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0134 BAY SHORE ROAD
13,q -]3adl &6�-o Assessor's map and lot number .......................................... SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE . 'L VIITFI ARTICLE 11 STATE Sewage Permit number ......: .... . .. SANITARY gCODE-AND TOWN �ZEGL S. .THE TOWN OF BARNSTABLE j HARNSTAM i O AG 39. BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ...... .. ..A. ..!..a............................................................................................... i, TYPE OF CONSTRUCTION ............. ..CILS ..... .I.e ./.... .. � ................ ..........C�7 .... ....................199 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according,.to the follo ing information ..l.. .Location ...../3 ............. ......45. .psu.� ....\.:4:.. .:... ... � � 1.4......................................................... Proposed Use ® .�: �•.1. .l. .R.. ........... Q. .. s...��........... �... Zoning District .........1"D...................................................Fire District .... %� Name of Owner .. �4.. .. L� . ........ ,� c.l.J...�?.�.........Address ..........5 :. ...................................................... Name of Builder .. . ....: ...............Address a....l .��..h.. �Q.�G• � `S/........ �.+1.:.... Name of Architect ................ Q �` ...........................Address Number of Rooms ....................I...........................................Foundation ......e..49.q.T.I............................................. Exterior ..W..d..O..t .......S...L.,....hi.. ..IP,'< Roofing ........q.S. I...I................................................... Floors ............................................Interior ...... <.... G/f ......�....�... :................. �S'..h.. . ...... �a...:......................................... Heating . ....... .. C' ....................................Plumbing^ . �.10.6—/�.......................................................... Fireplace If/0 ........................................Approximate Cost ! �'� U Definitive Plan Approved by Planning. Board ________________________________19________. Area ......... ......... . Diagram of Lot and Building with Dimensions Fee .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH {I 0 c I hereby agree to conform to all the Rules and.Regulations of the Town:of Barnstable regarding the above construction. Name . ..... .: 1 KJ?3. .......................... a • r-. Parker Realty _ 1605 No ..... ......... Permit for ......add...to...S'....'e. too family dwelling ................................................................... ........... 0. ..... ......... Location..... Shore Road.... ............ HYaMAS ......................................................... ...... ... Parker Realty f Owner ............................................................ Type of Construction ................frame.......................... li ................................................................................ Plot ......................... . Lot ................................ Permit Granted ...... ....19 73 1. Date of-16spection All? Date Completed ......................................19 PERMIT REFUSED ................�............................................ 19............ ..................................................... ................................................................................ ............................................................................... ............................................................................... Approved ............................................. 19 ............................................................................... ............................................................................... caAH Lewis Bay Fn 0 / Q b� o G°r Ltt F+ S� A/ Lot 95 \.\o 41.9' h�O ,� •�, e e` H� \\.\ / ��° ASSESSORS REF.: Map 325, Parcel 81 Polk5 OVERLAY DISTRICT: AP — Aquifer Protection District 23.2' \ oo'yo ` As Shown on Plan Entitled "Revised Groundwater Protection �y `\ / Overlay Districts — April, 1993 O 1� -Pj \ / J A�� 'Lot 94 \\` 0 ecl ZONE: Lot 93 ` ` ` RB \`� �o ,�`� 1�� Area (min.) 43,560 SF c°�`° Frontage (min) 20' 4,e Width (min) 100' \ 5°, p .,��,`9•y Setbacks: ` 1 �6 °5� Side 10' 5a' S °�` Rear 10' Lot 92 Lot 69 I`wrv` FLOOD ZONE: O Zone B & A9(EI=10') Community Panel No. #250001 0006 D July 2, 1992 SK OF A4gs � I certify that the foundation ° RICR. GN� shown hereon conforms to the 0 LHEUREUX N setback requirements of the PLOT PLAN #=12 Zoning Bylaws of the town IN ss�°�oQ of Barnstable. Barnstable v r9 (e;, IN Professional Land Surveyor Ucyte MASS. NOTES: DATE: 06/MAY103 SCALE: 1"=40' 0 10 20 30 40 60 80 FEET 1.) The foundation shown was located on the ground by conventional survey methods on April 29, 2003. PREPARED FOR: 2.) The property information shown hereon was Paul Botello compiled from available record information and 250 Baxters Neck Road does not represent an actual on the ground survey. Marstons Mills MA 02648 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #: C302_2pp1 FIELD BY: WHK/MDW (508) 420-3994 / 420-3995fox r v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -, (P /3 Map Parcel ®o/ Permit# 1peo4 Health Division 57 5 -39S Z- Date Issued Z1 Conservation Division 6h looz- 2Y po Z Application Fee )0- 0 Tax Collector 1.9/ -4 Permit Fee �°�0�- Treasurer l 7.5 Planning Dept. APpIdCp�'i�'tit� Date Definitive Plan Approved by Planning Board am in co mom MW to Historic-OKH Preservation/Hyannis Project Street Address 6- d f1 Village Owner o__� C 6 Address ,2,s6 —2ff�EK MECK 120/4b Ml m. Telephone ;50 9 -- 0 7 53 Permit Request /9Z AA)1� ��b 1114b c StOR Y : IA) A- F/M Square feet: 1st floor: existing proposed 0S8 2nd floor: existing proposed A3 04 Total new Zoning District Q Flood Plain _ O Groundwater Overlay Project Valuation 'Construction Type 1JH r Lot Size ,A Ckl S Grandfathered: %Yes 0 No If yes,attach supporting documentation. Dwelling Type: Single Family 1$I Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes ;4 No Basement Type: ❑Full �A Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 3 Half: existing new�2 Number of Bedrooms: existing new 3 Total Room Count(not including baths): existing new First Floor Room Count Jr— Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage: ❑existing ❑new size Pool:�Q existing O new size Barn:O existing ❑new size Attached garage:❑existing 54 new size /0 90 Shed:0 existing O new size Other: Zoning Board of Appeals Authorization 91 Appeal# -Z 0 o Recorded Commercial ❑Yes No If yes,site plan review# Current Use L/Au9Z,!9r F M i LY W i UI A)a Proposed Use E ME _ ;J / BUILDER INFORMATION 13v���! �1 e"8101 y Name- 0 �/Z Telephone Number Address Z M `ram- z r. � �� License# CS 0 Z 1 R 2.3 .r Zi s �'.lZ a15. c Z,,gY? Home Improvement Contractor# Worker's Compensation# 4)r a 0-on 71,?61Zoo/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOZ SIGNATURE S ///''" DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE-ISSUED MAP/PARCEL_ NO. ADDRESS - t VILLAGE OWNER ^ -' DATE OF INSPECTION: Z/S`p /FOUNDATION" �Q�� ✓ r FRAME L7. /e/�'� k ,� c/A a� y INSULATION /N.l Q O i4 -97 Q 776Ro*7"•3/n0ke _ 7wwo T FIREPLACE 6 e Nr� �����;.Gr4 ,(��,► a /l��G ELECTRICAL: ROUGH FINAL j PLUMBING: _ ROUGH FINAL �r Vim '�d ti GAS: ROUGH a I FINAL FINAL BUILDING 2� —44 '_� DATE CLOSED OUT ' ASSOCIATION PLAN NO. `_ P Property Location: 134 BAY SHORE ROAD MAP ID: 325/081/// Vision ID:27037 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 10/28/2002 09 K W. VIR,1V '17, R 49� "4 ME k,Z QrVW Element Ga. I(-/?.I Description CommercuuDara Elements Style/ lype U1 Ranch — Element Cd. Ch. Description Model 01 Residential Heat&AU Grade C Average Grade Frame Type aths/Plumbing Stories I I Story B 12 ccupancy 00 Ceiling/Wall WDK 1414 14 Rooms/Prtns 12 Exterior Wall 1 14 Wood Shingle %Common Wall 18 2 all Height 5 20 4111 1 b Roof Structure 03 Gable/Hip 12 Roof Cover 03 Asph/F GIs/Cmp BAS Interior Wall 1 05 Drywall 2 !