCUPATION?— C ADDRESS OF BUSINESS.45 spruce street,West Barnstable,MA 02668 MAP/PARCEL NUMBER 216-052 (Assessing) FD Fri r- 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 �cz Barnstable. This form is intended to assist you in obtaining the information you may need. You MUS 5gftMFk1Vi0T.Ft kRgyjVrtgt0i�dl0N � _ Rd. s Main Street) to make sure you have the appropriate permits and licenses required to legal ��i at����� I� I��f�s"VILIRE TO O 'I. BUILDING COMMIS5IDNER' F .ICE COMPLY MAY RESULT IN FINES. ' Z Cn m This individual has been i r of any perm• uiremerits that pertain to this type of business. M D_ O �j� �, r F= Authotzed Sin ur ( i W S C C� !� M COMMENT.S: D If C/ ® _I 2. BOARD OF HEALTH Lr Q� Z This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS[UCENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . - I Town of Barnstable Building Department Services F[HE Tp Brian Florence,CBO o� Building Commissioner sARNsTAsie. 200 Main Street,Hyannis,MA 02601 ninss. 9� 1630. `0� www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: 10dIg /1 Name: H e i s-ru iNc A444-A Phone#: Address: -Lq S 5-, \)CCU- �`T Village: �Q (IIS Name ofBusine'ss: Type of Business: 1 `�--TAM ��ap/Lot: — 6 SyP � �n INTENT: 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. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,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. • 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 pick-up 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. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg 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. Applic'an Date: \Z" Homeoc.doc Rev.06&0116 I 1�J e COOP d W-D O K 'i 1'.( N 1 61tT- I( M C," W-W B v(LN I N C o C B y Bluebird Childcare Ltd. 5976 Town of Barnstable 5976 12/8/17 $35.00 Payment;Town of Barnstable In Payment For: Purchase#00001238 12/8/17 $35.00 1-1....... .. ............. ................................................................................................................................................................................................................................................................................................................................................................ ..................... Bluebird Childcare Ltd. 976 Town of Barnstable 5976 12/8/17 $35..00,1 Payment;Town of Barnstable N #;:,; In Payment For: Purchase#00001238 12/8/17 $35.00- 1 . Town of Barnstable �°f NETow 119 .ualsa> o y�:dJ!w ; , ate: Services ThomasF 'D"MecAtor P e: .ttilding,piyision 0. BARNSTAaie Tom Perry, Building Cor►lirpissioner Muss. q� 1639. �0� 200 Main Street, Hyannis,MA 02601 �Fo rut° ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: GHRI S HAU— Phone: 'I*a :44o 0 36 Z9 Install at: q S S99,uCE Village: --Wf y( Sig L Map/Parcel: 2 1 Go SZ Date:_ Lihv I Stove A.(Jew Used B. Type:. G�DCirculating C. Manufacturer: Vr�Q nNrT CA'5fl/Q S Lab. No. O=r L — y 18 D. Model No.: P EF1 A nrf �j�2 t GFL -: O O p 161 t-I �O 41100 Chim A. New/ Existin (If existing,please note date of last cleaning) �LUt OtvLy . �-X�-( F(, (L B. Flue Size )Nl�c Ik _ �— C. Are other appliances attached to Flue? N"0 D. Pre-fab Type and Manufacturer VEAMOKri, ^(W16n-5 _ E. Masonry: N/A Lined/Unlined t41A Hearth A. Materials: RI cx pg%9 -fry 1,-.r- IFLzbie �RrTecjP i B. Sub Floor Construction: \tj,0pp Installer Name: Address: Phone: Location of Installation: H.I.0 Registration#_ Construction Supervisor# OR check 2�, Homeowner Installing, no license required APPLICANTS SIGNATURE APPROVED BY: - tL 5 Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rcv103107 "The Commonwealth of Massachusetts' Department of lndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Instirance davit: Builders/Contractors/Electricians/Plumbers Applicant Information . 1 1 Please Print Legibly Name(Business/Organization/Individual): : G L( I 44A L_L-- Address: s _ ;2 R 0 Ll . City/State/Zip:LYC,1!— J1S'/ �� UZ�b U Phone.#: �� � 2✓U Are you an employer?Check the appropriate boa: Type of project(required) 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time): e have hired the sub-contractors 6. Q New construction 2.0 I am a We proprietor or partner meted on thevtached sheet T. D Remodeling ship and.have no employees These sub-contractors have g,'0 Demolition working for me in any capacity. employees'and have workers' 9. Building addition (No workers'-com cep.•insurance conV•ksuran t ❑ required] 5. ❑ We are a corporation and its 10.[].Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers'eomp. right of.exemption per MGL 12.0 Roof repairs employees.required.]t. c: 152,§1(4),and we have no i employees.[No workers' 13.CR Other u o_ ku —I comp.insurance required.] 'My applicant•that checks box#1 must also fill out the section below showing their workers'cwmpensetion policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those aitities have employees. If the subcontractors have employees,.they must provide their.workers':comp.poliry'number. ram an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information Insurance Company Name: Policy#or Self--ins.Lic.M Expiration Date: Job Site Address: City"/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as-required`under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine tip to$1 n 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$256.00 a day against the violator. Be advised that a copy ofthis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury:that the information provided.above is true and correct. Signature: Date Phone#: 0 Zy Official use only. Do not write in this area,to be completed by city or town-offxw City or Town: Perntit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citp/To.wn Clerk 4 Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ll�-��� � , .,#■. i .r - � I � �, i � 4 � .�� I _ 'T s 4 _ 4 �I'�'ti. _�Y v �,: ' \_� ' � �. i� ,. r,,t.,:g%, N .,;, yffit: , v .-,p ,. / /�g '• ^..Se' �T3"' - -NINI " ',r��t'�( sty` .za - x!5S' 'z 3'.y iY ti.,� , �' bi .S-.� # i - Sy. ..•, :r l�.t. cola:• .� �� .f 'V4' ...M' .G-' .'� '`S'... ", ,•�,,,. �7 v', 5� «t F r'' I f."S=° �'.. t��;; fs .^;,-' r� ^ .ba a 2 �t,=' r Z' ,. S � k'C; n .+ •^''1!i :aEi ,vsM �. -•?'( ct._ ` °p. :e:- 'DEFIANT FLEXBURN' WOOD'BURNING STOVE ENCORE' FLEXBURN WOAD BURNING STOVE CLEARANCE CHART FOR 6"ANDS"CONNECTIONS ONLY CLEARANCE CHART FOR 6"CONNECTIONS ONLY'-:- Single or Double Wall Pipe' '' a _ ••• , '• e .. 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'rv:<.: s:,t�.�• :-, n .H,,. �k..�pp,�.. r• ....rj"..�. --s .`} ,�*r,,,- •:r.>.,. t 1 -tt-.. '�` 7. �'�:::: 1 I� �n rr w 32.6 a. r:31.5•.,�., '36:5'Y- ,.78i5 .3.t-:'!:r: .,ate.. 243 :;SIDE=SEdewalt[o;center -• _,.,Y37;.� ,-<:�x„,.,,. r,;��:.39. _.,., -„ •.•._2-t.-�.:„W.. u�•_•.v w- '7 (SIDE>r:5 de:wal,to"ce te,,r v - •�� `�'� •�T`' Y+<u•,., .:7.. `�;'?-f�� �^>•. a .- .....ra - ..� > ,..£5. ..+'O. �+... _..>„+• ,..<.1 S.✓_�2L•r rsYS.-.7.r..<'tf+:: •. :.S .tiv, .A. eb v;?,.. 4�i'::.. hb.. S :�'S 1A`. H. ., �. ,.: .., .-. e.. \..t:. .•- ,mot. r� jf•.�..I(.. v..I'. r.,.•t ...>.X .a N�..a......t.::;;'�E ',}.. �F.at'^,,"JJY._ :.,:5,,... :p..} ,:.v .�(1. al:.,,�.. 'r:.. e. ., ?+_a , {....�.. x L"A;.•:i,.:: 'C::,.. .-�.>.�.wd:., ..••5, 5:.:f,�.a4c-" .r ..,;? c•. ,.^..o,x, ,..�r ..r...._r,..alr"�',: _„-.,-••<,C... .,,;t � ..\...Fa...w _. .. frf II r......, +. .$ 940mm, .. -.a=940mm ...,... , 634!mm ...a. -. .686 mm a.J?=�.r• er E r:.of flue collar: •( r�.o luem a.,__.n1,�:t,.�'. ,(. .. ) <:•.- . . .�.(_.. )>, ,...., '^�:.,,f - ..),35:.�' .__.( _). n, () ....n [�,. :. `a.. , < .. ... ..,.. Y';F.. � �.•..,,. ,.. k..ZY..MY .�.:,, i.,..:i�. r p>..: �iA )9:. '1• < =i$. :._.c.:p.,.,,:u..,. :�....-..,.,..,u a:....>.,,... �?n>:z:_<..,,:.._,..•r-..._. .'S..._ .+i t ar<,A. .a ,'4.3.. }� - - F-v.-:b... .,..§`T,r ���tw 1 mm 2:mrn) 23 mm -SIDE. Rear ..�..t F" f "I' 634�rrim ."7`�e 2a6mm °sw. ;F r�+2.of-Rue:collar'%+'".. a 4o4;mm). -(26t\mm). ) 'ss„ (236tmm) ,rr• :. (F.) H�'oi lue color; ) p ..; ,. ,:....:at°�,:"4'sr._:.eae•:._� Sgc<`�'w�Ws.� g�i' x:«.,�3 «..,,,: ��.•� :/..�7a.�.. � P.z�+x..,b,-F-..,�xSl'".,�;,,. .�� :>,•,.a.-,. ..w.�',. .".�-:�Z;Sy'Q�'.C�r'^w"�`.w� .F!` B.,D C Fl . . 8 'D C., .F7 _B ,D _� FF -4:D..,Al- AI- StweperMa mwal -stommetrner - kae pirdM mviall Stove in mmx - sew ooaealmwao smmmtmrrer _ Sto\e OaraOel to wa0 sm>nbcorner 1.Using fisted double wall oval to 6'or 8'rand connector;all installations require supplied rear heat shield,flue collar shield and bottom heat shield. 1.Using listed double wall oval to 6'routs connector,all installations require supplied rear heat shield,flue collar shield and bottom heat shield. - • 2.Must use connector pipe heat shield and it must extend 36'(914 mm)above flue collar. 2.Must use connector pipe teat shield and it must extend 36`(914 mm)above flue collar. PLEASE NOTE:These instructions are not intended for installation purposes.Please.refer to the product manual for complete installation details. PLEASE NOTE:These instructions are not intended for installation purposes.Please refer to the product manual for complete installation details. PRODUCT DIMENSIONS PRODUCT DIMENSIONS. 2W Pr (ViY mm)� t�-n'A rtml' r 1M1OO ra I I~ ,189f 1 �I �n9i�m,1y Tt• �'- IeIY .. I7D n F.i 85r -_ i iT.- yY> uy,• 90' a� nW mm) �� 1>y mm) I _ Y,fI nueeT•v (H"mm, 151tmn) (Yinen) O O LY la.mal ran,: �� �"-rei rn.2 -taai..ml-'I roilmt - 'I 6 7 I r Town of Barnstable Regulatory Services Thomas F.Geiler,Director 1639. `�� Building Division iOlEo�► 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 L O I Please Print DATE: / �I 1 � JOB LOCATION: SPQV C \� Ci T number , I sheet 1 a 2/ villla/ge "HOMEOWNER": G 11�Z� S �l f1 Irli G C-C7 T(o F) 3 Q 2—'7 name home phone# work phone# CURRENT MAILING ADDRESS: / ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection ^ procedures and requirements and that he/she will comply with said procedures and requirements. Signature ofHorntowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that be/she understands the responsibilities of a Supervisor: On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\L.ocal\Microsoft\Windows\Temporary Internet Files\ContentOudook\QRE6ZUBN\EXPRESS.doc Revised 053012 1y; Town ofBarnstable Permit ZZq Tftf4 OF &ARN Regulatory Services ate: y� pp THE rok TIgrtrtas F.Geiler,Director •�� 1013 APR { P14 2. )wilding Division Fee: • seRwsr,►are, Tom Perry, Building Commissioner 16:59. `0� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us DrvlSjops1 Office: 508-862-403 8 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: t'HQ, s Phone: �+6(9 30 Z q Install at: H.5. SPRV C-E Village: vvf-5sl_RKN9-TAR LE Map/Parcel: 21 (e 0 5 2 Date:_ 1411 o I Stove A. ew Used B. Type: Radiant. irculatinor C. Manufacturer: I-AfLm qN Lab. No. O - 'f L D. Model No.: 966 Chimne A. ew Existing (If existing,please note date of last cleaning) B. Flue Size IN LA C. Are other appliances attached toTlue? No D. Pre-fab Type and Manufacturer 51+'-Aj25 QV261E,(� E. Masonry: ril t LinedUnlined IA Hearth. I A. Materials:IL.f�� I,�/�tl(15yN(Z,1 2(14- aiu*Lc� l', ? y rN (,9 1r'fLS B. Sub Floor Construction: W66 Installer Name: Address:. Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# OR check �-Homeowner Installing, no license required APPLICANTS SIGNATURE APPROVED BY: /L e �! /} Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection; photographed, and approved by the Building Inspector Q:forms:stove Rcv 103107 i 1� The Commonwealth ofltfassachusetts 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/Orgmization/In&vidual): CHQ1 S V-�AL, Address: L15 S O24 2Q (-G City/State/Zip:� JtS4 gM11 L e 0 ! ►0 Phone.#: G 8 " _�G 0' ?j 0 Z y Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor of partner-' listed on the-attached sheet. T.❑Remodeling These sub-contractors have ' ship and have no employees 8.'❑Demolition workingfor in aci employees and Have workers' me any capacity. x 9. ❑Building addition [No workers'•comp.-insurance comp'insurance' -10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ eP ha ve ave exercised their 3.[�I am a homeowner doing all work o 11.El Plumbing repairs or additions , myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required]t c. 152,§1(4),and we have no employees.[No workers' 13.0-Other��LIfl- F%J cbmp.insurance required] V 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employes. If the subcontractors have errrployees,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 Frame: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City'/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the-Office of Investigations of the DIA for insurance coverage verification. 16 hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signer 4_" Date: �•I 1 -� I � _ Phone#: Q U k O 3 07- T official use.only. Do not write in this area,to)be completed by city or town off u:fal. .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Installation : Operating Manual P68 :;Frees and ng Pellet Stove t' STANDARD,BUILT TO A t . r t rivar.saw* "Ce manue/est disponible-en Frangais our demande" k N ,yt ,trai .1caW, 'PLEASE READ4THISaENTIRE MANUAL.BEFORE'.INSTALLATIONAND USE OFAMISWOODIREL ET FUEL-BURNING. 4*::hz.:doz- a.e�iv ., ',ads,r�kv, ''a .:',>"':azrtcYe>cnkAF's- a�:ar .,r= x�' nM5€, v .