Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0080 NORTH WINDS LANE
b-0 i l r QXfipj NO.152113 ORA MADE w USA ESSELTE 0 SolarCity December 14, 2016 Town of Barnstable ATTENTION: BUILDING DEPARTMENT 200 Main Street Hyannis, MA 02601 RE: 80 North Winds Lane, West Barnstable. Permit Nos.: B-16-2092 E-16-1492 Our Job No.: JB-0263048 NOTICE OF CANCELLATION This letter is to certify that our proposal to install Solar.(PV)at the above- referenced property has been moved into a cancellation status. SolarCity Cbrporation and Jeffrey H.Nickerson will not be moving forward'with 00 the proposed installation at this time. b _b V) If you have any questions or concerns, please don't hesitate to contact me. _ Thank you for your attention to this matter. 101i Sincerely, CheryCGruenstern Cheryl Gruenstern Permit Coordinator Direct Line: (508)640-5397. cl4ruenstem@,solarcily.com .com 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 24377VROC 245450.CA CSLB 888104.00 ECB041.Cr HIC 0632778/ELC 0125305.DC 410 514 0 0 0 0B0/ECC902585.DE 20TI120386/T1-6032.FL EC13006226.HI CT-29770.IL 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 12 8 94 8/118 0 5.NC 3080111.NH 0347C/12523M.NJ NJHICp13VH06160600/34EB01732700.NM EE98-37959Q NV NV2012T35172/C2-0078648/82-0079719.OH EL.47707.OR CB80498/C562.PA HICPA077343.RI AC004714/Reg 38313.TXTECL27006.Ur 8726950-5501.VA ELE2705153278.Vr EM-05829.WA SOLARC•9190VSOLARC•905P7.Albany 439,Greene A-486.Nassau H2409710000 Putnam PC604t Rockland H-11864-40-00-00.Suffolk. 52057-H.Westchester WC-26088-H13.N.Y.0 62001384-0CA SCENYC:N Y.C.Licensed Electrician.p12610.#004485.155 Water St 6th A..Unit 10.Brooklyn.NY 11201 82013966-0CA All loans prodded by SolarCity Finance Company,LLC. CA Finance lenders Llcense 6054796.WarCity Finance Company.LLC is licensed by the Delaware S tote Bank Commissioner to engage In business In Delaware under license number 019422.MD Consumer Loan License 2241.NV Installment Loan License1L11D23/IL71024.Po Licensed Lender#20153103LL.TX Registered Creditorl40005o963-202404.VTLender Licr e#6766 t Town of Barnstable ilding Post This Card So That it is Visible From the Street,-Approved Plans Must be:Retained on Job and this Card Must be Kept , Posted Until Final IrispectiomHas Been Made = ��� -i:' Permit Earl• Where a Certificate of Occupancy is Required,,such,Building shall Not be Occupied until a Final Inspection"has been made. +- Permit No. B-16-2092 Applicant Name: Nathan Tissot Map/Lot: 108-002-007: Current Use: Zoning District: RF Date issued: 08/11/2016 Permit Type: Building-Solar Panel-Residential Expiration Date: 02/11/2017 Contractor Name: SOLAR CITY CORPORATION Location: 80NORTH WINDS LANE,WEST BARNSTABLE _ _ _ _ _ Est.,Prpiect Cost: $ 10,000.00 Contractor License: 168572 Owner on Record. NICKERSON,JEFFREY H &PATRICE J Permit Fee: $ 101.00 Address: 80 NORTH WINDS LANE Fee Paid: $ 101.00 WEST BARNSTABLE, MA 02668 f "� Date:--, 8/11/2016 I 4 I Description: Install solar electric panels on roof of existin&house with any upgrades,when applicable,specified by Design;To be interconnected with home electrical system. JB-0263048 3.78KW 14 Panels O'aft - r Project Review Req : Install solar electric panels on roof of existing house with any upgrades,when applicable,specified by Design;To be interconnected with home electrical system.JB-0263048 3.78KW 14 Panels i Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from accessstreet or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. j The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are proided on this pemit. Minimum of Five Call Inspections Required for All Construction Work: Ile 1.Foundation or Footing 2.Sheathing Inspection ! 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 5.Prior to Covering Structural Members(Frame Inspection) 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). S F'T' Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r� � Map V!!11 Parcel 0 !(�� J Application On V lv w Health Division Date Issued 6 Conservation Division Application Fel Planning Dept. Permit Fee �`� l�. 00 Date Definitive PlanPlai rAppyecl by Planning Board Historic - OKH _Preservatinn pp Project Street Address 17"O Village Owner 52q-�- 'V 9.,ft-'C Address kk,64\ , r�S Telephone SOS— -6 - - _Q Permit Request. 0 � - \'� L !}Mi `1� O6 (11\- �` P ; �0 m Square feet: 1 st floor: existing c%Oproposed wh �2nd floor: existing proposed D Total new ' Zoning District Flood Plain Groundwater Overlay Project Valuation oLO,.dU Q Construction Type v'00A,�-T f me_ Lot.Size \ . 4_Zs Grandfathered: AYes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Z Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes �Wo On Old King's Highway: Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other t-\Pr Basement Finished Area (sq.ft.) *V-k _ Basement Unfinished Area (sq.ft) 2\4d0 Number of Baths: Full: existing new G Half: existing new Number of Bedrooms: '� existing _new Total Room Count (not including baths): existing S —new First Floor Room Count `3 Heat Type and Fuel: ).Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes WLNo Fireplaces: Existing X. New C7 Existing wood/coal stove: $Yes JkNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑' Commercial ❑Yes WNo If yes, site plan review # Current Use&. �e nn\ n t Qac+� R �t��M� Proposed Use S�-T-+ A Vie nr\ APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name �� Telephone Number -�- �(,� l r Address , � t_ � License # ©�S�'�`'� Q,y 1te Home Improvement Contractor# _�3�\Vck Email `�J S \ 1�- S�l� l 1�\00c) .CQJV\ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO \Q)'eck r-e�2�p SIGNATURE DATE ly.� FOR OFFICIAL USE ONLY APPLICATION# ' { DATE ISSUED A • MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION . oXVy FRAME J.1- ee � .; INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL -� FINAL BUILDING , ' DATE CLOSED OUT t" ASSOCIATION PLAN NO. I r , °F Town of Barnstable Regulatory Services ` B" KAS& Thomas F. Geiler,Director . 9�A t639.� a�0� re16 Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW 10 r 6�0710 6- 0 Owner: c A Sa71/ Map/Parcel: (00 7 Project Address 80 L A) Builder: S ,O-.0 c.Ey The following items were noted on reviewing: 7 Reviewed by: Date: l�Iri Q:Forms:Plnrvw T7ze Comynomvealth of-Massadrnsetts Deparhment efrndustriat Acciderrly Office,af.£m.w-sfigations. 600 Washijigion Street Boston,MA 02111 ti ipm- ninss.govIdla Tar•leers' Campensaf on Insurance Affidavit:Builders/CmntractnrsJEIecfricians/Plrmhers Applicant Information r �1 Please Print F.e-,ffiIY IVarne3tzsineesstorg ' 1x `n 4 Address: PlIV,, 'J� City/StatelZ* CeN cJ. � 09L.3 X Pliaael -fps -`3JV26 Are}au an employer?Check the appropriate box: Type of project(required)_ I_ l�l am a ere to with 4 ❑I am a geueaal contractor and I P Y * lzave lvredthe sub-coatractrns 6- ❑New consbrucfi • employees(fish andfor part-time. Z.