�Iement Code Description Pactor GAR nterior Floor 1 14 Carpet 2oniplex 26 FEP 22 2 12 Hardwood 7loor Adj 1620 Jnit Location Heating Fuel 3 as Heating Type 5 of Water 'Jumber of Units 8 AC Type 3 Central Number of Levels 12 60 %Ownership edroorns 3 3 Bedrooms Bathrooms 3 Bathrooms 0 Full Total Rooms 6 Rooms Unadj.Base Rate 60.00 ize Adj.Factor 1.06144 Bath Type Grade(Q)Index 1.11 Kitchen Style Adj.Base Rate 70.69 Bldg.Value New 124,839 Year Built 1948 ff.Year Built (A)1977 Nm-d Physcl Dep 23 Funcn]Obslnc 0 ,,Econ Obslnc 0 Code We-s-c-ri tion PercenMe Sped.Cond.Code -TU1ff-Smg1e ram j1uu Sped Cond% Overall%Cond. 77 Deprec.Bldg Value 96,100 JL JM !jh f UfLD zAq code Description LIE Units Unit Price Yr. Dp Rt Yo Ch d Apr. Value VPLI Vireplace W------T------3-,Nu.uu 1977 -T—Tuu-- SPL1 Pool-Concrete L 648 35.00 1968 1 100 15,400 DCK3 Dock-Heavy Con L 420 54.00 1975 1 100 17,000 ra Uff-Ax Code Description Living Area (irossArea Eff Area Unit Cost Undeprec. Value BAS First Floor 1,492 492 105,469 FEP Enclosed Porch 0 144 101 49.58 7,140 GAR Attached Garage 0 312 109 24.70 7,705 WDK Wood Deck 0 644 64 7.03 4,524 IN 11L CirossLiyli ease Area 2,5921 1,766TMdg Val. 124,839 _j Property Location: 134 BAY SHORE ROAD MAP ID: 325/081/// Vision ID: 27037 Other ID: Bldg#: 1 Card 1 of 1 Print Date.10/28/2002 09:12 eve ublic I F.,eda er ron escriptiors Gode Appraised Value Assessed value 50 BAXTERS NECK RD Txcel View RESLAND SIDNTL 1010 98,400 98,400 801 MARSTONS MILLS,MA 02648 RESEDNTL 1010 32,400 32,400 Barnstable 2003,MA Additional Owners: ccount an e. - Tax Dist. 400 Land Ct# er.Prop. UP F1'03 #SR VISION Life Estate DL 1 LOTS 93&94 Notes: DL 2 GIS ID: 27037 Lotall , ftU9 .. . r. Code ssesse a ue r. o e Assessed Value ir. (jo a ASSeSSea value OESCH,MICHAEL G A C142618 11/07/1996 Q I 432,600 00 PARKER REALTY CORP C61015 Q 0 2002 1010 115,100 001 1010 115,100 000 1010 97,600 2002 1010 46,900 001 1010 46,900 000 1010 36,900 Total: ota: 5979-600 Totaki 39493uu &AM imam EL - �,. �W I his signature acknowledges a visit by a ata Collector or ssessor Year 7ypeivescription Amount Code Description Ivumber Amount Comm. nt. Appraised Bldg.Value(Card) 96,100 Appraised XF(B)Value(Bldg) 2,300 ota: Appraised OB(L)Value(Bldg) 32,400 Appraised Land.. "`. ... .: L. .... :'' ., Special Land Value (Bldg) 435,60 AM- , x 0 RD2 TO RD3 8817Y. Total Appraised Card Value 566,400 Total Appraised Parcel Value 566,400 Valuation Method: Cost/Market Valuation e o al AppraisedParcel Value 566,400 .0 AAW11, WED] . Permit ID Issue Date lype Description Amount Insp.Date o Comp. Date omp. Lomments Date ID Cd. PurposelResult Remodel ea is e 21150 2/14/97 RE Remodel 2,500 6/9/98 100 REPAIRS 7/15/88 MIL B37129 1/1/95 AD 12,000 100 HY REPAIR use Code escription Zone D Frontage Depth units Unit Price L Factor S.I. G Eactor Nbhd. Adj. ores-.s AdjASpecial Pricing 4dj.. nit Price Land Value I ON mg a am o es: , Total Card an ni arce ota an rea: 7515TEW—nd Valuo , f RESIDENTIAL BUILDING PERMIT FEES r APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment / $25.00. FEE VALUE WORKSHEET NEW LIMING SPACE square feet x$96/sq.foot= ✓� 6 x.0031= �a0 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.Ob31= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00 (number) Deck x$30.00= r, y (number) 4 Fireplace/Chimney E ' (number) Inground Swimming Pool $60.00 , Above Ground Swimming Pool $25.00 p OR-1 �* ��#� =s # Y N t K � �Relocation/Moving $150.00 , , (plus above if applicable) ` ,r`` ��FeTnutFee � / SMOKE DETECTpR3 0 K BgNSTA LE T�� UILD1►yG DEPT 13L•yY: 3L9 Iz•'O. FLm 9ANEL onab._zi rx'«rt..-oBBacs PANEL I I Jttarli enxEl 1-4 0 VI a i - a i r Ir � -�-t- -I ?— � 6 1.11 r l .I � __coinancr Klu I L I� - Q 0 i p 1 0 y xRr m.na.wBo rm D �� n ?m nc�uro:aiyco� a ry• _Y co- . .N -ibJ::9.'.:YJ�BIOL J 508-428-6191' I 7'-I%^ 7'"IiG. 7'-IK 7'-Iir-' 7'-lYc^ 7•-/. 7-i� 7 /. 1 o B evlin I 4.c P271R ppBC.ElA01 h @Vstom i O \ I d r esi9 s Ma aoq•,qn O amr K--- B Vg`os in _ 1 b �u O C• 1 i CL tc ----------------- FOUIJKY.T IL�IJ plh nl S rayoui.by pt.o.s�e re nay.nny o <tly prone eir. _ � 8 Egg �I gi e yEN, — — r Eu ILI n AL z u LL I I � I I ii � I I ' _ I n e. - - ® I ' I o I , =o� I D� ALTE2ATf.OlIS=rE.XD�liA52�e1S '$' N � P 's a I I� �p I' A I L� S+ r I. r 3 - _ L a i e R25'Nu�S_cLNF.8.3i2Ci3S3- �O�� �7 Nm .E _ „ Fm ......._.....__......_._.__.-. _ — 1 F„�CN stn"J. - T Ne�.c�eB�FEmOat � O -'KITc4EN Bd• J) b i � 0 i x I: i i ......__......_ — O tl — • n - �E zb_ .iSnfz/:4E .. '. ' � Ii•.«...o. ;Uw�«l • 'u3 I J,� .� �I --c O� � Mht)IA.ROON�;r "N IN 508-616.6191� on Qeviin. _ n°H �J IJ—fi ,ccxrea I; " uvll�l.4. ° — (3Ustom °i designs N na w I .. I ° 0IF awll9 1 o zam I I O N B.Bee .. ! B.p.. d e � •tYO ]e .11 by O<O.e,•le niy.wnya <liy'mole,.. „'/ I . iI S c ♦ G6 Q o. 4, is e I N , b' 2p alp.•:' _s.a•• <.D... .. .._..._._�.in�o• - ED � � N r � li f - j 0 0 0 P" ^1:flfi.-.9a aiTC-swosiF cscn-- ;ate _ � � "R• . .N 6u I' fN'ER-un. _ w a �:.o, Z ''l —f-1-, lil rjll I I'IIIiI'III�Ii } Ul 11 1 11 1.PA l i a .. a - •I- is � -' i I zazzmpI' i ' I i C z I _ I � N i --LC�i-9Y'6%:Y.STYSR�fb1VT _ � . 0 =1�1'tER4"ffONSJ-..Ei[P:4b7S1061S ...V� q�.3� Q, e �I � I , �r a I g I: � I I � r I I , r 1:n is s I g I � I� dl I�JJ�.I.�III f Illi� -ii':I II�1IIIIIiIII, I �� � I Ila Ij till 1 11 III I- .- 1" I �I , Iljj up II� I I III I� I�IIi I.I Ii �" r so-_- �i I I. 3 ilia 11 I C: '�-) - - b4A1NN15 INNS/.: 7(L'TEP.:g710Al5:L-EXPMJSIOI.LS N 3 p, qa i I - kkk I li I i II , i .. f J�G�i.11l i. .__ •� �ml ��y 1 7 , 1 i _ l F. acr.E�maFts_ tiasco=',<- ° 3 S .� BOARD . ��✓� � . OF CBUILDING.SRO ULATI.iO.�a 3QN NSUE' Number CS RVISOR 11 11/e10%?003 Restr�cte` Tr'no: 7980 PAUL R BDTELLp.. - I Pp BOX V OSTERVILLE, MA 02666 _ A'dministr4tor I SEN-T BY: 80PTO GTTI CONST; 5084289309; OCT-21 02 8:22; PAGE 3113 T®WN OF EARNSTABLS SEINER GONNI=+CTION PI=RMIT 0MCIAL USE ONLY ?: Assessors Map No. Assessors Pared No atrmt j3Y Jill r PROJECT CONTACTS _ ., FROPERT`!GVUhEn au3sl Address) SEWER iiVSTA11.1=R Name: ►cam: AddrM �C°«, X ' Address: Phome: !� /.3 ?hone: OWNERS AGENTjENGiNEMR Name: ; Phrzaw PgOJEOT DESCRI' cIN ! REGULATORY REEOUIRI-MgNTS f The insmltadan of za saner cmmwdons mus tie dcne in acrj==wi h the of Ajtc!e ) lVI, Tmn of Ummia , Ganc( B-ft 11a at1v. RE.ICENTIAL reptetiotts tsaica by Me DQPs,m d of Puttee Wcrim. '$d= ==Yaung within a Town way to nether(rant run=0 tat a R= Ommi COMMERC;ki- parnd and =-nAty wM the CartsMicdon StarWams and Speeiitcs ats l Wtt AW tiAnEr. At lead 48 b9 a prior to the tr=bdm,gm BppUrarG must � RESTAURANT no"the Depose**a7 PLb&Waft.E.-4hming Division for the pub 1{ "—" Of inapertim to Wafthdibm The lydpe=wiu car00 IZta CaspAmmc f Sioetctt lo="the u aW*m and=mtdcrt. By sWwV re AR&akatt. ft appkwll admmw"aw Lmdamunis 2w regtuewey mqum mays and STAINCARC INDUSTRIAL CLASSIFCA i 10N NO.. ��Wm to eartt�l *m mem ww toe gmAros!br mocatdan . of tiw Sewer Camection Penra2nd the dwitar of eny two o appkzwm No.OF aUILE)INCS �1 kC.OF SEROCMS SIZE OF PARCEL_„� � ACRES !.1 ES11MATE.0 DAILY SEWAGE PIPING:LENGTH �— EXPECT1W iNSTALLATICN DATt: . SIGNATURE URE(lNSTALLZ_gJAGZN7) DATE SIGNATURE(Dt APPF OVAL t]ItTE 8'EN T 8 Y BOP701-OT71 OCT 211 -02 8:21 ; PAIC9 2118 PERMIT NO, SEK IC ABANT)DNN, %T MIL TOWN OF BARNSTABLE //96; OBTA-TNED FROM REALril DEPT. UV Is bee-11,A,I SEWER "-7m PERMIT Al,andonme-11t F'p-r-fi-aP Not► Re uived orr-ICIAL USE ONLY ti mz�sftsm No. =4111ir 5 '2 MV C-1 j4seswu Parod N�; P,131L. Villager PROJECT CONTACTS PROPERTY 0'%IVNr--R aiijnq Address) SEWER INSTALLER Address, Address, /va Phone: Phone: Llmnse Na. 0V',1NEK;QYG WIVENGINEER Not Phow PROJECT D I ESCRIPTION REGULATORY REQUIREMENTS The hdallatm orall wow wmwkons must I*Wm in w,-,wdanoe Wv the -m of Arkli- X XXVI Town of oxnstablee , Genwal By4aws aW previsions , RESIDENTIAL mguWom hmmd by the Depafteit Of Public VV*ft- Bet"mandna within-a Tom Vqay the smw installer,mtzi aW Wain a Road OMVrQ penh and comply with dv rAm*vcu- SL.rxhrdg wW Spedflafto whined trweln. At least 48 hours prW to ft jnd2K3tiQn.the WfAWO ffVtSt notify the Department of PmtAir,Works,EngineeringWsion for ffw Pir-pom RESTAURANT of lmp@ctng the kr-tallation. TrIe KVvolor will cmplg*tfie CornplmWO INDUSTRIAL Sketch locating the bwMed lines and v"Od%on. DV algrilng the AR*cadoR the apo"rit adowwk-d9m and understands the fegWatOrY requimr*nts and STANrCARD INE;USTRtALCLAS&FICATION NO, understands that failure to comply wt1h#wm shall be grounds for revo0atim of tt*sewer C.anrmm:tk>n Permit and the donlial of ony future:opplicatirn. NO,OF BUILDINGS NO.OF BEDROOM$ ZLki SIZE or PARC E.I. ACRES ESTIMATED OKLY SUMAGE —.—GALLONS PIPING:LE DIAMETER,14 NG- -- -t-- - EXPECTED iNSTM.LATION DA7E , SiC�NATUAF.(N'8TALLEPfkGEI9',-) DATE. 7 SIGNATURE(DRW APPROVAI-4,,�,:4 DATE k-;w DCT-214-2CO2 14:4' BAPHSTRBLE WATER CUIPRNY 508 7?0 131-3 P.02,"0-2 Barnstable Water Company 4 l Old Yarmou*h Road F.O.Box 326 A VL=(DIARY Dr unIw=urr ml=�mvv::I, Hyaqms. MA 02601-0226 Office.sod. 7E.9697 F";C-08-IMIJ13 CUIAOMW Sz!IV'.L;v;505.1175,XSS October 21,2002 Tovm of Barnstable Building inspector Town Hall Hyannis, MA 02601 IRLE., Service.