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1700 MAIN ST./RTE 6A(W.BARN.)
I'?DO a a M E A No. 53LOR UPC 12543 smead.com • Made in USA 4A Q- ): � F!N{IS®N1FE�R000f.T1lE SFI OFD*SRPWMW WVWSFrWGVAMDW G l e I Q I CO 7 f r F k f I i 3 C k w _ i 3 CONC. FNDN. T.F. = 45.7' r W hV O v~i 735' 75• n N N� i i �i N A p UJ AL 0 1- e-- m rn N V6 m LOT 2 H.B. 3 423,214t sq.ft. FND• 9.72t acres CONTIG. UPLAND AREA = 194,503t F = WETLAND AREA = 214,880t SF rO P� Ito 0. L _ 150.24 MP�N FOUNDATION PLOT PLAN PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 1700 ROUTE 6A,WEST BARNSTABLE SCALE : 1" = 80' DATE : AUG. 9, 2016 PREPARED FOR: REFERENCE : MAP 197 PARCEL 35 KARL & j �I HEREBY ON STRUCTURE THIS PLAN IS LOCATEDD ON THE ����th of��gSsgc SHOWN GROUND AS SHOWN HEREON. AR NE H. yG�+ a . OJ AH O✓ALA SURVEWNG Q ° 9 ARNE H. OJALA. P& PLS J WEST BARRNST BLE, MA 02688 DATE R S FE V OR N /j .sf i r4 Town of Barnstable OF THE Tp� Z i EAM3T"L& Building Department-200 Main Street �0m Hyannis, MA 02601 �o Mr•<' Tel. (508) 862-4038 / Certificate Of Occupancy Permit Number: B-16-1505 CO Issue Date: 1/24/2018 Parcel ID: 197-035 Zoning Classification: RF Location: 1700 MAIN ST./RTE 6A(W.BARN.), WEST Proposed Use: BARNSTABLE Name of Tenant: Sprinklers Provided: No Gen Contractor: Permit Type: Residential- Land Type of Construction: Design Occupant Load: 0 Comments: Single Family home, One Bedroom, One Bathroom 22 I" 01/24/18 Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition Tonstab� U Building . aL r g .. 2 ' y'"(-•`CS' �,''':' ,R't' - . -?' "'gyp . a .Y. ' "�'i•"p 4.Zr }-!ate' a `'`4a +. f k APost T,his,Card So T 1at It,1�s Vlslbl'e 1=ro�iathe s reete A r L 'd Plans.Must �Retaln~e�on ,o �x+ C.:; M s rpe Kept BA8 8TA Arl1$Aflt.B' r 't�',�r�'R-1A5, 4 -luc 'N 4`.1U��� t •'9' a b. . �,2$w '`�5 �r y. ti 'r,.- - `14Y•..y£i ..::a • ed p PostedsUntll F�l„nai�ylnspection Has=Been�Made - �s ''����-��. " .� : ��." 'f=� �> �;,,•�, try � �c' 1i" "�s�;t.. ,,i <:'�z ��i.r^"ta:.; yarn y !1 r�dR Where aCerttficaterof®ccu :ysRe wired ssuc Buildin h INt b`�eFO c -u t11)an'a1=1`n eet o' }es b6ema"dea.: PeJI glint !p `u:,;' •�:'Rs.:�a<<.:i,..raF 3e1*_.Y.aD:s"�at;�i� :»:s'.pr:'a�:: p.�T 3 �R gsp `'�.`s' Permit No. B-16-1505 Applicalit MAKE KARL l.&JAf�Nl . Map/Lot: 197-035 Date Issued: 07/26/2016 Current Use: Zoning District: RF Permit Type: New Construction-1 or 2 family Residential •• Expiration Date: 01/26/2017 Contractor Name: Location: 1700MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE w. Y Est. Project Cost: $200,000.00 Contractor License: Owner on Record: MAKI KARL I&JAN Mx{pe�mlt Feert z t k _ $ 1,145.Ob r Y i 9 r+Y Address: 841 OAK ST } �3�' � " Y�x 1,145.00 ' WEST BARNSTABLE,MA 02668 non� r ��Jy � ` RO t«rxwx 'g ' � , o r s Date n �7/26/2016 IN- 10 Description: Building permit for New Construction, New Res deuce,one bathroom,one bedroom,usingle framily r cca n _ Project Review Req : Building permit for New Construction, ew¢Resldence,one bathroom,,dh' bedroom,single family Building Official This permit shall be deemed abandoned and invalid unless the work authonzed�by this�pe6 Is commenced�with�inFsix months after issuance. ,F`M.B I.r�`� `� r•�'4'' ;zs: '1� 4 1 x��`:i�d>xFGxsl+ � 1111 All work authorized by this permit shall conform to the approved applicatlonJand the approved construcilon documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures s codes. This permit shall be displayed in a location clearly visible from access s#reet o�,�road,a.nd shall be maintained open for§p hilt inspection for the entire duration of the work until the completion of the same. sc i��r'��� x ,�f x t The Certificate of Occupancy will not be issued until all applicable signatures bytthe Budding and Fire Officials are provided onithis permit. Minimum of five Call Inspections Required for All Construction Work:,�, - 1.Foundation or Footing s4 4r, 2.Sheathing Inspection " a c V / ���7 r 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 Inspedlonv ;r 5.Prior to Covering Structural Members(Frame Inspection) {< _�M �P '' ��';z 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund"'(as set forth in MGL c.142A). i,irsT Is9� Building plans are to be available on site All Permit Cards are the property of the APPLICANT.;ISSUED RECIPIENT /L,/- ?�8' e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel -5J BUILDIIV .Application # G Dip Health Division Date Issued '7 hu• 1 Conservation Division Q 1 2016 Application Fee Planning Dept. TOI%V N OF 84R Permit Fee �•U Date Definitive Plan Approved by Planning Board NSTgBLE Historic - OKH _ Preservation/ Hyannis Project Street Address 1100 fkme, (oA Village qoo:X Owner KOA f Address E4164Yf`T", W. 64ir-Y-1. 009 Telephone SE —&6-Z.!1W0 Permit Request y + w � ` 7f7 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ZI 7- Zoning District Flood Plain Groundwater Overlay Project Valuatior?% i8QQ Construction Type ie �•WCOD 1-2a"z 4 . Lot Size R.S6 ± ASS Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure HIA Historic House: V Yes ❑ No On Old King's Highway: YYes 0 No Basement Type: ❑ Full ❑ CrawlWalkout ❑ Other Basement Finished Area (sq.ft.) Z25CO 'l—Mi6kU Basement Unfinished Area (sq.ft) 1Qq1 5F Number of Baths: Full: existing new Half: existing � A_ new V Number of Bedrooms: j`I�� existing L new Total Room Count (not including baths): existing new (O First Floor Room Count 3 Heat Type and Fuel: X Gas 0 Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes 1 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing 0 new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes No If yes, site plan review# Current Use Y425s"e�,& Proposed Use k_pe - -APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name + / 1d (4r Telephone Number IbO8 Address License# /y fit L.03;C}&)�r,T Home Improvement Contractor# 1"41� Email ®N Worker's Compensation # A//�` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE //� (Y• ��i DATE 1VW 3c) (2D k. FOR OFFICIAL USE ONLY f /APPLICATION# 1 _ 4 DATE ISSUED i MAP/PARCEL NO. ` a ADDRESS VILLAGE OWNER - + �z • DATE OF INSPECTION: dIli - FOUNDATION n� + + FRAME Y'll&N!7 91&'7 r INSULATION G�srr�c�ess5�6ne. �l