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Home My WebLink About0307 WILLOW STREET fJ )r7 bj( (t oc.,,) OxfordNO. 152 1/3 ORA i ESSELT �, 10% r 40 ,> '► Town of Barn`Istable Btilldln �h'... {,`,,,3�' �'`"g��uc...... .b.. ,•f ,"�F.a.".�;. �T+.`a`.� 6 •6*tiR�fi • , . ,$", Post This Card,So Thatrt is Visible.Fromttie Street° Approved°Plans Must be Retamedon'Job an&d^this Card MusL�beKept • ` cYnx� F:: � Posted UntilFinaG,lnspection Has Been M de � x ; n, 3 �x 5 € Fc 6? '; xx*. s .,t: a £ ?_ d r.. .rz&z":E*s.rc« `r x : 1, _,T Whece a CerEificate� 9 O a�nc s q d uck Bu ldi g all ot'be�Occupied until a Final�lnspection�hasibeen made: '` Per it ,Permit.No. 6717-4203 Applicant Name: Mike McMahon Approvals Date•Issued: 12/07/2017 Current Use: Structure Permit Type: Building:-Insulation-'Residential Expiration Date: 06/07/2018 Foundation: Location: 307 WILLOW STREET,WEST BARNSTABLE Map/Lot: 131-020 Zoning-District: RF Sheathing: �� Owner on Record: NELSON, MARK:EDWIN&KAPP,KRISTIE1•� Contractor Name ,MICHAEt T MCMAHON Framing: 1 Address: 307 WILLOW ST Cont a ctor License i CS-068111 2 WEST.BARNSTABLE MA 02668 � � � x�� j n E§r` s ` Z Est Pro ect Cost: 2 400.00 _ E�cJ $ Chimney: Description: Weatherization,air sealing,weather stnppin&and�iblown cellulose Peermit Fee: ` Insulation: :ProjectReview Re Fee Paid $85.00 of final: 1 0 Date 2/7/2 17 Plumbing/Gas p , Rough Plumbing: Building Official- . .. FinalPlumbing: This permit shall be deemed abandoned and invalid unless the work authon d�byyttl is permit is commenced within siz months affer,issuance. Rough Gas: - All work authorized by this permit shall.conform to the•approved application and the approved construction documents fowhich thrspermit has been granted. Rw t Final Gas: All construction,alterations and changes of-use of any building and st ructureszthallk incompliance with the local zoAi g 6y�'G s a decodes. This permit shall be displayed in a location clearly visible.from access street`or�rgoad�and shall.be maintained open for public inspection for the entire duration of the e, a , z 5 work until the completion of the same: b M��ya �+yr ElecfriC81 z The Certificate of Occupancy will not be issued until all applicable sign atures1bythe Bwldmgzand ire Offic a spare%proo ded;o this permit. _- Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing - 2.Sheathing Inspection i ; Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be,completed prior to Frame Inspection Low Voltage Rough: 5.'Prior to Covering Structural Members(Frame Inspection) 6:lnsulation - Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department ca .� C> Final: Building plans are to be aitailable on site All Permit Cards are the property of the APPLICANT-ISSUIED:RECIPIENT S Town of Barnstable RECEIPT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-4203 Date Recieved: 12/5/2017 Job Location: 307 WILLOW STREET,WEST BARNSTABLE Permit For: Building- Insulation- Residential Contractor's Name: MICHAEL T MCMAHON State Lic. No: CS-068111 Address: PLYMOUTH, MA 02360 Applicant Phone: (781) 831-1234 (Home)Owner's Name: NELSON, MARK EDWIN& KAPP, Phone: (781)831-1234 KRISTIE (Home)Owner's Address: 307 WILLOW ST, WEST BARNSTABLE,MA 02668 Work Description: Weatherization,air sealing,weather stripping and blown cellulose lr1 9 Total Value Of Work To Be Performed: $2,400.00 ! r� , c_� Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Mike McMahon 12/5/2017 (781)831-1234 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,400.00 Date Paid Amount Paid Check#or CC# Pay Type i Total Permit Fee: $85.00 12/5/2017 $35.00 XXXX-XXXX XXXX- Credit Card 1417 Total Permit Fee Paid: $85.00 ! 12/5/2017 $50.00 X)M-XXXX-XXXX- Credit Card 1417 ~x THIS IS NOT'A PERMIT . ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION z 1 ' 00o._.. Map 3 Parcel O plication # Health Division Date Issued 4 . Conservation Division Application Fee } Planning Dept. Permit Fee l l U Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 3a-7 (,U i - Village Owner Address '3 o-7 Telephone Soy— laS' ,*Permit Request AJA �'►�-�.ce_ � '�v�y�He weD�Q.� ( SOS r s-n } Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To al new Zoning District Flood Plain Groundwater Overlay Project Valuation R4 Construction Type 00b Lot Size (•SS At— / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) _ Age of Existing Structure I'Aso Historic House: ❑Yes Q1 o On Old King's Highway: GKes ❑ No Basement Type: GWu'll w4awl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z 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: Gleas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes /❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: la existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: GYexisting ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) t Name ct tb (MwaE Telephone Number -S-01f-;LY6 Address 2i`t 1,.. I-E License # 5�� - 6 5 7,T40 4' fk t U J(S I! Home Improvement Contractor# 1'4_lo C Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY - ,y ' APPLICATION# DATE ISSUED MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _.So��.� 0 3 P-yv W FRAME afi2 0 7 1(' l3'Pwtc� " INSULATION - k FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - 'F(IJ —Z Qc 2 kit ? DATE CLOSED OUT ASSOCIATION PLAN NO. ' i i �•�+E Town of Barnstable Regulatory Services „�•BARNSTASM Thomas F.Geiler,Director °r ,►`� Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 PLAN REVIEW Wz,013 0 Zn s7 Owner: /UE c,S o "l-te Map/Parcel: Project Address 347 W it-ww Sri bU5 Builder: A-DW The following items were noted on reviewing: f2las-r 7 qK9 1 InwI-E ��T v� Co ►�r�-�Tn RCs1 z Zl� �ikj -PZ (,ocicS A-A!r us EA Twet, Must' E .o 1�I"st�9-t L EfiLo n A�NG �L�S+N�-Ff T�-t r'zE s 3 osz 4 7' Reviewed by: Date: �A `r. 3 Q:Forms:Plnrvw ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appheant Information / Please Print Legibly Name(Business/Organiiation/Individual): Address: City/State/Zip:.. 6..Vi cam-- Phone #: Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employer,with 4. ❑ I am a general contractor and I 6. ❑New construction ert�ployees(full and/or part-time).* have hired the sub-contractors 2.��am a sole proprietor or partner- listed on the attached sheet. 7. [.Remodeling ship and have no employees These sub=contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [Noworkers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.ElI am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other . comp. insurance required.] *Any applicant that checks box#1•.must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: .Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby,certify under the pains andpenalties ofperjury that the information provided above is true and correct -Sip-nature: Date: Z • Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Y.. Phone#: Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. . Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more .. of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employ' 'employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on.such dwelling house or on the grounds or.building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial , Accidents for confirmation of insurance coverage. A►so be sure to sign and date the affidavit. The affidavit should be returned to the city or town.that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city.or ' town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the' . . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled.out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to.bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions;' please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia Regulaton, Servius Di"ASIOn 'feet Perry,Building. 2 00 4\6 a in S frtuel,1-1 vann is,NIA 0260 1 Office' 50'O-N62-4!)38 Va\' 508-790-6230 Property Owner'Must Complete and Sign This Section If Using A Builder is Owiiex of die subject propcvy hereby authorize J/-a-,C/_1.O��J_.� to act car.in belIjilf, in aU matten,telative to work authotizedby d-tis'build bag pet (A-didtess of job) pool fences alid alain-is are fhe responsibihty of the applicant, Pools ;are not to be fffle-d or utilized before fence is inst;aIledmid all final hisP0 Tons ns re rf rm; accepted, + 11 1-2 Simiature of O-vv 'T signa-Inve of Applivdut (S. Da Le (,'OR�OS:OWNrERPER'li!SSIONPOOIS 6r,.012 i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supcn-isor 1 & 2 FamilY License: CSFA-057540 DAVID J GAILIF�� 217 A TIlVI E9 LN MARSTON ' 8 Expiration Commissioner 12/28/2013 License or registration valid for individul use only i Officc`S.-oi �2BYi es before the expiration date. if found return to: — —_- HOME.IMPROVEMENT CONTRACTOR Registration: .,114561 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: ;10/4/2013 DBA Boston,MA 02116 :a• D GADY CARFCNTFY`"`:' David Gady 217A Timber:n — Undersecretaz, Not valid ithout si re marstons Mills,MA f)2648 :`: g lest modlfled:04/03l13 Anted:04WI3 b mO C:\Userslmcerrelre Date\Lowl\MICMSOMWindows\Tem Intemet Flles\COntsntOutlook\RCORN435\Nelson Se ptcdwq _a O _ _-- o y o I 1 �� 'Oe I \ e ' l I •—F•1./� I I; oZ71— , E = .00 g �` � � � / • o 0 Sa a °' 7` '� o Aga m�� tr et �0 1 �► 0 Ch 1 m z T m m 0 t f o OA, rl tA f , N +o � U LA 54 o f n _ oo . i� I N o - I 1 i I � I ; ' I , FA 4 1HE A p Barnstable Old Dings Highway Historic District Committee „ p 200 Main Street, Hyannis, MA 02601, TEL: 508-862-4787 Fax 508-862-4784 RAM 039. `00 ED` ° APPL,ICA TION1 CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Sdoon 6 of Ch�Ver 470.Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs o1 accompanying this application for: CD� Chec all categories that a ly; cn 1. Building construction: ❑ New Addition Alteration 2. Twe of Building: C�_flouse ❑ Garage/barn ❑ Shed ❑ Commercial ❑ OtheL 3. Extcrior Painting, roof EYnew roof ❑ color/material change, of trim, siding, window, door 4. Sian : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool El Solar panels ❑ Other Type or Print Legibly: Date Fetio t3 r NOTE AU applications must be signed by the current owner Owner(print): W ej,s��n _ Telephone#: 6 Address of Proposed Work: ��) 7 Village "J -136 Map Lot# Mailing Address(if differen� Owner's Signature + "`�L' `► _ --__ Description of Proposed Work: Give particulars of work to he done: F :�c� ��e.s`{•,ci S c,uec�. 4,l `'�..e,plGt� ;,>nasN.v✓'�i �'{'PtL e„.�i'h �t:�'a� �MGu+e� �- at�r+r,1, '��t,lc r Agent or Contractor(print): P�,J1� Telephone#: D Address: 2 t 7 Contractor/Agent' signature: I - For committe usle�lonly. This Certificate is here PIPROVE / Date 21 Members signatures RECEIVED C-- _ � FEB 15 2013 GROWTH MANAGEMENT A®®®®VE® MAR. 13 2013 Town of Barnstault? Old King's Highway Committee1 CABonrds and Commissian.s\01d Kings Hi,dnrar\GKH Applir•ation OKll DRAFT 2W]Cert Appropriateness DRAFT.dor L CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material -brick/cement,other) Geu..e Siding Type: Clapboard ._ shingle— other Material: red cedar . white cedar other Color: Chimney Material: Color: Roof Material: (make&style) NVc14- 1V Color: ly _ Roof Piteh(s): (7/12 minimum) Z tt z (specif On plans fin-n-nevi,buildings, nil'!JO!'a[1C11Jlolls) Window and door trim material: wood _ other material, specify — Size of cornerboards size of casings (1 X 4 min.) color Rakes Ist member tX S3 2::d member I Y-3 Depth of overhang Window: (make/model)_ material color (Provide window sc•hedide on,.,Ban f;r new hllilllings. major(ulditions) Window grills(please check all thal apply_: true divided lights____ ,exterior glued grills_ grills between glass_removable interior_ None Door style and make: material Color: Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: Deck material: w /ood ✓ Other material, specify Color: Skylight, type/make/modeU: material Color: Size: Sign size: Type/Materials: Color: —MCE Fence Type(max 6' )Style_ material: Color: V . Retaining wall: Material: GRIOIO fi''�� !MANAGEMENT Lighting, freestanding on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST RE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,tamp posts etc Signed: (plan preparer) :tb V Print Name 1 ae APPROVED p O:\!Boards and ConanissionAOhl Kings H..q nva.