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0091 WILLIAMS PATH
.. ►� . 152 Ida Gi�„ �l cHmElic A.M. FOR — DATE TIME P.M. w `... M ,, s�� �� t ,; r PHONED lE -. O F Y 3.. RETURNED, , ? �YOUR,CALL PHONE >ra .i AREA COOE NUMBER EXTENSION z PLEASE CALL. - MESS � CALLS'. 3 WANTS TO 'Z SEE,YOU SIGNED ARAI111VerSOI* 4B003 a From; Elm=-w.%VeW-Debi.BarrowsC&town.barnstable.ma.us 4f Subject: Permit/Application:TB-20-2650 at 91 WILLIAMS PATH!,WEST BARNSTABLE for.Bwlding-lent Date: September-1-7.2020,at 1'.57 PM, 021 To: kdbotelho@comcast.net Good the.,attache(41,©T. rikinw-bm 4 and;,Tetum, ;,. 90 Thank you, Dehi-Barrows Office Manager Town of Barnstable Building Department 508-862-4032 17w,Comzrwnv,-a&h of MasrsavlureM De pufteml of Or=ofin-awkMaon'T 600 Washfngton&rad Boston,HA 0211.1 >V-ivw.rrrasxgo+<�dia - Worl(ersl Compensation Insixmce,Af6davit BuilderVContmetorMectricLuLvJPlmnben ,kpplicant Wormation, 1,Lt I ibly Name A aln* Address= F:phour, L9n t Are yoii an employer?Checks theappTupriate bo= - IOW ofproJcd(ruIdrtd); LE]1=,a employe with 4" a gca��0=b2dar=4 I mployem(M 'A'hEmo bfird the mib-omAmdw oxew�=tm;tim 7-C1.1 M a cola propriAw of PwIner- IiAcd on the zt=bed shwt. sl#md have nu amployWA Ib=sib-cmj-. ,ems bm 9. []Dmob= Vvoddag 53T zat-in any=;&=v_ i2dbAve wvdn=V (go wmkcrs'comp.irwz comp mce - .b=mml rNuirA) S.Q Wo are a=pomion mi im MoElzrit<s1 vr4dd!imr� 3.0 1 am a homou9mer dDbg all work 0fflc=)=ve&XW6_Md-N* J),0 ft�ka r--;t=or addid= MY5.-If Nko Wad='Damp. ?i&I orcx=pzi�-p--NIGL, 3.0 RDofTCP670 c.-1-42,§1(4)and vM h2ve no —PIDY=RIO-WMt=--- 110 01M J d;r4,r,-k;c4 J*x 04 ilm 50 cav&*r.W"Wow;=IIi=I,mt3 xubr_it his affid9vh 6"dni they-.J*&IM Wmt Un5tMEks Mx=0zI;=a=v OrA.Aft ftewsmi"imex*390A .tCrAncinc ad cb=k 41;!as m,=xm*a6 a,zdd!kad dn4 sI*tftft'Mn=QJ*T__ 22hd'r Ztx-_Vt'Oft M wd,IMS&=s a b M_ 0,q ry trtht fub4x a bu hm;m0ay=-4,thty car.puvLt di*wAm'car2r.VC&T M=Nm tw 4f"ProvLans tm?*Vs,WtvaWaftm my vrJPI*=famaneW&;YEF_ Brew Fr thr p vffy Z:d-7,Z;e hmmrace Cvep any Nam Policy gar Self itm Lim Ar, Ibb Attith a copy of th*vorkerV compaLsation Policy dedar*tio'Apigs(sbo mtbg ile po&-y itumbu vmd cxpbvfwn&U� -Faftmto s==C4Wr?ZP,•a3 152 of¢ final ofi h-&_-&m_cfa ST0,71VOaK QWLRand of up to S250,00 f,day eiploa dat ViolatzT.D.-=Mzed-tht a mpy of dibs=mccd zzy bo fined to t`c 0 5- =d bJ',j3QLsatow of It DIA-for im==oovgar ve:iEwfi=6 I do A emby f1rd ag Mfiv wvadan pvild:dabow is&vsem-d rom-rt pg -0( -2 02-0 Application nuri ber .. . ..C..a --..( .sb nF22 f BUILDING DEP�I': :. . .............................. .................... ....................... ' BuIldrng Inspectors Initials..... .................................. ` SEP 17, 2020 TOWN OF BARNSTABLE ......... .Deteassued ................................................... / S �1'2 3 • AN ED MapEParcel......�lL.... .. .�.......................... o TOWN: OF BARNSTABLE, EXPEDITED.-PERMIT APPLICATION ROOFISIDING/WIN. DOWSMOORS ENT TOVESfWEATHERIZATION . .PRO-PERTY..-1NF 0..1kMAT'•I.ON Address of,Project: Q! (�,�i A c t ct NUMBER , VU LAGS �Oxwner'<s.Name. ('.e �AQ Phone Number— ��7� 'C rL4 "\ K 9 Email Address: \�a\nQlp `�ACZE)CQroCaili ell PhonetNumber Project cost$ 'Check one- Residential Commercial OWNMISFAIIT)�TDR ZATTON As,ownerrof the.above property I hereby,author'ize to make.application for a building permit in accordance with 780 CMR Owner Signature: V^tJ, .-Date: ® 202. F'-1 Siding Q Windows (no header change)..# Q: Insulation/Weatherizati.on. :Doors(no headier change)`# Commercialft ors require an inspector's review. D Roof.(wt applying more i , l larger of shiRgles)i Corrstt o1YDebriii1-'laga�Bg: CONTRACTOR'S INFORMATION Contractor"s name Home Improvement.=ContxaetaYs�Reg%s�ration-�i'f-applcaUlej.�l€- (a'Cta,�li�eop��j: Constructiory Supemsov!&Lieensc P,', (attach.copy Etmai bf Contractor Plane number ALL PRO RERI.7 t'ES,THAT HAVE S-7fR C.TUR`ES'-.OVEN T5 YEARS.OL 04 k�.THE SU&JECT.PROPENP1C IS M` i �4i MA kgit#LCI f1 E"i{ Mum' F CAIV;B ISSUED. Appt rear era.N.,riWEER:'..........................•................................. �. *For Tents Only Date Tent (s) will be erected to -2- 2ozoRemoved on 10 S-202onumber of tents total Does::thertent have-sides?'Yes.: No, (If yes:please attach floor plan with exits,:•marked), ,Dimensions of each Tent X:_ X x Aifiol3ten#d�rnns�ans;ean be:attaelc�d.on:a sepacate:piece:of paper. purpose of Event .Check one: this event is a: for pr&Rt non-profit event xz :,,Che .,one_k'aod,served Yes -.o Flame Spread;Sheet,•.of,each,.tent must:be,:.attached.:ProVide,.a-:;site plan,vath the location (s),of'each tent If food i.si=being:served at your event please obtdi 4 HeaU .De 0tme. :apprbvarl.betwee.n:..tTie.hour. of&-00ana,-9302 am.or. 3:30 pm-4:30 9m.Commercial events may require Fire Department approval: *WOOD/COAL/PELLET STOVES Manufacturer# Mod _.D Fuel-Type esfing Ub Offsets from eonibugtibl ont back left side right side HOMEOWNEW,S LICENSE EXEMPTION Homeowner's Name: Telephone Number or.Work.number I understand my responsibilities:under ,.rules,and regulations:for Licensed Construction° Supexisor, in accordaac .with80 R the Massaehusetts.State Building Code.. I understand. the:constructi'on inspeeiion Pr dunes,_speciffc.inspeefions;and`doc.umenfation requred'by�80 ` 1V,l R und'the_Qwn of,8n stable. Signature 'Date; APPLICANT-'=S:SIGNAT-URE .5,igaatwe 01 U&= D�ke_ a I© -Z©2-0 All.permit application,.are subject to a:building offaeidt'g;approval.prior to.isguancel.. f Tow,w f itruAtA.ble. Regulatory Services ��'4'4d<,LS�SNA:EiE 1t(5'6u+��, 'i699.?41 . Ruildin `Division :. Brian:Florence,.CBO:. Bul`pING' " Toffimissioaer 200M, &i a'S(tzaeit;`T3ya s,VA'02604 SEp 17.2020 =. v :bwffstab1e.vfta.us STABLE :Office:508-8624038 Fax, 08=790-6230 Tent Informaion complete and attach to your online pem-&it='appliscaf om (this:, SC NNED is-not a permit.application) . MAP/PARCEL k `(] VILLAGE �) e Ica7.fY1S1+C1 t f i WER`OF'ZFEN-AS -PURPOSE,OF'TENT ` DIMENSIONS DF EACH TENT 2-0 x ARE-THERE SIDES ON;THE TENTS).9 CHI CK ONE YES: N,,01 If you checked yes you.must affwh,� f ees.pl,a of the layout to insure proper egress for emergency paWses per the Buitd'ing Code requrremeots.. DATE TENT(s)-UP 10 2O 2-O TAKEN DOWN ON 1 0 ' S 'Z®20 ATT-ACAI:THE FOLLOV�?ING�DOOGITINW-NTS: FLAME SPREAD SHEET FOR EACH TENT • .FLOO:RPLAN-OF NSIDEOFEIACH'TENT'THAT HAS ASSEMBLY USE • PROPERTY OWNER'S AUTHORIZATION IF•THE APPLICANT IS NOT•THE':HOMEOWNER -• �ORICIVTa`ATPS.COMP.AFFID,AIVTT<(,AND�CERTIFICATE IF REQUIRED-BY THE DEPARTIViENT OF INDUSTRIAL-ACCIDENTS,INCLUDE POLICY INFORMATION PER FORM IN.'STRUCTIONS). • LOCOITION;OF7ENT-.0 .,SITE:(PL'OT:PLAN°.OR-G.I s'IN+IAP SHO.I'IING LOCATION) PROPERTY OWNER_IAIkLIz` ' \ APPLICANT NAME l QJI�Q _ SIGNATURE �Q l�— 1 1�1�(DATE (Q-20 20 APPLICANT PHONE NUMBER_S3D -(Qyx- \ M E-MAIL ICAt!)Q (76) MW `. If.this> .Town.of:Barnstable P .Pe 3'-;3OL must.;pro ide:the property,owner'sauthoriiation completed by-the: 'TowM`,104a='ger.,,Ufin the`Town CTeeu?`tC'a,'ourSmaweyc Dep rtmeent:rat'�7,90-6400 x 4939-,toensure waterdues are . p eseaz ed'for king putposes. ",If-yon arc ntiilking Aselton Patk cdR'Structures and Grounds 790-6320 r The Commonwealth of Massachusetts t .Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114 2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTUgG AUTHORITY. 4pplicantInformation Please Print Legibly Name (Business/Organization/Individual):Bakes Etc. Inc Address:10 Jan Sebastian Drive Unit 3 City/State/Zip:Sandwich, MA 02563 Phone#:774-413-9191 Are you an employer?Check the appropriate box. Type of project(required): 1.o I am a employer with 30 employees(full andlor part-time).` 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. .Remodeling any capacity.[No workers'comp.insurance required] 9. El Demolition IM I am a homeowner doing all work myself.[\ro workers'comp.insurance required.]r 10[]Building addition 4.[)[am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I TI Electrical repairs or additions proprietors with no employees. 12.o Plumbing repairs or additions 5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheei. ❑ 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.' 6.❑We are a corporation and its officers have exercised their right of exemption per MGI,c. I4.�✓ OtherTent 152,§l(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contrdctors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:MA Retail Merchants WC Group Inc. -Deland, Gibson Insurance Associates Inc. Policy or Self-ins.Lic.#:014005034175119 Expiration Date:01/01/2020 Job Site Address: City/State/lip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A.is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the.DI.A for insurance coverage verification. I do hereby certify under the pains and pK nalties of perjury that the information provided above is ue and correct. Signature: ! Date: Aq Phone#:774 4�3, 191 . s Official use only. Do not write in this area,to be.completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I a Cr�trfre of Slam atolstance APPLICATMN o #28166 Tent Ba rnet StrOd!► MARCH 2011 V-419.01 soon£nu=fte.Twr4w4 l3 336I0 o -- .sore s�s�ao szro This is to certify that the materials tfescrtb" on this cearficate have been flame- �; retardata it IIIA MOsSTItly nonftammabtA1rr9 VRd. .,°° NAME: CITY - it SATE MAY AY4=0 CertNlcation is hweby made that' The articles described on ibis Certificate have been treated with a Dame-retardant approved chemical and t t W lication of said chemical was done in conformance with Federal Specification A 7tn Method of application: Inherently Flame resistant con Trade name of flame-resistant fabric or material used Hi-Gloss _ a: Chem.Rea.No.F-419.01 U The Flame. Retardant Process Used will not -Be Removed 8X Washing at WA mo E and is good for the life of the fabric. Renewal Certification unnecessary. Ui color and weigtYt of fabrt Sunblock White 15-16 oz. PSY d --- Descriplim o Thomas Sciortino Production Supervisor p ka+aa oraMor ar Rro6netan S�tprrenHMeert� t'm N wo bereby oneft Ab !r b* a tnm apS N *r%kM "t,'RlIT1114" i OF "AMR N 1119MTAM6S" lose"1r tits, "Orf kW 0010" 06 vf%fCh lees "On Ned w►ph 00 COUCOnew N ' S'M'lr*#"'"'k"'' Waleska Rodriguez C i 3 7 BAKEETC-01 SPIKE ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/rYYY)6/3/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACTNAME: Deland,Gibson Insurance Associates,Inc. PHONE 781 237-1515 FAX No):(781)237-1805 36 Washington Street (Arc,IL Ext):( ) Wellesley Hills,MA 02481 E-MAIL info@delandgibson.com INSURERS)AFFORDING COVERAGE - I NAIC# INSURER A:MESA Underwriters Special Insurance Company INSURED -INSURER B.:United States Liability Insurance Company i_ Bakes,Etc.,Inc.dba Clambakes,Etc. INSURER C:Quaker Special Risk 2952 Falmouth Road I_NSURERD: Osterville,MA 02655 INSURER E:. _ INSURER F: l COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R I TYPE OF INSURANCE �ADDDLISUVBp I POLICY NUMBER I MD DpY YFF I POLItpY E YP I LIMITS A I X !COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 j CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1009000 F I MP0020003006478 3/20/2020 3/20/2021 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 59000 PERSONAL&ADV INJURY ,$ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I POLICY I I JECT I ,LOC PRODUCTS-COMP/OP AGG $ 2,0009000 I OTHER: A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (_Ea accident) $ 1,000,000 i ANY AUTO 91764265A 1/12120 1112121 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY x AUTOS BODILY INJURY(Per accident) $ x HIRED x NON�WNED PROPERTY pAMAGE ._ 1 AUTOS ONLY AUTO OONLY (Per accident) I$ I I IUMBRELLA LI $ ! I EXCESS L ABAB F _1 CLAIMS-MADE AGGREGATE OCCURRENCE $ DED I RETENTION$ WORKERS COMPENSATION I X I STATUTE i PER OERH i AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 01400503417512 1/1/2020 1/1/2021 E.L.EACH ACCIDENT $ 1,000,000 ! FFICER/MEMBER EXCLUDED? L , N/A �MYandatory in NH) E.L.DISEASE-EA EMPLOYEE($ 1,000,000 If DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 B Liquor / ty ISCOSR110 28500 48 5//2019 8/5/2 C 'Building/RC 020 Ded$1000 246,000 RC DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is reqquired) LIQUOR LIABILITY-Per Person Limit:$1,000,000/Per Accident Limit:$1,000,000/Aggregate Limit:$2,000,000 Certificate Holder(s)are included as Additional Insured with respect to the General Liability per written contract.Blanket Additional Insured status in favor of the Owner of the Premises where the named insured is serving alcohol is included with respect to the Liquor Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I A h C x { .4+ c _ p0 . r _ . i LA>T. A/ r t � P2. , 2 . � r 0-OF . s STEVEN W. �. "'RUMB, i C`ERT,IF D: IVLOT PLAN I .—M T-MT T FO►U"ATION FOR SHOWN ON THIS PLAN IS LOCATED ON THE LOT 7 WILLIAMS PATH WEST'BARNSTABLE,MA:,. GROUND AS SHOWN HEREON AND-THAT IT PLAN BOOK 291 PAGE`4:4. CONFORMS, TO THE MINIMUM. SETBACK: REQUIREM�NTS... .OF' THE` TOWN... OF'. P121rAD':F( R : BARNSTABIyE. Feller- Assoc atts , 1b45 Falmouth Rd Saite C :Ceaxerville;.;ledia:02.632 (5.081 77&0735: • 4. Town of Barnstable BLillCllri - - --� g- uttnsrwei e f Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be.Kept ! Posted Until Final Inspection Has Been Made. I ' 63 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-20-1918 Applicant Name: Joseph Botelho Ap provals Date lssued: 08/05/2020 Current Use: Structure Permit Type: Building-Tent Expiration Date: 02/05/2021 Foundation: Location: 91 WILLIAMS PATH,WEST BARNSTABLE Map/Lot: 111-036 Zoning District: RF Sheathing: Owner on Record: BOTELHO,JOSEPH 1&KAREN D Contractor Name: HOMEOWNER IS APPLICANT Framing: 1 Address: 91 WILLIAMS PATH Contractor License: EXEMPT 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $0.00 Chimney: Description: Tent going up 7/31/2020 coming down 8/2 or 8/3/2020. Permit Fee: $25.00 Insulation: Fee Paid:- $25.00 Food Date: 8/5/2020 Final: Project Review Req: Plumbing/Gas Rough Plumbing: - _ Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. 1 -' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing t Rough: 2.Sheathing Inspection - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers ns con ing with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department gyp .. All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: SCANN D'3000 Application nurnbe,6..-..�)O...... Fee .............................................................................. ` BUILDING DEPT. �"'`'�'� !euli�+rmg firtspeetors In,itia7s.... JUL 16 2020 Parcel...Ma .....__._ ..... TOWN OF BARNSTABLE pl - ................... I TOWN. BARNSTABLE. EXPEDITED.PEI k.T .TIC-ARON ROOF/SIDINGIWINDOW- SWORS ENTS STOVESf EATHERIZATION PROPERTY INFORMATION Address of Psojeot: (A.0 J 1' (( M%-kJ\ a4l ! U A-a g== NUMBER STREET VILLAGE Owmers Name: ,� �C7k L C4 Lt - a 3y . —�� © � p P.hope.Nurriber E'mai.Ads Anr�ns, cows Iceil,,' 6-ne N, ber- I9 -9 5 3 y . Project cost$ Check.one Residential Commercial As owner of the above property I hereby authorize to make application f r a building permit in accordance with 780 CMR Owner Signature-. ignature Date: El Siding CD Windows(no header change) # F--1 Insulation/Weatherization Doors(no fieadrer cfianige�# EommerciaMpors require an inspector's review Roof(mt.applying-rnpre:thiam t 14airer of;.sihiiagPes)?-. Consimetion Debris wig be going t6 C0NtttACT' 0R'S YN'F6RMA'TIOIY Contractor's name `�I�omey�m,Ia�ay.�me�r�aa�ta�s�eg�s�rrati�r.��ap�li�a'�lej�� (art#.asLli�colay:),� Construction Supervisor's license# (attach copy) ErnaO of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IE THE'SDMECT PROPERTY IS II I` AE HIsTO u c Disnwtcr— Y.o.,l wt OBTAfA f HISToRf.GRIPP'RQItAL,B`EFOREA PERM.,IT, CA1tl BEISSUEL)s:. " BARRUCATFE WAll1MBEI.....................................................a....... 1 4. *For Tents.Only*,. Date Tent(s)will be erected -7 Removed on `r/2 0 3 number of tents total _ e"�s1 i-;et��y �ti it Does the tent have sides?Yes NO �(If.yes,prease attach floor gYarl with exits marked) Dimensions of each Tenf.,'20 X_1 � F ,`, �; X AdditiondlAefit,dmmwie-m 'be attached:on ia.se &e,,peoe.^,of pa or. Purpose of Event Check one: this event is a: for profit non-profit event C}aeck.u�rie:'Fx�oc1 seruecl..Yes No NFlame:,.�,,pr d;�`leet,'of,;eac'h.tent.,must�e.,atae'hed.Trovidersit-e plan.wi Ahe: at�m(s)ofeach tent if foodd"is-Odkg seFved,,at`y*oxfr event pk ase o uxt,a+l eu .l?epartretsrct.c oual•.batwe¢ ttce J'ZaurS of 8:00am -9:30,am.or 330 pm-430pm.Commercial,events may require.Fire.Department approval: *WOOD/COAL/PELLET STOVES Manufacturer# 1R. Fue'1 Ype festingCdb Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's ,am,e: Telephone plumber Celkor Work nwnber r: I understand my responsibiiti Ws;,—ua&x the rules arced reg�a*aian�four,l i ensed'Can tructiai : • S,apervi'sor fia aecardance will- 90,C1VI)�t ti e.l\+i a8sach setts State B ildung:Code. h' i� st d-= e- Est c o� :I}rac e B ,N a te' IJae Is tt d 3Q !t °eq t by. 80, UMR and..the Town.6f,Ravakible. 'Signature Date 1. Signature gig Diate .`7 /�E ID All permit applications are subject to a brrd&ng officigPs appror alsprior to issuance. J300•y. Autaadiut 8u)gwnld c aoyaadxaj t"!ut t3-p @ra(j u.ari1tC!0'Q ttiaNtIATd 411-10MIA13 i Wtla?II J0 POR°!1't :(am)ala.ga),uttagrn�t.i0j;t► r :UM<j,10.11z lvpl t 0.40)so.tip 141 1 t'a ag of'ONO SryI tq a;U.%jog OU '.Elu0 r4n)cir�0 44 _..•W..W.j" 1 � ajr.0 i !_•-.. j".' .. �.?lfr7GtcilK xtr:eroa puo antk sl a.,.ltge pzpr,�NN1 teaijvturafui ry j ND�:OnCl/d f0 xlu%tl�t38 puc sN�rxt 7 y1.Npun:fjliaa,i auav nee ax^rS-- Jbj Felt?a>r3�tirwne�ttkah tt JO a tUt� C1 jaa '*„rN?1.h�gtluz uuRtutasJS er,l1lb,adt to°lst tjSsi.a:rye 1<Li�P.r lfi�V e ty)9�£S m d:t3�xrg w D �JZtF> )IS?kt1.dC}k tt ist uuU I Tye t sm� d)?isa sy lN.n sa ewctjaesi uiitr«a!t.xk)X',,TUT 1y)M"IS m do:xn}e.iq atgaq`'i atd vVpRoi t}EuiwLD o..; %qt§ s I ' lljYN tip=p vgrabai sv jZw iv:a:mos ar.3mlrrj (a:trp nateaNldw pue utltnnn 6iµtd aq;a dUI!Aogs)ated jol7RirpAp liquil'tS*9ccnadinaa uayaaa,aqi Jiu.{do:t a ksutiv :sty`/_'A>`K:4j3r:) �-"WPPV atis Of 4Z6Z,rtOtlC1:a;cctrxtanJa 6t;SLtv€OS �sQ:p•as-)-stn,JpsA";aAIL,!Iw- xt s-e-19possJj aouajnstrl aaasgi!)'GseNO- •mil anw!)-Nt S:UeIpAgtl{InJa W4, ITS•cutrFiNo i ,sul. vajajrrrijfuj r JI1�"�S�4D. ltO{�a{rP a?ewtfrb �:+xGojJJwa:Car Avj'aaueirrs'p7 avilps�7adw „v�.�ra.=t Sul�cwld,S.;rayr iA0jdurs um wa I ,.... - r+�,�`�eSi#ttzr,,,vtw.A x�+�n���u.+aa'��:te:�=•.stsrs�*utxle::ri��Gll ?ainlduu •'-•°'�._ a�aiaAixqwc;a xvqtwaw area Put a,-"ft.�q�wmtn, �r twskiw��ptE3atse Nruw+N stgi yatry;,aut frsuc;oaa,?. - «,•q q'ml swvi"aj ivix.r ww a twtu *,�q wqt pvR l+RK lls ili u it WNW atta i.12"014;kll i uo4res».it.ited vaue�t+5mw,tb=.ya+�t�Z uam.+�4�cazw�i XitT�cue�r�s(�,n9[taiga le�N we-•ltdir,itti�': . ... �nirtrlN 3Nvy frw dew;n.Naaa�) aE.t4mrrs cu s tvt ate.PC-1 t 11 i:s t a I7Jli a NlW+Yx a lUa 7 ua ;o a wTa ATtq a 1)w vet tertr nfrwnu,'.t a 1ae0 lAs�r�l?QQa I ^• .. !.Nd—kh�'n•IE,1Jfytt,'tl RiF.(rQ+,N�,:,T��}6?al.ARy'{1�1N>al!NfP1:Tttrs.�DlYay� 'StRt1?1}00`8 .[) VNV M—.M 4sp in 0:2rti RAN-it"1 PIM 40 1 0; 'fwp44,u to fig r,s,/9knad:w <tto�t�ppe.K1�tsosSa_t E��a��{.�t t a��t:wtta+�st catte>ffi�� ,;txjt:R><Trt�s ssav,nt,»a R,s trgt allmaa. Amy-pm tf3¢1ttk �) I-1 '$ dve3 wi,jsix...Or9tr4—as,xaaea."xTa9titbgx in^04t:au:+�sgft010r ' .['Y!r±ntut't r $astab !I~.iui t+ea tlr.Aftup c+oaa® --,4 r V.0-1 Ot2T10w3a Ft '6 jZED a pq ft n t i w du h i q &r,j.,%rd�,e.ow-enJ pu! µ:rxEC Ig ,36jlmmuca m.S\'D'� ,E'r h,artl�a-ptir llJiJ),ss,:r, gAw aAali tto P e I.0!l :(pajanbaa)aaafwd-Iv�ad ;} l-04I'l+S4da Atle;q)":+ up.".Cal'f- :! i6t5-69 rsrr' aU I(r� EgSZV3�M WWOUgs:dA7{31Ct pr41r7 t jtn aAij0 Uttj KOS VCF Ot:ssZJnpV a 8 aILISB�; ,.,. X!t°91�.S0°#6'fli'tlt,�t�tlxt'r7tt.-r?tO;Stamisn.t r .�ENtI `I SuWd��ld... . unilcwlulu1lucitl�t= `IJH(!}fil.`V t11N 1X1,1IIHAJ 3"1 HIM(ITI I YID W. ' aiawig:f 3arVlslrw?O tf*Aa) wPuu�;u,pilnU.t}.sj*UJs'a3uirbtl'.trps.ubttiu;ua cAaytt,L\1 nipftn;Y ti T n w'au,tn: 3'8b .fol-plizo{it,`rjwswsj VU.* r�� ntsesrr rr n jaanixirjd� 10 NM pl n. , . p �! u JL� ; su�s:,a<acsssnEt fr3 tpla.«uaryw0a aq.L Qoe OUO3V M srlMm PWOVISej 61E dbul'Pue burets 0000 V 041 -paluasaa SWFW IIV-M0t1VHDdNO3 @fOOV SIOZ-Mt<3 IClNBIOZ)SZ Otio3v 3eLL71.K3S3Md3af 1B2R901f11to 6 'SadaN'1a0+�A-A�P[Od Itlt tuiv fi�NVAH09�t a-X c Ui70;00M Al G3aJ3At139 as Ytl.% 32tlON 16031 mL giv0 'twgt vuWKII gut 57SO.i38 03T3DNVO 39 s3toncla G3MV'3S30 3A08V M-U i0 AKV GI MS No IOR 3 i DEPT. 'JUL TOWN Of BARNSTA®LI, �--^ BAKIMC-01. sin ACORD' olue lsaxLaYYrYs ERTIRICA 'E='.4FUABU$Y•Mt RANCE 8f3l2H2D THIS CERTIFICATE IS tSSUEQ'.A$.A-GtATTER:OF„INFORMATION:ONLY.AAD.CONFE(IS NO RIGHTS UPON T1tE CERTIFICATE HOLDER.THRS. r. CERTIFICATE OOES,NDT AFFIRMATWELY OR NZOATWEL.Y AMEND. EXTEND OR ALTER THE COVERAtfE AFFORDED eYot'EPOLicies BELOW. 7WS CERTIPICATP OF:I GlIRANCE.:DOES NOT CONSTITUTE A CONTRACT.8MVEFN,TMEttSSLING WSIIRMS),.AUTi4ORIZEO _ REPRESENTATIVE OR PRODUCER,AND THP CERTIRCATE BOLDER. IMPORTA)IT: It the eertiflsete lloldel ie ell A01)tT101IAC INSURES;the palky)?es)It1l98t IkiV9 ADDITIONAL tAISURED pt'ovtstpNS Ot be 61tdOteGd 0 SUBROGATION IS YIAIVEDM subject to the-terms and cone itions of Ilse pal7tq certabs•policies may r ip*e an endorsement A statement on this certificate does'nol confer riqkitz to'the certificate holder in-lieuo!'svcts endtlTsem s. rwoDUCen t rlcT Deland,Gibson Insurance Associates Inc. rye- 36 kyastNngtaq Street 'wC_W.Zcfl:MI)2374515 IM.fb:781 237-1805 Wellesley Hills,MA 02401 .info�Sdel andg IBsorixam gg .NESAUn4a>3Walare et:i (insYtenceCompany Ik3VP7ED Rw01a RR, Bakes;.6t ouch.,dbn'Clnmbakes.Etc. r4vtmrnc:Quaket IsI Rlslt 2952'Fntmoulh pond • OStwvine,MA OZ65S VJWQ I FA F, ._. _.... MIMMr. COVERAGE CERTIFICAT NUMB R SIOkNUMBER- THIS 15,:TO CERTIFY THAT THE DOLICIES OF 031IitANCE LISTED BEL011fHAVEBIENISO*0,F4'THE ISSURE004MEDA90VE FOR THE VIOUI,YPEOCO IT0t_.4*ED NOW.'rTH57ANDING ANY f•.EOUIREU-SUT.zRA OR C43K0I7'4?4 GF ANY CONTRACT-OR OTHER 0O7J.AM=-r%r VlITH F£.SPECT TO:')HICH TF:S CERTIFICATE IVAY BE ISSUED OR ti'AY PERTFIN, THE±1iS4.624Y0E AFFORDED By THE POLICIES DESCRIBED HEREFIJ Q SUBJECT TOALL THE TERMS. EXCLUSIC 14S AMIZ CAtttiiTiONS OF SUCK PGUCIES.LAdITS SHIM MAY FAVE BEEN IFEOUCED 6Y PAID CLA!15. wsa ran Lino Macy UP Pcu-Y ece YYPEOFW$lIR4r{£ azaang ! :Pokwfl.KUMBER Vitus A X cOtrNERr,IeL G£YER46lmelUT*.' - - _ACLfaY'fIFP41'« 4 CLuxs:arhe a occult iPOt12000SDOtS4TA 312W2020 =U02021. 0nunzF r�la;:rTro T 100,000 AL S:Ib00. .`1.;ekP1 1,000;000 , 1 . r-yLW3;( ,T"LMT APo 1=.y PEa: f t4-R.'.a f.R :AT .s .7.,00B4OD X PUSrCY P r .�LCC rinau s•cotovor kc,- s 2000.000 nUtCN03lEllCBIRY .. [ :rcrtn�tV: uus s 4 r.c°Jitl gt764265A 1/t9J'2tJ' 1)12/21 "'. (u F'Par "^'n V Alrlcl cc3:1m L I41s IlV t jr� � A?4tt) AY 41lIa.0 WIV:D rSPr•CYYAYU IIUTYtt Y 4MI.S& ALID'sCr6Y j �UICL:ALI !nl 4 � i UMAZLLAIASG tlC4Jlt EIt6E631M8 Ckgtr_.KnGE. VED I 1lZErE,1IT:0`-* t Wr1Rit2"SS�s�• ti54TVkN x P_Ea D'H. ui0 EN".1 Yt t1464Zt`i el I' y AAy Ff.i TfiET f:ilE -N.le ='0.400.50341751.2 Tf112020 '1I1JT021 rcF_EEF�.st* Ex3 LUGEO (Ktml)nry,nr 1 IfiFAAF.ce ruant 1:IlODODO !'Sty.,dts0't�LOW .y d:PTi1t.fS SfCFFAT.n:..iA iF I.rtrslk*E.a1 i'.YFeAT 1,000-000 B 1pl%mot L1OMV3 Lt5723560 440ra020 4n67Q1 See Below C 8uledt+tgrttC � SCOSRtt022t3500 Il�lZGt9 S'SI202U Se6f:StOPO � 246,Itg0 OC..Cavylo,OrtlrL1rATIDt3/U]C�TGtlp.f1TJr[ISi{/sCD1e7.lOL AdJtar�!rtrrzar'r«oQtlR marto allydtad 11 mare spares4nyraa UOUOR LTABLUTY•Per Person Unvd:SI,000.GDD f Per Accident Ltrrltl:St.000.600 f Aggregate Limit:S2A0Q01)0 CeniBcate 1loker(s)are included as Additional hlevred With respect Io the Genexal Liability per Wriflen conttaer,51anliet AddaliOnaFMewed atetve in favor'o1' the OW IttV of the Pren;igee whore the named:nevre9 4 serving alcohol is utcluded with respect to the Li4wat Liability, r. r R1LflfvrenKD USEMENT ••••.- � nrta nr+etro� * ,�•{ A.PPf.iCATtOIi ANVAS mtnuticlurrU CONCERN Na.0. 7FtCYf:� #36605 Tent Renters Supply May 2015 5008 is Hanna Ave.Tampa,FL 33610 tt 800/865-5064 Fax 813/740.8370 )'his is to Certify that the materials described on (fits Certificate hove been flame- retardant treated or are inherently nonflammable and were supplied to: NAME: CanaLFish.&LobsteL.1-- AT _-295?.F.a!mCuth CITY QStCfvillp_ STATE _ MA, 02655 Certification is hereby made that: i The articfes described on this Certificate have been treated with a ilarne.tetardant approved chemical and that the application of said chemical ways doge in conformance with Federal Specification NFPA 701/CSFM/ASTM E:84-81A/CAN/ULC-S109/CPAI 84/MVSS302 ' r Method of application:-INHEFIENTL.Y.F.LAME.RCSISTAN.T. ~� � Trade name of ffarne-resi,cant fabric or material used __HI-CLO—,._,..,..—_µ,r ....._ v _._.� .... .. Chem,neg. No.-,F-419.01,.,........,_..-,...__,_ _ { W The iwlarne Retardant Process Used WILL NOT Be Pemovod By Washing r t and is good for the life of the fabris Aenewat c Certification unnecessary. � I Color and weight of fabric: _Sunbiock.white l6.ozpsy—._....-....w.. .-__,__. � Description of item certified. ,(J)..3u-x-40.3=pcs,Frame Tent Tapes(Can.be.used.as.a30Mx.30:.&30" ) L O C A ,Jeff Sucher fay _ PRODUCTION SUPERVISOR � � ---......»_._.......__ ....-..,... _._.._...._....,.., � � � O *rat of APArrC'arp.Of P.ndnr,iron Sunrriornrline tu;f ti a ti o o O Wo hereby corttfy thls to be a true aapy of the origlhol "CEATIFICATE OF FLAME r � N AESIsTA NCE11 Issued to ov, '"ort2ioaf COPY" of which has boor flied with the colifarnin 11 C Stets► Fire marshal, V 31gn"by ,__Waleska<fiadTiguez....,...._.....y,.— i F r ti ) I eL F. NO, Jf\ fir. rlJ <EXIT r. EXI i�. mo r,l T� ' T Tow,a,of Barnstable Regulatory S-ervices. ae Building Division Norencea CRO ``0iilding!Commissioner 200 Main�Sireet 'Hyannis,-MA 02ffli www.town.barnstable.ma.us -Office: 5-08,862-4038 Fax: 508-790-6230 eat:bitformarion-, eampic$z.end affach to.your oahne.pemgit,applicatiop�,(this is,not.a permit application) MAP/PARCEL 111 3�P BUILDING DEPT. ADDRESS R` ()j i` n � V4LLAGE �� rJ�>1� 0�- JUL 16.2020 NUMBER OFTENTS a TOWN OF BARNSTABLE PURPOSE OF TENT—a t o_�uJT l 0 C\ .DIMENSIONS OF EACH TENT O X ARE THERE SIDES ON THE TENT(S)? CHECK ONE YES NO If you checked yes you must attach a door plan of 6belayout to ihsure pfofaer egress for emergency purposes per tilie Building Code requirements. DATE TENT(s)UP `7�3I/2O�a TAKEN.DOWN,t?N. N- SLF AT-TACH THE•FQILOW��-DO CIME+�f'�'s.S.: • T'L;AIVIE SPREAD SHEET FOR EACH'TENT Y • 'FLOOR PLAN OF YNSIDE OF EACH TENT THAT HAS ASSEMBLY USE • .PROPERTY OWNEW S.AUTHORIZATION IF THE APPLICANT 1S NOT TEE HOMEOWNER :• WOF-KMAN!S'COMP.ATF.°3 AVIT,,(ATT.ID'C'ERTFICATEIF-REq IR"EDIBY,P.E ARTMENT OF _ lNDUST4GAL,ACCIDENTSANCLUDEPOLICYINF'ORNUTION-PERFORM`INSTRUCTION'S). • bOCATION-OF-TENT ON SITE(PLGT,?L:AN 0R,, r.I-S.MM.SHOWING LOCATION) t, PROPERTY OWNER NAME APPLICANT NAME,7K_CQ �}�Q 1�D SIGNATURE DATE P "/4'O V APPLICANT PHONE NUMBER :90C'Ug0I' E-MA11 _'NFU (P _T& JJQ HEb f-:50 vS, C1, 1 If this is Town of RarnstaBFe'property,yomrnIIst provi e t e.preperty owner's'a &orT�al�ea complete&by the. Shig hel1:aur.Smwy1De art 790*440-x-4939 to.ensure. .4ines:are preserved for staldngapurposes. If you are utiliAgg Aselton Park call Structures and Grounds 7904320 J .. (DING DEPT. JUL 16 2020 TOWN OF BARNSTABLE .or.. st' I CERTIFY -THAT THE, FbUNDATIGNt FOR�.g. �y - � L'�<�?1���'e� P��:g •.>�,�tl�p ,�',Ap'�yT3.:�Qga�1�T! gam. 1E.� !?1P'iDlgl �Pt7u:Fd3g�jj�Ay1y97:.SV������3 ,�,9 ,pm,{pq��4fire�{�l�eg.7�thg,�- p�ygp�p;�.Lgiq:�QpN,�t �+ Hipp_Y.^Lg.H�.:. CGNIF�b�F74KS .. l!7H9'i�;¢t�6lY.kMg1.VJt Yl1Qir...ti7'�i'NL+A�'6pe�L6�.. . Q5LT9�SIiC,LL'4�9� .. _$ rroouth R4� -Suite 4 .F'Ctlm iUe,lda.',9Z6,2 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.to wn.b arras tab 1 e.m a.us Pre-application for Business Certificate Date n -,-,W Map I �I Parcel U v Applicant Information Applicants Name Applicants Address Wi A-14 f //h- A� 64Z- /446 - 0 9-4'� Email Address Telephone Number L�O �' '�S Listed ❑ Unlisted®- Business Information New Business? _ _ --------------- Yes No Business is a registered corporation? ________________________. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? ________ es No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business Business Address p/1 L L f -m r,l T It bu - RA • O WO Type of Business i Byyilding Com ssioner Office Use 0n1y Condition Building Commission �T Date zo Clerk Office Use Only Town of Barnstable of � Regulatory Services Thomas F.Geiler,Director • Building Division BARNSTABM MAM Tom Perry,Building Commissioner 1639. �0 iOrEp Mpt s 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 F,ai, 508-790-6230 Approved: 40 Fee: ciq,�5 OD Permit#: rhR 192 HOME OCCUPATION REGISTRATION Date: —/-0 —3 o Name: 3J o 5" 11� "I laoTCL/-l-o Phone#:S`G Address: // "I 1 / M��}''T!`f,� Village: Gv- . Name of Business: S•:1, Type of Business: AMtn bt-ZS1(riy`-Y Map/Lot: f/ /Os d 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. S� After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: a` • 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 is 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 be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersign ,have read and agree with the above restrictions for my home occupation I am registering. Applicant: - Date:/d --U Homeoc.doc Rev.5/30/03 I TO ALL NEW BUSINESS OWNERS DATE: Fill in please: APPLICANT'S s °' :'' YOUR NAME: BUSINESS is ,::;r;; ,;, _r YOUR HOME ADDRESS: 9/ L✓I C l%A!A4f147`bt � TELEPHONE 7 Tele hone Number Home TTJ'� 'DES)<r�v` TYPE OF BUSINESS Oi�1F NAME OF NEW BUSINESS ` ESi�ra`1 IS THIS A HOME OCCUPATION? YES �— NO Have you been given approval frorp the building division? YES NO S = MAP/PARCEL NUMBER ADDRESS OF BUSINESS 9 /L. - When starting a new business there are several things you must do in order to be in compliance with t e rules and regulations of the Town of . Barnstable. This form is intended to assist you in obtaining the information you may need. Once you haji ve obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the require mits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. in St et) nd you ill find the following offices: 1. BUILDING C I IONER'S OFFI This individual.h b r-med rmit eq ire n s t ain t this type of business. is zed Sign atu e* COMMENTS: IJG u 2. BOARD OF HEALTH This individual ha a infoi med of he ermit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has,been info med of th ce ing requirements that pertain to this type of business. ( A Authorized Signature* COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processed from the various departments involved. **SIGNIFIES A PPRO VA L FORA BUSINESS CERTIFICATE ONL Y. r: r � CHAPTER 6 TYPES OF CONSTRUCTION...... 85 'Section 601 General. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 " 602 Construction Classification. . . . . . . . . . . . . . . . . . 85. 603 Combustible Material in Type I and II Construction. . . . . . . . . . ... . . . . . . . . . . . . . . . . 86 fwE1r5�5`C��� _ _�� (00� . S7 - CL —8fC c. n-Re 's sT(Pr'Q-•T ®tip 1l -X-� w0cL 5 Vfs YS M CHAPTER 6 TYPES OF CONSTRUCTION SECTION 601 602.4.2 Floor framing.Wood beams and girders shall be of GENERAL sawn or glued-laminated timber and shall be not less than 6 601.1 Scope. The provisions of this chapter shall control the inches (152 mm) nominal in width and not less than 10 classification of buildings as to type of construction. inches (254 mm) nominal in depth. Framed sawn or glued-laminated timber arches,which spring from the floor line and support floor loads,shall be not less than 8 inches SECTION 602 (203 mm)nominal in any dimension.Framed timber trusses CONSTRUCTION CLASSIFICATION supporting floor loads shall have members of not less than 8 602.1 General. Buildings and structures erected or to be inches(203 mm)nominal in any dimension. erected,altered or extended in height or area shall be classified 602.4.3 Roof framing. Wood-frame or glued-laminated in one of the five construction types defined in Sections 602.2 arches for roof construction, which spring from the floor through 602.5. The building elements shall have a fire-resis- line or from grade and do not support floor loads,shall have tance rating not less than that specified in Table 601 and exte- members not less than 6 inches(152 mm)nominal in width rior walls shall have a fire-resistance rating not less than that and have less than 8 inches(203 mm)nominal in depth for specified in Table 602. the lower half of the height and not less than 6 inches(152 602.1.1 Minimum requirements. A building or portion nun)nominal in depth for the upper half.Framed or glued- thereof shall not'be required to conform to the details of a laminated arches for roof construction that spring from the type of construction higher than that type,which meets the top of walls or wall abutments, framed timber trusses and minimum requirements based on occupancy even though other roof framing,which do not support floor loads,shall have members not less than 4 inches(102 mm)nominal in certain features of such a building actually conform to a width and not less than 6 inches(152 mm)nominal in depth.. higher type of construction. Spaced members shall be permitted to be composed of two 602.2 Types I and II.Type I and H construction are those types or more pieces not less than 3 inches (76 mm) nominal in of construction in which the building elements listed in Table thickness where blocked solidly throughout their interven- 601 are of noncombustible materials, except as permitted in ing spaces or where spaces are tightly closed by a continu- Section 603 and elsewhere in this code. ous wood cover plate of not less than 2 inches (51 mm) 602.3 Type III.Type III construction is that type of construc- nominal in thickness secured to the underside of the mem- tion in which the exterior walls are of noncombustible materi- bers. Splice plates shall be not less than 3 inches (76 mm) als and the interior building elements are of any material nominal in thickness. Where protected by approved auto- permitted by this code. Fire-retardant-treated wood framing matic sprinklers under the roof deck, framing members complying with Section 2303.2 shall be permitted within exte- shall be not less than 3 inches(76 mm)nominal in width. rior wall assemblies of a 2-hour rating or less. 602.4.4 Floors.Floors shall be without concealed spaces. 602.4 Type IV.Type IV construction (Heavy Timber, HT) is Wood floors shall be of sawn or glued-laminated planks, that type of construction in which the exterior walls are of splined or tongue-and-groove,of not less than 3 inches(76 noncombustible materials and the interior building elements mm) nominal in thickness covered with 1-inch (25 mm) are of solid or laminated wood without concealed spaces.The nominal dimension tongue-and-groove flooring,laid cross- details of Type IV construction shall comply with the provi- wise or diagonally,or 0.5-inch(12.7 mm)particleboard or sions of this section.Fire-retardant-treated wood framing com- planks not less than 4 inches(102 mm)nominal in width set plying with Section 2303.2 shall be permitted within exterior on edge close together and well spiked and covered with wall assemblies with.a 2-hour rating or less. Minimum solid 1-inch (25 mm) nominal dimension flooring or 15/32 inch sawn nominal dimensions are required for structures built (12 mm) wood structural panel or 0.5-inch (12.7 mm) using Type IV construction(HT). For glued-laminated mem- particleboard.The lumber shall be laid so that no continu- ' bers the equivalent net finished width and-depths correspond- ous line of joints will occur except at points of support. ing to the minimum nominal width and depths of solid sawn Floors shall not extend closer than 0.5 inch (12.7 mm) to lumber are required as specified in Table 602.4.. - walls.Such 0.5-inch(12.7 mm)space shall be covered by a molding fastened to the wall and so arranged that it will not 602.4.1 Columns. Wood columns shall be sawn or glued obstruct the swelling or shrinkage movements of the floor. laminated and shall not be less than 8 inches (203 mm), Corbeling of masonry walls under the floor shall be permit= nominal,in any dimension where supporting floor loads and ted to be used in place of molding. not less than 6 inches (152 mm)nominal in width and not less than 8 inches (203 mm) nominal in depth where sup- 602.4.5 Roofs.Roofs shall be without concealed spaces and 1 porting roof and ceiling loads only. Columns shall be con- wood roof decks shall be sawn or glued laminated,splined tinuous or superimposed and connected in an approved or tongue-and-groove plank,not less than 2 inches(51 mm) manner. nominal in thickness, I98 inch-thick(32 mm)wood struc- 2006 INTERNATIONAL BUILDING CODE® 85 N TYPES OF CONSTRUCTION tural panel(exterior glue),or of planks not less than 3 inches 5. Interior floor finish and interior finish, trim and mill- (76 mm) nominal in width, set on edge close together and work such as doors, door frames, window sashes and laid as required for floors. Other types of decking shall be frames. permitted to be used if providing equivalent fire resistance 6. Where not installed over 15 feet (4572 mm) above and structural properties. grade, show windows, nailing or furring strips and 602.4.6 Partitions. Partitions shall be of solid wood con- wooden bulkheads below show windows, including struction formed by not less than two layers of,l-inch (25 their frames,aprons and show cases. mm) matched boards or laminated construction 4 inches 7. Finished flooring applied directly to the floor slab or to (102 mm)thick,or of 1-hour fire-resistance-rated construc- wood sleepers that are fireblocked in accordance with tion. Section 717.2.7. 602.4.7 Exterior structural members.Where a horizontal 8. Partitions dividing portions of stores,offices or similar separation of 20 feet(6096 mm)or more is provided,wood places occupied by one tenant only and that do not columns and arches conforming to heavy timber sizes shall establish a corridor serving an occupant load of 30 or be permitted to be used externally. more shall be permitted to be constructed of fire-retar- 602.5 Type V.Type V construction is that type of construction dant-treated wood, 1-hour fire-resistance-rated con- in which the structural elements, exterior walls and interior struction or of wood panels or similar light construction up to 6 feet.(1829 mm)in height. walls are of any materials permitted by this code. 9. Stages and platforms constructed in accordance with Sections 410.3 and 410.4,respectively. SECTION 603 10. Combustible exterior wall coverings, balconies and COMBUSTIBLE MATERIAL IN TYPE I similar projections and bay or oriel windows in accor- AND 11 CONSTRUCTION dance with Chapter 14. 603.1 Allowable materials. Combustible materials shall be 11. Blocking such as for handrails,millwork,cabinets and permitted in buildings of Type I or Type H construction in the window and door frames. following applications and in accordance with Sections 12. Light-transmitting plastics as permitted by Chapter 26. . 603.1.1 through 603.1.3: 1: Fire-retardant-treated wood shall be permitted in: 13. Mastics and caulking materials applied to provide flex- ible seals between components of exterior wall con- 1.1. Nonbearing partitions where the required struction. fire-resistance rating is 2 hours or less. � 14. Exterior plastic veneer installed in accordance with 1.2. Nonbearing exterior walls where no fire rating is .Section 2605.2. required. 15. Nailing or furring strips as permitted by Section 803.4. 0 1.3. Roof construction, including girders, trusses, 1� framing and decking. -16. Heavy timber as permitted by Note d to Table 601 and Sections 602.4.7 and 1406.3. Exception: In buildings of Type I construc- tion exceeding two stories in height, 17. Aggregates, component materials and admixtures as fire-retardant-treated wood is not permitted in permitted by Section 703.2.2. roof construction when the vertical distance 18. Sprayed fire-resistant materials and intumescent and' from the upper floor to the roof is less than 20 mastic fire-resistant coatings, determined on the basis feet(6096 mm). of fire-resistance tests in accordance with Section 2. Thermal and acoustical insulation, other than foam 703.2 and installed in accordance with Section 1704.10 .� plastics,having a flame spread index of not more than and 1704.11,respectively. 25. 19. Materials used to protect penetrations in fire-resis- Exceptions: tance-rated assemblies in accordance with Section 712. 20. Materials used to protect joints in fire-resistance-rated 1. Insulation placed between two layers of assemblies in accordance with Section 713. noncombustible materials without an interven- ing airspace shall be allowed to have a flame 21 Materials allowed in the concealed spaces of buildings spread index of not more than 100. of Type I and II construction in accordance with Sec- 2. Insulation installed between a finished floor Lion 717.5. and solid decking without intervening airspace 22. Materials exposed within plenums complying with shall be allowed to have a flame spread index of Section 602 of the International Mechanical Code. not more than 200. l 603.1.1 Ducts.The use of nonmetallic ducts shall be per- 3. Foam plastics in accordance with Chapter 26. mitted when installed in accordance with the limitations of 4. Roof coverings that have an A,B or C classification. the International Mechanical Code. 86 2006 INTERNATIONAL BUILDING CODE® h TYPES OF CONSTRUCTION 603.1.2 Piping. The use of combustible piping materials D I. shall be permitted when installed in accordance with the limitations of the International Mechanical Code and the / l y �`l N t) t International Plumbing Code. • i) i %L� � � ,rt t� 603.1.3 Electrical. The use of electrical wiring methods with combustible insulation, tubing, raceways and related 1 [� components shall be permitted when installed in accor- dance with the limitations of the ICC Electrical Code. a/J TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS(hours) TYPE 1 TYPE II TYPE'lll TYPE IV TYPE V BUILDING ELEMENT A B A° B AB B HT Ae B Structural framea 3b 2b 1 0 1 0 HT 1 0 Bearing walls Exteriorg 3 2 1 0 2 2 2 1 0 Interior 3b 2b 1 0 1 0 1/HT 1 0 Nonbearing walls and partitions Exterior See Table 602 Nonbearing walls and partitions Interiorf 0 0 0 0 0 0 See Section 602.4.E 0 0 Floor construction 2 2 1 0 1 0 HT 1 0 Including supporting beams and joists 1 Roof construction I1/2` 1c.a 1C•a 0`•a 1`,a 0`•a HT 1°.a 0 Including supporting beams and joists For SI: 1 foot=304.8 mm. a. The structural frame shall be considered to be the columns and the girders,beams,trusses and spandrels having direct connections to the columns and bracing members designed to carry gravity loads.The members of floor or roof panels which have no connection to the columns shall be considered secondary members and not a part of the structural frame. b. Roof supports:Fire-resistance ratings of structural frame and bearing walls are permitted to.be reduced by 1 hour where supporting a roof only. c. Except in Group F-1,H,M and S-1 occupancies,fire protection of structural members shall not be required,including protection of roof framing and decking where every part of the roof construction is 20 feet or more above any floor immediately below.Fire-retardant-treated wood members shall be allowed to be used for such unprotected members. d. In all occupancies,heavy timber shall be allowed where a 1-hour or less fire-resistance rating is required. e. An approved automatic sprinkler system in accordance with Section 90.3.3.1.1 shall be allowed to be substituted ford-hour fire-resistance-rated construction,pro- vided such system is not otherwise required by other provisions of the code or used for an allowable area increase in accordance with Section 506.3 or an allowable height increase in accordance with Section 504.2.The 1-hour substitution for the fire resistance of exterior walls shall not be permitted. f. Not less than the fire-resistance rating required by other sections of this code. g. Not less than the fire-resistance rating based on fire separation distance(see Table 602). 14 /Z.1""V42 , 2006 INTERNATIONAL BUILDING CODE' 87 r, TYPES OF CONSTRUCTION TABLE 602 . FIRE-RESISTANCE RATING REQUIREMENTS FOR EXTERIOR WALLS BASED ON FIRE SEPARATION DISTANCE6,a FIRE SEPARATION DISTANCE=X OCCUPANCY OCCUPANCY OCCUPANCY (feet) TYPE OF CONSTRUCTION GROUP H GROUP F-1,M,S-1 GROUP A,B,E,F-2,I,R,S-2,Ub X< 5° All 3 2 1 5 _<X <10 1A 3 2 1 Others 2 1 1 I IA,IB 2 1 ld 10<_X< 30 IIB,VB 1 0 0 Others 1 1 ld X>_ 30 AU . 0 0 0 For SI: 1 foot=304.8 mm. a. Load-bearing exterior walls shall also comply with the fire-resistance rating requirements of Table 601. ® b. For special requirements for Group U occupancies see Section 406.1.2 c. See Section 705.1.1 for party walls. d. Open parking garages complying with Section 406 shall not be required to have a fire-resistance rating. e. The fire-resistance rating of an exterior wall is determined based upon the fire separation distance of the exterior wall and the story in which the wall is located. TABLE 602.4 WOOD MEMBER SIZE MINIMUM NOMINAL SOLID SAWN SIZE MINIMUM GLUED-LAMINATED NET SIZE Width,Inch Depth,Inch Width,Inch Depth,Inch 8 8 6 3/4 8`/a / 6 10 5 101/, (` 6 8 5 8 t/4 6 6 5 6 4 6 3 6 7/8 For SI: 1 inch=25.4 mm. 88 2006 INTERNATIONAL BUILDING CODE'' TOWN OF]$ARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 2,-tQ Date Definitive Plan Approved by Planning Board Orc y Historic - OKH _ Preservation / Hyannis Project Street Address ( W I &M S AV Vl S�wo Village Owner J b Address q W i g 'OLVIA S Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2-7, Q D U Construction Type Lot Size Grandfathered: ❑Yes 'O No If yes, attach supporting documentation. Dwelling Type: Single Family AEI Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove% ❑Yes ❑ No 0 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 Cxisting Elnev-size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other:Q Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# CD a rn Current Use Proposed Use APPLICANT INFORMATION ` p `(BUILDER OR HOMEOWNER) Name a n f Q���' I �'1'i� Ada d�1 Telephone Number �� 1 -7 ��O LJ J3 I 'R � •Address 5 2Z V\J (A+-e-r+_vvU K) S S Z License # C S ` I-D 1 / 0 N T vV► , A Home Improvement Contractor# j -7 1�21 Z Email aCV►i vul%�� �1 raU ak Se l ay. tbM Worker's Compensation # 7 KPA)a>- g P S y.3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S 8 G -S S� 0I -F-k. MA SIGNATURE DATE r, FOR OFFICIAL!USE ONLY APPLICATION # ' DATE ISSUED 1 1 c - MAP/PARCEL NO. (ADDRESS VILLAGE 4 f ' 1 OWNER f r •'DATE OF INSPECTION: FOUNDATION k 'FRAME i • INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL •PLUMBING: ROUGH FINAL + r a GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TTe Cammmveah*of Massadiasdit Deparanerit ofDnd=h al Accidents O}}rce ofDnvestigatiaas 600 Wasliirtgton,street Boston,MA 02111 nmv.7nas&gov1a17a Wcwkers' Compensa Insurance Affidavit BuMersiConfimctmmMerhic-ianstPh n,hers Applleat Inforinatign Please Pant F 1�6IY rra=(Huk OLuu.l� P�we� I►� �ratec�� CoYh. Address: S2Z I�Ja k+DNY) S�t Z Are you an employer?Check the appropriate bay 1.El I am a to with 4. ❑I am a general ca�zsctor and I Type of prof onsect(required). }. employees(full andlorpart-lime). • have hired the factors 6_ [:]New o 2.❑ I am a sole prapaetor orpartaw- listed on the attached sheet 7. ❑Remodeling ship and have no employees . These sub-contractors have. $ ❑Demolition w fwme employees andha re wormers' °�� �'capacity. 1 9_ ❑Building addition jQ [No p�s'camp. rr .ins anre comp_*ns art mod-] 5. ❑ We are a corporation.and its 10-❑Electrical repairs or additions 3.❑ I am a homeo mw doing all wodc officers have Pepped their 1L❑Plumbing repairs or additions my-q--If[No workers'comp right of exemption per MGL L_❑Boafrepaim insure require l Y r-M,§1(4�and we have no employees.[No w,&M■ 13_tZ Other 0-V comp.insurance me&] J Yl I C4 O N 'day Haut chedcs boa;,11 tnassi also fiIl o rbs sectraa beTmv sLassias their svodce:a'�e as paTi�y mfon as I ffamecwnem who subamh this LTdavit IMEW >a they axe doin.-aII wa&ad dmbire aaride csotacmm—st submit a new affidack sadL =Cammchus 7JW ebec7r this boa nmst attadted sn additional sheet sboxiag the name of flap aad state whether w oat those entities bate employees.Iftbe sub-comas*^bale emplcyees,@teY=stpmv2de tf I ant an employer that is pr4n ding markers'conilmusalion insurmrce for my empLayees. Belm9 is file paltry and job sit& ittforuzolian. ' Insurance Company Name: Pobcy ar Self-ins Lis 7 p Su13- g n 3 Gf- �'— F�piratioaDate: )Z�(v , ► la Job Sate A,ddres= �l l liy 1 I v►w► S �w9"G� Ciy/Stater2sp: Attach a copy of the workt_re comapensationpolicy declaration page(showing the poficy,number and expiration date). Faihtte to securie coverage as required under Section 25A of MGL c.152 can lead to the imposition of aiming penalties of a fine up to 51,SOo 00 andlor one-pear imprisonment,as well as ch-2 penalties.in the,form of a STOP WORK ORDER and a:ffme of up to MOO a clay against the violator. Be advised Slat a copy of this statement may,be fioxwmded to the Office of Investigations of the DIA fnr insurance coverage venfication- I do herwby certify under thepahs and pmal&j ofperfucp t&the intformadunprm idedabmw is bye and carrect Sitmatmz: Date- Phone g 1-7 z4wq, -3 1 � CWWi I tux as ly. Do not►rrfty in ddsa area,to be cmnpleted by city ortowvn of rciaL City or Ta v= Permiticense;ff Issuing Antharity(carte one): L Board of$ealth 2.Budding Department 3.Cityfrovat Clerk 4.Elicttrical Inspector b.Plumbing Inspector 6.Other Contact Person: Phone - _ _ . 6 DocuSign Envelope ID:064A7D7D-1 D62-4E26-A088-8C5424A1 EEA2 Town of Barnstable Regulatory Services $ a $ Richard V.ScA Director. i6s°'.•� Building Division Tom Perry,Building Commissioner 200 Mom St W4 217=Ws,MA 02601 www.townbarnstablema.us OJEw. 508-962-4038 Pan: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder INItdo ,as Owner of the subject property hereby authorize SMOl ,) to act on my behalf, in all matters relative to.work authorized bythis•bmIding pe>< .*appiication:for. i:ll d IPiA ( ss.efJo ) + `*`Pool fences and alarms are the responslility of the applicant, Pools are notio be fled or utilized before fence is installed and all final ' inspections are performed and accepted. DocuSigned by: F04FBA077822424... sigaat ure of Owner S' of Applicant 7oseph Botelho Peat Name Print Name i j 3/3/2016 Date Q:•I OMa.-OwNERPER MSIOlPoors Acomiy CERTIFICATE OF LIABILITY INSURANCE �'E'�i�a"'15 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 th®certi cat®holder It in-ADDITIONAL INSURED,the po c es must be endorsed. WORDOATION IS WAIVED,subject to the tem►s and conditions of the policy,Certain policies may r*Wlre an endorsement. A statement on this certiflcste does not confer rights to the certificate holder in lieu of such andorssmen s. PRODUCER - - Matt Davison Davison Insurance Agency Inc. PHONE 7 1 646-688 . (761) 646-6686 1 Park Ave Ext: per , mdavison@davisoninsurance.com Arlington, MA 02474-263 INSURERS)AFFORDINS COVKRAGE NAIC0 _ INSURERA:Safet Insurance - INSURED INSURER B:Atain Specialty I i Co Rayah Power Integration Corp. INSURER C:Travelers Property Casualty Co 372 Main Street Ste B2 INSURERD: Watertown, MA 02472 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPEOFINSURANCE ADDLSUBR POUCYNUM13ER PMU M WNW LIMITS B GENERALLUIBILITY y CIP199018001 12/6/15 12/6/16 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED }( COMMERCIAL GENE RALLABILITY PREMI§C6(Ea occurrence) S 100 00 CLAMS-MADE F_x1 OCCUR ME E)W(Aryone Person) S 5,000 PERSONgL3ADVINJURY $ 1 000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO- LOC $ A AUTOMOBILE LIABILITY y 6229561 6/30/15 6/30/16 SINGLELiMIT aecci R s 1,00 000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODILY INJURY(Per ecaderd) S AUTOS AUTOS ON-OWNED PROPS AMAGE i HIRED AUTOS _AUTOS s • S UWREULALIAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIM5 MADE AGGREGATE i DED RETENTION C YWRKERSCOMPENSATION 7PJUB-BD86439-8-14 12/16/15 12/16/16 }(I WCSTATU- OTH- Tp AND EMPLOYERS'LIABILITY FR ANY PROPRIETOR/PARTNER/EXECUTNE YINNIA E.L.EACH ACCIDENT 111 1000,000 OFFICERMEMBER EXCLUDED? _J (Mandatory In NH) E.L.DISEASE-EA EMPLOY $ 1,000,000 If yyes describe under DESCRIP-nONCFOPERAT10NSbeb. E.L.DISEASE-POLICYLMR S 1.000.000 DESCRIPTIONOFOPERAMONSI LOCATIONS IV89CLES (Allaeh ACORD 101,AddllonalRernsrlaSehedrAe,If more spaalsregrirad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORQEDREPRE TA I ©1988 4M ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mall: /e �ra�»r��2o>zrverill� a �l�c� �ccc u�ef/; ffi °� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 179962 Type: corporation Expiration: 9/2 512 0 1 6 Tr# 258211 RAYAH POWER INTEGRATION CORP. - BRADFORD STOLER 320 NAVADA ST NEWTON, MA 02460 __._-_.._._ --•--- -- _-- Update Address and return card.Mark reason for change. — Address --- Renewal Employment Lost Card SCA 1 0 2U1.0911 =--1 0Mce of Consumer Affairs B Business Regulation License or registration slid for individul use only � lOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: `'` Re Registration: 17gg62 Type: office of Consumer Affairs and Business Regulation `, 9 r'�: Expiration: 9125120% Corporation 10 Park Plaza-Suite 5170 Boston.MA 02116 RAYAH POWER INTEGRATION CORP. BRADFORD STOLER• r• 522 WATERTOWN ST#2- NEWTON.MA 02460 Undersecretary Not valid without signature Scanned by CamScanner r DoaiSon Envelope ID'.81EFOC42-F3F9-4841-97CA-EC5893112ED6 RAYAH P 0 W E R I N T E G R A T 1 0 N Joseph Botelho 91 Williams Path West Barnstable, MA 02668 Dear Joe, We are pleased to submit the following Solar Agreement for your solar electric energy system. Solar electric systems are environmentally friendly and reduce your reliance on energy from the utility company. Instead of buying your electricity from your utility, you can now own your own clean energy production. At Rayah Solar we go to great lengths to provide outstanding customer service. In fact, out company name "Rayah" actually means friend. That is why we will provide you with your own Solar Consultant and Project Manager. Your Project Manager will provide you with frequent updates and be your point person,during the permitting process. We are committed to a quality installation, and to ensuring your total satisfaction with our products and services. We look forward to helping you achieve energy independence, make a positive environmental impact, and make a great investment! Please feel free to follow up with your Solar Consultant or contact us at 617-564-3159 or by email at info(a,rayahsolar.corri with any questions or comments. Rayah Power Integration Corp. 320 Nevada Street, Suite 301 Newton, MA 02460 www.rayahsolar.com infoArayahsolar.com Office: (617) 564-3159 Fax: (857) 255-3068 Rayah Power Integration Corp. 1 320 Nevada Street,Suite 301 Newton,MA 02460 Phone:617-564.3159 Email:info@rayahsolar.com DocuSigA Envelope ID:81EFOC42-F3F9-4841-97CA-EC5893112ED6 o RAYAH P O W E R I N T E G R A T 1 0 N Photovoltaic (PV) Solar Agreement Contact Information COMPANY CUSTOMER INFORMATION Rayah Power Integration Corp. Joseph Botelho 320 Nevada Street,Suite 301 91 Williams Path Newton,MA 02460 West Barnstable, MA 02668 Phone: 617-564-3159 Email: info@rayahsolar.com Project Description & Major Components PV Panels: �Qty. 30 _ Tier One Solar Panels(Based on Product Availability or Similar) Inverter (s) p Solar Edge: Designed to Meet Site Specifications System Size: _Size: 8.55 kW DC_ -- --____T—___ --�' _ i —: Standard Racking and mounting components per Uniform Building Code. AC and DC disconnects per Components: I National Electric Code and Utility. Wiring, conduit and overcurrent protection per National i Electric Code. Turnkey Solar Installation - Scope of Work: '. Includes all permitting,design, construction, submission of MA State rebate package to the Clean Energy 3 Center and a Statement of Qualification(SOQ)to the Department of Energy Resources (DOER) for SREC's. Construction includes solar panels, inverter, mounting and all electrical appurtenances necessary for a 1 completely functioning solar power system. Services also include submission utility interconnection documents, coordination of building,_electrical and utility inspections.�� u� Customer Initials Rayah Power Integration Corp. 320 Nevada Street,Suite 301 Newton,MA 02460 Phone:617-564-3159 Email:lnfo@rayahsolar.com Docusigh Envelope ID:81EFOC42-F3F9-4841-97CA-EC5893112ED6 RAYAH P O W E R I N T E G R A T I O N Terms & Conditions General Provisions 1. Introduction: You are entering into an Agreement("Agreement")with Rayah Power Integration Corp., (Company). You(Owner)or(Customer) represent that you are at least eighteen (18) years of age, and owner of sited property. 