-r;2, a�14astz�m't -0 & (ro' „ ROOM HEATER FAILURE�TO,FOLLOW.THESE=INSTRUCTIONS.000LD RESULTANIPROPERTY DAMAGE;BODILY IN�J�URY,�O�R�EVEN>DEATH� E(O ETU S AND�CANADA $UITABLEFORINSTALLATIONHN"MOrBILEHOMES Wr:71- .':�'��d�'✓5r�T�9�'��R�",�9yx,.. $Ff���..,,, h `S��A���� ���'u'F' �T+�,.•:`"C��"<Tl•'���t?'_ � �. CIF THIS{PELLETA4STOvE=1SkNOT PROPERLY"INSTA ED AiHOU.SE`FIRE?MAY RESULT: FORYOUR SAFETY FOLLOW 14STALLgi4TI0N DIRK C'IONS: : g r+. .Y`_. i - 'Y p CONTACgT;LOCAL�BUILDING ORFIREOFFICIALSABOUT RESTRICTIONSAND IN$TALLATIONfINSPECTION ' �[..� 2dr FI . REQUIREMENTSzINYOURrAREA _ " 3 �..- ... ��k��� /-� i �.sV 4➢'.'. y .a,e�. �p,"�` - �? '���r� �.'k`b '' Ash �.:3- i,� � s � 1. CONTACT YOUR LOaCAL AUTHORITI((SU HAS M.UN,CIPAL BUILDINGMEPARTMENT,;FIREDEPARTMENT FIRE o 1 : PRE1/ENTION60REAU;ETC )TO DETERMINE THENEED`FORgAPErRMIT::. TESTED AND LISTEDASY OMNI tiTES$T-MBORATORIES, REPORT=#fR1.35 S,-13- 6 , t H ARM,, A i TESTED.TO �ASTM�E31509�'04, 4 ., , �� ,gas �e � �•���'s SAVE THESE INSTRUCTIONS. 3-90-00688R22 03/13 Installation iL Installing Alternate floor protector Place the stove on a noncombustible type floor or floor protector dimension may be used i as long as they satisfy the that extends a minimum of 6 inches (152mm)to the front of the measurement requirements 9"(228mm)- shown below. load door opening, 6 inches (152mm) to the sides of the door Mlnumum size floorprotection 13"(330mm) opening, and 6 inches to the rear. Floor protection must also for a comer Installation Is36" extend 2 inches 51 mm be and each side of an horizontal flue X 36". Clearance shown as O ( ) y y 9"with optional side shields pipe. The minimum floor protector material is 20 gauge sheet Installed. metal. Other floor protector materials are ceramic tile, stone, ------- brick, etc. NOTE for Canadian installation only: Per ULC-8627-00, If installed on a combustible floor, the need to provide a Nnoncombustible floor protector covering the area beneath the 9"(228mm)Wtn Side Shields \-W o 13"(330mm)Without Side Shields space heaterand extending at least 17.72"(450mm)on the firing j3 i3 side and at least 7.87" (200mm) on the other sides. In Canada, you may follow smaller U.S. floor protection Fig. 3 requirements ONLY if the user agrees to completely shut- down the appliance, and allow it to cool to where all fire is extinguished and the combustion blower and its indicator 2"(51mm) light shuts off,prior to opening the firebox door or ash door. Place the stove away from combustible walls at least as far as 14"(355mm)with shown in Figures 3 and 4. Please note the difference in side wall side shields clearance with and without side shields. ° ........ 14"(355mm) Note that the clearances shown are minimum for safety but do not 20"(508mm) leave much room for access when cleaning or servicing. Please wit (ut side take this into account when placing the stove. without side shields Connect the power cord to a 120 V.A.C. 60Hz grounded receptacle. (A surge protector is recommended to protect the circuit board.) Also be sure that the polarity of the outlet that the stove is plugged into is correct. 36"(914mm) Prior to installing the flue pipe, connect a draft meter. (The Fig. 4 draft meter must have a minimum range of 0 - .5") Record the Minimum size rectangular floor protection (USA) is first reading. Connect flue pipe to stove and be sure all doors 285116" Deep By 24314"Wide. and windows in the home are closed. Record the second draft reading . If the second reading is more than .05" lower Floor protection dimensions for the front and sides than the first reading, check for possible restrictions or the need are measured from the appliance door opening in for outside air(see page 10). For more information on the draft The United States. In Canada, the side dimension is test procedure, refer to Page 21. measured from the widest part of the appliance. Mobile Home Installation When installing this unit in a mobile home, several requirements Floor Protection_ must be followed: US Canada 1.The unit must be bolted to the floor.This can be done with.1/4" _ Requirements \ lag screws through the 2 holes in the base plate. j Sides 6" 200mm 2. The unit must also be connected to outside air. See page 10. 3. Floor protection and clearances must be followed as shown.. K Front 6" 450mm 4. Unit must be grounded to the metal frame of the mobile home. L Rear 6" ----- 5. Be sure to follow the vent manufacturer's guidelines to provide for a sufficient vapor barrier where the flue penetrates the outside. NOTE: 6. The top section of any chimney or venting must be removable Measurement"L" to a height of 13' (3.9 M)to allow for transport. is measured from 7. The factory-built chimney must conform to CAN/ULC-S629, pedestal base the pede Standard for 6500C Factory-Built Chimneys. in the de ONLY L CAUTION: This appliance must be vented to the outside. 0 Clothing and other flammable materials should not be placed on or near this unit. NOTE: Measurement"K" WARNING is measured from the glass in the THE STRUCTURAL INTEGRITY OF THE US ONLY CANADA MANUFACTURED HOME FLOOR, WALL, AND CEILING/ROOF MUST BE MAINTAINED. :K DO NOT INSTALL IN SLEEPING ROOM. USA _...__...i FLOOR PROTECTOR 3-90-00688R22_03/13 P68 Pellet Stove 6 Venting Requirements for Terminating the Venting K. The clearance to a mechanical air supply inlet must be a WARNING: Venting terminals must not be recessed into a minimum of 10 feet.' wall or siding. (with outside air installed, 6 feet) NOTE: Only PL vent pipe wall pass-throughs and fire stops L.The clearance above a paved sidewalk or a paved driveway should be used when venting through combustible materials. located on public property must be a minimum of 7 feet.',' NOTE: Always take into consideration the effects of the M. The clearance under a veranda, porch, deck or balcony prevailing wind direction or other wind currents that may must be a minimum of 12 inches.',g(See B.) cause flyash and/or smoke when placing the termination vent. NOTE: The clearance to vegetation and other exterior In addition, the following must be observed: combustibles such as mulch is 36" as measured from the A.The clearance above grade must be a minimum of 18".' center of the outlet or cap.This 36"radius continues to grade B. The clearance to a window or door that may be opened or a minimum of 7 feet below the outlet. must be a minimum of 48" to the side, 48" below the 'Certain Canadian and or Local codes or regulations may window/door, and 12"above the window/door.' require different clearances. (with outside air installed, 18" ) 2Avent shall not terminate directly above a side-walk or paved C. A 12" clearance to a permanently closed window is driveway which is located between two single family dwellings recommended to prevent condensation on the window. and serves both dwellings. D.The vertical clearance to a ventilated soffit located above 3Only permitted if veranda, porch, deck, or balcony is fully the terminal within a horizontal distance of 2 feet(60 cm) open on a minimum of 2 sides beneath the floor. from the center-line of the terminal must be a minimum of 18 NOTE: Where passage through a wall, or partition of E.The clearance to an unventilated soffit must be a minimum of 12". combustible construction is desired,the installation shall F. The clearance to an outside corner is 11"from center of conform to CAN/CSA-B365. (if in Canada) pipe. G. The clearance to an inside corner is 12". H.A vent must not be installed within 3 feet(90 cm)above a gas meter/regulator assembly when measured from the horizontal center-line of the regulator.' I. The clearance to service regulator vent outlet must be a minimum of 6 feet.' J.The clearance to a non-mechanical air supply inlet to the building or the combustion air inlet to any other appliance must be a minimum of 48".' w4 G D A E Inside corner oetoua B � .}C I;j O d B Porch or Deck ed Operable or Rxed F 0OperableSidewalk B M L IL K TA= J. =Vent Terminal 0=Air Supply Inlet ® =Area where termination is mot permitted 7 P68 Pellet Stove 3-90-00688R22 03/13 Venting IMPORTANT NOTICE Vent Pipe Approved 3" or 4" Pellet Vent Pipe Such As, Type "PL", Pellet venting pipe(known as PL vent) is constructed of two Must Be Used. layers with air space between the layers.This air space acts as an insulator and reduces the outside surface temperature to allow a clearance to combustibles of 1 to 3 inches. The Fig. 7 sections of pipe lock together to form an air tight seal in most cases. However, in some cases a perfect seal is not achieved. For this reason and the fact that the P68 operates with a positive vent pressure we specify that the joints also O+ =Positive Static Pressure be sealed with high temp (RTV)silicone.Aluminum tape O= Negative Static Pressure can also be used for any joint that is 1ft. or more from the outlet of the stove. INSTALL VENT AT CLEARANCES SPECIFIED BY THE + VENT MANUFACTURER DO NOT INSTALL A FLUE DAMPER IN THE EXHAUST VENTING SYSTEM OF THIS UNIT. DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER APPLIANCE. CAUTION _ - DO NOT USE MAKESHIFT COMPROMISES WHEN y + INSTALLING THIS APPLIANCE. DAMAGE AND/OR INJURY MAY RESULT. Venting A combustion blower is used to extract the combustion Avoiding Smoke and Odors gases from the firebox. This causes a negative pressure in Negative Pressure, Shut-down, and Power Failure: the firebox and a positive pressure in the venting system as shown in Fig. 7. The longer the vent pipe and more elbows To reduce the probability of back-drafting or burn-back in used in the system,the greater the flow resistance. Because the pellet burning appliance during power failure or shut- of these facts we recommend using as few elbows as possible down conditions,the stove must be able to draft naturally and 15 feet or less of vent pipe. The maximum horizontal without exhaust blower operation. Negative pressure in the run should not exceed 48". If more than 15 feet of pipe is house will resist this natural draft if not accounted for in the needed, the interior diameter should be increased from 3" pellet appliance installation. to 4"because a larger pipe causes less flow resistance. Be Heat rises in the house and leaks out at upper levels.This air sure to use approved pellet vent pipe wall and ceiling must be replaced with cold air from outdoors,which flows into pass-through fittings to go through combustible walls lower levels of the house.Vents and chimneys into basements and ceilings. All joints for connector pipe must be and lower levels of the house can become the conduit for air fastened with a minimum of three screws. Follow pellet supply, and reverse under these conditions. vent manufacturer instructions for properly securing Outside Air: each pellet vent joint. The pellet starting collar must be secured to the unit's flue collar. Hearth & Home Technologies strongly recommends + NOTE:Simpson DuraVent PelletVent Pro Harman Adapter attaching outside air in all installations,especially lower Part#3PVP-ADHB and PelletVent Pro Harman Adapter level and main floor locations. Increaser Part#3PVP-X4ADHB are highly recommended to be installed on the starter collar to insure a proper pipe connection to the unit. A CHIMNEY CONNECTOR MAY NOT PASS THROUGH AN ATTIC OR ROOF SPACE, CLOSET OR SIMILAR CONCEALED SPACE,FLOOR,OR CEILING.REFERENCE LOCAL BUILDING CODES FOR DETAILS. 3-90-00688R22 03113 P68 Pellet Stove 8 Venting Per national building codes, consideration must be given to combustion air supply to all combustion appliances. Failure Outside air flex pipe to supply adequate combustion air for all appliance demands, goes here. may lead to back-drafting of those and other appliances. �.m' When the appliance is side-wall vented:The air intake is best 0 located on the same exterior wall as the exhaust vent outlet f 4 and located lower on the wall than the exhaust vent outlet. When the appliance is roof vented: The air intake is best 4 � _ located on the exterior wall oriented towards the prevailing wind direction during the heating season. The outside air connection will supply the demands of the pellet appliance, but consideration must be given to the total house demand. House demand may consume some air needed for the stove, especially during a power failure. It Flex pipe part# may be necessary to add additional ventilation to the space in Z 1-00-08543(25) which the pellet appliance is located.Consult with your local HVAC professional to determine the ventilation demands for your house. Inlet Cover part# 1-10-Cover To install outside air use 2 3/8"I.D.non-combustible flex pipe. There is a break-away hole on the rear panel of the P68 stove which must be removed before connecting the flex pipe.The Direct Vent Wall Passthrough Kit I pipe should be run outside and terminate to the side or below (part#1-00-677077) the vent pipe outlet so the flue outlet is more than 12"from the inlet cover. The maximum length run of this pipe is 15 feet. If a longer run is needed the size must be increased to 3 Inlet cover, part number 1-10-08542 should be used to keep birds, rodents, etc.out of the pipe. �� II You may choose to use the optional Direct Vent Wall III III Passthrough Kit(part#1-00-677077)which incorporates the I I I I I venting passthrough and outside air inlet into one component. m NOTICE: In Canada, ULC-S627 requires that all outdoor- aired space heaters be secured to the structure. s Vent Configurations: To reduce probability of reverse drafting during shut-down conditions, Hearth &Home Technologies strongly recommends: • Installing the pellet vent with a minimum vertical run of five feet, preferably terminating above the roof line. • Installing the outside air intake at least four feet below the vent termination. To prevent soot damage to exterior walls of the house and to prevent re-entry of soot or ash into the house: • Maintain specified clearances to windows, doors, and air inlets, including air conditioners. • Vents should not be placed below ventilated soffits. Run the vent above the roof. • Avoid venting into alcove locations. • Vents should not terminate under overhangs, decks or onto covered porches. j • Maintain minimum clearance of 12 inches from the vent termination to the exterior wall. If you see deposits developing on the wall, you may need to extend this distance to accommodate your installation conditions. Hearth&Home Technologies assumes no responsibility for,nor does the warranty extend to,smoke damage caused by reverse drafting of pellet appliances under shut-down or power failure conditions. 