%�(.)K11 Appliratiorrs\UR7l ORAFT'011 Cert Appropriateness DRAfTdor MAR 13 2013 Town of Barnstable Old King's Highway Committee TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_ IFA Ma Applicati6hmcD01., p Parcel' Health Divisi, h Date Issued (—:5 Conservation Division , A pplication Planning Dept. Permit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street-Address Village Owner f MAI& O-Address = 36 eAJ Telephone 6D F*-3 Permit Request &XAJ—h 4 1A11J^_ 'LaVI11- -7/0 Square feet: 1 sit floor: existing—proposed .2'nd floor: existing proposed Total new .. Zo.n' ing District Flood Plain Groundwater Overlay t�yfr P(Piect Valuation 00 0 Construction Type L6i Size 1, Grandfatheried: Ll Yes Q No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family ❑ Multi-Family (# units) Age of Existing Structure b Historic House: W/Yes L1 No On Old King's Highway: L1 Yes /o Basement Type: Q/Full WrCrawl L11 Walkout Q Other Basement Finished Area(sq.ft.)' Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing I 1 newt 6 Number of Bedrooms: existing new Total Room Count (no�ti cluding baths): existing new First Floor Room Count— Heat Type and Fuel: Gas Q Oil Q Electric Q Other Central Air: Q Yes U/o = Fireplaces: Existing--I/ New Existing wood/foal sto v L3 leas o Detached garage: 3/existing 0 new size_Pool: Ll existing L3 new size Barn: L11 existing (anew size Attached garage: 0 existing Q new size —Shed: U existing Ll new size Other: Zoning Board of Appeals Authorization Q Appeal # Recorded Q Commercial Q Yes U No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 64,0�(� AI�A�019 Telephone Number Address b License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# f DATE ISSUED MAP/PARCEL N0. _ r i - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME . INSULATION Swis FIREPLACE ELECTRICAL: ROUGH FINAL -PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT • r ASSOCIATION PLAN NO: - ' ,yam The Commonwealth of Afassachusetis '\ ,Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston,.MA 02111 �r wwiv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elec tricians/pinmbers Applicant Information Please Print LetYiblY Name (Business/Organization/Individual): ' Address: . City/State/Zip: 01 AAAAA i,64( `47,j- Phone.#: Are you an employer? Check the appropriate box: Type of pirojtct(required): 1.❑ I am a employer with 4• ❑ 1 am a general contractor-and 1 6 ❑New construction employees (full and/or part.tim.e).* have hired the sub-contractors Listed on the'attached sheet. T. �odeling .2..0 I am a�otc proprietor or'partner-' These sub-contractors have .' ship and have no employees 8. Demolition ❑ . employees and have workers' working for me in any capacity. 9. ❑Building addition comp. insurance.$ [No workers''comp.-insurance 10.❑Electrical repairs or additions re " ed] 5• ❑ We are a corporation and its . 3. am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required-] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.) *Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c• 152 can lead to the imposition of crimui4I penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the Mk for insurance coverage verification. I do hereby c under the pal penalties of perjury that the information provided above is true and correct. Si afore: Data: l/ -- Phone : Official use only. Do not write in this area, to be completed by city or town offrciaL City 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 i. ®� anon and. Inst�r�ct�®ems Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in.the service of another under any contract of hire, ekpress 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 tiustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states `Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance nth the insurance requirements of this chapter have been presented to the contracting authority." i � Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to youx situation and, it necessary,supply sub-contiactor(s)name(s),-address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with noemployees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the'permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. ln.addition, an applicant that must submit multiple permit4icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town);".A copy of the affidavit;that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out eaeh year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affndavit The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: Tl,o Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations• 600 Washington Street Boston, MA 02111 Tel. #617-727-490.0 ext 4.06 or 1-877-MAS.SAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORK FOR ENERGY EFVICICIENCY FOR ONE,, AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRYJCTION (780 clv> 6x.00) Applicant Name: 1 Site Address: 'print Town: f �G�r ►�► Applicant Phone: Applicant Signature: Date of Application: ./. 6 NEW CONSTRIJCTIO choose 0 0 f011owi11 two'o tions 780 C . TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM •MINIMUM Ceiling or Slab Basement ❑ option 1: Fenestration exposed Wall Floor WalI Perimeter AFUE HSPF S) U-factor floors R-Value R-Value R-Value R-Value R-Value and Depth National Appliancc•F.ncrgy R-1 0, Conscrvaiioh Act(NAECA; .35 R-3 8 R-19 R=19 R-10 O ft . 1987 as amcndcd,minimurr catty as a licable Note: This form is not required if you choose either of the two versions ofREScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.t-,ntrgycodes-gov/rtscht,-ck/ ADD) SONS:bIZ AX,'I l2AP $UIZDrGS O SEARS OLD*TOE G ------------------------------ *)Buildings under 5 years old must.use option#1 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b _ a) SF 100 x - _ % of glazing b a (b) Glazing area equals Sr If •lazin is_: :40%.use the chart beloW. If klazdng is > 40 % proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOB?-RISE RESYDENTIAL BUILDINGS MAXIMUM MINIMUM Slab Pe Ceiling and R_Value luc meb Exposed floors R-Value R-value R-Value U-factor R-Value end De th Fenestration -Wall Floor Basement Wall .39 R-3 7 a R-13 • R-19 R-10 R-10, 4 fee a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not com ressed over exterior walls, and includingan access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the total El glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form found inAppendix 120.P r 1 Town of Barnstable Regulatory Services • Thomas F. Geiler,Director i BAHNSTABLE, HAS& Building Division 9Q i 3.9. �� DATf0 n Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ~ HOMEOWNER LICENSE EXEMPTION Please Print DATE:— 'I— 10B LOCA 10 � ` L village number street "HOMEOWNER": - — 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 ins tion procedur s requirements and that he/she will comply with said procedures and jISignaf Homeowner Approval of Building Official Note; Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be.exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hc/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 forn/certification for use in your community. O:IWPFILESU=ORMSVromcexempt.DOC EVE Town of Barnstable Regulatory Services a IAMMULE, Thomas V. Geiler,Dfrector 0);q- �`�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barustable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of job) Signature of Owner Date Print Name If Property Owner-is applying for permit please-c-- Homeowners License Exemption Form on th reverse side: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 13 f Parcel 0 20 Application# b3 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee- �v Planning Dept. Permit Fee co Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis �'\ Project Street Address 3 07 WIX-c-L-°Q Ste• Village W , B ArV-'^J S4' t-E Owner Mkf-K• N E4-SO4 I (SF-T SSE- P Address 3 a-7 w ST. Telephone J o 11 -3 6 2 - g S'$2 Permit Request -x:�SN*UL 3 .T- duo L.>kv'T S 6uAlt, G*RV P K-&Yb-J Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay kb ur— Project Valuation 4 �i a o'6 Construc�tio Types Lot Size 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 ❑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 0 < Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exis'ing ❑newsize Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: 1 � = Zoning Board of Appeals Authorization ❑ Appeal# Recorded t ❑ > S Commercial ❑Yes ❑No If yes, site plan review# Xr- Current Use Proposed Use C' w u'� r k BUILDER INFORMATION F, Name Ca N 0 LActi Telephone Number ° 2- Address License# Co-cv53T , N A 626 3 S Home Improvement Contractor# l 44`Z 7 6 Worker's Compensation# ALL CONSTRUCT N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -5 SIGNATURE DATE 6 2S o 7 n� FOR OFFICIAL USE ONLY Y — PERMIT NO. DATE ISSUED 'r MAP/PARCEL NO. ! ADDRESS -VILLAGE OWNER o s DATE OF INSPECTION: a FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL — a GAS: ROUGH '- FINAL — FINAL BUILDING .DATE CLOSED OUT ASSOCIATION PLAN NO. i r ' JUN-21-07 01 :34 PM TALANIAN BUNKER INS AGCY 781 659 2499 , r - r �la - a Tom! P.01 ' 6/05./0 THIS CERTIFICATE 16.•I88UED AS A MA R INFO MA Q Bunker Insurance Agency ONLY AND CONFERS -NO RIGHTS UPON E E CERiI IC 2 Washington Street ALTER THIS THE COVERAGE CERTIFICATE ORD D BY E P I , ice B- Well COMPANIES AFFORDING E, E 1 65 8 MA �02061- - .�.. ._.9-0400 •-_- COMPANY - - . I • A-Scottsdale Ins. Co_ o uit Solar A"" +: Box 89 }_. .e Granite State Insurance mean: 4 Old Shore Rd. COMPANY -� o uit _Arbella Protection Ins. COO MA 02635- 428-8442 CO 0 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN fBBUED TO THE INSURED NAMED ABOVE FbR TH POLICY PERI 1 CICATED,NOTWIT►(SjANDINO ANY REQUIREMENT.TERM OA CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH'RISPEC TO WHICH EI{TlFIC NS MAY BE 18SUEp OR MAY PERTAIN,THE INSURANCE AFFORDD BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE tER 8'. IONS AN CONORION9 OF SUCH POLICIES.LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID_CLAIMS. ;I TYPE OW wauRANC! POILCYNUMBER I POLICIIEiFECT1YE POUCYEI(PIRATION' ----- ' DATE(MMIDO" DATE(MMIDDIM LUWmr :I LIAGUTY ` COMMERpAI oENEwu UAsurr CL'S 13 8 4 0 5 6 'GENERAL AGGREGATE s2,0 0 0 06/O1/07 06/O1/08 PRoOum•ComPlapADO e2�000 ' cLNMs MADE CX °C ' PEReowu&A i INAMY OWNERB A CONTRACTOR'S PPOT EACH OCCUAREN(CE e 1 ,0 O O O O° - —.. . ... •- FIRE DAMnaE wq oa.