2. Design and Installation: The design for the Solar Facility will be presented to you prior to installation. You will have five (5)business days following this presentation to request a change. Otherwise, you will be deemed to have approved the Solar Facility design. If you wish to change the design, Company will use commercially reasonable efforts to accommodate your request. 3. Payment: Payment Terms are as follows: Owner financed projects require a $1,500 deposit with a payment of 65% of the total system cost at the submission of the Building Permit,and payment of the balance due at Electrical Inspection Sign-Off. If payment is not made when due, Company may suspend work on the job until such time as all payments due have been made. The solar system must be paid in full prior to final Utility Interconnect. Solar systems will not be turned on until full payment is received. A failure to make a scheduled payment shall be deemed a material breach of this Agreement. 4. Timelines: Upon receiving materials on site,the work to be performed by Company pursuant to this Agreement shall commence within a timely manner, and shall be substantially completed within a timely manner. System completion occurs upon building or electrical inspectors permit signoff. Utility inspection and net meter installation is conducted by the utility following the electrical inspection sign-off. Work schedules are subject to weather conditions, material availability, and are subject to change. Owner will be notified of timeline changes. 5. Changes to the Agreement: Prior to installation,the following conditions may materially change the expected costs and benefits of the solar facility to Owner and/or Company: a. Change to the design of your Solar Facility (number of solar panels)may be required. b. Unforeseen circumstances may require a total installed system cost increase of greater than 7%. (Cost increases of less than 7%are not considered to be a material change). c. A decrease in annual kWh production estimates greater than 10%. d. New 200 AMP Electrical Service Upgrade. If any of these conditions occur,the Company may choose to modify the terms of this Agreement or cancel the Agreement. If Company modifies the terms, Company will notify the Owner in writing with a Change Order and the Owner will have five(5)business days to accept the Change Order or cancel this Agreement. If the Owner does not respond within five(5)business days, it will be concluded the Owner accepts the Change Order and the Agreement, as modified shall remain in effect. 6. Materials: Materials are subject to change based on product availability. If replacement of the solar panel is necessary, Company will use commercially reasonable efforts to replace it with a similar product at no additional cost to the Customer. Customer will be notified of a solar panel change. Change of solar panels will not constitute a Change Order unless there is power loss of great than 10%. Upon delivery of materials on site it will be deemed the property of the Property Owner, although Rayah Solar will maintain insurance against theft and damages of materials until installation is complete. 7. Warranty: Company provides a 10-year limited warranty that the system will be free from defects in material and workmanship. The warranty applies to the solar installation and transfers upon the sale of the home. The manufacturer of the materials may provide additional warranties. Additionally,the Company will provide normal maintenance for the system for a ten-year period. Maintenance includes the replacement and/or repair of equipment not performing as intended,provided that the replacement and repair is Rayah Power Integration Corp. 320 Nevada Street,Suite 301 Newton,MA 02460 Phone:617.564-3159 Email:info@rayahsolar.com DocuSigh Envelope ID:81EFOC42-F3F9-4841-97CA-EC5893112ED6 �.. RAYA ` i PO W ER INTEGRATION necessitated by a defect in materials or workmanship or normal wear and tear. Company will use commercially reasonable efforts to replace items with like equipment, however Owner acknowledges that due to parts availability and other factors,this may not be possible. 8. Workmanship: All work shall be completed in a workman-like manner and in compliance with all building codes and other applicable laws. To the extent required by law individuals duly licensed and authorized by law to perform said work shall perform all work. Company agrees to remove all debris and leave the premises in broom clean condition. Company shall not be liable for any delay due to circumstances beyond its control including weather, strikes, casualty, or general unavailability of materials. 9. Insurance: Company warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Company or its employees or subcontractors. 10. Access Rights: You agree to grant Company or sub-contractors access to your property for the purpose of designing, installing, operating,maintaining and testing the solar facility. Company agrees to give you reasonable notice when Company needs to access your Property and will endeavor to restrict such access to normal business hours. 11. Validity: This agreement is valid for five(5)days from the above date. Agreement execution will take effect upon returning this Agreement to the Company, and confirmation of countersignature. This Agreement may be considered null and void if not executed and returned to the Company within five (5) days,unless otherwise agreed by the Company. 12. Deposit: A deposit of 1,500 is required at the execution of this Agreement, and will be credited to the gross system price. The deposit will be refunded if the Agreement is terminated pursuant to Section 5 and/or fails to meet required structural, electrical or shading requirements. 13. Promotional Materials: Owner agrees to allow Company the rights to use the solar installation and any collateral,testimonials and other materials for any marketing and promotional activities. 14. System Performance:The Owner understands and agrees that the information and projections provided to the Owner by the Company prior to the execution of this agreement were based upon the Company's best estimates at the time and do not constitute a warranty or guaranty. The only warranty or guaranties provided are as set forth in Section 7 above. 15. Dispute Resolution: Both parties agree to settle any disputes as quickly and amicably as possible in order to avoid undue expenses. If a dispute arises under this Agreement,both parties agree to settle any disputes as quickly and amicably as possible in order to avoid undue expenses. If Company has to file suit to collect any unpaid fees, costs and/or expenses for services and/or goods provided, all claims must be brought in a court of competent jurisdiction in the Commonwealth of Massachusetts and apply Massachusetts' law. Both parties specifically waive any objections to jurisdiction,venue and choice of law provisions. Any suit or claim filed by the Owner will be brought to arbitration; arbitration procedures will be set forth by the Company. If Company is successful in a claim,then it can recover all of its attorneys' and expert fees and costs associated with the prosecution of an action, including pre-ligation costs and fees. 16. Severability/Survival: The Parties intend this Agreement to be enforced as written. If any portion or provision of this Agreement shall to any extent be declared illegal or unenforceable by a duly authorized court having jurisdiction, such portion or provision shall be modified by such a court so as to make it enforceable, if possible, and the remainder of this Agreement shall be enforced to the fullest extent permitted by law. 17. Entire A egr ement: This Agreement represents the entire agreement between the parties and replaces any other oral or written agreements or understandings. 18. Amendments: All amendments to this Agreement must be in writing, executed by both parties. Rayah Power Integration Corp. 4 320 Nevada Street Suite 301 Newton,MA 02460 Phone:617.564-3159 Email:info@rayahsolar.com r DpcuSign-Envelope ID:81EFOC42-F3F9-4841-97CA-EC5893112ED6 RAYAH P O W E R I N T E G R A T I O N 19. Assignment: Owner may not assign its rights or obligations under this Agreement without the express, written consent of Company. Company may assign its rights or obligations hereunder at any time without prior consent or approval of Owner. 20. Knowing And Voluntary: The Parties hereby acknowledge that they have read this Agreement carefully, have been afforded a sufficient amount of time to consider and accept the terms of this Agreement,have been advised by proper counsel on all of the terms of this Agreement, are voluntarily entering into this Agreement, and that no party (or its,his, her or their agents or representatives)has made any representations inconsistent with the terms and effects of this Agreement. 21. Counterparts: This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which together will constitute one and the same instrument.' Facsimile or electronic signatures shall be deemed as good as the original. Add' ' l Terms (Initial if Applicable): • �15 Tree Removal:Although cutting or trimming trees may not be required to go solar, Customer understands that if it is recommended to cut trees to improve efficiency,it is the CtL!itomers'responsibility to perform all tree work. • '�� Weather Protocol: If your installation needs to be rescheduled due to adverse weather,it will be rescheduled on the next available rain date/maintenance day. Please note,rain date/maintenance days are pre-scheduled and may not occur the day following your originally scheduled installation date. Multiple days of adverse weather,may result in limited scheduling. DocuSlgned by: " Joseph Botelho ,�bSt,�t, f"f utio 10/15/2015 Customer Name Customer ignature Date Ray h Power Integration Corp. 1015/2015 Company Name Company Signature Date I • Rayah Power Integration Corp.320 Nevada Street.Suite 301 5 5 Newton,MA 02460 Phone:617-564-3 1 59 Email:info@rayahsolar.com 4ocuSi§n'Enve1ope ID:81 EFOC42-F3F9-4841-97CA-EC5893112ED6 r nJ R AYA ` r P O W E R I N T E G R A T 1 0 N Notice of Right to Cancellation Date: (Enter date of transaction) YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. The Notice of Cancellation,regarding your right to cancel this Agreement,is attached hereto and made a part to this Agreement. You may cancel this transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any payments made under the Agreement,the Company of your cancellation notice will return any negotiable instrument executed by you within 3 days following receipt.Additionally,any security interest arising out of the transaction will be canceled. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice,or any other written notice to:Rayah Power Integration Corp.,320 Nevada Street,Suite 301,Newton,MA 02460:Phone:617-564-3159:Email: info@rayahsolar.com. I hereby cancel this transaction(date): Date Signature 4 Rayah Power Integration Corp. L 320 Nevada Street,Suite 301 U Newton,MA 02460 Phone:617-564-3159 Email:lnfo@rayahsolar.com a 70 Main Street Wayland,MA 01778 TESTA 'ENGINEERING Telephone:(508)561-1260 A S S 0 C I A T E S Fax(508)655-2411 Structural Engineering February 16, 2016 Rayah Solar 320 Nevada Street, Suite 301 Newtonville, MA 02460 Attn: Brad Stoler Project: Botelho Residence 91 Williams Path West Barnstable, MA 02668 Dear Brad: I have reviewed the new LG 285 Solar Panels to be installed on the roof of the existing house and garage at 91 Williams Path in West Barnstable. I have checked the drawings, sketches and calculations associated with these new LG 285 Solar Panels installed and it does meet current snow loads for the existing garage and main house roof. I have checked the units for uplift loads including the 5/16"x 4"bolts with 3"of threaded length using LG 285 panels&IronRidge Racking. The existing roof system is judged to be adequate to withstand the loads imposed by the installation of solar panels. No reinforcing necessary: . I further certify that all applicable loads required by IRC 2009 and with Massachusetts amendment were applied to the rail system and analyzed. I accept the certifications indicated by the solar panel manufacturer for the.ability of the panels to withstand the code wind and snow loads. The roof with the solar panels will meet the requirements of the 8`I'Edition of the Massachusetts.State Building code and all of the current amendments. If you have any questions, please.feel free to call.me at 508-561-1260 Sincerely y rs, tN 6FMA �y RICHARD J. GN I TESTAJR. S RUCTURAL H � � r No.$7868 T SS N6 /ONAL E Richard J. Testa.Jr. P.E. License.#: 37868 b o:. R RAYAH �:� PO W ER INTEGRATION March 22, 2016 The Town of Barnstable Attn: Building Division 200 Main Street Hyannis, MA. 02601 To Whom It May Concern, Jacques Akelian(license # CS-105910) is an employee of Rayah Power Integration(DBA "Rayah Solar") and is covered under our Worker's Compensation&Liability insurance. Please contact me with any questions. Best, Ia h h Chidubem Human Resources Manager Rayah Solar www.rayahsolar.com achidubem@rayahsolar.com (617) 564-3159 Rayah Power Integration Corp. 522 Watertown St.,Ste 2,Newton,MA 02460 Phone:617-564-3159 Email:info@rayahsolar.com l ................. UnrestrictedUWcCO gs of a.n. nWn less w Brouan35,000 cubicfencdth e4,(99j pwlch l )of 1 . f e !!d t Failure to pouf a-urrent State Building Code Is cause for for rev of the i Fm o�u evagtJon oas e� . ^_-- ------censinglr�fo�atlonvlsK: www.Mau,Gov/DPS se. l i ................................ I i Massachusetts-Department of Public Satft, Board of Building Regulations and Standards Construction Supervisor License: CS-105910 JACQUES AKELIN 18 Hemingway Sti>eet" '' WINCHESTER MA � Expiration Commissioner 04/2�12018 i �'HE r� Barnstable Old Kings Highway Historic District Committee ,� ; 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 PIAMah APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply, 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting,roof ❑ new roof ❑ color/material change, of trim, siding,window,door 4. Sim: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool Solar panels ❑ Other Type or Print Legibly: Date NOTE All applications must be signed by the current owner Owner(print): J_ot�k. �o T� �o Telephone#: 5-0 $'�4 —01 S '�4 Address of Proposed Work: 91 VQ i 1 1` YV%S ?064% Village h e,,-* krvx9 A fdlap Lot# III Mailing Address(if differ t) Owner's Signature Description of Proposed ior&_ive particulars of work to be done: rl e-A A A O Yt of 0 So LAh- Agent or Contractor(print):RAV all S o l a- Telephone#: (01-7- .K10 e/-3 Address: 522 V44"VYV1 Si".. S+r,#2. -e.1N ti VVL Contractor/Agent'signature: For commi a use only. This Certificate is hereby APPROVED/DENIED � Date ITu Members signatures pp �j 1 jr* � GR,OVVTIi MANAGEMENT APpRO 6 Town of BS N 9hwaY 1 old rnstabke ��ommittee Q:1Boards and Commissions101d Kings diginvay10KF1 Apphcntionsl0KH1011 Cen Appropriateness.doc i CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle_ other Material: red cedar white cedar other Color: Chimney Material: Color. /'/ 1 J Roof Material: (make&style) Arokif t, h�w sk4(R0,(1 a (ftka1�)olor: Roof Pitch(s): (7/12 minimum) (specify on plans for new buildings, major additions) i Window and door trim material: wood t other material, specify Size of cornerboards size of casings(l X 4 min.) color Rakes Ist member 2"'member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, major additions) Window grills(please check all that apply true divided lights exterior glued grills_ grills between glass_removable interior None Door style and make: t material Color. Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: APPROVED Gutter Type/Material: Color: FEB 2 4 2016 t Deck material: wood other material,`specify Color. Town of Barnstable z aid Kinc},H'9hway Committee Skylight,type/make/model/: f material Color: Size: Sign size: Twe/Miterials: Color, Fence Type(max 6')Style a material: Color: RECEIVED Retaining wall: Material: i A i\t 27 U B Lighting,freestanding on building illuminating sign GROWTH MANKGEVIVIENT OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of p nt colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan prepare Print Name A+i�i � . JT Town of Barnstable Geographic Information System February 10, 2016 112003 135003 112004 #0 #D 135001 111011001 #39"� #0 • #52 111022 #10 / 111010 135002 f 27 4& 111&8001 #0 11#041b / 111011003 111021 #85 134004 #0 #30 #134 i 111001 9111011004 111020 11 000002 #114 #55 #•48 V� Q 111042 111005001 111007 ♦ �a %#0' 111011005 #25 #133 A*#69 111 00 600 3 �0, 1110091 #0' #50 111043 111012 111005002 134005 40 #388 111037 #5 111 #168 024 #�♦ 111038 #151 . #74' 134024 111039 Y gD #58 '111025 #1s upit 111046 111045 • #169 ° 01,0 tLO y�cy #410 #344 111036 1#420 0 `111026 10 ® ST #91 A ° #185 134007 "I *#77 5 k11003 '� #210 111023 ® r 111034 #30 `1#1047 4#�611 a 134008 w #240 y� 111070 �11029 134023001 #0 ffff#342 - ar 1#351 134016 11158 �,��0 #3248 - ♦ #21 #229 111054 111027 111032 111053 #10 #304 #254 111014 111031• 134023002111049 #28 1190_55 # #240 111030#35 , A #39 #11 11,11057 '#224 134001002 134023003 ® 111050� � f #10♦ #210 a#45 ® #0 11105,. ®111052 111056� 111072' 151 #48 #23 111058 111044' #295 4 111019 4_34001001 #235 #200 /#27/ 111069 �8 111071 #313 111018#279 111017 111016#247 10 111071001/ #0 111064 #19 134002 oQ- 9 #257 #180 #0 11015 11066 111068 1 � i 1#34!0 111067 #51' JQv #215 ; V1 $ #30 111063 .134003 1#60 111062 0 1 2061 #259 1#Z065 110004001 #185 110002 #�176 1�#�D 35 20 11000120�1 Q ® 1100901 #50 1#2016 13 020001#271 • #24 #150 DISCLAIMERS:This ma is for planning Ma 111 Parcel:036 p p g purposes only. It is not adequate for legal P� Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:BOTELHO,JOSEPH J&KAREN D Total Assessed Value:$552500 1'=100'may not meet established map accuracy standards. The parcel lines on this map '.'.; are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.98 acres Abutters B boundaries and do not represent accurate relationships to physical features on the map Location:91 VALLIAMS PATH such as building locations. 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I }"���•y. ,,M•L• ..�.."^r t`�l�ii �Er_=rr C�i4'�S�1R�'.il��-- ~,.�""�r " ' 111 CD co 1 j + I w 1 ' J SUNNOVA RESIDENCE PROJECT DESCRIPTION: LOCATION MAP 9f1%288W ROOF MOUNTED -—♦ NET METERED 8.55KW PV MODULES PHOTOVOLTAIC SYSTEM SIZE:8.56 kW DC 6TC � j g}+,ti /i � { " MODULE:(30)LG-ELECTRONICS:LG285SIC-G4 INVERTER:SOLAREDGE:SE7600fWS(240V) ROOF TILT(01):22' , ROOF AZIMUTH 209'T ROOF TILT(62):Zo• RRR��� fififi`•�v �'' h ROOF AZIMUTH(02):213- y rY MAINS R RATING:200A E VICE PANEL I j �` MAIN BREAIIER SIZE:200A t S �'spgry ATTACHMENT NPE:IRONRIDGE FlA6MF00T .�- M,f. � � ROOF TYPE:COMP SHINGLE �` a' R SHADING ANALYSIS:BG ��,� - '}/� /�� FLASHING TO BE USED:FIASHFOOT 4 Y�;p� NA -7�w CY�'', STRUCTURAL ANALYSIS:2X6 RAFTERS i 3, �Q`' `�,,,/'•: l -�, 7r'�� �'EXISTING PROJECT DATA: PROJECT SITE DRIVEWAY CODE:2011 NEC F�S „✓ /� 2012IFc TABLE OF CONTENTS LOADING: GROUND SNOW.40 PSF PV-2 SIITTEEPLAN t^Y'j I NAND SPEED:11OMPH PV ARRAY WEIGHT:2AS PSF PV-3 MODULE LAYOUT EXPOSURE CATEGORY B Z PV4 MOUNTING DETAILS RACKING: PV-6 ELECTRICAL SCHEMATIC IRONRI RAIL5 FLABHFOOOOT MOO MOUNT PVSA WIRING CALCULATION(0)LOFLECTRONICS V^C!/ PV-68 WIRING CALCULATION (LG2 G4) ,C1' PV6 LABELING ROOF !Y_fi ROOF C2 �: d1 fist R (24)LG-ELECTRONICS ROOF S1CG4) ROOF 771 N )� EET TITLE PV.1 DATE:- 11(l32015 SOLAR PHOTOVOLTAIC SYSTEM ' MASTER ELECTRICIAN INFO INSTALLER INFORMATION COVER SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02WB DRAWN BY.- DI TEL No.:-(508)4WO534 CUSTOMER SIGNATURE: l 3 a I ALUMN."L"BRACKET W/k ALUMN.'L"BRACKET Wt SS BOLT 8 NUT SS BOLT&NUT �3" r HEIGHT OF PANEL HEIGHT OF PANEL MOUNTING FROMROOF MOUNTING FROM ROOF CLIP,TYP. L-FOOT 12'OSB SHEATHING CLIP,TYP. Lf00T ATHING IRONRIDGE IRONRIDGEXR100 RAIL IRONRIDGE FLASH FOOT XR100 RAIL UlSH FOOT SOLAR MODULE SOLAR MODULE REF.PLAN REF.PLAN5/16'SS LAG BOLT MIN.2.5' BOLT MIN.2.5" (E)AGRIC. PENETRATION SEALED (E)AGRIC. PENETRATION SEALED COMPOSITE SHINGLES ROOF W/SIKAFLEX 1A COMPOSITE SHINGLES ROO W/SIKAFLEX to PLYWOOD PLYWOOD 2X6 RAFTERS @16"O.C. 2X6 RAFTERS®16'O.C. IRONRIDGE XR100 W/FLASHFOOT ROOF#1 2 IRONRIDGE XR100 W/FLASHFOOT ROOF#2 FV4SCALE:112-V-I PV4 SCALE:Irl"V-0 RACKING&ATTACHMENT INFORMATION: ARRAY SELF WEIGHT: MODULE:37.04 LB OVER 17.95,SF=2.06 RAIL: MISC:CLAMPS,HARDWARE,WI RING,ETC._ ARRAY SELF WEIGHT= 1.1 Ibs MAX WEIGHT PER ANCHOR= FLASHFOOT ATTACHMENT: ALLOWABLE VERTICAL CAPACITY= PER TESTING 81 CA P.E.-STAMPED VERIFICATION LETTER FROM MANUFACTURER. ALUMINIUM RAIL:.XR100 RAIL MAXIMUM ALLOWABLE SPAN.=16'-4".(ZONE 1),12'-5(ZONE2),9'-6"(ZONE 3) PER CERTIFICATION LETTER FROM CA P.E.PROVIDED BY MANUFACTURER LOADING: PER ASCE 7-05,SECTION 6.4.2.2&FIG.6-3 MAXIMUM SPAN=4'-0"(48"=48",RAIL IS OK) SHEET TITLE PV-4 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION MOUNTING DETAILS SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- O1BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 ' 1 PV MODULES-UL APPROVED INVERTER-UL APPROVED SYSTEM OVERVIEW: MANUFACTURER LGaELECTRONICS MANUFACTURER SOLAREDGE #OF MODULES IN SERIES(STRING SIZE): 13,11 8 11 MODEL LG2858ICG4 MODEL SE10000A-US(240V) 0OF MODULES IN PARALLEL(#STRINGS): 22 ELECTRICAL SPECIFICATIONS: ELECTRICAL SPECIFICATIONS: NUMBER OF MODULES PER INVERTER 35 RATED POWER OUTPUT®STC 285 RATED AC VOLTAGE 240 ARRAY RATED DC POWER OUTPUT®STC 9.98KW OPEN CIRCUIT VOLTAGE(V-) 39.0V CEC WEIGHTED EFFICIENCY 97.5% MAX POWER VOLTAGE(Vnp) 32.3V MAX POWER OUTPUT 0 STC 10950W SHORT CIRCUIT CURRENT(I-) 9.43A MAX INPUT VOLTAGE 500V MAX POWER CURRENT(I0b) 8.88A MAX INPUT CURRENT 30.5A SERIES FUSE RATING 15A REGULATED INPUT VOLTAGE 350V V.CORRECTION FACTOR -0.30% MAX OUTPUT CURRENT 42.OA SOLAREDGE SEI ODOOA-US INVERTER 97.5%CEC EFFICIENCY 0240 VAC IODSO WAC CONTINUOUS �1 MAXIMUM OUTPUT CURRENT 42.0 ARMS FAU PV MODULES=285 WATTS STC I PROTECTION PROVIDED PER NEC ARTICLE 690.3S LT LI L2 N 35 MODULES PER INVERTER=9975 WATTS STC I I 1 STRING OF 13 PV MODULES 0 12 13 2 STRINGS OF II PV MODULES I 1 2 3 0 0 I p p p p SOLAREDGE AGDC SAFETY SWITCH 440 VAC, 50 AMPS CONTINUOUS I I CONTINUOUS OPENS ALLUINGGROUNO DDC.365 PS T ,fir SOLAREDGE POWER OPTIMIZER P400 + + + ---- -- + + I CONDUCTORS PER NEC ARTICLE 690.35 RATED DC INPUT POWER-400 WATTS — — — — — 910, MAXIMUM INPUT VOLTAGE-BO VDC - - - - - L— ————— MPPT RANGE-8 TO 80 VDC - _ = 1 1 (N)MAIN BREAKER MAXIMUM INPUT CURRENT-10 ADC + + + 0 0 0 + _+ TO HOUSE 240 V, )MAIN SERVICE PANEL, MAXIMUM OUTPUT CURRENT-15 ADC I 200AQP TO BE200A RATED,240V,2P STRING LIMITATIONS-8 TO 25 OPTIMIZERS, ---- DERATEOTO 3705 WATTS STC PER STRING MAXIMUM —J I 1TSYJP 1 — I— +— (3)A8 THWN-2 L1,L2.N 4111Al2P1 1 20 0 0 10 11 (3)1I8 THWK12GND 3 STRING COMBINERIN1-EMT/PVC IL + + + FOR UNGROUNDED ARRAYS AC DISCONNECT_ ______ _ _ 24OV 1002P, (N) 1 REVENUE GRADE NON-FUSED 0 0 0 1 1 ITRON METER NEMA 3R,UL LISTED L1 z 3 p p p 10 n — I N.——. - — (21#8 TMWI+2 POS,NEG (1)#B GREEN CU GND 0 0 0 - (6)#10THW44POS,NEG IN 1'EMT + + + + _+ (7)#8GREENCUGND —GROIfm IN 1'EMT ALL PLAQUES AND SIGNAGE REQUIRED BY THE LATEST EDITION OF NATIONAL ELECTRICAL CODEREFER TO SHEET PV-6 FOR MORE INFORMATION.LABEL SHALL BE METALLIC OR PLASTICANGRAVED OR MACHINE PRINTED IN A CONTRASTING COLOR TO THE PLAQUE. PLAQUE SHALL BE UV RESISTANT IF EXPOSED TO SUNLIGHT. DC CONDUCTORS SHALL BE RUN IN EMT AND SHALL BE LABELED,'CAUTION DC CIRCUIT'OR EQUIREVERY SFT. EXPOSED NONCURRENT CARRYING METAL PARTS OF ELECTRICAL EQUIPMENT SHALL BE GROUNDED IN ACCORDANCE WITH 250.134 OR 250.136(A). WMRCONNm noN EACH MODULE TO BE GROUNDED USING THE SUPPUEWCONNECTION PONT PERVL NUFACTUREIM REGMEYffHTSALL'SOLAR. 120%RULE-NEC 690.64(0)(2) MODULES, EQUIPMENT AND METALLIC COMPONENTS ARE TO BE BONDEDAF THE EXISTING GROUNDED ELECTRODE SYSTEM CANNOT BE VERIFIED UTILITY FEED+SOLAR BACKFEED - OR 175.0 A+60.OA-235.OA IS ONLY METALLIC WATER PIPING.IT IS THE CONTRACTORS RESPONSIBILITY TO INSTALL A SUPPLEMENTAL GROUNDING ELECTRODE. BUSS RATING Y 120% CONFIRM LINE SIDE VOLTAGE AT ELECTRIC UTILITY SERVICE PRIOR TO CONNECTING INVERTER.VERIFY SERVICE VOLTAGE IS WITHIN 200.0 A X 120%=240.OA - INVERTER VOLTAGE OPERATIONAL RANGE. ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND ANCHOR CONDUIT RUNS AS REQUIRED PER NEC. OUTDOOR EOUIPMENT SHALL BE NEMA-3R RATED OR BETTER. SHEET TITLE PV-5 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SCALE:- AS NOTED JOSEPH BOTELHO ELECTRICAL SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, SCHEMATIC PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No.:-(508)494-9534 DC CONDUCTOR AMPACITY CALCULATIONS: AC CONDUCTOR AMPACITY CALCULATIONS: ARRAY TO JUNCTION BOX #OF INVERTERS:1 EXPECTED WIRE TEMP(-C):41- EXPECTED WIRE TEMP("C):41° TEMP CORRECTION PER NEC TABLE 310.16:0.87 TEMP CORRECTION PER TABLE 310,16:0.87 #OF CURRENT CARRYING CONDUCTORS:3 #OF CURRENT CARRYING CONDUCTORS:4 CONDUIT FILL PER NEC 310.15(B)(2)(a):1 CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a):0.80 CIRCUIT CONDUCTOR SIZE:6 AWG CIRCUIT CONDUCTOR SIZE:10 AWG CIRCUIT CONDUCTOR AMPACITY:75A CIRCUIT CONDUCTOR AMPACITY:40A REQUIRED CIRCUIT CONDUCTOR AMPACITY PER NEC 690.8(B): REQUIRED CIRCUIT CONDUCTOR AMPACITY PER NEC 1.25 X MAX INVERTER OUTPUT CURRENT= 690.8(A&B): 1.25 X 42=52.5A 1.25X1.25XIsc= 1.25 X 1.25 X 9.43=14.73A DERATED AMPACITY OF CIRCUIT CONDUCTORS PER NEC TABLE 310.16: TEMP CORR.PER NEC 310.16 X DERATED AMPACITY OF CIRCUIT CONDUCTOR PER NEC CONDUIT FILL CORR.PER NEC 310.15(B)(2)(a)X TABLE 310.16 CIRCUIT CONDUCTOR AMPACITY= TEMP CORR.PER NEC TABLE 310.16 X 0.87 X 1 X 75=65.25A CONDUIT FILL CORR.PER NEC 310.15(B)(2)(a)X CIRCUIT CONDUCTOR AMPACITY= 0.87 X 0.80 X 40=27.84 DC CONDUCTOR AMPACITY CALCULATIONS: FROM JUNCTION BOX TO INVERTER AMBIENT TEMPERATURE ADJUSTMENT FOR EXPOSED CONDUIT PER NEC 310.15(B)(2)(c):+22° EXPECTED WIRE TEMP(°C):41°+22' TEMP CORRECTION PER TABLE 310.16:0.58 #OF CURRENT CARRYING CONDUCTORS:4 CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a):0.80 CIRCUIT CONDUCTOR SIZE:10 AWG CIRCUIT CONDUCTOR AMPACITY:40A REQUIRED CIRCUIT CONDUCTOR AMPACITY PER NEC 690.8(A&B): 1.25 X 1.25 X Isc 1.25 X 1.25 X 9.43=14.73A - DERATED AMPACITY OF CIRCUIT CONDUCTOR PER NEC TABLE 310.16 TEMP CORR.PER NEC TABLE 310.16 X CONDUIT FILL CORR.PER NEC 310.15(B)(2)(a)X CIRCUIT CONDUCTOR AMPACITY= 0.58 X 1 X.40=18.56A SHEET TITLE PV-513 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SCALE:- AS NOTED JOSEPH BOTELHO WIRE SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, CALCULATION PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 4- WARNING: PHOTOVOLTAIC POWER SOURCE 4• WARNING:ELECTRIC SHOCK HAZARD O DO TERMINALS ONBOTH THETERMINALS. DC PHOTOVOLTAIC AC PHOTOVOLTAIC TERMINALS ON BOTH THE N LINE AND LOAD SIDE MAY BE DISCONNECT DISCONNECT ENERGIZED IN THE OPEN POSITION. 3 1/4• PHOTOVOLTAIC SYSTEMS OC SYSTEM SPECIFICATIONS RATED MPPCURRENT: 30ADC RATED MPP VOLTAGE: 35OVDC SHORT CIRCUIT CURRENT: 45ADC N AC SYSTEM SPECIFICATIONS SYSTEM SIZE:9.98KW COMBINED OPERATING RANGE:28.5AMPS RATED OUTPUT VOLTAGE:500VAC SHEET TITLE PV_6 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION LABELING SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 i ®LG LG.Monoptptus ®�® LEA Good a Better Life Medlam A Propertis Ele"d.A R-pvtkG(sm') ccevm/.r Yw wllan3+�Pd ear � n r n r Car- Urcr.—m ;Pa arat YW c 0-3 o•:o OJa GCo C<alllatml® A/Su bru,d Urrn(R<dlvPlmpnOd alV wu .10Mv .n Ci.N(vv.n(d l , n7l. [II�.vmnr N+rd Inrn.l:.m+l:v. 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SHEET TITLE PV_] DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SPECIFICATION SCALE:- AS NOTED JOSEPH BOTELHO DETAILS SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- 01 TEL.No. (508)494-9534 ' solar Single Phase Inverters for North America solar o O ! SE3000A-US(SE380DA-US/SE5000A-US/SE6000A•US/ SE7600A•US/SE10000A•US/SEI1400A•US RIM SE3000AZS SE3800AL5 SESaaBA-US SESoOM-US I SENW-US SE11100A-US OUTPUT SolarEdge Single Phase Inverters o NomMWACPowvO put 3000 3Bro 5000 6000 . ®2°B IIIW VA Maz A[Pp.er Osrtptrt 3300 1150 54ro®20BV 6000 8350 0300 208V I2000 VA ForNorth America Lwl .......................................................................... .