9 P68 Pellet Stove 3-90-00688R22 03/13 Venting #1 Preferred method This method provides excellent venting for normal operation and allows the stove to be installed closest to the wall. Two inches from the wall is safe; however, four inches allows better access to remove the rear panel.The vertical portion of the vent should be three to five feet high.This vertical section will help provide natural draft in the event of a power failure. Note: Do not place joints within wall pass-throughs. 3 ft. to combustibles f: M 3 ft. Fig. 8 to combustibles � . #2 Preferred method This method also provides excellent venting for normal operation but requires the stove to be installed farther from the wall. The vertical portion of the vent should be three to .�, five feet high and at least three inches from a combustible wall.This vertical section will provide natural draft in the event of a power failure. If the stove is installed below grade be sure the vent t s termination is at least 18"above grade. The outlet must also 3 ft. be 1 foot from the house/building. to Note:Do not place joints within wall pass-throughs. combustibles CAUTION / Keep combustible materials (such as grass, leaves, etc.) at least 3 feet away from the flue outlet on the outside of the building HI 12"min.wall to outlet 3 ft. Fig. 9 to combustibles tE - 36"min clearance to any combustible material 3-90-00688R22 03/13 PH Pellet Stove 10 i Venting 12"min ..,e Storm collar Flashing 3'"min: �•' , �i Y min. 3"min. PL vent manufacturers � � Minimum flue vent firestop spacer and 1 No insulation or configuration support FNother combustible materials are allowed It is recommended that outside within 3"of the pellet air be installed with this venting vent pipe. Unless configuration to reduce smoke specified by the pipe and creosote smell in the room in manufacturer the event of power failure. 'i (See Page 7 for comer installation clearances) Y 3"min. 14 Fig. 15 - c CO m #8 Installing through the ceiling Through the ceiling vent, follow PL vent manufacturers recommendations when using wall and ceiling pass throughs. Note: Do not place joints within wall pass-throughs. 12"min. wall to outlet Shadedarea-represents r the minimum clearance to -F combustible materials such as shrubbery,mulch or tall grasses. j r � 36"min clearance to any ;? combustible material Fig. 16 13 P68 Pellet Stove 3-90-00688R22 03/13 � r �•I+E Town of Barnstable Regulatory Services ■ARxsrMM Thomas F.Geiler,Director MAM E 39. 6 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION L DATE: / /13 Please Print JOB LOCATION: 7 S S��VG� �ra ESTC— number street village "HOMEOWNER': G 112( s 4 lea w, CI ' $ _'�p Q 3 Q -2—4 name home phone# work phone# ,Q CURRENT MAILING ADDRESS: / ' S Preoi c 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 hive who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) 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 saand drrequirements and that he/she will comply with said procedures and requirements. t r" j i Signature of Hom owner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the-homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. ` To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doc Revised 053012 °FEE Town of Barnstable Regulatory Services snxx iE, ` Thomas F.Geiler,Director 163 a. N Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 E °�`Pro `Perg • Owner,Musf- �Y Complete and Sign This Section. If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) r Pool fences and alarms are the responsibility of the applicant'. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 62012 " rT0wT1::OaYY1S>1dRITePermit: TOWN OF 15 RR'i g.llgtory Service s:° are: pF�Herok Thomas F.Ceiler,Director, 0 2013 APR 1 � Fee: Pik ,BvHB,ing Division sAmsrABLF, Tom Perry; Building.Commissio:nc2 MASS.. 9�` i639• �m� :. 200 Mai Street, Hyannis MA 02601 arE01s "" www fow'n'ibar'nsCable:ina:us DIVISIDr: Office; ;508 862-4038" Fax: 50849076230 T.OWN:OF BARNSTABLE SOLID FUEL ST:OVE.P'ERMI-T' Owner; G HR t 5 A-)A U., Phone: "1 � 3D Z Installat qS 5p(2.jCik Village: [��_ �ACINSi'LhF3LE Wp/Parcel: 2- -.I;cC7 .�_ Date.. 110 1 . Stove A- Used.::Used. Type: Radiant,? culatina C:. Manufacturer:. HArA m*,j Lab..No: O-I L :Mode C:No.:. 56Z AL . 0 0 8 153083 Chimne 7. A. 'New .Existing (If--exisling;,please:note date`oflast clepnin '$: ue`Size. I/yCA C.. Are;other appliances aftached to Flue?-... nr c) D. Pre4at type Arid-maridd ure'r. s►nb6?sotil 1%¢.a_ V[-nr S. Masonry: /V A. Lined/Unlined 1✓J A Hearth: A. Materials: T1 LE k pM5on! Ry B. Sub Floor.Construction: W U�!� 'Installer Narne: Address: Phone: Location of Installation: .. H.l`.0 Registration#. Construction Supervisor# OR-Check. ` --Homeo:wner:Installtng no Ii'e &requiied' APPLICANTS SIGNATURE APPROVED BY: .Please make checks' a able to die'Po.wn•o Barns(able. is constitutes an.o rcialstoye ermrl,"a ter:ins eciion; hoto ra hed and:`a roved b the.f.� P f ,F P. g. P.. PP. .. �; Y . B0Idinglnapector. .Q;formsatowe Rev 103107 i " The.Commonwealth of Massachusetts' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Instirance A idavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): G MR 15 H A(L 1-- Address: 4 S Sp u L.le S'T. City/State/Zip: t'jQAN S1,2,LC-- 04_b6Phone.#: q�'8 �(7 J 01—Y , Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with .. 4. E].I am a general contractor and I 6_ New construction employees(full and/or part-time),* have hired the sub-contractors El.I am a sole proprietor or partner-' listed on the'attached sheet 7..[l:Remodeling ship and have.no employees These sub-contractors have g_'[:❑Demolition working for me in any capacity. employee's'and Have workers' 9. ❑Building addition [No workers'•comp..insurance comp..insurance.t required.) 5. 0 We are a corporation and its 10.0 Electrical repairs or additions off cers have exercised their 3. I am a homeowner doing all work 11.[]Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.E]Roof repairs c. 152; 1(4),and we have no employees.(No workers' 13.®Other y 0 Fv L$ .. . comp..msurance required.] I N STwL x_,4 Ic�n1 'arty.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infomation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must subrnit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entitieshave employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self--ins.Lic.#:_ Expiration Date: Job Site Address: City"/State/Zip: Attach a copy.of the workers'compensation policy declaration page(showing the policy number and.expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and aline of up to$250.00 a day against the violator: Be advised that a copy of this statement may be forwarded'to the'Office of Investigations of the DIA-for insurance coverage verification. 1 ilo hereby certify under the palings and penalties of perjury that the information provided above is true and to.irect. . Signature: Date: G. 1 Phone#: —10 Ofjuial use.only. Do not write in this area,to be completed by city or town of xiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk.4.Electrical Inspector 5.'Plumbing Inspector 6.Other Contact Person: Phone#: _� ��a,� n_ ;- � _ .... (/ ._ 4.:, "E� �i F�;.; �5n RV �. ff f i. Installation & Operating Manual' ' - P43 PeI I etfsto D ve ne r K anu.a r t - � '� a .art � mx ": P' �ea`�A`wr .. •' , _�� 2�+�1^t �D�; � gR r`�i�i ,}4 a •` 4� a 1lWi u: Z h., ( • �� v. 4•) LAY ;� t+47� Gs'BbMltS ke, a � n,�e„ '�"'"� ,..*.�xe•'�, aau.�-+?�,� T _•may r'a ,�, `.: ., :. .:w.N„, �^'cd'vS'as�a�s 41gi 6�`: -•w-smta � ,Janr.:.t Ce ma nuel est disponible en,Fran0ais sur demande ; PLEASEREAD'THISfENTIREMANUAL�BEFOREYOU INSTALL AND�USE&YOUR�NEWaROOM HEATER: WE ME =;aGi.N.% 4-.:• _._ssfwwr.T^`4.wt.,•ti.:n [s'.sti...x r3 t6ka+Es rtu ': .q$N"-+x.-E')k^+"..tEp. firl�.+ cTtr3 .,,m,tcn-,a.:+r`SwNterca TO FOLLOW INSTRUOTIONS MAY RESULT�IN PROPERIAMAMAGE BODILY INJURY�OR EVEN DEATH ' •Q �: ' Y FOR USE IN THE U S" ANDCANADA SUITABLE FORINSTALLATIONINMOBILEHOMES IFTHIS'HARMAN STOVEzIS^NOTPROPERLYINSTALLED,A HOUSE FIRE MAYRESULT EFORYOUR=SAFETY;FOLLOW INSTALLATION�DIRECTIO,NS t z CONTACTLOCAL/BUILD`ING�ORFIRE OFFICIALSABOUT RESTRICTtONSt, We ANDINSTALLATIONIN$PECTION � REQUIREMENTS�IN�YOURAREA.� ^ � W-11 LOCLAUTHORITY(SUCAS;MNICIPAL BUILDING ART�MENT FIRE,DEPARTMENT,FIRE . PRE1/ENTIONBUREAU;ETC )5T0 DETERMINE THE;NEED FOR§A ERM IT u` _ MET GUIDE, D UTtILISATIONIEST DISPONI EN,FRANCAIS CHEZ UOTRE CONCESSIONNAIRE�DE HARMAN HOME HEATiNGx SAVE TH� ESE INSTRUCTIONS. i 1 P43 Pellet Stove 3-90-04301 R18_03/13 Installation Installing Alternate floor protector Place the stove on a noncombustible type floor or floor protector 4 dimension may be used as long as they satisfy the that extends a minimum of 6 inches (152mm)to the front of the measurement requirements 9"(228mm) load door opening, 6 inches (152mm) to the sides of the door shown below. Minumum size floor protection opening, and 6 inches to the rear. Floor protection must also fora coroerinstallationhearth extend 2 inches(51 mm)beyond each side of any horizontal flue pad Is 36"x 36".clearance O shown as 9"with optional side pipe. The minimum floor protector material is 20 gauge sheet shields Installed. metal. Other floor protector materials are ceramic tile, stone, brick, etc. NOTE for Canadian installation only: Per ULC-S627-00, If installed on a combustible floor, the need to provide a N noncombustible floor protector covering the area beneath the 9"(228mm)WIth or W/Out Side Shields space heaterand extending at least 17.72"(450mm)on the firing side and at least 7.87" (200mm) on the other sides. In Canada, you may follow smaller U.S. floor protection Fig. 3 requirements ONLY if the user agrees to completely shut- down the appliance, and allow it to cool to where all fire is 4 extinguished and the combustion blower and its indicator 2"(51mm) fight shuts off,prior to opening the firebox door or ash door. Place the stove away from combustible walls at least as far as 10"(254mm)with shown in Figures 3 and 4. Please note the difference in side wall side shields clearance with and without side shields. ° ........ 10"(254mm) Note that the clearances shown are minimum for safety but 16"(406mm) 16"(406mm) do not leave much room for access when cleaning or servicing. Please take this into account when placing the stove. without side shields Connect the power cord to a 120 V.A.C. 60Hz grounded receptacle. (A surge protector is recommended to protect the circuit board.) Also be sure that the polarity of the outlet that the stove is plugged into is correct. Prior to installing the flue pipe, connect a draft meter. (The Fig. 4 36"(914mm) draft meter must have a minimum range of 0 - .5") Record the first reading. Connect flue pipe to stove and be sure all doors Minimum Size floor protection (USA) is 321121, wide By and windows in the home are closed. Record the second draft 33"deep(825mm X 838mm). reading . If the second reading is more than .05" lower * Floor protection dimensions for the front and sides than the first reading, check for possible restrictions or the need are measured from the appliance door opening in for outside air(see page 10). For more information on the draft The United States. In Canada, the side dimension is test procedure, refer to Page 21. measured from the widest part of the appliance. Mobile Home Installation When installing this unit in a mobile home,several requirements Floor Protection must be followed: Requirements' US ;Canada 1.The unit must be bolted to the floor.This can be done with 1/4" lag screws through the 2 holes in the base plate. j Sides 6" 200mm 2.The unit must also be connected to outside air. See page 10. K Front 6" 450 mm 3. Floor protection and clearances must be followed as shown. 