�nl_ s 5 0 . MED EW(Arty one Peiaw) ! :5 O 0: (A C OILE UABALLTY ANY AUTO T/B/A 04/30/07 04/30/08 CO"'NED9mLElltwT 61,OOo10 0 0° ALL OWNED AUTOS - SCMEDULEDAUT08 �� 6 ! MIRED AUT08 —_- __-_. NONOWNEDAUTOS ' W N1nU 8 - PROPERTY DAMAGE S ! OE UABIUTr : AUTO ONLY•EA ACCIDENT i ANYAUTO OTFIER TwM AM ONLY: F . EACH ACCIDENT s__..... AGGREGATE fLumurf I :! EACHOCCUIELENCE S 1A UMBRELLA FORM / / AL3GREOATE - 6 --7 OTHER THAN UMBREIIA FORM Kvm Comp"OAT ION ARP I X 7� 1 p1O1uA°"' Y t/b/a 06/05/07 06/05/08- ELLACNaoENr e500 00 P EME CUTNE 4NCL ELDGEASE•POUCY'uMfT 6.00 •00 • 1, EN A'+E` X I9LC1 EL INSEASE-EA OMIALAYEE s5 0 0 0 0 0 LNL - t ON OFOPERAIIONO/LOCATIONLWEHICLEDfOPECIAL ITEMS _............ �x '- •u� .x _ ...e ........ry ........ .. ..�JLS.aA..-_.... M. .... ............... •.."•�C'K __ lY - twti KW �• �..... � . ; BNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE BR%OIIE • EVIRATION DATE THEREOF, THE ALBUINO COMPANY WALL FAVOR.TO l I DAYf NR1Tra NOTICE TO THE CERTIFICATE HOLDER AMED TO THE LENT, BUT PAUIM TO NAIL SUCH NOTICE SHALL IMPOSE NO OBL TION OR LIA61 OF ANY KIND UPON THE COMPANY, ITS R�AESlNTA AUTHD IMM WIVE u•+ix x• I ' The Commonwealth-of Massachusetts Department of Industrial Accidents WOffice of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C@• -u rc- =jpt b' . C C tti AA-b CJFY s", Address: Pic', f3 rg X 85 City/State/Zip: N i- 0 Phone#: .0 g 11 z F 2 AWreou an employer?Check the appropriate box: Type of project(required): 1. am a employer with S' 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the*sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. El We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions . myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required]t employees. [No workers' 13.El Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating'they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must-attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that&providing workers'compensation insurance for my employees. Below is the policy and job site information. . _ Do/J B v d eV4_ -T-A/jU P--rA✓CJi_ Insurance Company Name: S Y_A-" V_ TY'V S c)RAA jC Policy#or Self-ins.Lic.#: tg 7 4 4 7 Expiration Date: r�2 DO Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby erti under the pains a penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: t{ 2- '` Z Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: L Regulatory Services sT .$ Thomas F.Geiler,Director Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.towA.barnstable.ma.us fice: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT i HOME mROVEMENT 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 vs:th other requirements. Type of Work: sock Estimated Cost 00 6 Address of Work. 3 22 Owner's Name: MK N -S o Cis v�E (L-dM P Date of Application; I hereby certify that: Registration is not required for the following reason(s); [3Work excluded by law ❑IJob Under$1,000 FIBuilding 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 MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIG ER PENALTIE F PERJURY I hereby apply for a permit as the a t of a owner; 6 c5`/67 Date Contractor Signature Registration No. OR Date Owner's Signature Q wpfiles.forms:homeaffidav gev: 060606 Board of Building Regulfio; stt tandards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 146276 Type: DBA Expiration: 4/8/2009 Tr# 131107 COTUIT SOLAR CONRAD GEYSER. P.O. BOX 89 COTUIT, MA 02635 Update Address and return card.Mark reason for change. SOM•o5/06•Pce490 Address Renewal Employment Lost Card ✓lte - ovila Eo9'fusP.(YccK• 0�(LCl9d2C/GUQCI 771 Board of Building Regulations and Standards License or registration valid for individul use only = HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 146.276 One Ashburton Place Rut 1301 Expiration:. 4/8/2009 Tr# 131107 Bosto Ma.02108 Type: :DBA JIT SOLAR SAD GEYSER.• ;: •��;�-ti! � '�"'�-.._ FALMOUTH RD: STONS MILLS,MA 02648 Administrator Not valid without signature Town of Barnstable + ; ReguWory Services t MASS. t Thomas F.Geer,Director ��►�►�' ,, Bm1d.i�ig Division. Tom Perry, BuRdIg Commissioner 200 Main Stiff' 1,v s,MA b2601 vv w w-townbarnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using:A Builder as.Owner of the subject property hereby authorize 6 r I a ce to act on my behalf, in an matters relative to work authorized by,this building permit application for. (Address of Job) I rA��O�L lure of Owner Date Print Name QTORMS.OWNWERWSSION Current Use rrupubeu Abu { BUILDER L\'FORNIATIO I P v t � ,4 i Building ' Style Cape Cod Interior FloorsWide Pine Model Residential Interior Walls Drywall Grade Average Plus Heat Fuel Gas ' v Stories Heat Type Hot Water ., Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Full Replacement Cost $280361 living area 2222 Depreciation 15Year Built . 1850 Total Rooms 7 Rooms Building Style Cottage Interior FloorsCarpet Model Residential Interior Walls Drywall : Grade Average Minus Heat Fuel Electric Stories 1 Story Heat Type Elec „ - Baseboard Exterior Walls . Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 1 w '° Bedroom Roof Cover Asph/F Gls/Cmp Bathrooms 1 Full Replacement Cost $54836 living area 384 Depreciation 19Year Built 1975 Total Rooms 3 Rooms T- ti 1 The Commonwealth ofMassachusetts Zx Department oflndustriatAccidents Q f flce of Investigations 600 Washington Street Boston,MA 02111 www.masagov/dia Workers' Compensation Insurance Affidavits Builders/Contractors/Electricians/Plumbers AP131igant Information lease Print Le 'bl Name g3usinws/organization&uuvidual); ce►` s'�i S°c- Address: .®• 6®x 81 City/State/7#: • - M Pk 0 26,3 g" • Phone M S -.4.2 - �? Areyou an employer? Check the approp Type of 6r ect re uiz_! i : 1',` I am a cmplt�yei with y -I am-a g - -- a=I- 6• N �u n employees (Ml and/or part time)* have hired the sub- 2.❑ I an a sole proprietor or partaer- listed on the attached sl1eet 3 7• ship and have no enployees ' These sub-contractors ave 81. mo ' 'on working for mein any capa'city, workers' comp..' cc g, additi ❑ ' [No wquirorkers' insuranceCamp.insurce We are a cc a ex ed their 0•❑ Ell ctri al rep ' or additions 3.❑ I am a hameowa ong aII work right of ea per MGL 11.. I ' g repair or additions myself.[No workers' co c. 152,§1 d we have no 12. air airs b n=ce required.]t . o workers' rit I c cc requrr PAny applicant that chekl®box#1 must glso fill out th section belo ah g their workers'oompeasation policyiaf rmatioa r Homeowners who submit this affidavit indicating thy ma doing k and then hire outside contractors ffu alaew At iadi Z such GContractors dint check this box must attached an anal she s g the name of the sub-contractors and their w Vo 'on'. Cam an employer that is providing wo cow ensatian insurance for.my emptayees. Ae ' e ollcy an job site lnformadon. lmsmance CompanyName: RAW ?4lILy t'` flI -=.L3C.11F ?y '?")jIt j s 2 87 Tob Site Address: S e6 g e city/ ; Attach a copy of the work ' com ens on policy declar on page(showin policy. umbe d eepar on da#e). Failure to secme.coverage as requir un d_ - eafrri! sition-o . alp alt'ies of a Sae up to$1,300.00 and/or one=year' ' onment,as well civil.penalti m th form of STOP RK 0 $R and a fine of up to$250.00 a day against the ' 1 . Be advised tba a copy of ' sta t may a forward the cc of Investigations of the DIA foi ins r c coverage verif ca 'on. I do hereby ce under the p man Id !ties of perjury that the n ro vded abv s e correct Si tr : ate: 1.0 Phone# itia,ks6 er4. Do fwt• a Ir.ft r.m,to be cample`zed 1�a .or City or Town; Permlt/Litense# Issuing Authority (circle one); 1.BoRrd of health 3.Building Department 3.Cltyrown Cierk 4.Electrical inspector 5.Plumbiva Inspector 6.ether Coemet Person: Phone#: '. � - � ��r7��,� ��w' S � , �t f �� A �� . ;,�`;r,, � $ �.., � .:. v ._ Yi � 1� --�,.. rn �- ��yyy..w•. ,� �.�a._ # ;_ .Li. � ( �.` �`. — • is�. �� - � ,r Jd 7_� �� * �7�i ...ten .,,,� — ��M ��"' � MI l I � I i► • / � f MAZDON INSTALLATION AND OWNERS MANUAL 32 SYSTEM OPERATION The system is operating correctly when, on a sunny day: 1. The controller operating lights are"ON". If not"ON"the system may be fully heated or the problem may be with the controller. Recheck next sunny day. If not"ON"when the switch is in the"AUTO"position, or if it is"ON"all the time,turn it"OFF"and call for service. 2. The flow meter is registering flow. If there is no movement when the controller lights are"ON"turn the controller to"OFF"and call for service. 3. The thermometer reads in the range of 80—160°F when the flow meter shows movement. This would be typical during or near the end-of a sunny day,provided you have not used a large volume of hot water through the day. The thermometer reading should only be done when the now meter is indicating movement. Periodic Checks 1. Ensure that no physical damage has occurred to the tubes and remove any debris that may have accumulated. Wash the tubes if they become dirty. 2. Check the flow and return pipework between the collector and the storage tank. Check all connections for leaks and ensure that all components are operating correctly. 1' 3. Check the system flow meter for,discoloration. The liquid should normally appear green or pink. If it doesn't appear green or pink,call for service. i 4. Check that the system pressure is maintained at 15 psi.If the pressure continually drops below 5psi then check the system for leaks. Closing the automatic air vent a couple of days after refilling may solve this. r Five Yearly Checks 1. -Every five years the Antifreeze in the collector loop should be checked. Use good quality antifreezes like DowFrost. If necessary the system should be drained and.flushed then refilled with new antifreeze. 2. Check the pipework insulation for deterioration. 3. Check the seals where the flow and return connections pass through the roof. Replacement of Tubes Due to the Thermal diode operation of the collector tube,damaged or broken tubes do not negatively affect the operation of the system,but merely reduce the efficiency of that tube. It is possible,therefore,to delay replacement of a tube to a suitable time without major performance loss. Storage tank Drain water from the bottom of the storage tank once a year until the water runs clear. This will remove any sediment that might settle to the bottom of the tank per manufacturers instructions(Owners Manual). Use the tank drain and not the heat exchanger drain for this operation. This will maintain peak system efficiency. Attach a garden hose to the drain connection and place the open end of the hose down a drain or outdoors where it will not harm plants or animals. Open the drain valve partially and let the water flush for two minutes or until the flowing water is clear. Close the drain and remove the hose. Thank you for purchasing a THERMOMAX collector. We know you will enjoy years of hot water from your system! Y 16.2007 1;03PM BARNSTABLE COWECO.DEVELOPMENT N0.877 P.2i5 Appiicdon to 01b Ringo ftbhiap Regional Wotoric Mistrilt Committee BARNSTABLE In the Town of Barnstable TOWN `r' GERTIFECATE OP APPROPWATENESS 07 JUN 29 A 9 :49 Application Is hereby made,with four complete aets,for the issuance of a Certit cat9 of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973. for proposed work as deecrlbed below and on plena, drawings,or photographs accompanying this appRoation for. CHECK CATEOORI111118 THAT A1'PLYa 1. Exterior building construction: ❑ New ❑ Addition It Alteration Indicate type of buiid�tg: ® House ❑ Garage ❑ Commercial ❑ Other 2. Exdeftr Painting: L1 3. Signs or Billboards: • ❑ New Sign ❑ 66sting Sign ❑ Re inttng Existing Sign 4. structure: Q Fence ❑ Wall ❑ Flagpole U Other TYPE OR PRINT LEOIELY: DATE 2-Z—o- ADDRESS OF PROPOSED WORK 3 6 7 yV I L L S7— - ASSESSOR'S MAP NO. OWNER M�U K)�L560 X- ASSESSOR'S LOT NO, HOME ADDRESS a-7 �vy �' G� (0 r P TELEPHONE NO. 5-y ?G 2 6-5-7Z FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent proper♦,►owners across any publid street or way. (Attach additional sheet N neoMary.) AGENT OR CONTRACTOR C iVL�� cv T'"TELEPHONE NO, S-q T _ ADDRF_88�Pd , ..ropy py r 7-- A 4—Q?