aEc �� (�fQ/7/L FIREPLACE ELECTRICAL: ROUGH FINAL . y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . FINAL BUILDING + DATE CLOSED OUT ASSOCIATION-PLAN NO. ' - I I Generated by REScheck-Web Software Compliance Certificate Project 1700 Main St. West Barnstable Energy Code: 2012 IECC Location: West Barnstable, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 1,212 ft2 Glazing Area 12% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Compliance: 0.3%Better Than Code Maximum UA: 307 Your UA: 306 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Assemb.ly, or Cavity Cont. U-Fa,ctor,, UA Perimeter Ceiling: Flat or Scissor Truss 1,212 30.0 0.0 0.035 42 Wall:Wood Frame, 16in.D.C. 2,024 23.0 0.0 0.055 92 Door:Solid 100 0.230 23 Window:Vinyl Frame,2 Pane w/Low-E 250 0.280 70 Basement:Solid Concrete or Masonry 675 10.0 0.0 0.067 45 Wall height: 7.8' Depth below grade: 7.2' Insulation depth: 7.8' Floor:All-Wood joist/Truss Over Uncond.Space 1,016 30.0 0.0 0.033 34 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REEISchh�ec��k Inspection Checklist. Name-Title 7'T� Signature Date Project Title: 1700 Main St. West Barnstable Report date: 06/06/16 Data filename: Pagel of 1 F r Effective Date: June 17, 2016 D D � 6 � � v 6 9 J 6 Western Surety Company D " D " r " LICENSE AND PERMIT BOND 6 6 D KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 71797996 6 6 � That we, Karl Maki and Jan Maki ; 6 " f � of West Barnstable State of Massachusetts as Principal, f and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of ' Massachusetts as Surety, are held and firmly bound unto the Town of Barnstable State of Massachusetts as Obligee, in the penal sum of One Thousand Seven Hundred Sixty-Four and 00/100 DOLLARS ( $1, 764.00 lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Street Permit by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until June 17th , 2017 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail%}t%t�e Obligee and to the Principal at the address last known to the Surety, and at the expiration A r + of thr=fy, �� ys from the mailing of said notice, this bond shall ipso facto terminate and the Surety shalT`Ehreupon bi�'�lieved from any liability for any acts or omissions of the Principal subsequent to said dae 'Rafirdes 'of�' e number of years this bond shall continue in force, the number of claims made agamnt his bond?�Andlthe number of premiums which shall be payable or paid, the Surety's total limit of 1>MW-hty shall n t�bq c ulative from year to year or period to period, and in no event shall the Surety's total liabilfyort;als cI�,ms exceed the amount set forth above. Any revision of the bond amount shall not be F curn ��. .O ug:•....... Dated this 20th day of June 2016 p D 6 6 6 L7 L 6 n � 6 6 'Principal " 6 D 6 , 6 , 6 Principal , D D WESTE N SURE T COMPANY D 6 " ` B '6 y , s Paul T.Br at,Vice President ; " D Form 532-12-2015 , 6 � D � ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss. (Corporate.Officer) COUNTY OF MINNEHAHA Ont this -2 0 th day of-- June 2016 before me, the undersigned officer, personally appeared Paul T. Bruflat who•ackriowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as'such officer;being authorized mto do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF,I have hereunto set my hand and official seal. . }�5hhyhh5hy�,hh5ys5yyhy�,gh t s M. BENT X s ^ NOTARY PUBLIC ^ s s SEAL SEAL s Notary Public—South Dakota s SOUTH DAKOTA s }h�,hh�,yy�,y5hh�,hhhyh�,y5y5} My Commission Expires March 2, 2020 ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF ss COUNTY OF On this day of before me personally appeared known to me to be the individual_ described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public "ACKNOWLEDGMENT KN • ' ' � r' - C OWLEDGMENT OF PRINCIPAL ' STATE OF (Corporate Officer COUNTY OF ss �; On this day of- before me personally appeared who acknowledged himself/herself to be the of a corporation, and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires -Notary Public (Z$ E-F O 0 U o a ZZZ a � 4 � fA a W Z w >� a a � -d o �0 w I ? 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I I • I ' - i � s a ,77 I IA� DIM: ,;l \ e It ) 1 jMI . 1 77 QP CK ZZ �b \ i � 1 g�yypp' '• ti � �` 1 `., t.. 1. ;a ' d 7 � { '•�`� ':: C�.� � GCS 1 ' N_ t 1 t jolk, �. :1.t 'i _ r Fi+ ....�.. Tl . �. El. _:. � q S3 ,, � l �, •t �f_ � ! - c :\• 5y t ( r )ti4Yl 'J .� ,r7 I� 7 N . j f 1 � ti 77 1w 5 ti f i X P7 On ri O` l4 n h T4.,H 4 lr-.,_.qv� •n rr. �.ws_�:..f yip :t�4d �- ���._ �A'�� �' '_ ..v.. � �b - � .5: � _�..' Yam.: -�' b �♦ 4- 1 a°Am OWL— � l k .. AI 'i f ,co 0 1.6 IZJ 1 r � ° - per+--Tim * : IYS ITS n � ,4 r t SF o i r C` 64IS: e y ti I I n °r r� -A a a ri {"b e tl , r �1 a� i e� . ae ter^• v 0 Cl k rJ f i ICYN _ M Jo n W ];�, '11\� .: - Y, s �; V_X Xc_ Tz f IQ ® W ! >os- 120 co �` R �� � ® ©� •N _ we e ems- ak CZ Ami re V it 1171 AR d. -- p - ; t 3. �� 1, c 0 a'j p.� �\, {vim '�` t�l. �-+ �., N.'.ti'` N� ti� �,: . �• � VAl �►� _.-t ii-O eC6Ce(P7-) VE- all e,�5r E:o ZXMil, x kxl— Ra 6 cca u � 1►N �`J c . Z,C�r5w w49011 top+�7� Yv� yr 9 x � , v4wF— !�-14AUL) Wbp wt4c rE . AL El�- i � ► G Fs�T ?At�+M VIt+`' Az _ K4DI +TF Wom Hmi-ofx - . 0 f4�j►)Boise Cascade Triple 1-3/4' x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 \T/ Dry 11 span I No cantilevers 1 0/12 slope February 1,2016 15:24:52 BC CALC®Design Report � Build 4516 File Name: K Maki 1700 Main Job Name: Description:Designs\FB01 Address: 1700 Main Street Specifier: J Madera City, State,Zip:West Barnstable, MA Designer: Customer: Karl Maki Company: Shepley Wood Products Code reports: ESR-1040 Misc: 3 15-06-00 BO 61 Total Horizontal Product Length=15-06-00 Reaction Summary(Down/Uplift) (ibs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 3,255/0 2,16910 B1, 3-1/2" 3,255/0 1,571 /0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 900/0 115°/u 160% 126% 1 Standard Load Unf.Area(lb/ft"2) L 00-00-00 15-06-00 30 10 14-00-00 2 Conc. Pt. (lbs) L 03-06-00 03-06-00 450 n/a 3 Conc. Pt. (lbs) L 04-08-00 04-08-00 840 n/a Controls Summary Value %Allowable Duration case Location Pos. Moment 19,051,ft-lbs 59.7% 100% 1 