@:aw:.................................. sR.�7 .............................. 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'Operadrhg T—p—nre -13W.1a0/-25 W.60(40 W.60 venbn aw6abk"1 'F(•C IThe best choice for SolarEdge enabled systems ; WnaP................._...-................................................................................................................................................ Integrated arc fault protection V`vpe 1)for NEC 201169D.11 compliance .Ropcm,wd^0....:..............:........................................................NtMA 3.R................................................................... Superior ezency l98%) .......................................... . �iam J mre�r.,.as.wwa...n>.r.Mtenxm.nu.b"�.rr.rtsc n.em+mm.sm,..mn.ne.wn•mrc miiew` q.rmwa � -Small,lightweight and easy to install an provided bracket �..rJ.J.mrmr.me s+.w.usmoava�� Built-in rnodule•level monitoring I d�am.,:Je.,,ut.m:mtA.hmst Internet connection through Ethernet or Wheless 40��"^'amAvsmpevw Outdoor and Indoor installation. Feed voltage inverter,DC(AC colrversien only pre-assembled Safi"Switch for faster installation Optional-revenue gradedata,ANSI CL2.1 i USA•GERMANY-iTALT•ERANCE-IAAAN-CHINA•AUSTRALIA•THE NE7HERLANDS-ISRAEL www.sOlare dge.us 'J V SHEET TITLE PV-8 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SPECIFICATION SCALE:- AS NOTED JOSEPH BOTELHO DETAILS SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 DZd IRON RIDGE Engineering & Design Guide Mountin 9 Roof System 2014 Edition v1.63 A complete guide to engineering and designing with the IronRidge XR Rail based Roof Mounting System. Z1r IRON RIDGE Engineering Design Guide; Overview Introduction IronRidge provides a comprehensive platform for designing a wide variety of photovoltaic systems for roof mounting applications.Due to its modular architecture,it can handle nearly all commercially available PV modules and layout designs.The IronRidge Roof Mount provides an all-in-one mounting solution,with the roof attachment FlashFoot,XR rails,and integrated grounding.IronRidge products are engineered to last in the most extreme weather conditions and have been installed in every continent in the world. Technical Specifications Below is a brief summary of the technical specifications of the IronRidge Roof Mount platform.More detail will be provided in the following pages.If there is additional information you require that is not listed in this Engineering Design Guide,please do not hesitate to contact us at support@ironridge.com. Allowable Roof Slope 0 to 45 Degrees Warranty 20 Year Span Lengths Up to 12' Tilt Legs Yes(10"to 40") Rail Lengths Standard&Custom Adjustable Tilt Legs Up to 45 Degrees Rail Finish Clear,Black Adjustable L Feet 1-1/8"vertical adjustability Building Height Certified to 60' Splices Patent-pending internal Max Wind Speed 170 Mph(for 7-10) Stand-offs Yes(Y,,4 6",7") Module Orientation Landscape&Portrait Tilt Stand-offs Yes(3.75",6,9") Wind Exposure Category B,C&D Flashing FlashFoot'(AII-in-One Attachment) Cantilever 40%of Maximum Span T-bolts Multiple Sizes Max Ground Snow Load 90 psf Wire Clips Black Polycarbonate Component Materials Aluminum and Stainless Steel End Caps _ Black Polycarbonate Hardware Stainless Steel Fasteners Engineering Support Yes(P.E.Certified) support@ ironridge.com (800)227-9523 Page 1 20140.63 /fir IRON RIDGE Engineering Design Guide.. Overview Assembled Views it 0 DNN • y I�1\� 1 I Flush Mounted i i Tilt Mounted For a complete 360 degree interactive roof mounting viewing environment,go to:ironridge.com/products/roofmounting/360view. i support@ ironridge.com (800)227-9523 Page 2 2014 v1.63 i ®Id IRON RIDGE Engineering Design Guide: Overview XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions without snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability •. 8'spanning capability 12'spanning capability Self-tapping screws • Moderate load capability Heavy load capability Extreme load capability Varying versions for rails • Clear anodized finish Clear&black anod.finish Clear anodized finish •. Grounding Straps offered Attachments Flash Foot Slotted L-Feet Standoffs Tilt Legs r Ao- Anchor,flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware High-friction serrated face Works with vent flashing • 'Attaches directly to rail • IBC& IRC compliant Heavy-duty profile shape Ships pre-assembled • Ships with all hardware • Certified with XR Rails Clear&black anod.finish Lengths from 3"to 9" • Fixed and adjustable Clamps &Grounding End Clamps Mid Clamps (E) Grounding Lugs Q Accessories AIN- LL& J . l Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Clear and black anod. • Parallel bonding T-bolt No clips or washers ••.Snap-in Wire Clips • Sizes from 1.22"to 2.3" • Reusable up to 10 times Eliminates pre-drilling • Perfected End Caps • Optional Under Clamps • Mill& black stainless Easy top-slot mounting • UV-protected polymer support@ 1 ironridge.com` 1 (800)227-9523 Page 20140.63 /ld IRONRIDGE FlashFoot"m Installation Overview Tools Required;tape measure,chalk line,stud finder,roofing bar.caulking gun with EPDM mastic sealant, drill with 1/4'titand V2'socket. Rapid&Secure Solar Attachments IronRidge FlashFoot-is an all-In-one solar mounting product for composition shingle roofs that eliminates the need for separate standoffs,flashings,and L-feet. I FlashFoot incorporates a number of structural and waterproofing features to securely attach IronRidge Rails to roof structures,while also protecting agalrst _ - water intrusion and weather damage. v "---- Locate rafters and snap vertical and horizontal lines Slide flashing,between 1st and 2nd course,so the to mark locations of(lashings.Drill 1/4"pilot holes, top Is at least 3/4"above the edge of the 3rd course then backlill with EPDM mastic sealant. and the bottom is above the edge of the 1st course. Dual Mechanical Seal t At low Ere daw FlasaFak a yl kctallW . nlbbnr busting farts a dual nt rifal -W,Wth!s etaln am{rlssed oW" tra wappiry d wndtra nand Cshm gball.try . wreppinp around ate S11Hb d the Iqq Cott. 14 i� Line up pilot hole with flashing hole and insert lag The Ftashl bot Is now installed and ready for bolt through bonded washer,L4;oot and flashing. IronRidge Rails.With provided L-foot fasteners pre-Tighten lag bolt untll fully seated. loaded Into rails,drop rails Into open L-foot slots. 4p*. y Testing&Certification -� Flashroot is certified for compliance with the international Building Codes(IBC),&ITtlernational Residential Codes(IRC)by IAPNIO-ES-Mechanical testing conformed to the standard for Testing and Analysis of Joist Hangers and Miscellaneous Connectors(EC002.2011),and rain testing conformed to the Underwriters Laboratory Standard for Gas Vents(UL 441-98 Section 25). wd Disrofwdion worm A*d1dm 1pbtabebwllq LJoa ouoaFxwcn .� Too increases tha Fbst SM's q.=nl s Flt ern, p TCS Wergtit slid pravmID any dell t MW F+Omn�n Yara.lnaame vra M1'.aH rt6e l a ry,ee r0 ei Ib aiSil46 clang kvJalblMt. Hal FII .,q aJ0 Hsn Fn plfsy .ear Tm A'NofLaatlag h�rtRnbaga wants spnw.FFq FlI .q a's . oeamamitw[ ab.-.d ualilt➢pbll—mAxhLva the _ Flasllreotl wattw raadd}6 aba.ty. a SHEET TITLE PV_9 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SPECIFICATION SCALE:- AS NOTED JOSEPH BOTELHO DETAILS SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 � 0 /lL�IRONRIDGE Integrated Grounding System Installation Overview Simplified Grounding hhslall ROW Atdachrnents For Greater Safety&Lower Cost 1 J'7 Install appropriate roof flashing and/or standoff for roof type. t� •Attach L-Feet to flashing or standoff. i-- Traditionally,solar modules are grounded by attaching lugs,bolts or dips to the module frame,then connecting ® preparo Rail Connections these to copper conductor that runs throughout the array.This process adds time and cost to the installation, •Insert splice Into first rail,then secure with Grounding Strap and and often results in improper grounding,creating self-drilling screw. significant long-tens safety risks. •Slide second rail over splice,then secure with opposite end of The IronRidge Integrated Grounding System solves these Grounding Strap and sell drilling screw. challenges by bonding modules directly to the mounting rails.This approach eliminates separate module grounding hardware,and it creates marry parallel ® Mount&Ground Reds grounding path throughout the array,providing •Attach rails to L-Feet and level rails. greater safety for system owners. �. . 6rount9ng Mid Clamp •Install one Grounding Lug per row of modules. �ya Each Grounding Mid Clamp tat—mrwgh the r -nodal wagrtp.of bam the module bane and Connect Grounding Lug to grounding conductor. the mwnting rail to tom sa-re electrical bond.. WNM oe tepeatad throMhoN that array. IM Install Modules S Clamps Install first module using End Clamps and Grounding Mid Clamps. Install additional modules using Grounding Mid Clamps. Finish row with a second pair of End Clamps. o n Testing&Certification The IronRidge Integrated Grounding re Module Frame Compatithfl"y 'c ❑ I '7 0 o System has been tested and certified to Dimension Range a UL 2703 by Intertak Group pia v a c, A 31.Omm-S1.Omm o ° °a e B minimum o c � � o ,� o e• UL 2703 Is a proposed UL standard 5.08mm for evaluating solar module mounting Any modde hams whoa parame——non rated In the 3 - and clamping devices.It ensures them r ad tablehare not beerttebDdtoa>mpabr+ly. C devices willmaintain strong electrical and 3 mechanical connections over an extended a o c period of time in extreme outdoor The Grounding Clamp has proven robust In grounding 60ce11 and 72cell solar module frames with box construction and a range of J v environments. anodization thicknesses. 2 ° The testing process closely minors that t{ Grounding Strap is All solar modules listed to llL 1703 and with frame construction p of UL 1703,the solar module tesli Caune:m��era wed to � n9 within the parameters stated above are compatible wkh the bat.d waboYona,.cmw standand,Ultludi g temperature and •konR;tlgg 4aegra2ed Gtou d'crg Syrian . rhatytw onyrputed sntro ~�� humiddy.cyding. and mechanical rag wont that gouwlrtg hq. A a ng'e G wmhg t ag load testing,and mmect.—ft.row ng, manufacturing quality e Go to ironridge.cornAg d Pv modtdea M the reviews. Aotnding rnrtducto. SHEET TITLE PV-1 O DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SPECIFICATION SCALE:- AS NOTED JOSEPH BOTELHO DETAILS SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No.:-(508)494-9534 /ALIRONRIDGE Engineering DesignGulde System Parts SPECIFICATIONS MAX SPAN CHARTS ♦XRL/XRS Ral: 6105-T5 extruded Standard Rail aluminum(nnodIt'd) - Snov Load(psf) The lronRidge Standard Railisa hl hpertonoancemll thatover♦XRL/XItS Splice Bars: Wind Speed(mph) 0051 10 psf 20 PSI 30 issf 4004 9 spans using extruded feet lumina all load conditions.Thls rail hessian for loom top and bottom w module mounting and is manufactured using extruded aluminum alloys. 6t05-T5 extruded 90 mph 13.5 12.5 10.5 10.0 9.0 aluminum 100 mph 13.5 12.5 10.5 1010 9.0 ♦Standoffs: 110 mph 13.5 12.5 10.5 1010 9.0 Property Value 6105ST5 emuded 120 mph 12.5 12.5 10.5 1010 9.0 Material 6000Sedes Aluminum aluminum 130 mph 11.5 11.5 10.5 10.0 9.0 Rnish Clint&Black Anodized ♦AJJusldble L-feel: 140 mph 10.5 10.5 10.5 9.5 9.0 Beam Height 3.00' 6105-T$eMuded ISO mph 10.0 10.0 10.0 9.5 9.0 1 Weight/Linear Foot .945 Lbs aluminum •� •Panel Clamps: Total Cross-Sectional Area .8071n' 5052-1132 aluminum Snow Load(par) Section Modulus(X-axis) 5301n' ♦8 8 StainlessSteel Wind Speed(mph) 0 05f 10 0sf 20 vsf 3D asf 40 Dsf Momentof Inertia(X-axis) .8431n' 90 mph 8.5 7.5 6.0 6.0 5.6 \ Momenteflnertia(Y-axis) .1821n' 100 mph 8.5 7.5 6.0 6.0 S. +` Torsional Corutant .4361n' XRS PROPERTIES tlomph B.0 7.5 60 6.0 5.6 Polar Moment of Inertia 0.3299In' ♦Area=.807136 mdnes^2 L20 mph 7.5 7.5 6.0 6.0 5.6 _ ♦Centrold relative to output 130 mph 6.5 6.5 6.0 6.0 5.6 coordinate system origin 140 mph 6.0 6.0 6.0 5.6 5.0 ♦X=0.5556 150 mph 5.5 5.5 5.5 5.5 5.0 Light Rail ♦Y=1.4091 •Z=120.000 LOAD CONDITION ASSUMPTIONS The lronRidge Light Rail is a superpght hlghlycost-effective rail that spans oversbx feet under typical load conditions.This mil has ♦Moments of lnerth of the ♦ Rush roof mounting installations ony topslot for easytop mountingand is manufactured using extruded aluminum alloys. area(at the centrold) ♦ Roof zone I ♦I1a=D.R430 ♦ Root slope-6 inches per foot Property Value ♦Lxy=0.1117 ♦ Module length-67.5' Material 6000 Series Aluminum ♦Lear=0.0000 ♦ Exposure Category B Rnish Clear Anodired ♦Lyx=0.1117 ♦ Building mean roof height=30 feet ♦Lri=O.1822 ♦ Clearance between root and min=2 inches Beam Height Z055' ♦Lyn=0•0000 ♦ End cantilever span-40%•ariJacent interior span Weight/Linear Foot 561 Liss ♦UK=0•000 ♦ No rall spike permitted within the middle Va of the span Total Cross•Sectional Area .1.in' ♦Lry=0.0000 Section Modulus(Xwxls) .192 Ire ♦LZ2=1.0252 For Installations that do not conform to the load cordliton assumptions above, ♦Polar Moment of Inertia pieeee refer to www.Ironrldgacom for a more complete engineering analysts. Momentoflnertia(X-axis) .197 In' ♦At Cerltroid-1.025214 i Momentoflnertia(Y-axis) .031 In' ♦Principal Moments of L-FOOT DIMENSIONS •' Torsional Constant .1001n' 4 Ix=0.1638 Inertia Polar Momentoflnertia .0391n' ♦ly=0.8614 ♦angle between Principal and Part Axes Internal Splice ♦Angle=99.343 degrees ♦Moments Of Inertia lronRidge Rails are easy to extend with our patent-pending Internal Splices.The Internal Splice at does not interfere with camping or ♦LXX=11625.205 attachment mounting,and offers a near seaunIm appearance.The IronRldge Splices come sandard with all mounting hardware. ♦LXY=0.5204 ♦LXZ=S3.8133 Property Value ♦LYX=0.5204 ♦LYY=1I523.1909 Material 600b Seder Aluminum ♦LY2=136.5369 'p"b'« Rnish Mill ♦LU=".81S3 ! Sandard Rail Splice Length 12' .♦LZZ;n 2.U84 •l1gM RtlI5p0ce lan0tli• '6 t Hanirmar 2SSSaIFt3pping Urews irr IRONRIDGE lune2010 -_ salesfplronrldge.mm 9441mt9 ) uanrkgetom I (eap)227-9523 Pagan 2014 v15t . www.Ioaddge.com - SHEET TITLE PV-11 DATE:- 1123/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SPECIFICATION SCALE:- AS NOTED JOSEPH BOTELHO DETAILS SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 I. r / ♦ n r .4 �1 r. swnarneporCmm soar rrwlaw 5at.• seam tr�h auy a� Solar Meter H�n We�e�t�._m1r,.� .�.sr AN,r�..rt, Installation Pnodtctfon data can be stored in the Cloud and HostIN Services A Solar Meter pugs Into a number of metor for up to 90 days.The Sdw Meta ryron olbrs a hosted saner so that solar As consumers become more ernrironmentally aware of their energy consumption and carbon footprint the energy ind"atry-slandvd ANSI plug-in module provides the solar provider with a providers don't have to worry about aCciN interest in and use of solar power is on the rise.Itron's revenue-grade Solar Meter is ideal for monitoring bases,For most residential Installations vastm�� Provide 'yet another sysem'to manage and of 200 amps or less,a vAd*available operate with m-house staff.With our Cloud the production of residential and commercial solar photorvoltaic(PV)systems and can support bidirectional standard Form 2S Is used.In North and hosting services,production data is and net meteringThe meter collects,stores end uploads the PV em's NelvraaCoawetMry SySt production data t0 the Solar America,the meter ic designed for 240 cofecred and presided via web services or Solution provider over an exists cellular network link that is fast,reliable and secure. Volk,60 Hz system. devil"nces Solar Meters are truly`pig and pfor XML files to Cie solar Providers'h-house devices sfe use n gelid l connection Ia Installing the SOW Muter In-lino with Uto hob aarsia.Using a Solar Meter,Its systems aweb-portal systems. service panel teed alms the solar pnmvider hmrbellor has fladtA6y to W$-Ct either AT&T SPECIFICATIONS Irons ool]da meta adheres,of mirimurn, apons6o than othm ava7able monitoring doesn't require entrance into the house to utilka the mwer's remote dixonrect - or Vahan as the commercial netrk to the rJtllgapt ANSI C7220 5.52.5 systems.Using our toctvmdogy.you can or property Capabilities vfien regtinetl. of di0icd to ensure the ftglest quality Meter nampatibiuy ant apadllumtians r acc ay class CA 0.6 standards— bereft from: .lnvnoaate ratincation of production Every Solar MeowIs enabled b accept nerwerk oomecbm available.Our meters avallable upon request. msa%AV irwortor production vAlh up to .Supports Whoctbnal and apt metaIng Lssues through alarms over-Cie-ay&moan upgrades,ensuring use 3G connectivity for high-speed,secure 99.5%accuracy.regardless of iMenlor or Revenue-grader meter accuracy .ova-the-air upgrades I.ensure you and reliable communications.As cellular panel type.Simply put,huans Solar Meters the meter"'Ways has time blest updates. s ANSI cer110caaon end the highest level motors have Ue latest features and data networks hcorpware new technology, are availthe able — accurate end rerabte merere functional no on-slle v4^lts Data CoBocdon the Solar Meta will romaln ba k—d rl secw)yavalkible Onsets tederel y 164'I� to tom tible so your Imeslment remains available—and are etready ousted by All Itmn Solar Mortars rrl!ect Interval data t ply � leak, electrical utilities around the U.S. scanty standards) Simp le pb and Reliable Intervals typica'ry behveen 15 minutes anti protected for the long tam. And because our meters can ba instal din •Unparabled relab7lN and proven loon Solar Meters can monitor any type of 1 hour)as defined by the sdar pcw.da. a slmplo'puug and play-fashion with utility- archllecture deployed by leading uflbes solar energy system production with 99.8% standard hsiwation reclruques,hstafWOm .Low-cost ore-piece irsta7ation that accuracy regardless of Irnater or panel and scil"Won is streamlined—meters Can reptiles sigrtifiwnty less lapin type.information can be owned for up to report production data to time solar proNtla ,Slender metaroonnections—no 90 days. ern is a gbaJ ladvnbgy a anlpary.lAls huld sautbrs Iran help Whiles CORPORATE HEADOUARTERs Inasli1rIleas45minues. custom parts or whirg Production data is stored on the meter and nrssva,mnsrmagamm0 aisym lrpargy upMwa:v.Orbroadpraductponbap 2111 NMoltarRaad iodide"'cc C deY-icily,gas,""m end mama newlgymaosurared old control Uuatyld - •. alifed wipm nmelwork carri9.Ar Ilia uploaded atJtomJa!WWwer the dubr pe.WA9'9019 '6BIBfIi'OFCEWI/W mrlrougY.camneticutacJs sysdams;ulo0vwma;ondpmamorotearvloos -U . 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Join us In aoa:M a main r"'auacoful workt snort horn:9 w"A enCom 1BmMwopry�Mrr�{J�'WYIp*^�m�i.rYwoM arp�A�W'tJ.IVrAMa��.Yls.irani1Y>U�6aMe,a Vhrl sal h'riMN vast ti.s..r1 a.l:wrl,.x rNM nrraRrlgrn+aYN'epnparrs 1JW nrgasJnlq,wOM:mei..rr..wr,aooab(/aw,wMYr[r lnrormertd OrrwwnM�rylroNN elO.+'ylJ'er.11.vl Mrb4rr wl 1e1�-.W+i1 luY SHEET TITLE PV-12 DATE:- 11232015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION SPECIFICATION SCALE:- AS NOTED JOSEPH BOTELHO DETAILS SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01 BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 s j. �"� .*3 ti � �zP• w ��..�'��� 7 .'r. nn � tr" �\�. �\� /�> /• /r �• S �•1��. F -¢t rc-` �`� c rJF`'s~ \ �,�_ SHEET TITLE PV-13 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION PHOTOS SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01 BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 Add,6asi A Mams lmt p 2vl4 1(l� SHEET TITLE - PV-14 DATE:- 11/23/2015 - SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION. - PHOTOS SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, , PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No. (508)494-9534 ' I i MAIN fr DISCONNECT �Y r`Y � p� urY Ftl - S 4 r^ SHEET TITLE PV-1 5 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION PHOTOS SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.No.:-(508)494-9534 SUNNOVA RESIDENCE PROJECOOF T MOUNTED LOCATION MAP SOLAR PHOTOVOLTAIC ^ E. * , � 'X' - J NET METERED 9.98KW PV SYSTEMS SYSTEM SIZE:8.55 kW DC STC MODULE: (30)LG-ELECTRONICS:LG285S1C-G4 INVERTER:SOLAREDGE:SE760OA-US(240V) f - rJ • I P ROOF TILT(01):22° - ROOF AZIMUTH(#1):209° ROOF TILT(#2):20° (� ��� ✓ 'A' ROOF AZIMUTH(#2):213° '� )° i / MAIN SERVICE PANEL RATING:200A MAIN BREAKER SIZE:200A °",7"�z ATTACHMENT TYPE:IRONRIDGE FLASHFOOT ROOF TYPE:COMP SHINGLE S R SHADING ANALYSIS:90° (;� n� FLASHING TO BE USED:FLASHFOOT 5 6 STRUCTURAL ANALYSIS:2X6 RAFTERS �'►R } " ` �.+�y,. ° .,,,,� PROJECT DATA: PROJECT SITE C, l ''yy�� (y��,� EXISTING F,, �, DRIVEWAY CODE: 01z FECC TABLE OF CONTENTS LOADING: PV-1 COVER 6 v GROUND SNOW 40 PSF PV-2 SITE PLAN WIND SPEED: 110MPH S3 '�! PV ARRAY WEIGHT: 2.08 PSF PV-3 MODULE LAYOUT �+++✓1ll (\G(((1 (v) EXPOSURE CATEGORY 8 PV-4 MOUNTING DETAILS m W r yn RACKING: PV-5 ELECTRICAL SCHEMATIC w IRONRIDGE XR100 RAILS mm ,S•^h,t- FLASHFOOTMOUNT PV-5A WIRING CALCULATION 2. �4�ZJ)t��✓3 -(6)LG-ELECT NICS PVSB WIRING CALCULATION RO , (LG285SIC G4) �i;,+�, PV-6 LABELING Yt s ROOF#2 R O EIra, (24)LG-ELECTRONICS 1 (LG285S1C-G4) ROOF#1 OV RECEIVED ° GROWTH.MANAGEMENT SHEET TITLE PV-1 DATE:- 11/23/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION COVER SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW DC 91 WILLIAMS PATH, PROJECT No.:- 018nTu WEST BARNSTABLE,MA 02668 CUSTOMER SIGNATURE: DRAWN BY:- DI TEL.No.:-(508)494-9534 J Ff 1 A a. 3k4 go tie t. f i r f s LG285 1•!e.J. 3Vv' r..- Irv" 7-T- I z , 0 2�, cn n Z t0yr - • .'. '. .. .. .. .� . .. �.a�5.[t�'t.:ykl s,�.y:!pa,rc!5 .. . .. . .l- 51 tmuth lRoaMch R of Modules ;j g Roof Dim. 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Ridge Front and Bade rftnel: toaton 4 TIrSre�e rowatrrworms r�}�oi,fZ�zq lenafign taYh Lesend Daft: 1z O BP322SB (39.9a65.6'] j sva nddfau: Invre Milo ti EP-&4CbftPa,celmWveMMWwor mil,5b@l ziP = F"�;. �•�. �' �• Oacn(� + APPROVED ,- + x z + FEB 2 4 2016 Town of Barnstable Z --,�I + Old King's Highway y + Committee Cr. + + z - y + Scanned by CamScanner + + APPROVED FEB 2 4 2016 Town Of Barnstable ALUMN.'L'BRACKET SS BOLT 'L"BRACKET wI�' Old Kin s Highway SS BOLT S NUT � SS BOLT 8 NUT 9' g Y Committee T HEIGHT-OFPANEL HEIGHT OF PANEL MOUNTING FROM ROOF MOUNTING FROM.ROOF CLIP,TYP. L-FOOT CUP,TYP. _T 12"OSB SHEATHING 1/2'OSB SHEATHING IRONRIDGE IRONRIDGE XR100 RAIL IRONRIDGE FLASH FOOT XR100 RAIL IRONRIDGE FLASH FOOT SOLAR MODULE SOLAR MODULE RERPLAN RERPLAN 5J16'SS LAG BOLT MIN.ZS" SN6'SS LAG BOLT MIN.2S (E)AGRIC. PENETRATION SEALED (E)AGRIC• PENETRATION SEALED COMPOSITE SHINGLES ROOF WISIKAF EX 1A COMPOSITE SHINGLES ROO WISIKAFLEX 1A PLYWOOD PLYWOOD 2X6 RAFTERS®16'O.C. 2X6 RAFTERS @19'O.C. IRONRIDGE XR100 W/FLASHFOOT ROOF#1 2 IRONRIDGE XR100 W/FLASHFOOT ROOF#2 PV4 sCALfi:,2.,'a PV4 suLe:Iz.,'a RACKING&ATTACHMENT INFORMATION: ARRAY SELF WEIGHT: MODULE:37.04 LB OVER 17.95,SF=2.06 RAIL: RECEIVED MISC:CLAMPS,HARDWARE,WIRING,ETC._ ARRAY SELF WEIGHT=1.1 Ibs t'r MAX WEIGHT PER ANCHOR= JAN 2 7.10 1 b FLASHFOOT ATTACHMENT: ALLOWABLE VERTICAL CAPACITY= PER TESTING&CA P.E.-STAMPED VERIFICATION LETTER FROM MANUFACTURER. GROWTH MANAGEMENT ALUMINIUM RAIL: XR100 RAIL MAXIMUM ALLOWABLE SPAN=16-4"(ZONE 1), 12'-5(ZONE 2),9'-6"(ZONE 3) PER CERTIFICATION LETTER FROM CA P.E.PROVIDED BY MANUFACTURER LOADING: PER ASCE 7-05,SECTION 6.4.2.2&FIG.6-3 rTITLE AXIMUM SPAN=4'-0"(48"=48",RAIL IS OK) PV-4DATE:- 1123/2015 SOLAR PHOTOVOLTAIC SYSTEM MASTER ELECTRICIAN INFO INSTALLER INFORMATION TAILS SCALE:- AS NOTED JOSEPH BOTELHO SYSTEM SIZE:- 9.98 kW OC 91 WILLIAMS PATH, PROJECT No.:- 01BnTu WEST BARNSTABLE,MA 02668 DRAWN BY:- DI TEL.ND.:-(508)494-9534 LG Monov"Pns mmymamm® /AN LG • - • mo LMCiood Med)>tiol Reties Elearsd Properties(STC�) _ - O f� COO —a)sw - ]o)w nsw t:••mdr u. x Vdtq(Kapd II 3 _]'9 _ !,I � �. ' 1:W 14,r �._ .._ __-W.��.a�.l.;ypr � xW fun p�W) _ .- -_ 88e •K BD, Cer D..edn,,. � ,CL 1a CJS ray/4,Le�m r tyr,6.w V✓r�(Vot) )'Ja- JBP !dl J afa a13 s16 V or..ar.IL.W.M h J_IX a Y.A! )IYI �/ 1J ,hL q� ws row aa/nw!p �. s.. M •an,r�L.t _ Odd CJ ,•((\`v cL.. ,.w,.,..«.,.«o..wc.+. 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(1st floor/School Admin. Bldg.) INSTALLED LIANCE WIT Definitve Plan Approved by Planning Board 19 ENVIRONM E AND A � TOWN OF BARNSTABLE TOWN �,' S Building Permit Application Project Street Address 9/ Al 11;4Af S P/}Tf/ 16 1`7 Village (HIES T" 3PrRtJS TA 3 L r Owner�oSEDIf d- k)4?EA/ BoTZLft0 Address TAME.- 671kclF ASJEEHA p2�S�9 Telephone Permit Request �'�T-ce o R D,�5,CR /a x a First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ /,S"DD Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No /69 .S F Dwelling Type: '�ingle Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway VYes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use Builder Information Name 36S E-& Scm Z,4 'o Telephone Number (SoFb S-3%—00- k Address License# M A,9 A4 Ptt",- IMS• 0-16V-f Home Improvement Contractor.# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TIN TO SIGNATURE - G w��'� DATE 0—CCU ' NG P R IT E IED R T LLOWING REASON(S) 23 1 FOR OFFICIAL USE ONLY ; } PERMIT NO. ri DATE ISSUED MAP/PARCEL NO. _ C = ADDRESS VILLAGE OWNER DATE OF INSPECTION: --p FOUNDATION c{ Q-9to FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: - ;ROU�H FINAL GAS: SRO 39H FINAL FINAL BUILD.Ibird F; E a aC3 �� "9 DATE CLOSED O r ASSOCIATION P 4-A,N dlpl- - r the The Town of Barnstable 9 to �' Department of Health Safety and Environmental Services 1. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissions For office use only ; Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: f 'TERI0 R L7CC1< Est. Cost Address of Work: 9/ W/C�/PrKS �i�TH G✓CST� �1912NSTRT3� Owner's Name TSr✓/�� . �" EN Ro-r 1-4o Date of Permit Application: o 6—/0 r P SI I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit t Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor-Name Registration No. OR D6-!0 -,9 Date Owner's Name r The Commonwealth of Massachusetts . Department of Industrial Accidents Office 911oYe5ti90817S 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insu/rraancce Affidavit ?�41t)�G3nt;%ETn �������������� -- name S 05,629 '� {�1�87✓ `L�oTEL�D location / / W/LLti4MSf3T� city wep T 13gR S T/4 B L G' il/I A-SS- 0 ohone#���S35L�oS ❑ I am a homeowner performing all work myself. ❑ I am a sole roprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. com anv name: address: city phone# insurance cn. oiicV# ///a/////////////i/i//./ /////////////%////i//%////////////////////i/%/////////%////%//////////////////%////////// ❑ I am a sole proprietor, general contractor, or homeowner circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: - address: hone#.. city: insurnnce co...:. olicv# ;•:«:,;::::..:..//fir.. cam anv name: •. address: hone city- :. . .. . ::.:::.::.::.::.:•:;;.:,. oiicv# insurance c Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Me up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certij under the pains and penalties of perjury that the information provided above is truo and correct Signature Print name SS rQ T 130 Phone&cr&S S3q t10S� ofIIdal use only do not write in this area to be completed by city or town official d permit/lIcense is QButlding Department city or town: ❑Licensing Boatel i onse is required ❑selectmen's Office ❑check if Immediate mp 0—Health Department contact person phone fi• ❑Other_ (tevtem 9,95•P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association; corporation or.other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,"employing'employees. However the owner of a ~ ' -dwelling house having not more than three apartments and who resides therein;or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair wdrk on iuch dWelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be reftuitR io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents. Office of imlesugadens t 600 Washington Street , Boston,Ma. 02111 _ fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE b /D d JOB. LOCATION �/ WILL j44 YJ P#7-b1 h45ST 94RNS TA-8 L 6 Number Street address Section of town "HOMEOWNER" OSFP# d" KAI�EN (30TcG�`f0 CPk� S39 DOSS Name Home phone Work phone . - PRESENT MAILING ADDRESS dg 9 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 OfficiE on a form acceptable to the Building Official, that he/she shall be responsib for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Ste Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE �. APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home OwnE shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor '(see Appendix. Q, Rules and Regulations ' for . licensinq Construction Supervisors, Section 2. 