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0115 NORTH WINDS LANE
3 I OXY(UTdON 0 . 152 1/3 ORA ES E 10% zt 0 I� 1 S i 1 r u " it 1 a r 0 I� I� '�.�I��:._ Town of Barnstable Building Post This Card So That it is Visible From the.Street-Approved Plans Must be Retained on Job and this Card Must be Kept M"S& Posted Until Final Inspection Has Been Made. Permit 39. Where a Certificate of Occupancy is Required,such"Buildin Fi g shalL.Not be Occupied until a nal�lnspection has been made. Permit No. B-18-2011 Applicant Name: Dan A Speakman Approvals Date Issued: 07/16/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/16/2019 Foundation: Location: 115 NORTH WINDS LANE,WEST BARNSTABLE -map./Lot: 108-002-001 Zoning District: RF Sheathing: Owner on Record: PICCIRILLI,ADAM&AMELIA . Contractor Name-' •-,Dan A Speakman Framing: 1 Address: 115 NORTH WINDS LANE - -Contractor License: CS-037636 2 ! WEST BARNSTABLE, MA 02668 Est. Project Cost: $18,060.00 Chimney: I y: Description: R& R W.C.SIDEWALL SHINGLES t �, Permit Fee: $142.11 REBUILDING FRONT LANDING 4X12 Insulation: REPLACE 2 EXTERIOR DOORS Fee Paid:, $142.11 ADD 1 EXTERIOR DOOR IN REAR W/LANDING 6X9 % . __ Date: 7/16/2018 Final: R& 5 DBL. HUNG WINDOWS IN KIND r` VT Plumbing/Gas Project Review Req: � ui ding Official Rough Plumbing: ` Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months aft ' issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection' for the entire duration of the Final Gas: work until the completion of the same. --"� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Buildingand-Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: �`! Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: I ' .� Town of Barnstable Building Post-This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job-and this Card Must be Kept `d$ Posted Until'Finil Inspection Has Been Made.63 • ► � Where a Certificate'of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-18-2011 Applicant Name: Dan A Speakman Approvals Date Issued: 07/16/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/16/2019 Foundation: Location: 115 NORTH WINDS LANE,WEST BARNSTABLE Map/Lot: 108_002-001 Zoning District: RF Sheathing: Owner on Record: PICCIRILLI,ADAM&AMELIA Contractor Name: Dan A Speakman Framing: 1 1 I Address: 115 NORTH WINDS LANE Contractor License: ,CS=037636 2 r WEST BARNSTABLE, MA 02668 Est. Project Cost: $18,060.00 Chimney: Description: R&R W.C.SIDEWALL SHINGLES Permit Fee: $142.11 REBUILDING FRONT LANDING 4X12 Insulation: REPLACE 2 EXTERIOR DOORS Fee Paid: $142.11 ADD 1 EXTERIOR DOOR IN REAR W/LANDING 6X9 Date 7/16/2018 Final: R& 5 DBL. HUNG WINDOWS IN KIND - .- Plumbing/Gas Project Review Req: Building Official Rough Plumbing: Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within.six months afteyssuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. � - , , Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. �---- �- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: - Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �fk I 1HE ao Application Number ................................ BUILDING 6EPT. 33,43VOMA33M Permit Fee........................................MerFee.................... NA ..... M 165g6 &A J U N 22 2018 Total F=Paid..................................................................... TOWN OF BARNSTABLE TOWN OF BARNSTABLE Permit Approval by.................................OIL......................... BUILDING PERMIT M. ........................Parcel-................. APPLICATION Section I— owner's information and Proj ect.Location (1AS 4AJ, Village e�kz- 94 Z49. Project Address Owners Nam Owners Legal Address 1014 zzipcity_ /It,/ State Owners C-11# E-mail Section 2—Use of Structure Use Grroup--�—z ❑ commercial Structure over 35,000 cubic feet ❑ co Structure under 35,000 cubic feet "Single Two Family Dwelling Co Single Two Section 3 —Type of Permit ❑ New Construction R Move/Relocate F1 Accessory Structure . E] Change of use ❑ Demo/(entire structure) R Finish Basement ❑ Family/Amnesty El Fire Alarm ❑Rebuild ❑ Deck Apartment Sprinider System F] Addition F] Retaining wall ❑ Solar Pool ❑ Emulation El Renovation Other—Specify---fL--<?.. Section 4 -Work Description to A eld- C Selo 7- I C)k 00oks 4Z e 0? � 7? T.R.qt=Lited-219=1 8 •Application Number...................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure / `Z Z Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6.—Project Specifics I ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors j ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i t , Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal '❑ On Site j I Historic District ❑ HyannisHistoric District led Highway 1 Debris Disposal Facility: 6� I am using a crane ❑ Yes 2 No Section 7—Flood Zone e Flood Zone Designation x Within or � adjacent to a wetland, coastal bank? Yes ❑ No Section 8 —Zoning Information Zoning District Proposed Use d S, Lot Area Sq.Ft. , 0�qk' Total Frontage Percentage of Lot.Coverage #of Dwelling Units (on!site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed '`r Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No bast=dxtM n2018 .. ...----.. Application Number........................................... Section 9—.Construction Supervisor Name&I Telephone Number Address f� rSpA 7 City h400' ZCu 0e State�_Zip 6� � License Number 3 �License Type U Expiration Date C IZZ/7 p Contractors Email iq,rJ-4jAE4AA 4A-,VOi Ae-14eC Cell# - Y!���(o. I understand my responsibilities under the riles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentati r y 780 Vwn of Barnstable.Attach a copy of your license. Signature ME r Date�"r��`J /�v 2eYc Section-10—Home Improvement Contractor Name,D�p, �, �jLfn, Telephone Number • 2� � �. Address 16 City g (V. ^ State /Lt�, Tip p�/ Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docimmentati by 780 own ofBamstable.Attach a copy of your EUC... Signature Date -,TvovE Section 11—Home Owners License Exemption E Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Contraction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barmstable. Signature Date APPLICANT SIGNATURE Signature Date 2t I Print Name DIM � Telephone Number E-mail permit to: 4 G Cat T.•4....Ai _A.1/nnnt c . ... ........... Section 12—Department Sign-Offs Health Department ❑ Zoning Board Cif required) ❑ , Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ - Conservation / µ For commercial work,please take your plans directly to the fire.department for approval. Section 13—Owner's Authorization I, 1�,4.L �l�['i,�t t C--� 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 j ob) J Signature of Owner date Print Name _ `7: - - 1 Last undated:7J92018 i HOVERComplete Measurements 115 I v� f n d S L n� B a rn sta b I e, t'� �A PHOTOS r i H-v6v4 e4ll2 loa ea. w _ - �G�e€�. _ c,c. Ica corr,wc�aoa4eos N. T .1 E� �.•., '.�� ;- III ©2017 HOVER Inc.All rights reserved.This document and the images,measurement data,format and contents are the exclusive property of HOVER.HOVER is the registered trademark of Hover PROPERTY ID:478946 Inc.All other brands,products and company names mentioned herein may be trademarks or registered trademarks of their respective holders. PICCIRILLI Use of this document is subject to HOVER's Terms of Use and is provided"as is."HOVER makes no guarantees.representations or warrantia�of anv t<inri a—ro« ., �t oN �„ h„ice,,,�, 05 DECEMBER 2017 HOVERComplete Measurements 115 N Winds L n, Barnstable, MA PHOTOS .e-- ��� •:=.C...,_ � ter, • a" f: PTO" 4O4CILA044-ev �, C 4;-W-e G�-Y I�V�V►4 �,e 2 ,0�6G �/!� -- �G�eF !4 4 L �" r - _ 4k` . 15.W. 1,40g11,I A • A)&&)J?@'rr-a*r7ty'0 ©2017 HOVER Inc.All rights reserved.This document and the images,measurement data,format and contents are the exclusive property of HOVER.HOVER is the registered trademark of Hover PROPERTY ID:478946 Inc.All other brands,products and company names mentioned herein may be trademarks or registered trademarks of their respective holders. PICCIRILLI Use of this document is subject to HOVER's Terms of Use and is provided"as is."HOVER makes no guarantees.representations or warrantiPc of anv lrinrt P—rP« .i iiP a �„ h„ 05 DECEMBER 2017 i HOVERComplete Measurem�eni� 115 N Winds L n, Barnstable, MA PHOTOS ����/�r GGr_���� -01�1��'r'�Cti[4dL4 � �-•�4Rt�-tE��`�/�� f/val�4 GeJ l2,O�C•� �/&A4 - - Mgt_c_- �� cort�,Sorge45 g ty �_�' ��' b.a�• !,,},u0vN4- -- ----- ' �CJ�-1?,P�'ti�aw'tty,a�.rf� ,�' � SGtiC�ft. w�,h8,�.�.Ky,� �D 2017 HOVER Inc.All rights reserved.This document and the images,measurement data,format and contents are the exclusive property of HOVER.HOVER is the registered trademark of Hover PROPERTY ID:478946 Inc.All other brands,products and company names mentioned herein may be trademarks or registered trademarks of their respective holders. PICCIRILLI Use of this document is subject to HOVER's Terms of Use and is provided"as is."HOVER makes no guarantees.representations or warranties of anv i<inrr or rA« u� �„ ti„i ,,, 05 DECEMBER 2017 HOVER Complete Measurements 115 N Winds L n, Barnstable, MA PHOTOS ar A. 1 t r v H_��4 Ge1�2 ,O�C•� f/val�. .��,�- SG�e�. _ _c,c. ,mow cort� aor4eaS �� $f t i t_ _ e44 Ax./tHdw;40 -em--1e. O 2017 HOVER Inc.All rights reserved.This document and the images,measurement data,format and contents are the exclusive property of HOVER.HOVER is the registered trademark of Hover PROPERTY ID'478946 Inc.All other brands,products and company names mentioned herein may be trademarks or registered trademarks of their respective holders. PICCIR ILLI Use of this document is subject to HOVER's Terms of Use and is provided"as is."HOVER makes no guarantees.reoresentations or warrantips of anv trinrl ayn.o«r ;.., l;-4 —;Ii h„ �,•, 05 DECEMBER 2017 HOVER Complete Measurements 115 N Winds L n, Barnstable, MA PHOTOS �I �---��_ _ �_G_�,i?BG E, .�'**�a✓�_E�+�'tLM�rSI_S � �,-�-C�4E'��3TZ'y�ce�.�2 G(. J J&"- CO lr s4CM j5= ea S a r . r, t - t 5'G t <,J ©2017 HOVER Inc.All rights reserved.This document and the images,measurement data,format and contents are the exclusive property of HOVER.HOVER is the registered trademark of Hover PROPERTY ID:478946 Inc.All other brands,products and company names mentioned herein may be trademarks or registered trademarks of their respective holders. PICCIR ILLI Use of this document is subject to HOVER's Terms of Use and is provided"as is."HOVER makes no guarantees.representations or warranfiav of anv trinri Avn.o« ,i,„ roa ti„;�,,, 05 DECEMBER 2017 i Commonwealth of Massachusetts s�f Division of Professional Licensure er. airrazoiztoru. r,c•. c/faP/l�. Board of Building Regulations and Standards Office of Consumer Affairs&Business Regulation Construct?bn i§bpervisor HOME IMPROVEMENT CONTRACTOR TYPE-Individual CS-037636 E�pires: 04/22/2020 Registration Expiration �r120040�1lfi h( 10/08/2019 DAN A SPEAKMAN DAN A SPEAKMAN 15 SPEAK WAY / DAN SPEAKMAN HARWICH MA 02646 t ` 15 SPEAK WAYS ; NO HARWICH,MIA,0,2645 Undersecretary Commissioner The Commonwealth Of Massach usetts RrintForm �z Department of Industrial Accidents i �_ -- Office of in I Congress Street, Suite 100 Boston, MA 02114-2017 Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers A licant Information Please Prt Name (Business/Organization/Individual): in S7"3?t.1C Tir,`tl Address: 14 / City/State/Zip:_�Ct/,l��'Zw FA an employer?Check the appropriate bvX; Phone#: m a employer with 4. [2 Lam a general contractor and IType of project(required):ployees(full and/or part-time).