#4704, 134 Bay Shore Rd.,Hyannis bear Sir-, Please be advised that the above water service was shut off and the meter removed today, October 21 st. The o,,vmer has informed us that he intends to tear down the existing liouse. Siacerely. .Tap.,.Morse,Ckrk Barmstablc. Water. Company -10 kl- p 02 t Utility & Electrical Construction Corp. P.O. Box 1275 Centerville, Ma. 02632 October 23,2002 KOBO Utility & Electrical was hired by Paul Botello to dis- connect electrical service at 134 Bayshore Rd. in Hyan- nis, Ma. The service has been disconnected. Kevin O'Neil ' Lic.E39876 OCT-22-2002 TUE 08:43 AM KEYSPAN ENERGY DELIVERY FAX N0: 5087607611 P. 02 I KeySpan Ener ly uelivery (rior(yuiivory 127 Whiles Pa h I SOW Yannou .Massacl l gilts 02064 i I I t I October 22, 2002 Paul Botello a re; 134 Bay Shore Rd, Hyannis, MA To Whom Tt May Concern; This letter is to confine that the natural gas services to the above referenced � property have been cut and capped at the gatebox. This work was completed by us�oa September 10, 2002, , If you have any questions,I can be contacted directly at 508-760-7503. Sincerely,0—" i l..U� Sally Sinclair Cape Operations j i I � 1 I ` f ,f 1 I 1 i , I i f " �_' The Commonwealth of Massachusetts _�. _ Department of Industrial Accidents Office ofln�estigadons . - 600 Washington Street Boston,Mass. 02111, Workers' Compensation Insurance Affidavit name: location ' � ) ZL `f f �� hone#�J 1, ❑ 'I am a homeowner performing all work myself ❑ I am a sole proprietor and have no one workii in ca aci y %%/%%% ' ' orkers' com ensation for my employees working•on this job. •: _•. : . �: r •. • ..........:........... ..... ... :... �'v.... .... ....................:.v::::::•.�:::.v:::n...............::.::::•:::.v::•{•}].?•}S]J:;•:;•}::::x::•:J::::::;:..,:;:•}:?}:•]J:;};;>%:C•:•JT:t}i:::>:•:::Yy.{}Ji$i%:?C iiJ .. sn':.name........ . ........:::::::..::.:::.�.::::::::::::::::............:............................................................................ .com ................:.�::::.:....... ......:..:...... ..... :::.:... :...r:r..::.,..,.,:.:.:.].,.: L,�{L. yy ..........................::................::::nv:.?.}'::::::::::.:v.:.r.J}iJ:::vhj?:i:;:i}]::{.}::?:Y.t•}}:•i�i':i}?.iY•}}:t+•:;:?:+}.:v..,•.:•.Jy:ryY:{}: ..... .... ..... ..... ...... ... .. ,... •:::.::}}:.. :�:.:c�. .::. .•:.:::::,::<:;:}{. .?:.... hole'#;:% ........... am an em •:1t1311T::33TG�:Cb.:s::::i5;:::% �/ ❑ I.am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who _ have ' ensation polices: wi n workers com P...... the following .................::.::............::.................:.... ..:.... .... .... ....:. ..... .... ... .....: : •::•+:,v::::::v::.vr,v..•••.v.:::.v:::x:x:Cv.v.}J::v:.v4..:.'v':+•'%"•:�ii;::•y.�i::�]:;:•:;4:?:C;}:;::::::::. ;ram .. .... ....... ... ... ..... ..:•::::.v:::::.v:.:..rw.v..vx::n::.v;:.:::v:....v:.;::::.]}.:.:}}J:;IX••i';•]:•i:;'v:}:v:�.{,..:..v. 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OIiG:} •vv:.v::w::::n.........::l:+:;•::.:w:::::w:•:::..:::::::::.... r'•]::::?v::r::CJ....;:,••.i:+.:•}hx•}..}'•i:i•:iv't•}:;•:,'•;:{:Ci;i:2�:•iJ:{?2i{{t•i:w::.v:::::?r• ........:.:... ..:.......... :iuyuraace::coy::>:«:::<{?.::;::}:;::}:.:: ies oIa Sue Failure to secure coverage as required under section 25A of MGL 152 cahiead to the imposition of criminalpenalts. I undersfand that a' to 51,500.00 and/or one years'imprison as well as civil penalties in the form of a STOP WORK ORDM and a Sne of$100.00 a day against me. ment copy of this statement maybe forwarded to the Office of Investigations of the DU for coverage verification. --. I do hereby-certijyunder-thepains-and penalties-of-perjury-that-the-information-pr-os+idedabnve islrus_arsd correct=- _Date a,L signature Priest name Phone# '' S22; �� official use only do not write in this area to be completed by city or town official permit7license# OBullding Department city or town: ❑Licensing Board Oselectmen's Office ❑checkif immediate response is required OHealthDepatt rent contact perso phone#; ❑Other n: • (revised 9/95 PJA) .Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a .... dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto•shall not because of such employment be deemed to be an employer: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and' supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The.affidavit should be returned to the city or town that the application for the permit or license is being requested, not the D artment of Industrial Accidents. Should you have any questions regarding the`law'.or if you eP are required fo 0 tain.a workers' compensation policy,please call the Department at the number listed below.: City or.Towns " Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. .Pl�se•, in the_. a mitlliaense number which will be ui. sed as a reference number..The-•affidavits ma•.lie'rt�'.,. be sure to fill - Y the Departrnent by mail'of FAX unless other have been arrangements made. " .7. .. " ., .. .'.F The Office of Investigations would like to thank you in advance for you cooperation and should you have any�nestlons, . please do not hesitate to give us a call. The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ;4 Boston,Ma. 02111 fax#: (617) 727.7749 ' : phone#: (617) 727-4960 eat. 406, 409 or 375 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-1-2002 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 798 Your Home = 621 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------ ---------------------------------------------------------•�-------- CEILINGS 2082 38 .0 0.0 62 WALLS: Wood Frame, 1611 O.C. 4554 19 .0 3 .0 246 GLAZING: Windows or Doors 543 0 .400 217 FLOORS: Over Unconditioned Space 2026 19 .0 96 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125t of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 DATE: 9-1-2002 Bldg, Dept. Use CEILINGS : [ ] 1. R-38 Comments/Location WALLS: [ 1. Wood Frame, 1611 O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 .40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes ( ] No Comments/Location FLOORS : [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: ( ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 .0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125W of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- r • 1wdi�L;c'�%3�nR ��� ��—�s i—i=tEA�r� ���8 BARNSTABLE 1_.AiND COURT REG;STf1Y al ppTHE 1p� NPsntwsrwst.e�,� Lr' � •as9• ,0 ' .elEO MAy> F e Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-73 - Botello Special Permit- Section 4-4.3 & MGL Ch. 40A, Section 6 Demolition and Rebuilding on Undersized Lot Summary: Granted with Conditions Petitioner: Paul R.Botello Property Address: 134 Bay Shore Road,Hyannis,MA Assessor's Map/Parcel: Map 325,Parcel 081 Zoning: Residential B Zoning District 5" > Relief Requested&Background The applicant seeks to demolish an existing single-family dwelling on a undersized lot,a.44-acre parcel located on Hyannis Harbor. It is improved with a one-story suzgle-family dwelling of 2,592 gross sq.ft.inclusive of the garages and outdoor decks. It was developed in 1948 and the lot area and structure setbacks are non-conforming. The applicant wishes to demolish the dwelling and rebuild a larger two-story dwelling that will conform to the required setbacks for the Residential Zoning District. The existing dwelling has three bedrooms and the proposed structure will have three-bedrooms. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoni ig Board of Appeals on May 03,2002. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board. t� A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 26,2002,at which time the Board found to grant the appeal. Board members deciding this appeal were Daniel M: Creedon,Gail Nightingale,Richard L.Boy,Ralph Copeland and Ron S. Jansson,Chairman. Attorney John R.Alger represented the applicant. Peter Sullivan,the project engineer was also present. Mr.Alger described the condition of the existing structure on the lot and noted the dilapidated condition of the foundation. (� He stated that it would be more practical to demolish the entire structure and rebuild it in conformance with the district C setbacks. However,if the Board were so inclined to require a portion of the structure to remain,a plan would be devised to accommodate the Board's desires. He noted that the proposal has been before conservation,and an order of conditions was issued. _^ The Board asked question with regards to the size of the proposed new,structure. Tlie existing building has a footprint and gross area of 2,690 sq.ft. and the proposed structure would have a total gross area,including garage and outdoor decks of 6,020 sq.ft. The new structure would be elevated to a first floor level of 10 feet as required by FEND. The lot is within an A10 Flood Zone. There is an existing in-ground pool on the lot and that will remain. The Board discussed the issue of demolition and rebuilding. Chairman Jansson cited that the Courts have required the Board to determine whether the new dwelling is a"reconstruction"as that term is used in the"second except"clause of the first sentence of MGL Ch.40A,Section 6. The Court has ruled that the reconstruction may be allowed if the Board funds that: (1) The proposed new dwelling does not uitensify the alleged nonconfornnitl;and _ (2) If it does intensify the nonconformity,the proposed new dwelling would not be substantially more detrimental to the neighborhood than the former dwelling. Findings of Fact: At the hearing of June 26,2002,the Board unanimously made the following findings of fact: 1. The applicant in Appeal 2002-73 is Paul.R.Botello seeking a Special Permit under Section 4-4.3 of the Zoning Ordinance and in accordance with Mass. General Laws,Chapter 40A,Section 6,to demolish an existing single-family dwelling on an undersized lot and rebuild a new single-family stricture. The proposed structure will comply with all current setback requirements for the zoning district. However,the undersized non-conforming lot cannot comply with the minimtun area requirements. The property is shown on Assessor's Map 325,Parcel 081,commonly addressed 134 Bay Shore Road,Hyannis,1\,L4,in a Residential B Zoning District. 