15) . This lack of awarenE often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it 'would' with licensed `•Supervisor. The Home "Owner� act i. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware'-.of his/tier responsibilities, ma communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last, page of this issue is a form 'currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. y.. .yam .�./ [1-0° Ar 1-1X6 P.T. 3-WO P.T.GIRDER I GALV.METAL ANCHOR T / L SIP PORT,SPOR?. 4 4 n "v "r a oe: CONC.RLLED TUBE � N Q m V LJ 2-IX6PT. ° ' FOOTINCI 8 GIRDER DETAIL 9 n MI TAI 14A fs 4 - cINCE � I� 4 P. a 'O IL AL AlE sA I .GALY.METAL HANGER 0 16'Oc.MAILED TO l �J 1-1X6 P.T.BOX. EXT. DECK FRAMINCs PLAN GALV.METAL HANGERS NAILED TO 1X6 P.T. 6/4Xb P.T.SPACER NAILED fii I6'or.. SILL 4 BOX DETAIL sCALE3 —1'4` BUILDER: JOSEMBOTOM JOB NAME t+�os uTmmmKF�R DESIGN DATE REVISION DRAWN BY ,JB DES1CsNS aT "E ma CUSTOM EXMWR DM al-B-� � JB A v�4 N A 9� �p . / o 1 � YTS 19 �, 9 / 4 OF Ap o�' s9c •F •G STEVEN N RUMBA 35741 A FfSS10 lq�0 SURV141 CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION FOR SHOWN ON THIS PLAN IS LOCATED ON THE LOT 7 WILLIAMS PATH WEST BARNSTABLE, MA. GROUND AS SHOWN HEREON AND THAT IT PLAN BOOK 291 PAGE 44 CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE TOWN OF PREPARED FOR BARNSTABLE. JOE BOTELHO SCALE: 1" =40' OCTOBER 27, 1997 Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 i Application to E� Old King,s Highway Regional Historic District Comm 8 0 in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973,. for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition 0 Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial Ej?L Other60-Z-2/0R DECK 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign. ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole Other —<nr Tz R/o 2 17ECA (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 09 A?r 9� ADDRESS OF PROPOSED WORK ZoT 7 #9I WIZ11Akf OATH W-13. ASSESSORS MAP NO. OWNERSOSUH t KA'?rAJ `b07E/-e0 _ ASSESSORS LOT NO.. 36 HOME ADDRESS SAML-� /RCL� G�9 S/�/I!>� /�AfI 0�65�1� TEL. NOQ2286 S39 '005;R,/ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR JQ5QN [38TE=GffO TEL. N0.(S08jS39-DOS� ADDRESS -bl SPrHES C'IRCI /y"IN 6-F DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). efI6 56 Signed Owner-Contractor-Agent Space below line for Committee use. �---Received=by-H.,D:C•.---- Date „ The Certificate is hereby JDe Ti mb" R 2 0 j Y k B Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal perio provided in the Act. ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The .four categories for which a Certificate of Appropriateness 'is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An.application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof,, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors; changing to white, or using colors approved-by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are ' removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are .� erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter.any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9.-Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. 'i IN, Town of Barnstable -*Permit Regulatory ServicesExp Fee 6 months from issue date + BARNSPABM + `� Richard V. Scali,Director ft Building Division ftft Tom Perry,CBO,Building Commissioner ocC ���' 200 Main Street,Hyannis,MA 02�� c �4 ?0, www.town.bamstable.ma.us N pF�' S Office: 508-862-4038 AR& : 508-790-6230 EXPRESS PERAHT APPLICATION - RESIDENTIAL 01 3 Not Valid without Red X-Press Imprint Map/parcel Number III Property Address /z 0/ 1. L/)}rMr PhT/9 I.f l S . jgj A—. Residential Value of Work$ p o�Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address R OTFZ CU O S Contractor's Name2�� k 1 Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. .*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: I QAWPFILESTORM b l ' g pe (f1rms\E)TRESS.doc Revised 040215 Ile Comynompeaith of Massachusetts Department o,f Indus&ial Accideras Off we of Investigations 600 Washington Street :.z_ Boston,MA 02111: 1 fvrviv.timmgovIdia '"Torkers' Campensatian Insurance Affidavit: Builders/ContractarslEIectricians/Plumbers Applicant Information Please Print LeeibN Ntllne 1s,�essl ganIIation/Jndividnal) EL p Address:�T_I.✓I [_ L ZA21 City/State Z* 16c PA/57-48 L = Phonef S-D Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer uhth 4--t I am a general contractor and I 6. New construct employees(full anUor part-time).* Have hired.the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7_ ❑Remodeling ship and have no employees . These sub-contractors have g_ ❑Demolition work-in-, for me in any capacity- employees and have wodcers' [No WorIcers'comp.insurance comp-Wince 1 9. ❑Building addition required] 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work officers have emrcised their 11_�Plumbing repairs or additions rnysel€ [No workers'camp_ right of exemption per MGL 12.❑Roofrepairs insurance required-]i c.152, §1(4h andwe have no 13-❑Other employees-[No workers' caanp.iamxance required.] 'Any appUsayt that checks box Al unit also fill out the section below shaving their tvoikeze compensadou policy information I Hamesamers Who snb®it dais dfidMt indrratmg they are daio;RU Wa l and lino hie outside contractors amct submit a new affidarat indica=,-M . IConVsctors that rh ea this boa mast attached do additional d.4 shoring the nmae of the sub-conftwAxs and state Whether air not those eaddes have emplayees.Ifthesub-contamrshaveemployee%theymmurpmvidethek workers'romp.poRUnumbm lam art eufpiol or that is pronddiV workers'compensatiotf inmranceforwyearpla jwes. Below is the policy imd job site information. Insurance Company Name: Policy A or Self-ins.Lic. ffiTiration Date: Job Site Address: City/State ZZp: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). i Failure to secure coverage as required.under Section 25A of MGL c. 1527 can lead to the imposition of criminal penalties of a fine up to$1,500 00 and/or one-Dear imprisonment,as well as civil penatties.in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the-violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage mrification. Ida hereby celify under thepaufs and tfalties ofper,jury thatthe information pram&d abmw is bue and correct SizMature: 97 Date: / v Phone F Official use only. Do not arrfte in this area,to be completed by city ortown official City or Town: PermitUcense 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbmg Inspector 6.Other Contact Person: Phone#: hiformation and Instructions Massachusetts Geheral Laws chapter 152 regoirm an employers to provide workers'compensation for their employees. Puasuantto this she,an.mployw is defined as."_.every person in the service of another under any conixact ofhire, expreSS or implied,oral or wlhen." An employer is defined as"air individual,partnership,association,corporation or other legal entity,or any two or more Of the foregoing engaged in a joint eniErpase,and including the legal representatives of a deceased employer, the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apa Ltments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintena„ce,construction or repair work on such dweIlmg house or on the grounds or bmldmg appur[P, thereto shall not because of sock employment be deemed to be an employer." MGL chapter 152,§25C(6)also stains that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the kzm-2nce.cove)m9e required_" Additionally,MGL chapter 152, §25C(7)states"Neither the comet cinwe:alth,nor ray of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance.. regLdr=ents of this chapter have been p=eutEd to the contracting miffamityf Applicant Please fill Out the workers'compensation affidavit completely,by checIong the boxes mat apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone numbers) along with their certificate(s)of tier rance. Limited Liability Companies(LLC)or Limited Liabr7ityPartnenhips(LIP)with no employees other than the members or partners,are not required to carry workers' compensation insmamce. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe enhmf e;d to the Department of Industrial Accidents for confirmation ofiosurance coverage. Also be sure to sign and date the affidavit The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Department of Lad,st,-i ai A ccidents. Should you have any questions regrading the law or if you are requfred to obtain a workers' compensation policy,please call the Department at the nummbea listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . r _ Please be sore that the affidavit is complete and primed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be suu a to fill in the penDit/licrose number which will be used as a reference number. In addition, an applicant that must submit multiple peu aWHcanse applications in any given year,need only submit one affidavit indicaimg current policy inf ration Cif necessary)and under"Job Site Address"the applicant should weite"aII locations m (may err town)-"A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the • applicant as proof that a valid affidavit is on file for f�nre permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you io.advance for your cooperation and should you have any questions, please do not hesitate to give us a cal The Department's address,telephone and fax number. Tl�e C�ammonWWa of Massachusetts Department of hkmtcial Accidents (500.washivaa Sire d j Bostao=MA G2111 I T(,-1.4 617 727-4900 c�- 4-06 Qr 1-977-MASSAFF Fax 9 617-727 7M Revised 4-24-07 ,m gov/dia Town of Barnstable Regulatory Services roxyti Richard V.ScaIi,Director Building Division r $asNsrasr� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 QED www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 / HOMEOWNER LICENSE EXEMPTION (�" L ` Please Print. DATE: JOB LOCATIOK- l l�✓r L 1 i �&numb _ stitet ^� village S "HOMEOWNER": g 0'TZ---Z/ta J o SC-�#- --et S< 9S3 5c 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 pro dares and requirements and that he/she will comply with said procedures and requirements. Homeowner Approval of Building Official Note: Three-family dwellings coat lining 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 persons)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 �I (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This Iack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPFILES\FORMS\buildmg permit forms\FXPRFSS.doc Revised 061313 � +ETaf� Town of Barnstable Regulatory Services =nxxszws� • y MAML g, Richard V.Scali,Director i63q. 1� Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Muusf Complete and Sign This Section If Using A Builder o-- r F as Owner of the subject property hereby authorize �� �� to act on mybehalf, r. in all matters relative to work authorized by this budding permit application for: / (Addre' s. of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized befog-fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of 4plica.nt Print Name Print Name Date QF0RMS:0WNERPERMISSI0Ie00LS, DATE(MM/DD/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCEF11/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Christine Davies DOWLING &O'NEIL INSURANCE AGENCY I.1C.o Ext, 508)775-1620 ac No: Ea CdavieS doins.com ADDRDR ESS: @ 973 IYANNOUGH RD. INsu S AFFORDING COVERAGE NAICa HYANNIS MA 02601 INSURER A: LM INS CORP 33600 INSURED INSURER B: DETAIL SIDING CONSTRUCTION INC INSURERC: INSURER D: 55 WOLLEY ROAD INSURERE: HYANNIS MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: 15062 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY POLICY EXP TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MM/DD/EFF MM/DD LIMITS LTR COMMERCIALGENERAL LIABWTY EACHOCCURRENCE $ DAMAGE TO RERTEU-- CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JEa LOC PRODUCTS $POLICY❑ OTHER: 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTYDAMAGE $HIRED AUTOS AUTOS Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION XI STATUTE ER AND EMPLOYERS'LIABILITY Y/N A OFF CEOR/M MB REXCLUDED?RPRIETORIPARTNER/EXECUTIVE NIA NIA NIA WC531 S383887025 03/10/2015 03/10/2016 EL EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensationriinvestigafions/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Crcyey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD "1 06 U 0 • cip v ,Ac Ra CERTIFICATE OF LIABILITY INSURANCE DATE(' 7/29 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,Subject to the tarns and Conditions of the policy,certain policies may require an endotsemerlL A statement on this certificate does not confer righ%to the certificate holder in lieu of such Bndorsement(s). PRODUCER EAR Jainara Privad0 Patriot PCL Insurance LLC PHONE 508b FAX 508-54&8000 No: 131 Cedar Street EAR SS: Marandapatriotpcl@gmail.com ADDRE Hyannis,Ma 02601 INSUTTB:aJt AFFORDING COVMAOE NAIC 3 INSURERA: Insurance Innovators INSURED INSURER B Adair Dovadice INSURMC: Maforte Construction Inc, INsuRERo: o rs mpensa Pon aureaLt 91 Eldridge Ave INSURER E: Hyannis,MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OL R TYPE OF INSURANCE POLICY NUMBER ADUL SUNKPMIDD`Y P Llurrs GFNFRAL LIABILITY MGL015D92Cg 12/18/2015 12118/2018 EACH OCCURRENCE $ 1,000,000 DAMATO RENTED COMMERCIAL GENERAL LIABILITY P ISES Ea ffiaM arlfle $ 100,000 A CLAIMS-MACE D OCCUR -MERE- n errs n $ 5000 PERSONAL&ADVINJURY $ 100000 GENERALAOOREGAATE S 2,000.000 GEN'L AGGREGATE UMRAPPUESPER PRODUCE-COUP/OP AGG $ 2,00,990 �(l FOLICY PRO- LOC $ ECTCOMBINED SINGLE LIMIT AUTOMOSII.E UAWLM caident S ANY AUTO BODILY INJURY(Per person) f ALL OWNED 804F1)ULED BODILY RQURY(Pm 20ddrd) $ AUTOS AUTOS NON-OWNED PR a �G 3 HIREaAUrOS AUTOS $ UMeRELLAUAD OCCUR EACH OCCURRENCE EXCESS UA8 HCLAIMS-MAOF AGGREGATE $ DED RETENTION$ $ WORKM COMPENSATION WC STATU Orr+ AND HMPLAYERIFUAMLI Y YIN 955�1 12/18/2015 12I18/20165 ANY PROPRIETORIPARTNERlEXECUTIVE NIA P-L EACH ACC(DENT $ 1 p0 000 D OFFICERIMEMBER EXCLUDED? EL.DISEASE-EA EMPLOYEE8 (Idandi tary In NH) If yyeaae,, cb deae radar DESCRIPTIONOF OPERATIONS DOW E.LD]SFASE-POUCYLIMR $ 5nD ma DESCRIPOTIQN OF OPERATIONS I LOCATIONS I VEWAgS(quarh ACOPO 101,Addifftni Rem2m Schedule,a arore space Is ncqu4ed) For jobs normal and usual to the insured's operations Adair Dovedice DBA Maforte Construction has elected to be Included under his workers compensation pollcy 0 lop 'n CERTIFICATE HOLDER CANCELLATION X Joseph BOLello SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN RE THE EXPIRATION DATE THEREOF, NOTICE WILL, BE D IN 19 William's Patt AOOORDANCE WITH THE POLICY PROVISIONS. West Barnstable MA 02668. E-mail:info&bhomedesigns.00m AUTHORIZEDREPRESWVA (P 198t,2610 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD I I I t Town of Barnstable Old King's Highway Historic District Committee OF- -A, �l v �r,s .a 200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 2013 . hIN 22 A. 9: 39 MINOR MODIFICATION TO PRIOR APPROVED PLAN 1 �Iw lri.� 972 C IR Rules and Regulations, Section 1.03(2), 1.03: General Procedures (2) (a.) Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors All minor changes by amendment will require the local Committee's or its designee's approval. Submit 2 copies of the application and supporting materials and documentation_I / Applicant(s),print name By- l ff0 J USt2/f dL KA�L-N Address of proposed work: LA/l I L ATli House No. Street Village Assessors Map and parcel no. /W f Z oT /P 3 Date of approval of Certificate of Appropriateness Fyn /2 2a t Proposed Minor Modification: `3 L /ivsTEA-� OF T o a P AN 2 3 2013 Town of Barnstable A—ld{fling's W'Qh taY Committee Signature of applicant: Print name: 0 L' T- 2oTL e0 tel no. 9�a r APPROVED/DISAPPROVED: signed CHAIRMAN DATE: CC: BUILDING COMMISSIONER C:(Documents and SettingsldecolliALocal SettingslTemporary Internet FilesIOLKI IOKH Minor Modification Form 07.doc 1 w; FRONT ELEVATION N E W C. 3 ona IR -.O rn !F'�7 0-4 il - - 13 o o®Is'-sh' EXISTING AND NEW FIRST FLOOR PLAN e ,cemU BOTELHO RESIDENCE �i�lL ����/�����®� �� "�°1ON "er PAGE etas PROPOSED 16�X5 0I-16-13 • 1B v+.ro ✓B Destgns 91 WILLIAMS PATH COVERED PORCH. so. ... ...e.�,��. WEST BARNSTABLE MA. I ""�a J `°fn+er �s• Barnsfable_Old gs Highway Historic District Committee . � 200 Main Street, Hyannis,MA 02601;TEL: 508-862-4787 Fax 508-862-4784 • tARNSTAnr r APPI;xCAT'ION, 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 Photograph accompanying this application for. Check all categories that 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. Sim : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall: ❑ Flagpole ❑ Retaining wall ❑ tennis court- ❑ Other 6. Po.ol ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: JO r Address of proposed work House# 9 Street: 1Af f C L /{�!YS ®{�7"I Village w. SAIi�ll�STU Assessors Map Lot# Description of Proposed Work: Give: articulars of work to be done: M�-=jrl1 IS r X �� F/•�F�AIf /i��J�p PC/7 co �^ Agent or Contradf'r(priirt):.�p] L tt D S f' Telephone#: Address: ,1 L l TN J1,8 Riy S T D SO Contractor/Agent'signature: NOTE All applications must be si ned by the current owner ' Owner(print): QT�Lf 2�DS W ANb KA 12PAI Telephone#: �Z► '. � �s� Owners mailing address: 91 W iLLI A14S nt ArEd W, 'kq A . D Owncr's signature: For committee use only. This Certifica 's her_ eb RO DENTED Date S . Y` Members si n RECEIVES ,, APR 2 1 2011 TOWN OF BARNSTABL5 Any do appr val: &ppw vpn. .HISTORIC PRESERVATION 6 MAY. 11 YOU Town of Barnstable Committee S O W . -® W z 0 _ U- tm I� O --------------------------- EWA] �1 gi - rm ...... V ..... FF .— m 1111uA•''II'-'It�.7rll �f FRONT ELEVATION !! !! t! !! %n J ( •• !� ._....... .... .... .. ...I f FRONT ELEVATION , NEW a _ 1111rillill IV ISTO l( ®d Kcomee Li EXISTING AND NEW FIRST FLOOR PLAN eore.�+o r���xs• (�/• F9��/�Rf��F9 0�, ��.�i� JB Dea/gyre 11 on L IAM PAN COVBt® " , ,i•,s_: a1•T,.�^rr+� lyti�',T .-i.:a"4='�r�'!;: ".v'er`"e y�.. 1+.'3, r • t.'r�:,i'M�: k.,, +r•«,r.wtsw..+i+v°` `tV$'^ -�+-,,. ...,a 4Tn-.:1.:-+u,jw1, :.,1.+. ....,;,:. .Y..3-,i•.-. ;ME Town of B amstable BARNSTABLE. ' Regulatory Services MASS - °39 ,0r Building Division plFO MAy� - 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 , Inspection Correction Notice - Type of Inspection �� Z Location ��`<'� f �f`�Z� G Permit Number 20 12 0 7 9 Owner o L Builder r One notice to remain on job site, one notice on file in Building Department. The followingitems-need correcting: Please call:^508-862-4058 for re-inspection./ ` Inspected by Date y 3 " j 111E Town of Barnstable Popp 1p� BARNSTABLE. • Regulatory Services `b 039. Building Division p1f0 h1Pr e• 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection C.� G 4 Location /�y 1 �i kit 0a s /0*7iq Permit Number Owner Builder i One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 1 ° — ��Q �c r p_�s �/�I't'Gc- i°o _7' C 'o�y�/E-c.7� /L E t.e (/4 G6t1 A 3 -r PD 5-t 5 Su mo-x?7(',r� ' 9 0 a� 4Tr�-!Lq �r 7o& OF Jtos�_� T o�ts3c -ltiS witsflJ POST — RoY4 sI 61P OM.VrS�7 is 7H� VFW l v Cam ? I Please call: 508-862-4 for re-ins ection. /f�S N Inspected by I Date I L.. ;r. PROJECT^ NAME: ADDRESS: ai ��li tw•S �a`h, l.L PERMIT# 0'2 a'�S S� PERMIT DATE: M/P: 03 LARGE ROLLED PL ANS ACE IN: JBOX l a� SLOT Data entered in MAPS program on: BY: Ak TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Hea Division Date Issued T `oZ Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis (� Project Street Address I All L Z%!�LM S ogAT f Village WC--ST' 9i�RN5TAB LE /4A Owner IQSUH AN Ib kWKEN ,1307F_/-// 0 Address ?/ All L(%A NS H Telephone S-0 9-- 3 75-^0 93 O Permit Request r R14 cpS g0 P2 C Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new &V 56- -- Zoning District Flood Plain Groundwater Overlay Project Valuation -S-04 Construction Type Lot SizeT�Q Grandfathered: Ell Yes '❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 13 Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new ' Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other \ Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing.wood/coal stove: ❑Yes ❑ No Detached garage: 0 existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: P I 0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ o Commercial ❑Yes No If yes, site plan review# CIO Current Use Proposed Use M CIO APPLICANT INFORMATION H (BUILDER OR. UMEOWNER) Name BOTFGkI 30—su/l E41 Telephone Number S-b �` _3 �-�' � / 3 a Address 9/ k//L L/A—Mf t BT_d License # W., '�fV�A/S TA B < C AIA Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE D ^l ,1 t FOR OFFICIAL USE ONLY APPLICATION# ' f DATE ISSUED t MAP/PARCEL N0. r ADDRESS .' r VILLAGE OWNER-:-.- DATE OF INSPECTION: FOUNDATION FRAME . INSULATION FIREPLACE ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT- ' ASSOCIATION PLAN NO:,� is • Tke Commonwealth of Massackusetts Deparbnent of fit&&ud 2fcczdents - D,�ce of ficvestigatiatrs • • • -660 Washington S�reet-- Bastvn,MA 02111 www.mass gov1Wa Workers' Compensation fusa-An.ce Affidavit: Builders/Contractors/Electricians/Phunbers Applicant Information Please Print Le�b� Name(Bnsmesk�organizati ;- (� 1:7 •Ad.d-ess: /sue- tk/' Phone.# Are you an employer? Check the appropriate ban 1.❑ I am a 4. I am a -T`ype of project(required):; employer with ❑ general cc�actm•and I e�loyees(frill and/or part time). have hied the sub=cor&acton 6 ❑New constrocdon , 2.❑ I am a kola proprietor or partner- listed on fhe'aifached sheet 7. ❑Remodeling ship andhave no employees These sub-cantartors have 8 Demolition tizzy ,apaciiy. ' . working forme ia• c employees and have warkaLs o workers' comp.losura„re camp...?msitrance.$' 9• El$oz7ding addition 3.Vrequired_] 5. 0 We are a-corpaiat km and its 10.❑Electrical repairs or addzfim I am a homeowner drug EM-work officers have exercised rhea 11.❑p repaiis.or additions ruysel£ [No wort=' comp. rI&of exe apt km per MGL 12. Roof insurance requimd.]t c. 152, §1(4), and we have no repairs ' eropinyees. [No workers' . 13.�Ofiier �/�'�M�-f�s QO j?C comp,fimm nne re#ired.] *Any applicant ffiatchecks box#I nmst also fill out 6e sechno brluw showing t=warkars'compmsation policy i�ma$cn, Hnmeown=who submit tizis aindavit indicating they are domg all work and then him outsidean�cct=.mast su $Cont< check is biz mast attached additional sheet showing the nine of the sub actrrts canttactrns bmit a new affidavit indicating such. c-Ploy— If&e and stafe whefhcr or not those enfitirs have srb-coal have omPluyees,they mQstpruvidt fcir workers'camp.policyntaaber lam an employer that is prav_iding-vorkers•'compensation insuran information. ce for my employees. Belatf'is the policy and job site Fnerrrrnrr.Company Name: Policy#or Self-ins.Lin.# Expiration Data: Job Site Address: C_1r`Y/StKtr/ziP: Attach a copy of the workers' compensation policy derlarafian pap- (showing the policy number and eapirafian date). Faz�e•to,secure coverage as rego=' d under Section.25A ofMGL c. 152 can lead to$�e imposificm of oEm3iaal penalties of•a 533b tip to $1,500.00 and/or one-year mprisamme�as welt as'�penalties in the dim of a STOP FtTORg ORDER and a fine of in$L a day agrinst tie violator Be advised that a copy of this statemer±may,be.forwarded to me Office of Inve ins=o of the IDIA for Insurance covers verification. I do hereby c under the p �enakies of perjury that the information prodded above is true and correct • • Date: (o� . Phone �� 3�75 v 93J - ��z Id use only. Do not write uc this areg fo be corrrpleted by city or.town affirial City or Town: Permit/License# Issuing Anfiharitp(circle one): 1.Board of Health 2.Bmldiag Department 3.CitylTown Clegg 4.Electrical Inspectou• -- Plinahing Inspector [. Other Contact Person: Phone#: �. � E .,I 1\ t f • C �� I �oF�lrti Town of Barnstable Regulatory Services s.IRNSTARrF : Thomas F. Geiler,Director 1639. ��� Building Division Tom Perry,Building Commissioner 200.Main•Sireet,_Ayanais,MA_02601 www.town barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION J Please Print DATE: JOB LOCATION: // t c%i L L/1-M !' number str-=t village "HOMEOWNER!': 7-1-7 Cf .5 o S��f -3 i7 S- 0 9 3 u k'4K �F_gS3 name �+ home phone# work phone# CURRENT MAILING ADDRESS:/ / t Z f A,4,t '' P 7 L' ertyhown 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 HOMmOV'NER Persons)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 siructures accessory to such use and/or farm structures. A person who constrgcts 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 Dcrformed under the building permit (Section I09.1.1) Th,e undcrsigncd"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department minininspection procedures and requirements and that he/she will comply with said procedures and requir ents. I - si re pommowncr 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. HOMIKO WNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building permit is required shay be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supcnrisors);provided that if the homeowner argagee a pa-son(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this rxcmptim am'unawart that they are zssurring the rrsponsrbrlitics of a supervisor(set Appendix Q, Rides&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 rtsponsnbilitics,many communities rcqui t,as part of the permit application., that the hOmcowner certify that he/she understands the responsrbilitics of a Supervisor. On the lest 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 conmiunity. Q:forms:homcc cmpt r 4 PP'C Giiii1e to H'aod Coitstritctioit z»Ht..''h 11,'in.d Areas: 110111ph iVitld Zone Massachusetts Checklist for Compliance (790 CNIR 5301.2.1:1)' 4. a. .From Tables 10 and 11 and to\`ion of wall sheathing >to Aspect Ratio, determi a Percent Full-Height Sheathing and Nail Spacing requ'rr�ements b. Wood Structural Panels shall be minimum thickness ofe ins as follows: i. Panels shall be installed with strength axis pa..._ii._.AII_horizontaljoints shall_occur_over.and_be_na•iil. On single story construction,p�els shall be ottom plates and top member of the double top plate. iv. ' On two story construction, upper s shall be attached to the top member of the upper double top plate and to band joist at bottom panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to westt�late at first floor framing. v. Horizontal nail spacing at'd le top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on enter per figur s below: Vertical and Horizontal Nailing for Panel Attachment 5. ' Glazing protection: a) new house or hori ntal addition—req fired if project is 1 mile or closer to shore (generally,south of Rte. 28 or north of Rte. 6) b)vertical additio not required unless'th re is.extensive renovation to the first floor c)replacement w'dows—needs energy co seration compliance only(chap 93) 6.Wood Frame Construction-Manual (WFCM o 11'0-M.PH, Exposur B may be obtained from the American Wood Council (AWC)website. --WHEN THIS EDGE RESTS DN FTIAMING USE Ed NAIS • •AT 6bt u rl 11 II 11 1 i 11 II u 1 II l II - I w 4 S r I Ir 1 u n 1 a 1 1 11 11 . �• , ¢:3o M 7� , .l 1 �� It I Y 11 II• I 1 1 , o n n ►- li 11 m rd , 1 0 1 I a II Ira ; � ' Ir m n W ,'O It I r p i i i t I 1 1 r-pAm NG MEMBERS w X u , I 1 EDGE K4TERMEDIATE I r LI k / 1 u �1 pp I f( • ` .�. a r W I I [L 11 u i I Z 11 11 I , •s . rr II ,'I ' I 1 ;E I 1 I 6tlt•L � I It It ---- L1 l l DobSLE € ------ �,' STAGGERED 3'MMJ NAIL SPACRJG — I NAIL PATTERN PANEL ; PAKL EDGE DOUBLE NAIL EDGE SPACNG DETAL See DBtail on Next Page Vertical and Horizontal Nailing Detall for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment i I;a I Y/ 44 , a s ,� e° 3 414) 0 411 �xf / 2 P2• 2 0/�O/ '99 / OF igg8�' STEVEN W. RUMB H 357�1 CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDAT: FOR SHOWN ON THIS PLAN IS LOCATED ON 7 LOT 7 WILLIAMS PATH WEST BARNSTABLE, MA. GROUND AS SHOWN HEREON AND THA' CONFORMS TO THE MINIMUM SETW PLAN BOOK 291 PAGE 44 REQUIREMENTS OF THE TOWN PREPARED FOR BARNSTABLE. JOE BOTELHO SCALE: V=40' t OCTOBER 27, 1997 Wetter & Associates 16Aq F9lmmoth Rd-—Cnite 4r renterville.Ma. 02632 °4 0 Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 Y XAS& o �p 16T 9. rF°'^Pt APPLICATION, CERTIFICATE OF APPROPRIATENESS .Application is hereby made, with four(4)complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ 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. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: - d I Address of proposed work: House# 9 A 1 Street: jqf i C L / M_f ©A114 Village iilr/a UIRAIS7'AU Assessors Map Lot# v - Description of o posed Work: Give particulars of work to be done: U/-ka IX X -` FA RAJe '1 n0 k���1 �_t; ¢ -�' r: cr- QCD own of a r" Old King's Highway Agent or Contractor(print): Bo nutty%`�l7 S t�t Telephone#: Address: 1 L jIAM C DAMN ki JRARmilhilLE [? 40 Contractor/Agent' signature: NOTE All applications mast be si ned by the current owner Owner(print): :j�OTet.tfr TES `/114 hVIN K.A PUA/ Telephone#: Syr- 4`f y- f. 3,f' Owners mailing address: 11 Hf e LI AMS Q ATH W, AI A . Q;668- Owner's signature: For committee use only. This Certificate is her y PRO - F /DENTED Date �, L( 4 l 1 Members signatures ECEIVED APR 2 1 2011 TOWN OF BAFINSTABLIA Any co ns o roval: HISTORIC PRESERVATION E_ . • 1 Q.•IGMD-GroupsiOld Kings HighwaylOKHNewAppIOKHCerl Appropriateness 07.doc � 4• 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)(_ 4 eAM (1 f b L/r-L' Color: 1 1121' r 711oA-b Trim material e1FAR 12tb ek'; t R . Color: Roof Pitch: (7/12 minimum) s� Window: (make/model) material color Size(s): Door style and make: material Color: Garage Door, Style Size Material Color Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material cpw y Size Color: 6 LE/>-!� 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: Town of Barnstnhie* TOWN OF BARNSTABLE HISTORIC PRESERVATION ComOM Highway mittee Signed: (plan preparer) print name tel.no. Location of application: Street no. Street Village 2 U:_L......1/1VLT A/..... I 1/YVU/`...ti /--_....-.7-1-... n1 J-_ Town of Barnstable Geographic Information System r`' April 25, 2011 Sai(,d:wch _ t q L 111042 111020, 111011005 #48 111005001 #25 111009 111043 111011004 #50 #0 #55 111012 #388 111037 #88 ® 111005002 111038 #5� #74 40*1 111039 #58 111046 #410 111045 #34 111040 11110036 MS P,q #42 ., #91 Ty .yam 111035 #77 111023 #12 111034 #61 111003 � #30 111029 #342 ® 111033 #35 i 111028 #324 111054 111070 H1GN #10 #0 S7 111027 it #304 111032 ` #254 \\\ J 111069 111014 Q 111055 #0 #280 183 '71 Fee #11 1,1057 C #10 111044 #313 �y 111031 #24Q - -"- --- - -- -----�r-•r--�� I• ,—wl aaequate for legal map-.ill Parcel:036 ��lld2q d91PIM1R8tiOn Of fegutatory Interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:BOTELHO,JOSEPH J&KAREN D Total Assessed Value:$515900 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner Acreage:0.98 acres Abutters w' 1 such as building locations. Buffer + boundaries and do not represent accurate relationships to physical features on the map Location:91 WILLIAMS PATH Y �f .��fs: z s sk \ 41 LOT 7 ;11 40, 836'sy 1•�V . tu Z� AO/ �99 / 1%OF o W. Rune H CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATIC FOR SHOWN ON THIS PLAN IS LOCATED ON TE GROUND AS SHOWN HEREON AND THAT LOT 7 WEMUMS PATH WEST BARNSTABLE,MA. CONFORMS TO THE MINIMUM SETBAC PLAN BOOK 291 .PAGE 44 REQUIREMENTS OF THE TOWN t PREPARED FOR BARNSTABLE. JOE BOTELHO SCALE: 1"=40" OCTOBER 27, 1997 RECEIVED Weller & Associates APR 2 1 2011 1/.dS vaimanrh Rd. ...quite 4V Ventamille. Ma.02632 _ TOWN OF BARNSTABLE HISTORIC PRESERVATION TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 111 036 GEOBASE ID 5436 ADDRESS 91 WILLIAMS PATH PHONE W BARNSTABLE ZIP - LOT 7 BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT WB 1 . PERMIT 32716 DESCRIPTION OCCUPANCY PERMIT PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY I CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND .00 ONSTRUCTIO COSTS $.00 �tME 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P BARN3I'ABLE. *r MASS. 039. BUILD IO t \ BY ` �T ATE ISSUED O8/13/1998 EXPIRATION DATE a . Department:of.- O.alth; Safety and Environmental Services • IARNSTAHLE, • MASS. i639. A�� ED Mlr►� BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOSTTHIS CARD SO IT IS BUILD PPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Sri V; 7 �l► A7/11V�11 ' 1 )v 90 ww 2 2 2 '00—ziow C0.00.0 /,0" s •r��xa ovs ��' 3 1 HgATINg INSPfECTI pAPPROVALS ENGINEERING DEPARTMENT 2 ,s" Q gr/OFHEAL7�11 OTHER` I'[RE HLA•RM S E PLAN REVIEW A RO AL os'13I�� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. TOWN- "OF -BARNSTABLE TEMPOUi O0CUPANCY PERMIT PARCEL ID 111 036 AID 5436 . ADDRESS 91 WILLIAMS PATH ��« ' PHONE W BARNSTABLE ZIP - LOT 7 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 32716 DESCRIPTION 60 DAY TEMPORARY OCCUPANCY PERMIT PERMIT TYPE BTC00 TITLE TEMP_ OCCUPANCY PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: TIE BOND $.00 O� CONSTRUCTION COSTS- $.00 756 CERTIFICATE OF OCCUPANCY 1.- PRIVATE P,4 .E.. e x * BARNSTABLE. s MASS. 0 - A`0� FD� BUILDI 1 DATE ISSUED 08/13/1998- EXPIRATION' BATE _ ihr'* w 4y K TOWN OF BARNSTABLE TEMPORARY OCCUPANCY PERMIT PARCEL ID 111 036 GEOBASE ID 5436 ' ADDRESS 91 WILLIAMS PATH PHONE ' W BARNSTABLE ZIP - LOT 7 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT '32716 DESCRIPTION 60 DAY TEMPORARY OCCUPANCY PERMIT PERMIT TYPE 'BTC00 TITLE TEMP. OCCUPANCY PERMIT . CONTRACTORS: Department of Health, Safety ARCHITECTS: and.Environmental Services TOTAL FEES: BOND $.00 p� CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P Q • iA�NgPAfIF, • MASS. 03 BUILDI SI BY DATE ISSUED 08/13/1998 EXPIRATION DATE - ----. . - . . . . . .. . . . . . . . . . . . . . . . . . - - - - ---- - _ - . THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: v SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. KKE r° The Town of Barnstable BARM 6. MASS.ASS. � Department of Health Safety and Environmental Services 039. �0 - `�f0aa+� Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection. Location (1,4 Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: (/ r(( J C-P l((A 4 - S`-r to c A S IA kJ 'L l,J q�a N (2— O w(-✓ �� 11 Cc Please call: 508-790-6227 f r e-inspection. Inspected by Date / `3 +.}+.}+. + Prompt Professional �lr�!!rdlr Service Diane C. Thompson Zoning Consultant October 20, 1997 Ralph Crossen, Building Commissioner Town of Barnstable Town Hall Hyannis, MA 02603 Re: Lot 7, Williams Path, West Barnstable, MA Dear Mr. Crossen: On July 3, 1997 Mr. and Mrs. Joseph Botehlho purchased the above referenced lot after relying on its buildability based on the issuance of a building permit from the Town of Barnstable. The Building Department issued the permit after receiving notification from the Planning Board that on July 7, 1997 the Planning Board released Lots 3 and 7 from under Covenant. The Planning Board received communication about Lots 3 and 7 from Stephen Seymour, P.E., Project engineer on June 30, 1997 that: 1) The subdivision is complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April, 1977; and 2) The subdivision is in good shape. Recently a stop work order was placed on the above referenced property so that zoning compliance could be analyzed and provided to the Building Department. As we have discussed, when the subdivision plan was endorsed by the Planning Board on August 19, 1974, Lots 5, 6 and 7, Williams Path, did not meet the square footage requirement of one acre, as passed by Town Meeting several months prior to the Planning Board endorsement. At an April 3, 1974 town meeting this area was rezoned from RE to RF by Article 134, and approved by the Attorney General on July 16, 1974, increasing the minimum lot size to 43,564 square feet and requiring 150 feet of frontage. An assumption can be made that Lots 5, 6 and 7 were protected from the zoning change because of benefit of a Preliminary Plan approval but no evidence of a preliminary plan filing is available in the Planning Board file. This point becomes inconsequential as Lot 7 was in common ownership with Lot 6, Williams Path, and Lot 3, High Street after zoning protection for the subdivision expired in 1981 and after protection expired as provided for in the Barnstable zoning ordinances. In 1984, 1985 and 1986, Lots 7, 3 and 6 were conveyed to Talsi Construction by Martha Dickey. The Town of Barnstable issued a building permit to Lot 6 in 1984 and a house was constructed, although it is not known what zoning protection could have been afforded Lot 6 at that time. Interestingly, the owner of Lot 6 recently requested and received release of his lot under Covenant. P.O. BOX 900 " WEST FALMOUTH, MA 02574 " (508) 540-2074 " (508) 540-9827 t i Ralph Crossen, Building Commissioner Lot 7, Williams Path, West Barnstable, MA October 20, 1997 Page 2 When the plan was endorsed by the Planning Board in 1974, two turnaround easements were set aside at the end of Williams Path. Section 81-Q of the subdivision control law discusses turnaround easements. One such turnaround area abuts Lot 7. Such turnaround area is not considered a part of the way as evidenced by the signoffs from the Engineering Department in 1977 and again in 1997 and the Planning Board through its release of lots under covenant. The Engineering Department in June 1997 stated that the subdivision is complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April 1977. The turnaround areas were never required to be constructed by the Planning Board, said construction requirement would have had to have been included in an extension of the way, and so recorded. The turnaround areas are easements and remain vacant and undisturbed. Until recently, based on a title search performed by Attorney Catherine Herrity's law office, the turnaround easements were owned by the Estate of Martha Dickey, i.e., Phyllis Bassett and Edith Lampi, Mrs. Dickey's two daughters. On Friday, October 17, 1997, Phyllis Bassett and Edith Lampi conveyed the turnaround easement abutting Mr. and Mrs. Botelho's lot to Mr. and Mrs. Botelho and recording information is enclosed. The land included in the turnaround easement, added to Mr. and Mrs. Botelho's lot, bring the lot size of Lot 7 to 44,169 square feet with 158.32 feet of frontage, meeting current lot size requirements. The only prohibition in calculating lot size in the Town of Barnstable ordinances is for wetlands. Wetlands shall not be included in the lot area ( sq.ft.) requirement for zoning compliance. Mr. and Mrs. Botelho understand that the turnaround area shall remain as an easement on their property but, without prohibition from the Barnstable zoning ordinances for including this easement area in lot area, Lot 7 can enjoy the benefit of the square footage bringing the lot area and frontage up to the current code. A revised site plan has been prepared by Wella Associates showing the added lot area to Lot 7 and is hereby submitted to your office. Based on the information contained in this letter, and supporting documents, it is requested that the stop work order be lifted so that Mr. and Mrs. Botelho may proceed with the construction of their single family dwelling. If you need additional information or have any questions, please contact me. Thank you. Sincerely, l C � , Diane C. Thompson Zoning Consultant Enc. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division 'Date Issued l: Conservation Division ;Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board OK Historic - OKH Preservation/ Hyannis Project Street Address �l 6✓! l%l�} ir�f�'T7y Village IAZES`T" 8 Pt RA S7-PT R I F /`LASS► sW ff <NP0V 90`T- �O R. ,YOwner � liNW Telephone .S7o t 49tf-9S-3 If Permit Request / A tW JFR0A/T £NTd-Y 8 "� V�-o( q- 1200 1= ®wr-12 11h, NG— ;da/r R �t� D�ooM D00 ►2 . k3 �'/a/�'I oS�= ��s�',���r �a �� o,�a�� I) K N 2oVY•r � AJF,,/ SCREe,,N�D RFct fHD1ACC l�� £"xIST/NCr DE7JC, Squarftet: Est floor exis�g proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Poject Valuation 0 ` onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count s Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No } Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ -t Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size D Zoning Board of Appeals Authorization ❑ Appeal # Record ❑SEP 1 1i RECUD Commercial ❑Yes ❑ No If yes, site plan review # Current Use - "' - - - Proposed Use By APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name IS QUE H O 30 S f:D tf Telephone Number Address9�w/ L t lAmr 0-7-1f License# 1,�/,r L` t RA/S T A Q L L RA . O PiOdf Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ���� 1 FOR OFFICIAL USE ONLY APPLICATION# 'DATE ISSUED -IMAPJ PARCEL NO:, ADDRESS VILLAGE s , OWNER l DATE OF INSPECTION: _pFOUNDATION? *; FRAME Rt a Q qcR K i'mqu INSULATION`I °`: � FIREPLACE _J z ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 CAS ROUGH ; FINAL S 1 • DATE CLOSED:OUT .. :,. . ASSOCIATION PLAN NO. 1 � ' 3 r The Commonwealth of Massachusetts Department of Industrial Accidents Office Of I1ivestigatio71s 600 Washington Street t Boston, MA 02111 ,y s wWw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiorvindividual): ZQ TL L f7F0 J 0SC—PI Address: 9/ tn/i L L !0h,4(f V�A`Tiy City/State/Zip: 09,��� Phone #: 5-2)8--4f?g-fS.3 V . 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 * have'hired the sub-contractors.. employees"(full and/or pact-tune). -- -- -' 2.❑ 1 am a sole proprietor.or partner- listed on the attached sheet. 7. MRemodeling , ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' 9 JKBudding addition [No workers' comp. insurance comp. insurance.1 required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 1 I.❑ Plumbing repairs or additions 3.KI am a homeowner doing all work myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.) t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.) 'Any applicant that checks box#) must also fill out the section below showing their workcrs'compensation policy in formation. t Homeowners who submit this affidavit indicating they arc doing all work and Iben hire outside contractors must submit a new afBdavil indicating such. tContraetors that check this box must atlaehcd an additional sheet showing the name of the sub-contractors and state whether or not those entities havc cmployccs. If the sub-contractors havc cmployccs,they must provide their workcrs'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 MOL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 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 eer, tinder the pains and penalties ofperjttry that the information provided above is true and correct. Si ature: Phone # g - Lt9 V clS�3 Official use only. Do not write in this area, to be completed by city or town official iCity or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: Information and bstrudJORS Massachusetts General Las chapter )52 requires a)) employers to provide workers' compennsation for [heir employees. w Pursuant to this statute, an emplo),ee is defined as "...every person ;n the scrv;ce of another under any contract of hire, express or implied, oral or written." An e�np/oyer is defined as "an individual, partnership, association, corporation or other legal entity, or any twoOFeorc Of the foregoing cogaged in a joint cnleiprise, and including ('he legal representatives of a deceased employ receiver or trustee oft) individual, partnership, associatiob or other legal entity, emp)oying employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, consiniction or repair work on such dwelling house or on Lbe grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.' MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant tvho has not produced acceptable evidence of compliance with the insurance coverage required." j Additionally, MGL chapter 152, §25C(7) states "Neither the conunonwealth nor any of its political subdivisions shall enter,into any contract for theperforrnance ofpublic•Work until acceptable evidence of comp liancc with the insurance requirements of this ehapterhave becnpresentcd to the contracting authority." Applicants Please, fill out.Lb, workers' compensation affidavit completely, by checking Lhc boxes that-apply to your sitRiation and, if necessary, supply sub-contraetor(s) narne(s), addresses)and phone number(s)along with their cerlificaie(s) of insurance, Limited Liability Companies (LLC)Dr-Limited Liability Partnerships(LLP) with no employees other than the members orpartners, are not required to carry workers' compensation insurance. if an LLC or LLP does have e e eq mployecs,' policy is ruired. Be advised that this affidavit may be submitted to the Department of lndustriaJ Accidents for fir conmation of insurance coverage• Also be sure to sign and date the affidavit. The affidavit should be returned to the city or[own Lhat-thr application for the permit or license is.being requested,not tbeDepartmenl of Industrial Accidents. Should you have any questions regarding the law or if you.are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-instu e -ed companis should enter their self-insurance license number on the appropriate line. City or Town Ofrcials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space Pt Lbe bottom of the affidavit for you to fill out in the event the Office of Investigations bas to contact you regarding the applicant. Please be sure Lo fill in the permil/]iccnse number which will be used as a.refcrence number. current an appl�c�tent that must submit multiple permit/license applications in any given year, need only subrnil one affidavit indicating (city or policy information(if necessary)avd under"Job Silo Address" the applicant should wrile."all locations in town),"'A copy of Lhc affidavit that has been officially stamped or marked by the city or townY be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavi t-113ust be filled pti t each year. Where a home ovrner or citizen is obtaining a license orpermil not related to any business?or commcrci a) venture ed to complete this a1Ffi'davit. (i,e. a dog license of permit to burn leaves etc.) said person is NOT requir The Office of lnvestigati wou e o atsk pun-irrad�*e �`°+ 4.1 pra nDandShoU➢dshaveany questions, please do not hesitate to give us a call. The Depar[rncnt's'address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Te). #1617-727-4900 ext 406•or )-877-MASSAFE Fax # 617-727-7749 Revised 1-24-07 www.mass.gov/dia r Town of Barnstable C,, r �0 Regai'ato'r-y Services ,< STAB Thomas F. Geiler,Director Miss. L659. ',� Building Division PrEo µaj'' Tom Perry, Building Commissioner 200 Main-Street_Hyannis, MA.02601 RrWv.to Wn.b arnstable_ma.us Office: 508-862-4038 Fax: SOS-790-6230 HOMEOWNER LICENSE EXEMPTION �fr [ Please Print / 't J DATE:_ JOB LOCATION:/ G/I LL l T /r f✓ �'S�� Q �� number street village "HOMEOWNER",tea fL' L l�U [0S t& ��" l��rlJ 3 9' Sa fS-IFS -5T3 S" name ho me phone# work phone# CURRENT MAILIN G ADDRESS: /9L✓/ L I�M I� /4 �� -U city/lawn stato 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_ DEFIhMON OF BOMEOwNER Persons)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 constrycts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Building.Offcial 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) - I The undersigned"homeowner"assumcS responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner" certifies tbat.he/sbe understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/sbe vAll comply with said procedures and rc ents. S4a ' f omtowna 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 statrs that "Any bomcowncr performing work for which a building permit is required shall be exempt from the provisions of this scction.(Seetion 109.).1 -Licensing of construction Supervisors);provided that if the homeowner engages a pasm(s)for hire to do such work, that such Homeowner shall act as supeyisor." ?,Many homeowners who use this exemption are unaware that they arc assuming the responnbilitics of a supervisor(sec Appendix Q, R.ulcs&Regulations for Licensing Construction Supervisors,Section 2:15) This lack of awarctress bftcrt results in serious problerru,particularly when the homeowner hires unlicensed prrsons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The hoThrowner acting as Supervisor is ultimately responstb)e. To ensure that the homeowner is fully aware of his/hcr responnb0itics, many communities require, as part of the permit application., that the homeowner certify that hdsht understands the rtspannbilitics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may cart t amend and adopt such a fomr/ccrtification for use in your community. Q:fornu:homcczcmpt i _ Town of Barnstable Regulatory Services ` HA3Uf6TASL.L. � v uAss , Thomas F. Geiler,Director ib e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 vvww.town.barnstable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Mdst Coniple''te`ar dS gn.Th�s Sec-tion l ' If,Using A Builder > as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date PHat Dame If Property Owner is applying for permit please complete.the Homeowners License Exemption Form:on th.e reverse side. Q:FORMS:O WNERPERM1SS)DN V, 10 00. V� 4g 'b � o LOT 9p hp a / 9 {I o� v7� •yam v-N,4 to 30, , 2 Ao/ 'gyp ��A�SK OF 1bq�p� G� c STEVEN W RUMS y 135-7`91 i CERTIFIED PLOT PLANT ��L EN FOR SHO PLAN O O GROUND AS SHOWN HEREON ANDI(I'HAT I LOT 7 WILLIAMS PATH WEST BARNSTABLE,MA. CONFORMS TO THE MUNIIMUM S,ETBAC PLAN BOOK 291 PAGE 44 REQUIREMENTS OF THE TOWN .0 PREPARED FOR BARNSTABLE. JOE BOTELHO SCALE: V=40' OCTOBER 27, 1997 Weller & Associates Id;dS Faimmoth Rd. quite 4r renterville. Ms. 02632 r �oftHerotyy Barnstable Old Kings Highway Historic District Committee O . &kRNSrAgLF_ ; 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 y MASS' u ' �p 1639. rFO µA'�� 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: a Check all categories that apply; o �, 1. Building construction: El New 1K Addition El Alteration � r 2. Type of Building: W House ❑ Garage/barn ❑ Shed ❑ Commercial ❑Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window,:door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing S 01 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date:OR-0 Address of proposed work: House# Street: ( ;Am VAIW Village Wir URA&7'A8W'Assessors Map Lot# Description of Proposed Work: Give particulars of work to be done: I mlrw FQ®AIT- 44,gR�` 9'9/1,oC Roo E ®VCRl A16 OVC-R Mm D RooM book , #3 b/C LOSF 3ASL-/yrAl-r boo 9 SVTPQy WI T// Roor—bFeA AEo* ItArNEIAS SCREL-�E�,f O RC � fly®LAC� ,o D��s 7`/iyO- Agent or Contractor(print): 8 Q T+�L f d d VS[*��y Telephone#:,,Sb$— Address: 9.1 W2111hAt .+7 Contractor/Agent' signature: NOTE All applications must be si ned b the current owner p Owner(print): a'TE=Lt/D nSE /� AwD KAReA/ Telephone#: S*'q4' S1N Owners mailing addres WdliAAfS PAZZY G✓. $. . oati 6k Owner's signature: For committee use only. This Certificate is hereby APPROVED/DENUD LS @ [9 0 d 12 Date 5 J0 Members signatures AM -s ue D TOWN OF BARNSTABLE Any conditions of approva HISTORIC PRESERVATION APPRUVtU AUG 2 5 2010 U*k</ ow Old Committee 1 Q:I GMD-Groups101d Kings HighwayIOKH New AppIOKH Cert Appropriateness 07.doc I 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 W/}/rr acph - material: Color: ,c//}714-R#4 C Chimney Material: Color: Roof Material: (make&style)(Jkv) grim bk-L' 30 Color: L7R IMF T l✓Q0'1**) Trim material C L« E 17 of -"L)Ar 12 Color: Roof Pitch: (7/12 minimum tP N% £ili LDl S r00 F 0V IQ1*AJG' 7 Window: (make/model) Aj/'DE1250jJ 4rooSmijmaterial WVQ 17 eL/e'IS color SIdL-).70w&7 Size(s): A� � °� 'X A � Door style and make:ANUTSON material 1,f/pa '6 Color: 5AA/157'6A/&1 Garage Door, Style Size Material Color Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material ,4110 6-AA1 Size X [,F Color: rLEA 2 Skylight, type/make/model/: 1/ELu X material ALUM Color: /Q� CT Size:36 Sign size: T Color: Fence Type(max 6 ) Style . m l: Color: UG ti @ Retaining wall: Material: Q bra TOWn n9'sko3"a 14 Lighting, freestanding bid GoiW, on building illummajing�;gn WW Please provide samples of paint colors and manufacturers brochure style of windows,doors, garage door, fences, lamp posts etc ADDITIONA INFORMATION: TOWN OF gARNSTABLE L Signed: (plan preparer) print name &TE2 ff-0 tel.no. v Location of application: Street no. 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TTT 3A ROORS -' �� �� I u•me u n. maa, ...nn.a�D¢m�•w�«.............rP�Im�...mo,.................................. ro ,..o am atl»a n..m.n rioor.oPexew mnexalax.................rw e,...................................... ,4a•maxi dr.nlon.r.inon oPexina.e.e r FPan Dr,v]•oR•., mm...............................�L ruxe.n F.00,,om,aTe.cxs n.m_,L '• °O wa a"n r`m.ecnc! a. .e,eue w .uPPon.w .., cpv+ox -•••••el•iLs on nxe•ouu..rrn v.....................................1 �. .. .. P1_ CEe.wG Jeffi]wNG ................... .............. .....2.. ~ Ml,rx P.x¢ac.nd•a xmxt waLL DNEATNiNG n.xnv.uxr.¢vum ,ux.mra .�. ewroa*wo u.ome.Rwa.. •as exaumuu.rro u... xm "' Rao,•]b. name en.cmn.,Dod.ue ...Mo v................................................ �. rPw eo c.m».00.............. _. .:..'.. wm,dea,.dm r„..... ...men vo crw al.00..........................._w. ',•:. enao e,rn,L]wu noon a.e..rwm.•Tew.a........................nm.e v�P x..A•,�.I mae,_�w sm '.:•..•.:. � �. P.�.mrtl..ea¢x.A iEiGxr 1O mao er,eeucr,..ms 4.1 W itALLS —O.e., Ksao.eey®P.•¢u _ en•rt .o•mme•,wa d•LLe............................mm tl•,n t•at¢!I.....................T�Q'rt r n' '.. xowwriaerewo da..n........................ntl tl•,m r<D.e v.....................7.910'T F a: �•�•• o.e. r...ms u•LLa,rorrsn.................................mmnum,•e)e v...................Jdwri.•oc. ...' ..- .. ..'�.. — AI a-z.ns .m.s.e.mn .«an x..eP.cA.m FLDDR sNEATuwG m con:.ox. .moo enecw d...Ton•oneers r u we w n. mae,r wo 4.2 EXTERIOR WAS• .... LLnoa -••;. GENERAL NAILING SCHEDULE .o.oe¢.,i.n.I.w......_.....................n.°.n s,............................]x�.inala�x ...,en.• xw.tl.omc.nwm.. ..........................n.D.ea,............................]x�.inalaw� ... •.. .................. ...................._ .. ................................._ D..a.........................�....................•.............................:: _ r a r P.• ,oar mn.wa •!:eno°'e::�«,:•.'• oam.c,oP P..re , .n,meinroM.........""".....................n,m m. ,.m. .,...........................ter, :.• :.-:....,••� Tm!. ..ice me,naerox,xo.p as ca...mx x.eA, n.Di¢.a..............""".....................� .., .., %�� '-'. `.'•:`.'a:`.'a' ..re,u rxo.or leo mr.,ox x..n.............rt...,v.._...................................... _iC_ ':.':.': •: .':.':.'; • xaxao•oea.,wm d..L coxxeznaxn ...', •, •,' '•;.'•'.,•.. wenu Mm.p•d co.m.mx n.aaL...........n.xn e........................................1—+L a'.,a'....a'..s• omlo.e x)aom w•a De.rmxm m.LL aP¢.m.ae mrs�)anaes.oPD•n•a eur a¢K.0 oro.ce eo,eo.vuaxc¢.o+.m.s v . x.mwv.w.................................n.e.ev..............................a l - .c•n.,°...w...............................rt..Dua,.........._..................it .F MAXIMUM WALL STUD HEIGHT.STUD SPACING nc.x¢tlx,vwn Mm.w anon................n,...a,.......................................L�L , xoxLo.o me.nwm mrL mPed.os r,ea,o ww,oPFwwa en c�ec<.0 pD¢xaa Fon mmiAwxce,a,.D.e , xe.meR.P.x..................................rt................................ RAFTER CONNECTION AND WALL SHEATHING aeL n.,c w•.xa..............................n._,.a,.............................. w xemn crams Mm.p srloe................rtru<v......................_......._......._S� _JL rseamtprpirn•i eAex Fim p•¢.Den >mW,•c , uo rxre,tln eau uR.nwa ro Rcad Wnmt —Al ee,a..x_ 1 xe•mv+eP•x .2aOFR "^mD•p un,u niedln euaowa oetw�ol r u, nuroaxf �� xo,+wu xenx,p r•u.eer peaxa'............ Al•e'e-�L_ ,n., alu mm0 M., rtD., ............................................. �L e+Rannxa rt,c................................MOre.,................ J2 }' ]-]x< I Ttl `I3] .. ... .... ..... ..... .... ... maa xc6 aP•Cwm.............................n•xe tl Rt x0=e.V tFm,...................�w. ••"••••••. �1D w6 sPacatl.............................nr%[n, ........ w. J' ]-]x• ] <b F.p exlw rpwmrnx,x0,p um ca......wu, rt•uc tl.......................................� SEE PAGE S OF s PDicw,N«.m4n exituxa................n•eu!tl,.................................... !a•op,q•u e•mAr•nxm eOn m.0 uM aPOwG i.s',o[Dnx CdcP,a.......................... u,e D' ]-]X< ! 