❑ I am a sale proprietotr orpartner- listed on the attached sheet. I- X.Z, odeling These sub-conftradors have shi�i.and have no employees. 8_ [:]Demolition working far mein any capacity employees and have workers' 9. ❑Building additia'a [NJ[vOricers' camp.insurrmce comp-insurance-, required-] 5. EJ We are a-coiporatian and its 10.0 Electrical repairs or additions 3.❑ I am a homeoumer doing all work, officers have exercised their 11-Q Plumbing repairs or addition myself,[No workers'comp- right of exemption per MGL 12-[D Roofrepairs insurance recFsired]Y c.1:52,§1(4),and we have no employees_[No workers' � 13.❑other cow.insurance required-] 'Auy appticsut that,hens box#1 must also fM our:the sectioa below showing&PIr wo3sere compevsatina policy inforn=ffoo. #Nomeowners who submit a7is affidavR iufirzft%P.g they im dTiQ O vrak snA Chum hint±outsider ontrsctorsmast submit:a newaffid2xit indicating rnrT3 ZContzac' s that chectthis bax ntmt aft Ed=sddid—A sheet shotrrag the name of the sub-coact m and state whether or not those emddes have empi*vyees.If the mb-contmdnrshaveempiayees,they mastpmt-i&their wodtrn'tomp.policy mmmber. I arrt era arriplv€ar flint is prtluirIirrr;workers'corrzpertsatiart i�uurtxrPce for m}*cnrploy�e¢s Beloiv is Yltapalicy and job site infor maliam Insurance Company"Nfuae:,*,�- V e- ���`'S f Paficy�or Self-ins.Zic. `Z Q S V Q)XC�( j S \'S Expiration Date: Job SiteA.ddress: 1�6 ` ,O tA,, ww1T� V•Atk /statelzip: V3 Attach a!copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as regt iredunder section 25A of MGL m 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 aadlor one-�earimprisotz aenk as well as civil penalties in the form of a STOP WORK OBIDERand a fine of up to$250-00 adv a day against the violator. Be ised drat a copy of this statement maybe forwarded to the Office of Investigations of the DIA.for insumnea coverage tierificadon. lido hereby c rrrrder an riabrxs a,f per ury fllat8ta infornzaiimt ptmidrd ahmc is tare and carrect Sit�statiu e: Tate: Phone g7 O,fkial use arily. Do r[at mrjz a in ffais area,fa be cainplreteid by criy ortotrn offi iat City or Toga.: PermitUcense# Issuing Anthvrity[Circle one]: L Board of Health 1 BuffiFmg Department 3.Citp Town Clerk 4>Electrical Fnspwtor S.Phnnbing Inspector 6.Other COntWt Person Phone#: Information and Instrudions Massachusetts General Laws chapter M req=m all employers 10 proMEID wor$eas'compensation for their empIoyees. p �this ,an ezrg�layMe"is defined as_`�.every person in the seavicc of another under auy contract of hQe, express or m>plied,Qial Or win" i An ezrwIaye7-is defined as"an individual,partnership,association,corporation or other legal e tin or any two or mare of the foregoing=gaged is a joint mbzpase,and including the legal representatives of a deceased employer,or the receiver or trustee of an indxvirinal,pa tieaship,association or other Iegal entity,employing employees- However the owner of a.dwelling house having not more than 1hr=apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do mainirnance,contraction or repair work.on such dwelling house or on.the grounds or bolding appTrten therein shall not beLanse of such employment be deemed to be an employer." MGL 6haptrz 152,§25C(6)also states that"every state or local licensing agency sb,&withhoId the issuance or renewal of a Beene or permit to operate a business or to construct buildings in the commonwealth for rap applicant Who has notproduced acceptable evidence of compliance with the insurance coverage required_" Additionally,M(H,chapter 152, §2SC(7)states Neither the comet curweahh.nor any of its political subdivisions shall enter info any contract for the perf'rn rnance ofpnblic workumiol acceptable evidence ' complianccva i the in�*.�,ce regtuir meats of this chapter have been preset to the contmcling aufhoaty." ---------------- Applicants Please fill out the workers'compensation affidavit completely,by checldag$e boxes that apply to your sitnation and,if necessary,supply sub-conb=tor(s)name(s), addresses)and phone mimber(s) along with their ceriificate(s)of insurance. Limited Liability Companies(LLC)orLmiited Liability Part==hips(LLP)with no employees other than the fa can y warkexs' compensation insance If LLC or LLP does have members or partners,are not regim-ed employees, apolicyisrequired- Be advised that this affidayitmaybesnbmittr:dto the Department ofIndustrial Accidents for contin nation of insrrmce coverage. Also be sure to sign and date he affidavit The affidavit should be retzumed to the city or town that the application for the permit or license is being requested,not the Department of h ri,..e r at Accidents. Should you have any questions regar ding the law or if you are rmcpfi-ed to obtain a worms' compensation policy,please call the Department at the member listed below. Self-insured companies should enter their self-fi sarmce liceaase number an the appropriate hie. City or Town Officials f Please be sure that the affidavit is completes and prir3ted.legibly. The Department has provided a space at the bottom of the affidavit for you to fill out i a the event the Office ofIuvestigatious has to contact you regarding the applicant Please be sure to EU is the penLWlicense number which will be used as a refere:ace n=bcr. In•addition,an applicant that must submit multiple pewlicense applications m any given year,need only submit one affidavit indicating cat policy information(if necessary)and under"Job Site Address"the applicant should write"all 10MEOW is (may 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 fle for fuse permits or licenses. A new affidavit must be filled Dirt each wner or citizen is obtaining a license or permit not relatEd to any business or convmeazial Year.Where a home o verse (Le, a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit — The Office of Investigations would ae,to thank you in advance for your cooperation and should you have any qa estions, please do not hesitate to give us a call The Departmenfs mess,telephone and fez number_ Cammm tbE of IasmchuseM Degarbnmt c&lidm Aocgent Off!ce ofjave&tEgatio= 604 W�n stt-,d Boskm..IAA 02111 Tf,-L 4 617't -4900 QMt 4-06 Or I 477 MA MAFF Fag g 617-727 7M Revised 4-24-07 mass,gog�dia , 1 , r0 3' G, MN ;.y �• e4f:n. :. r F i : �• - J. ( � i i ..�:�• : -�----- . .--_"." . : . � : . ._ ._ . . GE.eT%.�'/EO � .pLOT ��.4A1 . 7-1-IA Ti-/E . L O 47-%O,C ISAI A.&7-,1 4 4` .4�/O SETBACk _ �D SATE 3-'z�- a/ TL �EQU/.2E/!'!Ei(/TS OF. Tf=/�'7"ot%siNac" P.C.4it! Cc- ,L OG".Q TE1� Z,7- 3-3 4A XT.E.e6 ii/YE /iVC. /NST,e'Ui�/�ic/T,s'U.21/E}i� 7-y� .2EG/-ST�,2EO L,qc/p .SU.eliCya� O.C�SETS Syo�/y Sh'�ULD ,t/p D.SrE2!//�..G�� M�4ss. USEp 72:5, �E"T�,�itl/�C/E .C••�>T G./it/�S .4P�,L/C,Q/VT �v,. 7 40 �OFTHE tp�� • 3ARNSTABI.� • - 9� 16,19. ,0� Town of Barnstable PIED M!n� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,Na 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder ,as Owner of the subject property hereby authorize Q��.J hrt�t to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of Job) c SignA\Ysr,,o Owner . Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFH,ESIFORMSIbuilding peffiit fDr=\MORESS.doc Revised 040215 Town of tsarnstable Regulatory Services THE rgry� Richard V.Scali,Director y Building Division a►axsresre = Tom Perry,Building Commissioner v� 1659. `0� 200 Main Street, Hyannis,MA 02601 PlFO � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "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 ear period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of 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 he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\buildmg permit foes\UTRESS.doc Revised 040215 �e epo9mnonevemN6 Io/1iPAwdaclzuaeCG� insumer Affairs&Business Regulation License or registration valid for individul use only ROVEMENT CONTRACTOR before the expiration date. If found return to: Type: I Office bf Consumer Affairs and Business Regulation in: <.1.32149, 10 Park Plaza-Suite 5170 1a%28/2Q1;6 Individual ';--, Boston,MA 02116 ter: . o 2632'--' Undersecretary I of valid vvithou signatu e Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-035037 DEAN F STANLEY 359 CAPTAIN LIJ Centerville MA 02632 J� Expiration Commissioner 01/19/2016 t ' e i Office of C O97�nc�uu�c a onsumer Affairs&B iaddac/eed-ee OME IIWPROVEMENT Regulation .gistration. F',. CONTRACTOR ' 3214 9 td Expirationx_:_-`. ��1 DEAN F. Ty pe: ANLE Individual DEAN STAN LEY 7 359 CAPT . LIJgNRp' .�`' % - CENTERVILLE,MA 02632- Undersecretary Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 `D 6 `00 FOrtIP�N APPLICATION, CERTIFICATE OF ',PPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Chec all categories that apply; 1. Building construction: El New Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting. roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Sion : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retainin6 wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date ID 1_20 liq NOTE All applications must be signed by thurrentone, ! Owncr(print) tx: Telephone#: 'Z�)� Address of Proposed Work. Oki'`A tN' MnL Cx)9 Village Ul - 9_6n(0A9."ap Lot# Mailing Address(if different) Owner's Signature c — Description of Proposed iW k: Give articulars of work to be done: V/Asent or Contractor(print)::•s<h"; g i§ ,' _ :� ) Teliephone#: Address: •'�i/ y, '� ; "" 'v.i { ✓Contractor/Agent' signature:l Ji�l For committee use only. This Certificate is hereby PPROVE /DENT IED Da$e , j 10/ Members signatures L of 2 �,i 06 � ® ` APPROVE® NOV 12 2014 Old King's Highway Committee 1 QABoarcic and Conunirsian.AOld Kings flighwayiOKH Applicariotts\OKH DRAFT 2011 Cert Appropriateness DRAFT.dnc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit J Copies Foundation Type: (Max. 12"exposed) (material -brick/cement, other) Ce'6V_''r+l Siding Type: Clapboard_ shingle ✓ other. Material: red cedar white cedar Z other Color: Chimney Material: '^ Color: Roof Material: (make&style) t 1 Color: G Roof Pitch(s): (7/12 minimum) (specljy on plans for new buildings, major additions) Window and door-trim material: wood other material, specify rtt l t Size of cornerboards size of casings (1 X 4 min.) color Rakes Ist member 2"d member V Depth of overhang Window: (make/model) AN' material W OT color aw (Provide window,schedide on plan far new,buildings, major additions) Window grills(please check all that opphy_: true divided lights_ exterior glued grills_ grills between glass_removable interior2None Door style and make: material Color: I,tJJ Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: _ 9W Udn-t N Color: Deck material: wood other i-naterial, specify Color: Skylight,.type/make/model/: material Color: Size: REC NED Sign size: Type/Materials: x I Color: OCT 2 Z 2014 Fence Type(max 6' )Style material: Color: GROWTH�R��EMENT '-'�ZTi'�"i 1 Retaining wall: Material: TO Lighting, freestanding on building oyaar�5n�`lfnu-nating sign d Coro tt e OTHER INFORMATION: THE ATTACHED CHECK LIST MIDST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name f } 2 Q:\77oards attd Contmissiotis\Old Kittyr Highway\0KH Applicariau\OKfl DRAFT 2071 Cert Appropriateness DRAF7:doc I Qw•T T 11 z l 1 t 7 ri--•--- F I i ' II I 1 1 . 1 -t -•---------- ..•.-: .------ —. .................. s 1 I 1 I 1 II. / II I II II i1 II � 11 y i • N y y�i � i � 4� �y��j�� • S Q' 0 w ECCC• 2 • ;'r , 2 !` 1 , p z F 1 .......... ---------------------- o II 70•' J� i r G t 3 4 t ` i n d Div•.olow�^^••�•;, e p PROJECT: fJesi nli}Udio.Addi�ion for: oanwN er.` Plan 162 9 rCwerri"Our.4- i 9 1 e�n.mwlmela •N � r.orowwas+b oebv s P' ••�°°�•.e.a�.o��: JeFF ANP PAT NIGWe��oN KSA design= .��...._. LOCATION: M.,51oN5, PROPE991ONAL BUO.DMB OC816N, �p�wsyh�� Qj pr.rml�.rr o..y..or:of 10 coNNeNcv.�.NesmeNrv,t &0 North Winds Lwne ,•4 . Gan.Avahion Pl.".B/9%IO ate • ..emu" �""• Y✓es>`.I!�arnsf Able,MA �%+�•„; �•'•� ooL Y. v-.l-.. I�.P.a�Z. asn oo.,w+•1♦..•r,rw . . .NY•ld auv�J JOO-d a .w M r♦"`�•tw�.l'•v..e 1�.• ' ' 'YaBN� '132N5 , . � •PP1�.Pj Oaa W.•••••I J.�J ~u•IJ uP,♦•rvwi w^•'I•'.♦•wr•.,u•+.T«u rn�., T _ _ - ♦M••!a•1,M•1•••J'•a•polar♦vny . • ��� rTV•IO os•,l♦••1.a1•r..A urt,aw. • ' (`V.m .. . i �IY.,oi/t Y••••HNI�•u.PM < �'b $�••any' gg 4 6n .. .,�. �o.r.,..r..l„�. 14 ;3 ����� S � •.,.:.♦i•.w•,..::...P r-r•3 - fii FF} .. I• •, m—_—_ d, BEY I ' n.. .o.l•..al�.P,a ¢ � N`nd•doolJ Jai-du 9' .�a,1� A � ; r.uy�I.lx+.n•w•♦•. i � .. tn+..J.•e _ __ .. O a 8��g{p���• � .� •W�o�.w.,...:..� I ' �I I� •-o� .. ••n++-I• _ _ .i .o.'+.iF..•�.a i. . a..�`R�mIF U' c�.IMnlnr•-0.+-+-r+nwPr _ .a.a ...in - - •- 4 NYld N011YGNroJ ; _______..____.� ••.•M a,♦•f'a �u•IIT � I ,� C r A 't.� � .o .,.--... .e. ,J1�I o i •,.-rw '�omJ a c d� ------ c_ I � 1 ------------- S 61 Y.pl,.1,•f.•Naln. .. y e �� � i I i jog -I = a 0 Z t C. $ a-a i N D Lap, o % 6 R O O r _ A h P o NICKERSON RESIDENCE m - i eo NORTH WINDS LANE FINE LINE ARCHITECTURAL-DESIGN m WEST BARNSTABLE, MA - 6 WEST SAY ROAD 09TERMLLM MA 0265b $ Z--L ADDITION PLAN IHOIa 508- ,0-12M A�o® CERTIFICATE OF LIABILITY INSURANCE DATE 11/06/201osnol5YY' s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Kathleen Geddis NORTHWOOD ESHBAUGH INSURANCE AGENCY, INC. PHONE 508 771-1632 AI No: ADDRkss: kgeddis.north24@insuremail.net 540 MAIN ST. INSURERS AFFORDING COVERAGE NAIC3 HYANNIS MA 02601 INSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: DEAN F STANLEY BUILDING CONTRACTOR INC INSURERC: INSURER D: 359 CAPT LIJAHS ROAD INSURER E: CENTERVILLE MA 02632 INSURER F: COVERAGES CERTIFICATE NUMBER: 10754 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LIMBS L TYPEOFINSURANCE POUCYNUMBER M MMID COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ Per accident $ UMBRELLALIAB ROCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X I STATUTE ER PER TH- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE W—A E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? wA WA wA 7PJUB2E49857515 10/08/2015 10/08/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/hNd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MA 02673 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1. ------ FtMA ce Ep s. 4+6Doi 04; c IV W trp: It ttp' ¢ ! � Jim 141 Jo � • +�� � '�. Mv� �,. Mlle � � n ...I r +�. .