2. The applicant has proposed to demolish the existing 2,866 sq.ft. structure that includes a garage and deck area and replace that dxvelliag with a 6,020 sq. single-family dwelling,including its garage and deck areas. The dwelling is to be in accordance with plan presented to the Board,showing a two-story structure. 3. With respect to MGL Ch.40A,Section 6,this is a"reconstruction"of the dwelling,as that term is used inh the"second except' clause of the first sentence. The reconstruction does not intensify the nonconformity in terms of stnicrue,i9 fact,the proposed plan will conforms to the required setbacks for the zoning district. 4. The proposed new dwelling would not be substantially more detrimental to the neighborhood than the former dwelling. Decision: Based on the findings of fact,a motion was duly made and seconded to grant the appeal with the following conditions: 1. Construction of the new single-family dwelling on the lot shall conform to plans and elevations presented to the Board entitled "Proposed Site Plan at 134 Bav Shore Road,Hyannis,Mass.For Paul Botello",drawn by Sullivan Engineering Inc.dated March 26,2002 and"Lot 94 Bay Shore Road,Hyamhis Inner Harbor Alteration&Expansion":,drawn by Devlin Custom Designs,dated January 10,2002. 2. Redevelopment shall comply with all applicable regulations of health,building and conservation divisions,including compliance with flood pinin regulations and the Order of Conditions issued by the Conservation Commission. 3. .There shall be no farther structural additions to the home or lot without permission from the Zoning Board of Appeals. The vote was as follows: AYE: Daniel M.Creedon,Gail Nightingale,Richard L.Boy,Ralph Copeland,and Ron S.Jansson NAY: None Ordered: Special Permit 2002-073 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision,if any,shall be made pursuant to MGL Chapter 40A,Section 17,wdt in twenty(20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. S� �sl.T Ron S.Janss n,Cha man Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby ctrdfy that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been tiled in the office of the Town Cled:. G� ^� Signed and sealed this L, 'day of- /� i under,the pains and penaltie�slbf perjwv. t 41 Linda Hutchenrider,Town Clerk 2 Juln'. IY,4uvr: .. TOWN'OF BARNSTABLE ZONING BOARD OF APP E: EALS 1 NOTIC OF POBLiC HEARI TI NG NDER THE,ZONiNG,ORDINANCE DUNE 26 2002 To all persoris interested in or affected by theZnn"mg Boari3,of Appeals under S i of Chapter 40A of the General,Lews`of the Commonwealth.of tJlassachusetts ection,?,and all amendments thereto you are hereby notified that:. 6:55 PM :Foley Aplieal 2002-79' Michael Foley has applied;under Section 3 l 1(3)for a Family Apartment Special Permit:• The.aparmeni is to.be an 872 scj.ft.addition to the''exts�ing's7wellrng,i�he properiyis shown.; on Assessors,Map 268..Parcel094 commonly addressed 49 Suomi Road H-yann' MA in`a Residential.B Zoning District '7:D5 PM :" MacKenzie ,`.Appeal 2QD2.=.72,;, Jamesand.Emi;'MacKenziehaveappliedunoerSection3 7,1(3)CD)fora, amilyApa,rtment: Special Pecrrii;. the applicants seek to:add a family:apartment of 1 25 sq ft:to an existing' dwelling The:propertyisshownonAssessor.sMap298:Parcel fly ;'corr+rriorilyaddressed.c. as'5 9 Cemage Lane,,Barnstable MA,rn:a Res+denbal F 3'Zoning DistncL .; 7:20 PM .;. 8otello- ` Appea12002-7� Paul R Botello has applied fora Special'Permit under Section 4.4.3 and-Chapter 40A, Section 6 to.partially demolish,alter.and expsnd_.an existing single-family dweAing on an. undersized iot,or in the altemative tocompletely demolish and rebuild a newstructure::an eithercase, heproposedstru6turewig6omnOy ui,a11currentsetbackrequ+rementsforttae": zoning district.•The:propertys shown on Assessors M.ap.�25":;Pargel 081;' commonly;. addressed.134 bay Shore Road,,Hyannis MA'iri a Residential B`Zoning District 7 3U PM Demarest/Barnstable Dental Assoc ;Appeal 2002-74; Kel?y bemarest Samstable Dental Associates' as applte for a.Speaal Permit pursuit to Section 4 4 4.Nonconfonn6g-Buildings Not Used: a Single orTwo Family I?welluags;to. change or air er a.non-confirming structure for use unoer Section'=3 2 1(J):Mulct-.Faruly;;. Dwellings(Apartments) The.applrcarit seeks to de`-+oiish an existing dwelling and construct 524 sq"..[2 two-story structure containing;a ifental:diin+c 61'the first:fioor and:t vo apartments on the second floor as well'as associated on-site parking and%site improve merits Ttsepropertyis shown onAssessor's Map 327 parcel-1:96;commonly adds essed i5 CedarS4'eet Hyannis m4 in a Professional Residential Zoning;Distnct 7i30 PM Demare3tt8arnstable,flental Assac :`.Appeal 2002-75:' KellyDemarest Sermstable Dentai Associates has applied:for a Special Permit pursuit to Section-4-4"S J0000riforining'861dings t9sed as a Single jnd7wo i amilyResidences,to change or aitera non-conhrn mg stn�cture for.use under Section„3 2 1(J),Multi-family. Dweil+ngst;4partmentsl Tfieapplicantseekstodemolishan'exi+st- 9'8i3 ellingandcons[ruct' a 4;524 sq ft two-story strucfure contaning a'dental anic on i6a first;floorand;awo. apartments an the second floor as well.esassociated on-site pa,.9 an8,*e"improve= merits Theroperty lsshown on Assessor's fvlap 327,Parcel 196,commonly addressed 1a l edar Btreet Hyannis 9v1kin a Professional E3esidential Zoning'Distnct: 7 3D Pull DemarssttQarnsteble;7�ental,Assoc ;Appea9 2002-76,.., fSelly3erna7est Bamstabie Dental Associates.has appiedfora Variance from Section 3' Family;,Resider'tial Dwellings"(Detached)to permit the construction of is 4,62?�squa>�#ootlauldngcontaininga"dentalcliniconthefirstfloorandtwoapartmer, urns tar+ilia second floor The apartment units are contained within She structure>and'are;riot" Beta hedd+cve111ngs �h0TpertyrssFiownonAssessor'sMap327 Parge1196 commonly,, addressed S,'i✓edar Street,"Hyannis'MA in a f?rof esssona�;Resrden'tral Zanrrg District.; :1; 1e3flPM Demarest/$arnsiable:Dentalllssoc Appeal2002=77' Kelly bemarest Barnstable Dental Associates has applied for a Uarfance front Provcsions and'g of ectron 3-'2(1)(,1)Mulii-family Dwell"ings(apartments),to permit..the . aorrstrvcbon of a 4,524 square foot btilding:containing edental clinic o>i the#irst fifofiriand two apartment dwa ings on the second floor'The apartment Units'voll notconfonn to the; n•dnimum front yard'setback;,side yard,setback fpenmeter green"space snd off street: parking requi>pments The"property5s shown,on As'"" irs.iviap 327 Parcel l'96 •commonly addressed:25 CedarSireet,Hya in+s MA.Jb a'Professional Aesidenbal Zoning District Tfiese Pub6c`heanngs will be held at the.BamstalileTown Hall 367 yla+n Street,Hyannis,:. MA Heanng Room,2nd loor'1Neonesda.y June,26 ;2002 Plaris,andapplications'may;. be:reviewed:at rtaeZoriing 8oac>1 otAppeals Office, .own of8amstable Perrnitting Center. 200 Main Street,Hyannns iv1A Ron s;Jansson Chairman Zoning Board of Appeals The Bamsiable Patriot. - June and Ane 94 2002 Parcels Within 300' of Map 325 Parcel 081 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for,ensuring the correct notification of abutters. Owner and address data taken from Assessor's database March 8,2002. Mappar . Ownerl Owner2 Address City State Zip Country. 