* have hired the sub-contractors• am a sole proprietor or partner- listed on the attached sheet. 6: ❑New construction ship and have no employees These sub-contractors have El Remodeling working for me in any capacity. employees and have workers 8' ❑ Dmolition [No workers' comp, insurance comp. insurance.' 9. ❑3uilding addition required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL 1 l.❑ Plumbing repairs or additions insurance required.]t C. 152, §1(4),and we have no 12 ❑ Roof repairs employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box 1F1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatingsuch. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp. p policy number. I ant an employer that is providing workers'compensation insurance for m information. y employees. Below is the policy and job site Insurance Company Name: p Policy#or Self-ins. Lic.#I2CC-•6q0 — IrQ/� A Expiration Date:—/ `jo Job Site Address: — City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. fine /rlo/rereby r the�ains td a ties o at!teinormatiottprovided above/s trtee and correct. Si nature: . Phone#: 71 ElssuingAuthority only. Do not write in this area,to be completed by city or town official. n: hority(circle one): Permit/License# Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing�77Inspector son: Phone#: WORKERS'COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers InsuV"6ce Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. I WCC-500-5009565-2017A PRIOR NO. WCC-500 5009565-2016A ITEM 1. The Insured: Dan Speakman DBA: Dan A Seakman Construction Mailing address: 15 Speak Way FEIN:*****4938 Harwich, MA 02645-0000 Legal Entity Type: Sole Proprietor Other workplaces not shown above: 2. The policy period is from 11/10/2017 to 11/10/2018 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers' Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA 137314 INTER SEE CLASS CODE SCHEDU E Minimum Premium $550 Total Estimated Annual Premium GOV I GOV Deposit Premium STATE CLASS MA 1 5645 State Assessments/Surcharges $6,923.00 x 4.5600% This policy, including all endorsements,is hereby countersigned by 10/13/2017 Authorized Signature Date Service Office: HUB International New England LLC 54 Third Avenue 299 Ballardvale Street Burlington MA 01803 Wilmington, MA 01887 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with Its permission. .� � Town of Barnstable Building aA"ier wec� PostrTF is Ca'r .So:That It Is;Visible.From the Street,A`pp.rovedl Plans Must be Retained on Job and this Card.IVlust;lie Kept ` 6'� `� 7Posted Until Final Inspection..Has Been-made`.,.'.... P^y.rnljlit 'Where'a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has'been made. Permit Permit No. B-18-2011 Applicant Name: Dan A Speakman Approvals Date Issued: 07/16/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/16/2019 Foundation: Location: 115 NORTH WINDS LANE,WEST BARNSTABLE Map/Lot: 108-002-001 Zoning District: RF Sheathing: Owner on Record: PICCIRILLI,ADAM &AMELIA Contractor Name: Dan A Speakman Framing: 1 Address: 115 NORTH WINDS LANE Contractor License: CS-037636 2 .......... ......... ..... WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 18,060.00 Chimney : Description: R& R W.C. SIDEWALL SHINGLES Permit Fee: $ 142.11 REBUILDING FRONT LANDING 4X12 Insulation: REPLACE 2 EXTERIOR DOORS Fee Paid: $ 142.11 ADD 1 EXTERIOR DOOR IN REAR W/LANDING 6X9 Date: 7/16/2018 Final: R& 5 DBL. HUNG WINDOWS IN KIND ��� Plumbing/Gas Project Review Req: Rough Plumbing: Building Official Final Plumbing: i Rough Gas: Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Electrical 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. Service: This permit shall be displayed in a location clearly visible from access street.or.road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final: Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final: 7.Final Inspection before Occupancy Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: 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 �. � a. � � 3 � � � � � � s � � = z � A � � � Z � �. 3 Town of Barnstable Regulatory Services KAM Richard Scali,Director 6 ►`� Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsrable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 Building Permit Procedure for Residential Addition Or Remodel Or Dock ❑ Determine map and parcel number and enter it on application. ❑ Historic District Commission,200 Main Street, approval required prior to construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic District(See map for boundaries) • Historic Preservation (if applicable). ❑ If ZBA relief(Special Permit or Variance is required for Project): ❑Copy of ZBA decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date ❑ Approvals from the following departments are required and can be obtained at 200 Main St.: ❑Health Department (8:00—9:30 AM&3:30—4:30 PM {as of March 2°d,2005} ❑Conservation Department (8:00—9:30 AM&3:30—4:30 PM) ❑Tax Collector {can be obtained from Building Department} ❑Treasurer {can be obtained from Building Department} ❑ Permit must contain complete owner information, full description of project, correct square footage of project,valuation of project(must agree with Total Cost from Project Worksheet), building detail for Assessor's Office, complete builders information, including signature and date of application. ❑ 5 sets of reduced house plans measuring 11"x 17",scaled 1/4"= V & fully dimensionaRted are required. Plans must include a foundation, cross section,framing schedule, insulation detail & floor plan showing location of smoke detectors(located with a Red 'S'.) ****** IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING DATA MUST BE PROVIDED****** ❑ Plot plan or mortgage survey required for any addition. ❑ Home Improvement Contractor's Affidavit ❑ Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit, subcontractors hired must supply this. Copy of Insurance Compliance Certificate must be on file. ❑ Energy Compliance Form ❑ Construction Supervisors License&Home Improvement Contractor's License OR ❑ Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. ❑ Property owner must sign Property Owner Letter of Permission. ❑. A NON-REFUNDABLE Application Fee must be paid upon receipt of application number. All checks should be made out to the Town of Barnstable ❑ CHININEYS: Need Home Improvement License,no plot plan required ❑ PIERS AND DOCKS:Need Construction Super License AND Home Improvement License. OWNER CANNOT PULL OWN PERMIT. ❑ Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission r-addalt 06/20/16 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I a Parcel OOZ — 601 TOWOF BARNSTABLE Application # Health Division i(?; J111 -6 AM 10; 17 Date Issued i Conservation Division Application Fee((�� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board DIvI ;�;.j Historic - OKH _ Preservation/ Hyannis Project Street Address I IS 041"rl W 9"S 1-AwE Village 04Es% IRAangftE Owner Ap&m Qicf-\exLLI Address E Telephone ) Permit Request {LtM-0'VC- Q ePLft-_G 1:X WWA rMstjGn 1;*5EM� w"AS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation_%1 VOO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No ' Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) c-Name---1 RM P1 c-UP_ILL I Telephone Number 51)1s- Address License# (N�;S� ��12n�S► �� Home Improvement Contractor# Email Qal p M . P cci ri ))i p Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SSIGNATURE- v" DATE G �6 , . I FOR OFFICIAL USE ONLY APPLICATION # - DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER w - DATE OF INSPECTION: - 'FOUNDATION ; FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:. ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r TOWN OF BARNSTABLE BUILDING PPERMIT APPLICATION Map Parcel Q0� bO 1 OF Application # Health Division „"' :.'! "1 r Date Issued Conservation Division ` Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis `•Proje t'Street Address 111T W o fvOS l-�E Village LNF51 (WNS ANE Owner P0OM Qi c c%gito Address SAME Telephone q.yb- 5?:>Ll' 6C)46 Permit Request Arm 2rPt.A,c.E I:_Y1N Wt4Gk i NNM01P1n ct&err �P4�jt4c y Sq are feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning-,Districtf• Flood Plain Groundwater Overlay Project Valuation-2vao Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. t Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) _ ' _ rc PEP -Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) f°�' asemen Unfin shed Area (sq.ft) Number of Baths: Full: existing new i . . TIN, Half:ex s ng new Number of Bedrooms: existing knew Total Room Count (not including baths): existing W /new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size =Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use s APPLICANT INFORMATION - w(B: )FLD -R OR-HOMEOWNER) _ ,� -.- - -��_ - - -4 r _ r Name t?r4 r(i P-)L L I Telephone Number- 4 �b L16 Address i rvo t#YV(5 License # M_4i,sT 9 2nvST-A-GLE Home Improvement Contractor# Email Q eA G rh . ,ni c c,'r i I)1 (� Q MG i c �w Worker's Compensation # . ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO • SIGNATURE v'' -�CJ�� - DATE s �6 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I AWG Guide to Wood Co= -u�rr by Hlgld Wnd Ar'i:II D arph H711d Zone . Massachusetts Che: dERt for COE paianle cm cfict53011.1.1)' . C16 . 1.1 SCDPE• - - Yftid Speed-C- g< - i10 mph �tr Cnewnpgt�nrt I?p�art Ff1��rffm's�TSl�{ ..—(� �l�-�•1(�. � 'may"'--�"'�?-�z _ _. — 12 APPUCABIL n Y - ----- -- Niuiib�a�Stdri s ja iaofv irdi ems B b"12 sbpe sftn bed a sfnry)' b'-e5`-52 stories - - — --- - F�nt¢F'iixtt .(Fig Mean Rcaf Height ': (Fig 2) B UcUng Width,W (Fig 3) - Building L _ (Fig 3) fr-s Blr - �-ding Aspect Ratio PJW) _ -- (Fig 4) - — g 3.1 - hlorrnittal Height of Tallest Dpening (Fig 4) 13 FRAUNGCON34ECT[DNS General carriprranm wgiz framing r6rmacgons 2.1 FOUNDATIDN Foundafion Yifails meerizg r egL&=erft of 7BD CSR 54041 • Goner_---__-----------•-•---------------- . -._.__.—�—__._____...__...-_.____...—_.—__ - Cancrebe Masninry_—.. 22 A r-HORAGE TD FOUNDAMOW-3. 5!B'And�or Bolfs�rzbedded or5/B'Prz�priefafy Mechanical Anchors as an alfemafive in rnncrete only . Batt Spgcing-general._. __.--.—_ (Table 4) in- Bolt Spacing fi nm endfjDkd CIF plate (Fig 5) Bolt Embedment-mncretL- (F►g 5)--- h•>7` Boll Embedment-masorq _ _ (Fg 5) in-_>15, . M1- \Hasher. • (Fig 5) >3`z 3'x'l 3.1 FL.ODRS - - Floartamir,g mwnbersgans deed [ 730 CMR Chapter 55) - Ma)d==F bor Opel g Mnwisi°n (FU 6) Ful Height Wag Studs at Floor 0•pen1 gs less than 2�from briar Wall(Fig 6)�._._'.___._._____._—._._. _.. h4bodrntan Floor Jost Sefbac • SuppDifuzg Laadbmrbg Watts Dr Shearwall (Fg 7) T ft d Maximum Caramrared FiDDrJDLsLs SuppDrf rt Lbad Baring M Dr ShearwaA (F►g B) —ft Sid FlaarStac>ng of En C [Fig 8) =- Floor Shaa fiing Type _ (P��Ct�R P� Floor Shea Et g Tj�irfo•mem— —(Pi�r 730 CM2 Chapter 59) in- floor sheathing Fastening (Table Z)__d naffs at • in edge t—fn field 4A WALLS V&l Height _ 1fl and Table ft 1lr f ra eering zaraBs - (Fg. ') — Noi�earing waifs (Fig 10 and TaW6 5) Mali Stud Sig (Fig 10 and Table 5) _ht_5 Zq rtr- .- . 