07-02-07 End Shear 4,684 lbs 39.5% 100% 1 01-03-06 Total Load Defl. U339(0.533") 70.8% n/a 1 07-07-13 Live Load Defl. U547(0.33") 65.8% n/a 2 07-09-10 Max Defl. 0.533" 53.3% n/a 1 07-07-13 Span/Depth 15.2 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 5-1/4" 5,424 lbs n/a 39.4% Unspecified B1 Post 3-1/2"x 5-1/4" 4,826 lbs n/a 35% Unspecified i Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1')Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer:TrussLok(tm) Page 1 of 2 r BoiseCascade Triple 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor Beam1F1301 Dry 11 span I No cantilevers 1 0/12 slope February 1,2016 15:24:52 BC CALC®Design Report Build 4516 File Name: K Maki_1700 Main Job Name: Description:Designs\FB01 Address: 1700 Main Street Specifier: J Madera City, State,Zip:West Barnstable, MA Designer: Customer: Karl Maki Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure �I b d Completeness and accuracy of input must LI be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design properties and analysis methods. • • • Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable e building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=7-7/8" (800)232-0788 before installation. b minimum=4" d=24" e minimum= 1" BC CALC®,BC FRAMER®,AJ "'ST ALUOISTO,BC RIM BOARD-,BCI®, Connection design assumes point load is top-loaded. For connection design of side-loaded BOISE GLULAMTm SIMPLE FRAMING point loads, please consult a technical representative or professional of Record. SYSTEM®,VERSA-LAMS,VERSA-RIM PLUS@,VERSA-RIM®, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. VERSA-STRAND®,VERSA-STUD®are All TrussLok screws may be installed from one side of multiply Versa-Lam beams. trademarks of Boise Cascade wood Member has no side loads. Products L.L.C. Connectors are: FMTSL005 A PROPOSED WORK ��x 2" � I LIMIT LINE \ C AR 08 W (STAKED SILTATION --35 m FENCE) 6 _ - k — 31 0 �4., / ���; ^�h n 38 ,c' Ob OP. RET. J WALLS 3S I Z < ro Q IVCc Ole 3 3g 6 T--_N �! tr N E 2� R ep O Sa;0 p 7 1' N T p It C a ;7 E-t Nc P OP( CK Z �� ►�-0 WA L\ < (I A)LO , N v �- LD ROC o ��42 FNDN. ' J _ PROP. DRIVEWAY a w 0 i MODIFICATIONS REMAIN 4 ) 1 STI I N / 1 I 1 1 I 40 .1. GUY I L WIRE / ' =I / cn I LC QI z f� Z w of � / w / ZI Z % 01 `- / Li 1 V j 1 1 i 11 I I I 1 i \ 1 I 1 BORDERING VEGETATED WETLAND ._———�� � tN OF,k,�S I i ----- AR NE H. cs OJALA ,L CIVILAL a, NO.30792 AL 218TE a NOTE L �. t S IN W % ry Cx1' 050 2L N t l AL i 6 1 1 I � i RECEIVED 1 1 1 '- ► ^� I BAR 3 0 ZU16 O LOT 2 GROWTH MANAGEMENT 423,214t SF (9.72 AC) � i I , 1 I I 1 1 SITE PLAN OF 1700 ROUTE 6A --- (WEST) BARNSTABLE EDGE PAVEMENT4ib 4F l,gSs9 c off 508-362-4541 ��� ARPlF PREPARED FOR�'G I fox 508-362-9880 4 +. KARL & JAN MAKI downcope.com © �' OJALA Cnn down cope engineering, Mt. 9No.26348i FEBRUARY 5, 2016 civil engine rs vvle ° aScale: 1"= 40' land surve ors ' 939 Main Street ( Rte 6A) DATE ARNE H. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 0 20 40 60 80 100 FEET r Tlie Comrlrorrivealth o,f Massachusetts Department of 1ri d=&id Acciderdts Off we o f IFnpeshigations 600 Washington Street y Boston,CIA 02111 ft.'ry v mass govfdia Workers' Compensation Insurance Affidavit:Builders/Contractors/EIectri,cianslPiumbers Applicant Infarmaficin Please PFint 1, bIy • Name(SusinessfOrganizatioallnd�rinal� 11f NZc� �l��-•l, Address: Cityfstatt:l� W F��1 ® Phone �� &Z. Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑I am a general contractor and I 6. New construction employees(full andlor part-time).* have hiredthe sub-contractors 2.El am a sole proprietor or partner- tilted on the attached sheet. ?. Remodeling ship and have no employees. These sub-contractors have g_ ❑Demolition woddng far me in'any capacity. employees and hav a workers' 9. ❑Building addition [No Workers'Comp.insurance comp.snenrancel required-] 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3. 1 am.a homeoumer doing all wcwk officers have emrcised their 11_❑Plumbingrepairs or additions rtvjrsel€ [No workers'camp- rightof exemption per MGL 12.❑Roof repairs inm cerequired.]F c.152, §1(4h and we have no employees-[No workers' 13.0 Other camp-insurance required.] •Any applicant that chedrs box 0f1 tmnst also fill out the section below shmeing their woxkexs'compensation policy information. I l€ameoaraeis who subunit this afUar t indurating they axe doing all work and then hire outside contractors mnst submit a new afdavit indicating sttrh Tcontractors im check this box must attached as additional sheet showing the name of the sub-cootractoa and state whether or not those entities hnp- employees. If the sab-cmbactms have employee%they nnxst provide their worken'comp.policy number- lam an elttplq er that isprouiding workers'cot gmisaiiait insurance for uzy enrpli7jwes Belocv is the policy arcd job site informadom Insurance Company Nam: Policy 4T'or self-ins.Luc. Expiration Date: Job Site Address= CitylStatelzip: 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 iutposition of criminal penalties of a fine up to$15-Oa 00 andf'or one-year imprisonment,as well as civil penalties•in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations.ofthe DIA for insurance coverage verification. I do hereby ca ify under the pacts and penah es qfpei jujy thattha info rinationprovieW abm a fs but and carrect �Signatnre: Phone 0 Official use.only. ,Do not writs in this area,to be completed by city ortown a,Ij`iciaL City or Town.: PertaritMicense k Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Clty1rowrzn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Mformation and Instructions ; hf ssadbusetfs Geheaal Laws chapter 152 retloires all employers to provide workers'compensation for their employees. Pm suant-to this sfEtlIte,an employee is defined as."