325076 MORZE,GABRIEL G&DOROTHY TRS MORZE NOMINEE TRUST 6300 MIDNIGHT PASS RD ISARASOTA FL 34242 IAPT#508 325077 IGOODMAN,ELLIOT R NORMA B GOODMAN_ 45 AMHERST RD CRANSTON IRI 102920 325078 DEFALCO,JOSEPH J (ESTATE) j-/.TURNER,JOAN P ' l27 HUNTINGTON RD IHADLEY IMA 101035 325079 BOURNWAL,SHEILA M 116 BAY SHORE RD HYANNIS IMA 102601 ff,-10 MARISCAL,CARLOS I rBOX 145 PROVIDENCE RI 10290..I 325081 HOESCI-I,MICHAEL G A 220 BAY SHORE RD HYANNIS MA 02601 325082 RO,CHARLES F JR&JACQUELINE 4 RANDELL RD SAUGUS IMA 101906 325083 GODDARD,THOMAS A&LAURA H 1000SW 27TH AVE 11118 IVEROBEACH JFL 132968 325084 KELLEY,EST OF GEORGE B 20 LOOKOUT LN HYANNIS MA 02601 325095 SIMMONDS,KENNETH 6 MARSHAM LANE GERRARDS CROSS BUCKS SL9 8AG ENGLAND 325096 COTE,STEPHEN 88 BEACON ST#G ]BOSTON MA 02108 325097 TASHA,MICHAEL J&HALCYONE I I OLD FISH HILLS"ANNIS MA 102601 325098 KLIM,CATHY S TR BAYSHORE REALTI'TRUST P 0 BOX 62 CUMMAQUID MA 102637 325099 LAMBERT,MARK S 18 WHISTLEBERRY DR IMARSTONS MILLS IMA 102648 Thursday,May 30,2002 Page I of 2 Mappar Ownerl Owner2 Address City State Zip Country 325100 KELLEY,RUTH M 20 LOOKOUT LN HYANNIS MA 02601 325101 FONDINI,ANNA& FONDINI,IRENE A 104 HARBOR BLUFFS RD HYANNIS MA 02601 325103 PENN;HOWARD K&ELIZABETH P 0 BOX 68 H YANNIS MA 02601 325104 LUSARDI,HENRY R 370 MAIN ST WORCESTER MA 01608 325105 T�CONSTANTINE;EDWARD A CONSTANTINE,CONSTANCE J 131 BAY SHORE RD HYANNIS IMA 02601 325106. ARK,ELEANOR&KAREN & MONTE,DONNA 123 BAY SHORE RD HYANNIS �MA 02601 325107 SEXENY,MARY ELLEN Tiial,YWOOD RD WINCHESTER IMA 01890 325108 BARNSTABLE,TOWN OF(MUN) 367 MAIN ST 1HYANNIS IMA 02601 E 1 I I MORAN,LINDA RICCIARDI TRS RICCIARDI REAL ESTATE TR 53 ISLAND VIEW RD HYANNIS IMA 02601 325112 MORAN,LINDA RICCIARDI TR 153 ISLAND VIEW RD HYANNIS MA 02601 325163 FALLA,WILLIAM S&DIANE E 165 BAY SHORE RD HYANNIS MA 02601 325174 DUPFE7T,JOHN&GERALDINE TRS GERALDINE DUFFETT REVOCABLE 18 OLD FISH HILL RD HYANNIS IMA 02601 TRUST 325178 FALLON,JOHN 39 HUDSON ST SOMERVILLE MA 02143 Thursday,May 30,2002 Page 2'of 2 . RECEIPT Printed:08--01-2002 @ 15:58:36 BARHSTABLE LAID COURT REGISTRY JOHN F. MEADE, REGISTER Tffrans4: 199505 taper:CATHY JOHN A_GER . Docp: 880470 Ctlh 1742 Rec:8-01-2002 @ 3:58:06p BARN `DOC DESCRIPTION TRANS AMT ----- --------- 1 BGTELLG, PAUL R .i•07CE Recohing fee nn 30.00 Total fees: --��-G- �0.�0 I f LAW OFFICES OF JOHN R. ALGER, P.C. ATTORNEY AT LAW 5 PARKER ROAD P. O. BOX 44S OSTERVI LLE. MA 02655-0449 TELEPHONE SOS 428 SS94 FAX(SOB)420-3162 NOTIFICATION TO ABUTTERS UNDER THE MASSACHUSETTS WETLANDS PROTECTION ACT TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXVII RE: Paul R. Botello, 134 Bay Shore Road, Hyannis, Town of Barnstable TO WHOM c OM IT MAY CONCERN: As a person listed as an abutter or owning property within 300 feet of the above mentioned property, please be advised that a Notice of Intent has been filed at the Barnstable Conservation Commission regarding the above referenced location which is subject to protection under the Wetlands Protection Act and Ordinances of the Town of Barnstable. Additional detail is as follows: APPLICANT: Paul R. Botello PROPERTY LOCATION 134 Bay Shore Road,'Ilyannis� ` �To«n of Barnstable �_: _, " _ '`- 4: . ASSESSORS MAP: Map No 325V,: Parcel No.•81 PROJECT DESCRIPTION: Alteration and expansion of an existing single family dwelling and all associated appurtenances including but not limited to landscaping, utilities, drainage improvements and driveway. AGENT: John R. Alger 5 Parker Road P. 0. Box 449 Osterville, MA 02655 . ENGINEER: Sullivan Engineering Inc. 7 Parker Road P. 0. Box 659 Osterville, MA 02655 PUBLIC HEARING: Barnstable Town Hall Hearing Room - 2nd Floor Y ' `'� " Date?April 23 2002 Time: 6:30 p.m. Plans and application describing the proposed activity are. on file with the Barnstable Conservation-Comii ission and in the offices'of John ' . E11ger P'.'C.,and may be examined at those locations between the hours of 8:30 a.m to 4:30 p.m., Monday through Friday. If you I have any questions or desire to comment for the record, do not hesitate to contact Mr. Alger at(508)428-8594 or the Barnstable Conservation Commission at(508) 862-4043. NOTE: Notice of the public hearing, including its date, time and place will be published at least five(5)days in advance in the Barnstable Patriot. NOTE: Notice of the public hearing, including its date, time and place will be posted in the Town Hall not less than forty-eight(48)hours in advance. NOTE: You also may contact your local Conservation Commission or the nearest Department of Environmental Protection Regional Office for more information about this application or the Wetlands Protection Act. To contact DEP, call (508) 946-2800 (Southeast ) Re ion . g /FJ i � F l C_ v" �e ef l Member F D.I.C. TM 09-73 REV. 11/95 Complaint Number: 696 Taken by: Date 2 12 97 Map/parcel: 1325 081 Referred to: ICROSSEN SUBJECT OF COMPLAINT Business/Occupant Name: Number 134 Street BAY SHORE ROAD Village: COMPLAINT INFORMATION Complainant's Name: ANONYMOUS Address: o . Telephone Nwnber: G o : a A Complaint Description: INTERIOR FRAMING AND ELECTRICAL WORK BEING DONE WITHOUT PERMITS OR INSURANCE. CONTRACTOR IS CHRIS WILLIAMS. Actions-Taken/Results:� Date Closed __--- ____ --- ��� s C - }1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map Parcel Permit# 0 10 6� Health Division s I O � o1�� Date Issued Cl-Zs_go®s- Conservation Division �® ve Fee Tax Collector CONNECT ACCOUNT 0 Treasurer �o I Planning Dept. Ch in y Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 13 Village Owner VCR".\ Address a 5b Telephone S 01s • S Ll0 5 p&a C) at,�tFS__ Permit Request ent _ c`eC-e Q� 0r _c.A N\ \-)Ie LID �\ 30 - \0 1 Z\` o 5 Zo e— Ho `- o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lod Size Grandfathered: ❑Yes ❑No If yes, attach supporting doe'umentation. -. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: Ules ` 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: 0 Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing O new size Pool:O existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing O new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes, site plan review Current Use Proposed Use BUILDER INFORMATION Ap Name �0.cti\�o�A\ c_-, Telephone Number 5-0 9. 5-a S3 Address a * "N sc\c—�®�� License# �ate� s `(hA-%_ AAA 0ak.ti&— Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED 1 MAP/PARCEL NO. ADDRESS " VILLAGE OWNER • Y 4 DATE OF INSPECTION: FOUNDATION FRAME ter. INSULATION r <n FIREPLACE ELECTRICAL: ROUGH FINAL IS PLUMBING: R017, FINAL GAS: ROB UGH FINAL s co FINAL BUILDING � n DATE CLOSED OUTQ ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of hidustrial Accidents ' Office of Investigadens• ' 600 Washington Street ' Boston,MA 02111' www.mass.gov/dia �Yoxkers' Compensation Insurance Affidavit: Builders/Conn'actors/ElectriciaristPlumbers emit Information Please Print Le 'bl ,,T PuOness/OrgaaizatLonb&Vidnan. �+ ac,`\' �36V\� e • Ad ss' � c e.8� to/Zi 1��M A'. oa�(Qione : . /Sta p. ire you an employer? Check the•appropriate boa.. ;'I`ype of project(required): .Q Z atloyer with 4. ❑ I am a general contractor and I _6, New construction. employees(fall and/or part-time).* have hired the sub-contractors Remodeling [] I sm a sole proprietor or partner- 'listed'on the attached sheet$ shVandhaveno employees ' These sub-contractors have .8. •❑ Demolition 'working workers' comp.insurance. g, F] Building addition. formeinany'capacity, ' o workersy comp.insurance 5• ❑ We are a corporation and its 10.Q Electrical repairs or.additions required.] officers have exercised their t of exemption per MGL 1Y,❑ Plumbing repairs or additions 3. I am a homeowner doing all.work . � p c. 152,§1(4),and we have no.. 12.❑ Roof repairs myself,,[No warkers camp. to ees. o workers •insurance regni e&3 t Y [N 130 Other camp.insurance required.] Any applicant thaf checks box#1 must also fill out the section below showing their workers'compensation policy inforrnstiou `+ - - 'Homeowners who sabatitihis affidiait indicating'they are doing an-work andtheabire outside cofactors must subuit a new affidavit mdica2 g h Contracb7rs that check this box must attached an additional sheet showing the name of the sub-contractors and their wcT]ters'• :pntie+,'-' f am an employer that is providing workers'compensation insurance for my employees.'Be1ow is the policy and job site. Information. [nnsuauce•Com =yName' Policy#or Self-ins.Lic.#: Expiration Date• Job Site Address: � City/State/Zip: ._ Attach a copy of the workers' compensation policy declaration page(showing the policy number and•expiration date). Fafiure to•secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of ciiminalpenalties of a fine up to$1,500,00 and/or one-year b4risomment, as well as,civil penalties m the form of a S'IOP'W�RK ORDER and a tine of up t4$250.00 a day against the violatdr. $e advised that a copy of this statement may ire forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided a ove is true and correct Si:�nature. Phone#; EI.Boardoi only. Do not write in this area,to be completed by city.or Town of n: P ermit/Llcense# hority(circle erne): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector erson: Phone#a on and Instructions -�' Information . eusatioa for their employees. ter 152 tequires all employers to provide workers' comp contract of hire, Massachusetts General Laws Pee is defined as"...every person in the service flf another under any pursuant to this statute, an employ • express or implied,dral or written." a ,hip association, rporation or other legal cvtity,ar�Y two or more r to er is defined aS•�`=����na�aP " to er,or the' An emp y is a joint enterprise, and including the legal representatives of a deceased emp y of the foregoing,engaged arts association ar other legal entity,employing employees. Hovct�er.