1�aI[Slaty Dtfsefs (Figs 7&B) Woad Studs - • Loadbeatiagl�aIls [Ta1?ie 5} ._.,fix -_1t—in. Noon-L aarmearing uralls._ __(Tab)e 5) 2x Gable End WaO Bracing' _ FrA Heigo Fndwal!Studs _ (Fig 1 D) _ - WSP,AfSc Fbx Length - (Fg 11) Gypsum CaI Length[d WSP not used) -(Fg 11) —ft i=D9W - - and 2 x4 mrff mus Leal Brace @ B ft:ar-_(Fig lid_..____-.__..__. Dr 1 x 3 cesTmg fuu¢ig strzps @ 16'spacing-amt x�z Z x 4 bioc4�zg @ 4 ft spacing in end jatst ortruss hays D �TL� - (Hg 13mdTable 5) - - _ft L--r n.., r.., r., -mf-fM mriimnn rralksl'._ ...—f rabie 61 f1 FYC guide to Waad,Carrsf Vi:can iri iIigfi end Ar•'eas: 110 rnpii > 'rzrd Zone ' - _ lKassachusetts Checkffst for Compliance(no mvmool rs)l Laing wall camacrb= - L:4L-W (na_of 16d mnunon nos) (Tables 7) - NDn-Lradbearing Wan CDnriecrons Lateral (run_of 16d common Hans) (Table B) ' Lr a Bring Wal!Openings(=Ord largest epagog brit cheek all Dpenings for mrnpBance to`table 9) ceder S�SS (Table 9) _ft_aL<1t S[�Flats Spans (Table 9) _ft . FLA HE4_9ht StAS fhm Df siirdsl (Table 9) Nnn--leadBOB&g Wan Dpenhp fr=rd largest°petting but dmc:k aII openings fir campRance to Table 9) HeadeeSPans __ (Table 9) SM plate spars.— - _ (Table 9) _ft_irL 51 T Fun Height Sbrds(n).of sheds) (Table 9) - ldriorWan Sheabing to Resist Uplit and Shmx S"rmr&neDusly _ Whirr an BLAd-rng D-unansian.W _ NDmirpl Height of Tartest Openke -- _C Sheathing TYPE---(now 41 - ��NCH Sp�g _ (Table 1 o or n❑�4 less) in. Field Nan Spacing (Table 10) ►n- . SFiear Connedi❑n(nD_❑f 16d mrrrrn❑n Hans)(Table 1 D) _ - . percent Full-HeightSheaMing 5%AdcMmrd Sheathing fnr wag with Opening>-s'lr(Design CDncepLs) l,Baxirmm Bra7dng Dimension,L - NornkW Height afTanestOpertingz— srEr Sheatl'mng Type (n❑t7=4) T Edge Nail Spacing (Table 11 or note 4 Mess) Field Nag Spacing (Table 11) m- Shear Connecfim(no. Df 15d mnun❑n nab)(Table 11) _ _ percent Full-Height Sheaftg (Table 11) 5%AddManat SheaNng for Wall ufth'Openbg>6V(Design Concepts) Wall Cladding - Rabr d ibr Wind Speed? 5.1 POOFS Roafuming member-spans chedb�d? (ForRaftEns use AWC Span Tpol See BBRS Wei) ioaf Ovarhang —(Figure 19) - ff 5 smaller of 2'or L!3 Truss Or Rafter Connec5ons at Laadbeemg MIT - proprieiary.ComectDrs Upm (Table 12) U= plf I arter-Al (Table 12) !_ plf , Shear (: able 12) S= Pff.. . dge Strap Camecgorzs,ff caner ties not used per page 21-- (Table 13)�—. T= Ri plf _ Gable Rake OLIUDDkP.r (Figure ZD). $5 smaller Df Z Dr L 2 Truss or Raffar Connec8mm at Nnn-L�ting Walls - prDprietwy Cormed�rs Upra (Table 14) - _ Laval(rso.o€16d uvrrurrDn liens)—(Table 14}----_�.�—.—.__—.__L= Ib. • RantShw-ffm g Type (per7BD CMR Chapters 53 and 59)---_.__-__ i RDafsheaffilng Thida•ress _- _in-?t/16'WS? Rnaf Sheaff g Fasten g (Table 2) _ Notes: . This d soap be met in ft en6rW.miud'urg fire spec5c excepiiDn noted in Z 10 mmplY the rL urretnerrts of 7BD CldlR53D12.1_t. Item 1. ffthe chec#dist is met in ft entirety f=the fbiloi ing ma1w straps and hold dawns;am not n quared per fire WFCM 110 mph Bride: a. Steel Straps per Figum _ b. 26 Gaye Straps per F.igra-e 11 - Up&t Straps per Fig=14 d_ An Straps per Figu m 17 . e. Comer Staid Hold Down per Frgum 1Sa and Figure 1Bb - - - 2. E=epUbkrt Opening heights ofup.fn 8 ft_shag be perrnrl when 59�Ls added fn the percent tarp-height sfi tfring 'regiru$en►enfs sfSouai in Tables 1D and 11. t The boffnm sill place in exbi i waftshall be a mu&MM 2 irL nDminal fhidmess pres*-sue frza d Z-grade_ ' AWC Gaide fo Wood Corrmrrcdozy ur 1�r fr R uzdArau: 110 mph fKadZone Masaachuseits Checklist for Compliance(7su cm:r? s -iri)r - 4. a Frain Tables 10 and 11 and location of wall sfieaffing and Sulldmg A.sped FtaflQ.determine Pwc&t Ful Haight Sheafrrmg and 149 Spacing regt�s b. Wood Sb ,c n-ar Panels shall be mkflm n$rfdaness of7116'and be hint&d as follow' - - i: Panels shall be brnstaDed Wr strength':'parallel to study I M hwimrdl Aft small o=r over and be milled to ft*g. M. Dn sirrghe staPy mnstnucSoN panels dW be attached in bottom pbatr s and inp.bnember of ft double tnAie tap membernfAhe.upper•dauble to pbale and to bard joM at bottom of paneL Upper afi-adurue of lower paned shall be made to band joist and lnweratfachment made to lowest plate at fast tioortiamiug. v. Horrmnfal nail spacing at dmbIe fnp pht�s,baud joists.,and girders shall be a double row of ad - staggered at 3 Inches on cent pea figures below:Vertical and Hor¢onW NaTnng for Pane!Affachment 5. Gfaurg profediort a}new house or hnrimntai addr6nn—rewired ff projed'f i tulle or dosaria shore(generally.south of Rta.23 or north of Rfe 6) b)verfical adcMon—not rmph:bd unless Tfiere is e.�ve renv� fa on to ha st'floor c)replacementwaidows—needs energy corm rv-4=mnrpftaric�--only(chap 93) S.Wood Frame Consiruciion Manual(WFCM)for 110 MPH,> pasiire B maybe obiafnedfivrn he America Wood council (A NC)websth-- V -A-n,'M= t1It L p r ft '•ii i�.� l 'e 4 i lL L i G tr L j F ii tl @ L i Lt L, m R i- t t F 1 IL It, L r, Z . 1"- ti-` g� � nrxrca�xa er n�sPRCt9�t7�3ZCL - • Sea Bala on Nwd Page _ -VerScal and Hwizontal hherTmg , VernzI mod HofizanfaI Nail. for Pamal Aftadhirr t �eI Affac�trterii - the ComAwnwealth qfMkwzdHLsd& Ppt�hneat ofradustrid AcdJk is ` Orke of b alone. 600 Wad*gt=Stree Bos&r;MA 02I1I WWMMaSMgvP1 a W&.- rs' Con3peusatianIusm-ance Affidavit-Smide7jf�m AK__ ��-� „%Tiumbe IIIformatiou Please P>i v dd e= s C�iwst3b� w_ � ��,,� v�6g �����= fO(J u� Are you au employer?fheckthe appropriate ban Type of project(reqaired): L❑ I am a employer until 4. ❑I am a general.contract=and I 6- ❑New employees(fan aedfor Part-time),* lmve hiredfie sub-�o 2.❑ I am a sole propfietm orparfaw- listed cathe ate sbeeL I- ❑ReffmodeHng ship and have no employees T5sese sib-co�s have 8- ❑DemoIifion rwad=,- forme in any capacity. Noyes and have wod:ers� 9. El Bu�ldmg addifion xP(,o Wo6m s,Wrap.rnsuramce comp. , , • 5. ❑ We are a coapor,6=and its 16-❑Eleefsicai repairs cr additions 3_YJ I ama homeovmes doing all work officers have eKercised fisek 1L❑Mm6iagrepaim or addifimms myself[No work='o=p right of e:;eaigbost per UGL 12❑goafzepairs ins�reed_]Y C.I52,¢1(4),andwelEmeno employees-[NO Wadaess' aEl'dther corrsp..istssaaaoe me&] •Any &,,,d-r'-bat#1— also fMccithesedimb9awstro�gfimkvmbk emcee anPoycyri�6aa #] araga�a submit syus s$daeit nag suhmitanewxMd,,&ma;rwm sad, t�atbst diacY this bay nmst a3ta<hed as sddtti�sheet sbaadng theasme of the smd stae whelhu arnot those emitFesba� ampbyem .pG& amber lam all erlipIoy�sr 9eatis prauiducg�vorkPxs'aa�erssatiats iiesurarrce for emplvj Below is Elsa pa&cy a�jQ8a i$forrrsQlioa . Issu�s`e Compafrp PFame: . Poficy 1 or Self-m&Iic_k as I3aie_ Job Tife Address citg/Stddzir. At#nch a copy of the w&rkfz-e comrpeasationp.olicy declaration page(showing the policy n=mber and elpiraffoa date). Fm-l=e to swam coverage as required under Section 25A of MQ.t< 152 can lead to the imposition of crisnusal pessaki of a fine up t:o S15Ol1:Oa and/or om-yearimprisonmesd.as wE11 as civil peusaf FE izL the fans of a STQP VMR>£ORDER-and a fme o€srp to$2�KEIO a day agairtst the violator_ 13e advised brat a copy of ibis statement maybe forwarded to Lave Office of Imrestkpdons of*e.DIA for h=mw coverage veificaboa. Fdo csrt1y tva , ,andpmaftrzrqfpedWyffurHfie i formadvaproFI&I ahm is true and cmrm t zza,- G zoj6 ' I sy�^�u bG�6•Pbrine� . K gee MJ: Do sat emits in ffds area:,fa be.cmnpteted by chy artown officret City or Town; P'ermikMieeesse 9 Leg Andarky(code one): I-Board of Health 1 BmEffing Degmtment 3.Cdyffuim Clerk 4.Electrical Ierspector S.Phaabing laspeCtar *Other Contact Person: Phi p: 6 {J: -a1t1. ■._ s _ _ .•:,/I� �•Ies�. 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K •it■1■t1 •. rill • r 1,99/1 t• •alr■ �:• is • t i• •71 �■aes �/ \a rest■1■ �.1' ■• ■./. e- � ■[ • t •wy■ :ls el. •'•■ • ..- s• st..• •1 is / _I•r. •1 ••■ .•••i! .1■•I■ :It• t•■ ■ •■ a- �r' i'••1 all ae :a as .,-w r" We- _n a r. ■um•r ZI i ■�_..tines- t.■ `■ �� go .., Town of Barnstable Regulatory Services • dF Richard V.Scali, Director Building Division ss. ' Paul Roma,Building Commissioner KAM 6s� `�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION b 2c�16 Please Print DATE: JOB''LOCATION: ItS Non—R) W%ntOS l y number street village "HOMEOWNER": A v ig(,A .:(,k Y2)L L k rou LJ'6 stc W E name home phone# work phone# CURRENT MAILING ADDRESS: SST `(�Q 2trS,ftp>LE V� 02�6 cityhDwn state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of sic 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. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable Codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department mum tns ection rocedures and requirements and that he/she will comply with said procedures and re�z Signature of Homeowner I proval ofBuilding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the ate 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 to amend and adopt such a form/certification for use in your community. Town of Barnstable Regulatory Services '" WAS& Richard V.Scah,Director. Building Division Paul Roma,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) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final . inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERNIISSIONPOOLS t J z � v Ln S 7E o C3 II c► r NJ i ui ca NO LA- 1 �' O © C-j t O AA DV1 �.I s Z � µ s i iz J ' cll�4 J � \, Lcg C_ s} T l� C �. .t ' � �' P � -,1 r 4 4 `- ' i I i L � �� J �,O^l (v�V� �.J � _ .��•�� r� i i`r rJ �� %" {.:...,- �... --".�►� y __"mow.. :. _ ��' ���. - - - �- � - _ _ _ �, '� • . -- ..�w � r �' _ ``' �. N �h'. -- �. Y 0 h V I' W � � 4 �r1 Town of Barnstable . *Permit# Regulatory Services ee 6 moat/ Urom issue date BARNSfABM MASS. Richard V.Scali,Director i63 .9� ,0� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1 ---7 ©D :�D Not Valid without Red X-Press Imprint Map/parcel Number. VV �6 Property Address NU%V# W iN95 W)K UyeS-C fjftk'ASx ftiiE [Residential Value of Work$ 35vO Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address AohlA P 1"I YL1 t-L 1 11S iJad�m U ltms E. WV-9 BA"Wftlrc Contractor's Name Telephone Number 11 Home Improvement Contractor License#(if applicable) Email: Q M, P 1 cc 1 r1 f 1 met1 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance �NPRFS PERMIT Check one: ❑ I am a sole proprietor ❑ I am the Homeowner SEP 14 2016 ❑ I have Worker's Compensation Insurance TOWN OFBARNSTABLE Insurance Company Name Workman's.Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [�Re-side ❑-Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ZA)copy of the Home Improvement Contractors License&Construction Supervisors License is quired. SIGNATURE: Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc 06/20/16 Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division t WMMABM ' Paul Roma,Building Commissioner KAM . 039. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ii DATE: Please Print � I l-3 I �,11s JOB LOCATION: ��� a04X- j (,tY 1 NI)5 744 W . '_P5Aa /STftLE number street village "HOMEOWNER": 'A•cA-nn P I u4 t21 L L I SD6-,%14— b646 f3Ay 57c'N- &410 name home phone# work phone# CURRENT MAILING ADDRESS: 11`S /y°'?-T"H t.11 i Mn 5 W C-ir 942 jvsm g be M� ®Z(�G cityhown 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 I Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro s and re uirements 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 i Town of Barnstable Regulatory Services KAMRichard V.Scali,Director „Nua Building Division. Paul Roma,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 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) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of Applicant Print Name Print Dame Date Q:FORMS:OWNSRPERMISSIONPOOLS The Commompeaith ajfMassadlrusetts Department of rad-usb id Accidents Office af£rrveskgations. 