6•>) J)O . n•�a•3A+Ou60Ma mnD.ltlx,,.,exwa......................... .......................................................:........ xmnwu xaox+p,rLmr aPD:n i a'e•_�/ ». `i ..................... .....•.............................-1 w. G ]-]xD 3 IOD S]D ex¢ar�nn ................... . ...Mon....................... ...naIXP n OR xOi¢ I LEnn, M.D x•a xaOwo.............................n•Du u... P 1]Al D11< • . • <': <'� axeaw cOwEc*�w,xa.p um cO.rox w.A, 9EE AGE D OF 6 9' }]Xq > •.• ti• •. •.•+••,• •', - rt•p¢el... A P W<Dn nLLx•ern•n s.mA=uva rt.-••w......... °• mP. xpt DO.ra•,p•• !a•Oonlo,u.nuyruxa Fpn dr.enx mPeuxa r�a'm¢wau COxCH•faA.........................11A II' I.}xl0 < 49]. V6 %.•.,•.'.�•,•.• •,•••,•.� )'x]'xv.•.4•n WaxEG.•�%.•�% cu..C.aopx0 w,A', 4..•a'..Av.na,m.on..rme.em................................................................................ TABLE S. WALL OPENINGS-HEADERS .•:.....•.%:,..,y .;.A.. 5.1 ROOFS .. ,ap.nanwc.mmmcR..•xs<xe:<m.nmR...,=Di°mc aP•x.oe.... IN LOADBEARIN ." ,op o vM•xa.... awe a..............ax n<a+d•e p r oo ]tee_ ,e �f g44 „W,n an,.nw moxxmr�mxa.r I.a.mDe.Txm :...:....................:::::". wT w_R..... an re,r .. .tl m a maab.,e xp Rmm,m c n r ..�.R......... .......w,,si. ..Teg TRA.a P¢R naWie. � ..............................n•D.¢m,............---............... D,>o a.ae a,,.Pa PD..•wre n�m¢.inr mmnx3L tlxn.,a .,.�,a,aam P¢P n D D D:..................................� a.D.e,.<n our.ammF,i............................ )a,........ >a inxn.mn,.TTe maxxem=tea.,xmx.a.aD¢.,wa d...a m,r.a„r•.PD]nadee n P,m.,w,.n.<ax,Rmrana - ex:�,n». STUDS AND HEADERS ..................... .....................:: �. dlP n•e.Mwo re x..vr:wa asadiaD+... a,,.wa•noD.:m.o rra;a•,h.me*R.,wc.Dr_c,,.n...anx, 'S�`DI STEP A AROUND WALL OPENINGS ,op w¢•ixwm xeaa.. ..... ....... nmp.xuixdn I—.......................... .�:D i,............................................. OIAI�DER Ae AODREDD DES*m P(��! ../I'A..< A.=T/ //1��/�ql/1 rr/� /.J®� Doi¢ RE 9 PAGE BOTELHO RESIDENCE PROPOSED ENTRY C/^/J'/1/./✓N/J/N/ fM7/M/ CC%a l/.:JO.�\V/ {xM_ 08-05-10 JB ✓B Designs 91 WILLIAMS PATH AND SCREENED PORCH. WEST BARNSTABLE MA. �I V.F,x.._. ..F..F...w.w. x.. ,.._2�w �...m, .n,..•A .�.. ..m , reae�4sr-sas< a �- Engirreering Dept. (3rd floor) Map. / / Parcel Permit# House# C1/ a Date Issued 2— Board of Health(3ra-f oor)(8:15 -9 30/1:00-4:30) �-5l1W P free G o'�p Cr-0 f (OConservation Office(4th floor)(8:30'- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) �,►�,p Definitive Plan Approved by Planning-Board _ 19 L v_ -e l e4 L.11 S T BE TOWN OF BARNS'I�AL TALLED I IANCE -WITH TITLE 5 - s Building Permit Application ENVIRONMENTAL CODE AND Project Street ress zbx �J (�I�a,L LA' S tt TOWN REGULATIONS Village w S r a l�?,N S''i All L C /N A&SS Owner ®SFD�I �'. �o`��LE71 O Address n4< SAM ei l2C & AMR�L- -W�64g Telephone 'v&S Permit Request ktv. a ea..- First Floor /'J/g square feet Second Floor /7 square feet Construction Type to co �� l=y2l�tl Estimated Project Cost $ ,lon ,00 0 . ri J Zoning District F Flood Plain Water Protection Lot S ze &0, randfathered ❑Yes ❑No Dwelling Type: r Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway (fYes ❑No Basement Type: Full ❑Crawl aWalkout 0 Other Basement Finished Area(sq.ft.) _-4-- Basement Unfinished Area(sq.ft) /71& Number of Baths: Full: Existing New 42A Half: Existing New67) 4=7- No.of Bedrooms: Existing New — J Total Room Count(not including baths): Existing New 9 First Floor Room Count -� Heat Type and Fuel: J&Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes %No Fireplaces: Existing New _®2 Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) � c ❑Attached(size) Apr ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE r DATE BUILDING PER IT DE IEQ FON, HE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 2s 1 � s DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: e FOUNDATION FRAME `' INSULATION A _ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH iZ,, FINAL GAS: ROU8I LL`, _ FINAL FINAL BUILDING fi4 7c f DATE CLOSED OUT ASSOCIATION PLAN NO:,-, e,s Quo —l—(�lJ �m o G .l_. Time,, F o_ate _ WHILE YOU WERE OUT M +ld6 of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILLCALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Meesege f Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400SETS CARBONLESS To Date • 2 t Time WHILE YOU WERE OUT M of Phone U y Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator AMPAD 23.021-200 SETS EFFICIENCYe 23-421-400SETS CARBONLESS To Date Time W E YOU WERE OUT M of Q Phone— Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTSTO SEE YOU URGENT RETURNED YOUR CALL Y � Message Operator AMPAD 23-021-200SETS EFFICIENCY® 23-421-400 SETS CARBONLESS To_ � Date —Time WHILE YOU WERE OUT M of Phone 6x:S2Fc—s Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Mee age t Operator AMPAD 23-021-200 SEAS EFFICIENCYe 23-421•400SEfS ONLESS cl � I III II wl . i goo Im III g .1 wl III � IIIIIII111111111111111111111111111111111 IIII111111 I I111111111111111111111111111111111111111 IIII IIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII Ilillllilllllll I ---- mown ---- .... iiiil .... i ! ■■■■ : mmmm ® j EEM No Oa ONES NONE .... i MEMO SEEM IIIIIIIIIIIIIIIIII ' ��illllllllllllllll lim-mm 1 I I Ih�lh�lh'I�I I�I� illlllllllllllll ri ri n rrri rrrri�i n�n rrrl I I I I I I I 111 1 IIII IIIIIIIIIIIIIIIIIIIII11111111111111111111 IIIIIIIIIIIIIIIIIIIIIIII111111111111111111 -- I111111111111111111111111111111 IIIIIII / 111111111111111111111111111111111111111111111111111111111111111 11111111111111 I�I�I�lilil�lililil�l�l�l�l�l�l�l�l�liljl�l�l�ljl�l�l�l�l�l�l�l I�I�I�I�I�I�I� '��I) �Ijlilil�llllljljljl�l�l�l�l IIIIII IIIIII�IIIIII :� .. ```` `` INN■■ ' -:-� I© I I`IIIII�I �1 I.... ....I hisa— ::: Mit kilo IIIIIIIIIIIIIIIII HIM \ ey Ida I a ; 6 o i z tu +Elm Di N a Q � I� Z a 0 6 0 Q , . V CD ---- --------- - -------- -- -------- ------ . . - .- 1 1 � -------------------------------------- LLJ 1 1 1 1 1 I jl 1• I 1 1 A� 1 •I 1 1 ----------- 1 1 1 1 I 1 1 1 1 1 I • I 1 I 1 1 1 1 1 I 1 1 1 1 1 1 I 1 •1 1 1 1 l y 1 I 1 1 I 1 1 1 1 1 1 I 1 • 1 ` 1• 1 1 I 1 '; 1•'I as I •1 ; 1 1-0 1 1 1 1 1 1 I 1 i ' •' ' r---- ---- ---- --- ------------- --------------- ';------------- WO 1 1 1 ; ; .yJ ;i�l C■� 1 1 1 1 . 1 1 ' I In 1 >�oaoo� 1�1�� '..L------------ ----1 ;-rl ;----1 ;' ;----- 0.0•IIOJ01'M 1 3-B 1 1 1 Rx ' ■ 1 1, ■ I . 1 ■ ; '; a �•'� 1 1 1 1 ••Nf 1 1 1 ' ' I ; oua--�� •�o.e�tioan�ana� ■ 1 . 1 1 , 1 ' 1 CC] � ■ 1 •1 1 •6®� 1 1 • 1 � I 1 1 1 ■ 1 1 O ' ' : 1 ■ I 1 1 ■ 1 •1 ow.. 1 , ■ 1 1 1 , 1 ■ 1 , 1 1 1 1 1 '• 1 1 •1 1 , ----------------- -------' LU 1 L------J 1 1 1 1 J a i M i r-------------- --------------- � W , i , , , r-------------- Z m , , I , ------1 �---' IL-------------- ----------------------------------------- lO N a0O } ................................... �V bi N wm gin i M M ABM 01" 0 UM17 �17�WD GINtRown NKUWA AS i ' A AA AA A c iril 1 qw ' I1- 1 1 1 1 I - 0.9 rwoo� 1 1 Q 1 I 1 I 1 1 1 1 1 1 1 1 k mm Q 1 1 _ 1 1 1 1 Wo 1 SQ8 , AJ i i 1 o l.11 d 1 � z 1 y t�1 1 1 1 1 --------------------- M 1 i \ 1 1 N —09 1 I I 1 , 1 I • , b 1 i I 1 1 1 1 1 � 1 1 1 S j 1 1 1 1 y 1 1 M 1 1 1 1 1 1 1owls } 1 uj 10 AX 1 1 1 1 1 1 1 1 1 , I , I 1 1 1 1 i 1 L i 1 I � n � i o y � .*A QQ F g5 $gl Apt 3 N a Ell ® a" $ 8 BOB fls a d I — i CD Q • �� ® ® lu s gigs Q � as .' LU 1-4 IRS . . . . . .A Rya g r.. Mol to I's a — • asswl aD 8 ass ASIA a — ; a b 0 o � Isi a .M►1 q .a•1 ARCHITECT ASPHALT SHINGLES BU ASPHALT PAPER V*080 BNEATWMG — — I TE-FIRST TWO FEET UP ROOF BHEATHMG O BE I/1"P.T.FLY.SHEATHING. I D'ALUM.DRIP EDGE bw 6'ALUM.CURER D(S FACIA D(6 SOFFIT ALUM.SCREEN SOFFIT VENT W BW MLO.ON D(B FREIXE E E SCALE •IFL V&6 SIDING OVER TYVEK OR EDUAL S°CONCRETE WALL V*085 SNEATWMG DAMP-PROOFING CSA APPROVED. WA;SHINGLES STARTER Z"X 4°KE1' 40 POURED CONC.s3L AS COARSE W . 1 2X6 PT.GILL COMPACTED GRANULAR i p Vh(6 O LL SEALER S/8XS'ANCHOR DOLTS S°X*1 CONC.FTC. D iD o o FOOTING DETAIL 8" CONCRETE WALL F SCALE °IFT_ SCALE 4-00 BUILDER: ,IDsEpHeoTfutD JOB NAME rRBOTv o pESiC�N �€ REVISION PRAWN BYJMH ,Jg P-ESICiNS BARNSf1 lU1PS5AIN CUSTOM CAPE W/2 Ot GARAGE M-2-97 p JB 4416 s y N eo / o . LOT 7 d7 �4j / ,L0 pZ• 2 ova/ '99 , O / �tp�S0 OF p W. RUM H 3 1 CERTIFIED PLOT PLAN I CERTIFY THAT. THE FOUNDATION FOR SHOWN ON THIS PLAN IS LOCATED ON THE LOT 7 WELLM MS PATH WEST BARNSTABLE, MA. GROUND AS SHOWN HEREON AND THAT IT PLAN BOOK 291 PAGE 44 CONFORMS TO THE MINIMUM SETBACK PREPARED FOR REQUIREMENTS OF THE TOWN OF BARNSTABLE. JOE BOTELHO , SCALE: V=40', OCTOBER 27, 1997 Weller=&��Associates 1645 FalmouthRd. Suite 4C ,Ceaterville,'Ma. 02632 �' (508)775-0735 Application to 1997 155 SP pNS•1 PP�`+ P GM 0P pe E.p`+NpP`pP�. Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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: '. Exterior Building Construction: New Building ❑ Addition ❑ Alteration Indicate type of building: ff House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE —9 7 ADDRESS OF PROPOSED WORK LOT 7 #Z/ W!L[/;*JJ' eb TH Wt ASSESSORS MAP N0. Y I OWNER TOSEW t KAREW 9oTEL#-D ASSESSORS LOT NO. 36 HOME ADDRESS 6 JANES C/RCGE HASAPIF r�' MASS 0;149 TEL. NO.C�� 939- FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). l�T rNC tf&"1-) S tj Eu r AGENT OR CONTRACTOR 10.SE10 OdTELhFO TEL. NO(DR) S39-0058 ADDRESS i� .TAMES CIRCLL- NASS, 6,401 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). 3u c6 CasrioM CApGSTyiE WiT-# Tao C.4R GAGAGt, a V , ' 'J4 Signed Owner-Contractor-Agent Space below line for Committee use. �'U c Date The Certificate is herebyr Date 1 A JUL 1 4 199rT Time �Ld TCBUN OF BS ARNSTABLE LD KING' HI ' Approved ❑ IMPORT T: If Cert lcate is approved,approval is subject to the 10 day appeal period provided in the'Act. Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION $ �0u 12E1� eONCRET t WP,L L SIDING TYPE hY9 nW00 6zhP30A•Rb q��►�, COLOR CHIMNEY TYPE J�R( C k COLOR # 5,30 RI✓Ek o aL y ROOF MATERIALASPAL ]— ARCIJITL=CT- S/N6LESCOLOR �p CN4TE&w j)Ri FTwOaT�) . PITCH 9IT"t WINDOWAPDERSEN VJVXL SIZE_ ?•gyazj 6 E TRIM COLOR CA (30.T o.V. T.. . u N z G RA / 6 7 DOORS �l FT-AL 4 L/rL= fyb 9 Ll7-1- COLOR CR hOT O.V.T, ALLAGASN # � SHUTTERS N0 AlL7 COLOR GUTTERS S" AL u M . DECK N 0 N GARAGE DOORS _ 9 X 7 L u S N PAtJFI- COLOR rA tO T U_V.T A GL A Gas 9 e SIGNS NoNL= k �' ; �ik�� aw COLORS FENCE M 0 Nt COLOR . NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Site plan should show all structures on the lot to scale. SPECSHT Crossen Ralph From: Brigham Anna To: Crossen Ralph; Maloney Kathy Cc: Stevens Richard Subject: 91 Williams Path Date: Wednesday, September 17,.1997 9:57AM This is what I have: I talked to Patty at the Planning Board and she tells me that that subdivision was approved by the Board in 1974. Then, it was"kind of forgotten" by the developer and the lots were never released nor recorded. So, the Board issued duplicate lot releases this year because Steve in Engineering wrote a report (she is sending both reports) stating the subdivision is complete. The Attorney was/is Donahue. Page 1 91 Williams Path,West Barnstable no one noticed the lot was undersized(40,012 sq. ft.). Richard(&also Tom)thought a sign-off from Planning indicated a buildable lot foundation permit was issued 8/21/97. Robert Troy,abutter who also happens to be an attorney,called 9/8 or 9/9/97 questioning buildability Richard notified property owner to stop work. Foundation hole had been dug-but foundation was not poured Owner was told he needed proof of grandfathering 9/16/97-DianeThompson called re serious problems with grandfathering. (I don't know whether she's an attorney or not or what her credentials are-but she sounded knowledgeable. You have an appointment with her 9/19). Diane Thompson says: 1. property owner made P&S contingent upon being able to obtain a building permit. 2. Planning Board approved the subdivision 8/19/74-but 3 of the lots were undersized even then 3. Mr. Troy's house(77 Williams Path-built in 1984)is also on an undersized lot. It does not seem that there was a variance for it-although there's an interesting note to Joe DaLuz in the file(copy attached). I ����� � ��� �o��s 1�� . , : � ,p�� � �, �� . . �� � ;� �� �o� �,�,�� � R . � `< 1_1C:T-19-97 MON 23 1 8 DI,ANE TH0r-1P:_:ClN 50854:�11 75 P. 0F. RELEASE OF LOTS UNDER CVVENANT �aL"Ilsta�r� ', "laSSaChUSet:tS : July I, 1991 The undersigned, being an authorized agent o g f the Planning Board of Barnstable , Massachusetts, hereby certifies that the following Lots .owned by Vilrlis A. Ezeri.ns securing the Covenant dated District Deeds, Book ?4 ,, and recorded in Barnsta er 14� 0 Page 12 �, Of Title No. for registered on Certitzcat Document] i , and shown on a entitled' Plan of Land in West Barnstable, Mass, as surv8 er.1 for 34artha Dicke plats Dated Jurle 10, 1974 mane by L,C. Latirner Assoc, y Y" and recorded With 'said Deeds, Plan Book?�t registered in said Land Re istr g Y District, L. C. � . ) , are hPr released from the restrictions as to sale and building specified in s Covenant, ' Said lots are designated on said plan as follows : Lots 3 Fq 7 / SUBDIVISION# 352 �- 7/' ��,.�(. Authorized Steve tvf, Chatsnlan gen Shuman, Planning Board Of the Town of Barnstable COMMONWEALTH OF MASSACHUS8TTS Barnstable , Massachusetts, ss . July 7, 1997 Then Personally appeared � an authorized aye:jt ' of the Planning Board of the Town of Barnstable, Massachusetts and acknowledged the foregoing •instrument to be the free act and deed o said Planning Board, before me, £ After recording, return to: NOTARY PUBLIC MY comm;ission expires : Town of Barnstable planning 13oard PAMCIAG. T1_t1C K KEY ~ Town Ha11 NOTARY PUBLIC k 30 7 Main Street My C.hmml Wm Doc 13.2002 Hyannis , Ma. 02601 ++++++4- Prompt Professional Diane C. Thompson Service Zoning Consultant October 20, 1997 Ralph Crossen, Building Commissioner Town of Barnstable Town Hall Hyannis, MA 02603 Re: Lot 7, Williams Path, West Barnstable, MA Dear Mr. Crossen: On July 3, 1997 Mr. and ,Mrs. Joseph Botehiho purchased the above referenced lot after relying on its buildability based on the issuance of a building permit from the Town of Barnstable. The Building Department issued the permit after receiving notification from the Planning Board that on July 7, 1997 the Planning Board released Lots 3 and 7 from under Covenant. The Planning Board received communication about Lots 3 and 7 from Stephen Seymour, P.E., Project engineer on June 30, 1997 that: 1) The subdivision is d"omplete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April, 1977.' and 2) The subdivision is In good shape. Recently a stop work order was placed on the above reterenced property so that zoning compliance could be analyzed and provided to the Building Department. As we have discussed; when the subdivision plan was endorsed by the Planning Board on August 19, 1974, Lots 5, 6 and 7, Williams Path, did not meet the square footage -requirement of one acre, as passed by Town Meeting several months prior to the Planning Board endorsement. At an April 3, 1974 town meeting this area was rezoned from RE to RF by Article 134, and approved by the Attorney General on July 16, 1974, increasing the minimum lot size to 43,564.square feet and requiring 150 feet of frontage. An assumption can be made that Lots 5, 6 and 7 were protected from the zoning change because of benefit of a Preliminary Plan approval but no evidence of a preliminary plan filing is available in the Planning Board file. This point becomes i inconsequential as Lot 7 was in common ownership with Lot 6, Williams Path, and Lot 3, High Street after zoning protection for the subdivision expired in 1981 and after protection expired.as provided for in the Barnstable zoning ordinances. In 1984, 1985 and 1986, Lots 7, 3 and 6 were conveyed to Talsi Construction by Martha Dickey, The Town of Barnstable issued a building permit to Lot '6 in 1984 and a house was it constructed, although it is not known what zoning protection could have been afforded ' Lot 6 at that time. Interestingly, the owner of Lot 6.recently requested and received ,4 release of his lot under Covenant. 'f ;►, P.O. BOX 900 * WEST FALMOUTH, MA 02574 • (508) 540-2074 + (508) 540-9827 t. 4t Ralph Crosser►, Building Commissioner Lot 7, Williams Path, West Barnstable, MA October 20, 1997 Page 2 When the plan was endorsed by the Planning Board in 1974, two turnaround easements were set aside at the end of Williams Path. Section 81-0 of the subdivision control law discusses turnaround easements. One such turnaround area abuts Lot 7. Such turnaround area is not considered a part of the way as evidenced by the signoffs from the Engineering Department in 1977 and again in 1997 and the Planning Board through.its release of lots under covenant. The Engineering Department in June 1997 stated that the subdivision is complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April 1977. The turnaround areas were never required to be constructed by the Planning Board, said construction requirement would have had to have been included in an extension of the way, and so recorded. The turnaround areas are easements and remain vacant and undisturbed. Until recently, based on a title search performed by Attorney Catherine Herrity's law office, the turnaround easements were owned by the Estate of Martha Dickey, i.e., Phyllis Bassett and Edith Lampi, Mrs. Dickey's two daughters. On Friday, October 17, 1997, Phyllis Bassett and Edith Lampi conveyed the turnaround easement abutting Mr. and Mrs. Boteiho's lot to Mr. and Mrs. Botelho and recording information is enclosed. The land included in the turnaround easement, added to Mr. and Mrs. Botelho's lot, bring the lot size of Lot 7 to 44,169 square feet with 158.32 feet of frontage, meeting current lot size requirements. The only prohibition in calculating lot size in the Town of Barnstable ordinances is for wetlands. Wetlands shall not be included in the lot area ( sq.ft.) requirement for zoning compliance. Mr. and Mrs. Botelho understand that the turnaround area shall remain as an easement on their property but, without prohibition from the Barnstable zoning ordinances for including this easement area in lot area, Lot 7 can enjoy the benefit of the square footage bringing the lot area and frontage up to the current code. A revised site plan has been prepared by Wella Associates snowing the added lot area to Lot 7 and is hereby submitted to your office. Based on the information contained in this letter, and supporting documents, it is requested that the stop work order be lifted so that Mr. and Mrs. Botelho may proceed with the construction of their single family dwelling. If you need additional information or have any questions, please contact me. Thank you. Sincerely, Diane C. Thompson Zoning Consultant Enc. i +++++++ Prompt er�rurar Professional Service Diane C. Thompson Zoning Consultant October 20, 1997 Ralph Crossen, Building Commissioner Town of Barnstable Town Hall Hyannis, MA 02603 Re: Lot 7, Williams Path, West Barnstable, MA Dear Mr. Crossen: On July 3, 1997 Mr. and Mrs. Joseph Botehlho purchased the above referenced lot after relying on its buildability based on the issuance of a building permit from the Town of Barnstable. The Building Department issued the permit after receiving notification from the Planning Board that on July 7, 1997 the Planning Board released Lots 3 and 7 from under Covenant. The Planning Board received communication about Lots 3 and 7 from Stephen Seymour, P.E., Project engineer on June 30, 1997 that: 1) The subdivision is (fomplete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April, 1977, and 2) The subdivision is In good shape. Recently a stop work order was placed on the above referenced property so that zoning compliance could be analyzed and provided to the Building Department. As we have discussed, when the subdivision plan was endorsed by the Planning Board on August 19, 1974, Lots 5, 6 and 7, Williams Path, did not meet the square footage requirement of one acre, as passed by Town Meeting several months prior to the Planning Board endorsement. At an April 3, 1974 town meeting this area was rezoned from RE to RF by Article 134, and approved by the Attorney General on July 16, 1974, increasing the minimum lot size to 43,564 square feet and requiring 150 feet of frontage. An assumption can be made that Lots 5, 6 and 7 were protected from the ` zoning change because of benefit of a Preliminary Plan approval but no evidence of a preliminary plan filing is available in the Planning Board file. This point becomes inconsequential as Lot 7 was in common ownership with Lot 6, Williams Path, and Lot 3, High Street after zoning protection for the subdivision expired in 1981 and after protection expired.as provided for in the Barnstable zoning ordinances. In 1984, 1985 and 1986, Lots 7, 3 and 6 were conveyed to Talsi Construction by Martha Dickey. The ,k Town of Barnstable issued a building permit to Lot '6 in 1984 and a house was constructed, although it is not known What zoning protection could have been afforded Lot 6 at that time. Interestingly, the owner of Lot 6 recently requested and received release of his lot under Covenant. i 1 P.O. BOX 900 * WEST FALMOUTH, MA 02574 • (508) $40-2074 ' (508) 540.9827 i 1. Ralph Crossen, Building CommlSSloner Lot 7, Williams Path, West Barnstable, MA October 20, 1997 Page 2 When the plan was endorsed by the Planning Board in 1974, two turnaround easements were set aside at the end of Williams path. Section 81-0 of the subdivision control law discusses turnaround easements. One such turnaround area abuts Lot 7. Such turnaround area is not considered a part of the way as evidenced by the signoffs from the Engineering Department in 1977 and again in 1997 and the Planning Board through its release of lots under covenant. The Engineering Department in June 1997 stated that the subdivision is complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April 1977. The turnaround areas were never required to be constructed by the Planning Board, said construction requirement would have had to have been included in an extension of the way, and so recorded. The turnaround areas are easements and remain vacant and undisturbed. Until recently, based on a title search performed by Attorney Catherine Herrity's law office, the turnaround easements were owned by the Estate of Martha Dickey, i.e., Phyllis Bassett and Edith Lampi, Mrs. Dickey's two daughters. On Friday, October 17, 1997, Phyllis Bassett and Edith Lampi conveyed the turnaround easement abutting Mr. and Mrs. Botelho's lot to Mr. and Mrs. Botelho and recording information is enclosed. The land included in the turnaround easement, added to Mr. and Mrs. Botelho's lot, bring the lot size of Lot 7 to 44,169 square feet with 158.32 feet of frontage, meeting current lot size requirements. , The only prohibition in calculating lot size in the Town of Barnstable ordinances is for wetlands. Wetlands shall not be included in the lot area ( sq.ft.) requirement for zoning compliance. Mr. and Mrs. Botelho understand that the turnaround area shali remain as an easement on their property but, without prohibition from the Barnstable zoning ordinances for including this easement area in lot area, Lot 7 can enjoy the benefit of the square footage bringing the lot area and frontage up to the current code. A revised site plan has been prepared by Wella Associates showing the added lot area to Lot 7 and is hereby submitted to your office. Based on the information contained in this letter, and supporting documents, it is requested that the stop work order be lifted so that Mr. and Mrs. Botelho may ` proceed with the construction of their single family dwelling. If you need additional information or have any questions, please contact me. Thank you. - Sincerely, Diane C. Thompson 9 Zonin Consultant 1� Enc. _.- i _ _ C. E11< = I Ll 1 ,71 ill 4; 75 6 RELEASE OF LOTS UNDER COVENANT 1 SOB Barnsta �. ";Massachusetts : July y, 1�97 The undersigned, being an Barnstable , Massachusetts authorized agent o 9 f the Planning Board of . ,owned b Vilnis A. Ezeri,ns following hereby certifies that the folly g lots securing the Covenant dated ' 19 74_, and recorded in Barnsta District Deeds, Book 21�0 i, page 1,?� of Title No. (or registered on Certitica Document and shown entitled" Plan of Land in West Barnstable, Mass. as surveyed for Martha Diy Re " a plart Dated June 10, 1974 made by L.C. Latimer Assoc. and recorded with 'said Deeds, Plan Book z�l pa e or registered in said Land4RegistrY District, L. C. # 9 — ( e released from the restrictions as to sale and building specified in h i , Covenant . Said lots are designated on said plan as fbllows : Lots 3 C5_7 s SUBDIVISION# 352 Steve M. Shuman, Chairman Planning Ag�c Planning Board Of the Town of Barnstable COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts, ss .1u1y 7, 191,17 Then Personally appeared 2, an authorized a9 en Of the Planning Board of the Town of Barnstable, Massachusetts and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me. NOTARY PUBLIC .' 1 + After recording, return to: My comm.� ssion expires: Town of Barnstable Planning Board PATRICIA G• MACKEY Town -Hall NOTARY PLTBI.IC 367 Main Street W C.nuftWon F*(m Dee 13.2002 r Hyannis; Ma. 02601 ,i s F:'r1rm P1_ . n_.. _ TRANSMISSION VERIFICATION REPORT TIME: 01/09/1995 08:30 NAME: FAX TEL DATE,TIME 01/09 08: 28 FAX N0. /NAME 915088885701 DURATION 00: 02:08 PAGE(S) 04 MODELT STANDARD ECM ti r t r, 6 OCT-19-97 MON : 1:= IiIANE THOMP ON 50854:311 5 P. 04 O;WE by Town of Barnstable Department of Public Works 367 Main Street,.Hyannis MA 0260I Office: 508-790-6300 1~ax: 508-790-6400 Thomas J.Mullen Superintendent. Date: June 30, 1997 To: Steve Shuman, Planning Board Chairman From., Stephen Seymour, P.E., Project engineer J11;e Subject: Subdivision No. 352, Williams Path, West Barnstable In response to a request from the Developer to release 2 lots from covenant, I submit the following report: 1. The subdivision is complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April, 1977. 2. The subdivision is in good shape. RECOMMENDATION: I have no objection to the release of the two requested lots from covenant sgs/file:sub352a Eta _ 1 1010-261 601 16 10- 1 r- 100 7 C 01 = 46 DEED We, PHYLLIS BASSETT, of P. 0. Box 95, West Barnstable, Massachusetts, and EDITH LAMPI, of P. 0. ' Box 107, West Barnstable, Massachusetts, For Consideration Paid of Less Than One Hundred and no/100 ($100.00) Dollars, Grant to JOSEPH J. BOTELHO and KAREN D. BOTELHO, Husband and Wife, as Tenants by the Entirety, of 6 James Circle, Mashpee, Massachusetts 02649, II WITH QUITCLAIM COVENANTS, 6 All our right, title and interest in the land in (`n Barnstable (West) , Barnstable County, Massachusetts, so-called "Turn Around" and located on the southwesterly side of William' s Path, and as adjacent to LOT 7 shown on hereinafter . 3 mentioned plan, and shown as "Turn Around" on plan entitled "Subdivision Plan of Land in West Barnstable Mass. as Surveyed for Martha Dickey L.C. Latimer Associates Scale 1" = 40 ' June 10, 1974, " which plan is recorded in Barnstable County Registry of Deeds in Plan Book 291 Page 44 . d - The above described premises are conveyed together with a right of way over the way as shown on said plan in common with all others now or hereafter lawfully entitled thereto. y The above described premises are conveyed subject to and together with the benefit of rights and restrictions of record. For our title see the Estate of Martha C. Dickey who died on June 20, 1983 (Barnstable County Probate and Family Court Docket No. 64496) . For prior title -see the Estate of William Bodfish (Barnstable County Probate and Family Court Docket No. 21912 ) . Executed this day of October, 1997 . PH IS BASSETT EDITH LAMPI COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. October/ 1997 Then personally appeared the above-named Phyllis Bassett and Edith Lampi, and acknowledged the foregoing instrument to be their free act and deed, before- me, - � I Notary Public J Sion expires: AN E McCORMICKoffset$ NOTARY PUBLIC ` . . f q My Commiaslon Expires Meer 10,2002 BARNSTABLE COUNTY REGISTRY OF DEEDS g A TRUE COPY,ATTEST REGISTER r fi r r i r BARNSTABLE REGISTRY OF DEEDS 40 4-5.2 Sidewalks Conditionally Required Sidewalks shall be installed on one or both sides of *a Secondd' Street and a Minor A Street, unless in the opinion of they Planning Board, pedestrian safety would not be substantially;.: served by their construction. Where sidewalks are not required, the Board may require that the grading of the right of way be so '�' _ executed as to make possible later additions of sidewalks without major regrading. f 4-5.3 Location of Paved Road Surface In order to accommodate a sidewalk and/or bicycle path, the ' Planning Board may require that the paved surface of the roadway be offset to one side of the right of way. 4-5.4 Green Strips Sidewalks and/or bicycle paths shall be separated from the roadway by - a strip of land loamed and seeded to the specifications of Section 5-12 "Grass * Plots Sidewalks and/or t bicycle paths shall be located as close as possible to the outside line of the right-of-way. Street trees shall be planted in the green strip. 