_.every Person in the service of another under any cDnt and ofhire, express or implied,oral or wdtien." An ernpfoyer is defined as"an individual,pai the 44,association,corporation or other legal entdy,or any two or more of the foregoing engaged in a joint eaiiprise,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,consftuc,�(ion or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not bmanse of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also stains that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any. applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor ray of its political subdivisions shall enter into any contract for the performance ce ofpublic wow uatrl acceptable evidence of compliance with the i„c„ra ce._ requirements of this chapter have Been presented to the contracting author" Applicants Please fill oirt the workers'compensation affidavit completely,by cherkring 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 eMtificate(s)of insurance. Limitad Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,am not required to carry workers' compensation insarance. If an LLC or LLP does have employees, a policy is regnired. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insar'ance coverage. Also be sure to sign and date the affidavit The affidavit should be retimmed to the city or town that the application for the penait or license is being requested,not the Department of Industxial 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-Tn surer ce license number on the appropriate line. City or Town Officials f Please be sure that the affidavit is complete and pri3t:d legibly. The Department has provided a space of the bottom of the affidavit for you to Ell out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the peunitl Corse number which will be used as a reference number. In addition, an applicant that must submit multiple p ennitiUcens e appli-cations i a any given year,need only submit one affidavit indicating current policy information Cif necessary)and under"Job Site Address"the applicant should write"all locations in (city or town:)-"A copy of the affidavit that has be a officially stamped or marked by the city or town maybe provided to the ' applicant as proof that a valid affidavit is on file for Rtn a permit or licenses- A new affidavitun st be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial v6nt re (Le. 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 than 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_ �_ t Wear of Massachusiatfs , I).egaitment of 1ndnsldal AccZenta Office of ltvestgatio_= 600 washingtan Strut Bost MA.G� III T(,-L#617-'27-4900 Qxt 4-06 or 1-&77 MASSAFE Fax#617-727-77� Revised 424t)7 .mas,,gogf din rrL� ll"IL$Z ry rrvyu. cwuau &&." 1, "d ll46l4 I./LIVsla.✓��. +�v ..L... .. ..._ .__ Massachusetts Check.Usf for Campiiance(7eo crvTft53v: .l.i)` C✓1 chm, k Compliance 1.1 SCOPE Wind Speed(3-sec.gust)..._....-..............................-......._.._..........--•---...{_-.._....._._........... 110 ° ...._.....-_................_..-----._._:_........_.......--------....-...._...................... .....,,'�J Wind Exposure Category..._' L� Wind Exposure Category................Engineering Required For Entire Project.......................................:C 1.2 APPLICABILITY . . , Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 7- stories 5 2 stories Roof Pitch..-L..... (Fig ) _ 512:12 Mean Roof Height -:.............._................................ - =(Flg 2)-..................-----_-----••-••---.-.-.?eft <_33' Building Width,W _......_.::_._.......---................-...-......-:-(Fig 3)......... -•--.....: ._.:..-.......__.:._.�fr _<80' c� Bulding Lenspegth, L ...................._--.........--._.....__...........(Fig 3) ---••----•--------..--•---.. . 7 ft c 80' ✓• ..�_....._.. - Building Act Ratio(L)W) .......:......_....__.......................(Fg 4)....._...__......--.--....._. ....---._....._... <_3:1 Nominal Height of Tallest DpeningZ ................................(Fig 4).................................................-c5 6 B` 12 FRAMING CONNECTIONS / General compliance with framing c-onnections._....._....._._..(fable 2)..........__.......................:_....................... i/ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404-1 Concrete......'.*.............................•---....::_......I..._......_........ ..._._..................._._.,...-----........... ConcreteMasonry.....................:.._-..................................._................................................:........_...--•- 22 ANCHORAGE TO FDUNDATION''3 V.�/yt fYX 5/8"Anchor Bottsdmbedded-or 5/8'Proprietary Mechanical Anchors as an alternative in concrete oN-2' f BoltSpacing-general ........................................:.(Table4)...---------...---••- _.. - n. Bolt Spacing from endrjjoint of plate.............................(Fig-5) .....__.....::.......,---------.�-in. . ✓ Bolt Embedment-concrete..........__.___................._...(Fig 5)....................................._:----------- in.>7" Bolt Embedment-masonry.........................................(Fig 5).............'......-....................... in.?15" tf 14 Plate Washer.....:--- :................................:..................(Fig 5)..............._............. __>3'x 3'x IK' 3.1 FLOORS Floorframing member spans checked .._.........................(per 7B0 CMR Chapter 55)............................. Maximum _.Floor Opening Dimension_............................ (Fig 6)....._....._...._..___............_._..._.........ft_12. Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall'(Flg 6)....................................... � Mk)dmrim Floor Joist Setbacks Suppofing Loadbearing Watfs or Shearwall...._..........(Fig 7)................................................... ft s d Maximum Cantilevered Floor Joists Supporfing Loadbearing Walls or Shearwall............_..(Fig 8)............-........................................4-ft _5 d ✓ FloorBracing at Endwalls............................._..------••---.._.....(Fig 9)-••---.._..._.._......_.....__. ......--•-._........ ...... Floor Sheathing Type ......................................................(per780 CMR-Chapter 55)................................ _. rp t�Ytp Floor Sheathing Thickness ......................._....................:._:'_(per 780 CMR Chapter 55).....................Y2L in. Floor Sheathing Fastening........................................___-...