600 WashhWan Street Boston,MA 0211I untnu mass gov/dia Workers' Cmnpensatian Insn>-mce AfRdavit Buil&rslCantracinrsMectricmns(Pbnnbers Apr,Ikant Iufarmafran Please Print f ►Ty .Drama(3 ' . - ADNA �.tc1�lL LLi Address: H apt-t1A tw i N DS 6041E CifyiStmte( r : n►A o �P1�a� Svc -sb�- �6 Are you an employer?.Cheelrthe appropriate bay Type of project(required): 1.❑ I art a employer with 4. ❑I am a general contractor and I 6_ ❑ oo employees(fan andfor part-time)_* have l ired1he sub-contra-contractors ,�,� Rem ling. fort 2.El am a sole proprietor orpartaer- listed oathe attached sheet lJ �. drip and have no employees . Mese sub-contractors have ❑Demolition, woAzing for me in any capacity. employees and Im a wadzers' 9..❑Building addition [No WUdM 'Qomp_i�iattsrnre wrap_insurance-1 5. ❑ We are a corporationand its 16-❑Electrical repairs or ad&tions 3_d1reMuffatleowner doing all work officers have esercrsed their 1 L❑Phrmbsng repairs or additions myself [No o warl -aers' Tight of esempftion per MGI. L i„ r required-]T c.152, §1(4),andwe have no -❑0, employees.[NowoADE& 13-❑Other cam-insmsaae requh,5&j 'Any apptiezuf Heat cbedsb=#1 mast elan SIIo the secBoabeIowshatdag their wadses'e�p�satiaapoIieyinfnemaQo� �ameovruea�o sabmEtt dus Ada i catiug&ey am data.-zU wadi sud&m}see outside c smnst snLmit a new affida1t mdirz!dn sadL iCm=sct=ffia1,beck1M box nmstattachedasadditirmalsheidshoxfixgthenamecfthesnb-c and statevrhethecarnotthoseentitiesbay emplapees.Ifthesnb-c�have emgIafees,theynustplwide Yhea uvdEe&imp•pallor"I er- I am are eviplaper flit t ig prai i&rr,-warken'compensation iarswrarree for wry employees Below is d is pr8cy and jab site ircfbrma am Insurance Company Name: Policy 4 or Self-ins.Lie. lxpiaation Date: Job Site Address CylStatel7.tp: Attach a•oopy of the warke&corapensationpolicf declaration page(showing the policy,number and expiration date). Fair=to secure coverage as required under Section 25A of MGI,m 157 can lead to the imposition of criminal penalises of a fine up la$l,54a 00 indfor orie-yearimprisonmem�,as well as rim penalties in the fbna of a STOP WORK 01WERand a$ne of up to$250_0a a dap against the violator. lie adtdsed drat a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insur=ce coverage yeriflic on. Fdo keraby . dw pairs andP=m�af�pedWy fhatthe irgforwu6=proviried abm e i s true and correct A'RRtnrP: L.!'� Date- .f Pht�ae S -51 q a�aL�early. Do not arrefa ie f1�s area,to be aruipfeted by dip or fatvrt tr,jj`reial City or Town: FermtlIricense f Issuing AnfiarFty(drCk-one): L Board of Heahh r.BwTirng Degarlment 3.CAyfrown Clerk 4.Electrical Euspector S.PIu robing Euspecter CL WNW Contact Person: Phone 9: 6 Taformation and hnstruc ions , M__a._����Gaae3alLaws ISZ req�s all empIvyers'Io providework�'compeasa�n fza-thei=e�Ioyexs. Pete this S63ftft,an ar?Iayee'is deed as"_.every person in$e scavicc of another under any canfract ofbh-r,- f CXPM=or implied,oral orwritf ma" An�Iay�is dafmcd as ran n Twl ual,partnersb.V,association;cozpora ion or ath=legal e�y,or a=ry two or m= " of the furegomg��is a joint mter s ,and inch Emg the legal selnesenfafives of a deceased e�rpla .or ffic el reiY or trustee of an individual,per,association or otherlegal emtiiY,en3playing employees. However file owner of a.dwelling hanse baving not mozr than three apartmezI I and who resides therein,or the occupant of the - dwdEng house of anon who employs persons to do mafi tmmce,canshnr-Fi on or repair wmk on such dweIlmg house or on the gromads or budding a q=ft om:1t1h=tn shallnotbecanse ofsach emplaymea3tbe deemedto be an employer." MOL Chapter•152,§25C(6)also status that"every state or local licensing agency shall withhold the L'ssuance or renewal of a license or permit to operate a Dusmess or to construct btuildiav in the Commanmealth for atry applicantwho bus not produced acceptable evidence of cdmpr=r-with t1m insurance.covexagerequired-" Additionally,M(ff_chapter L52,§25C(7)states fiNc they the c nmumwr:a1 nor;�ayy ofits political sabrPxvi-aces shall ffn into any contract for the perfrmance of pablic work until acceptable evidence of compliap.cewith the fi=mcei._ refs of this c1apter have beer presented to the contraCting M3th0jity." AppIicaats PIease fill oizt the wozl='compensation affidavit completely,by checidag the bones that apply to your sitnation and,if necessary,supply sub-contractor(s)name(s). addresses)and phone nomber(s) along with their certificat*) of insurance. Limited Liability Companies(LLC)or Limited LiabslitrParb=mbips(LU)wif Eno m3ploy=other than th e members or pa=tze%rs,are not required to cagy worice&compensation insurance If an LLC or LLP does have employees, a policy isrmlaired. Be advised that this affida:vit may be,submitted to the Department of Industrial Accidents for confirmation of insurance covm ga- Also be sure to sign and date the affidavit The afbdavit should be mtxmzed to the city or town that the application for the peunit or license is being reques'tecl,not the Department of ; Iru±astzial A=de atL Should you have any questions reg sEng the law or ifyou.are rcgaJred to obtam a workras' comp=sat i policy,please call the Department at the number listed below. Self-fim red companies should ear their se]f jn a ce license number cm the appropriate line. City or Town Offf aIs Please be sire that the affidavit is complete and prirdrd.Legibly. The Depar[meot has provided a space at the bottom of the affidavit for you to fiR out in the event the Office of Investigations has to cozdact you regarding the applicant Please be sure to fM in the pemn>tllicense nT�ber which will be used as a rcBx=ce number. Iu-addition,an applicant that must submit multiple pemuilicense appHt sfians in any given.year,need only submit one affidavit bark sting c=t policy information(if necessary)and under-job Site Address"the i pplicaut should write"all locations in (may or. town).'A copy of the affidavit that has bey officially stamped ar mined by the city or mown may be provided to the - applicant as#oo-fthat a valid affidavit is on file for fntm perms-or licensees A new affidavit must be filled Dirt each year.Whero a home owner or citizen is obtaining a license or permit not related tb any bn sink or commercial v&atzro (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Ofiice of Investigations would lie to ffiank you in advice for your cooperation and should you have any rsiion. please do not hesifaiz to give us a call The IDepartmcafS,address,telephone and fax number_ Thy rani alth of Massachu&tt; . Depait�aet aff Accidents Qffic��.f�esi�g$tio� BEM&o�i1F Ta#617�-' -4 mt4€l6 4r I-977 MA SAFE Fax 4 f l7 727 7749 Revised 4-24-07 ma g�� ,( TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /U 8 - OGd-- UG/ Permit7�,3 7/ Health Division d'1 Ms Av9p vA ,W L�r '."�/STUtSued //A'Y :0/®,} 1+shy KA Y - I'l�ation Fee 60 Conservation Division �4 O 3 � pRR Tax Collector. Permit Fee S Treasurer Planning Dept. Date Definitive Plan Approved by PI a ing Board VH11ok-tt Historic t 0 V14 reservation/Hyannis Project Street Address "5 Nd/*3 T W f IV Af F Village W E s% 13,4 R Af s fA 13 c & Owner w s c(-1 A^4 4 St c C 6 15 iz 1 E^1 Address 5'4 M << Telephone �so -3 3 -7 - 6 9 9 `/ Permit Request F-cic-E e y e_ o-r-,J a he k-e ^U L � <J Square feet: 1st floor: existing 8 proposed -' 2nd floor: existing proposed Total new '79 Zoning District Flood Plain Groundwater Overlay Project Valuation �, ° . " Construction Type a/o o d I'—a m,R Lot Size 4 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. N Dwelling Type: Single Family Id Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: AeS CZ!No On Old King's Highway: U Yes ❑No Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing Z new d Half: existing new Number of Bedrooms: existing 3 new 6 Total Room Count(not including baths): existing new First Floor Room Count 3 Heat Type and Fuel: d Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing New 0 Existing wood/coal stove: EfYes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization El Appeal# ^!�A Recorded❑ U Commercial ❑Yes No If yes, site plan review# Current Use 5 k. Cs Proposed Use 5 , BUILDER INFORMATION Name w '< < r/0 M 0 rC-^�\ Telephone Number so - - (' 5 Address ��r ru �'-,C " -r Al- License# /� . r f%��c•� i`'r� as �' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION D RIS UL II G FROM THIS PROJECT WILL BETAKEN TO 13 a P-A-s e&S e SIGNATURE DATE ? • 3 G d FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. r ADDRESS t VILLAGE r i OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION f Al JC O ® h c 4LX Ala Y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL k GAS: ROUGH FINAL M1 FINAL BUILDING DATE:CLOSED OUT j ASSOCIATION PLAN NO. . i y� ' .' .. 1. :. •. ''� •.. :. .. .� •' .` The"Comnaniveal�th of 1Vlussu . _ - Department of Industrial Accidents` r ' se d . mu60Washington - ' Boston;Mass.. bZ11 ' workers' C m ensation.,bsurance Affidavit-General Businesses J •toil•;'�•;�: . address: 1b h e# • �; • a!/i���(•� state• zi _ -: • . . _.... -. work site locati felt address sines e: []Retail[�RestauraniMai/ tibg Establishment I a sole�ropnetor and leave no one BP, ID : Cio S es eluding al'Estate,Antos etc.)' capacity. �j1't fl��✓N S. ywrldug in any 'lo ees full&' art tune: Oiher I ism 1° %%//%/%%%%/%/y%%//��%/ ��%//�/////O//////% %%/// cbmveasation for myem�loyees wor]an ' g on this job.. ' loyer,providing,vrkerst : , ,. Ism an'��? .r.. 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L:r�`n•:, 4)t M.lr`r<.t iF;1',t. �.•a.t 'i t;•ri}• •1Y•,•:.•'l:t•;tr '• r .t;•: Si.;r;.i:°t•' '•%.7,r O't1Ct':#r• •I .Y ��� insiiraric>i=a++ • ll enalties of a fine up to$1,500.00 an or FaDure to secure overage re ea and Section Z5A of YlGL 152 can lead to the imposition of of$100tp e as e14 nalties in the form of a STOP WORK ORDER and a fine of 3100.00 a'day against me, I understand that}t one years'im r mnent e f to the Office of Invrstigations of the DlAfor coverage verification COPY of s ' I doh e6y a nd the pa' enaki b er uiy,that the information provided above is true 3d correct Date Signature _ ' • ?hone # print name t dE Ai: official use°� do not wJ its 1n this area to be completed by city or town oiYicis� permit/license# QBuiiding lupartneut CJLiceasing Board city or town: Dwectmen's Office [�checkif immediate response is required ❑Health Departnenl (]Other • phone#; contact person: (fevisedSepL2003) , ' Information and Instructions. j ' era,L'aws cI tapter 152 section 25 requires all emgloyers to provi$rovorkers' compensatidn for'their•• Massachusett$Gefl under oted'fromn the `law", an employee is.defined as every person' the service of another under any contract �loyees; As qu � . ... • of hire;expr•cgs.or isr of d oral or written. I er is defined as an individual,partnership, association, corporation or other legal entity, or any fwo or rngre of An emp ed•in.a�joint enterprise, and including the legal representatives of a deceased,employer, or the-receiver or the foregoing cng�g artr�-ershi association or other legal entity, employing employees. 