4.Unit must be grounded to the metal frame of the mobile home. L Rear 6" 200mm CAUTION: This appliance must be vented to the outside. Due to high temperatures, the stove should be placed out of traffic and away from furniture and draperies. NOTE: Children and adults should be alerted to the hazards of high Measurement"L" surface temperatures and should stay away to avoid burns to is measured from , skin and/or clothing. the pedestal base Young children should be carefully supervised when they are in in the US ONLY `L the same room as the stove. Clothing and other flammable materials should not be placed NOTE: on or near this unit. Measurement"K" is measured from WARNING the glass in the THE STRUCTURAL INTEGRITY OF THE US ONLY I CANADA MANUFACTURED HOME FLOOR, WALL,AND CEILING/ROOF MUST BE MAINTAINED. � USA •••••••i 'f` FLOOR PROTECTOR DO NOT INSTALL IN SLEEPING ROOM. 3-90-04301 R18_03113 P43 Pellet Stove 7 Venting Requirements for Terminating the Venting I. The clearance to service regulator vent outlet must WARNING: Venting terminals must not be recessed be a minimum of 6 feet.' into a wall or siding. J.The clearance to a non-mechanical air supply inlet to NOTE: Only approved pellet vent pipe, wall pass- the building or the combustion air inlet to any other throughs, and fire stops should be used when venting appliance must be a minimum of 48".' through combustible materials. K. The clearance to a mechanical air supply inlet must NOTE: Always take into consideration the effects of be a minimum of 10 feet.' the prevailing wind direction or other wind currents (with outside air installed, 6 feet ) that may cause flyash and/or smoke when placing the L. The clearance above a paved sidewalk or a paved termination of the vent. driveway located on public property must be a In addition, the following must be observed: minimum of 7 feet.'.2 A. The clearance above grade must be a minimum M. The clearance under a veranda, porch, deck or of 18".' balcony must be a minimum of 12 inches.',3 B. The clearance to a window or door that may be (B. also applies) opened must be a minimum of 48" to the side, 48" NOTE: The clearance to vegetation and other exterior below the window/door, and 12"above the window/ combustibles such as mulch is 36" as measured from door.' (with outside air installed, 18" to the side or the center of the outlet or cap.This 36"radius continues below) to grade or a minimum of 7 feet below the outlet., C. A 12" clearance to a permanently closed window 'Certain Canadian and/or Local codes or regulations is recommended to prevent condensation on the may require different clearances. window. 2A vent shall not terminate directly above a side-walk D. The vertical clearance to a ventilated soffit located or paved driveway which is located between two above the terminal within a horizontal distance of 2 single family dwellings and serves both dwellings. feet(60 cm)from the center-line of the terminal must 3Only permitted if veranda, porch, deck, or balcony is be a minimum of 18". fully open on a minimum of 2 sides beneath the floor. E. The clearance to an unventilated soffit must be a minimum of 12". NOTE:Where passage through a wall,or partition of F.The clearance to an outside corner is 11"from center combustible construction is desired,the installation of pipe. shall conform to CAN/CSA-13365. (if in Canada) G. The clearance to an inside corner is 12". H. A vent must not be installed within 3 feet (90 cm) above a gas meter/regulator assembly when measured from the horizontal center-line of the regulator.' � C j D A E MuH Detau B 06, C Rd B aO� goewde B Porch or Deck / R'd Openable or Faed E ` F B Cm C 0 iopl Open_ S �B C jklewalk � M A K =VentTerminal O=Air Supply Inlet ® =Area where termination is mot permitted 8 P43 Pellet Stove 3-90-04301 R18 03/13 Venting IMPORTANT NOTICE Vent Pipe Pellet venting pipe(known as PL vent) is constructed of two Approved 3" or 4" Pellet Vent Pipe Such As, layers with air space between the layers.This air space acts Type "PL", Must Be Used. as an insulator and reduces the outside surface temperature to allow a clearance to combustibles of 1 to 3 inches. The Fig 7 sections of pipe lock together to form an air tight seal in most cases. However, in some cases a perfect seal is not achieved. For this reason and the fact that the unit operates with a positive vent pressure we specify that the joints O+ =Positive Static Pressure also be sealed with high temp(RTV)silicone.Aluminum O=Negative Static Pressure LJ tape can also be used for any joint that is 1ft. or more from the outlet of the stove. INSTALL VENT AT CLEARANCES SPECIFIED BY THE + VENT MANUFACTURER DO NOT INSTALL A FLUE DAMPER IN THE EXHAUST VENTING SYSTEM OF THIS UNIT. DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER APPLIANCE. O El A CHIMNEY CONNECTOR MAY NOT PASS THROUGH g .� AN ATTIC OR ROOF SPACE, CLOSET OR SIMILAR CONCEALED SPACE,FLOOR,OR CEILING.REFERENCE LOCAL BUILDING CODES FOR DETAILS. + CAUTION Venting DO NOT USE MAKESHIFT COMPROMISES A combustion blower is used to extract the combustion WHEN INSTALLING THIS APPLIANCE. gases from the firebox. This causes a negative pressure in DAMAGE AND/OR INJURY MAY RESULT. the firebox and a positive pressure in the venting system as shown in Fig. 7. The longer the vent pipe and more elbows Avoiding Smoke and Odors used in the system,the greater the flow resistance. Because Negative Pressure, Shut-down, and Power Failure: of these facts we recommend using as few elbows as possible To reduce the probability of back-drafting or burn-back in and 15 feet or less of vent pipe. The maximum horizontal run should not exceed 48". If more than 15 feet of pipe is the pellet burning appliance during power failure or shut- needed,the interior diameter should be increased from 3"to down conditions,the stove must be able to draft naturally 4"because a larger pipe causes less flow resistance. Be sure without exhaust blower operation. Negative pressure in the to use approved pellet vent pipe wall and ceiling pass- house will resist this natural draft if not accounted for in the through fittings to go through combustible walls and pellet appliance installation. ceilings.All joints for connector pipe must be fastened with a minimum of three screws and a termination cap Heat rises in the house and leaks out at upper levels. This must be installed. Follow pellet vent manufacturer air must be replaced with cold air from outdoors,which flows instructions for properly securing each pellet vent joint. into lower levels of the house. Vents and chimneys into The pellet starting collar must be secured to the unit's basements and lower levels of the house can become the flue collar. conduit for air supply, and reverse under these conditions. NOTE:Simpson DuraVent PelletVent Pro Harman Adapter Part 93PVP-ADHB and PelletVent Pro Harman Adapter Outside Air: Increaser Part#3PVP-X4ADHB are highly recommended Hearth & Home Technologies strongly recommends to be installed on the starter collar to insure a proper attaching outside air in all installations,especially lower pipe connection to the unit. level and main floor locations. 3-90-04301 R18_03/13 P43 Pellet Stove 9 Venting 7! Per national building codes, consideration must be given to combustion air supply to all combustion Outside air flex pipe appliances. Failure to supply adequate combustion air -- = goes here. for all appliance demands, may lead to back-drafting of those and other appliances. l � When the appliance is side-wall vented:The air intake f' is best located on the same exterior wall as the exhaust vent outlet and located lower on the wall than the exhaust vent outlet. When the appliance is roof vented: The air intake is 'V best located on the exterior wall oriented towards the - prevailing wind direction during the heating season. The outside air connection will supply the demands of Flex pipe part# the pellet appliance, but consideration must be given to 1-00-08543(25) the total house demand. House demand may consume some air needed for the stove,especially during a power failure. It may be necessary to add additional ventilation to the space in which the pellet appliance is located. Inlet Cover part# Consult with your local HVAC professional to determine 1-10-08542 the ventilation demands for your house. To install outside air use 2 3/8" I.D. non-combustible flex pipe. There is a break-away hole on the rear Direct Vent Wall Passthrough Kit panel of the P43 stove which must be removed before (part#1-00-677077) connecting the flex pipe.The pipe should be run outside and terminate to the side or below the vent pipe outlet so the flue outlet is more than 12"from the inlet cover. The maximum length run of this pipe is 15 feet. If a longer run is needed the size must be increased to 3". Inlet cover, part number 1-10-08542 should be used to keep birds, rodents, etc.out of the pipe. You may choose to use the optional Direct Vent Wall a Passthrough Kit(part#1-00-677077)which incorporates the venting passthrough and outside air inlet into one a;- component. Vent Configurations: To reduce probability of reverse drafting during shut-down conditions, Hearth & Home Technologies strongly recommends: • Installing the pellet vent with a minimum vertical run of five feet, preferably terminating above the roof line. • Installing the outside air intake at least four feet below the vent termination. To prevent soot damage to exterior walls of the house and to prevent re-entry of soot or ash into the house: • Maintain specified clearances to windows, doors, and air inlets, including air conditioners. • Vents should not be placed below ventilated soffits. Run the vent above the roof. •Avoid venting into alcove locations. •Vents should not terminate under overhangs, decks or onto covered porches. • Maintain minimum clearance of 12 inches from the vent termination to the exterior wall. If you see deposits developing on the wall, you may need to extend this distance to,accommodate your installation conditions. Hearth & Home Technologies assumes no responsibility for, nor does the warranty extend to, smoke damage caused by reverse drafting of pellet appliances under shut-down or power failure conditions. 10 P43 Pellet Stove 3-90-04301 R18 03/13 Venting #1 Preferred method This method provides excellent venting for normal ' operation and allows the stove to be installed closest to the wall. Two inches from the wall is safe; however, four inches allows better access to remove the rear panel. The vertical portion of the vent should be three to five feet high. This vertical section will help provide natural draft in the event of a power failure. 3 Ft. Note: Do not place joints within wall pass-throughs. to Combustibles Sri a s�- Fig. 8 <--►I 3 Ft. to Combustibles R #2 Preferred method This method also provides excellent venting for normal operation but requires the stove to be installed farther from the wall. The vertical portion of the vent should be three to five feet high and at least three inches from a combustible wall. This vertical section will provide natural draft in the event of a power failure. If the stove is installed below grade be sure the vent termination is at least 18"above grade. The outlet must 3 Ft. also be 1 foot from the house/building. to Note:Do not place joints within wall ass-throw hs. Combustibles P 1 P 9 "P CAUTION Keep combustible materials (such as grass, leaves, etc.) at least 3 feet away from the flue outlet on the outside of the building. H Fig 9 3 Ft. 12"min.wall to outlet to Combustibles 36 min clearance to any �^ combustible material a ` Shaded area represents l a f - / the minimum clearance to combustible materials such as shrubbery, mulch or tall grasses. 3-90-04301 R18_03/13 P43 Pellet Stove 11 r Venting I Storm collar �,.12 min, %J Flashing 3 min 3"min 3"min. PL vent manufacturer's firestop spacer and No insulation or Minimum flue vent support ' other combustible configuration materials are It is required that outside air allowed within 3"of the pellet be installed.with this venting ' vent pipe. Unless configuration to reduce smoke specified by the and creosote smell in the room pipe manufacturer in the event of power failure. } (See Page 7 for comer installation clearances) 3"min. .,, a� Fig. 14 0 .00 CO #8 Installing through the ceiling Fig. 15 Through the ceiling vent,follow Pl-vent manufacturers ' recommendations when using wall and ceiling pass through. Note: Do not place joints within wall pass-throughs. { 12"min. wall to outlet 36"min clearance to any y combustible material yr= Srr ' r Shaded area represents the minimum clearance to combustible ¢ materials such as shrubbery,mulch 'r or tall grasses. Fig. 16 14 P43 Pellet Stove 3-90-04301R18 03/13 Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director RUM `�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION L /O Please Print DATE: �/ C I 1 /� r JOB LOCATION: I ��RV Cf J'i(Z EfT V\I Ci T N S rtPj�►L C number 1 ' street 1 p / �7 village "HOMEOWNW: G 1121 S ►4 f�1�1i � T C� _+(o V 7 Q 2-'f name home phone# work phone# CURRENT MAILING ADDRESS: / ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual.for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homtowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollikWppData\Local\Microsoft\Windows\Temponiry Internet Files\ContentOutlook\QRE6ZUBN\E}2RESS.doc Revised 053012 ERMIT PAYMENT RECEIPTS SC TOWN OF BARNSTABLE ) 1 BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MAs 02601 DATE 07/23/10 j TIME: 11 :14 --------.-----TOTALS----------------- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 AMT APPLIED: 35.00 CHANGE" .00 APPLICATION NUMBER: 20,1003734 PAYMENT METH: 4 CHECK PAYMENT REF: 2209 — « a t _ . Town of Barnstable Permit: Regulatory Services ate: �THe rqy Thomas F.Geiler,Director Building Division Fee: 3,5Zyo� HA STAeta, Tom Perry, Building Commissioner v� 6;9. 