(Table 2)_._d nails at __q_jn edge/min field 4.1 WALLS Wall Height Loadbearing walls.._.._.... _......_...................................(Fig 10 and Table 5).............._........... S3 ft 510'- Non-Loadbearing walls...............................................(Fig 10 and Table 5)............................f-ft'S 20' Wall Stud Spacing ..........................;............................(Fig 10 and Table 5)....................1V in.5 24'a.r_ ✓ Wall Stay Offsets ...._....................... :..(Figs 7&8).................. c d.. ` 17 42 DC IOR-WALLS' Wood Studs Loadbeadng walls......................_......._........................(fable!�)........................-._.7x - ft'I in. . -/- Non-Loadbearing walls._.....................................:.....:(Table 5)...............................2xA_ f _�t_in. • Gable End Wall Bracing i - Full Height:Endwall Studs..........................................:.(Fig 10)....._........._.................................... :... .._. WSP-Attic Floor Length_....._- z:...................:--------(Flg 11)......................................... ft W/3 ALA Gypsum Ceiling Length(if WSP not used).................:(Fig 11)..._......................................._ft i_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)..................................................... _..... or 1 x 3 ce►Ting furring strips @ 16'spacing min.with 2 x 4 blocking'@ 4 f L spacing in end joist or truss bays Double Top Plate ..._._....._-. F 13 and Table 6 6 ft _ Splice Length ---•............:........:...._._. (Fig )................._._.._.....__..__._ Splice Connection(no.of 15d common nails)..............(Table 6)..................................._...._....._....._ Massachusetts Checklist for Compliance (790 CiVI:R530i.M.-J)i Loadbearing Wall Connections Lateral(no.of 16d common nails)___................._........_.(Tables 7)__...__........................................ v Non-Loadbearing Wall Connections V Lateral(no-of 16d common naffs) ---_-------(Table B)---..:....... .............................._. Load Bearing'Wall Openings(record largest opening but check all openings for conipfrance to Table 9) Header Spans .........................--.......................(Table 9)-------:....................... (;e ft O in._ Sill Plate-Spans ._..._____...___.._,_._ ....._._...._.__.(Table 9) ................... 6 ft 9 in. 11 Full Hei ht Studs no. of studs able 9 H Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans......... _.... ......................(Table 9)............__._._._. ...... 4 ft D in._<1°,Z.'. ✓ _ _ Sill Plate Spans.... ...............(fable 9).._....____.._... f�it_in.<iZ' v- FuU Height Studs (no.of studs)_••---.-_......---•--.:_._....(Table 9)................................. ------------:......... Exterior Wall Sheathing to ResistUplift and Shear Simultaneously Minimum Building Dimension,W , Nominal Height of Tallest OpeningZ ........._.3o E& SheathingType............................................(note 4)'-•---••---------•-------------. -----_-._. �/y' Pay ✓ Edge Nail Spacing....................._..._._......._____.(Table 10 or note 4 if less)._......................�in. ✓ ` Field Nail Spacing...._.__ _......._.__ .:_.. able 1 D .........._............... ........... Shear Connection(no.of 16d common nails)(Table 10)..............__.....................................�G. ✓ j Percent Full-Height Sheathing.....................:---(Table 1 D)...... --------------••--•. .............. •- °�• : _ 5%Additional Sheathing for Wall with-Opening>6'8"(Design Concepts)......'.__..:.. Maximum•Buildii-rg Dimension, L Nominal Height of Tallest DpeningZ..................................................... ................_... °:5 6'8". _1L SheathingType........................................ (note 4)........_..... ......---•-----........_...... . +,2 r Edge Nail Spacing................................. (Table 11 or note 4 if less)..._....::_......._._..,ED- Feld Nail Spacing___._..___.._.................:.......:_.(Table-11).._._.__.__. ... n. Shear Connection no.of 16d common riails able 11 i Percent Full .......................(Table i 1)--..:...__.....................................:_... �%• 5%Additional Sheathing for Wall with'Opening> 6'8'(Design Wall Cladding :. Rated far Wind Speed?_...:...............-.....:_..__......................... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) �/• Roof Overhang ..................................................(Figure 19) ._...._..._..�ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Wails : Proprietary Connectors Uplift............_......_..................-.......(Table 12).............................................U= pff Lateral.................................._......... able 12 ............................................ = Pif 4— Shear..........................:---------------(Table 12)............................................S-- pit Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= pkf Gable Rake Oudooker................................_......._-(Figure 20).............Q ft'-<smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift__._.... ..............._.......(Table 14)..........................._...._......----U= Iti. r/ - Lateral(no.of 16d common nails) (T ). ... able 14 .............................:..........L= . lb. . Roof Sheathing Type...... ...._......................................(per 78D CMR Chapters 58 ai�rr 59) ......_...., Roof Sheathing Thickness.................... .•................__._.__------:--•_- -_-.-----.----._.._...__.._...._.._._.__ri in.>_7/16'WSPi _ Roof Sheathing Fastening................._____._._....__.........(Table 2)......................................................... Notes: -1. - This checklst shag be met in its entirety;excluding the specific exception noted in 2, to comply with the requirements`ef 780 CMRSW1.2.1.1 Item 1. if the checklist is met in its entirety then the following metal straps and hold downs ere,not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Scraps per.Figure 11 c. Uplift Straps per Figure 14 d. Al Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2 ' Exception:Opening heights of up to 8 ft_shall be permitted when 5% is added to the percent fug-height sheathing.' requinerrierrt-shown in Tables 10 and 11. 