*e receiver or trustee of an individnA P ant of the owner of a dwelling house having notmore than three apartments and who resides therein,orthe ocaip house of another who employs persons to do maintenance,construction or repair woik'ou such dwpning house dwelling appurtenant thereto shall notbecause of such empioymeatbe deemed to be an employer.".. '��the grounds or building app -' • •' . chapter §25 C(�`�o states that'-every-state or local licent buildin in the commonw alth fosing ageAFy Shan withhold the ar any r MGL aP ermh to o erate a business or to constru g . TeUiW21 of a license or p P. applicant who*has not produced acceptable e�dence•of compliance with the insurance coverage regwlred.". Pii ter 152, 25C states`TTeither the commonwealth nor any of its'political subdivisions shall Additionally,MGL chap .. § (� eater into any contract for the performance of public work,until acceptable evidence of compliance with the insurance 2equiremeats of•this chapter have been presented to the contracting authority." . Applicants completely,by checking the that apply to Your situation and,if. Please fill out the workers' compensation affidavit comp Y, Ceriificate(s)of necessary,supply sub-contractors)name(s),address(es)and phone numbers) along with-theirto ees other than•the insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships'(L•LP)with no emp .y orLLP does have members or p artners; are not required to carry woikkseri'6 mp a%davit�b'submitted t4 the Dep insurance. anCartment of Industrial employees,a,policy is requited. Be advised that . . . The aff'idavit should _. tion of insurance coverage., Also be'sure to sign and date the affidavit: Accidents for confirraa'. . ., not theD'epartmeat of be returned to the city ar town that the application for the permit.or license is being requested, Industrial Accidents, Should y,ou have any questions Tegardmg the law or if you are required to ' lease call eDepartmentatthenumberlistedbelowti Self-insaredcompaniesshoiild eaertberr compensationpolicy,p note line. self insurance license number on the approp ' City or Town Officials provided a space at the bottom Please be sure that tb.e affidavit is complete and printed legibly, The Department has pr the licant of the affidavit for you to tiIl out in the event th�office ch f lvestigatioj�has to contact youw ll be used as a reference number. In addition, an.applicant Please be sure to fiIl in thepeamtlhcense numb that�.st submit multiple Permit/license applications in any given year,need only submit one affidavit indicating current; and under"Job Site Address"'the applicant should write"all locations in_(city or policy information(if necessary) ed or masked by the city or town may be provided to the ��ya)"A copY of the•aTIdavit that has been officially stamp licaut as proof that a valid affidavit is•on•file for;fature P emu t n dated do s or commercial v ture aPP year.Where a home owner or citizen is obtaining a hCense or p lete this affidavit. (i.e.a dog license or permit to burn leaves etc.)said person is NO'T required to comp ationS would h'ke to thank you m advance for your cogperation and should you have any questions, The Office oflnvestig' , please do nothesitate to give us a call. , The Department's address,telephone and,faxmimber: The Commonwealth of Massachusetts . . Iepax(ment of Indu�strialAccidentsI. .. >. ..Office Qf ItivestigatioAs - • • . •� .. a- � 400'Washington Street . • Y `,...fa, h ' SOstpn,MA 02111, Tel. #617-727-4900 ext 4G6 or 1-877 MASSAFE Fax#617-727-7749 t!Fnricw9 5_26-45 www.mass.2ov/dia 09/21/2005 13:11 5084202705 AMERICAN TENT PAGE 04 C• REGiSTM ISSUED By Dots waled or APPLVM Academy Tent & Canvas manufactured CON11MW 5035 Gifford Ave. 06131/2002 r Los Angeles,CA 90058 (323)277-8368 This is to certify that the materials described below hereof have been flame retardant treated(or are Inherennyy nonitttnfmable). AMERICAN TENT&TABLE ADDRESS 381 OLD FALMOUTH ROAD _ FOR. MAR ITONS MICU STATE ____ MA 02699 CITY ,,,._._.�� _ Certification is hereby made that:(Check "a"or"b") (a) The articles described below this certillcate have been treated with a flame-retardant Chemical approved and registered by the State Fire Marshal and that the application of said chemical was done In conformance with the laws of the State of California and the Rules and Regula- tions of the State Fire Marshal. Name Of Chemical used Chem.Reg.NO-- Method of application................................................. ..............res......nt,f..... ................ )( (b) The articles described below hereof are made tram aflame-resistant fabric or material regis- tered and approved by the state Fire Marshal for such use;Fabric has been tested and passes NFPA701-96. VINYL F8.01 Trade name of flame-resistant fabric or material used .................... Reg. o............. The Flame Retardant Process Used ..!....."-°•i...Be Removed by Washing (win or wla not) David Bradley By Tom Shapiro • president _. -..... . .__ ..._,.. Tine Namti o1 AppiicACor or Proauction Superiotende�t `-_.`-' Ogg 1111111 THIS FABRIC WAS USED IN THE MANUFACTURING OF THE FOLLOWINO 2EA 30X30 U/W 2PC CANOPY TOP ONLY 3EA 3010 U/W MIDDLE CANOPY TOP CONAF&N0.0 UM 2PC-CANOPY TOP ONLY MIDDLE CANOPY TOP ONLY 51988 2EA 15X15 WW 2PC CANOPY TOP ONLY ;;USTOMER ORDER NO. —_ _.__.___ �{�nly 2PC CANOPY TOP$ ONLY Cl1ST"OMER INVOICE 48966 NO. — YARDS 0l:1 QUANTITY ST YL-E DATE ALL MATERIALS ARE CERTIFIED BY THE CALIFORNIA STATE FIRE MARSHALL AND MEET THE REQUIREMENTS OF THE NFPA 701 AND UL214" 09/21/2005 13:11 5084202705 ANERICAN TENT PAGE 03 ;J Certijtcate of Flame Resistance REGISTERED ISSUED BY Date of Iflarwtactrua FABRIC JOHNSON OUTDOORS INC.NUMBI;It BINGHAtATON.NEW YORK 131102 MARCH 2O02 F-140.01 rent>�odam 0at00"r,As ew This Is to ce►ft that the products herein have bean manufacerred from material inherently flame retardant as here after specified by Me material supplier- . � NAME; AMERICAN TENT$TABLE CITY: MORSTONS MILLS STATE: MA Certifkadon is hweby made Mot: The anicies dasclrbed on this eertiaale have been manufedrrrad with an approva0 flame retarMnl dw*.al in awwhame with CaMomis Stem Fire Marshal Code. NFPA-701'. UrMerwmists Laboratory of Canada.and have bean tested in accomance with the Federal Test UMhod Speeifitatlorvs and meet or axoeed(be Mi"Flom SpWilo anz of AML-C-430080. Type.Color and weight of matanal 14OZ. Vinyl WHITE BLOCKOUT Description of item certified: 20'MID FOR 40' GENESIS i Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The We Of The Fabric Snyder Mantllacturin®,Inc. ManurarAwer of Flame Rabcdwo VMp Laminafes TEAT pEpAR7MEIN17. sow S 'Large Scale Mill 09/21/2005 13:11 5084202705 AMERICAN TENT PAGE 02 �1 Certificate of Flame Resistance REGISTERED FABRIC ISSUED BY Date of Manufacture NUMBER JOHNSON OUTDOORS INC. BINGHAMTON.NEW YORK 13W2 MARCH 2O02 F-140.01 ivanwecerrrers a meFLnest j TerN PwdaM Described Rerem i This is to certify that the product:herein have boon manufactured from materptl inherently flame retardant as here after specified by the mebxlal supplier. AMERICAN TENT&TABLE NAME: ! CITY: MORSTONS MILLS STATE: MA cert"Icatlon 1s hereby made that The articles described on this ctetifica6e Aare been man~ured with an approved flame retardant chemical in compiance with Caldornia State Fire Marshal Code. NFPA-701',Underwrites Laboratory of Canada,and nave been tested in accordame with the Federal Test Method Specifleadoft ataf meet or exceed the Mil"Flame S odkedom of MIL-C43006G. Type,color and weight o1 material 140Z. vinyl WHITE BLOCKOUT oncxiption of item certiried; 4OX40 2PC GENESIS Flame Retardant Process Used Will Not Be Removed By Washing And In Effective For The Life Of The Fabric Snyder Manufacturing,Inc. I Manulacturgr of Flame Reiardent Virgi Larrrnetes TENT OWARTWW.JOHNSON OUT f 'Large Scala Engimetmg Dept. (3rd floor) Map 3 Parcel ��, Permit#: aZ `� House# :lS` Date Issued P k1 11�(8:15'-9:30/1:00 4:30) ^'( (Q'U 't=Jge Fee. 1,25'1d6 Conservation Office(4th floor)(8:30- 9:30/1:00 -2:00) -/© 3=�ovy P TNe De 19 BARNSTARLE. ` J r + • MASS. A ���✓ �f0 MAC TOWN OFBARNSTABLE P -o C l Building Permit Application^ f' Project treet Ad ss W-� �c ` 9S Village Owner Address S a�n A_ Telephone 5 O - — S Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 151 O Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure `� —1-[(� Historic House ❑Yes A No On Old King's Highway ❑Yes '5kNo Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing ( New First Floor Room Count 'Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other ;Central Air ❑Yes )a No Fireplaces: Existing t New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ool(size) /f x 3 Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 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 DA LJ C-�- l T BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) .r� i • r 7 u FOR OFFICIAL USE ONLY £ - • c,~ jf PERMIT NO. ; cam" J DATE ISSUED - r MAP/PARCEL NO. ADDRESS VILLAGE t` •." — t ` + ` OWNER DATE OF INSPECTION:' FOUNDATION' FRAME INSULATION r s FIREPLACE F ELECTRICAL:., ROUGH 'FINAL,... PLUMBING: ROUGH •' s FINAL • i x • GAS:'. ROUGH FINAL' y FINAL BUILDING DATE CLOSED OUT' fi ASSOCIATION PLAN NO. = e f c r r i , ,0"- 1ViAM-' 02;1/0` �X �y xv 3" 5"r /38' I!