&,3 S^ DESCRIPTION OF PROPOSED WORK: Give parliculars of work to be done. Including materials to be used. Please Include locations of proposed signs. No S(6,,,V S A-a D 3.6 K Z s d vTjl Gas T S 10 r /*-s A�r�D ir4 f'+-TT7*-C r-0 PL-/0 T-03 n/ 6 8igned _�J OwnerKbntractor,Agent For ComerWe Use Only is Cori ficate is hereAppby rov n edLg D �c MAY 9. 3 1 U 1 nee Members'Signawre4: ��BLE ff� l� .16.2007 1:04PM BARNSTABLE COM/ECO.DEVELOPMENT NO.877 P.3/5 Town of Nbrmtable Old King's Highway Historic District Committee OPEC MMET FOMMATIODT �- BIDING TYPE �L COLOR cozOR r 1/ .C'z5 ��y o ROOF MATERIAL LOR� - winv0w8 y COLOR SIZE TRIe3 DOORS �� COLORS SS>1TTSR8 1 ' GOLOBa Tggg COLORS N MATERIALS DBCl�B � C GARAGE DOORS COLORS 8xYLIG8T8 U �/ C SUN COLORS SIANB I�l�' COLORS / ---•� - __.�. l_U07 ; F} Cg COLOR Name AU out cWletWo iaalsdiag aaacnremegta aged a teiclaid/oolnro es be med. poav—a e�?;aR�eh :1 ;��t F 0= level regoiced for r mittal of as S"llaatlea. 0,1 with Foal aoyW at the pros glao. lsadfodpa plea and O&WAti1ta plane. +1114ee epplloalbla. 6!>>C9M'P Aevisa�d lei/se TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'' E1� Maps t� ;_Parcel 6 2_c� T Permit# Y 8 / -7 /HHealth Division al �yl�'� 2t�o3 —SSA 1 'n '1,6bate Issued '� eg °`9y Conservation Division b � 3 103 I• [,Application Fee Tax Collector i Permit Fee - _ SEPTIC SYSTEM MUST BE Treasurer "•INSTALLED IN COMPLIANCE Planning Dept. VM ENVIRONMENTAL CODE AND t Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address ,307 (AJ J�J U NL. Village w Owner mul �� • ��v�s'�c c, Address sv"O� Telephone Permit Request ` ��'vu• 4 Square feet: 1 st floor: existing proposed C318 2nd floor: existing proposed otal new Zoning District Flood Plain Groundwater Overlay Project Valuation ZK Construction Type L�.3r�d t °— Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O., Two Family ❑ Multi-Family(#units) Age of Existing Structured Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Drull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION t Name I �� Telephone Number �'4Z�-6 f f Address License# 6,57,SKYC) Home Improvement Contractor# Worker's Compensation# _ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE K0 `f FOR OFFICIAL USE ONLY 5 " PERMIT NO. DATE ISSUED � 4 MAP/PARCEL NO. ADDRESS VILLAGE OWNER ti } DATE OF INSPECTION: FOUNDATION -'111g1W041 ? SAW Pilie,- O,G FRAME l INSULATION +- FIREPLACE 'y ELECTRICAL: ROUGH FINAL in t PLUMBING: RC FINAL +D GAS: ROMM5 FINAL COD m� - C FINAL BUILDING ` Q m 0 m061 o00 r; DATE CLOSED OUT `t m N " " ASSOCIATION PLAN O. r ► The Commonwealth of Massachusetts u =- ( Department of Industrial Accidents F 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit-General Businesses IMMM111101 %///%O//////%///// name address:Citv � V' aV-1z.� -`"VlJ state: "" zip: ®z'z/ap phone# work silz'lbo ation full address): Eilfam a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Bating Establishment working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an em to er with em loyees(full&part time). ❑Other j %/////%/%%%/%/Oi'/��i././l//%/% %%%%%%%�%%%�/%%%�/�%%%//%%%%%/%�%%/%/ I am an employer providing workers' compensation for my employees working on this job. company Dame: city phone# .insurance.co:.: ..:; ole. .#.: I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name: "'' ' ' address: city:. phone#' insurance co. := / go :W. ' /// /. .. / companv name address citve:. :`: . :.: •. .. .. phone# iiisuratic<_eo. olicv#F,'' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce under the pa and n ties of perjury that the information provided above is true and correct Signature Date �z"6 ,d L fi Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Buildi7Board check if immediate response is required ❑Licen p q ❑Select❑Healt fs,` contact person: phone#; ❑Other (.vised Sept 2003) S 4 ' E. i 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 work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to 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 con nonwealth 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. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe 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 Departrinent 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 pernrit/license number'which will be used as a reference number. The affidavits.may be returned to the Department by mail or FAX unless other arrangements have been made., The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lMS11980e118 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 oF�NE, Town of Barnstable Regulatory Services I gAgTjS ABLE, s Thomas F. Geiler,Director %639. � � Building Division 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. • of Work: �bEstimated Cost 7 b� Type Address of Work �3L3 7 (,Aj Owner's Name: Date of Application: 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 UNDERPENALTIES OF PERRIKY I hereby apply for a permit as the agent of the owner: AJ. . -1/1 Date Contractor Igne Registration No. OR Date Owner's Name DF Teti Town of Barnstable Regulatory Services S UMSTAI LL t Thomas F.GelIer,Director KAM 9�jP116.19. � Building Division _ bb M1'• Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624Q38 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as.. �vner..of the.sub'ect ro O - '• ��4; : . .to'act on m behalf hereby authorize y in all matters relative to work authorized-by.this-building.p er=it.applicationtfor: 30-7 - (Address of Job) 6 If Signature of Owner Date Print Name _�:- -- TIONS BOARD OFTRUCTION SUPERVISOR j License: CONS Number G 057540 BirEh7afej Qfj955 1 Tr.no: 0550 `. ` P sa 121r0 i3 � A i I Restric ea�-- ` DAVdD Ip;NE 121 TIMBER Administrator �:; IVIAktSTONS MILLS, �L02 r r_ 'Yrfii � 74 Board ofCtdldin °��/%�4a gRcgnlah nsand•Standards i HOME�I'MPROVEMENT CONTRACTOR ' Regis I I Ex_iratibn; 114561 y 0 _. �i %4/2005 p' rYPe IndiGidual DAVID GADY i CARpENT.RY David Gady ' 121 Timber Ln ^- Mars tons Mills,MA `---,_ Adrtiinish ator ;^r m- M• -7' ce G, CA s D 61 r . 1 U i >r - s GENERAL NOTES 5-DIA.OUTLET(S) REMOVABLE COVER •_ is .: - - FINISH GRADE OVER D�OX- 38.9' FLOOR EL= 40.6' PROVIDE PRECAST CONCRETE EXTENSION f �l✓' ;y•Lrf d f ,�,.'�- '{ 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION RISER WITH CONCRETE COVER TO WITHIN a�.tr} L,�v'q ��1°�.+�• r,. r t+'''(��t, Sv"�r°/'� METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE 8'OF FINISH GRADE WHEN NECESSARY. a♦ ' ti ~ ti � 1+ -♦ "stiaeCl"sd'••l 1 ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. >+ a tte' .e FINISH GRADE OVER TANK EL- 39' 38• -'"'S`' 'LCr t s lgY-,r �'�'1„ Y f / ,Y 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ,{ '� K M ct ' y �1� -�AVF« 'tom, �-, OF HEALTH AND THE DESIGN ENGINEER. 20'MIN.ACCESS COVER }S,4C '♦(7i ,1,vN'+ er �rt1' ru (TYPICAL FOR 3) •y.,) .� �Y ko: 1�pnutalae�• I l �'� PROVIDE WATERTIGHT 3. 4•SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL PROPOSED 4' soS s .LOCUS BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. SCHEDULE 40 PVC 4'PVC IN FROM JOINTS(TYP) l t �vt7t•�,,4 t ''D^-r'P_ t f�i .��_�pp�'" i5 �L�J�1•'('t,�� q, THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL AT 0.7%GRADE ¢J♦lJ'- dr�k+ SEPTIC TANK 4'PVC OUT TO ,,r.• t iS> y Y s l 1.-or ,�J •-.r S. 3'DROP MIN. 3• 8' LEACHING FACILITY L,.•. , '�43 j ,* }' s �f•' / �I t Y j?�`^��yJ�-_ 5. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED 1Y• P' I.J'y�rf an ., t Y.i, +I 1 AG.f ` --+es 1 PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND 36.93' 14• 36.52' 36.50' 36.34' ��, :z s� `�� *— w aD i!; {e C yes READY FOR INSPECTION.SYSTEM IS NOT TO BE BACKFILLED r, r y� ♦t y Frc•?yy •S �, WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH ems^ (. rL .,,5� 11° 3y - ,:�'Y7 AND DESIGN ENGINEER. 36.77' 8 CRUSHED STONE vl` ` =L 7f� lyti t a ? �' OVER MECHANICALLY ,ql f '4 •L�7 t q�L"7;. %r tY 49' OUTLET TEE COMPACTED BASE 31 •-^j''� '` i P l^': r+c-; -k �5T' �°� a'b L �f •, ( 1 v ��, •' I 8. ELEVATIONS AND BUILDING LOCATIONS BASED ON FIELD SURVEY 1'�' "°' V- ).� ♦- �(` I ♦ 'F' �(e'� f �I�'"r�'•... 4 BY CAPESURV,HYANNIS.MA. y> ti �� t(ti♦�yEP- JP 7 ♦ ,t a^' 7. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION s I�♦�� , 0.•(y�'4r 1 �,, tom' - ♦"�.e° S t r• THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE >' 1 Z^ �'y r '�� 3 +1 iu�� ♦ -� a AT 1-088-DIGSAFE AND ANY OTHER APPLICABLE AGENCIES.REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. 3/4'-1 1/Y CRUSHED STONE BASE yit ',�-• b xL' CROSS SECTION VIEW t<$�^ :�� c C nvP> V/ ^ S. NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR PROPOSED SEPTIC TANK PROFILE i,, } Fr �` t d y � 4 3 LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE WATER TIGHT SEALS. NOT TO SCALE EXISTING DISTRIBUTION BOX DETAIL "�� f �` `�•� -'� � J ib t�,•I � � � ) �'Rtb'ki t�<•„ >= �os-.�.:{�� ."_ �;e_.ti B. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK NOT TO SCALE ZONING REGULATIONS. OWNERIAPPUCANTISTOOBTAIN • LENGTH 11' WIDTH�- DEPTH �'1" SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. LOCUS PLAN 10. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT,DUST AND FINES. SCALE:1'=4000• 11. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 12. THE EXISTING SEPTIC TANK IS TO BE ABANDONED IN PLACE.THE BOTTOM OF THE TANKS SHALL BE RUPTURED AND THE TANK SHALL BE - — BACKFILLED WITH CLEAN SAND. 13. PROPOSED PROJECT IS LOCATED WITHIN: INV. EL. RUN SLOPE / / / S `3j485ga E\ — — \ ASSESSORSMAP0 131 LOT# 20 OWNER OF RECORD: MARK E.NELSON 307 TRE FIRST FLOOR 40.8' 71848' _ / ADDRESS. WEST BARNSTABLE,ET MA 02WB BUILDING SEWER 36.93' 25.78 0.62/o o Note: Exact location of existing Q - / sepfl.c_components are to be PROPOSED SEPTIC TANK-INLET 36.77' / / >erified 11nthe field PROPOSED SEPTIC TANK-OUTLET 36.52' -- _ \ Proposed Gann / LEGEND 3.74' 0.50% 47,eLO - SeocTank gFi ja EXISTING D-BOX-INLET 1 36.50' 1 1 1 ustfgDismWdon \ / re-set to be naet(match mdang EXISTING D-BOX-OUTLET 36.33' g elevatio ) \ /3 / \to be t Tank�i r\ Q Q Q PROPOSED 1500 SEPTIC TANK / to be abandoned /f � \ . Jg Q -1 4'SOLID SCHEDULE 40 PVC PIPE X- ;\\\\\\\\\\\\ _ ' DISTRIBUTION BOX \ �-- X----x_ S l , FF AO s Sg 9 Q40 40 \ \ ® EXISTING WATER SUPPLY WELL fT I? 42 Z�\ \\\ \`` \ / REV. DATE BY APP'D. DESCRIPTION St /f`J \ \/ O w APPROVED BY: PROPOSED SEPTIC TANK Owe/ling w \ v RELOCATION PLAN \ \ A307 \ a,_ . qc \ \ c TH OF I(fgss PREPARED FOR Mark E.Nelson RICHARD A. `r� LOCATED AT C CIVILLAY OR N 307 Willow Street NO.45116 West Barnstable,MA 02360 ��FF9FGIS7ERE��k``Q APPROVED BY: SCALE: 1INCH=20 FT. DATE November 7,20W x SITE PLANSS�ONALEN�'\ 0 10 ]a a SO FEET C PREPAREDBY: SCALE:1'=20' _ HORSLEY&WITTEN,INC. / L X— \ c ,Q�— �- 90 ROUTE 6A X ` J ASdESSOR'S MAP# 131 �- SANDWICH,MA 02563 / ) 1 508.833.6600 Raven Br.JN D.OW 1 BY.SPJ CMtlmd BY JOB No.:3144 04 ArN 2 7 PM 3: 02 rlr It IIl.1 91`l"0 L,i ':TOWN Town of Barnstable -Historic PreservationDivision Old Kin s Highway Historic District Committee WWWAB 200 Main Street,Hyannis, Massachusetts 02601 (508) 862-4786 Fax (508) 862-4725 Modifications to applications made at a public hearing: The application located at U) Map '3 7 ro , Parcel O' -S was hereby approved with the following modifications: '-� - - - .21% ee5tZ. 4 IA Signed: �lrYt�.'wr -�C OCevw t { OKIJADC Member Date: Application to. ®Yb 3.fng'o q f bb3ap 3Uyinnal 3bfotDric Mi0tritt Cnm ' 9 NOV 17 2003 In the Town of Barnstable. TOWN OF BARNSTABLE OLD KING'S HIGHWAY CERTIFICATE OF APPROPRIATENESS lication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section : Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, wings, or photographs accompanying this application for. ECK CATEGORIES THAT APPLY: - Exterior building construction: ❑ New ❑ Addition Alteration Indicate type of building: House ❑ Garage ❑Commercial Other Exterior Painting: ❑ / Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Ret nting Existing Sign Structure: ❑ Fence ❑ Wail ❑ Flagpole Other !PE OR PRINT LEGIBLY: DATE 7 , �.. '63 _ � )DRESS OF PROPOSED WORK O7 Wi(l tlow ASSESSOR'S MAP NO. . 