200 Main Street, Hyannis,MA 02601 At f p s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: 6Aa%5'VoPv+F1t NAL_L- Phone: Q'-y8 25O-L4 ram' Install at: 45 SPRuCr S'f Village: We-s< 3A2NS�rAe3LF Map/Parcel: 2 16 S 2 Date: 1(. 1Z010 Stove A. (0 Used B. Type: 1� Circulating C. Manufacturer: VE R MDWr GRS'f t N 615 Lab.No. D. Model No.: VEPk ArST Chimney A. New xistin (If existing,please note date of last cleaning) 200 19 B. Flue Size C. Are other appliances attached to Flue? nr o, . D. Pre-fab Type and Manufacturer —E. Masonry: Lined/Unlined f' Hearth A. Materials: B R 1 Gk B. Sub Floor Construction: WOOD Installer Name: 1PH 11. 'Di P-v ZZU Address: S 2 7�,�m an e. �T Yh;o 0 uaea Phone: 5 d a 5 Z 2 23 51 Location of Installation: 'H.I.0 Registration# A 688g Construction Supervisor# 146 + A O OR check X Homeowner Installing,no license required APPLICANTS SIGNATURE APPROVED BY: J Uj Please make checks payable to the Town o Barnstable } *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector � e�d Q:forms:stove Rev 103107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A_ppLicant Information Please Print Legibly Name (Business/Organization/Individual): Ho M6-rc3,fat Remo17a-i&t& Address: �SZ PlVIMIT-4 62314(0 ' S-0g 941 OS�� City/State/Zip: M ti)Db aQ VM Phone M Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑New construction e pltiyees(full and/or part-time). * have hired the sub-contractors.. 2.Wain.a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a bomeowner.doing all work officers have exercised their L LE] Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entitics'havc employees. If the sub-contractors have employees,they must provide their workers'comp.policy number, fain an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins, Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of.criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of.this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify it r the pains and penalties of perittry that the information provided abov is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# , Issuing Authority (circle one): 1. Board of Health 2, Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: je i aonaecs 0 raof B ✓ «av ueef ;s ;- Boael¢iag.Regiilahon�jStaniil'r�v 1 Construction Supervisor License Licene: CS 96888 ! Birthd.—,9/28/1970 Tr# '96888 _ a a/2010 V i R.'estr3c I'o 00 'e i PHILIP DIRUZZA< , •852 PLYIVIOUTH STL 1r K MIDDLE OK. MA a?� 6 Gommisst$nkr , Bo�of`8u°I�ng egu atioe&.tan arms"" License or registrption valid for individul use only — _ before the expiration date. if found return to: . . HOME IMPROVEMENT C TRACTOR Board of Building Regulations and Standards Registration: 1-46740 One Ashburton Place Rm 1301' _- Expiration:.5/12/201OTr# 284633 Boston,Ma.02108 Type: DBA HOMETOWN REMODELING PHILIP DIRU2ZA 852 PLYMOUTH STREET - t valid without signature MIDLEBORO,MA W2 16 Administrator Av 0- TOWN OF BARNSTABLE BUILDING PERMIT APPLICA Map 2 t Parcel S �"_ Application # Health Division - Date Issued Conservation Division Application Fee Planning Dept. :.Permit Fee S Date Definitive Plan Approved by Planning Board Historic ' OKH Preservation/Hyannis D Project Street Address y S S1?V C, E6 AUG: Village Owner Address S AgoJE. Telephone q g (O b Z S Permit Request tyTtiR to R ON 5'fRvL�� � w,�I�. T Square feet: 1 st floor: existing%)0 proposed 90 0 2nd floor: existing'3 S° proposed '�Sb Total new Zoning District R IK 10 CV61A -Flood Plain Groundwater Overlay �`a Proiect Valuation 00 Construction Type i Lot Size_• 4 S G2 C. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 3 3 1 rs Historic House: ❑Yes �6o On Old King's Highway: Yes ❑ No Basement Type: ❑ Full ❑ Crawl �(Nalkout , ❑ Other Basement Finished Area (sq.ft.) Rob Basement Unfinished Area (sq.ft) ZS Number of Baths: Full: existing 2. new Half: existing new Number of Bedrooms: 3 existing ()new Total Room Count (not including baths): existing 6 new 0 First Floor Room Count 2- Heat Type and Fuel: '6 Gas ❑ Oil ❑ Electric ❑ Other . Central Air: ❑Yes Ok No Fireplaces: Existing New Existing wood/coal stove: YYes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 'UIX �'oR R�D�Att Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use R ''SID&TT1AL is., Proposed Use 6S APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 9�a �60 3 D Zy Address S 5PF2v[_ ST License # VY�S 1 C��2JVS'CA'P�I,L Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S + 5 19N Co SIGNATURE DATE T I ( 120, (7 7 FOR OFFICIAL USE ONLY AAPPLICATTION# a DATEISSUED _ F MAP/PARCEL NO. gDDRESS VILLAGE- OWNER' DATE OF INSPECTION: FOUNDATION jfSovva Q d l0 - r A ,FRAME_ /o l� t�.��_ ��/Z.//(� 1 o nc-c� �.•_ INSULATION_/3 W-01�d X&f-A— s FIREPLACE � ELECTRICAL: ROUGH FINAL �z PLUMBING: ROUGH FINAL • GAS: ROUGH FINAL, FINAL BUILDING @ of tl i' DATE CLOSED OUT ` ASSOCIATION PLAN NO. -' 9 • 4 The Commonwealth of Massachusetts s \ Department of Industrial Accidents Office of Investigations 600 Washington Street t� Boston, MA 02111 s www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1, Please Print Letribly Name (Business/Organization/Individual): CM�¢�_eM6 14AL-1 Address: J45 5PRuce- sleeer City/State/Zip: W 65K* �gFtl�15'C0-�LE- Phone M � 30ty Are you an employer?-Check the appropriate.box: Type of project(required): 1.❑ I am a er with employer 4. ❑ I am a general contractor and I p y 6. New construction * have hired the sub-contractors.. employees"(fii11 and/tir'part-tune). 2-❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. Ej Demolition working for mein any capacity. employees and have workers' 9 Building addition No workers' comp. insurance comp. insurance.$ required.) 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.�4.1 am a bomeowner.doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MOL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site info rrnatiaz Insurance Company Name: Policy# or Self-ins, Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of.this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify corder the pains and penalties of perjury that the information provided above is true and correct. 4 Date: Si nature g �14,120 t 0 Phone# 113-9 ''60 3 d 2 y 71coialTuse only. Do not write in this area, to be completer/by city or town offcciaL wn: Permit/License# Issuing Authority (circle one): 1. Board of Health 2, Building Department 3. City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Town of ]Barnstable of�►+e r , o Regulatory Services rinxxaMBLY. Thomas F. Geiler,Director Huss. ��AIfD MA1 A`�� Building Division • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: lo '2b to JOB LOCATION: 4 5 SPRY C* 5'C2E6jT W ES< SW-N S-CAI%Lf number street } village "HOMEOWNER": 4CMRt,j, 44At 1�— �$ -+(y a 3p V name home phone# work phone# CURRENT MAILING ADDRESS: 4 5 SER V C t; W L- s*t I,�_ gnat- 02 ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such • "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements Signature of Hom ner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a forth currently used by • several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\YvTFILES\FORMS\homeexempt.DOC °Ft Town of Barnstable , Regulatory Services rBARNMBM� Thomas F. Geiler,Director 1639..�0. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 .. Property OW ei:.,Must, Complete and.$gn This Section If t7sing'ABuilder . ' ' `` 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) I I Signature of Owner Date - 9 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. I � Q:FORMS:O WNERPERMISSION i °F'HET°wy� Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis, MA 02601i TEL: 508-862-4787 Fax 508-862-4784 �p 1639. TEO MA�� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4)complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,drawings, or photographs accompanying this application for: Check all categories that apply; i 1. Building construction: ❑ New ❑ Addition m Alteration 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial 18 Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court t® Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: 1. kzo 1 o Address of proposed work: House# /4 5 Street: s(RU CC S'` Village W f�%4 P taetN S'04lA ors Map Lot# 2 )(p O Sz Description of Proposed Work: Give particulars of work to be done: S H t N Q (iE S TM, '%E C IMtN 6EPj To G1?A%f -1'O dC?TC-a m c-&r IOV-K 6%jLP Eu Ar ES_ gL-(J, fo gE RC60 1 Ln To SAYS F 5 i 2 P, ' 4�t i H 5*m a rn 4-,s C-at i41,.3 'Co 6v- yA K" ( i q a 3l, s s M 4 is 5 a c L4 U.S ', o 1 4 00 W,Nnw,►5 v 10 C 6 5 Mo L M 4rVL 0f QP^Afr-O wt NfP OW S Agent or Contractor(print): F)A'%`1 P mi 9\7T.2A Telephone#: SOg—9Z7?_—Z3 s3 Address: Z, D M H OZ3 q(.a, Contractor/Agent' signature: NOTE All applications must be s gned by the current owner Owner(print): [u.2r S'eo(��4C-+rl- E'kAe L,%.,_ Telephone#: 0 Z y Owners mailing address: 4 S C[ 5'((2 E(-� W F S-C GA-ON STA/2 Ljr— 0 2 4,6X Owner's signature: M For committee use only. This Certificate is hereby -A-PP v Date Members signatures I WG JUL 16 1010 down of Barnsl Hic1hWae OI �omR,mee TOWN OF BARNSTABLE coif aPProvalHIC'"rnr ogrcrD'IATInN : 1 Q.•IGMD-GroupA01d Kings Highway10KH New AppIOKH Cert Appropriateness 07.doc Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18" exposed) (material -brick/cement, other) Siding Type material: Color: ° Chimney Material: Color: Roof Material: (make & style) G. 4 F Q Ci-n T(-GTu(:l A&Ip+ai Color: G APi- Cep 62q.y Trim material pIw r^ Color: R C'j Roof Pitch: (7/12 minimum) IVi� Window: (make/model)ANoee5w L��0 SQL material W OOn color o�'121 A:j - Size(s): M RIC N L Y.l 5:11 N 6- Door style and make: material Garage Door, Style Size Materialcllo Shutter Type/Material: Color: ^f Rarnstable Old King's Highway Gutter Type/Material: Color: Committee 22' >G 1 b I Decks: material I?R 1r%vR E 1n Era-'ro Size 5 C-E 9 C--S i GN Color: nr A-tu RAi. �raoon Skylight, type/make/model/: material Color: 0 Sign size: Type/Materials: or: D Fence Type (max 6' ) Style . material: Color: 6 ?RJR Retaining wall: Material: TOWN OF BARNSTABLE Lighting, freestanding on building illuL�- HISTPR_IC PRESERVATION . Please provide samples of paint colors and manufacturers brochure of style of windows,doors, garage door, fences, lamp posts etc ADDITIONAL INFORMATION:-TO EwaiSvQ E CoLag2 C oN'Ct uut"r•/ WX11A K El6L SOS I 6 Q OvG►A S<eu c'W a Pry, -Pl e 54„N Q G S U%LA- 131✓ 04ATIA1&.0 71!%2ovh f3c1 Owh 16 60A_ Ike. 0 ECi L W*5 N 6 c Comp LkC&O 'Co 6 R t C t N A L_ n!0p0ov Eo D LM 5 A,nJD W1 J% THE- Ircu2 SgpG?aa-,t &5'CS ft.EQv►2to \39 MA 1Qv1t,0tNS cnDf _ Signed: (plan preparer) � print name 44Is—,v PLC c-4i tel.no. Ot ?60 3 oZy Location of application: Street no. H 5 Street er y Ct q? Village�u LET QACLN S'fA(; L F 2 Q:IGMD-Groups101d Kings Highway0KH New ApplOKHCertAppropriateness 07.doc �- � ILI 1 Fi } •} ... -- — IIT - J ' -- 1yI I - - I� U , • - ( � I — - I �l _.—I it •'•1' W i;+t _'sue r• c �....`."4�•�F'i .y.. � •� i:a Ta ...� :i?1T5`°'�: ua 1` 1 cp i OHO fl APPROVE® AUG 112010 Town of Barnstable Old King's Highway i r. - Committee .� \l r Y OV E��O`� � rS• � � �"'.!-�t+y�,® .i'.rw'� .4 �I1 �,��`��� •'•��►;jt.•k z•;9��^�,�� j' �, 11� 1 4y' ,k � i. fi.�bye���,C7 � g `•��d 1Fe, ebb � • a �,; .<<,;Sy��.aY,;� � , �-=���4a � - MTV .n <��j, ✓ {y,ti ,�r / • � . •i 3T;•� a vl�t �� 1N i 4 ` / n•! \°' 1'�trTpf "� ��` lv' � •�!e. .� a.� a:l ♦ i .7�1;a m• 'S�'••ra,.` � (� T `�� ! r r fJd' �'J/�r •�:f'e L_JF-2. 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'P 92.00 i.♦11 sEPncsrSTEALCIOMPONETSSUBIECrTO •83 DESIGN CRITERIA: VEHI(lE LOADING(ia UNDER DRIVEWAYS.ETC-) _` 93)S 9310_ y(I� DESIGN FLOW:S. BE DESIGNED TO WIT)ISI'AND H-2D LOADING. f 1 ��_ �"' S BI:OROOM DWELLING®110 OAL/DAY PER BEDROOM C.ALL SEWER PIPES SHALLVIDUV D EO V:.LS UOOALS PER DAY.(NO GARBAGE GRINDER) BE SC7fEDlRE COOK ti DFPIII DI ?3-. 2.EFF.APPROVED EQUAL - BOX Ih: RC fI(1 .re.na srVI1CTANRREQUIRED:. 130%za.6W S.BEFORE STARTING CONSTRUCTION CAII DIG SATE '� 0 MINI (H B;y. P f D _ 180P3I348N FOR WfLTON OF UNDERGROUND - 4� �4. `-SPDCTANX PROVIDED:1000.L IOOOOA ANx _:7E OF I.F.%OitNG FACnXryREOUIRFD ���' SEYIICTANIt(ro Ri p+) DESIGNPERCRAT<IOmWI, 6.DATUM IS ASSUMED NOTE: INVERT ELEVATIONS: )})y',P;T d" 7.NO DETERMINATION HAS BEEN MADE AS TO D-BOXTOSETONA INVERTATBUIDING Sl r OF LFACHLNO PROVIDED CONPLI,WCSEWT171DEEDRESTIUCTIONS OR ZONING 6'BED OF COLUACTED CAl1S1ffD f7 INVERT IN ATSEPDCT,., 95.25 1.;R.L -300 V.CAPAC77Y CONCRETE LEACHING REGULATIONS.R SHAM R EMAIN TIE OWNERS RFSPoNSIRBITy CONTRACTOR SHALL WA TF3T ...:::RF f W,p OF STONF. TO OBTAIN ALLREQUIRUS PERMITS,SPECLLLPERMI'IS D'BOX 7D SHOWLEYELSSi INVERT OUTATSEPMCTANX 95.00+ ter..: VARIANCES.[:TIC FOR TIDS PROTECT. LNVERTINATDIST.BOX 92.00 SDFWALL'11116 iLs.60.I I I G.P.D.0 NOTE: 111 G.P NOTE: LNVERTOUFATOLtT.BOX 91.93 .La eu. ,...Pn EXISTING SEPTIC LEACH PIT SHALL BE PUMPED CI. N BOTIOMOFASAS S3 f 0 SOIL TEST Pm DATA *AINVERT IN'1.9 AND BACKFILLED WITH SAND TO ELIMINATE ADJUSTEDGROUNDwATER MINATE VOII 98'00 OROI/ND EIEv..SISD (/ CHINO.WATER ELEV.- HA WELL NCi '41�. OBSERVmaROUNDWATER _ T.P.•I �'�V PROPOSED GROUND EIEv..97j C-FRIV WAYCR ELF.V.. NA lJOZx*FQt„ SA.S. PROPOS DATr::UGLSTl7•rw6 VENT Tlit.:: c.NA1LM'.7:•o ytl7NCS!TA.L-mNr;.Nc 164.62' 10.4ft VAANDERSCAJLE'Y.su,L VALUAloll . ':.'INF.SSED i-Y:DON OFSMARFS(AAENQ FRC RATF.I.:m¢I INCH U4 C;:TRAIA HOLE PROPOSED %VASHEDSiot E a 1 S.A.S. REM VE LtFdSU1TABLL SUIT SENEA-iH 1 EL 94.0 ^ WTAND L!IT*,';N A{TL Wp IE ZONE AROUND •THE A.