3. The bottom Sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. a. From Tables 11D and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thi6mess of T/16"and be installed as follows: L Panels shall be installed with strength axis parallel to studs. _ n. All horizontal joints shall occur over and be nailed to framing. . uL On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of ad staggered 9t 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a)new house or tior¢ontal addition—required if project is 1 mile or closer to shore(generally,south of Rte.28 or north of Rfe.6) b)vertical addition—not required unless there is extensive renovation to the first floor c)replacernent windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. WHEN TM EDGE F EM ON FA'AhtM uSEEd NAir..S ATb-b= I n n 1 g II I.t ❑ I � 1 - it it , � �O p 1 II I 1 t tl 11 K t I I - I It ,t.F l o n z /t m n Ii z a $ 1 t 1 I t o t i i PRALUNG M WSERS t ttJ " U I 1 ®SELirrt(3ZIATE I I L I 1 � it ii I / fr 1 It tl O Ur 19 t !!! � 'tL V ✓ I I t Z �.. I 1 1, 'I [C 1 1 L / 1 S It It I 1 I •G '� 1 1 I I 11 I l { 1 1 -L 11 ;IJ - -- --4 .- J�-.--.-rr DDLl9LE� T 'N _ \�L ST/iSa�i�#Eo 3`rY7�L AE:SPACM — 1 WAX PATTERN PARa • `t-� Pam.EDGE � ROUBLE r1AtL®GE S?ACNG D2TAL See DpLt it on Next Page Vertical and Horizontal Nailing Detail • Ve far Panel Attachment rhGal and Hotizothta!Nailing for Panel Attachment Affidavit of Substantial Financial Interest of .p5 �grh5�l� , on oath depose and state as follows: 1. I am an applicant for a building permit for the property located at Ma , Parcel r The address.of the property is 1700 jjLf cry 5 �i 2. 1 have /D(L_% legal.or equitable interest in the real property which is the' subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is ,�- d l , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: .Name Address 4. Within the last twelve months, from today's date, which is 3d , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a bufiding-permit application: Map/Parcel Address 5. Within this calendar year, I have submitted O building permit applications.for property in which I have a 1% or greater legal or equitable interest. . 6. Within the last ten days, I have submitted `O building permit applicatibns for property in which I have a-1616 or greater legal or equitable interest. 7. Within this month, l have submitted 0 building permit applications for property in which .1 have a 1%legal or equitable interest. B. Within this month, I have received 0 building permits for property in which I have a 1% legal or equitable interest. Signed.under the pains and penalties of perjury,this-30 day of , 20V 2001-0050/afFin 1 0/LOTTERY/AFFIDAVIT NEW HOUSE SUBMITTAL SCHEDULE If Submitted By Will Not Be Issued Before* December 11 -December 24, 2014--------------------------------------------January 7,2015 December 25-January 7,2015------------------------------------------------January 21,2015 January 8-January 21,2015-----------------------------------------------February 4,2015 January 22-February 4, 2015----------------------------------------------February 18,2015 February 5-February 18,2015---------------------------------------------------March 4, 2015 February 19-March 4,2015--1--------------------------------------------------March 18, 2615 March 5-March 18,2015-----------------------------------------------------April 1,2015 March 19-April 1-,2015--------------------------------------------------------April 15, 2015 April 2-April 15,2015--------------------------------------------------------April 29, 2015 April 16-April29,2015------------------------------------------------------May 13, 2015 April 30-May 13,2015------------------------ ------------------May 27, 2015 May 14-May.27,2015------------------------------------------------------------June 10, 2015 May 28-June 10,2015------------------------------------------------------------June 24,2015 June 11 -June 24,2015--------------------------------------------------------July 8,2015 June 25-July 8,2015------------------------------------.---------------------July 22,2015 July 9,-July 22,2015---------------------------------------------------------------August 5, 2015 July 23 -August 5,2015-----------------------------------------------------------August 19, 2015 August 6-August 19,2015-----------------------------------------------September 2,201.5 August 20-September 2,2015-------------------------------------------------September 16,2015 September 3-September 16, 2015-----=------------=------------------------------September 30, 2015 September 17-September 30, 2015-------------------------------------October 14,2015 October 1 -October 14,2015 ---------------------------------------------------October 28,2015 October 15-October 28,2015---------------------------------------------------November 11, 2015 October 29-November 11, 2015----------------------------------------------November 25, 2015 November 12-November 25, 2015-----------------------------------------December 9,2015 November 26-December 9,2015--------------=-----------------------December 23,2015 December 10-December 23, 2015-------------------------------------------January 6, 2016 December 24-January 6, 2016---------------------------------------------January 20,2016 *The Building Department has 30 days to review permits. Town of Barnstable Regulatory Services . F RiAACi'lRTIt s - nsess Richard V.Scali,Interim Director Bufldmig DMdon Tom Perry,BuzZdmg Commissioner 200 Main Street Hyanis,MA 02601 www.town.barnstablema.us Office: 508-862-403 8 Fax: 508-790-623 0 _ Property Owner Must. Complete.acid Sign This Section ' If UsiLaa A Builder as Owner of the subject ptopetty, heteb7 authorize to act on ray behalf, in aIl matters tLhtive to work authotized by this building permit (Addtess of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted- S atnre of 0-wner Signature of Applicant Print Name Print Name Date l U W 11 U1 1141 MZ e.aLJsc - Regnlafory Services' Richard Y.Sc4Interiin Director. .. ' Building Division Tom Perry,BiOding Commissioner MAFM 200 M do Street; Hyan MA 02601 wwyv:tovvn.barnstablemaus Office: 508-862-403 8 Fax: 508-750-623 0 HOMEOWNIIt LICIINM ExE=ON - DAM:_ .44 1�1 Jed ZO/lo • JOB1.ocAz'rO1=r=- - /70U �l�.u� �7� -. l� �2�'/lj� .' . number s VMa9e name . home phone# work phone# CURRENT MAIL M ADDRESS: eityADWn stafe' ap code The current exemption for"homeowners"was extended to include owner-occupied dwelling's of six units or Iess.and to allow homeowners to engage an individual for hire who does not possess a license;provided that the owner acts as supervisor. . DES=ON OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended•to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who 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 pr,.