1 _ NNER ASSESSOR'S LOT NO. 2� tt 36a —�5�2- JME ADDRESS ,02__Ldflkw S� � ��STa�� TELEPHONE NO. .�II� JLL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any iblic street or way. (Attach additional sheet if necessary.) �pudoh } C4ro LIVI, So�J lA_)e 8f- "J d4 - L Cr a�$ wJJ EaVO s ,� etas C Sy Qwo e 113 -- ,GENT OR CONTRACTOR TELEPHONE NO.(u a8 --4 G j 0DRESS Milk ryl a, )ESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to. used. Please nciude locations of proposed sins. - . ,. Signed Owner-Contractor-Agent For Committee Use Only This Certificate is herebyC—'pr�oQMIED AS -7/�— 'ApOv MOQIF D e / n1e A Committee Members' Signatures: . w: I Town of Barnstable ' Old King's Highway-Historic District Committee SPEC SHEET ►UNDATION 8t•(�n S n Wad CDING- TYPE L(�,A COLOR alWk;e& I►JLr 1JMJ 3IMNEY TYPE COLOR OOF MATERIAL A7 p k � COLOR Ate lc 'ITCH 02 �INDOW$y(7 _COLOR SIZE rRIM COLOR DOORS !v y COLORS SHUTTERS COLORS b ete - COLORS (,UflytQ� GUTTERS _1Xltin't DECKS_ ' MATERIALS /y MATERIALS GARAGE DOORS COLORS COLORS SKYLIGHTS L wAl _SIZE COLORS SIGNS 00 COLORS FENCE /V A- COLOR ements and materials/colors to be used. Four copies of this NOTES: Fill out completely, including measur i form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. F c ' �"E The Town of Barnstable Department of Health, Safety and Environmental Services BAROts ABM Building Division re� ,0�' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: IM Name: Q' Phone #: (Q56S-) 3 to J Address: 36:2 IX ll/� Village: yV � K Type of Business: Map/Lot: 13 I Q Cl d INTENT: It is the intent of this section to allow the residents of the Town of Barnstable tz operate a home occupation within single family dwellings,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Je Such use occupies no more than 400 square feet of space. f• There are no external alterations to the dwelling which are iuot customary in residential buildings,and there is no outside evidence of such use. Jo No traffic will be generated in excess of normal residendai voltunes. ✓• The use does not involve the production of ofrensive 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 Ctstornar Home Occupation. ,/• t 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. L the and Icd/have read and ee with the above restrictions for my home occupation I am registering. Applicant: Date: 14I /O Homeoc.doc TO ALL NEW BUSINESS OWNERS ' Please Fill in: APPLICANT'S NAME: r ) �i� HOME ADDRESS: o /ow F TELEPHONE NUMBER: (Please give us a number where you can be reached) NAME OF NEW BUSINESS m..o SQ U a r TYPE OF BUSINESS IS THIS A HOME OCCUPATION? : ADDRESS OF BUSINESS. `2 MAP%PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of ' Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has b 'informed of ermit requirements that pertain to this type of business. �uthod�Sign��a� COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual h en informed of the per it re irements that pertain to this type of business. Authorized Signature Z COMMENTS: �� 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for • years). A business certificate ONLY registers your name in the town of Barnstable - it does not give you permission to operate - you must get that through completion of the processes from the various departments involved. I' I� . - nP„r lard flnnrl Map J Parcel C) z(7 Permit# , House# �O'7 Date Issued —� a� 0 Board of Health(3rd floor)(8:15 9:30/1:00--:39j - A Fee A. 0 Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) IKE Definitive Plan Approved by Planning Board 19 SEPTIC S • SIA�Ci: INSTALLE a TOWN OF BARNSTABL�NvIAONME ®DE AND Building Permit Application TOWN REGULATIONS Project Street Address 901 -W, )I o W Village Owner C Gl-)C-[So,U r- b6rs , 1,C� Address _ Telephone 36 2— 6 S82 II ~ r Permit Request 6 ��, S 1 Cel c�6 :First Floor square feet Second Floor square feet Construction Type W000 Estimated Project Cost $ ?�.ywo Zoning District f� 1:�_ Flood Plain A(J Water Protection u 1A Lot Size 1, SS a.0 ve-s Grandfathered ❑Yes ❑No Dwelling Type: Single Family f Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 SO Historic House ❑Yes ❑No On Old King's Highway I'Yes ❑No Basement Type: b Full ❑Crawl ❑Walkout I Other 14e 4 t �\ I Wn Cyzn1_W I Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New p Half: Existing � New No.of Bedrooms: Existing New 0 Total Room Count(not including baths): Existing�New First Floor Room Count 5- Heat Type and Fuel: ❑Gas `0 Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing ', New Existing wood/coal stove ❑Yes YNo Garage: Detached(size) Z 't 2 S Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None AShed(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 Numb 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 EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I BUILDING R DENI OR THE F REASON(S) 0;2, to FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ° FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROU- H «` FINAL JwFINAL BUILDING *saw DATE CLOSED OUT ' ' _, } dU ASSOCIATION PLAN NO. I MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non_Electric Resistance) DATE: 4-24-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 21 Your Home = 18 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 212 30.0 0.0 7 WALLS: Wood Frame, 16" O.C. 112 15.0 3.0 7 GLAZING: Windows or Doors 11 0.400 4 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer/s �/Ll2 �� Date '0q v'(l Ff'0- MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 4-24-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified ;< < in sections 780CMR 1310 and J4.4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- a� The Town- of Barnstable r� e� Department of Health Safety and"Environmental Services Eck Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: � � 2 10062 Est. Cost 25, yc>(D Address of Work: -3n-? LA), l�csfkc LR� wner's Name U,)e(socy ate of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ' Job under S1,000. Oilding not owner-occupied wner 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 Date Owner's Name • _'�"�'' The Commonwealth of Massachusetts i-=' :: == —= Department of Industrial Accidents _ office 011alr95#919011S 600 Washington Street � --- -, Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name• C , fio Soa-) a/ location: (o,1 J ci b—) - hone# Z �S I am a homeowner performing all work myself. ❑ I am a sole pro ne, and have no one working in anv capacity %% %%%%%%///%%%%%%%/%%%/%%%%%%%%%%%%%/%%%/%////%//%%%%/%%%O/%//%%%%%%%%/%%%%%%%/%%%/%%%/%%%%%%%%/�%�%%%%%%%%%%�///////, ❑ I am an employer providing workers' compensation for my employees working on this job. company name address: city phone#: •,.. . insurance co. ohcv#- ❑ 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: conivanv name address: _. city.:. phone#:.. oLcv insurance ca G%/// company name address- p ci1W hone#:. insurance cor. o icy# ; :<>::::;:<::<::>:.':::.':<::>:::;. ��. .10 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 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. I do hereby certify under the pains and penalties of per'ury that the information provided above is tr and correct Signature, Da �H Pp_,L Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Bullding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Infor mation and Instructions i 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 1 of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 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 penmit/license number which will be used as a reference number. The affidavits maybe returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Imlest1gatlons _ 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION le -se print. AT JOB LOCATION �d W 0003 Number Street address Section of town HOMEOWNER" Name Home phone Work phone . . PRESENT MAILING ADDRESS p vJ " •' . 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 1 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 Sta 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 licensing 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* acti. as supervisor is ultimately responsible. ,. To ensure that the Home Owner is fully aware of his/lier 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. t, A. Application to Old King's Highway Regional Historic District Committee in the Town of Barnstable for a 199 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 ❑Alteration Indicate type of building: ® 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 March 10 1998 ADDRESS OF PROPOSED WORK 307 Willow Street, W. Barnstable MA ASSESSORS MAP NO. 131 OWNER Mr. &Mrs. Mark Nelson ASSESSORS LOT NO. 020 MAILING ADDRESS 307 Willow Street W. Barnstable MA 02668 TEL. NO. 508-362-6582 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). SEE ATTACHED LIST AGENT OR CONTRACTOR Fenuccio& Richmond Architects TEL. No. 508-362-8382 ADDRESS 923 Main Street Yarmouthport MA 02675 DETAILED DESCRIPTION OF PROPOSED WORK. Give all particulars of work to be done(se 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). Proposed 26'x- 6" long shed dormer at South Elevation and 2 -30" x 39" new skylights at North Eleva 'on y d�7 Signed3/1V�7 v Owner-Contractor-Agent S ace below line for Committee use. L, Received-by H.D.-C- -_- Date- The Certificate is hereby Date - - Ti . 1[0.1998 , - 6y Approved 0 IMPORTA If Certificate is pp roved, approval is subject to the 10 day appeal period provided in the Act. Disapproved 0 Town of Barnstable Old King's Highway Historic District Committee I SPEC SHEET FOUNDATION NA SIDING TYPEW.C. Shingles/Red Cedar Clapboards COLOR CHIMNEY TYPE NA COLOR ROOF MATERIAL Asphalt Shingles COLOR Match Exisitng= PITCH 4 : 12 WINDOW Casement Type SIZE 2' - 6" x 2' - 6" TRIM COLOR White DOORS NA COLOR SHUTTERS NA COLOR GUTTERS Aluminum(White) DECK NA GARAGE DOORS NA COLOR SIGNS NA COLORS FENCE NA COLOR NA - Not Applicable this project 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. Plot plan need not be "Certified"except for new homes,but should show all structures on the lot to scale. SPECSHT Yp: F Ga1i: brJ eY�Vi3i< r IafGFI"'t x, I Y 3 r74+p b0. we I9 151. 1x� g�ti.�� r.. I:, -` �O�$L",�!.✓J� PI.Y1^1QT0 � �( GLf•Gri�°i- 6�Y' TO � � �"- g �� ,• � ��- _i,l,.Gont�i I�71 orJ _ .Y n n n GR?A. `C.a1�d1 QYtrr jfla t,E-'—_-. a { � f�IrJ ?o MATGf"I' Igo Oi. 