'HOwevei•the owner of a trustee of an individual,P . P� dwelling house ha� :not'fnore than three apartments and-who resides therein, or the occupant;of the dwelling house bf persons to•domaint;euauce, constriction or repair work on such dwelling honse'csr on the grounds or another who•emPl03's ent.be deemedtobe ari erm�loyer. .building.app�tenant thereto shall not because of such employm .. ter 152 section 25 also'siates that'evemy state or local licensing ageney shal`i$dthhold the issuance dr renewal chap Y Pp. Of a license or pe?'m?f to operate a business or to construct buildings in the.commonweaIth for an a Iicant who has not produced acceptable•evf deace'of compliantre with the hall enter into any c ntracgfor the performance of'publictwork unto• coixionwW�•nor'e`'ay•of its political subdivisions y th t�e insurance requirernents of this chapter have been presented:to the contracting acceptable e`ridence of compliance wi authority: Applicants please f t}xe v�o �s' eompensatm affidavit completely,by checking the box that applies to your situation..Please supply company.name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department'of Industrial acci dents-for confirmation of insurance coverage. A]so-be sure to sign and'date the affidavit. The afiidawt should be returned to the city or town that the application for the permit or license is being requested, not the pepartment of{Xvdustrial Aceideuts. Should you have any questions regardiri�the'"law"or ifyou are btam a vrorkers.'•compensatj pplicy,please call the Departrfi t at the nirmriber listed below. t required to o, , , 2120 City or Towns • , pleasebe sure that the affidavit is complete andprinted legibly. The Departmenthas provided a space at the bottom of the you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please affidavit for y ern itlicens e,number which wM be used,as a reference number. The.affidavits maybe retuzned tq be,suretofillinemaii emnentshavebeenmade, the D ep artment_Y- or FAX wiles s other:arming , The Office of Investigations would lie to thank y'ou in advance for you cooperation and sliould you have any questions, hate to give us a•call. ' please do nothes wx The Depent's address,telephone and r. fax number. ' The Commonwealth Of Massachusetts Department.of Industrial Accidents . Bihce of Is�tes�stiena . 600 Washington Street Boston,MR. 02111 fax#: (617)727-7749 J, iia-n __L 'A MC r Town of Barnstable E Regulatory Services Thomas F.Geller,Director a $ BuilcUn.g Division pIFD `�k TomPerry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax; 508-790-6230 p{fice: 508-862.4038 ' P ermit Data ' AFFIDAVIT OVF RCTOR LAW �1?MERNT TO PERNUT AMMNT �CATION ' " econstruction,alterations,renovation,repair,Mode1nization, cu led Ion, MGL c.142A requires that the r re-existing ow]?er oc p improvement,removal,demolition,or construction of an addidonto�or po struOtures which are adjacent to bung ce atainidg at least one but not more than four dwelling p alon with other such residence or building be done by registered contractors,with.certain exce bons, g requirements. 10 YMt� L d a e O Estimated Cost Type of Work: A� c c 6 C_ o✓� s _ Address of Work: / N Owner a Name: l l' l� a ` C 3/ 30/ U`r • Date of APptication: `[ I hereby certify that: ed for the following reason(s): Registration is not requir []Work excluded by law ❑lob Under$1,000 []g ' ding not owner-occupied er pulling own permit Notice is hereby given that: OR DEALING WITH UNR'EpISTF OWNERS PULLING THEIR OWN PERMIT c ON'TRACTORS FOR APPLxCABLE HOME IlVIPR U xT y'' p DER MGL 142A. ACCESS TO THE ARBITRATION PRO SIGNED UNDEIMNALTIES OF PERJURY I hereby apply for a permit as the ageut of the owner: ' Regishationl�Io. Contractor Name pate OR wner's Name ' Town of Barnstable Regulatory Services anxxsrnac E Thomas F.Geiler,Director 1639. p•0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabl6.ma.us Office: 508-862-4038 Fax:.508-790-6230 HOMEOWNER LICENSE EXEMPTION �f Please Print DATE: 3 6111 JOB LOCATION: �� G� "CL. r 6V number street village "HOMEOWNER": . i� « Sa�- 7 �G o — 1,3 9j name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for-hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility-for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. ers homeo r"certifies that n he/she understands.the Tow of-Barnstable Building Department ection proc dares and requirements and that he/she will comply with said procedures and r qu n . gn re of ome er Approval of Building Official Note: Three-family dwellings containing 35,000.cubic.feet.or_larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner.perfor mingwork 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:forms:homeexempt SKETCH ADDENDUM Fij,No. 060216S Borrower VVitram ObrIen 8r Jill Obden Aloparny AWr.W 115 North Winds Lane —� MY t3atnaSaete cowry Barnstable State MA zio cS,do 02,668 Lragg Cusjpg William Q Wen Redress 115 North Winds Lana 8amstahle Ma OM668 FIRST FLOOR ---------------------------------------------- Deck ; r 1 -------------- 1 I r 1 1 IGtchen Bath Lnory ; 1 . 1 I 1 2-Garage ' rn c 1 •S J i i I 1 Dining Room --------------' I Foyer SECOND FLOOR Master Bath Bain Room Bcdroprn Master Bedroom Bedroom uunolws abl eats anaMul w%—a a"afard y.s.�team?arxm PDF created with pdfFactory Pro trial version www.Ddffactory.com ZO'd S�:VT b00Z 8Z udd iz£809980S:x2d @3uPijjdiau0jSJ9uJ00 f Fax Transmission From: Bill O'Brien Regional Sales Director Cornerstone America Representing Mid-West National Life Phone: 1 (508) 660-0343 Fax: 1 (508) 660-8373 E-Mail: bobrien(i),cornerstoneamerica.iiet To: 4)h< a s rt Kea k Fax#: S 6 Y -79 0 Re: Date: y/28 o y #of Pages: Z CA. �p ..-e � s max• s �- .�. p 101r r Q1 S f/ TO'd SS:bT b00Z 8Z udd 2Z2809980S:xej a0uetjjdiau0jsuauu00 •n s `� � �" ►� 3 =x �' v Nam- n r _c1 v�� � �, �--- � �� N � ,, � � ,�____...__ �+ o - � 4 , � ,� , N � \ _ 'Q� � �" � - � � � r _ � � � I�. , . - , �� o- , L N � � � �� �� , �_ � � � U �� � � pp � � � , y N� I i ��� ^' � � � vJ L c i � ,� fi o , � r-- � ' + a� r� Q � � � - � OIL 1 .` :/Engineering Dept. (3rd floor) Map /J q• Parcel DD Permit# House# Date Issued S R--1-9 5- 1 B and of Health(3rd floor)(8:15 -9:30/�j( 1=4:30) 2",W I I WV/f V-11 cy U( IT 1 1 LA�51 I � � nservation Office(4th floor)(8:30- 9:30/1 2:00) C, Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYS UST BE ' IYNSTALLED I ATE Defini ' \Approved by Planning Board 19 W ENVIRON AE A AND TOWN OF BARNSTABLE TOW RE �S Building Permit Application Project Street Address_/�.� Village Owner 1 Address Telephone .,ie Permit Request a— First Floor square feet Second Floor square feet Construction Type - ^e, Estimated Project Cost $ lOA G � Zoning District Flood Plain Water Protection Lot Size /1W &Ke Grandfathered ❑Yes ❑No Dwelling Type: Single Family 42 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway VkYes ❑No Basement Type: El Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing �2r A New Half: Existing �. New No. of Bedrooms: Existing 3New Total Room Count(not including baths): Existing New _�First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes allo Fireplaces: Existing ZNew Existing wood/coal stove a Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 0 Attached(size) ,Z`/ X Z ❑Barn(size) ❑None ❑Shed(size) r ❑Other(size) ' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# - Current Use Proposed Use Builder Information Name �� �- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) _ I'1A _ .p FOR OFFICIAL USE ONLY 2 r; . PERMIT NO. DATE ISSUED` MAP/PARCEL NO. 1 ; • ADDRESS I VILLAGE' OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE ELECTRICAL: ),KQUgJi FINAL , L _ o PLUMBING: z y; sROUGH FINAL GAS: t H FINAL FINAL BUILDII ' DATE(CLOSED' ASSOCIATION Pie NMI. • 1 QUERY PERMITS : QUERY END ,PUERY PERMITS r PENTAMATION----------------------------------------------------------- 09/30/97 °` PERMIT NUMBER 22950 PARCEL ID 108 002 001 115 NORTH WINDS LANE PERMIT TYPE BREMOD RESIDENTIAL ALT/CONY DESCRIPTION FINISH OFF REC ROOM OVER THE GARAGE CONTRACTOR PERMIT FEE 25 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 05/08/1997 EXPIRATION VALUATION 1500 . 00 DATE ISSUED 05/08/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ M (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT This value is not among the valid possibilities 4 l^ ji r - � David J. Melish 115 North Winds Lane West Barnstable,MA 02668 September 29, 1997 Town of Barnstable Building Inspector 367 Main Street Hyannis, MA 02601 RE: Permit#22950 Dear Inspector, Please extend my building permit referenced above. Due to circumstances I was unable to start my project at this point. However I plan on going forward with the work starting in December. If you have ant questions please call. cerely, David J. Melish ,r i Q \\ J o ► � S � s � MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) TOWN OF BARNSTABLE Date 19 19; Building Permit# AT: Location Owner's Name Type of Occupancy: New ❑ Renovation ❑ Replacement ❑ Plans FIXTURES Submitted: Yes❑ No ❑ z : le N N N O s z UsW >< J th t V H v i s H z N < rt fi z Q a O = J M W b W z o t) = C ■ et a ya1 Y ; F N z G < N = C •O fC ° r► fC W F F y1 < y It < J w C. tC J G C O r fL ° ~ < It < W rt ac W Z to O e1 = = W f' O 1,1 z a sus—eSMT. BASEMENT Q 1ST FLOOR I 2NOFLOOR 3ROFLOOR ATNFLOOR la STN FLOOR eTN FLOOR 7TMFLOOR STN FLOOR JJ (Print or Type) Installing Company Name Check One: Certificate ❑ Corp. Address ❑ Partnership ❑ Firm/Company Business.Telephone Name of Licensed Plumber 1 hereby carton that all of Use details and inforntalion I haw wbsnilled lot entered)In abssve appfiolinn are toot and accurate to the bell of wrr knowledge and that all plumbing work and installations lsetinrnscd under Permit issued for this applicattoss will be in compliance with aY ptstirteni pa visions of the Maslachurtts Statt Plumbing Code and Crsspttr 141 of the General IJsva I have informed the owner or his agent that 1 do not have liability insurance including completed operations coverage. Signature of owner/Agent I have a current liability insurance policy to include completed operations coverage. By Title Signature of Licensed Plumber Type of Plumbing License City/Town: License Number ❑ Master ❑ Journeyman APPROVED tO►FICE USE ONLY) THE The Town- of Barnstable 9 ""� �' Department of Health Safety and Environmental Services �°r� �`` P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commi: For office use only o Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. / Type of Work:_ Ft t A4�2 -04. ZZEst. Cost /�� Address of Work: wi ii it f �G�r Owner's Name Date of Permit Application: i hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor N e Registration No. nR I QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 09/29/97 PERMIT NUMBER 22950 PARCEL ID 108 002 001 115 NORTH WINDS LANE PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION FINISH OFF REC ROOM OVER THE GARAGE CONTRACTOR PERMIT FEE 25 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 05/08/1997 EXPIRATION VALUATION 1500 . 00 DATE ISSUED 05/08/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT c ( 2-Q, �q� g VIP- uac)Az-, ff)/l CPO k�- Nay . 1�_ w ��.1 �-� ��► °� �-�--r �`�� �c __:.'. . Thc• Clnttntonlf-calth of atasyltchusctry t. Dcpnrt»Ictrt of Jnllilstrial.4cctllcnts FA, •:\�=;�J _.i �+ 600 t<t ashin,ron Street �: •,�.