-DOWN TO THZ CI SOIL STRATA BENCHMARK 1ANT)RErvf. ,:^WITH CLEAN SAND PFG 8 TOP OF SLAB LEAOI a `�-�1_L=100.00 PIT a o. �I SECnON 15.25N3). (ASSUMED) 57.. y1cTEST HOLE18.p11T 23b.8+'� r� a 2 a EXISiI TO EXIsnN w� DE K 'S � r� WF11 THREE COt;`"REIE o., EIX;c `�1 LEACHING SCR UCTL'RES(H-20)A> TEST HOLEP-M•CPA ST'ING DA1LQ B tDAM Ip,.S!WELLIN +r.IW CISLLTLDAM IOp» DATE P4A30.7+' V iANCEREQUIRED a 45 rT, IW-2IVc�SAMY1DAMIq.1a SURVEYOR rI.L`� LP.g FINE 70 MED.SAND 11�64 '1� e V TEST HOLE a 2 F.� P-L•OyA j'z'r'�.:n::n A. EXISTING WLL DECKh�/1 uir B LDAM x c°�.;.��•`'•i E 47 IN'gsLr Y 168'-I1P G1SAImY 1DAM 10"5/3 �f 40 1.P+C,FITE IO"ED.SAND IOp6V ri Aa TOPOFPERC04r DATE PRO. ''! EN INEER( TEXTURALC HANGFS.T IN BAND 104 e C/) OF RED HUE& ASSESSORS MAP 216 PARCEL 052 tO2 i z ' PLAN SHOWING A SEPTIC SYSTEM REPAIR DESIGN #45 SPRUCE STREET,BARNSTABLE,MA ♦u uwa SCALE 1•.2B SEFTEmBER°6.IDOL REVISED SANVARY 2Z.7DUI °' zo a' so CANAL LAND SURVEYING&PERMITTING INC. 306 OLD PLYMOUTH ROAD,SAGAMORE BEACH,MA a` (508-838-5955) LOCUS MAP PRO3ECr NUMBER 06.033-B DRAWN BY:PDR/CFIECICED 8Y:R1H . �_ .�,-• � .I� .��__.__'_.__._�- � ,� ,� i o �':�• t L-r°is�� f .00 • -%,'-� � '� '�AcT�.n _.._._;.'n r-,__.._�_. ...^..... __._...._�....�.f_-t_`�_-...__...r a �• 1 a/^ �...�Y_-� �1..// �.1 b ' . •:,.. ...._. Sys ..��..�__._.._ `y4 .. r,�Tu a{i�sz .s{iLGs�—; .sico-s t E x f f Fo f 8{6"Et N p x ! ' AP v. i i u 174711h6=1 SUL jr ij mwq ailI' � e X .. � r ''• k '.' 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Q Mr. Bob McKechnie Building Division SEP Town of Barnstable D Town Office Building B 200 Main Street y__ ._ Hyannis, MA 02601 Dear Bob: I wanted to take a minute to further outline a some of the details involved in the building of the deck as applied in permit # Specifically, for construction the sonic tubes will be connected to the brackets with Simpson 4x6 concrete mounts, while the posts will be attached to the top of the girt with Simpson girt brackets. In addition we will be using Simpson hurricane ties to prevent uplift. To further strengthen the deck, the required diagonal bracing will be placed at a 45' on all 4x6 posts; in addition we will be using carriage bolts made by Simpson for connectivity and to provide an additional level of support. The drawing,below should also serve to outline the details of the appropriate height and dimensions of the project. I have included images of the proposed Simpson brackets, mounts and ties for your consideration. As always, thanks for your assistance and consideration. Kind regards, ris Hall z , 45 Spruce Street West Barnstable, MA 02668 5� rn J LZ' Hou) poi' 4i ac00eca8-1609-4ec5-bb2e-ff6cc013dcbc_400 jpg(JPEG Image,400x400 pixels) http://www.homedepot.com/catalog/productlmages/400/ac/ac00eca8-1609-4ec5-bb2 rTIR A 1 of 1 9/21/10 1:: 264808_300 jpg(PNG Image,300000 pixels) h.ttp://images.,d.rillspot.com/pimages/2648/264808—� AQ) A /. I 1 of 1 9/21/10 E download(JPEG Image,400x218 pixels) http://§ketchup.godgle.eom/3dwareh6bs6/download?mid=56b54dfO3637b6de9c36az 0 i ' 4 - y;: o. lofl 9/21/10 L'. 166a-2009.gif(GIF Image,300000 pixels) http://www.strohgtie.com/graphics/productsAarge/166a-21 0 O ` O O ® O O r lofl 9/21/10 1: 747947 jpg.(JPEG I,mage,400x Wpixels) http://w.ww.i'dealtruevalue-com/catalog/747S O � .0 O 9 1ofl 9/21/10 1: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division r'",Application G Planning Dept. Permit Fee LO Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis ' Project Street Address Village w 5S-T a N SSA I.4r, Owner -e M 1S-r0PHc.Q 1-k0tL_ Address AS A DYt Telephone 93 D Z Permit Request- b 8,66 V t L�b T F- r3 4-Lk- D:r--GK AS TN F E/N C LIK rO Pt.A-N S ADD '1� SD, S iM'0 0 I ND)C r. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay *Project Valuation 2000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. CD w Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) C) 'n r Age of Existing Structure J Historic House: ❑Yes CPo On Old King's Highway Yes' � No , z, �• Basement Type: I F/ull ❑ Crawl ❑Walkout ❑ Other u? Basement Finished Areas ft. goo Basement Unfinished Area(sq.ft) ( q ) w rn 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 3 Heat Type and Fuel: ❑ Gas ❑ Oil WElectric ❑Other Central Air: ❑Yes !&No Fireplaces Existing New Existing wood/coal stove:XYes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: Kexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ;i(No If yes, site plan review # Current Use ij: L Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Z�_HQ1 S LA Telephone Number 60 302Y Address � ev CF i License# Y WS i R5 i-_F b26 G Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO HAS E Hlse .} SK(P SIGNATU DATE FOR OFFICIAL USE ONLY ' APPLICATION# { DATE ISSUED ' MAP/PARCEL NO. . ADDRESS VILLAGE OWNER f DATE OF INSPECTION: - FOUNDATION - - FRAME i INSULATION,, ` FIREPLACE , ELECTRICAL: ROUGH " FINAL PLUMBING: ROUGH FINAL = G'A•S: ,j_-�R ROUGH 'lv;` .. FINAL Y :FINAL BUILDING` ,E. DATE CLOSED OUT �. ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents l- Office of Investigations 600 Washington Street lX Boston, MA 02111 s www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/.Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiordlndividuai): Ci4el S Address:- � S 5Mvc E —r-aitT City/State/Zip: w G5'( S-TtA1,f M 021 done #: 11 7-8 0 Z Are you an employer?-Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑1 I am a general contractor and I 6. ❑New construction eiripltiyeas(full and/or part-time). * have hired the sub-contractors.. . 2.❑ I am a sole proprietor-or partner- listed on the attached sheet. 7 deling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp, insurance. required.) 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.[ 1 am a bomeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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 sub-contractors and state whether or not those entities have employees. If the sub-contractors have employers,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be.advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify tinderthe pains and penalties of perjury that the information provided above istree and correct. Signatur Date: q )2-3 1 l C� T Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: HETti Town of Barnstable Regulatory Services Thomas F. Geiler, Director b39 A�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 518-862-4038 Fax: 508-790-6230 -----------------_-_________—_ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCA"f 10N: H S Cf -s t 5AaNS i,A%L,(- number street village C "HOMEOWNER" H pre � RIS I-��L� 1 T 6 O 3a y name !� home phone N work phone H CURRENT MAILNG ADDRESS: —I S 5?,Zycc (AIC-Sc Q3AGZ(`4STA6 L(- `V)^ p26 66 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and re uq irements and that he/she will comply with said procedures and requirements. Signature of H4neown.er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing ofconstruction 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 supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.)5) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannotproceed 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 I amend and adopt such a form/certification for use in your community. 4 F i'. Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doe Revised 072110 OF THE Tp� + HARNSTAHLE, � MASS. Town of.Ba>rnstable prFD ktA'�A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 wrvw.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using -A_ Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit applicadon for: (Address of Job) r Signature of Owner Date Print Name If property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESIF0RMSlbui1ding permit forms\EXPRESS.doe Revised 072110 NEW, ENGIAND LAND SURVEY CERTIFIED PLOT PLAN Professional Land Surveying NAME CHRISTOPHERA KARI N. HALL 5 Wheelock Street �> , Oxford, MA - 01540 LOCATION 45 SPRUCE 5TREET PHONE: (508) 987-0025 WE5T BARN5TABLE, MA FAX: (508) 234-7723 REGISTRY BARNSTABLE SCALE V=30 DATE 10/18/2010 WECERTIFY THAT THE BUILDING(S)ARE NOT WITHIN THE LENDER:Bank Of America SPECIAL FLOOD HAZARD AREA SEE HUD MAP: I w��H OF MiQn„ 2500010003D Dnr 07/02/1992 JA DEED BOOK/PAGE: 909/306 FLOOD HAZARD ZONE HAS BEEN DETERMINED BY SCALE PA CK PLAN BOOK/PLAN: 15.1/133 AND IS NOT NECESSARILY ACCURATE.UNTIL DEFINITIVE PLANS ARE ISSUED BY HUD AND/OR A VERTICAL CONTROL $ N0. 6�51 0 RS ZONE: SURVEY IS PERFORMED.PRECISE ELEVATIONS CANNOT BE �f•�$T��� DETERMINED. �yAl LAND I CERTIFY THAT THIS PLAN FULLY AND ACCURATELY DEPICTS THE LOCATION OF THE BUILDING AND DIMENSIONS-'AS SHOWN. N85°0 00"W 164.62' % - D6cK uw o _ N m o ^ co c N LOT 0) 0) g 8 20)120 SF± 36.4' W l 80. a8.4 �f #45 W a I2.8 z 160:40' N85°05'20-W 0' 15 30' 45, 60' 90' REQUESTED BY: S&K SCALE: /"=30' DRAWN BY: AJD CHECKED BY: GES File: IOCPP4508 d c HA2 t.N 1(Po .WO ��JPf o f- 3ar 131P /r -pmas� p` �� r F Q i f7avvM C H v /01 _ g 16�0�� VOL 000 y 00 �' T1 o vs, � •szsr�- -161 • �', � �ofrill �x� 1 �� O 1610W ammaA- wn�n.r l 377/f@' 28vw:tom`-.14011�IB'�C.}vQ'ry�� 60570'�1� 1743F V �Y 1 / 1T45W T-11139B4mi J 1 lJ l 9f —2—q o99/-WN4 ntr � . qRa0'\D `L �— OIL, , 9 fvo) Ah CYpsdWi JI - OF � r i y .aLSB1 D189 A' -99 .99a4 VS lo[' -CfI 02 ->16lot co �: „5 � s x Z ��' • " 716 ,84CL _J L {may+ Feu � j �� moo r•c- `—�{I' 01 m �10 01 ' ol 6 ;o e 3 n< �+ 10 J34Vtill - - 6d3cf302-7f29-4cab-9bad-190cae899048_300 jpg(JPEG Image,300000 pixels) http://www.homedepot.com/catalog/productlmages/300/6d/6d3cf3O2-7f29-4cAb-9bz O .3 4 � y 1 j 6 - 1 of 1 9/22/10 10: 166a-2009.gif(GIF Image,300000 pixels) http://www.strongtie.tom/graphics/productsAarge/166a-21 0 o 3'�e° ° 0 ® O o 1 of 1 9/22/10 10: 747947 jpg(JPEG Image,400x290 pixels) http://www.idealtruevalue.com/catalog/747S � m Q . Q Q � A 1 of 1 9/22/10 10: download(JPEG Image,400x218 pixels) http://sketchup.google.con/3dwarehouse/download?mid=56b54dfO3637b6de9c36az e. 1 of 1 9/22/10 10: 264808_300 jpg(PNG Image,300000 pixels) http://images.drilispot.com/pimages/2648/264808_: 1 of 1 9/22/10 10: ac00eca8-1609-4ec5-bb2e-ff6cc013dcbc_300 jpg(JPEG Image,300000 pixels) http://www.homedep6t.com/catalog/productlmages/300/ac/ac00eca8-1609-4ec5-bb2 4 u r I 1 of 1 9/22/10 10: PLtApj ' ig- DIMEM S1 oN ; S 1 lsasrm � H ss' w 1 nir w x i CD air 'F = BOUT —w 54W. T8N@' 'FooeRpav, . S �- � ® T-11 fY16Fm1 Y � / 17-11, /�f rlose — ea� :e' _ sent' rJ/ �1dllQ�Q" ffi3Olov'Fw f0991B'R.}73d" LiENERAL NOTES: - 1.THIS PLAN IS FOR THE DE SIGN AND CONSTRUCTION �----�_ • OFTHE SEWAGE D,SPOSALSYSIEM ONLY. - 99.80 IN 'FlMSH GRADE DEP'n!Or COVER AS BAFT7E AOff_S COVERS OVERSAS VARIES �� SI>CITGN 17221(7). 2.ALLCONSIRUCITON MEITIODS,MATERAIS AND T� WITIHN6'OF BETWEEN EL 9230 ANp 911p -•AV.VtUWCB OF UP1LT7fI.IS REQUIRED IN LIE II MA INTENANCEFOR THE SEPTIC SYSTEM SHALL FlMSF > PROPOSED OFI'.1E3fi.MAXIUM COVER OVERTIME SAS.TO BURY THE'SA.S. CONFORM7bTITLEJANpIDGL DE UPTp6.0 DEEP ITS SOUTHFNU. BOARD OF HEALTH REGULATIONS. 4.PIPE 92.00 3.ALL SEPTIC SYSTEM CO SUIVELTTO '83 DESIGN CRITERIA: �;.• VF311CIELOADMG(La UNDER DRIVEWAYS.Mr 9527 93.005: -90•(10 DESIGN FLOW; i SHALL BE DESIGNED TO WITHSTAND H-20 LOADING. 4'MINIMUM I "�' 7 BEDROOM.. 'UoLn ELUNO @ 110 OALIDAY PER BEDROOM 4.ALL SEWER PIPES SHALL BE SCHEDULE 40 OR DEPTH �. y. 2'EFP EQUALS 330 DAIS.PER DAY. GAR BAG GRINDER) .AgPROVEDEQUAL I: BOX' IN:' �P.$•00- u,en.mv SEP7ICTANK REOUIREb. 3RIs2.0.660 i5.BEFORE SPAR7ING C'ONSTRUCIION ? 10 MIMMVM (H'2(;:191,. I_ 4 I PR OS'D SA H-W) I gel, CALL DIG SAiE C I 4� c PMC TANK PROVIDED:IODD Ow. ]J)DU322.4844 FOR LOCATION Or UNDERGROUND IODD OALLON - LMUTIES" SEPTIC TANX(FJDSIINO Z:E OF I.IiACHING FACRIry RCOUI RED TO REMAIN) DESIGN PERC RAT<lOnwyla 6.DATUM IS ASSUMON 1 NOTE: INVERT ELEVATIONS: 350 PL P¢,d, '7.NO DETERMINATION IW S BEEN MADE AS TO D•BOX TO SETONA INV ERT ATBUIIDMG SI7G?OF I.F.ACI4MG PROVIDED: COMPLIAJ4CE WITH DEED RESTRICFlONS OR ZONING *BED OFI`DMPACIL•DCRVSF@DST INVERT IN ATSEPIICTA.•0C 95.25} 1TIR='F..J00 g.Y CAPACITY CONCRETE LEACHING REGULATIONS.IT SHALL REMAIN TIE OWNERS RESPONSIBUM roMTU`�R SITAR•WATER IFST TJRFS R')4'OF STONE. TO OBTAIN ALL REQUIRED PERMITS,SPECIAL PERMIT$ D•BOX TD SHOW LEI'F11JF55. INVERTOVI'AT SEPTIC TANK 95.00+ 'VARIANCES.GfC FOR TIDSPROJEC�'. - BUl"TOM:4M sL,b0.261 G.D.D. INVERT IN ATDISr.BOX 92,00 SIDhlVAL1.186 eL:.60.ill G.P.D. NOTE: INVrRTOUTAT DIST.BOX 91.83 a5�T 1L.LZ 3'ji" D. EXISTING SEPTIC LEACH PIT SHALL BE PUMPED Cl. N BOTTOM OFSAS, 5a'w SOIL TEST PIT DATA *4 3y3 AND BACKFILLED WITH SAND TO ELIMINATE VOII 8800 T.P.#I ADJUSTED GROUNDWATER GROUND ELEV..94,0 ORNO.WATR ELEV.. NA EXISTING OBSERVED VFD GROUNDWATER T.P.0 2 WELL ���V� PROPOSED GROUND BLEV,.973 GRILL WATER EIEV,. NA 7y. Qt, S.A.S. PROPOS L DATE:AUGL'S 17.2006 "ut I VENT TES-1 CANAL LrN:I S;;o.VL• ING3PERSLITI,NG LYC. 164.6�2' 10Aft V.uNDERSCAULEY-SOILEVALUAIOR) ' ESSL•D F..V:DON DPSMAFS(AOENn :ERC RAT,I17nilr.J INCH INC!STRATA 1;_DIA. HOLE PROPOSED WASHE.DSTONE #1 - S.A.S. REM,iVE UNSUITABLE SOIL BENEATH EL 94.0 ,o 43.5' AND V.7T?';N A 5ft.WIC)E ZONE AROUND • _ O� �, .5' /THE A.S.DOWN TO TH='CI SOIL STRATA BENCHMARK I y '. AND REr1.✓dCc WITH CI.BAN SAND PER TOPOFSLAB LEXAO1 a TYP e. .'t�.n'.` .'� 1tic�tcUl r.,.,;,; .. - . �• EL=100.00 PIT CN °` P SECTION 15.253(3).v,�i,�.1,:.ei (ASSUMED) yT.. ]8. T o TESL BOLE 41 l 11 7 238.8+' EXISTI7• #2 C �(7'O MS71N WELT D WELL THREE CONCRETE mm' DECI,,; A LEACHINGSTRUCTURES(H-20) RICHAR J. -® 9 _,11J TEST HOLE#1 HOOD 0-44-O/A No.35031 / STING DJU WAY 24'4r B LDAM loy,5R z�,•1� ?