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Q�oFTHETo�y Sewage Permit number .......fl... re�' t75/ �� T ' S BABB9TADLE, i douse number ................... .. a.7............................... v rasa O,K,C 00 1 639. \e00 TOWN OF BARNSTABLE BUILDING,,- INSPECTOR APPLICATION FOR PERMIT TO/— ...... ... .........:..0 .............�:'2..:�.f:3.......... TYPE OF CONSTRUCTION ........... .......... .....�..�./6 2)D...................................................................................... ............ .....1......-..............,9 ./. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according two the following inform tion: Locationk-J !�l '... .........�.�.�.�. ..........�................ . ............ . . ......................................................... ProposedUse .......1' ...... 4070 `"�................................................................................................................................ S ZoningDistrict ............... .....:...................................Fire Distract .......... . ........................................................... Name of Owner .... ....� ................. ..... Address ............. ......................................... Nameof Builder" ....................................................................Address .................................................................................... Nameof Architect ......................................................:...........Address .................................................................................... Numberof Rooms .....................® � ............................Fouradation .............................................................................. Exierior .................Roofing FloorsS�'...................� ....................................................Interior ....................�.......................................................... Heating ............-......... .!! .._ .....................Plumbing Fireplace ..................................................................................Approximate Cost .............................................................0 Definitive Plan Approved.by Planning Board -----------____-----------____19_______ . Area .......R ...................... Diagram of Lot and Building with Dimensions Fee ........... .�:0............... SUBJECT TO APPROVAL OF BOARD OF HEALTH L I OCCUPANCY PERMITS REQUIRED FOR NEW 'DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ��o Name ........... ................... PPI CKERING, GORDON ICI��3? SUN ROOM I .-VNNo Pbrmit for .......................... Single„ Family Dwelling ...............................................j............... Location 3.0.7...W.i.1.1.ow....Street.................. W. Barnstable ............................................................................... Owner ...Pickering. . . ....................... Gordon ....... ....... .... . .. Typeof Construction ........Frame.......................................................................................................... Plot ............................ Lot ................................ -Permit Granted ...April 21, .........19 82 ....................... Date of Inspectiond---,g 19 Date Completed ................... 19 Application to ` .. - 6o�NOa��P HKpStEP�`C S _ 6 VE E,HS�pP EpN �. Y 9P E�1NP�' Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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 ❑ Alteration ,Sun room Indicate type of building: ❑ 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 'I" I/16/81 I 307 Willow St. W. Barnstable 131/20 ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. I OWNER S. Gordon Pickering ASSESSORS LOT NO. 1 31/20 HOME ADDRESS 307 Willow St. W. Barnstable TEL. NO. 362-3169 I 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. F. Cary Willow St A. Nydam WillaAr St J. Crocker Willow St C. Maynard Apollo .Drive AGENT OR CONTRACTOR Self TEL. NO. 7�2-3160 ADDRESS as above DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8, other side), including- materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed IS. Owner-Con tractor-Age ac I 1' Ae use. OKH HIST. DIST. / Date BARNSTABLE The Certificate is hereby to 1� �7//a/ y Time J ' By NOV ------ �i ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS fihe 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. 1 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. I 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. Assessor's"map and lot numbed", .� .�L..� .:�..K... rNET 0 0 Sewage Permit number �/ d EAR33TABLE, i Idouse number ................... .. °. .............................:.:.. "b a " }9• \0� 0 MAY a' EB`ARNSTA�LE TOWN OF : .' BUILDING INSPECTOR APPLICATION FOR PERMIT TOE c�� 13................................................................ ............................................. TYPE OF CONSTRUCTION 'S..................................................................................................................................... .............. /.:�........ ...............19 .! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according too,/the following information: ......................Location ........S......... ....w.................................................. / .................. Proposed Use ........ ... � ...r ... Zoning District .............Fire District 4). ' `S' ........................................................... .............................................................................. Nameof Owner ..........<.............................................................Address .......... .............................................. Nameof Builder• ....................................................................Address .................................................................................... Nameof Architect .......................,.,...........................................Address ......................................................I.............................. Numberof Rooms .....................v".IC..............................Foundation. .............................................................................. c Ezlerior ............ ..r�. 5..............................................Roofing ................. 1�..W1,,,,........................:............. S Floors ................... .. IVA.................................................Interior ...........:....................................................... .................. `'.........:..................:................. ::.Plumbin ................ ..... y Heating g .................................................... .............................. ` Fireplace ................. ...................Approximate Cost........ .................. f Definitive Plan Approved by Planning Board ____ ____`_____-----------19_______. Area . ...................... Diagram of Lot and Building with Dimensions o `"'�•� Fee ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 2. 2— OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1 Name . . .. '-...........................................................= PICKERING"r GORDON A=131-20 23-972 ADD SUN ROOM No ................. Permit for .................................... Single Family Dwelling ............................................................................... 307 Willow Street j Location ................................................................ ...................W1...... .......................... Owner ......Q.Q.VdQX11...Piqhp.riAg.................. Ty0e of Construction ...FiCAMe......................... ............................................................................. Plot ....... .................... Lot ................................ -Permit Granted ....2.1.1.................19 82 Date of Inspection .............19 Date Completed .......................................19 kr LSr _ g3 / C>C> /0 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map +. Parcel Permit# Health Division ��NF) A8LE (1)Y7 10 3 cC�3 -555` 3 �� Date Issued ��'3 Conservation Division VAX ,. " '`''4 ' �,A F ; 1: , Fee Tax Collector Treasurer - L::JISfU �° PTI SYSTEM MUST BE Planning Dept. U STAILLED IN CompLIANcE r Y Vl4ITIb TITLE S Date Definitive Plan Approved by Planning Board C 6ENTAL ®DE AN Historic-OKH Preservation/Hyannis �� _TJ REGULgil;0N3 �+ T • • ,/' i !^ III Project Street Address 3®-7 ("..A t(&W :"54-f Village Owner tJ ets®,,, (i�ys ', Address` W' (/6-1a Telephone Zoe- Permit Request cl�- o�cs� Ao�•ov�, `I J Square feet: 1 st floor: existing 1463 proposed 6_ 2nd floor: existing &? proposed Total new 1614 Valuation `�® ' Zoning District Flood Plain Groundwater Overlay Construction Type (130:5>b Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. J Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 94® f 17Z) Historic House: ❑Yes U40 On Old King's Highwa : O Yes W40 Basement Type: ErFull 'E-3"Erawl ❑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-3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: U'Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes QM6 Fireplaces: Existing New Existing wood/coal stove: O Yes. ❑No Detached garage:O"existing ❑new size Pool:❑existing ❑new size Barn:❑existing O new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes CYfQo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ��;b Li4by Telephone Number At>_g- r3 f Address Ri ��-�- License# CX5-7v 40 Uw 40.4 s 01.v(,(s Home Improvement Contractor# C 1 Lf S� f Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Vic/ (� SIGNATURE 24�4 DATE `•, FOR OFFICIAL USE ONLY PERM*T NO. DATE ISSUED t - MAP/PARCEL NO. ° Y ` ADDRESS VILLAGE OWNER' DATE OF INSPECTION: FOUNDATION t3 y 2 diC 3SoAo FRAME 5-&-s4 AIR. 4" F INSULATION oK. FIREPLACE': 3-�B-fo.y 107 e,%R•iwru T' '1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED`OUT ASSOCIATION PLAN NO. Ij ' 130 QNR Appends J Table JS3db(wed) prescriptive Packages for Op Two-Family lt� e and dd 1301Wiaga Hroaed with road Faeb MAlQMUM MQid1'IUM•` . . Glazing Glazing ceiling Wall Floor R"www aL- 5"l91ab Ha� L t ing/Cooling Ames'(%) U.valuer 1t valuej It value' RrvaWer Will Package R.Vawvaiod to 6500 Heattaa Degree Data' Q 12'/0 0.40 38 13 19 10 6 Normal 12% 032 30 19 19 10 6 1 Normal 3 1251a 030 38 13 19 10• 6 83 AFUE T 15% 036 38 13 23 WA WA Normal U 15% 0.46 38 19 19 10 1 ---6 Normal V Ise/4 0.44 38 13 25 WA WA a AFUE W IS% 0.52 30 19 19 -10 6 83 AFUE X 19% 032 38 13 23 WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 1 13 ' 19 80 6 90 AFUE AA 19% OSO 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 3 0 .7 t L G'd a rJ Q.kti S0 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: I g 4. %GLAZING AREA(#3 DIVIDED BY#2): i 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. 1 BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 'After January'1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `TF-e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must me: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned, bz..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d.-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. if you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component.includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts a — _' Department of Industrial Accidents _ ONCO0l/onstl98doas 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name location. 