�� �;�- Bostun.111/l�:r. O?lll `- Workers' Compensation Insurance Affidavit i li •,i ot inf r t6n - Inc❑ ' n- %. hon•a _ i I am a homeowner performing all work myself. a� -7-7 r I am a sole proprietor and have no one working in any capacity [I I am an employer providing workers compensation for my employees working on this job. cnnmany n• roe, •tdrlrccc• MA•• nhnne iY• incur•tncc cn nulic� # f I am a sole proprietor. ;eneral contractor, or homeowner(circle one) and have hired the contractors listed below who n: the following workers compensation polices: cum am• nntnc• atl(IreSc: fife phone 0• inner-inre ro pnliry coo nnw name: addresc- rip.- nhnne it• incor•rncc co ppiic�• Attach additional sheet if neees_ia_ry -- .._� �....�... .are•.... ..w.:r_• Failure to secure coverage as required under Section 3A of 11GL 152 can lead to the imposition of crimtnai penalties of a tine up to 51.500.00 andiu. unc wears* imprisonment:t.well:is civil penalties in the form of a STOP ll•ORK ORDER and a fine of 5100.00 a dad•against me. I understand that cop.,of this statentent may be furnwnrded to the Olfce of Invcstir.ations of the DIA for coverare verification. 1 do hercht•cerri to !c t I pants and penalties fprrj •rl the information provided above is true and correct Si=nature Date Print name Phone g ' ofticial use unity do not-rite in this area to be completed by city or town official cite or town: permitiliccnse a rjuuilding Department C ❑incensing Huard f selectmen's URce ► a check if immediate response is required ❑ ❑Health Department contaci Person: phone#- nQther --- . tniormatton ana instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "Iaw an enrpl({mc is dcfrned as every person in the scry.ice of another under an\• contract of-IRE express or implied. oral or written. An rmplurcr is dcfrned as an individual. partnership. association. corporation or other legal entity. or anv t%%,O or more the foregoing en__aged in a.joint enterprise. and including the legal representatives of a deceased emplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However tite owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the d\%-cllin�_ house of another who employs persons to do maintenance , construction or repair work on such dwelling hour or oil the arcunds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or ~eneWal. of a license or permit to operate a business or to construct buildings in the commonwealth for any ►hpficant who has not produced acceptable evidence of compliance with the insurance coverage required. additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the :crformancc of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha :cell presented to tite contracting authority. .pplicants 'ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and Ipplying company names. address and phone numbers as all affidavits may be submitted to the Department of :dustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The 'tidovit should be returned to tite city or town that the application for the permit or license is being requested. �t the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required obtain a workers' compensation; policy, please call the Department at the number listed below. - in• or Towns zase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of : affdavit for you to fill out in tite event the Office of Investi?ations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. e Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. 'ase do not hesitate to give us a call. - - �.. .. .. .. .. .. -._.. ._ ....�. - • .. — - .. .. .ice?... ._:R e Department's address. telephone and fax number: The Commonwealth Of Massachusetts ' Department of Industrial Accidents _ r i f Office of Investigations -� 600 «'ashington Streei Boston,Ma 02111 fax #: (617) 727-7749 ` phone n: (6I7) 727-4900 est. 406, 409 or 375 E ] ] [R108 002 . 001 ] TAX ACCOUNTING [ ] 19292- [ 4140281 RECEIPT NO. PAYMENT TAX YEAR/B.G. AMOUNT DATE TYPE PID 53088 [ ] A ] ^ ] ^ ] ^ ] [ ] ] ------CERTIFIED OWNER------ TAX DUE 2, 550 . 58 ] OUTSTANDING . 00 MELISH, DAVID ] TAX CODE 500 ] CITY 051 DISTRICTS WB y ------JANUARY 1 OWNER------ ACTION ] MORTGAGE CODE A20011 MELISH, DAVID ] ----CERTIFIED VALUES---- -------CURRENTOWNER------- TAX EXEMPT . 00 ] MELISH, DAVID ] TAXABLE . 00 ] f 355 LONG POND RD ] RESIDENT' L 177, 000 . 00 ] MARSTONS MILLS MA 026483 TAXABLE 177, 000 . 00 ] 00001 OPEN SPACE . 00 ] 1 ] TAXABLE . 00 ] -----LEGAL DESCRIPTION----- COMMERCIAL . 00 ] #LAND 1 37, 0001 TAXABLE . 00 ] #BLDG(S) -CARD-1 1 140, 0001 INDUSTRIAL . 00 ] #PL 115 NORTH WINDS LANE WB] TAXABLE . 00 ] #SR 44 CAPES TRAIL WB ] ] #DL LOT 27 ] ]. LEGAL DESC CONT'D t t t 14 i. i Application to • pN�GN`•,VAN `s Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a 1996 214 J4$-e01" -00/ 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 ,M 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 ADDRESS OF PROPOSED WORK 11f, �' /���/���/J �r7 /fX/i rp ASSESSORS MAP NO. OWNER �lrf �iiiA '/�/!e i.rC ASSESSORS LOT NO. HOME ADDRESS 11S //�ii/if��rii� �,-, ,9 �J`,��,r Z/, TEL. N0. -7- V FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessar ). AGENT OR CONTRACTOR f 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 additi nal sheet, if necessary). tleX UGC �.C� ���ff /n �� �cva ' "c"� 'v"`/ 7`ion^ lfovSC �s �c�vr- ) /6 iYivr— �4 ��SO �e /«�Aftm"HD* VF Signed Owner-Contractor-Agent Space below line for Committee use. Received'by H.D.C.. �� Date t ( The Certificate is hereby ���oy�>� Date Z�`/ TimeNOV 141996 `` �r�,�. � SiA�LE &4 Approved ❑ IMPORT NT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Dkanr)rn:,ed f i Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW L�11,y SIZE TRIM COLOR DOORS COLOR SHUTTERS COLOR GUTTERS DECK GARAGE DOORS COLOR SIGNS COLORS FENCE COLOR i ►Zfj®pp Fill out completely, including measurements and materials/colors to be used. Three copies of this 0F�IF ow . form are required for submittal of an application, along with three copies each of the plot plan, landscape p plan and elevation plans, when applicable. Plot plan need not be "Certified" except for new homes, but should show all structures on the lot to scale. SPECSHT MODEL VS� VENTILATING SKYLIGHT ®With VELUX Ventilating Skylights, any home can embrace the best of what nature has to offer. When installed out-of-reach, the Model VS'Ventilating Skylight is J easily opened and closed with control rods or convenient electric controls. A \� smooth-turning handle is available when the Model VS is installed within-reach. Our ventilating skylights contribute to a home's proper moisture balance by allowing hot, humid air to be released. This is an especial- . � ra, ly important feature where warm, moist air is generated such as in kitchens, baths and laundry rooms. The redesign offers a streamlined exterior appearance, faster installation and up to 23% more daylight area. Sunscreening and ' electric control ready, the new Model VS also features predrilled grooves and holes within the frame to facilitate instal- lation and conceal wiring. Sunscreening ready. VELUX Sunscreening ® Accessories can be installed at the time of con- struction or after the skylight has been installed. New streamlined design. Offers Energy efficient glazing smoother exterior appearance that's main options.Available with a tenance-free, maximum weathertightness choice of insulated glazings and ease of installation. New interior fea ;' including tempered clear, Low-E tures redesigned select wood frame and and laminated. sash that allows in maximum light and offers insulating value. ' r` Economical manual opera- tion. Control rods attach to the Easy finishing. Trim groove i skylight hook for out-of-reach con- around frame of skylight facilitates ... t trot.A smooth-turning handle is wallboard installation and provides /;' available for in-reach installations. a clean finish. '� ;l Easy opening. Stainless steel scissor br operator insures a tight 't and weatherproof close. Integrated insect y " screen. Thru-screen ' '" —---- — --- .......................................... design allows skylight Convenient electric control. ® operation without hav- j" The optional KEM 140 Skylight ing to remove the insect Motor allows electric control of screen. APPROVED venting skylights when installed out-of-reach. V)KHR ROVED See 34 for available sizes and dimensions. RHDO 16 page MODEL FS'" FIXED SKYLIGHT ®The Model FS' Fixed Skylight provides an economical alternative in creating a spacious home that's filled with natural light. Designed for out-of- reach applications, the Model FS provides abundant natural light for rooms in which maximum lighting is the only requirement. The Model FS is perfect for visually expanding areas such 9 'as hallways, stairwells and other closed-in, dark spaces that It can be transformed with beautiful natural light. A redesigned exterior features concealed •` hardware and fasteners for a smooth, stream- 1 lined appearance that's completely weather- tight. In fact, lab tests reveal that the most popular sized unit can withstand the onslaught of 40 gallons of water per hour with 85 mph winds. Easy finishing.Trim r groove around frame of sky- Streamlined appearance. By con- = p, : : y;>> light facilitates wallboard cealin9 fasteners and hardware beneath •...•1' 1 "` "' installation and provides a the maintenance-free cladding, the clean finish. Model FS offers a smoother exterior with maximum weathertightness. Interior fea- turesselect wood frame that offers �;1' � �*. Large glass area. Captures added insulating value. Sunscreenin read VELUX .......................... maximum natural light . well ..................... -•....• ""as perfectly clear views. 9 Y• ; Sunscreening Accessories can be r,` installed at the time of construction or after the skylight has been r installed. Energy efficient insulated glass. Available with a choice Clean edges. Cladding fully :'q"""" covers gaskets and sealants so •••................. " ' of tempered clear, Low-E and that only glass is visible from laminated insulated glass. edge to edge.. '.i Quick installation. Pre- > ' • :., ,� ,; - Protection against condensation. mounted brackets allow adjust- r Unique gasket drains any condensation ment.—without shims—for high p - on the glass to the outside of the home. ; \® or low-profile roofing.materials. r k t , RMO See page 34 for available sizes and dimensions. 12 .....wa.rasls?Ht/%31i7W.��:YlYiu .wlw�r.w .Y1>rv.f�aa.iJ.iV:�n,}�Su� ..A�... J.'C'1:♦ Lc<4..L..'♦.F4iY,! i...i.. •may.:�..