� WELLIN 4ra68'CISILTLOAM I0y,5D PATE PROF *A 30.7+'V IANCEREQUI #45 rY\ 166•am'C1SANDY LOAM 10y.5a LAND SURVEYOR O w 210'+C,FINE TO MED.SAND ID,t6'4 U TEST HOLE#2 ��^)s.''_•4Ye`�s, 10 b 0'-24.O/A I:'Jj oc n 21'4r B LoAM10y,5A i 1 0P 4�s°�� EXISTING WELL ti .L� IN�ka•5<30 V M1 168%214r-168'CISILTLOAM 1 7/J r� fYI 168'-21P CeSANDY IAAM toy,sn 23 Ad TDPOFLERCTU4MED.SAND.10y,N4 P.yy m DATE PRC. 1� Ai:,EN WEER( I )TFATURAL CLIANCFS,TIIN BAND •104 I .� OF RED HUES. ASSESSORS MAP 216 PARCEL 052 PLAN SHOWING A SEPTIC SYSTEM REPAIR DESIGN !8A' ' #45 SPRUCE STREET,BARNSTABLE,MA I Au �Itxvs SCALE 1'.20' SEPTEMBER 06.20DL REVISED JANJARY 22,2007' 0' 20• 40' 60• CANAL LAND SURVEYING&PERMITTING INC. b " ` 306.OLD.PLYMOUTH ROAD,SAGAMORE BEACH,MA ":7N (508-888-5955) LOCUS MAP PROJECT NUMBER 06-033-B DRAWN BY:PDR/CF�CKED BY:RIH i C,qpls NstL- 302-Y Crystal Reports Viewer , jn I k 4 M I- / 2 1 Main Report � ,� Dates - Town of Bz 7/1/2009 - 5/10/2010 Application List-A By Projec 902 CONSTRUCTION TRAILER COMM 905 SIGN 908 ROOF/SIDING/WINDOW COMMERCIAL 912 ELECTRIC COMM MINOR 913 ELECTRICAL COMMERCIAL 914 GAS COMMERCIAL 915 PLUMBING COMMERCIAL 916 TENTS COMMERCIAL 917 ELECTRIC COMM SERVICE 999 MISCELLANEOUS COI CERTIFICATE OF INSPECTION Grand Total: Tot �. NEW ENGIAND LAND SURVEY CERTIFIED PLOT PLAN Professional Land Surveying NAME CHRI5TOPHER 8c KARI N. HALL 5 Wheelock Street Oxford, MA - 01540 LOCATION 45 SPRUCE 5TREET PHONE: (508) 987-0025 WE5T BARN5TABLE, MA FAX: (508) 234-7723 • SCALE 1"=30' DATE 10/18/2010 REGISTRY BARNSTABLE WE CERTIFY THAT THE BUILDINGS)ARE NOT WITHIN THE LENDER:Bank Of America SPECIAL FLOOD HAZARD AREA.SEE HUD MAP: _`�N OF MAo„ 2500010003D mD: 07/02/1992 DEED BOOK/PAGE: 909/306 FLOOD HAZARD ZONE HAS BEEN DETERMINED BY SCALE PA CK PLAN BOOK/PLAN: 151/133 AND IS NOT NECESSARILY ACCURATE.UNTIL OEFIMTIVE N0. b�51 RS PLANS ARE ISSUED BY HUD AND(OR A VERTICAL CONTROL ZONE- SURVEY IS PERFORMED,PRECISE ELEVATIONS CANNOT BE DETERMINED. �y°Nqc LAND I CERTIFY THAT THIS PLAN FULLY AND ACCURATELY DEPICTS THE LOCATION OF THE BUILDING AND DIMENSIONS AS SHOWN. N85°0100,,W 164.62' DEck w M o N �L N LOT 3 0) 0 o g1 Z 20,120 SF± 36.4' LW f #45 wCL (0 AD M ( • I� $� (gyp �' O - O 124 z 160'40, N85005'20"W D' 15' 30' 45' 60 90' REQUESTED BY: S&K DRAWN BY: AJD SCALE: 1"=30' CHECKED BY: GES File: 10CPP4608 Town of Barnstable Geographic Information System December 6, 2010 4 A �v U21 7, � Y y� H #� Qr . s � I 1 rop a � t 21 x W .. ,0- 0 K DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:216 Parcel:052 Q N boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:BARTLETT,WESTON H JR Total Assessed Value:$337600 1"=100'may not meet established map accuracy standards. The parcel lines on this map - W E are only graphic representations of Assessors tax parcels. They are not true property Co-Owner:%HALL,CHRISTOPHER C A& Acreage:0.46 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:45 SPRUCE STREET such as building locations. Buffer Aerial Photos Taken April 19,2008 Building Detail Page 1 of 1 Logged In As: Building Detail Monday, December 6 2010 Parcel Lookup Parcel Detail Error: LoadOBGrid: EXECUTE permission denied on object 'getOB', database 'TOBI_Production_Property', owner 'dbo'. Building 1 of 1 s ;w4KN Y � T,tIS ���yyy rr 77 �.•r Code Description Gross Area Effective Area Living Area BAS First Floor 1145 1145 1145 BMT Basement Area 1145 195 0 TQS Three Quarter Story 768 576 576 WDK I Wood Deck 1 8261 991 0 Extra Features Code Description Units Unit Price Year Built Value Comments BFA Bsmt Fin-Aver 852.00 .15.00 1997 $11,100 Out Buildings http://issgl2/intranet/propdata/BuildingDetail.aspx?PID=15417&BID=15953&N=1&NN=1 12/6/2010 i L� I e, r o� 4 1 •, ��..7 `10 GGT -4 P12 :44 �o,YHera Barnstable Old Kings HigMvay Historic District Committee ti aL•: 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 - e.�xs'r � T FC'LSS O 7� Y 1r�-1,l mY 1�T 1, l� Y1,1� L� 1G� r4o MAC A Pl.�l�'l.t1 �l.lON, C.E RTJI. ICATE O APPROPRIATENESS Application is hereby made;'-witli four(4)'complete•'s`e'[s 'for the issuance of a Certificate of Appropriateness under Section 6 of Qiapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: Check all categories (hat apply; 1 . Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garage barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Sin ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ FenceElWall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Tate: p 11.)ZO 10 _Address of proposed work: House# 4J Street: c>PRUCF S'YQrr� Village •� � L�.Assessors Map I of#_2.1(o 1K :Description of Proposed Fork: Give particulars of work to be done: W�At2� �c.�i�� •►fl v�l✓0 � OEGK P,���[D_--SHE �Io�S��vr oP y�s�a�� Fapyll /�cs 1 L `T'N o20�wEA�t A..fp T�_. R COy CE TWA Si Z 5 OF cx,<s iq—Q-jE-(-k -r�A-r---,s v►sc��� RoYn �PG�V c�S-RZEE7.. Agent or Contractor(print): D%�l]'L Telephone.#: S'O S 9 Address: S �2- �yMd�]'�-t ST �_(. aML� (�� 02 3t76 Contra c to r/Agent' signature: NOTE All applications must be signed by the cur re owner Owner (print): G kA21S HAA LA—- Telephone #: CI 18 76.0 30 Z Y Owners mailing address: S_go. t.r-(.7 5'TlL E�� �. {rN3-ta�3 LF Yha 02.6 68 .- — Owner's signatu _ committee use only. This Certif ca -is_ PRO DENIED 4100 Members s gn u es AUG 11 1016 TOWN OF BARNSTABL HISTORIC PRESERVATI N Any conditions o \ 'Fownot h Old Wing HiW`�y Oom 1 Town of Barnstable Old King's Highway Regional historic District Committee CERTIFICATE OF APPROMATENESS SPEC SHEET Please submit 4 Copies Foundation Type: (Max. 18'' exposed) (material -brick/cement, other) Siding Type material: Color: ' Chimney Material: Color: Roof Material: (make & style) _ Color: D Trirn material Color: Roof Pitch: (7/12 minimum) AUG ZOW Window: (make/model) TOWN OF RARNSxWtilal color HISTORIC PRESERVATION Size(s): Door style and make: material Color: Garage Door, Style Size Material Color Shutter Type/Material: Color: Gutter Type/Material: Color.- Decks: material Frmug& Size � X 10 Color: /V�rU2AL Skylight, type/make/model/- material Color: Size: Sign size: Type/Materials: Color: Fence Type (max 6' ) Style . material: Color: Retaining wall: Material: Lighting, freestanding on building illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows, doors, garage door, fences, lamp posts etc ADDITIONAL INFORMATION: . . S2 Town Signed: (plan preparer) print name tel.no. Location of application: Street no. Street Village 2 f , �FIME r Town of Barnstable *Permit# 0 Expires 6 months front issue date Regulatory Services Fee bJy Thomas F.Geiler,Director Building Division ' Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601fI www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / O 5 Z Property Address 4 S Sftu CC Sr"Cat w F -%6p�N 5?Ap LF ®•Residential Value of Work I S i C�l O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address GHR►Sfoputc2 1aAl_` t-I 5 S PQU CC 5T , lam► F S-,� (5r�NS'fA4*�,L& 026,E C Contractor's Name 7 t t_ �� �y ZZo Telephone Number S o y 2 2 Z 3 S 3 Home Improvement Contractor License#(if applicable) Ok k Construction Supervisor's License#(if applicable) ❑W orkman's Compensation Insurance �, i �' `�` Check one: PERMI I am a sole proprietor . .JUL 12010 ❑ I am the Homeowner �' ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE . Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box) [4 Re-roof(stripping old shingles) All construction debris will be taken to 16(t Q(A°SAL_ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 2 #of doors 0 Replacement Windows/doors/sliders.U-Value .3 (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *.**Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement C ractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPPESS.doc Revised 090809 oFt►+E r� + BABNSCABLE, MASS. 163939• ' Town of Barnstable �s �jf0 MA'S A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I oe" r-4"'fo p"C—� � ,as Owner of the subject property hereby authorize —?�A L `l�%JZZ-V to act on my behalf, in all matters relative to work authorized by this building permit application for: y s Sp R u C E S'r2 E , W ST I�/}�'rv5-Ct.f (Address of Job) 6 1 20 ( D Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 no,ani� � j Boardf$aildm$�Rsg S - e'. - Construction Supervisor License LiceMae: CS 96888 ? Birthtf8tp�'9/28I1970 - F_ 3it�t rt 9128/2610 Tr# '96888 M F3`e`S#lctittff 00: i PHILIP DIRUZ7A, . •852 PLYMOUTH+ST MIODLEBOROUGH MBA'0 6 Comanssi6aeY, Bo of liu l mg egu t%o% and tan a", "s-- License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - =- Board of Building Regulations and Standards Registration: 146740 One Ashburton Place Rm 1301' Expiration: 5/12/2011 Tr# 284633 Boston,Ma.02108 Type: DBA HOMETOWN REMODELING PHILIP DIRUZIA _ 852 PLYMOUTH STREET �•tr«�-Q"'� of valid without signature MIDLEBORO,MA 02346 Administrator I The Commonwealth of Massachusetts Y--- Department of Industrial Accidents Office of Investigations 600 Washington Street t F Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbel-s Applicant Information Please Print Legibly Name (Business/Organization/Individual): I-10194(--1 Address: g 52 P 1y Mpy,.3 City/State/Zip: r(1 Cb23`1(o Phone #: S - 22- 23G3 Are you an employer?Check the appropriate box: Type of project(required): 1'.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction eiripltiyees'(fuLl and/or part-time). * have hired the sub-contractors.. 2.91 am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling. ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MOL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13•❑ Other comp. insurance required.) "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. fain an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 oan lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify tin the pains and penalties of perjury that the information provided above is trice and correct. Si nature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerlc 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: �� � � s i s 17/U . Town of Barnstable Regulatory Services Thomas F.Geiler,Director • sutxsrMM • a Building Division s6�9• lee '°�Eo ►•t�' Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 COWLAINTlINQUIRY REPORT Date:_ - -0,2 Rec'd by: Complaint Name:L • ' ap/Parcel__ / .Z Location. Address:cZ-4 j�_ _ _»:�o v - �•-��G 2 - Originator Name: / Street: Village'- ��� � State: Zip: Telephone: _ -Vd 7 7 Complaint Description.: FOR OFFICE USE ONLY Inspector's Action/Comments Date: ► O 3, d a Inspector, . _ a t A11�6. �!�4n,�t � .Q U t�� ,,r� h • Additional Info.Attached 14,'ti'i i` .a .} f ^ .•^ air.' �.i�Sri+' ..• .. •11A I '�.�i' - 1.�..-?� �. } t r -5 lk IT, ..,. ^ a .p Asseassor's map and lot'.number .a� .. .- 1 :.... /c �rlrrFs 0�' �C�4vv^�r QyOF I E tp�1 J Sewage � Permit number` ......to/Tie...................T.......................YS l d J ' vcr- I, V" s�t1C... 6 g BARNSTABLE House number, .... .. ....:..:. .:...........................4......................, ��0 39• 6 TOWN ; OF ` BARNSTABLE BUILDING, -) NSPECTOR APPLICATION FOR PERMIT TO ...... e. .... .... ��.�' !.T.. . I.............. ... . ............. .. TYPE OF CONSTRUCTION ............. ............. r ! �/ U.Y.......... ..........19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... .. �V .. S%. ..W�.. S -�... -. ...................................... � . D... - Ll v�R.J to /Ji �_ Proposed Use ....... ............................................................................................................................................. Zoning District ..... ..............................................................Fire District. ..... : sFF— ' ''!! ' Name of Owner .� L2L�....,/ . .. .......................Address .... ... �lf"v...�. S 71 ..U'..<.. Name of Builder' .&"J#��U ..1.-:..�.................................Address ......./...l.. Q:Vt�KF".. .:... . !L .•, Gr.... Lk.j Name of Architect .G-�. . Q.h11%..f�"v Address1 . .'. ''� Ss Numberof Ro ms ... ...r..................................................Foundation .:l�L.4. ..V..... ...... . ............................................... Exterior ... ....... :. ...............................................:............:..Roofing .......J 4C.... .....1/ ................................0.................. FloorsG Interior � .ego F.1�.�l�4'.............................. .................................................. ...... .... ......... ....... ..................... Heating .......1: ....... ................Plumbing .................................................................................. Fireplace ...'-:.................................................................... ...Approximate Cost ............... .. .... ^........... . Definitive Plan Approved by Planning Board,-----------__—-----------19__ . Area 4 . .. 5 .....�....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4r OCCUP NCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town ofz le regarding the above construction. 041t, Name .................... ......................... ..... .... i JONES, SHIRLI 24545 ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location . 45 Spruce Street ............................................................... West Barnstable ............................................................................... Owner Shirli Jones ................ .............................................. Type of Construction ....Frame........................... .. ....... .................... ........................................................... Plot ............................ Lot ................................ Permit Granted ..................................November 15,......19 82 Date of Inspection ....................................19 eted ............ 19 Date Compl' p: 11 "''_ '� _. - _ __- .. �-•.:,..� ...n.tiy.•.r.,.....,�,. �,. I• I � I -1-DE---j-��-�-1aN._._ Application to Opp O�,�P pM:v� r ••-•,: .t.•.•l.1 - ` � Old King's Highway Regional Historic District Committee in the Town of Barnstable for a T:TJ CERTIFICATE OF APPROPRIATENESS '.. Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building 321Addition ❑ Alteration Indicate type of building: VI*Aouse ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ Existing sign. Repainting existing sign 3. Signs or Billboards: ❑ New sign :. .>❑ ❑ 4. Structure: ❑ Fence Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK ASSESSORS MAP N O. r OWNER � � � ASSESSORS LOT NO. HOME ADDRESS Jff�EL. NO. ,'�1 /I'/ Cl- FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.. Include name of adjacent property owners across any public street or ways (Attac additional sheet if necessary). trial AGENT OR CONTRACTOR ] TEL. NO. ADDRESS �G� DETAI LED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary)..,„ cJ /'� ��K vfe e� �avltdaT,�h !.A'I� Signed Owner ont to Agent r%pa7t below line for Committee use. Re Ned by H.D.C, nnr.D •,nq'% _ The Certificate is hereby . Date Time p 07 Approved IMPORTANT:' If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ I Town of Barnstable Building Department Complaint/Inquiry Report Date: %/� - 9 Rec'd by: Assessor's No.: Complaint Location Address: /6/, 116a,,J.� Originator Name: Street: Village: State: Zip: Telephone: D/E Complaint �Q Description:. Inquiry . Description: For Office Use Only Inspector's Action/Comments Date: Inspector. 64Z Follow-up Action I Additional Info. Attached Cop),Distribution: W7ute-Deparanent File YeAow-Inspector . pink-Inspector(Return to OlTce:Manager) w FEE ( TOWN OF BARNSTABLE, MASS. b0 ' ab � 19 0 tO. q � cc o�•� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO 02 U > O 0. O as,ti (PROPERTY OWNER) (ADDRESS) TO .............................................................»........................................................_._....___............................................_.».................._.......................................................................... ._._ (BUILD) (ALTER) (REPAIR) .....................................................................................................................................................»..._................I............. .................................................................................._....._... __• ' y Q (TYPE OF BUILDING) (APPROXIMATE SIZE) be C � O �r o � LOCATION ..........»._........................................_.............................»................._..._ .....................»............._.................................._............................................_......---__— � (STREET AND NUMBER) (VILLAGE) cc.0 NAME OF BUILDER OR CONTRACTOR _._....._.__............................................_........................................._....._......_........._..............._.......__............__....._... ru 61 Q APPROXIMATE COST y 0boCd 1 HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN `0 OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. a) ofA > c 0 it3 "m ._^._......._.........................._................._......................................................................._ ......................._..................................................................................................................._....... �w± 0 N (OWNER) (CONTRACTOR) CIS r6oU tU ............................................................................ BUILDING INSPECTOR Subject to Approval of Board of Health. / J 7s I a Assessor's map and lot number ..... . . .. . ....................... ,M Y. INSTALLED IN COMPLIANCE Sewage Permit number .........t WITH ARTICLE 11 STATE SMITARY CODE AND TO" Q�OFTHE tO�♦ TOWN OF BARNSIAUM' " i � r i 33ARNSTABLE i "6 9 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ��illv �......... ......................................... TYPE OF CONSTRUCTION ...............tVjAl,V.................................................................................................... .....�..i�...........9.�T TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............. .... .lr.�..4-',f. ......t.�.,1..�... ... ... ........ .. .. . ..... ................................ ProposedUse .......l........, Q,e � .... .7.......... ..f.l....3,'`y ......................................................................... ZoningDistrict ...................(................................[....�.......................Fire Disfrict ..................................................�...........h................... Name of 0wneriss /..st.tn.t.�'.rib,//'/f ;r. .I ... jr ddress ..V0!6 �.�.l. 7 .../..I.... .���..�1.1.I�.�.......... , Name of Builder .... 1^.... Z,t!� :1<- ............Address ... V 1..�.. .... .Q!�t. 7'.'•s j It ((' t ``1 Name of Architect ...�...........���...r>�4.�.......?...........Address ... .�.,��I. �2. /' Number of Rooms ...........C.�....................................................Foundation ......1�..�.I�.v.e.....�.......................... .......... Exterior ..... I/../....fl.. ../...4 .... ... 'J.�P .....l.:f.�......Roofing ......6..�/P,yG...�l / ..... lfl.. . .. ../..'4.. . Floors ......... ./ '.. .. ............................................................Interior ..�,.4 .d Q .............................................................. Heating Plumbing .......... Fireplace ......`1. ..... .. ......................................................Approximate Cost ........... VVV ...,; .......t............. Definitive Plan Approved by Planning Board -----------_______-----------19_ . Area .......!'7i;?-.... .............. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF OARD OF HEALTH 4, a y e I hereby agree to con orm to all the Rules and Regulations of the Town of Barnstable regarding the above construction. k Name - .. . ........ ...... Ir �i Frye, Ellsworth W. Jr. , & Shirley M. No ....L7.25D.. Permit-for ....1 1ry, ./2......sto.... is�► ' ,�,�.-..—.— L single family,.dwelling............................. Location ........Spruce.Street ..... ........... �j � G"` Owner Ellsworth W. Jr. & Shirl M. Frye/ O ( _ Type of Constructions(4tr................ 20 poe ,y VVV 'Plot .....n......................Lot ................................ F �! � � � � • -.� � � ! 'Permit Granted August /19 74 ` r :,gate of Inspection . . ...,!� . . >>j� a7 Date'.C&rripleted ........ _ W....... ' �,/ ..... PERMIT REFUSED r ........................... n ........ ./ // i� i/ • r ..... .�. ............................................. . - �"• 1/ •� _ ' Approved' ............................................ 19 ' .�........................................................... Assessor's. map- and lot ..number ..................... ........ .`. <', �.f, f. t • Sewage Permit'.number�l.: o .-� (�. i x r"ar• " i4 �QCFTHETp�o r: TOWN1�0V - B_ X, NSTABLE Z HABHSTABLE. 1679•�,,� RU51.L D I N G 4 r I N S P='E C TO R. it ' . APPLICATION FOR PERMIT-TO. ....................... TYPE OF CONSTRUCTION ' w t .... $ { 3 ,�. .... .....19..' ! t *p TO THE INSPECTOR OF�BUILDINGS: ' The undersigned hereby applies for a permitAaccording,to the following,information: w _ , Location .... lrx� ..........�* Ff . .. s .............. c ZZ ' Proposed Use . �.tr , e , `� y t ,1' ? C .................................. * Zoning District ..... .... k ......... ..'...Fire Distract ... ..t Name of Ownerf ., �... �.n r .....•. ..�. Address ., �� f �f ... Addresss ...........................U 'f Name of Builder'.... 1t < .l¢ ...... P . . Name of Architect ......... �... Address � .............................................. . Number of Rooms- '.... a... . .�.. ?. ...:: *�.... r°. y �..... 4s`.."}Foundation, ,: � ,: ....................................... 0 . r r x C, +�. ,! C�#� i{�i< �t ' 4.` he Exterior ....: t � t Roofingx x �rf ' �..� `r. , � E T £y -�X ie. -pi.; "s } tcr'` S{ cir ,r ' Floors r ..`? .._. '...:. '..... .'.. ...... ..Interior !� ....... ......... .......... ........ ...... : h },5, 4 n s E r Plumbin r A � '` •rj'c� rti - '�-� '�° E g Heating ........ ' Fireplace ... ' `... .. ..:.` r Appr'oximateCost ............ f/ �............. ~l e y y 4 r• .r /.. ..d zTF Definitive Plan Approved'by. Planning'Board _- 19 Arear 72 ...... Diagram of Lot and Building withDimensionsf Fee ' : ..' .... ' SUBJECT TO APPROVAL.OF BOARD ,.OF HEALTH ' '; { '�" •' ' {{Lfrfy �r ."Ptir.�''�^/'E t+- ':. /}/✓f //�• t n r� � r r. 1 ,� - .�` 1 �;; 41 . - ��"i,✓• +� i''��'�<' i' v`• _f 1, v -^ ,�; .S � ��. �� .. - 4- ,t- � � r r.1� i.: i � �•��.,.rr'''".d" R` {+r<x' 1`k}��7� (���`'G,.{4 F f, � ,, � ,i . � � �L�P r' E`fa„Sf,•.�nyu�c' ,..4.A'<w'F'�'ir :.�$"�' . y�+frt'' .•.....A+�"a.".-��eV'..^+-ti.,_,...,,,� FFk ' 411 t `� p it f, tt •fit "_ { AJ ` tik {r< art ;i'•_ ` 1T I'41 ..+�' y `¢w R7t; �+t4 Yt� h• " r ty I hereby agree tofZonform to all the Rules and Regulations of the Town of Barnstable;regarding the above construction. °` 9 Name. .... �,. ..... !"�� �P Frye, Ellsworth W. ,Jr. & Shirley M. r + No ..,, 17250 Permit for .,,,1 1/2 story, ................ single family dwelling ............................................................................... Location S ruce Street .. . .................................................. West Barnstable ............................................................................... Owner Ellsworth W. ,Jr. & Shirley M. Frye ........................................................ Type of Construction frame ................ . .......................... ................................................................................ Plot ............................ Lot ................................ August 5 74 Permit Granted .............................19 �Date�f Inspection 19 9 p Date Completed 19- r i PERMIT REFUSED ................................................................ 19 �. ................................................................................ ' .. ... Approved ................................................ 19 .......................................... ................................. 1 ............................................................................... Assessor's map and lot number THE rsP`S 4=s F �Ft'�4r�oK I Qy�F 'Sewage Permit number ......?<,.nr r.......t.:/a.�:..... 7 House number .....IV r... ...... 6&� n CFO YAY d` TOWN OF BARNSTABLE g BUILDING INSPECTOR APPLICATION FOR PERMIT TO 4�... .7 T7 t 1 �. Y >TYPE OF' CONSTRUCTION ,�,�...r?... ........ TO THE INSPECTOR OF BUILDINGS: pi ' The undersigned hereby applies for a permit according, to the following, information:, Location .....`!�.�.........��!�L .`� ..... l,�t/ ' ?..'frPl..E._. �..:•,.- . .... Proposed Use ......A.120,.77.001.E./71........� a V,,.Aj.Co.........,,.:.��`�..�'. ............................................. Zoning District .... . .................................................. :Fife District .........ml .�� �t�ST'! Name of Owner .1�` 1.,�1. .r. '.....:.,?a .................. .Address .... .....� J �. .T: ....�tJ„ Name of Builder' (. .���. !..:r�.r':.......... r.Address ......��.�. / . !I��. .[.�:1-�fl ........ �?fy, Name of Architect .1....� p �e ................................Address ...... '!.l..Nr..,! /1z.A� ...... ... /�.<.<//:.../ /.�, rJ •e , Number of Rooms ............Foundation ..1... "r. `!!P........................................................... Exterior .. r' :�'. .............. Roofing ........ ia./.............................. . Floors ...1.:(L.I, ................................... ... I.Interior ....... . .(��.......•• . . r Jl... .. ...... Heating ........ rl,— K.. :.................. ........ ... .t:Plumbing ........ ................. ... Fireplace ...... '".. ............................................................;..Approximate Cost ........... o.1 !... .................... Definitive Plan Approved by Planning Board __________ __=_ 19______. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4P. ' i 1 y ,✓ 1 I C 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. t Name ::fr� ...�� ..!t .... •.._,! JONES, SHIRLI A=216-52 24545 ADDITION No ................. Permit for .................................... .........aiagle..F.amily...D.Wel-ling...... Location45 Spruce Street ............................................ West 1�arnstable ..................................;............................................ Owner ....S h i.r.1.i...Jones. . ...................................... .. . ..I .. .. .. .. Type of Construction a Frme .......................................... . ................................................................................ Plot ............................ Lot ................................ November. 15, 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......19 -53