� .t.. �h K _ �ve' �• �a.:v r; � P®Wi .'Q�a ,� roc. .� iar �' 'F �+r# a �55 -n r AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' NICKERSON RESIDENCE ADDITION 80 NORTH WINDS LANE WEST BARNSTABLE Q Check 1.1 SCOPE Compliance WindSpeed(3-sec.gust).................................................................. .................................................110 mph Q . WindExposure Category.................................................................. .............................................................B Q 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)...... 1 stories <_2 stories Q RoofPitch ..........................................................................(Fig 2) ....................................................4<_ 12:12 MeanRoof Height .....................................................................(Fig 2)...................................................16 ft <_33' Q BuildingWidth,W ...............................................................(Fig 3).................................................. 13 ft <_80' Q BuildingLength, L ..............................................................(Fig 3)...................................................13 ft :5 80' Q Building Aspect Ratio(L/W) ...............................................(Fig 4).................................................1.0 <_3:1 Q Nominal Height of Tallest Openingz ..........................................(Fig 4)..................................................6'-8"5 6'8" Q 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ [� 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.................................................................:............................................................ Q ConcreteMasonry.................................................................... ................................................................ N/A 2.2 ANCHORAGE TO FOUNDATION1.3 5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only BoltSpacing—general ..........................................(Table 4)................................................. N/A in. Q Bolt Spacing from endfjoint of plate ............................(Fig 5).........................................12 in.<_6"—12" Q Bolt Embedment—concrete.................: ......................(Fig 5)..................................................7 in.z 7" Q BoltEmbedment—masonry.........................................(Fig 5)............................................ in.>_ 15" N/A PlateWasher...............................................................(Fig 5)...............................................a 3"x 3"x'/<" Q 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Q Maximum Floor Opening Dimension...................................(Fig 6).................................................._ft 5 12' N/A Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... N/A Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................—ft <_d N/A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)...................................................._ft :5d N/A FloorBracing at Endwalls...................................................(Fig 9).................................................................... Q Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... Q Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)..........................3/4 in. Q Floor Sheathing Fastening..................................................(Table 2)...........8 d nails at 6 in edge/12 in field Q 4.1 WALLS Wall Height ` Loadbearing walls........................................................(Fig 10 and Table 5)...............................8 ft <_ 10' Q Non-Loadbearing walls................................................(Fig 10 and Table 5).............................18 ft 5 20' Q Wall Stud Spacing ........................................................(Fig 10 and Table 5).....................24 in.<_24"o.c. Q WallStory Offsets ........................................................(Figs 7 8 8)............................................—ft <_d N/A r� AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMx 5301.2.1.1)1 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..........................................2x6-8 ft 0 in. Q Non-Loadbearing walls................................................(Table 5)........................................2x6-18 ft 0 in. Q Gable End Wall Bracing' FullHeight Endwall Studs............................................(Fig 10).................................................................. Q i WSP Attic Floor Length................................................(Fig 11)............................................. ft>_W/3 N/A Gypsum Ceiling Length(if WSP not used)...................(Fig 11)..............................................26 ft Z 0.9W Q and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................................................. N/A or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Q i Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).........................................8 ft Q Splice Connection(no.of 16d common nails)..............(Table 6)..............................................................6 Q Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Tables 7)............................................................2 Q Non-Loadbearing Wall Connections j Lateral(no.of 16d common nails)................................(Table 8)..............................................................3 Q Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)..........................................6 ft 0 in.<_11' Q Sill Plate Spans ........................................................(Table 9)..........................................3 ft 0 in.<_11' Q Full Height Studs (no.of studs)...................................(Table 9)..........................:...................................3 Q Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)..........................................8 ft 0 in.<_ 12' Q Sill Plate Spans...........................................................(Table 9).................................._ft_in.<_12" N/A Full Height Studs(no. of studs)....................................(Table 9)..............................................................3 Q Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 .........................................................................6'-8"s 6'8" Q SheathingType..............................................