4-5.5 Sidewalk Length Sidewalks shall extend the full length of each side of the street. 4-5.6 Sidewalk Width Sidewalks shall have a minimum width of four (4 ) feet. 4-6. Curbing and Berms All streets shall have bituminous concrete "Cape Cod Berms, " vertical granite or sloped granite curbing at the discretion of the Board. In the case where granite is used, the curbing shall extend along the entire circumference of curves plus six (6) `feet at all intersections. Vertical inlet curbing shall be used for all catch basins when vertical granite curbing is used. f As a general guide bituminous concrete "Cape Cod" type berms placed at the time of paving are required on all roads regardless of slope. Roads located in or near urbanized village centers, F commercial areas, industrial areas and other areas designated by the Planning Board, will require the installation of granite curbing at the discretion of the Planning Board. 4-7. Lots .All lots within the subdivision shall comply with the Zoning Ordinance of the Town, or with terms of any variance from such requirements which may have been specifically granted by the Board of Appeals. Percolation tests may be required on each lot . at the discretion of the Board. Lot numbers as shown on the approved plan shall be conspicuously displayed .with a suitable marker which shall be visible from the road layout. 2 - -ABC ,� i a ' j f J i I I OFIKE' Town of Barnstable • saxxsrnaM �0 Department of Public Works 039. �ArfDMA'�A 367 Main Street,Hyannis MA 02601 Office: 508-190-6300 Thomas J.Mullen Fax: 508-790-6400 Superintendent Date: June 30, 1997 To: Steve Shuman, Planning Board Chairman From: Stephen Seymour, P.E., Project engineer Subject: Subdivision No. 352, Williams Path, West Barnstable. In response to a request from the Developer to release 2 lots from covenant, I . submit the following report: 1. The subdivision is*complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Division in April, 1977. 2. The subdivision is in good shape. RECOMMENDATION: I have no objection to the release of the two requested lots from covenant � s sgs/file:sub352a i py�FTHESA�� e/O'L vX ClVt�riie� �iGYi BABHSTdBLE, o° q MASIL 0 .. .. 039- �F k• awrecJ� alda e � 02601 COMMISSIONERS: (617) 775-1120 Ext. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO, P. E. JOHN J. ROSARIO. VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN MILNER D. MELODY PHILIP C. McCARTIN July 18, 1983 Mr. Paul Brown, Chairman Barnstable Planning Board 367 Main Street Hyannis, Massachusetts 02601 Re: Subdivision #352 Williams Path,,West Barnstable Dear Mr. Brown: In response to a Oquestfrom ;lichael Princi, the owner's attorney, for the release"o from covenant, I have reviewed and inspected the subject subdivand found the following: 1. The subdivision is complete and approval of the roads, drainage, shoulders and signs was given by the Engineering Department in April; 1977. 2.. The subdivision looks to be in fairly good .condition except for the catch basin at the turn around, which is covered with dirt and should be cleared. 3. Six lots. remain under covenant: . Recommend n.:.,, The Department of Public Works has no objection to the release o Lot 5 from covenant subject to the clearing of the catch basin at the <1,.. rn around. Sincerely, Stephen 'G. Seymour, P.E. For Joseph J. Campo, P.E. , . Superintendent of .D.P.W. SGS/lmc i i • The Commonwell/th of.4 fassach useas Department of Industrial.4ccidents 1 Office oflnvesV91711ons 6011 ti'ashi ig, Strcc�t Boston,Alas. 02111 ` Workers' Compensation Insurance Affidavit lililic:intinformatitili: Please PRINT la�jj'-"" nay location city 1,✓L=s °f' AE/t/s 7-/4'BLi- MASS, 12hone&�s)S39'o0S� I am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one working in any capacity _ CI I am an emplover providing workers' compensation for my employees working on this job. 4 comnari name: fJ address: d 9' rf1/STY HAR 904? OJAy 1 its•: 9A-V 7- FAt.Muu-TH ASS, 09s3 (, n #• �'/�'�� f dj S 1 am.. ,y insurance n. a q-a w lie •# o 6ss •a'x$v r I am a sole proprietor. beneral contractor, or homeowner(circle one} and have hired the contractors listed below who have the following workers' compensation polices: cmmriany name: fA, -F-S' address: 99 Y S;L ✓C R STR t<L r (ICI) cit'.. HANv✓L7A /I65S, 6 a- Rhone#• C17� -a e —SES� .2 insurance co Holies # — • .::•+.. Y,!^'.__ - r.•�T•.::.... __ -- r���:���4 iT•'I!S VTR.:._. �i'` .••�_ cmmynn%, name: address' cin•• nhnne#: insurance co nolict•it .Attachadditio_nal sheet ifneccssary, r i " -_•i -Jig_ y,._ _•��•��w':" �"`"•• �...�►:•.: _'r ' ��`^���"'�_�� Failure to secure coverage as required under Section 25A of f11GL in can lead to the imposition of criminal penalties of a line upto S1.500.00 andior une%-cars' imprisonment its well.13 civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a cop} of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !rlo hereby certift•tctidcr the pains and penaltics of perjuty that the information provided above is true a►id correct. Signature Date d y '�� Print name x o S e o 14- S . 1R.JTE Phone>* (K-ad-J S3 q' 0 y, official use only do not write in this area to be completed by city or town official ` city or town: permit license# r Building Department Licensing Board check if immediate response is required C3seleetmen•s Omer I]11ca11h Department contact pennon: phone#; nOther i TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE D J?`-I/'9 7 JOB LOCATION L®T 7 (clll W/1) H S 2R7tf Number Street address Section of town "HOMEOWNER" pSL_,P# T. tOTrGwe Clo6 53?-®y�T� C5z5 470'313 a .. .. ' Name Home phone Work phone PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occuDi dwellings of six units or less and to allow such homeowners to engage an ir dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to r side, 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 structure A person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be resnons for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the c Building Code and other applicable odes, by-laws , rules and regulations. ' The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement. and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL r ` Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required Ito comply with State Building Code Section 127. 0, Construction Control. t a t . ti i 4 e i 2 Hingham Mutual 1 Agency Bill- ' 7 Policy Number Fire.Insurance Company Policy Type 9 HO 9712341 230 Beal Street,Hingham,Mass.02043 New O H DECLARATIONS HOMEOWNERS FORM;4(7/88) INSURED AGENCY Joseph J Botelho and Karen E Botelho L. S.Jack Insurance Agency 6 James Circle Village Station Mashpee,MA_02649 ',%�P.O.Box 399 Medway;Ma 02053-0399 POLICY PERIOD: from 6/15/97 to 6/15/98, 12:01 AM standard time at the insured premises SECTION I C. PERSONAL PROPERTY $30,000.00 $203.00 D. LOSS OF USE $12,000.00 INC SECTION II _ L. PERSONAL LIABILITY $500,006.00 $13.00 M. MEDICAL PAYMENTS TO OTHERS $1,000.00 $0.00 ADDITIONAL COVERAGES OR CREDITS Loss Free Credit ($20.00) ML 10.4(1.0)Amendment of Policy Terms ML'216(7/88)Premises Alarm or Fire Protection System ($4.00) Type Of System:Local Alarm-Smoke 2% F,- ML 50(7/88)Homeowners/Condominium Loss Assessment-$1,000.Included •1. ML 55(1.0)Replacement Value-Persona" l P p rty $71.00 t, 4- ***Total,Policy Premium*** $263.00 Billed Premium $263.00 DEDUCTIBLE-SECTION I-$250 flat deductible. In case of loss under.Section 1,we:cover only the part of the loss over the deductible stated. RATING INFORMATION =lass 1 amtiy Dwelling,Prue ry,R s Bence of the Insured, 5,Territory Code 013, 1000"Feet to Hydrant,5 Miles to Fire Station. MORTGAGEE(S):.'.(None) 4- _ r 41 AUTHORIZED SIGNATURE Produced On 6/27/97 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health-Diui'sion, 1133 1-5 Od- P'9AZ Date Issued --_ Conservation Divisions' �� �/ O� Application Fee Tax Collector 1"�l M Permit Fee 42S Treasurer O YL- M M SEPTIC SYSTEM E:"M C2 Planning Dept. WSTALLED I6`J Date Definitive Plan Appr ed by Planning Board WITH MILE 5 EM'i N MENTAL CODE ANR Historic-OKH. Preservation/Hyannis T01'171,1 Project Street Address ILIM Village Wff-5 7 R ARM S TALC—84, 01i6oy , Y Address o &Z& N,EWSTA&I F Telephone R,� 37S-023 O Permit Request !ae-b a x Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new�6-4-T_ Zoning District Flood Plain Groundwater Overlay Project Valuation 3 oov Construction Type !}L'� Lot Size ��`9 S �— Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. l Dwelling Type: Single Family ❑ Two Family.. ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ElNo On Old King's Highway: k Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout Sher &%t Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) t 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 `_.et Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing E new size V!J�SF Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use ., BUILDER INFORMATION x> Marne �OSE N 07FL o e� lephone Number.SpE- 37S',0 2(3 0 LM-dress CA/1 C L14AIT /r�}-Tlf- License# 1 '' a W1-:1 i RARA/STAR LL- ,AA-0�46 k_ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "51GNATURE DATE lq -o k i FOR OFFICIAL USE ONLY PER IT_ NO. DATE ISSUED �� MAP/PARCEL NO. 1 ADDRESS VILLAGE f - OWNER DATE OF INSPECTION: � FOUNDATION FRAME 1 y + INSULATION' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL-.- GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ' ✓ ASSOCIATION PLAN NO. y l The commonwealth of Massachusetts - Department of Industrial Accidents Office CUM estiA8tfnns. - 600 Washington Street _- Boston, Mass, 02111 ` Workers' Com ensation Iusnrance Affidavi,t,,,,::,:: r FL U 0Cati011: ' . •' city u/rs _ EGG hone# sad-3YP_0 9JO •I am a homeowner performing all work myself. I am a sole z etoz and have no one workin in %/%�l c achy a sol�////%%%///%%%%//G%%//%//%//%///%/////%/% // rovidin workers' compensationfor my employees wozldag on this{1.o.5 y:, :n?Yr:Yt>,,. •.•`.22r2Y•'.??;!}!:•i•=K3G;:4:`•k•':?'.••: r:^:•ti::; j{%tfn:;'Scfiy,<:.y•^;},3';%}<::, iS ?:%':v;�i.^T•.c3: am aneraplo9eTTf g :.rh::?: L� :�w4e.. Nx,} f s�>'..4.,o-:.t., {.. 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Faffnre t4 secure eovera;e as nquiredundet Section25A of MGL 152 cari7ea3 to theimposition of erbTdr dpenalties of a ilnanp to 51,500.00 md/or �soiunent well as dvil penalties in the form of a STOP WORK ORDER and a elne of 5100.00 a day againstzne, Imtdersfand thsit a' oneyears'imp atipnsoftheDUforcoverageverification- J Us statementauy be forwarded to fhe Office of Investtg copy of - at the-in ormatian- rasided.nbnue-issrsr� I do hereby fyunderthe-pains-and penaltieY-of-Perjury-th f P _ Date - ►� Signature ,. .. •' ...,'�•• ' .r. • ..t: . _,•�' • , ttt..• •� • l�''-D}3D Print name O Pfioae# ��S - do not mite m this area to b e completed by dty or town omdal ofrLcWwe only . • - •peanif/license# OBtildine Department dtp or town ❑Licensing Board ❑Sdectnet's Ofiic_ contact person f Wormation and Instructions [a.ssachusetts General Laws chapter�152 section 25 requires all employers o lrrovi de workers' orkeervice s'another under any for their oted fromtbe"law , an employee is.defined as everype s F 'express or implied, Mal or = to y5 defined as an individual,ltardaership, association, corporation or other legal entity, or any two or more of .n emp Y en rise -and including the Legal representatives of a deceased employer, or the receiver or ie foregoing engaged in a joint enterp , castes of an individual=partnership, association or other legal entity, employing employees. However the owner.of a ...�, ellin house having not more than three apartments and who zesides therein;-ox the occupant of the dwelling house of ' w g . mother who employs personas to do maintenance, constzuction or repair work on such dwelling house or on �roimds or not because of such employmentbe deemedto be an employer: c iuilding appurtenant thereto"shall MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the isipplicisuance t Who has oriwealth for any of a license or permit.to operate a business or nce w in the r ith the insurance eto construct scoveragee qu red. Additionally,neithbrthe o h not produced acceptable evidence of co p commonweall'nor any of its political subdivisions shall enter into any contract for the perfo=uance of public'work unti acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting Applicants the the box applies to your situation and Please fill%n the workers' compensation affidavit completely,by cog , pply�g company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submiittedto the Departnent•of Industrial Accidents for confutation of insurance coverage. Also be sure to sign and �A ate the affidavit. Is Tb-e•affidavit should•be returned to the city or tawnthat the applicationestions regarding peunit or`�h'cens .yqu d e D artrneaf of Industrial Accidents. Should you have any qn g _ . re ested,not th ep ber listed below: being � obtaua a�torkeis' campensatioitpolioy,Please call.°tlie Depai:tmeiit atthe turn - ale regtvYed,to s VIA City or Towns •+ � �: that the affidavitis complete and printed legibly, The Departmenthas provided a space atthebottom o�tbe Please be sure t the Office of Investigations has to contact you regarding the applicant. Please affidavit for you to fill' out in. even _ " :Tlie a davits xnay16 re to, " t}i peanitT Rn—s'a riimbe�r which will beused as a refeieace:number,� be sate to e "em+ents have been made: b`°mail or FAX unless other ariang; ,. _.,.,�,.. the Departm ,,, Y,,;:-..! . ._ ..,: .°. •- ' ' • d should ou have an .estions. . ce of Investigations would like to thank you in advance for you cooperation an 1� ,. , . The Offs ,.s. Y ,.Y please do not hesitate to give ns'a call. telephone,and fax number, The Department's address,telep _e .• �:,,... .. The'CommonwealthPof Massachusetts , +.4. Department of Industrial Accidents ' �t�ce of lnvestigatlans 6N Washington Street AN.. M111 .. 1 r - i °fZNE F, Town of Barnstable Regulatory Services BAMSTnBLE. ' Thomas F.Geller,Director 039' a g Buildin Division TFD rnP't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230. Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: -5,11 Estimated Cost R 00 0 o0°� 50 Address of Work: 97 W/GL/Hti[I PgrH 7-- t 0,A/_g,4 <<= ^14, a,6U� Owner's Name: 0 S Date of Application://—/(E —C) d2 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 Building not owner-occupied ,Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR JOSt/�f� 1�a7~E�l�v Date Owner's Name Qlbrms:homeaffidav, The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /C� Please Print DATE: /I ! I O JOB LOCATION: 91 W/L1/.9.AtI ah rH I4/L-3 T 3ARNSTA 3 L L= A number street village "HOMEOWNER'::j_oSF)2d 1307-FL-HO spfr-37S—030 9--q 77-313.2. name p home phone# •work phone# CURRENT MAILING ADDRESS: // W"iz_ s}.til v- IL&-S?- i3LQA/STA/3 C MA5 s'Lf, 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. DEFO TTION 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 pro educes and requirements. ature gfHomeowner 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. -- _ O:FORMS:EXEMPTN t Application to ,\(sib Vigbbiap Regional J�ilstoriL �Bifstritt Committee In the Town of Barnstable Q CDCERTIFICATE OF APPROPRIATENESS4 3lication is hereby made,with four complete sets, for the issuance of a Certificate of Appropriateness under-Sectio- ,f Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described belo and on,,plans,�. .wings, or photographs accompanying this application for: . r rn iECK CATEGORIES THAT APPLY: Exterior building construction: New ❑ Addition ❑ Alteration Indicate type of build g: . ❑ House ❑ Garage ❑ Commercial ❑ Other Exterior Painting: Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Ret0t.her nting Existing Sign Structure: El Fence ❑ Wall El Flagpole fPE OR PRINT LEGIBLY: DATE )DRESS.OF PROPOSED WORK ZoT 7 #91 &V Ll%Ar1S R AIH w_B.AssESSOR's MAP NO. / I NNER Sos EAH :I- k A R EN 'QoTF400 ASSESSOR'S LOT NO. 3� JME ADDRESS_W WhI ANS GIRTH W&S T 'RhRwSTRBL L= TELEPHONE NO.Sak -37S=0130 JLL NAMES AND ADDRESSES OF ABUTTING OWNERS, Including those of adjacent property owners across any iblic street or way: (Attach additional sheet if necessary.) hp /11 # d KER Cf RcaJFCcA 4? L s A LANE WEST 13ARpjS 1AJCE hp 111 $1 NONiZ CaCRYI- /`1- 3S liaa LAac' WEST &ARwsTA316- Ap 111 #37 RoAr- WNXt�. R SR: IS wi4l;A S AI-H wEsr3ARvsTAr1 tX 11 3$ W&NT - !LL T WL--ST BANVIT-Aac- hPill #3Q= TROY RoagreT SwEfA/ErY 77 W%LIiAMSeh7-11 U/ES'T 8DPMS'TAaLf AP 111 a� Cf�3SSiDY eoccE6, 35Fa J.Gf{=:SIRe.ET wFs'r hQius 1-A13C� .GENT OR-CONTRACTOR .SoS0P4 3aTE�t�o TELEPHONE NC�k-3'1S-0�30 ,DDRESS 91 WILL%A`MS IJRTN WEST 3ARVSTABt 6 )ESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please iclude locations of proposed signs. Signed /L Owner-Contractor-Agent For Committee Use Only This Certificate is hereby Date 0 5'�-- Approved/ nied Committee Members' Signatur Town of Barnstable ` 01d King's Highway Historic District Committee SPEC SHEET OUNDATION g r• ��"'y �'s..G'� IDING TYPE .fi �D�-� 5� COLOR 11�Ci�-P !HIMY TYPE_ bt/@� COLOR NE tOOF Mp,TERIAL �JNA L AR�6�TE C f COLOR XAt Q C o4 -4E w 1'JR i r'Twoo� PITCH wsrmowa 1/1 NY Cif COLOR Z� SIZE TRIM COLOR ° v DOORS Ut/ COLORS L1z�+i SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS,,---' COLORS SKYLIGHTS —SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape __A si—f-4n nlana, whea ap➢licable. AC-EA : 44 L& s �� N 4 ° %y \ 44 ,� / LOT '7 eD 10 5 � b; °\0/ / L11A OF iyAss Fob '�a s c STEVEN W. �. RUMB H 't.'•` yr. CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATIO FOR SHOWN ON THIS PLAN IS LOCATED ON TB LOT 7 WILLIAMS PATH WEST BARNSTABLE, MA. GROUND AS SHOWN HEREON AND THAT 1 PLAN BOOK 291 PAGE 44 CONFORMS TO THE MINIMUM SETBAC REQUIREMENTS OF THE TOWN C PREPARED FOR BARNSTABLE. JOE BOTELHO SCALE: V=40' r OCTOBER 27, 1997 Weller & Associates t iKd4 Falmnuth Rd. -..finite 4r renterville. Ma. 02632 i34.� M w Y lt' 3 ' rteCi�'y b•/• �C` ok ti Q '�'. ► �► N . ► O I.op C 08gC ,� .. o .. �� c alp . w.c 40 Q 29C 6 iao�'•ae. . /•pZ 3s- 'e ''► O -v ..emu ?� e 9c ee •0 2.e7. Ac t O 30a "• V O � �C 3 R.O, Zak 411Ai O O �C• O O ' zi y 26A%C. a ►.oS Ac e 14 n) 3/ ttO 24e-y g1 O3� 1 h 4 �e 6y AtP., ,De qe l7 d I se v a .94AC-5 ►.oTAc `P ~ rR 8rq o O a Q 6 3 as qo .:� � �• �c - I` el AC. 44 ♦gyp �e AND\ cAst ae:ufa0 72 .84AC. (05 • esn* wee► REV. BY AVIS (p-►►O-4-1) ORIGINAL ISSUE ' — + ON AL 'DRIVE ( 11 1 •r=�. •��=■mot. ��Cu. 0 YR.ARCH.ROOFING YR. 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SCALE V4-■���■t��■ t■�tll tl�tl��t■t7 t7��O1 II■ - -' ■�� �■�I ������ \`��� 1��1���1������1 1�� �1���1 1��������1 LEFT ELEVATION RIG14T ELEVATION IDESIGN DATE REVISION DRAWN BY PUL •ER- JOSEPH BOTELHO 117' 1 ♦ JI 1' 11 - 2r-O, q --- ------- CI >u 4 = a 4 C '-0• '-0'4 FLAT CLG. = _-_----= - •� I 4 m 2 2X6'°PT T T ° VCA - m ' m CATHEDRALT "' • 1P------ u T Q .22X6°PTY 2Xb'°PT " r- aP------- /IHYJ\ TYP.8'DIAM.CONC.RLLEDTIRE48'BELOW GRADEB m 4 in FLAT'CLG. 4 m m Q p 4X4 POST m � m 2Dcb'.Pt FOOTING PLAN _______________________ s.-0. s,-0. r$. . s'-r ram• b'-0• a'-0• FLOOR PLAN SCALE /4 =l'-0• ✓B DES�nS BUILDER: JOSEPH BOTELHO JOB NAME` 91 W�LIAMS PATH DESIGN DATE REyI810N DRAWN BY rn WEST BARNSTABLE MA,02M SHED �-Z- "�T°"tlOfAO1MAOi° - ----------------- ---------- --------------- - ul — 2 2X6'e m m lu — Z 2X6'e®u•OL.-vf _ TYP.HANGERS O 4X9 RIDGE 2X6'e 9 u'OL. ' _ r 2xb'e 6 lb'oLr II II , I i W _ Q ' Q = 2 i i 22X6'e FLOOR FRAMINCs PLAN ROOF FRAMINQ PLAN SCALE '/+ =1'-0- ✓� ��S'nS BUILDER= JOSEPH BOTELHO JOB NAME 91 WILLIAMS PATH DESIGN DATE R�ISION DRAB BY WEST BARNSTABLE MA,02M SHED '�T°' "°�""""� F RIDGE VENT 12 2X5 RIDGE' RIDGE VENT 2X6 RAFTERS®24'O.C. 2X5 RIDGE 10 3/4'PLY.SHEATHING 12 2 6 RAFTERS B 24'O.C. S*ASPHALT PAPER 3/4'PLY.SHEATHING ARCH.ASPHALT SHINGLES 10 50 ASPHALT PAPER au BPACM 0 H'c ARCH.ASPHALT SHINGLES 12 asea.�0Wo " �C4e 6J�24-0 PARM 2 2X5'6 5 R,�Tera R AF.nowoe® 2X4'e 6 24'O.C. 'q 3/4'PLY.SHEATHING 2X4's 0 24'OL. 59 FELT PAPER 'Q 3/4'PLY.SHEATHING COVERED W/C SHINGLES 3-I/1:.. p 6!FELT PAPER RIDGE VENT PORCH 3/4'T/G FIR PLY. W/C SHINGLES 3-W TJJ 12 4X5 RIDGE _ 2X6 RAFTERS a 2 G O . NAILED!GLUED. • i0�. 3/4'PLY.SHEATHING Q 5!ASPHALT PAPER -' GRADE 8 TYP.METAL ANCHOR ARCH.ASPHALT SHINGLES a � . Q g� TYP.METAL ANCHOR a e a o 0 0 s s ,� c CROSS SECTION (C) 2X4'e1024.O.C. o 3/4'PLY.SHEATHING 6!FELT PAPER CROSS SECTION (A) W/C S14MGLES 3-W Ul to OF ARCH.ASPHALT ROOFING s ulb 50 ASPHALT PAPER 3/4'PLY.SHEATHING g g 5'ALUM.DRIP EDGE = s 006 FACIA CROSS SECTION (B) 0C FREIZE BRD. D EAVE 1 EAVE DETAILS SCALE 1'-0° ;eu'"ILbee JOSEPH BOTELHO roB N°ME` 91 WILLIAMS PATH DESIGN DATE REVISION DRAWN BY rc�� WEST BARNSTABLE MA,02668 SHED 09-18-2002 / JB ®TO4T^°X�03b" TEST HOLE LOG o• ` �'! DATE:ZO?,1— P, 1°1a17 P- 89L2 10 I SOIL EVALUATOR: D. r-A\SzrJj CSe co 2-84I Ez:/o3.o WITNESS: GF, DL143rJl►JG, Z,Zc> '� C`.,�a �� �� PERC RATE: < Z 1-11 rJ 114 we 5" oey,vviC G" joy D%/3 A SA,vvy lavy SCAT o E� 40 v ro Y� y�3 B fevcoyo+ti Y Q,/ 1no �yy cz SSA s� ��1 �•rA�v 4o sz, Siva /�z� zsy 7/Z ) /�,, Z, 3Z' _. ND wATE,� C�CacJ.v 7E.�EZ7. T-o. DESIGN DATA C Q #z DAILY FLOW: (IV)BDRMS.z 110 GPD=51/0 GPD r o SEPTIC TANK: WO GPD z 200%=Bg v GPD r o / USE:/So o GALLON PRECAST SEPTIC TANK r t ' LEACHING FACILITY: LLJl / USE: p2yw'ECGS-�-- Q LpT 7 lo1•C �iST 4.��� CAPACITY: 03 , 4c, ,-5 I Z SIDEWALL: Z X o.7v _ /j7.. CP BOTTOM:.r3-',x'33,S ck4,2 ''= 32Z.-3 / TOTAL:: 50_. v /9 CT-P.a:M J x-j'j.ko H OF M O DANIEL1 e?°�t`:.�h• '.;`r' }e;y.•.,.... .. . .._ ..- m -,�+ z .. -...,.r--vim- -`;.�••.•;� --,w,._......- «+r+; ar- r.wnr.. a e.:.„er,n.';;,t�,v9 ' �y,�.r.•w:~ '''�i�,n�d�'" :.F' �G� z. ::.t �.�:r.t.�t +p rNo.3266i6C y NOTES: 1. ALL PIPE TO BE 4"DIA.SCII 40 PVC. " V� } CIST �44' 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION tAW BOX. A9 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN - 6"OF FINISH GRADE. Su V ��� 17 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL S SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE. 2.LAYER OF 318'PEASTONE OVER .YP-1 112•WASHED STONE ALL AROUND TOP OF FOUND. EL. /D,9,o to, 14• /aSo \3,83 ioy,sv /o yzs SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION L� �] I1.1-1AM$ p4 -4 � $ OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR T f r I t °Af TO ANY EXCAVATION OR CONSTRUCTION. �71A►J '�3ocIC- Z 9l ?�4t= �/ 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1&00:TITLE V. 3, THIS PLAN I8 NOT TO BE USED FOR PROPERTY LINE DETERMINATION. DATE: SV tJrc (°� g'7 SCALE: ( �y 4. ALL DISTURBED AREAS TO LOANED AND SEEDER S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS . • G'.�i_9.hC,iyi i=i9�✓�,/7'Y .�._�_ C�S,.:€...�. 7.t�L s•;,;' =y�, r WELLER & ASSOCIATES FET16U45 �775FALMOUTH ROAD CENTERVILLE MA. 02632EL: (508)7754735 FAX: (508) -0754 APPROVED BY: TEST HOLE LOG o-i �3 y DATE:�v tJ� I7� 1°I°17 �- OC Z I �� l L SOIL EVALUATOR:, D• HA1 SaJ► 4� �ti/EZ-103.o FITNESS: 4, t>LWKr 1K G, 3Z 1 <<�i� �� �) PERC RATE: < 2- t-li rJ ►� 4I•-1 I o., -4k 3 te7•� q ,Savoy w a 19 -�'�� ��� �� aCoA�y s,a,,.D 3Z A, /oy/z s/a M 0� o 0 /o yrz �� c co4M y M o .d 35< C Cam • tavp soti�' z,sSy6/y �0,0 cz M q ` �0 iyy` cZ c Ass ��I 6,a 4o,sz, Satin SAND z,�y'/3 .� � ND ivAT� G'.cJCacJ.�1 7E.L'E.0 C=�<C L_ DESIGN DATA 0 #z DAILY FLOW: (y)BDRMS.:110 GPD=5,Vo GPD r "o SEPTIC TANK: WO GPD z 200%=88 v GPD USE:/So o GALLON PRECAST SEPTIC TANK r, LEACHING FACILITY: 1.0 #1 USE:_�-3�5is 8,5'�[ z CSoo�4AG• D•eywEc�..S i�u Gri/y'of 57o�/E Q 1 / --- CAPACITY: ��`� #3 SIDEWALL: f3X Z x o,2v /j7. <,o BOTTOM:-/3'x 33,Sk6,2y': 327,3 / TOTAL: DANIEL 1. 9�yG bk p v N9.32686C y .Q NOTES: I u STEVMVL1. ALL PIPE .. •O9. `Q 2. PIPE TO BE LAID AID LEVEL FOR 2'OUT OF DISTRIBUTION BE 4"DIA.SCH 40 PVC. RUMBA ~ h J SST BOX. er 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE Susol�� 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A `. -•a, GARBAGE DISPOSAL. S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONL 6. INSTALL GAS BAFFLE IN OUTLET TEE 2•LAYER OF"I PEASTONE OVER 314•-1 UP WASHED STONE ALL AROUND TOP OF FOUND. EL. /08.o Lo• 11• / 3 /dS SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES FOR I. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION ' \\ OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR F[D VI I LUAH S PAT4 WET- C�o JJSTABU� I"+�, TO ANY EXCAVATION OR CONSTRUCTION. p(A� 13oOle-- Z 9/ i7ar4e S/el 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1&00:TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE �3OTF,�-4a DETERMINATION. • S000- 1 1117 SCALE: 14- 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. Oc T Z o g p S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. /4O/Z -9 S, T/y— fi��✓�/TY CCE/9nJ .s7��/utiI 5.�ti/L7- WELLER & ASSOCIATES 1645 FALMOUTH ROAD CENTERVILLE, MA. 02632 TEL: (508)775-0735 FAX: (508)775-0754 APPROVED BY: - eooKo?9I pAG� � Y' 1 Locus :�4 Y 1I 2C.: L J SUBDIVISION s ico C--- .SGS 9:r PLAN OF LAND IN .� WEST BARNSTAB LE MASS. AS SURVEYED FOR s,. MARTHA DICKEY �j"Of led r it LLDrO ' a _ 0 LAnMER L.C.LATIMER Ir 4o = SCALE I�=40 t o15.Er{0 JUNE 10. 1974 ft ASSOCIATES 1O sJpJF Q UJ t tp .. y • 6- RE615TERC0 LINO SURVEYOR N �i �- h � f O 40 1 0 O F- 4 � O } a Q •� � GEORGE W. KALWEIT ET,UX 11q n DEED = 8K 1187 PG.101 / I✓'� I'^ a \,PLAN= 8K. 1741v.�29MARTHA V -11• + r' _� rl PROBATE r21912 -` STONE WALL •. -1 S.S5-93- E 7— I ce s °-oisoE 55- l 001 137.080 S ,E,� r• 0 4I-50� 52-;0 �•/ - 8 7.7 ee - 35A0 _ _�E r / 5 6 Z. •40.00 • _ q (0// �• '� 30.t2 - - j22 Q9 �C 2 Cf. hl A 1 A* ,w4 ••v y� Y • �+� Fgll,�� 1p 'e• � � • ee _ �4 • o Al10 O f 1•O J to O N Lot I 0 24 ( OT ? l0 45.ir+'T soft • b, N (1.03 Acres) N Lot 3 51,658 sa.ft ce Acres) ' 54,969sq.ft (1.08 m (1.26 Acres) ''r W .N OO n / � J A Z O . O N N ON W .•r in W � w •� � a t t '• Z • 1, --M 51-30-45 w 94 ED TORN WAY +I�LL - - - — - - -- _ 1 uNDEFIN _ -i- _ TTANIEMI F,iT UX TONE _ E PG 94 3 t • R i s - • SODo j8 4' . i C ��lGnvS '•t T;•Llt 5 40-2�w� l� •J/ . i !/�• ypd N � I� � ' I ° sub:- I at the Date 4 �)S Riill:l�; c�ald 0lti;,e !. H7\l':\SD \:'. ��•:\^�• l:erl' r1 the '{e�n u Imn a BamstatA unard and no j REFERENCE RULER t � • l 1 'r l l► l l.' C Tt)d'X 1:L!RK ZONE=RE ► '11 Z ASSESSORS P6.111 PARCEL 4 i i w I NrC� 4 7 (� ,4B L 15 L15 EVE OETW PA6APNAG.NIp5 8IL 14 t:DEE .' ' 130.21 S:; E - - ' 5 58-27-;5... �. 161.49 fie,: 14 2.30 JJ. iB F 9 I 1D Q � O 01 IA N N ^ Lot I Lot 1 15 Lot 9 54,040t sq.ft (4pj AC, Lot 8 W 50.968 tsq.ft. W (/24 Acres) W �^ 46,757}sq.ft (1.17 Acres) •n •o :�`(' ,I n y (1.07Acres) L 'o 101 2 WqA =Q d Y 2 Y •� Am ow o2 0 Y A� F. •• IYY � . mm = m W 2 0 s0 40-30 r Q,•,J t G _ 4 tp ^s d•99 03-20 N R•30.00• TURN T•3'116, 160.00 ♦ROUKO L•SI.e T• - - - . _ f60A0 IOUs, PATH WILLIAMS --- N 50-40-30 r 506.94• I •o _ • N - i 35.00 • N 50-40-30r 513.32 160.00 �� 16000 92.20 I I. TURK •ROUKO d•e0-36-40 r w.3040 d•i •O T•2S.A0' R'I e L•42.36 C ~ N 4052 0+ N N Lot 01 so�o-sow N Lot Jc N. Lot 6 a07 Ac N � 39,16/ tsq.ft. W 3 LOt 7 1 f (to7 n� 38,377 -sq.ft (_90 Acres) •� ti 40,9121 so.ft W (.88 Acres) W , (.93Actes) •o O O1 •, ^ 2 � U { ti � � es.e6• t .,1 38.9 " - 6 7B� 8 0 310 N S4.4 W 192.94 N I- - N 50-04-35 199.10 f.r•a srowe WALL 1 I 1 1 1 RAY(.' pEEr 1 1 IRY AOAMS 6RANT�y @EEO EBK.II10 PO.130-VL'I "RMSTACLE P ARTnNO SOA20 AMtCYAL PLAN SK.274 /6. 42 914VnT HE SL'::IVIf 011 :TO: LAW "Tc fSf wom N f 'fiN TO CO T 1 - y 'NL !I, ' •iC7�Nr'^-- 1 y - i