��. .. O 4fl ROOF WINDOW AND SKYLIGHT DATA GIR 350 ® 221h GIR 650 Model GDL "CABRIO" 1419 Outside frame x h in. 37 x 100 Model GPL 308 606 (" ) mm (940 x 2540) Rough opening (w x h)in. 3714 x 10014 mm (953 x 2553) Outside frame (wxh)in. 305/8 x 55 443/4 x 463A t ht area(upper) x h m 30 x 531/4 mm (778 x 1398) (1138 x 1178) DOYI�9 (PPe) Iw )• t htarea u Rou h opening in 31 tib x 551h 451/4 x 47 �•9 (upper) 'sq.k. 11.1 � .9 P 9 (wxh) Daylight area(lower) (w x h)in. 30 x 283/4 s mm (791 x 1410) (1149 x 1194) ) 'd•'' Daylight area(glass) (wxh)in.. 239A6 x 451/8 3711/t6 x 365/8 Daylight area(lower) sq.h. 6.0 Ga.; Ventilation area Daylight area sq.ft. 7.38 9.58 (up*sash section only) sq•h. 12.55. �y Ventilation area(opening) .sq.ft. 11.34 18.27 Ventilation flap area sq.in. 36.7 �✓ Ventilation Flap area sq.in. 30.00 47.81 Net weight lbs. 220 rn Net weight(with glass) lbs. 86 (with glass) � 108 Model VS 101 104 106 108 304 306 308 601 11606 Outside frame (wxh)in. 211h x 2714 2114 x 3814 21 lh x 463/8 2114 x 55 30%x 3814- 305/8 x 463/e 305/8 x 55 443/4 x 2714 443/4 x 463/8 mm(548 x 699) (548 x 978) (548 x 1178) (548 x 1398) (778 x 978) (778 x 1178) (778 x 1398) (1138 x 699) (1138 x 1178)) Rough opening (wxh)in. 21 lh x 28 ' 2114 x 39 2114 x 467/8 21 lh x 551h 30112 x 39 3014 x 467/b 301h x 55112 443/4 x 28 443/4 x 467/8 mm(548 x 711) 1548 x 991 J (548 x 1191) (548 x 1411) (775 x 991) (775 x 1191) (775 x 141 1) (1138 x 711) (1138 x 1191) Rough opening for . (wxh) in. 211h x 3414 21.lh x 461/b 2114 x 5414 2114 x 6314 3014 x 461b 3014 x5414 3014 x 6314 443/4 x 3414 44-V4 x5414 ECX Flat Roof Curb' mm (548 x 877) (548 x 1172) 1548 x 1383) (548 x 1615) (775 x 1172) (775 x 1383) (775 x 1615) (1138 x 877) (1138 x 1383) Rough opening for (wxh) in. 2114 x 301/4 2114 x 413b 21 lh x 494 2114 x 581/b 301h x 413A 3014 x 494 301h x 581/b EMX Roof Curb 443/4 x 30t/a 443Ya x 493Amm (548 x 768) (548 x 1051) j548 x 1254) (548 x 1477) (775 x 1051) (775 x 1254 (775 x 1477). (1138 x 767) (1138 x 1254) Daylight area(glass) (w x h)in. 143/4 x 201A 143/4 x 311/t6 14:Y4 x 381-'A6 143/a x 479/t6 233/4 x 31 1/16 233/4 x 381-'A6 23-V4 x 479ft6 371M6 x 201/b 3714h6 x381M6 Daylight area sq.ft. 2.06 3.18 3.99 4.87 5.12 6.42 7.85 5.30 10.26 Ventilation area(opening) sq.ft. . 1.82 2.35 2.71 3.14 3.76 4.25 4.84 3.07 5.19 Net weight(with temp.glass) lbs. 38 44 53 62 . 62 73 75 63 90 Models FSF & FS 101 104 106 108 L 112 304 306 308 601 606 Outside frame (wxh) in. 2114 x 271h 211h x 3814 2114 x 463b 211h x 55 2114 x 7074 305b x 381h 30%x 4634 30%x 55 44:X4 x 2714 44�a x 46�b mm (548 x 699) (548 x.978) (548 x 1178) .(548 x 1398) (548 x 1800) (778 x 978) (778 x 1178) (778 x 1398) (1138 x 699) (1138 x 1178) . Rough opening (wxh) in.. 211h x 28 2114 x 39 2114 x 467A 211h x 551h 211h x 713A 30114 x 39 3014 x 4634 3014 x 551h 44V4 x 28 44,V4 x 467A mini Pax 7.11) P48,0911) (548 x 1191) (548 x 1411) 048 x 1813) (775 x 991) (775 x 1191) (775 x 1411) (1138 x 711) 11138 x 1191) L:E�C(?: pening:� twxh) in. 2114 x 3414 2114 x 461/8 2114 x 541h 211h x 6314' 2114 x 801/4. 3014 x 461/b 301h x 541h 3014 x 6314 443/4 x 341h 44V'4 x 541h Roof mm'(548 x877) (548 x'1172) (548 x 1383) (548 x 1615)'.(548 x 2039) (775 x 1172) (775 x 1383) (775 x 161 5) (1138 x 877) .(1138 x 1383) h opening for 'w x h)in. 211h x 301/4 2114 x 413A 211h x 493A 211h x 581A 21 1/2 x 741/4.3014 x 4134 3014 x 493A 301h x 581/b 44V4 x 301/4 44V4 x 493A Flat Roof Curb mm(548 x 768) (548 x 1051) (548 x 12541(548 x 1477) (548 x 1886) (775 x 1051) (775 x 1254) (775 x 14 77) (1137 x 768) (1138 x 1254) Model FSF(only). DaylighYarea(gloss) (wxh) in:. 183A6x2l% 1Ra029/t6 18416x40'/16.18316x494 IR6xUl-�U 271/4x329/i6 271/4x407A6 27V4x4911A 417/t6x2l% 417/t6x407A6 DayGghtarea sq:h.. 2.73 4.11 5..11 6.21 8.20 6.16 7.65 9.30 6.22 11.64 -Ventilation Flap area sq.in. 13.30 13.30 13.30 13.30 13.30 19.50 19.50 19.50 29.10 29.10 Net weight iwithtemp:gloss) lbs. 25 33 37 44 70 43 62 59 45 70 Model FS(only) Doylightareabkz4. (wxh) in. 18416x2406 18416x351/t6 18-1i6x42% 183/i6x5l-% '18M6x67% 271/4x351A6 27V4x42% 271/ax5l-b 417A6x24M6 417A6x4214i6 [�Mg t area . sq:h. 3.04 4.'43 5.42 6.52 8.52 6.64 8.12 9.78 6.92 12.36 ht(with temp.gloss) Ibs: 23 31 35 43 68 41 60 56 43 65 34 L F, all 7j F. II FL[ G N1 � l� �I _1 Y \t 1 , 11 i 1 I ISi I ' 1 H Ip21 � i • � � III I �.._ I I�11 I . il _ 1. _.. .---- .. I __...A• . - - . .-t �I u► G I . I I I � 111 S t< 111 �p U J.l p n k 1 l 6 •J L i. f II I. L_= ! I , , l { v V IN 1, Q, 4� L � •rii -j t r r S �{ r4 � IF IA i if �lil ' I t I . JL � Ir.-J; o IF ! I I--._�j I i p*Y■l>, TOWN OF BARNSTABLE 35173 Permit No. ......:......... ` BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash ■aa�n ,670 HYANNIS.MASS.02601 Bond TEMPORARY (Good for 60 days from date of issue) CERTIFICATE OF USE AND OCCUPANCY Issued to DAVID MELISH Address lot #27 115 North Winds Lane, West Barnstable 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 REQUIREMENT,,AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January.�1. .. . .. ... , 19...93.......... ........�441 ...................... Build'�ng Inspector TOWN OF BARNSTABLE 35173 Permit No. ....... • BUILDING DEPARTMENT I SAW" ! TOWN OFFICE BUILDING Cash 7 Ii• .e3o. I �'�>o.,v► HYANNIS.MASS.02601 Bond ................ TEMPORARY (Good for 60 days from date o= issue) CERTIFICATE OF USE AND OCCUPANCY Issued to DAVID MELISH Address lot #27 115 North Winds Lane, West Barnstable 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 11�9.0 OF THE MASSACHUSE7, S STATE BUILDING CODE. January. Vi1 .. , 19...93.......... ......4� ....................... Building Inspector o'�y�•�. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ BARBS T S TOWN OFFICE BUILDING rua 639• HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit—'#........._.. �7� .. ........................... ...._......_._...._._.._......_.........� .._ _...... __ issued to .. /_//J. .................. ................�.................................._................_....._......... _._� � ...._ . ......__� Please release the performance bond. ,�1Y[>, TOWN OF BARNSTABLE Permit No. ..35173..... BUILDING DEPARTMENT I ................ I TOWN OFFICE BUILDING Cash gg �� i670• X Y HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to David Melish Address Lot #27, 115 North Winds Lane West Barnstable 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: ` November 15 93 s ......................' 19. ............ .......... ...... .......... . Building Inspector t r TO_,WN OF BARNSTAB,LE, MASSACHUSETTS BUILDING PERNIIT� DATE 19 a PERMIT NO. APPLICANT ADDRESS - •- INO.) (STREET) (CONTR'S LICENSE) PERMIT TO NUMBER OF .�_..,� _ � '•'- ( '_) STORY "' _ �DWELLING UNITS (TYPE OF IMPROVEMENT) N07 (PROPOSED USE) AT (LOCATION) "'_,"k. ';_ - _..i.:• .,:_... ... ..__.. _ DISTRICTONING ...t (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) ' SUBDIVISION LOT LOT 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: t "' /T AREA OR _ VOLUME _ ESTIMATED COST f FEEMIT s (CUBIC/SQUARE FEET) OWNER -- BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS 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 PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 70 BEFORE (FINAL INSPECT ION HAS B«N MADE, 3, FINAL INSPECTION BEFORE - OCCUPANCY.` POST THIS CAR® 'SO IT o5 "ViSWSLE FROM STREET BUILDING INSPECTION APPPrnl�LS •'PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 42, HEATING INSPECTION APPROVALS 7 ` E INEERNG DEPARTMENT B F HEALTH / /n �- OTHER SITE PLAN REVIEW APPROVAL ; f 'R WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT 'W!L L BECOME N U L l AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS C;-RD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WIT IN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTEO ABOVE. NOTIFICATION. 1 ,�.r�" -`'�}'�'f• ii-%y i ,a ` '• i I-i"_I ' r r l 4 } - ;—•!O. �� ' rh 1 -j 4. -� I ' tj, � � i � _ ) i _t I.f � t-� 1 !-i �-+ r � a � 1 i• , � Q�` \\ SZ ,�... ., Y i'ice' ` �.. 7 S.fit..4_ i _ _ I , i•{ 4 r, i f 5 1 Y 7 i T .i --1 f� r•r r } 'Y- -i + ! ./��.•� ( i { A 1 r .. CER T I F/ E D PLOT PL A N [CERTIFY-1LOCATION \40ST 8gj2.A/i _THAT"THE'FOUNDATION N . o , aHOWN ;HEREON COMPLYS WITH SCALE A L E I : 4. D AT E TuuE 15) 195 z _'FHEf.SIDELINE AND -SETBACK' ' .j ' - i PLAN REFERENCE I�EQUIREMENTS-•OF':THE+TOWN� OF i'' �ST_ z-7 LQCATED IN aTHE- FL0 DP IN4. . � � .-J r--4.__.«_. y ....1-r CD) THIS-_PLAN-IS_NOT. BASED_ ON AN BAXTER e NY..E, INC. INSTRUMENT SURVEY -AND THE REGISTERED LAND SURVEYOR S -OFFSETS ;SHOWN SHOULD'NOT BE ' OS T E R V I L L E MASS. USED_TO, DETERMINE1OT LINES; — - APPLICANT Assess6rs office(1st Floor): p L Assessor`s map and lot number / p (, ,�(� _ d1 'TI�`rYST �i �,�US�I INSTALLED IN COMPLIANCE ConservationSr— Board of Health(3' floor): WITH TITLE 5 Sewage Permit number ^` G ENVIRONMENTAL CODE A ,-it, BAR13TULE P ( ) //� _ TOWN REGULATIONS �� EngineeringDe Department 3rd floor): .� 30 House number C Definitive Plan'Approved by Planning Board — / 0 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only, = TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ' 4 - 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location zoz 2-7 Proposed Use t Zoning District _ Fire District r Name of Owner/a y��' �� Address Name of Builder / Address / Name of Architect / Address Number of Rooms _ h Foundation � �ro Exterior oeZ/ S/r�hr�s Roofing Y/, Floors �i�r�fi T Interior /»�.< ,✓ Heating e�E_< Plumbing s Fireplace Approximate Cost !' P --- Area n �n Diagram of Lot and Building with Dimensions Fee w8(� ,06- 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 const ction. Name ' tv Construction Supervisor's License MELISH, DAVID No— 35173 permit For TWO STORY Single Family Dwelling Location Lot #27, 115 North Winds Lane - - West Barnstable Owner. David Melish Type of Construction Frame - Plot Lot Permit Granted July 1 , 19 92 Date of Inspection 9 3' 19 Date GdmoletLid 19 9 r 1 TOWN OF BARNSTABLE ti y BUILDING DEPARTMENT .HOMEOWNER LICENSE Please print. - DATE ------------ JOB LOCATION ' umber ! Str et Address Section Of ,Town L . "HOMEOWNER". l Name Home Phone Work Phone PRESENT MAILING ADDRESS...: - City wn C State Thd. current exemption for "homeowners" was ex t Z1P :Code occuDied dwellings of six units or less and toeall wtsuchchome o-- engage an individual for hire who does .not possess a license,eOrovidedoth' the owner acts as su ervisor. p iat DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides o reside, -on which there is, or is intended to be, a one r intends to dwelling, attached or detached structures accessory to suchluse�ly structures. A person who constructs more than on and/or farm period shall not be considered a homeowner. a home in a two-year to the Building Official on a form acceptable to the BuildingOfficial, that he she shall be res onsible for all s Such "homeowner" shall submit building permit. �' uch work erformedunderthe � (Section 109. 1.1) The undersigned "homeowner" assumes responsibilit State Building Code and other applicable codes by-laws,Y for compliance with the rules and The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Departm requirements ml 'mum inspection pro duce and HOMEOWNERS SIGNATURE APPROVAL, OF BUILDING OFFICIAL Note: Three family required to com 1 dwellings 35,000 cubic Control. comply With State Buildin Cod et' °r larger, will, be g Section 127.0, Construction xzscs T i IF i HOME OWNER'S EXEMPTION The...code states that: . "Any Home Owner performing work for which a building permit is required shall-*be exempt from the provisions of this".sectiom < ;s. (Section .169.1.1 - Licensing �of Construction Supervisors) ; provided that :if Home Owner engages a person(i) for hire to do such work, that such:Home ..'` Owner shall act as supervisor: " ;. Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix ,Q, Rules and-Regulations for Licensing Construction Supervisors, Section 2.15) . This lack' of awareness often results in serious problems, particularly when the Home Owner ,hires unlicensed persons. In this case our Board. cannot. proceed• .: : against the unlicensed person as it would.. with 1icensed:. supervisor:. The Home Owner acting as supervisor is ultimately "responsible. To ensure that theHome` Owner` is fully aware: of. his/her `responsibilities,. many -communities' require;"as part of the permit application, : that..,the. Home Owner certify that he/she understands the responsibilities` of a supervisor. On the. last page of this issue is a form currently used by several towns. You, may care to amend and adopt such a form/certif ication for use- in :your community. i : i i - r t Application to E 6P OE S`N Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a 2 1 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: Ea"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 ADDRESS OF PROPOSED WORK �"o� 4tAA.J- }�E11J� W. J AA a. ASSESSORS MAP NO. r OWNER bd"� M�--�S ASSESSORS LOT NO. HOME ADDRESS 127, 14-CA-w44 K 11At) oZLo l TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Gdgo1•.I ALL- e-"-A TiLI G-rWP 0--( L- S, b+eF-Uu 1S. oZ l0l00 To�-C t iAy,1� IUD. W- A.V,"tLiT 1, 07-4-o3 AGENT OR CONTRACTOR �1f laT LW TEL. N0. ' 3g8L I ADDRESS �4I3 �-'(b 1� ST. g6. d ISTAsBLt!!-! , 021-3d 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). J OKHRHO� Sign r-Con a or-A Space below line for Committee use. U Cff Received by H.D.C. Date The Certificate is hereby Q o U�� Dated Time..l0,14 C A ta�j�� A By i 1 I� 9VE�j G !'rO � . Approved jl� IMPORTANT: If Certificate is approved, approval is subject to the 1�ppeal period provided in the Act. Disapproved ❑ Form ' � f OLD KING'S HIGHWAY HISTORIC DISTRICT Spec SYieet Foundation Type g —4, �.1 �o �( �� l�cWC. �oo'(-I} 1 Siding Type sVV VELt�1,6,-V-t-s,44 +4 Chimney Type "T --3 Color <,jUZ- Roof Material Color SL.Aj Pitch Windows Size Trim Color Q4 1 � Doors Color `5LATt—:— Shutters Gutters Deck " �-3 Garage Doors Color SL,ATj APPROVED. OKHR DC H Notes: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal oRan QpplicatFion, along with three copies each of the certified plot plan, landscape .plan and elevation plan, when applicable. ;JAR J 991 V; To Date Time WHILE YOU WERE UT M �� v� F Phone__ V 2 - Z Area Coe Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator 1 AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400SETS CARBON.LESS ,. "r *;�� ; ,.'fir T, .M. -rx F�.r• T w,:,.. v � �, ,,, .. v-,. �.�A,�..,f_.ri.�'.�,^7�:.--- •.j.wA•I1"—rd��—w:+-"� ....rlM�`.te..-..^��'`y+fry..+1+.�-�j" ».». •v�.-�..—�`�..'Y l..r��..... .^��� . .. •,r. *•Mr TOWN OF BARNSTABLE Permit No. . 35173 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �67V•� HYANNIS.MASS.02601 Bond x CERTIFICATE OF USE AND OCCUPANCY Issued to David Melish Address Lot #27, 115 North Winds Lane West Barnstable 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. November 15 93 .......................... 19'................ .......... .... ................ Building Inspector • I , I ij i I � 4 I o . I I I �S It I � z VZ I renovations to the 09B R I E N R E S I D E N C E 115 No. rthwinds Lane , West Barnstable , MA ARCHI - TECH ASSOCIATES , INC . �0.F_ EL_=1 106.6'± FINISH GRADE OVER D-BOX= 1 U1.6'± -_- - --- - FINISH GRADE OVER CHAMBERS PROPOSED VENT WITH CHARCOAL 101 .70' - 103.03' E. PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM FILTER TO ABOVE GRADE G E E RI-A-A L NOT WITH COVER OVER INLET& RISER TO WITHIN 6" OF FINISHED GRADE 3/4"TO 1-1/2" DOUBLE WASHED FINISH GRADE OUTLET TO WITHIN 6"OF F.G. 4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS STONE TO CROWN OF PIPE UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION @ FND, EL.= 105.0'± F.G. OVER TANK EL, =100.5'± 5" DIA. OUTLET(S) MIN SLOPE 1% BOX 1-0 F.G. (SEE NOTE 21) 2"OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES, 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE L PROPOSED 4"' 4,0' MAX TOP OF SAS z97,03' PLACE RISERS ON ALL DESIGN ENGINEER. L SCR. 40 PVC SEE NOTE 22 6 0' MAX CHAMBERS WITH 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE 96.20' SEE: NOTE 22 INLET PIPES TO 6" OF I BREAKOUT EL 96.70' SYSTEM UNLESS OTHERWISE NOTED. 611 3" 3" DROP MAX FINISHED GRADE 2" DROP MIN 3' 91, L=36'± MIN.SLOPE @ i% PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN (T4" PVC IN FROM JOINTS (TYP.) C� ELEVATION w-- 96.70' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A " P S 14" SEPTIC TANK 4" PVC OUT TO 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF CONTRACTOR TO PROVIDE 1771 F7 ED 0 1=1 F-1 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION, LEACHING FACILITY OOD SPECIFIED DROP BETWEEN CDP,, 12" 00 5, SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. INLET AND OUTLET CONTRACTOR SHALL C CONTRACTOR Of 00 OUTLET TEE 06.6 MIN 96.43' 6, THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET 1=1 L-A 00 AND CONDITION OF EXISTING TEES 1: GAS BAFFLE <Dt=> EXISTING SEPTIC AND REPLACE AS 6" CRUSHED STONE 00 cpc:�, 1___P 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK TANK NECESSARY OVER MECHANICALLY 00 <D C) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS COMPACTED BASE 2,0' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 3 OUTLET DISTRIBUTION BOX 6-0' (TYP) 10' -3.0' AND DESIGN ENGINEER. TO BE INiSTALLED ON A LEVEL STABLE -40.0' (TYP.) ELEVATIONS BASED ON ASSUMED DATUM. BENCHMARK ELEVATION OF 104A' BASE. FIRST TWO FEET OF OUTLET ESTABLISHED ON TOP OF CONCRETE BOUND AS SHOWN ON PLAN. PIPES TO BE LAID LEVEL. 95.20' GROUND WATER ELEV. < 89.60 - 9.01 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,500 GALLON CONCRETE SEPTIC TANK 4' MIN- THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CRO SS SECTION VIEW C-6 CHAMBERS CHAMBER END 'VIEVV 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES, REPORT ANY DISCREPANCIES `H MBER PROFILIF TYPICAIL_ 1_1 L TO THE DESIGN ENGINEER, SEP Z51 t-�!t'' i !f CIO( ` [` .7TAH S NOT TO SCALE NOT TO SCALE NOT TO SCALE % ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT NOTESM - NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING EXIs,r, WELL REGULATIONS- OWNERIAPPLICANT IS TO OBTAIN SUCH DETERMINATION FROM 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF NIAP 1081 OT 002-00" APPROPRIATE AUTHORITY. t* 15051 EACH SEPTIC SYSTEM COMPONENT. 0 EAIS T- V*LL PERC NO. 12, ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND 1-1-10 LOADING UNLESS LOCATED MAP 108 LOT030 INSPECTOR- David W. Stanton, R.S. UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF EVALUATOR: Michael Pimente(, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. WITH TEST THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY VV 11 DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. C.S.E. APPROVAL DATE: Oct, 1999 PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE in DATE: May 25, 2016 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. 3.) ENTIRE PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 2, TEST PIT#: REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, THE GROUNDWATER PROTECTION OVERLAY DISTRICT OR THE ESTUARINE FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3)� ELEV TOP 100.6' WATERSHEDS. 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ELEV WATER <89.60' 16. PROPOSED PROJECT IS LOCATED WITHIN: CAPES TRAIL PERC RATE 3 min./inch (40-wiDE LAYOUT) EDGE CLF�A)�!� 100 ASSESSOR'S MAP 108 BLOCK 002 LOT 001 DEPTH OF PERC OWNER OF RECORD- US BANK TRUST N,A- Benchmark .......... 101_ 71 Top of Concrete Bound TEXTURAL CLASS: I VOLT ASSET HLDGS TRUST XVI Elev- 104,4' 011 102- ADDRESS: 13801 WIRELESS WAY 100.60' Assumed R=5975.0L.....- Loamy Sand A/E OKLAHOMA CITY, OK. 73134 1 OYr 3/1 X US 6" 100.10, FEMA FLOOD ZONE % COMMUNITY PANEL# 25001CO534J Loamy Sand B I OYr 5/8 17. DEED REFERENCE: DEED BOOK 29432, PAGE 122 fp % PRORC D 4'PVC VENT� 36" 97,60' 18. PLAN REFERENCE: EXACT LOCATION PER OWNER BOOK 462, PAGE 33 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE- THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE, JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. t 21. A 4" PERFORATED SCH, 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A Med.-Fine Sand C 2_5v6,1r, DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE- A REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. 0 (Traces of Silt TP-1 Some Boulders+ ,6 22. IN ACCORDANCE WITH 310 CMR 15.401 15.405,THE FOLLOWING LOCAL UPGRADE MAP 10'- Cobbles) APPROVALS ARE REQUESTED FROM 310 CMR 15.221(7)AND 310 CMR 15.211, RROP. H-20 D-BOX---� I - .1;1. LP (1.) A 3.00-WAIVER (3,00--6.00') FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. 1 00x6' z BLOCK 013 LOT 007 TY (2.) A 1.00-WAIVER(3.00'-4,00) FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX, Ln HC-1 Cn C_n LOCUS PLAN TP-2 132" 89.60' 23. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM THE TOWN OF BARNSTABLE'S PROPOSED 6 LC-6 LEACHING 1 0OX61 SCALE: 1 1000' No Mottling,, Standing or Weeping Observed CHAPTER 397: WELLS REGULATIONS; SECTION 397-2: .fAMBEIRS W1 AGGREGATE (1.) A 1.5-VARIANCE (150.01- 148.5') FOR THE SETBACK FROM THE PROPOSED LEACHING CU Z PER SOIL. LOGS DATED NOV. 1, 1990 FACILITY TO THE EXISTING WELL LOCATED AT MAP 108 LOT 030. (PERC No. IP7654) 0 LLj j4 10,01 2) < EXISTING PERC NO. 15051 0 3-SEDROC)M.0 INSPECTOR: David W. Stanton, R-S. EXISTING SPOT GRADE 35 NUMBER OF BEDROOMS (DESIGN) 3 5OX0, 00 DWELUNG T: TOF=106,61± DESIGN FLOW 110 EVALUATOR. Michael Pimentel, EIT, CSE 50 - _GAUDAYIBEDROOM EXISTING CONTOUR z ilo C.S.E. APPROVAL DATE: Oct. 1999 3) TOTAL DESIGN FLOW 3: .......... 330 GAUDAY DATE. PROPOSED CONTOUR -41 May 25, 2016 660 DESIGN FLOW x 200 % GAUDAY PROPOSED SPOT GRADE 0 TEST PIT 2 r 507 )N-vle 'ALLON SEPTIC TANK PROPOSED CTION 1 01,1 �011 1p, USE EXISTING 1,500 G ELEV TOP' 100,60 EXISTING GAS LINE 0 z A � R ELEV WAITER < 89-60' GARAGE F,I-,Ir INSTALL 6 LC-6 LEACHING PERC RATE EXISTING UNDERGROUND UTILITIES HC-2 CHAMBERS W/ AGGREGATE W - EXISTING WATER LINE DEPTH OF-- PERC CO W SIDEWALL CAPACITY TEXTURALL CLASS, TEST PIT LOCATION C0 (LENGTH + WIDTH) (2 SIDES) (1' HIGH) (0.74 GPD/S.F-) GAUDAY MAP 108 ...... (40.0'+ 9.0') (2 ) ( 1' ) ( 0.74 GPD/S.R) 72.5 GAUDAY --------- EXISTING 1,500 GALLON SEPTIC TANK BLOCK 002 BOTTOM CAPACITY 01, Loamy Sand 100.60, PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE LOT 001 A/E (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 1 OYr 3/1 U_ 0 0 46,088±S.F. 6" 100-101' w. (40.0' x 9.0') (0.74 CGPD/&F.) 266.4 GAUDAY 0 PROPOSED H-20 DISTRIBUTION BOX UJI Loamy Sand 0 B 1 OYr 518 LU TOTALS' PROPOSED LC-6 CHAMBER APPROY11MATE LtDCATION OF 36" 97-60' E X I�zy'R N G WA,T E R L!N E I D CL TOTAL NUMBER OF CHAMBERS 6 TOTAL LEACHING AREA 458.0 SQLFT. 6-11-16 MCP JLC I Moved SASfarther away from wells&changed to LC-6 4 1�"i T WE L L TOTAL LEACHING CAPACITY 338.9 G ALJDAY REV. DATE BY APPD� .-T-DESCRIPTION PROPOSED SEPTIC SYSTEM UPGRADE Med--Fine Sand PREPARED FOR.- N87' 04128"E 1. 236.19' 2.5Y6/6 CAPEWIDE ENTERPRISES (Traces of Silt Some Boulders+ Cobbles) LOCATED AT MAP 109 115 NORTH WINDS LANE BLOCK 013 SWING-TIES WEST BARNSTABLE, MA 02648 LOT 006 132"1 SCALE- I INCH = 20 FT DATE* JUNE 1, 2016 DESCRIPTION HC-1 HC-2 89.60' 0 10 20 40 80 FEET CORNER OF STONE (1) No Moftling, Standing or Weeping Observed 87.9' 61.4' CORNER OF STONE (2) 51.3' 38.7' RESERVED FOR BOARD OF HEALTH USE L PREPARED BY: - aClIfUR LL it JC ENGINEERING, INC. ll L 7n,,Tr7T TEE M 1 /C AV 30.0 2854 CRANBERRY HIGHWAY CORNER OF STONE �(3 5679 SITE PLAN CORNER OF STONE 1(4) 91.11 673' EAST WAREHAM, MA 02538 � SCALE: 1"=20' 508.273.0377 ... ...... ------ Drawn By: BJW Designed By:BjW Checked Bw JLC