(note 4).........................................................WSP Q Edge Nail.Spacing.........................................(Table 10 or note 4 if less)..............................3 in. Q Field Nail Spacing..........................................(Table 10).....................................................12 in. Q Shear Connection (no.of 16d common nails)(Table 10)............................................................4 Q Percent Full-Height Sheathing.......................(Table 10)......................................................21% Q 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Q Maximum Building Dimension, L Nominal Height of Tallest Opening2.....................................................................6'-8"s 6'8" Q SheathingType..............................................(note 4).........................................................WSP Q Edge Nail Spacing.........................................(Table 11 or note 4 if less)..............................3 in. Q Field Nail Spacing..........................................(Table 11).....................................................12 in. Q Shear Connection (no.of 16d common nails)(Table 11)............... Percent Full-Height Sheathing.......................(Table 11)......................................................21% Q 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... N/A Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ Q AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance ('780 CMR 5301.2.1.1)1 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool, see BBRS Website) Q Roof Overhang ................................................... (Figure 19)...............2/3 ft<_smaller of 2'or U3 Q Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..............................................U=236 plf Q Lateral.............................................(Table 12)...............................................L=176 plf Q Shear...............................................(Table 12)................................................S=77 plf Q Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................................T= plf N/A Gable Rake Outlooker......................................... (Figure 20).............. ft<_smaller of 2'or U2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. N/A Lateral (no.of 16d common nails)...(Table 14).......................................L= lb. N/A Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............* Q Roof Sheathing Thickness..............:............................ ...............................................5/8 in. >_7/16"WSP Q Roof Sheathing Fastening............................................(Table 2)...........................................................8d Q 80 NORTH WINDS LANE MEETS THE CHECKLIST IN ITS ENTIRETY,THEREFORE THE FOLLOWING ,NOTE APPLIES:. Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner 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 full-height sheathing requirements 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. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment I AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)1 -WHEN THIS EDGE RE=ON FRAMING EJSESd NAIS AT6'br- ..._..f1__--IT----- --- Ij 11 11 it Ir 11 1 11 11 11 1 Y 1-1 it 11 11 1 11 rl 11 11 11 II 11 11 � 1 11 11 11 /1 11 OY 7 11 1{ r 11 i 11 11 1 1it 1 O m i m +i ii a 1 11 CD Q u it '6 11 li i z ao II � II LI 11 11 Ir o 11 Ir 1 W :r N 1 W IS I: ii $ 1 /t z It 11 Q t a 11 11 , or , 1 1 Q I I i t W 1 p u 1, �•, 11 II 11 t W u t II 11 Ir c DOUSLE O)GE `-- NAILSPACWG i PANk See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 116 mph Wind Zone Massachusetts Checklist for Compliance(7so CMm 5301.2.1.1)] a ' • Qza ei m ' FRAMINGMEMSERS ' i EDGE gnFJIMEDIATE `•' f i � s•PAIN. i STAGGERED 3'MMd NAIL PATTERN y_ PANEL PAWL EDGE DOUBLE NAIL EDGE SPAMG DErAL Detail Vertical and Horizontal Nailing for Panel Attachment I j r i t r� �•-F- 171 1 , 1 - I _ I ' , r 'f- �. ' 1'^ 1 t .__-I i l _ 'J•�r �' ` t o \- Y_.. � t— ., i ' r. �_i ��. �i.--�__ _I ?_ _L� �1 i �_._ 1 .-_. - 1_r r �. _�.__ I,_•` I z� f~ . _ I �— O \ `V YYY Xi �10{ .. t !-.�. J. I I _.. t l-�—t—. _t. _ _ i —r' ? 1 �(-' �_ ` t�• \T_ J .. ;-.~_,__ 1_�_. : ! I T ;V �-F ia,,• i i—i �� ,__.--, ,"' .�- :.± '-r•- j i•i�-�--�..I ��'a► �.� I } �� I t..�--•-^-. � O � " �\ � [ � � � - rLI >. _ , _ .. f__ : ! . � ._, ! � ; ; - . :_. . �, �'_. j -_ _ . : �` fry_ � —� . i•, ' . : _ . � ._, � k�t?�5;1s �� �I - i � � (W' � f(j�'�' .� � � � � 0. � . :1:.� - - —r1 '- •�- �.. ��Q� 1•.—i , - (�l� O .OVV _ t \ `y'` ,,`�^r' i- .-_I !:.� 1 •{ rc.r,-.�.F i 'i' Town of Barnstable Permit o 7q� ' Regulatory Services Date: �ppVE roy, Thomas F. Geiler, Director Building Division Fee: BARNSPABLE, Tom Perry, Building Commissioner 9 MASS. i639. 200 Main Street, Hyannis, MA 02601 alEo �� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: '7 (c I (�I�Q,v�b1�1 Phone: -3 9(of Install at: RD I)pO&lac JS aiyOVtC— Village: R&YWAl9J G Map/Parcel: Date: Z o e Stove A ew>Used B. Type: RaW, -4 =C' Iating C. Manufacturer: Lab. No ic-CC D. Model No.: be Y, Chimney A. New/ xistin If existing, please note date of last cleaning) 9 1 be B. Flue Size 1 Zyc CL , C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Line nlined Hearth A. Materials: I yi-ZAL B. Sub Floor Construction: Installer Name: Address: Phone: Location of Installation: H.I.0 Registration # Construction-Supervisor-#- . ( QZ"Sheo{c 61omeownerxInstalling o_license required CAPPLICANTS,SI;GNAT_URE--- - ._ ►V 6 Cif lQr�-�, APPROVED BY: la / Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector I Q:forms:stove Rcv 103107 i Town of Barnstable . Regulatory Services Thomas F.Geiler,Director Mass . Building Division lFD MP't Tom Perry,Building Commissioner 200 Main:Streett..Hyannis,MA_0260.1 , vt ww.town.barnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230 HOI EOWNER LICENSE EXEMPTION �7 Please Print DATE:_, JOB LOCATION: -_0 U ( 1\ __number street village _�� 7 C "HOMEOWNER": �_, pa� \ c L49LIL J I >' �----- name- -� home phone# work phone# CURRENT MAILING ADDRESS:. tT ��+)VI W, cityhown state rip 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 s ervis6r. DEFINITION OF HOMEO«'NER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to,the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requiremen . Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section.(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a 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 ould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may can t amend and adopt such a fonn/certification for use in your community. Q:forms:homcexempt sTa,� Town of Barnstable Regulatory Services . -�KAM . $ Thomas F.Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject.property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit.application for: (Address of job)- Signature of Owner Date Print Name If Property Owner is applying for permit please complete:the Homeowners License Exemption Form onzthe-revers_evside. Q:FORM S:O WNERPERM ISSION The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street �< Boston,MA 02111• www.mass.gov/dia Workers} Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant b formation I _ - Please Print L ezib 1 Name(Business/Organization/Individual): 1rJ,ce ( � Address: iA j l City/State/Zip: Phone.#: Areyou an employer? Check the appropriate bog: :Type of project(required):. 1.❑ I am a employer with 4, [] I am a general contractor and I * have hired the sub-contractors 6. ❑New construction . employees(full and/or part-tame), Remodeling 2.El am a'sole proprietor or partner- listed on the'attached sheet ?• ❑ ship and have no employees These sub-contractors have g, ❑Demolition vrorking for me in any capacity. employee$ and have workers' 9 ❑Building addition [No workers' comp.insurance comp. insurance.$ 5. [� We are a corporation and its 10.❑Electrical repairs or additions 3.Yam a homeowner doing all-work.. officers have exercised their 11.[]Plumbing Irepairs 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 13.❑ Other ' employees. [No workers comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners.wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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-contraetors have employees,they must providb 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 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 maybe forwarded to the Office of Investigations of the MA for insurance cover age verification. I do hereby certi nder the pains•and penalties of perjury that the information provided above is true and correct. I• Signature: Date; Phone4 bZ —37lo I r y. Do not write in this area, tb be completed by,city or town officiaL ' Permit[License# ity(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: 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 hiie, 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, §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 ehapter..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 coml l ance with:tlie insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please BE out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liabiliy 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. 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 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 fo 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 Comrn.onw th of Massachusetts Departinent of Ind al Accidemts Office of Investigations 600 Washingtori Stvet B.oston,.AE1A 02111 - TO. #617-727-4900 ext 406 or 1-877 MASSAFE Revised 11-22-06 Fax#617-727-7749 www.ma,=gov/dia s r 17 �t r 1 a=+ r_ OVI r 1• m r dD oK ,* Assessor's offioe .(1st floor): Assessor's map and lot number ....�� P...-.!:Q ../.���G�:L IC Sy M MUST BE Board of 4lealth (3rd floor): ( INSTALLED IN COMP�LIANC Sewage Permit number ........�1..�. �. . WITH TITLE 6 i BAUSTAMU, Engineering Department (3rd floor): p S House number ...................................... . O ENVIRONMENTAL CODE A �, "b q. ........................ . pp a • APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN REGULP9��i®NS TOWN OF , BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .GD�t/S TR I/CT 5 //t/6 L E F-,,yml&V TYPE OF CONSTRUCTION ....W.ep C241j1r .............................................................................................................. ........... ..................--- .....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....4..T..........L-/.I .. 6VOR•..7#...... �N S.........L�d�� tv . ......................................................................... Proposed Use A 9 5 IDr wcF- . ...................................................................... Zoning District .......A r......................................................Fire District ....Za:. /590CAl ................................................................. Name of Owner r�1 5 ��� Lb 6.................Address �OX.....Cl S C�N'TeA ........................................................... /1 1-1 / 1 t( Nameof Builder .......................................,..............................Address .................................................................................... Name of Architect �' A)5,be /`-'.....•....................Address �QTvyT ...........I.......... ............... .............................................. Number of Rooms 44...................................................Foundation Q�2� 60A16k,Fr4 / LL// ........................................................ Exterior .CbV S lT/N�O�.�rS............................Roofing ....4..s'T'Hf9 LT /� .............. ............. ....................................................................... Floors . I.!R8C......p`....V.�N L Interior ...��/✓r ..... ....CD.��pSIJM Heating ..6.4.5.........1.!.Q.T.. -47G!e............................Plumbing .p C..�...GOPP0� O� Bfj7/L ....................................................... Fireplace C�!�IC IWE LQC� v4 8� !GK Approximate Cost ............ ............. ........ . Definitive Plan Approved by Planning Board _-_______-__/!__ — Area � --___--19 U..4� .............�a .... Diagram of Lot and Building with Dimensions �� Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �j 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. Name .... .. ....................... ................................ Construction Supervisor's License .... OS .............. ........ BAYSIDE BUILDING CO. No Permit for y ...1. .,,Stor S.ixig.J.e..k'a 1.Y....Dwe l l ing............ Location Lot #41 , 80 North -W-n-ds Lane ........................................................... W. Barnstable Owner ...Bay..$.ide...SuLldi.ng..Co._.......... Type of,,,Construction ...Frame.......................... ..... Plot ..... .................... Lot ................................ C � , Permit Granted .......March 27.,•.........19 91 Date of Inspection 1...........19 f _ / Date Completed S . : - �i wl Tr' OWN OF BARNSTABLE A` � p BUILDING DEPARTMENT ' PAR T 1' . � v- HOMEOWNER LICENSE EXEMPTION' �t '3 r Please :print. --- ' 777777- -JOB IILOCATION— 1 r c-=-Number Str et Address ' *; Sect MEOWNER""""� . .. Is ��, 316 ibn 'Of ow 1 Name Home Phone -�r'Work Ph0 e PRESENT-�MAILI ADDRESS 't}'r-" ►a Clty Town 4. State x tt�j x Z p Code� >i, The current exemption for ;ft uY4,. occupied dwellings of six unitsoorelesswandas etoeallowtsuchchode owner- MjyL �iy rs ners , t g g an individual for hire who does not possess a license.. ovided�th , the' owner •acts as su ., . . ervisor. DEFINITION r,OF_HOMEOWNER: {Peerson s 1 who; owns a 'parcel of land on which he/she �< � _ res',de;4on which there is or is intended to be, a onestoegixr' intend$ to a • dwel�lihq{ family , , , attached or detached. structures accessory to such' use. and/or ;fa structures. -, A' person who constructs more than one home in 'a . tw' F ��. xm period shall not be. considered a homeowner. O year ta3tihe"� � ,fr FBUilding Official on a form a cceptableStohtheoBuilding Officiaibmi ntha 1�_hie'" she :shall be res onsible for all such work erf b 1, di`ng Toerinit. ' (Section 109 . 