=it (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 ofBamstable Building Deparime�it minimm:o inspection proceduur/rre�ess,,and requirements and that he/she will comply with said procedures and requirements. .0 l d AA Signature of Homcowncr Approval afBmldingOfficial ' Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the Static Building Code Section 127.0 Construction Conti I HOMEOWNER'S EXEMMON The Code stags 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 ai a assuming the respoiisrbilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervison,Section 2J5).Thjsjack of awareness.often - results in serious problems,.particnlarly when the homeowner hires un&censed persons.. In this ease;our Board cannot proceed aganst.tbe unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. " To ensure that the homeowner is folly aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she'understands the responsibilities of a Supdryisor. On the last page of this.issue is a.forma currently used by several towns. You may care t amend and adopt-such a formlcertificcation for use in your community. Q\WP pcnaitfc�� �FGS doc- n+e r , °" ,: Barnstable Old Kings Highway Historic District Committee BARNME= ; 200 Main Street,Hyannis,MA 02601, TEL: 508-862-4787 Fax 508-862-4784 i6,39. APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: ,�/' Check all categories that apply; 1. Building construction: VHouse w El Addition El Alteration 2. Type of Building: ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other r 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Sign : , El New Sign El Existing Sign El Repainting Existing Sign L�J� 5. Structure: Fence ❑ Wall Elr1 Flagpole l Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar anels ❑ Other Type or Print Legibly: Date ? y/ 6 24 20/j, NOTE AU applications mull be signed by the current owner Owner(print): e-�p/� z Telephone#: 9fpQQ Address of Proposed Work: /700 /V 6j Village C(/ / /�h5 f,Map Lot# /27 0?,C Mailing Address(if different) A 1h5 e 0�6� Owner's Signature Description of Proposed Work: Give particulars of work to be done: 62*`,rayL; NfL' zi/ei L A-c werw PfZAM€o 640E— Agent or Contractor(print): owner 1-6r Z7 Am Telephone#: :W Address: 2 ODk54 A69/'/1S&& " Contractor/Agent'signature: I For committee use only. This Certificate is hereby PRO /DENIED Date 'l' 2�' <<° Members signatures MP�R 040 G P y,OV D Co„1wt u�i� 1 mod, �x-��►�- ����� . APR 2 7 Z016 q? Town of Barnstable ()to Pvciy Committee 1 • Q.IBoards and Commissions101d Kings Highwayl0KHApphcatlonsl0KH2011 Cert Appropriateness.doe r J w CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Qiy r-d .Siding Type: Clapboard_ shingle)( other Material: red cedar white cedar _ other Color: WNt T /1/gTd�AL-- Chimney Material: GIG ON &OGK Color: 46ezAlm EP Roof Material: (make&style) 65Q7-Ao y Tromp to N A1412K 1 (Z E) Color: �41154 i/-IC 2 E p W0pD Roof Pitch(s): (7/12 minimum) /P IZ t`WP-*4 (specify on plans for new buildings, major additions) W IL v"&-2 Window and door trim material: wood�_ other material, specify Size of cornerboards -5-/ �l size of casings(1 X 4 min.) color 0141 Tc Rakes Ist member 1 XB 2°d member xy Depth of overhang ,301h 1-��'Y per/ �S A; Window: (make/model) Material 6ADAh)p color Otf/Te APR 2 7 2016 (Provide window schedule on plan for new buildings, major additions) Town of Old &Barnstable Window grills (please check all that apply_: Committee true divided lights_ exterior glued grills_ grills between glass removable interior None I Door style and make: q r2 _,6MpSg/i/materia1 Ep, Color: Gulf 1 TE Garage Door,Style LA Size of opening Materialq���rcrcTl Shutter Type/Style/Material: )q 14 Color: ll� M2 P. . Y . Gutter Type/Material: �/ Color: Y 1AAN VH I Deck material: wood other material, specify �lii x(oz� Colop' �� Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: Fence Type(max 6' ) Style -1- Rg material: I�T. Color: _ )Mt t , Retaining wall: Material: .2W e S -tciloM /700 /a ,,7 Lighting,freestanding ?�Iq on building Of/ (ttlkJ N06minating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) /T z cw� lyQl�J Print Name !�*'-rz 2 Q:Woards and Commissions101d Kings HighwaylOKHApplications10KH2O11 Cert Appropriateness.doc i P'laans shall include the following: !/ Name of applicant, street location,map and parcel. Name of Builder Designer, or architect;original signature of plan preparer and stamp; plan date, and all revision dates. ALL NEW HOUSE OR COMMERCIAL BUILDING PLANS MUST HAVE AN ORIGINAL SIGNATURE AND STAMP,IF ANY,BY A REGISTERED ARCHITECT,MEMBER OF AIBD,OR A LICENSED MASSACHUSETTS HOME IMPROVEMENT CONTRACTOR,UNLESS THIS REQUIREMENT IS WAIVED BY THE OKH DISTRICT COMMITTEE. LZ A written and bar drawn scale. —i/ Elevations of all(affected)sides of the building.with dimensions including eight from the natural Grade adjacent to the building to the top of the ridge; location and elevation of finished grade, roof pitch(s)dormer setbacks: trim style,window and door styles. Chan�cs to existing buildings must be clouded on drawings. Window schedule on plans. Landscaping plan, 5 copies drawn on a certified perimeter plan containing the following information: _Name of applicant, street address,assessor's map and parcel number. Name, address and telephone number of the plan preparer;plan date and dates of rrv-i4ions. �� �� D. —ZThe location of existing and proposed buildings and structures,and lot lines. APR 