-/6Z'-*!--3 BAYS @ /6 i•. S BAYS @ 7'* W-414--30' L.W.Op X PROFILE C.LOCUS SCALE : //N. = 40 FT• �z LEW/S B^Y ELEVAT/ON.S ARE /N /=EET. O.O gE�Ers KEY MAP To A F+LA.vE of MEAN LOW /�V,4TER. SCALE //K. �POOOFT. o/LEs CREOSOTED, M/N/MVM /o"47/TT, /YYAA1,V/S QUAORAA/GLE 6" .-O/w7, /2' PE-/vETRAT/ON. T/MBER CREOSOTED. DECKS SALT-TREATED. yAftO/�/AQE GALVAN/ZED. 1* --4, sL.B.�' �".B"Doueie gN6EL 0 PED ONE ET uX• 33 ELM sr. 4�d.. M•w•w.l./ SNRErV?eURY, MASS. - � �p tiQ Lo-r 94 M.L.W.dd N SFC7'/ON �J Q � Q Q LoT 93 N �J � ae M --- -o.3T -!.o _1.7 -4.o M 0 J /9B —�i T 0 I30,�►1 I v A.4RCFir ..QEALTy TRl/ST �# .4.5 Y 8S /�iQESCOTT ST. '� -2.7 WORCESTER, MASS. U (•,w 3 -L•3 O CA-7"-T.1R'2/72/a L.C. 76/.fB Q' 4'yz0'RAMP �i #024i726 � _o.a� EX/.sTiN6 A/CR L/C./�4�3/ LOT 92 .� � � PETER A• CONS/GL/o "� ; ` 1itii Of ET AL. TRS. � �� 8S P,TESCOTT Sr.s FI W �,,/ �;�r.RL�i woRCESTER� t q( PLA N (� P4I1/V TO ACCOMPAN Y PET/T/O N OF PA RjfeR REALTY. TRL/ST TO MA/NTA/N EX/ST//VG' P/EQ, RAMP AV&P F/J(BG FL GAT /N 1-E W15 8A y BA TPV57AB -A= MASS. Try, SCALES AS NOTED fEBRUARY /973 " CNARLpS Al. SAVERy C. t�v RE 4/•STER EO ENl3/N E E.QS' SUR YEYO R S 14YA N/V/s ^JA Ss. a1FTHE A The Town of Barnstable Department of Health Safety and Environmental Services �°r�,r, +►` Building Division ' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Cr0ssen Fax: 508-790-6230 Building Commissio: For office use only + Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. n n Type of Work: A,C i/1 Est Cost nC ODC) — S On ,Address of Work• Lk /Owner's Name l`M C"GR,Q, n n ate of Permit Application: C 4- I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner puffing 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 Gosomfor ameRegistration No. OR t Tllc• CfIII1111UI111'ea th of I fassacliasctts %'�! ` ' --- De artme"t of Itldirstrial Accidews :1 1• oficee/lnyes&92111ons bUfl !f'ashitrqtutl Street i4;. � �:' Bostoa. ,11a�a. OZIII Workers' Compensation Insurance Alydavit fAIiPlic7ntinform`atiriri• _Plc�serrl'R(NT1le,�bj`jn�r`_ name J nc�ti n �-`J i d hnn•+t g -� � , I�fi� er performing all wort:myself. ❑ 1 am a sole proprietor and have no one work-in__ in any capacity 7 1 am an emplover providing workers' compensation for my employees working on this job. cnowanv n• rne• -- adrlrctc: . city• nhnnc i�• incor:tnre rn noficv# 1 am a sole proprietor. general contractor, or homeowner(circle ot:c) and have hired the contractors listed below who haN the following workers compensation polices: tnmminv nntnc* addrrcc-. tin•• nhnne+t• incornnrr rn nnlicr N - -- cmmnnnv nnmr- ;tddrecc• rin nhnnc i!• incor•tnre cn noHey� Attach additional sheet if neees_lati� -_;�..,_ ., _..,;..:..... .,,... _;I........�••:^�Y.:..... ,,�...... �....,�.�:..._�_...._.�� ___ ..W,.•-•• aYt•� ••.wow-.n Failure to secure coverage as required under section:SA of 11IGL 152 can lead to the imposition of criminal penalties of a line up to SI.500.00 andiur uric t cars' imprisonment 3s t ell:ts civil penafties in the form of a STOP WORT:ORDER and a fine of S100.00 a dayagainst me. I understand that n cope of this statetncut mai be furvnrded to the office of Investigations of the DIA for coverare verification. i do herchv ccrrifi•under the punts and penalties of perjury that the information provided above is tr a and correct. � (� ' • �. rr � of O Sinatur, �`�(�� V&✓l�.,i(_/l ��M 17s C"� ��D�—�_ �' Date l � Print namcUt&Q t ( AOe SCCn �� ���! Phone* CQ K- 77 ofTiciai use univ do not write.in this area to be completed by tiny or town otrtciai a tin or town: permit/license it t—t1luiWing Department ❑Liccnsing hoard [� FF C: check if immediate response is required ❑ seleetmen's Orrier ►' 1'. ❑ticaith Ucpartment k contact person: phone 9: —01her. i I Information and Instructions Massachusetts General Liws chapter 152 section 25 requires all emplovers to provide workers' conrpetlsation for employees. As quoted from the "ta►►". an empl(,ree is defined as every person to the service of :11lotlier under any contract of hire, express or implied. oral or►written. An en plt rer is defined as an individual. partnership. association. corporation or other legal entity. or an%• !wo or ,r..: the foregoing en�sagt:d in a joint enterprise. and including the le"_al representatives of a deceased emplover. or the recci►•er or tntstee of an individual . partnership. associationor other legal entity, employing employees. Ho%\'c,'cr owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d►►�cllin`a house of another who employs persons to do maintenance ;construction or repair worn on such dwelling or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an empie% MGL chapter l�� section �5 also states that every state or local licensing agency shall withhold the issuance or •v� �►aI of a license or permit to operate a business or to construct buildings in the commonwealth for am icant who lias not produced acceptable evidence of compliance with the insurance coverage required. Ad.L;.:iOnall\-. neither the coin monweaith nor any of its political subdivisions shall enter into any contract for the perfornt:.;ice of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in die workers' compensation affidavit completely, by checking the box that applies to your situation anc supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial ,-accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The ia� it should be returned to the cin• or town that the application for the permit or license is being requested. rn :he Department of Industrial ,accidents. Should you have anv questions regarding the "law" or if you are reeui-e :o obtain a workers* compensation policy. please call the Department at the number listed below. City or rol►•ns Please 5e sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom . the a"'davit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple be : to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee -ne Department by mail or FAX unless other arrangements have been made. The Office of Inyestications would like to thank you in advance for you cooperation and should you have any questie please do not hesitate to _give us a call. �.. .._.._ ...--.�_....—. .....w.•r-�••.air._.w--.��.r...--.���r�w.+-..��_.... .. ....r.. _ . .. _ —_,— .S. .,...�. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents '' -• Office of investigations 600 Washington Street Boston,Ma. 02111 fax T: (617) 727-7749 phone =i: (617, �'?77-4900 cxt. 406. 409 or 3 1 i t .....:....... ::::........ 1 .r• r t I u U')� t t N t f t N Occ ell 1 O i s• i t t M- t t n l 4b ram'' o rn t t r.. r t "M M.M!. wi. r• l ti.. t •:N. M r• 1 R ti ` t 1 r :i t r i i to vo 0 _ 1 f 1' 1 1 i \ 7' 7 !.l 1 J$$:i h yy� :v:!•+$i:•'r:::is r O i w V je r 1 N••• �Y ]t • J t�. t 1 r .1 •'A r• J •o t Y 1 L. '7 r / •'1 b :I r / :> r t O :: i:i• ......... / r 1 'R i i '♦L Y 1 O' ?:•Y u '?:ti;?::•iii: .'r \ p yy � .V t' : r r t t vC M 4' o / .f �t V ,w• r r O I r •7r Q i 1 \ •� . S t / / \ / R % R .r N kii Rr f Do 04 I•..........I .... op 90 +• ; o ram" ( S,•..,��� T•yJ . ............ .... 16 jr cn ci ti , i 1 . • TOWN OF BARNSTABLE ' BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE {` , JOB LOCATION S Number J Street address S tion of town "HOMEOWNER" C . Name Home phone Work phone - - PRESENT MAILING ADDRESS VIA ft- City/town State Zip code The current exemption for "homeowners" was extended to include owner-occumiE dwellings of six units or less and to allow such homeowners to engage an in- diviTual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Offic on a form acceptable to the Building Official, that he/she shall be resnon si: for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the S-. Building Code and other applicable codes, by-laws , rules and regulations. The undersigned "homeowner" certifies tnat he/she understands ..the Town of arnstable Building Department minimum inspection procedures and requirement= nd that he/she will comply with said procedures and requirements. OMEOWNER'S SIGNATURE c ` kPPROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 0, Construction Control. HOME OWNER`S EXEMPTION =" r__: The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home OwnE shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner act'_ as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, ma: communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities. of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. { *� n iileerin Dept. 3rd floor Ma" ��1 g p ( ) p 3 c2_5' Parcel '"Q Permit# • C Ff r. House# /.3j*/ RA. Date Issued 3 aP+�, Board of Health(3rd floor)(8:15'-9:30/1:00-4-3m - Fee 0--t_;1 Conservation Office(4th floor)(8:30-9:30/1:00' 2:00) - Planning Dept.