1 . 1j ormed under they ;The roc ;'undersigned "homeowner" assumes responsibility for co �}'State Building Code and other a ,�. axe, applicable codes b mPliance .with the regulations. by-laws, rules: and. � �• s i 'P The,`undersi ned •• � • ` r . yr= g "homeowner" certifies that he/she understands the Tow ��` j Barnstable Building Department minimum inspection " r� uirements n of " n qa,• ` procedure S SIGNATURE / =" « }a +APPROVAL. OF BUILDING OFFICIAL �' rlR^ r .•, r'�Tj .. 'ems"y. 4.k s=r • r r6 ' -Three family dwellings 35, 000 cubic fee � Ci q ired, to complyw' t, or larger, onrgl'.; with State Building Code Section 1270will be � ? , Construe a r << �r ilk. , � •^� x -�r-�r 11VA no HOME OWNER'S EXEMPTION ° '- } } The ,codeY states that : "Any Home Owner performing work for .which a' b ing'° { permitA'i's required shall be exempt from the provisions of this. sectio�i I w(Sectioi�`109 1: Licensing of Construction Supervisors) ;''provided.:t . '`' i Ho e..Owner inn a es a 9 g person s for hire to rµ �, rt x> •w ice' x^� ( ) do such work, that' such Home .t'# gnwner��s dll�aat;::as. supervisor r 4 •�ial,'�•.'� . 'a. ... '+`Many Home ;Owners who use. this exemption are unaware that they are` assumi"n he xes,ponsibilities of a supervisor • �..g. P (see Appendix Q, Rules�..and�Regulat�.ons forLicensing Construction Supervisors, Section 2 . 15) . This lack�:of '' awareness, often t results 'in 'serious problems, MY P , particularly-when, Homer 'Owner hires unlicensed persons. In-i-this case our Board' 'cannot proceed; §5c Y; * 'r� agalhbt-jthe,�:` licensed person as it would with licensed supervisor. They ' , aHome Ovine"r acting as supervisor is ultimately responsible. To •ensure that the Home Owner is fully aware of his/her responsibilities;r'�': many communities require, as part of the permit application, that the Home Owner certify that h ,/she understands the responsibilities of a supervisor. On the last page of his issue is a form currently used by several towns."�,. .You 'may 'care to amen and adopt such a form/certification for use in ,. our Y; +t y. yPiz = ,communit ' r r, 54, }E3{K; i r+ :" <:. t;' S 3 ,r rT',+li IS ti t {>^� M •Y Q t c h � 1 .j �1 St,`a ' .l t�".)�� :a r> f rtJ ,tt^,'c1 'i�41F►[y7y!' 'r il, wl} Y. t f 3141a.t.r� +, ry. yyww r Y 1 1, i�+��{ '���}..fin iiY' !'lrf. .�. ..� ;�:3 °�l.i,.; r''r•'���� `S- �tr Rlp Pi t + � J;x =�'$ti�2r�r..t+.w.t+w.l+•..s•: .. k{�`r �� 1�. 'f�yr.Q�tt�,fyyr'S,cYo� Sa•c <` r r� � } i tl � "� f: •J�aic ,'* tP W't r �� Application to ••- � Se>PNS OfNE��P EpN 6P of S"+dD Old King's Higbway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ® New Building ❑ 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 -2 _ - 9/ ADDRESS OF PROPOSED WORK 1110"d 0-11A105 011'IC 1". 8190?N. ASSESSORS MAP NO. �U/� OWNER 13�Y51�<= /3UlL��/AJ6 CO• - —Al ASSESSORS LOT NO. L/ ('P,9XcEL .2-7) HOME ADDRESS 60Y 95- CE/I/rFR V 11—L E i;l19- D a 6 3 a TEL. NO. 77/ - / 0 yO FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 5EE ATi/9C#ED sffC"E 7- AGENT OR CONTRACTOR 13l1 y510o &-D 6 0. Jb ✓c- TEL. NO. -- -)71 -1llyy ADDRESS /30X 15 Q A- fQe V/Lr:C ' Al- 616Z6 32 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). igned ,, .a Owner-Contract gent Space below line for Committee use. �' It"'S"k"£v s k..t Received E D �.• � Date—Tv moll l The Certificate is eb a f-i.D _ Time .vi✓� QLD 1� I N' By / . OA Approved A IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ t e FF, Bayside Building Company, Inc. 3 Bayberry Square•Centerville,MA 02632 (508) 771-1040 (508) 771-0894 LOT 41 NORTH WINDS LANE WEST BARNSTABLE, MASS ABUTTERS LIST Crowell Construction , Inc . Lot 25 North Winds Lane Great Western Road Map 109 Parcel 13-5 S. Dennis, MA 02660 Lot 40 North Winds Lane Map 108 Parcel 2-6 Lot 42 North Winds Lane Map 108 Parcel 2-8 Cedar Street W. Barnstable Lot 24 North Winds Lane Realty Trust Map 109 Parcel 13-4 Michael J . Princi & Paul R. Lot 39 Capes Trail O' Connell , Trustees Map 108 Parcel 2-5 310 Barnstable Road Hyannis , MA 02601 Thomas Demayo Lot 26 North Winds Lane 9 New Holland * Road Map 109 Parcel 13-6 West Yarmouth, Ma. 02673 Town of Barnstable Map 108 Parcel 3 "Owner.' s Unknown" 367 Main Street Hyannis , MA 02601 APPROV D KHRHDC G C E I V E D FEB e U lVl OLD KING'S HIGIANAY Form "A-1" OLD KING'S HIGHWAY HISTORIC DISTRICT �. a 7 W Spec Sheet Foundation Type P061P_F__,6 C0A/CRE lie Siding Type RIC C4,4f - D\/STER 694Y UlJIC 5/1/it)6 C- 5 - N197'd1 ,#L Chimney Type XEb /,3iP/C/� Color Roof Material ASP//Al-T Color L Te Pitch o� Windows bdl)EH49i1�9 `ROVW" /-2//9 6,00-S Size 3d X.57 Trim Color _ _Z/61 /LE Doors M,6rllL 6 R/9A4F/,' 9 L!CAI T Color /30?/i9R UUODD Shutters V/e yc — 89119 a2 ulODa Gutters' W fl aE 6,'191nLE55 19I-61M /1lal;j Deck ��'ESs U,P� 7,e E.47E D - L EF7 N11 TUR/9L �Y•� Garage Doors f'l USfi _THER14 /9L GU11A19 Color BR R was D 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 certified plot plan, landscape plan and elevation plan, when applicable. RECEIVED T-, �lAY Assessor's office(I st,Ploor)- Assessor's map andlot number �' S;:pTIC SYSTEM MUST BE T THE r Conservation ' ��- r'� INSTALLED IN ComPUANCE Board of Health(3rd floor): q WITH TITLE 5 Sewage Permit number w /: 0 { t_�L�IV_ II�i®I��Ei��TAL CC®E/�R�D ossai��nic . Engineering Department(3rd floor): TOWN REGULATIONS °moo e r►��d° House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 6:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ),J / 19 TO THE INSPECTOR OF BUILDINGS:" The undersigned hereby applies for permit according to the following information: Location Proposed Use 0C-LC_-2- — nn II _ �iJ V i'S e9Yw AaL 9 Zoning District � Fire District � ' Name of Owner �{ yUic S- n-t`. Address �l0t1(A) ,urS�,C a l tJ 1ryN�0 Pb�Q' Name of Builder Address Name of Architect - Address Number of Rooms Foundation II Exterior Roofing l Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 4� _ 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. Name ��c.Q Construction Supervisor's License NICKERSON, JEFFERY H. ANERO, PATRICE J. No -3-5'8"6 0 Permit For ADDITION Single Family Dwelling Location 80 Northwinds Lane West Barnstable Jeffery H— Nickerson Owner. Patrice J. Amero Type of bonstruction Frame Plot Lot Permit Granted May 11, 19 93 Date of Ins ection 19 Date Completed 1 Z/� �� 19 Q P p MemoranCiIxM a TO: Building Commissioner SUBJ: Modification to Prior Approved Plan FROM: Sally Sylvia !