2 7 2016 Natural features of site(e.g. rock outcroppings, streams, wetlands,etc.). Town of��arnstable �j Old Ksn^'s Hi i l�Eaisting buffer areas to remain. /v0 Q' . Committ wa y ['Location and species of trees outside of buffer areas greater than 12"caliper to be retained or removed. A10 lhe, � v'The location,number, size and name of proposed new trees and plants. ItleAe (� Vbriveway,parking areas,walkways, and patios indicating materials to be used. Existing stone walls,and proposed walls including retaining walls for slope retention or septic systems. (for removal of stone walls,file Demolition Form). ( All proposed exterior lighting and signs. AIM Sketch or photos of adjacent properties,(I copy only) A sketch(s)to scale or photographs of nearby adjacent buildings, where present,along both sides of the street rontage, showing the proposed new house or commercial building in scale and in relationship to the existing uildings. Please discuss with staff if you do not think this is relevant to your application. Photographs of all sides of existing buildings to remain, or being added to . Fees according to schedule. RECEIVE Please complete the following: 504 Existing building,foot print: Building 1 sq. ft. Building 2 ,j� MENT Existing Building,gross floor area, including area of finished basement: Building 1 sq. ft. Building 2 , New building or addition,foot print:Building 1 Q2J L sq. ft. Building 2 HIA New Building or addition,gross floor area, including area of fmis ed basement: Building 1 rd` sq. ft. Building 2 4 Q:!Boards and Commissions101d Kings HigizwaylOKH Applicalions!OKff 20lI Ceri Appropriateness.doe Town of Barnstable Geographic Information System March 31, 2016 Mli � l • o , a� A s� m • • • ',� o Feet WINif 46 j DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:197 Parcel:035 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map Owner:MAKI,KARL I&JAN M Total Assessed Value:$195100 are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:12.38 acres Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. Location:1700 MAIN ST./RTE 6A(W.BARN.) � Buffer Bk 21658 Po I50 41r-81339 - se 12-29-2006 a 1 1 0 43cx QUITCLAIM DEED We, FRANK A. MAKI, JR. of 881 Oak Street, West Barnstable, Barnstable County, Massachusetts 02668; and KARL I. MAKI of 841 Oak Street, West Barnstable, Barnstable County, Massachusetts; and MARJORIE F. MERRITT of 20302 Sapphire Circle, Magnolia, Montgomery County, Texas 77355, for nominal consideration of less than One Hundred ($100.00) Dollars paid, grant to KARL 1. MAKI and JAN M. MAKI, husband and wife, as tenants by the entirety, both of 841 Oak Street, West Barnstable, Barnstable County, Massachusetts, with QUITCLAIM COVENANTS, that certain parcel of land in West Barnstable, Barnstable County, Massachusetts, containing 14.8 acres be the same more or less, lying northerly of the State Highway Route 6a, and lying southerly of the railroad layout now or formerly in the Massachusetts Executive Office of Transportation and Construction,and shown on a plan of land entitled "Plan of Land in West Barnstable, MA, Prepared For: Heirs of Ervina Maki, Scale 1" = 50', Date: November 1, 2006"which said plan is duly recorded in the Barnstable County Registry of Deeds in Plan Book 613 at Page 92, and to which reference may be had for a more particularized description. For Grantors' title, see Estate of Ervina F. Maki, Barnstable Probate Number 05P - 0838 -AD1. See also the Death Certificate of Frank A. Maki recorded herewith and prior hereto. See also deed of Thomas A. Maki et als to Frank A. Maki and Ervina F. Maki, husband and wife as tenants by the entirety, dated February 19, 1963 and duly recorded in the Barnstable County Registry of Deeds in Book 1191 at Page 71. 1 WITNESS OUR HANDS AND SEALS THIS 26" DAY OF DECEMBER, 2006 FRANK A. MAKI, JR. ��a6l�z KARL 1. MAKI MARJO E F. MERRITT COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss December �g , 2006 Then personally appeared the above-named Frank A. Maki, Jr., to me known based upon satisfactory evidence of his identity: to wit: personal knowledge, to be the person described in and who executed the foregoing instrument, and acknowledged that he executed the same as his free act and deed, before me, � A. SUNOEUN Peter A. Sundelin - - - - PETER Notary Public s Commonwealth of Massachusetts Notary Public `'f►� My Commission Expires Apr 11.2008 My commission expires: April 11, 2008 2 _ 9 r. t e I COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss December A6 , 2006 Then personally appeared the above-named Karl I. Maki, to me known based upon satisfactory evidence of his identity: to wit: personal knowledge, to be the person described in and who executed the foregoing instrument, and acknowledged that he executed the same as his free act and deed, before me, L,a& W. Peter A. Sundeiin Notary Public My commission expires: April 11, 2008 PETER A. SUNDELIN �a Notary Public _ Commonwealth of Massachusetts o`rf. .... My Commission Expires Apr 11.2008 STATE OF TEXAS ss December o9 7 , 2006 Then personally appeared the above-named Marjorie F. Merritt, to me known based upon satisfactory evidence of her identity: to wit: state driver's license, to be the person described in and who executed the foregoing instrument, and acknowledged that she executed the same as her free act and deed, before me, ANN Notary Public d•r EZELL MISSION EXPIRES y � '� MY COM My commission expires: /S�o� June 15,2008 Property Address: 1700 Route 6A, West Barnstable, MA 02668 BARNSTABLE REGISTRY OF DEEDS 3 y } -;fAj raj� T N C2 # E 03 lc/ ' l t B► s WA CY-1 c�60 o lbect< m - •�. lif Ap paj wait�tx,o$s P�epo� S76"� Re�ai�►� wade 1 ® 8 { RECEIVED MAR 3, 4Q16 GROWTH MANAGEMENT /mil D3S� fierce, 4� T° . I ,r r 1 - - . • .. L:i „ .-.-♦.. ,+ ..<.:=s .. ..�,-..-'�:S"-�:..__ �...:541... �_�._..3.,,..F Y„-1u�... xC.S�-,s...%ELF'.r - _ _"�S"."-rs• 1 - -_.:,:� •,'.�^+'. 'a=.-' ..,f?Y:: .... .,•tea.., �<:..:' -,,::..-, i ti.92>< c,.,. .'I•"'.l _ <..,t a, i�.":� ���.�.JJ: �z f (Yf.F.I.'r w' .'r•! _r ••l.4,.,i T _,., _.s'�.. � ''t T. ^�,,�s y,}� !m�,r� .Rr,<. 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