3 ` . � hone ci l/�n . l JG��`K S "'� v ❑ I am a homeowner performing all work myself; ❑ I am a sole rietor and have no one workin // on this job . workers tmsation for my employees war�ang.::::.:::::.:.::�.::::..::.;.}}:.:.::.:.}±:.};:::>::>;::»::::»>::::>::>::>:,::::>::::> M. I am an oyeT P�� ....................,.................,.. �a� n aII:LAIDNe .............�::.:.::::<;;;};>::;:.;}}.�.?::;:;;::G::::::n}r:. ......,...... .....................................::w:::::::::::nv:::::}}}:ii:�}'4}±:•:S:;O}±}:%::::::::::::.�:::,... .r..t......v.....Y:.::.:.vv v::..•.}•?•:;...:::{{.::M1;.;rw.}}i}i:::::::::• .:.. ...n.::.:. 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FRIN :...................... aiicv Foam to secure coverage as required under section 25A of MGL Is2 can lead to the imposition of criminal penaltlea of a 8ne ap to 51�00.00 and/or one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Ana of 3100.00 a day against ma I andemtand that a copy of this statimn—t may be forwarded to the Office of Investigations of the DIA for coverage vaiAeatien. I do hereby certify undo the pains afpm*q��*o�on p��above u try and coned signature Date ti print name ��}-�iD � . �9 o4D� _ Phtme# ofncizi use only dp not write in this area to be completed by city or town official per�t/lleense 0 (]Building Department city or town: ❑Licensing Board Q$dectmen's Office ❑checicif tnunediate response is required ❑Health Department hone#• — ❑Other contact person: p ' (ovum 9/93 P1N 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 work on such dwelling house or on the grounds or e of such employment be deemed to be an employer. building appurtenant thereto shall not becaus 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,neitherthe 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 required 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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. ign and Also be sire to sDepartment 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 my questions regarding the"law"or if you are required to obtain a workers'compensation policy,please call the Department at the comber listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Departmeat has provided a space at the battam 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 peimit/license number which will be used as a reference number. The affidavits may be retmaed is the Department by mail or FAX unless other arrangements have been made. ike to thank you in advance for you cooperation and should you have any questions. The office of Investigations would l please do not hesitate to give us a call. i The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 F114E The Town of Barnstable &MMSTAM Regulatory Services 1639.��0 . Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner M7 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. _ Cost � 7 � �i"4—u� 7 �0 Type of Work: I�\ h Estimated (� Address of Work: 307 C" t Owner's Name: e,( G5 1 Date of Application: _ (Y O 3 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: 1t t 3 )�ur c � aY 1 c Y s� Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav:rev-070601 t t OWNER AFFIDAVIT A�asoo I, MAR as owner of property of concern, give permission to 0 ,4vio C&y ,to commence with the project as listed on plans submitted to TOWN OF BARNSTABLE. DATE DATE L (�{ .�.ee auma,��»uueac+sz "y✓ucaaaacvzuaeuo BOARD OF BUILDING REGULATIONS t0 License: CONSTRUCTION SUPERVISOR II I� Number. CS 057540 y Birthdate: 1 W28/1955 Exl9ires: 12/28/2003 Tr.no: 10550 Restricted; 1:G DAVID J GADY 121 TIMBER LANE � . MARSTONS MILLS, MA .02648 Administrator D6 i ��e �antmtoouu� a�✓�aaauc�iu0elta Board of Building Rcgulati us and-Standards HOME IMPROVEMENT CONTRACTOR Registration: 114561 lug Expiration: 10J4/2005 Type: Individual DAVID GADY CARPENTRY David Gady 121 Timber Ln Marstons Mills,MA 02648 Administrator i i Y Application to. 3�,egional �Eqiotoric Miotrict Committee In the Town of Barnstable. CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four 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 CATEGORIES THAT APPLY: 1. Exterior building construction:.. ❑ New ❑ Addition Alteration Indicate type of building: House El Garage ❑ Commercial ElOther 2. Exterior Painting: ❑ / 3. Signs or Billboards: ❑ New Sign El Existing Sign [I Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE.OR PRINT LEGIBLY: DATE .SeJ S' o: ADDRESS OF PROPOSED WORK 90 �i u) ST (A) Girn ASSESSOR'S MAP NO. ,. _ a„ + /� ie �R ASSESSOR'S LOT NO. 2v 5 OWNER /"^� I! k �s f 3�a -LP HOME ADDRESS A02 1, 1LAO Sfi TELEPHONENO. .��'r ��C FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any w public street or way. (Attach additional sheet if necessary.) S lj OuJ tr nSi�6C`- A w` S I W S fi ItJ P S (t .1 [,f_CCL. Z 1.9$ liy,e S f 6C+"S 6 tc. AGENT OR CONTRACTOR TELEPHONE NO. ADDRESS � w� �b E V r ��5 IIS c c. DESCRIPTION OF PROPOSED WORK: Give particulars of work to be donne, including materials to be used. Please f"F include locations of proposed signs. P�w�c lgce eX[s R� . l� i�vor^ , ��e�.c� rvom,; ecc�i"�� ,c �Se G�QF�oarrl S[rlivS LVCd CeciG1 �'Qu.aCec�, f LjSD ! fo�� Signed j Owner-Contractor-Agent For Committee Use Only This Certificate is hereby `� �D Date Approved/De ' d Committee Members' S' natures- Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION 4AC-�-- Gt!Li,C SIDING TYPE C 1pP oc,!t _ COLOR Ir..� H e� CHIMNEY TYPE_ �f icl�C COLOR ROOF MATERIAL ! ISPk � COLOR PITCH b co— WINDOWS �jQdQ/I�7t? - aXAJ4 L —C�� G�GE TRIM COLOR Lo DOORS—W,, C&gL 7b / M �6a& COLORS SHUTTERS D COLORS b L !4y-,e-,e -- GUTTERS n -/r7 r12� o COLORS iy � U/1� � � Gt � DECKSA A- MATERIALS i GARAGE DOORS NA COLORS SKYLIGHTS QYi2 t4/t- AtaA- SIZE / X/ / COLORS V 0 SIGNS •rI 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 plan and elevation plans, when applicable. SPECSHT Revised 11198 O ASS. MAP 131 LOT 47 d o ASS. AfAp 131 cl, LOT 46 0 T d P d � ASS. MAP 131 1 LOT ?p ASS. MAP 131 LOT ,21 c� ASS. MAP eog�0 $ LOT 19 ��fr goo ' Y THEfp The Town of Barnstable �p Department of Health Safe and Environmental M� Safety Services Building Division �ff0 MPy� 367 Main Street,Hyannis,MA 02601 :e: 508-862-4038 508-790-6230 PLAN REVIEW Owner: AOAO J(lgpP Map/Parcel: Project Address: 3®7 1.y l d 6 w 5 7" Builder: _A,911>',D 62/3,0 y c e it The following items were noted on reviewing: 111oIre; (l) ivo -5'C.2C-e,,' FOAC12 hl-10wel f&R e f !y /�I'l'�u/3L PLyS �/� i3AS�Me,�J• gTl��°� fi✓+�tL ��4G,'R�S 1�1�� R�s,'e j �2 WA T A,e e- 7-/9C 1=ma T°'Al Sti®ka� fovwno�, -/B6� C /Y fyz� V,SCR Al ®f Ci%eCv/.ge •1571# <360 3 . 9L 5- OX4r �tiav�'t W 9T T 9,'re ©F Re,oi h J 09: A.D�"�vn#� W. putt#'P"1# 1 [ 1 PRe d,'d t� RdaF .flzA•��'wc, ©A% 360 8, s � fleet IOL,9,v Do A107 Mh C 1 • /?Cc. FN�'. L w/�i 8e,e Si'eC, Sye�T p� ' ,J oZ f LAa S7yee7 �� /o'/ Reviewed by: A7 y L� /`� ��L Date: RESIDENTL L BUILDING PERMIT FEES APPLICATION FEE � o0 New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORK.SHEET NEW LIVING SPACE 1, 3�square feet x$96/sq.foot= j_ - x.0031= 3 90. plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= 11 A ACCESSORY STRUCTURE>120 sq.ft. a/ >120 sf-500 sf $35.00 N >500 sf-750 sf 50.010 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= O (number) �!,^, Deck x$30.00= /" V (number) ®o 'Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee FLooR SPAN TABLES HOW TO USE THESE TABLES 1. Determine the live load deflection criteria(MINIMUM CRITERIA PER CODE- 3.Select the on-center spacing you prefer. L/360 or IMPROVED PERFORMANCE SYSTEM -L/480)and locate the 4. Scan down the column until you meet or exceed the span of your application. appropriate table. 5.Scan left in the row to locate the TJIO joist series and depth which satisfies your 2. Identify the loading condition(40 PSF LIVE LOAD/10 PSF DEAD LOAD or condition. 40 PSF LIVE LOAD/20 PSF DEAD LOAD)and move to the appropriate section of the table. MINIMUM CRITERIA PER CODE IMPROVED PERFORMANCE SYSTEM L/360 LIVE LOAD DEFLECTION , L/480 LIVE LOAD DEFLECTION QEP.�H TJI®/Pro' 12" o.c. =:16"o.c. 19.2" o.c. 24"o.c. DEPTH TJIm/Pro"' 12"o.c. 16" o.c. 19.2" o.c. 24"o.c. 150 18'-8 17'-1' 16'-2° 14'-1l' 150 16'-11" 15'-5" 14'-7" 13'-7" c 9'/2 0 9'/2 250 17'-8° 16'-l" 15'-2" 14'-2" 0 250 19'-6' 17'-10' 16'-10' 15'-8° a ao 150 22'-3' 20'-4" 18'-10" 15'-0" c n 150 20'-1" 18'-4" 17'-4" 15'-0" oe; 250 23'-3' 21'-3° 20'-0° 18'-8'(2) 250 21'-0" 19'-2" 18'-1" 16'-10"(2) U. 117/a" c% s- 350 24'-10° 22'-8° 21'-4° 9'-11°(z) r f- 350 22'-5" 20'-5° 19'-3° 17'-11" 0 aF, c 550 28'-2' 25'-8' Z4'-2' 22'-6° 0 550 25'-6" 23'-2° 21'-10" 20'-3° p p 250 26'-5" 24'-1" 22' 18'-11°(z) p 0 250 23'-10" 21'-9° 20'-6'(2) 18'-101) O c 14" 350 28'-2' 25'-8° 1'-4°(z) O p 14" 350 Z5'-6" 23'-Z" 21'-10" 20'-4"(2) ¢. o "j 550 32-0 29-1 -6°(s) UJ 550 H28'-11° 26'-3° 24'-9° 23'-0° a 250 29'-3° 26'-8'(2) 18'-11°(2) 250 26'-5" 24'-1° 2Z'-9"(2) 18,-11°(z) ^' 16" 350 31'-2" 28'-5'( 26 2) 21'-4°(z) ^n' " 2) z ov-- c� 16 350 28'-2" 25'-8° 24'-2'( 21'-4"O 550 35'-5" 26'-9 550 32'-0" 29'-1" Z7'-5" 25'-5"(I) 150 18'-8" 16 -3' 12'-6' 150 16'-11' 15'-5" 14'-7° 12'-6" a0 9s/2 250 19'-6• Q 16'-6' 13'-5' `-9s/2 250._ 17'-8° 16'-1" 15'-2° 13'-5' zo 150 .22'-3" - 15'-8° 12'-6' p o 15.0 20'-1" 18'-4° 15'-8" 12'-6° c®. . � 250 23'-3" 1 19'-1°(z) 15'-9'(z) o® 250- 21'-0° 19'-2° 18'-1"(2) 15'-9"(2) LL�f- 350. ." 24'-1 20'-81(2) 17'-9'(z) s- =11'/e 350 : 22'-5" 20'-5' 19'-3"(2) 17'-9°(2) CL N c 550 27' -4" 23'-11' 22'-3'�s)(z) N c `- 550 :` 25'-6" 23'-2° 21'-101 20'-3'(s) Qp °. 23'-2"{z) 19'-9°(z) 15'-9'(z) c 250` 23'-10" 21'-9°(2) 19'-9"(2) 15'-9"(2) O a 14' 350 . 2 2" 25'-1'(z1 22'-2'(z) 17'-9°(z) O c -14 350 25'-6° 23'-2"(2) 21'-10"(z) 17'-9°(2) o; '.550 31'-7" 28'-9' 27'-1°(s)(2) 22'-5°(s)(2) >o. 550':.=. 28'-11• 26'3" 24'-9" 22'-5°(')(2) LL a "250 28'-11"(z) 23'-8'(z) 19'-9°(zl 15'-9°(z) 250:'- 26'-5' 23'-8"(z) 19'-9°(z) 15'-9•(2) U_d N T6 '350 31'-2'(z) 26'-8'(z) 22'-2'(2) 17'-9°(2) N 16 350- 28'-2° 25'-8"(2) 22'-2"(2) 17'-9"(2) r550.. 35'-0• 3V-10"(1) 28-1•(s)(z) 22'-5"(U(z) = 550 ':' 32'-0• 29'-1" 2T-5'lA(z) 22'-5'(s)(zl • Long term deflection under dead load which includes the effect of creep,common to all wood members,has not been considered for any of the above applications. haled' spans reflect initial dead load deflection exceeding 0.33°,which may be unacceptable.For additional information,refer to our TJ-Beam'"or TJ-Xpert'"software or contact your Trus Joist MacMillan representative. (1)Web stiffeners are required in hangers when the T)I©/Pro"550 joist span is greater than the spans shown in the following table: TJIQO/Prop" 40 PSF LIVE LOAD, 12 PSF DEAD LOAD = 40 PSIF11. LOAD,22"PSF DEAD LOAD 12" o.c. 1 16" o.c. 1 19.2" o.c. 24"o.c 12.",o c 16" oc:, 19.2 p.c._ • .24"_.o.c: 550 Not Required I Not Required 1 28'-8" 22'-11° Not Required 29'-10" I 24'-10" 19'-10" (2)Web stiffeners are required at intermediate supports of continuous span joists in conditions where the intermediate bearing width is less than 5s/a"and the span on either side of the intermediate bearing is greater than the spans shown in the following table: i''Y a .x FLOOR-� E 40 PSF LIVE LOAD,10 PSF DEAD LOAD` 40 PSF LIVE LOAD,20 PSF DEAD"LOAD"'..' TJI®/Pro`" '"�o.c. ---16o c 19:2"o.c. 24''occ, 12"o.c. 16"o.c. 19.2"o.c` 24" o.c. 12 150 Web Stiffener Not Required Web Stiffener Not Required 250 Not Required 24'-3" 20'-2' 16'-1" 26'-11' 20'-2" 16'-9" 13'-5" 350 Not Required 27'-8' 23'-1" 18'-5° 30'-9" 23'-1" 19'-2" 15'-4" 550 Not Required 25'-8' Not Required 26'-11" 21'-6° •12 PSF Dead Load atT)10/Pro"550joists. "22 PSF Dead Load at TJIm/Pro"550joists. GENERAL NOTES Tables are based on: WEB STIFFENER REQUIREMENTS • Assumed composite action with a single layer of appropriate span- • Required if the sides of the hanger do not laterally support the TJI(9joist top flange or rated glue-nailed wood sheathing for deflection only(spans shall be per footnotes on pages 20 and 21. reduced 5"when sheathing panels are nailed only). • End Bearings:TJIa/Pro'150,Z50 or 350 joists-not required. • Uniformly loaded joists. T)I®/Pro''550joists-may be required in hangers(see footnote 1 above). • Inrreme for n,,netilive mP.mhP.r 11(P hac hPPn inrlllrlPrl • IntP.rmP.