-, Secretary to the OKH Committee DATE: 3/15/93 A minor modification has been approved by the OKH Committee to a prior approved plan for the applicant(s) named below. The modification is briefly summarized and I have attached backup material for your records. Applicant(s) Jeffrey H. Nickerson & Patrice J. Ameto Address of Proposed Work 80 Northwinds Lane West BArnstable, MA Meeting Date Approved by OKH 3/10/93 Minor Modification Modifying' location of garage by moving 10 degrees clockwise Application to & , 0P pE",pS�PPP"5 Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition II Alteration Indicate type of building: ❑ House ® Garage ❑ Commercial ❑ Other Mlirl rnom 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 2-24-93 ADDRESS OF PROPOSED WORK 80 Northwinds Lane W. Barnstab ASSESSORS MAP NO. Jeffrey H. Nickerson OWNER Patrice J . Amero ASSESSORS LOT N0. 60 bU HOME ADDRESS80 Northwinds Lane W. Barnstable TEL. NO. 362-4119 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Barnstable, Town of Conservation Commission 367 Main St . Hyannis MA 02601 Danlei Provitoia 6 Capes Trails W. Barnstable MA 02665 Gary Cremeans 70 Northwinds Lane W. Barnstable MA 02668 eorge 6impson 0 Northwinds Lane W . Barnstabie MA 02668 Tom DeMayo 95 Northwinds Lane W. Barnstable MA 02668 AGENT OR CONTRACTOR TEL. NO. ADDRESS 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 49 ,At D � �no w, F � � er-Contractor-Age Space below line for Committee 5 Received by H.D.C. Date The Certificate is hereby Y Da ° Time B .c2 Y Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. �� p tc5lz\ &; I ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: . An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim., gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. MAR-26-1991 11:44 FROM TO 7750155 P.01 LLANr �,7'G0 ` • "• .. fit`, 1 :.q 1. ~t-,,�V• C" .���. 'fir.. � .. , M 24:as ED / CE —P7 C> 7. UGdT/ �(/ W. /�.=;c.�1sr;dCzc : cC ?W Z- -Y'.5' S G4 L / '-� ✓v O.q TE ?- �� 9/ nG d t 3:3 zS• 9i ' r )F-4 xr'E�� ,vyE �,vr-- TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE 11,�-cch .271 "v. d c_� 13 1 d cj . q(""ZI —i 19 PERMIT N 0. 34231 APPLICANT 9 5 C en to r V'j.1 0.ADDRESS # • (NO.) (STREET) ICONTR'S LICENSE) PERMIT TO STORY OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) DWELLING UNITS AT (LOCATION) i,'4i , Sj 0 "' .1c,I:,h lr�i-,0,u ;J%Alli�,, ( "I. 1.);.!1:11 ZONING I IN 0.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOTLOT—BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: r AREA VOLUME R 864 sq. f t 79, 000. 0-0 PERMIT $ 6r. .1 ESTIMATED COST $ FEE • (CUBIC/SQUARE FEET) OWNER B cA }31d�j. CO. C Jr .:11 T c_-r v I I I BUILDING DEPT. ADDRESS BY THIS PERMIT-.C,ONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING-CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE FOUNDATIONS OR FOOTI - MECHANICAL INSTALLATIONS. : ELECTRICAL, PLUMBING AND I PRIOR TO COVERING STRUCTURAL QUIREC,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 HEATING INSPECTION APPROVALS E EERZINEPA M NT , "I Y_ 11 111, 17zfl -q�) _691 I&. r ",vre-/Y. BOARD OF HEALTH f t 0 kl i—L-11,L OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOUILIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION.. PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. n c^ T i L • 1 � I I 1 T ID ' �Z_ a C N y i _ � � -Nr Om • I ' ,�� 1 c •` � ioon'e •I y s v z I 1 1 ail rr�ss. 1 �{ J-.�-{--.►-emu-� ,o • s �! N it _ • � QUA r-� �� �" - -�- - - -- � W ! u l �I • � Sa3Q'�tnq j.iVh W;t�C,, .. m 4> �-'-•1 Q 6 W C. �'1 Z¢Y�. HmOr �. O J , III Z ,rn LL 0 /\ -71 4 � Z a � ; — -� 0 cc 3� •��L YOti, ' 7z J • • � JJ I . � J I 1 I rl I �9 - 1 - 7:0 PLL r _ r , l x� u oo - goo 7,9 T 11 4, -�.fy Z Ou 1 � Y WJ. 1 :9 �s J QZr * 1it O fin+ 1 ; V 1 00 -o 4 ,7,.. i '�k��. 7J d,.-.�:•� �[<.. ,a- .ct,. ..S �."t:."' ... ,c�..G{ ,a � 1 7,,,rrw' .wTi:::,.-. .. .. .. •. ... ,>:,..wam�iwronio.�us«o'mi,mii� � ool rtl • � LU 0 L O'f � amyo oeges C �• Onn� C 3 C l,' O• a Q s. C2 PO ' � O a� n CD � ° o _ C s � ° ..` CEO r 93(Gar, Form "A-l" OLD KING'S HIGHWAY HISTORIC DISTRICT Spec S1-ieet Foundation Type Concrete Siding Type Clapboard front- Shingles other sides Chimney Type Color Roof Material Same as existing house Color Same as house Pitch In accordance with existing house Windows Same type as existing house Size Trim Color White Doors Same as existing house Color Same as house � Shutters Gutters White Deck Garage Doors Flat front overhead doors Color White Notes: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for suamittal 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", but should show all structures on the lot to scale. �1 < "Ei TOWN OF BARNSTABLE BUILDING DEPARTMENT I:�.. _ »PTAU. TOWN OFFICE BUILDING 6 9• �or�Y►�� HYANNIS. MASS. 02601 i ° MEMO TO: Town Clerk , FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit $�....... .!... �.� ..._.. .......................................................................................................................»... ........ _. issuedto Cle A. ...................................._......... .._._... ..__..... ........._..__. v �• Please release the performance bond. . . ...,, 'rq'`.-.r,� ..r::.V-`: ..�"t.�'ay. .`.y..a .-`�.. .nary'r.,,+�C(r:y,.fyr'�-f�.rJ'1'' .y,,,.v-�,,,,ly��"..i-...�{�M...-t..a..%.r't�u+,�.•..I .-..r,..Y,•, r']w.•r•nrl.��^-.'_ n. ,. ,�.. TOWN OF BARNSTABLE Permit No.3 j.?3.1_...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............. .. � .Ma e�o• �/ 9'�gr►r► HYANNIS.MASS.02601 Bond .....X..: CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Buildinig Co. Address Lot #41, 80 North Winds Lane West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i�IaY..1.6........ . 19....91........ Build ng Inspector t .,r �"°+'a'�`�S+Yti.,.;�..`'r.',ti9'�,�._,'�+.-,�,.'...,j..:-•...,����:..iNtit:!-y..,,�.�V`.w.�.vr-�'��.ti.:.'---' .^—�... .,:.,,0.^`si.t,i` :.t`,y.L.�:..r' .ti.....,,-, <_ TOWN OF BARNSTABLE Permit No. 34231....... BUILDING DEPARTMENT I swan TOWN OFFICE BUILDING Cash 7 .Mt tau*` HYANNIS,MASS.02601 Bond ...... CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Buildinig CO. Address Lot #41, 80 North Winds Lane West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN. REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. MaY.. 16.!........... 19..... .1........ i"fll Buil ng Inspector F ; 1 IS IEEEEE L / 4 G. � ? I dil 1 i L' i ! f t r i J (n. H �F i i --- _ . _ - � _. _ � �� � i 1, ` � � � �.�. �'�c .I {� � . i' t { S1 1 �: ; o�`� .� I `�Y �� ; �' tJ � � .\ A �\\\ Z \ � ,�, � I - - - - --1 � � I . . .. .... .. . ...... . . .. .. .... . • O L 2 R i l - _ i I _ » I , ' 7 lu tj f C IJ 01 9 w Ira El w!•rL io o — t � — d)j '� r LS ' arz ___ — • 16 Q� i i - - ! i V , I It 'ma's.. 77T C4 0 L4 I i F � z� VI 1 g 1 C4oi I � �► t; xi f Z ——•----t— s � :i I U , - _ I I I I I 119 ` i a 1 I -�, c I Ji d: r W J U' o0 Ua LN L' Z � 80 d< p W 4I :3 0► N x • IL IP 0 N � �� C� '4 <�u1 (9 u- CL Z Y r Q w �* 1 ci 'v 23 ; Z Q xci � 43 0. J w \' �v t! a N 0 loo z V 9 L = c017-L 9 04 J 0 Zel04 U,�. Os \ jw ILA; Ew Yang o WSW ID