(IiatP.RP.arino(!Nnt rP.ritaired at mtermerllate he...1nnP where inkh;ire i ADDENDUM RE: 307 WILLOW ST. W. BARNSTABLE, MA. 1. CONCERNING CEILING JOISTS, PAGE A-102, TH 210 9 1/2" @ 16" O.C. (same as first floor) 2. BEAM#1 &#2, PAGE A-102, 2- 9 1/2"LVL with joist hangers as required 3. SPIRAL STAIRCASE: 5' DIAMETER, 28"TREAD WIDTH, 9 1/2" OR LESS RISES,ALL IDENTICAL 7 1/2"TREAD DEPTH @ 12"FROM NARROW EDGE HEADROOM -6'8" OR MORE These details all conform to MA. BUILDING CODE 780 CMR ref. 3603.13.5 REVISED PLANS Date: &- *10Ax _-_------_ --- __-_-___ 1. F ------------- --- f /tl EXISTING FOUNDATION. ADD•.NEW. BLOCK 'TO RAISE FLOOR LEVEL' � w TO MATCH EXISTING FLOOR FOOTING BELOW NEW FL/OR I EXISTING FLOOR ' ' I' CENTER ON 1/F / WINDOWS ABOVE/TYP. 1;.-8"I 0 I I 24" X 24" X 12` JNG • .. I• ./ / f I TBE Lo W/�.P STORGE ROOM r�NEW POST r L:. r I_U J EXISTING BASEMENT AREA. II• NEW BEAM ABOVE . . i.` ..L 10 'CHANGE.IN FLOOR L I EXCA/TE AT THIS L I I J SLAB ,HEIGHT I. HT OF 7 n 30" X 30" X 12" e. AFR� TO FINISHED 1 »I Hy —4n o I FOOTING BELOW/TYP. 2.. �OMPACTED GRAVEL; I' 4'=8" DIA. SPIRAL EXISTING'FOUNDATION 'RIGID INSULATION; r 1 STAIR TO.FIRST FLOOR CONCRETE RATED 1 MOISTURE,BARRIER; 4" _ r i NEW SLAB REINF. L—� �� • , // W/W.W.M. I./ UP T\� F 0 \\ CONTINUOUS FOOTING BELOW I 6'-8" X I 1 ---LNJ L�J\ SCREEN PORCH ABOVE I L—————————_——J \ STONE STEPS AT GRADE T0�1 BASEMENT DOOR Foundation Plan FOUNDATION PLAN. As Noted 9 Novembec2003 p !O v A/7 1 A 20'—B" A-106 EXISTING CABINETS tO I POST IN WALL I \ n 14'-4° 1'r11 EXISTING KITCHEt J N - o NEW EXTENDED \ I w I COUNTER O \ I( EXTENT OF \ w EXISTING ADDITION a j Li 17 I� ALIGN i MASONRY NEW M �RE LACE RD .IN FLOOR�--�F4XI TING FLOOR „ . = II L' Z ALIGN w i I FLUSH HEARTH EXISTING DINING ROOM 1/2 WALL ¢ iv I A-105 w I ' NEW CABINET 3—6" c 6-8" X EXISTING PANTRY 1712G'.33 2'-0 DR I � CLOSET- FAMILY ROOM tO I N I 0 Tz� Lu I BOOKSHELVES DOORPKT. JA CLOSET I WINDOWSEAT DOWN �Z'f EXISTING OECKfSTAIRS(2)/BENCH :6'-8" NEW (STING —8" IL DOWN (1)8" RISER' In r !/V I � SCREEN PORCH STONE STEPS AT GRADE.TO BASEMENT; 4" RIVER STONE (1/2" MAX./ SCREENED) ON 1'-8•• DEEP \A-104 GRAVEL AT DOOR LANDING FOR DRAINAGE. r'r�` 1°" A—t07 9 FIRST FLOOR PLAN 1 9 November2003 As Noted A-101 CRICKETS EXISTING BASEMENT AREA ' RAFTERS TO BEAR DIN 12X8 LEDGER AT EXISTING L: SIST EXISTING KITCHEN FASTEN W/MTL HANG S/TY CEIL G JOISTS WITH 2 X ----- ' EXISTING FOUNDATION 2 PLATE IC NEW REINF- CONCRETE I FOUNDATION ESS SIST EXISTING RAFTERE J TJI 210'9 2" ' PA "1C. 8 I WITH X 8s THIS AREA 24" X 24" X 12" FOOTING BELOW IC R I I. NEW LALLY COLUMN 6 EXISTING BEAM. FASTEN TO .NEW' ' L BEAM WITH METAL HANGER d EXI TING ROOF I NEW BUILT—UP BEAM (3) 2'X 10s till 4`-8" DIA.,SPIRAL STAIR TO' FIRST FLOOR <. :'S. R FTERS& EXISTING FOUNDATION C ILING JOISTS \ 16". O.C. / I TJI21091/2" D I 2X8 JOISTS ® O.C:. I RAFTERS 16" I -------- --- �..' I 16" O.C. ------ METAL JOIST.HANGERS. " I d 1 / C r a� : .. eFa WHERE REQUIRED/TYP. s' ® t 5" • _ o // �ft 0✓:1�. :. . # TJI 210 9 1/2" D RIM -----�\�/ JOIST. �jpTC NOTE: 'ANCHOR SILL PLATE 2 .X 6s ® 16" O.C: N0. .1 BEAM iy1 __2 WITH 1/2" DIA. SILL BOLTS RAFTERS EXPOSED AT SCREEN ® 6'-0" O.C. (MAX) PORCH; SELECT FOR 'APPEARANCE; SHEATH WITH 1 X T&G BOARDS; DO BEAM ? ---- FRAMING LUMBER GRADE NOT EXPOSE FASTENERS CRITERIA:' MIN Fb— 1,20OPSI MINE— 1,100,000PSi NO..2 OR BETTER' FIRST FLOOR FRAMING PLAN ROOF FRAMING. PLAN I 2 Framing Plans As Noted 9 November 2003 ,{ _ lOG Ilk ROOF SHINGLES TO MATCH o EXISTING ROOF/TYP. N ' REBUILD CORNE�-BOARD, FASCIr & SOFFIT TO Y1 TCH EXISTING CONDITION AT OPPOSITE SIDE SKYLIGH]./ 4 r 6 NEW WORK EXISTING HOUSE PAINT FIN1511 EXISTING CLAPBOARDS o� NEW CLAPBOARDS OFFSET JOINTS AT EXISTING CLAPBOARDS FINISHED FLOOR LEVEL EXISTING DECK NOT I ^_Ell I SHOWN FOR CLARITY I �l I�om ' APPROXIMATE GRADE 4 1 RED CEDAR CLAPBOARDS AT 3 1/2" L—J L—J EXPOSURE WITH PAINT FINISH. STAGGER JOINTS WITH EXISTING CLAPBOARDS. STEPS AT GRADE TO EXISTING BASEMENT DOOR OPENING. NEW GLAZED BASEMENT DOOR NORTH ELEVATION JohnBreisky, Architect Dwg.Title: North Elevation • Scale: As Noted Dwg.Issue Date: -August 2003 Project: Dwg.No.: Nelson/Fapp nesid=ce A-1�4 307 Willow Sum Wes[Ba mble.MA MATCH EXISTING ROOF SHINGLES RED CEDAR CLAPBOARDS AT 3 1/2° EXPOSURE ' e PPP . EXISTING HOUSE EAST ELEVATION JohnBreisky, ArchiteCt Dwg.Title: East Elevation Scale: 1 1/4" = 1'-0" Dwg.Issue Date: -August 2003 AS Noted Project: Dwg.No.: 307 Willow S mm Wee A-1 O S ' 307 Willow Sweet.West Barnstable,MA ' • j CHIMNEY. BRICK TYPE AND FINISH TO MATCH EXISTING CHIMNEY. RIDGE VENT RIDGE VENT ❑ ❑ ASPHALT SHINGLES TO —MATCH EXISTING ROOF -El 3 1/2 " EXPOSURE -RE6 CEDAR CLAPBOARDS WITH • PAINT FINISH' REPLACE EXI TI WINDOW a5/4 X 6" CORNER EXISTING HOUSE WORK BOARD/TYP. L•------- SOUTH ELEVATION John Breisky, Architect Dwg.Title: First Floor Plan Scale: Noted Dwg.Issue Date: -August 2003 Project: Dwg.No.: 307Nel Willow Residence A-106 ' 307 Willow Sweet Wes[Bernsotble.MA PROVIDE CONT. RIDGE VENT EXISTING RIDGE'BEYOND 2'X 6 HANGERS 0 16" O.C. SISTER. EXISTING 2X4 CEILING JOISTS' 12 WITH NEW 2X8'JOISTS' 1/2" EXT. GRADE PLYWOOD --- SHEATHING/TYP. . 12 AT CRICKE BEAM. FASTEN FLUSH FRAMED-RAFTERS AND 5r' 1 -4 CEILING JOISTS WITH METAL. HANGERS. C CEILI G 1 WINDOWSEAT (BOOKCASE BEYOND) PROV ACESS FROM 1X EXPOSED T&G SHEATHING AT EXIST N 3 ATTIC 12 PORCH ROOF (RAFTERS EXPOSED) BEYOl JE 3.5 ------ 7 TRIM AT PORCH SOFFIT & FASCIA' SCREENED LINEAR SOFFIT VENTS: METAL RAFTER HANG /TYP. PAINT TO.MATCH. SOFFIT z FINISH/TYP. -' o KITH N t=n 6'-0" NEW R-30 INSULATION AT EXISTIN I CEILING ` i�z SCREEN PORCH TYPICAL WALL CONSTRUCTION X z ' INTERIOR TO EXTERIOR: GWB; VAPOR BARRIER; R-19 'INSULATION' AT 2 X 6:.STUDS; 1/2" EXT. SHEATHING; 0 EX TING BASEMENT LOOR BEYOND 1 NE BEAM (BEYON 1 co 'APPROXIMATE GRADE NE REINF. CONCR E. FOUNDATION N ALL 1 M o N . NE CONCRETE S 1.j. d co NE CONCRETE FO INGS 1cr BASEMENT"DOOR ACCESS. 10" NE POSTS 1 RETAINING. WALL AT BASEMENT DOOR ACCESS ' SECTION _ Section 1/a" = t'—o" 9 November 2003 As Noted /g/07 A 1 rV i j I GENERAL NOTES 5•DIA.OUrLET(S) ' REMOVABLE COVER C=G y �,p�l ,�. •.o r q� - J - - FINISHGRADEOVERD•BOX= 38.9' PROVIDE PRECAST CONCRETE EXTENSION ( 'I t 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FLOOR EL= 40.8' I ,_,S••'~ RISER WITH CONCRETE COVER TO WITHIN yya .,,^S? s•1 1/ nn� 7 •'•( •� 7 FF' S vliJu c ,v (. {3' °�� a- �r{ � �r•�/' ., METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE 8'OF FINISH GRADE WHEN NECESSARY. ..ate �•`> Y,!� 11, rr3 t t j §s �ye �� ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 39' F -( ♦ ✓�T Y �� £ ?i� 1 {- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD FINISH GRADE OVER TANK EL- ==f l� K- ✓ + iR'; `t; �' J �E -y Y f 3 "1�RZ OF HEALTH AND THE DESIGN ENGINEER. 20'MIN.ACCESS COVER jt�i •+, �ih / o�`,� G PROPOSED 4" (TYPICAL FOR 3) WATERTIGHT -''f.• x '^^ y j."�N�rlA.Q Y 9Ce Y�I•irnitalaer�Ir �-,�\f PROVIDE WATERTIGHT , wry .t < LOCUS j �.r y'�}-' 3. 4'SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL JOINTS(TYPJ < -�*�} yT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. SCHEDULE 40 PVC 4'PVC IN FROM a'• t �+r R ,,`t t V&,� C i' k„ C�� It +K AT 0.7%GRADE tiff -�� vJyIJ j, 4. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL SEPTIC TANK 4'PVC OUT TO c i 7 .>yc�Y,,..' - ♦� 1 t �rw 8' 3' 3'DROP MIN. 3* 8' LEACHING FACILITY ` » ^° i1J---t � j *•t t�•`y� -�F" �c -1 �.. 5. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND 36.93' ./ -`,a x any :e�� . t t4 36.52' 36.50' 3g,34' ysy �y y p Cq lx READY FOR INSPECTION.SYSTEM IS NOT TO BE BACKFILLED HE � r.��'c�`�v.,Ey`�'}}�,�-�t�'� y�q-1,y� �C�.7 � �,5� � • WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 36 77' B'CRUSHED STONE I ' L ?Y yN'&„J, { ' „y 1 7 •��,�1�- AND DESIGN ENGINEER. OVER MECHANICALLY 1 t _ b ;gvfi t •+` 48' OUTLET TEE COMPACTED BASE t yy. �-^r 'S '" y a}•� :,«�•+.Jf 4_ Y „ g u ' _I S. ELEVATIONS AND BUILDING LOCATIONS BASED ON FIELD SURVEY J( L� l`� 0 6. J 1 Y I C` ft 3 v -t-,l. y - �[r�li Isf/h• BY CAPESURV,HYANNIS.MA. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION ��e¢ r `�7.N7 t a ; �jf:.re y wy r� -' '••+- THROUGH DIG-WE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE ;g\t t 3 �a� z AT 1-889-0DIG AND ANY OTHER APPLICABLE AGENCIES.REPORT ANY • 314'•1 112'CRUSHED STONE BASE �r i kF:4 r•b �i l 7' DISCREPANCIES TO THE DESIGN ENGINEER. CROSS SECTION VIEW s' " � ` ' ` vNON-SHRINK GROUT TO BE USED AT ALL •� Y + [ 5S � IL`"` ~ 8 LEAVE ALL CONCRETE STRUCTURES N ORDER TO PROVIDIE WATER TIGHT SEALS. PROPOSED oEPT TO SC TANK PROFILE EXISTING DISTRIBUTION BOX DETAIL �n� 4 C :f�� r; c\ Y � i _ PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK •s J -t�ALE 1 )".�^�7a �. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS.FROM APPROPRIATE IS TO OBTAIN i NOT TO SCALE SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. LENGTH 11' WIDTH 6' DEPTH Ell" LOCUS PLAN 10. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT,OUST AND FINES. • SCALE:1'=4000' 11. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. i� 12. THE EXISTING SEPTIC TANK IS TO BE ABANDONED IN PLACE.THE BOTTOM OF THE TANKS SHALL BE RUPTURED AND THE TANK SHALL BE BACKFILLED WITH CLEAN SAND. / r 13. PROPOSED PROJECT IS LOCATED WITHIN: INV. EL. RUN SLOPE / / / S <374e 58.E�� — — — — — ASSESSORS MAP0 131 LOTN 20 OWNER OF RECORD: MARK E.NELSON FIRST FLOOR 40.8' 11848' \ / / �OREss. WES IBARNSTABLE MA 02888 BUILDING SEWER 36.93' / 25.78' 0.62% Note: Exact location of existing O / / sepjc_components are to be n PROPOSED SEPTIC TANK-INLET 36.77' / / 7rified in the field PROPOSED SEPTIC TANK-OUTLET 36.52' �~ �''-- \ \ / \ LEGEND 4Pn;v teL ��"; \ Pmpmed 1,500 Gallon 3.74' 0.50% \ / f zu'n� , `Septic Tank d$ EXISTINGD-BOX-INLET 36.50' � +9�D1�im \ EXISTING D-BOX-OUTLET 36.33' nu rtch existing ele�a`lens) •� 6da0ng Tank�� - i •s O Q PROPOSED 7500 SEPTIC TANK / \to be abandoned f - I O �'\ 39 -� 4'SOLID SCHEDULE 40 PVC PIPE DISTRIBUTION BOX / \ \ X X/�X 40 \. \ /0) ® EXISTING WATER SUPPLY WELL --4p 8 X �X 42 FF¢2 ?�\\��1 \ / •� REV. D.DATE BY APP DESCRIPTION j �J \ O APPROVED BY: [ / PROPOSED SEPTIC TANK Dwe/%,�9 w�f \ \ RELOCATION PLAN \ \ ([ \\ \ \ / #30 • _ 1H OF PREPARED FOR: 8.0 Mark E.Nelson RICHARD A- yG� LOCATED AT CLA1rTOR 307 Willow Street o o s C CIVIL West Barnstable,MA 02360 I I a, •o �a��. C' NO.45116 APPROVED BY: SCALE: 1 INCH-20 FT. DATE November 7,20080 3 FEET�oFSFGISTEPE �Q� a ,o m 'o X SITE PLAN _ � S/ONALEN�' PREPARED BV: / SCALE:1'=za a / HORSLEY 8,WITTEN,INC. X �c � ✓ 90 ROUTE 6A JJ SANDWICH,MA 02563 SA AS5ESSOR'S MAP# 131 1 _�-Z 506.833.6600 \ / / i ( 3 eY JH oe.lvee4 BY:SPJ Ch dL d ey.RC Joe N0.:91M