(1st floor/School Admin. Bldg.) �1He Definitive Plan A ed by Planning Board 19 f BARN ABLE, _ TOWN OF BARNSTABL 'FMASS. Building Permit Application Project Street Address , , � c�JQ v o%_e Village b ot ►� h �` S Owner�5�1� _ i .t I cz- J (,-a Address Telephone 7 7 � - Permit Request - roof �(�� 5 �� ��r u c :'k r P First Floor square feet Second Floor • square feet Construction Type Estimated Project Cost $ ! Ss .� s 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 - l9 Historic House I❑Yes No On Old King's Highway ❑Yes $d No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) • Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing �2, New Half: Existing New No. of Bedrooms: Existing `3 -, New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: J,Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ZNo Fireplaces: Existing New Existing wood/coal stove ❑Yes XNo Garage: ❑Detached(size) Other Detached Structures:*a Pool(size) /(m n Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial .❑Yes )kNo If yes, site plan review# Current Use �,'��h e�� Proposed Use Builder Information Name Telephone Number 5,0 Address, f�2�,r e i License# ;' <e9 �? 0/ re 'f c/a /E , P7,2 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 A c DATE ©3 BUILDING PER T DENIED FORT FOLLOVJIG REASON(S) ' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED d . . >r I i _ r t a MAP/PARCEL NO. , a ADDRESS :fl ' ; VILLAGE OWNER i a , 7 r . i DATE OF,INSPECTION: A' _ .• _ t y. 14i < e FOUNDATION FRAME E ., INSULATION : FIREPLACE w s 4 + I V " ( • $ Y,f4 S F+ cam,. , ,-. ; ELECTRICAL: ROUGH FINAL Ld` { k i + PLUMBING: ROUGH FINAL' GAS:' ROUGH ' FINAL-. FINALiBUILDING p ._ s i .DATE CLOSED OUT- ASSOCIATION - f PLAN NO. f --Pan„awmurea�l� e� DEPARTHENT OF PUBLIC SP.FETo CONSTRUCTION SUPERVISOR LICENSE Expires: CS 058889 05/44/1998 R:e,tr cted To, 1G aOHN R HCCREAR? 15'�XEREDITH RD 8-hlo FORESTDALE, ? 02644 COMMISSIONER .. _ 6 ��' :'� },y 7'.{,"��✓A8 T06fMX0> (I6 O` U6Br!I "-HOME,IMPROVEMENT CONTRACTOR ` Registration "114121 kl Pe `INDIVIDUAL r ,Expiration 08/06/99 ' • �a.x .. �� aye .w?�+F �s $�� :..r ? ,^z� _"�.+ A `"JOHN R.'MCCREARY `tk EREDITH RD aoMINIST>anTua RESTDALE MA 02644 •r EVE roy,� i . ; . TheTown of Barnstable MASM• s�ar►sr,� • �m� Department of Health Safety and Environmental Services rE0!Fg. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW 1 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: I Est.Cost @� Address of Work: 4.4 Owner's Name A ' ( 11 C LQ e 3d l3�SC� Date of Permit Application: U I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply 7fr a permit the ent of the owner: �` Q.f)3//,7 A/ Z D ai e Con acto Nameitegistrati6n No. OR Date Owner's Name r ' The Clrntrttprtirealth af.4fassachusetts =/z= Deparnncrlt of Industrial Accidents - :; `1 ��� � OflicP�llnyest/gatlons 600 If'asbing;torr Street Workers' Compensation Insurance Affidavit -AEOrtnt inftiFrttatitin•• _ — ,PIc•tse PRINT Z-@v namc: J C a r;,�• r�S c(a �Lt g �� Ll nhnnc+r q 77 S Of-2— I am a homeowner performing all work myself. -I am a sole proprietor and have no one working in any capacity — _ ^._�._..-....ter---.--„•..�•.. .-_--s---•------ M lam an empiover providing workers compensation for my employees working on this job. cmm�sny n•tmc• addrrcc• city' nhnnc#- incur:rnce co. policy# r I am a sole proprietor. general contractor. or homeowner(circle otre)and have hired the contractors listed beiow who hcti the following workers* compensation polices: cornmitiv narnc• atlrlrrcc• city- nhone tt• incunnrr rn policy# __ _ cmmnnm, mini-• adtlrrce• rirv. nhnnc 1!r insur'rnre cn nniiey 0 Attach additional sheet if necessary .•c --+% -- . -- "' . —Mui Faiwi: in secure cimcr:tec as required under Section_SA of MGL 153 can lead to the imposition of enmtoal penalties of a line up to SISOU.UU andiur unc s cars'imprisonment:is%cell:ts civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a dayagainst me. I understand that a copy of this statenrctrt maA be funcnrded to the Ofnce of invcstications of the DIA for coverage verification. !do herchr-ccrri 1-rr ler the in aaa.pettaiti jperjun that the information prodded above is true aad coma. Sicnature Date _ D Print name C �v Phone>r �7 7'- 5-0 J Z 'official use uMs• du not writc in this area to be completed by city or town official city or town- permit/license# r—lUuildine Department ( �trcensing Board L [ Cj check it immediate response is required 05cicetmen•s Orrice t C31lcalth Department �. contact person: phone#: r•JOtlter. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' cornpe isation for emplm•ecs. As quoted from the-law-.an eiyyplt{ree is defined as every person in the service of another under any contract of hire. express or implied. oral or written. An enrplt trer is defined as an individual. partnership. association. corporation or other legal entity. or any two or;-,: the fore-going cngased in a joint enterprise,and including the le-al representatives of a dccc:ascd employer. or the receiver or trustee of an individual . partnership. association or other legal entit}, employing euttplovecs. Ho%%,e%cr owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the dwelling_ house of another who employ-s persons to do maintenance, construction or repair wort: on such dwellin_ or out the__rounds or building appurtenant thereto shall not because of such employment be deemed to be an emp:o\: MGL chapter I�? section _5 also states that erery state or local licensing agency shall withhold the issuance or reneiti•al of a license or permit to operate a business or to construct buildings in the commonwealth, for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perforniance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting-authority. Appiica a-z Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situ-:lout an suppivin_.: company names. address and phone numbers as all affidavits may be submitted to the Department of Iuldustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date tite affidaVit. The affidavit :hould be returned to the ciry or town that tine application for the permit or license is being- requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are reeu;r: to obtain a workers' cornpeutsatiott policy. please call the Department at the number listed below. Citv or'l owns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottor:: the affidavit for you to f311 out in the event the Office of Investigations has to contact you regarding the applicant. P'. r which will be used as a reference number. The affidavits may be returnee be sure to fill in the permit/license numbe the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations could like to thank you in advance foryou cooperation and should you have any questic please do not hesitate to _ive us a =11- The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of invesagadons 600 Washington Street Boston,Ma. 02111 fax #: (617) 7274749 nhone #: (6 i 7) ,2 7-4900 ext. 406. 409 or 375 Engineering Dept.(3rd floor) Map a Parcel ;r" 1 House / � Date Issued -(3rd floor)'�8`:15 -9:30/1:00-4:30)1� /2 �-/y j ee , �2 j,o071 v S � �T N®- t k 9 0 f-J 5 Conservation Office.(4th floor)(8:30- 9:30/1:00=2:00) `1 Nt,��nc,�,��c, � Fy Planning Dept.(1st floor/School Admin. Bldg.) �tXf 1p, De ' ' ive Plan Approved by Planning Board 19$ ; BARN"ABLE. MA TProje 16 TOWN OF BARNSTABLE APPLICANT OBTAIN a CONNECTION PERMIT FROM TIIE sEovER Building Permit Application . ENGINEERING DI MION PRIOR TO reet AddressT�/�� Qr P, R CONSTRUCTION Village j - fia h h k 5 Owner pe- Se;kl� milt4a r" )q• Address Telephone 771 -7 Permit Request QQ 1r 0.r a�1 i st 1 0 V- " PIM W%41( �,A AkfN e 4A6V, -C- First Floor_ Z401G7 square feet Second Floor square feet Construction Type rn -a Estimated Project Cost $ 5-645 , a-0 Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -5-D Historic House ❑Yes *No On Old King's Highway ❑Yes No Basement Type: ❑Full VkCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New — Half: Existing New No. of Bedrooms: Existing _New I — Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas 'WOil ❑Electric ❑Other Central Air ❑Yes qNo Fireplaces: Existing New Existing wood/coal stove ❑Yes 4No Garage: ❑Detached(size) Other Detached Structures: SPool(size) IRAttached(size) ❑Barn(size) 0 ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes to If yes, site plan review# - Current Use 25��P a.CCC-, Proposed Use ;:5�1 M e, Builder Information Name R . v� ` Telephone Number �- La�q7 2 56 Address / ey-E ��,' �, License# Home Improvement Contractor#11 L V, 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 7 b p SIGNATURE ODATE ©A 11�f / 91 BUILDING PER IT DENIED FOR THE FOLLO NG REASON(S) .Y } FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED. MAP/PARCEL NO. , t DRESS VILLAGE t r INNER. t DATE OF INSPECTION: ? ' FOUNDATION FRAME INSULATION FIREPLACE s 1 ECTRICAL: ROUGH ' FINAL F UMBING: ROUGH FINAL , i GAS: ROUGH "Et FINAL' + ;7 FINAL BUILDING Ai{ { 4 DATE CLOSED OUTf ASSOCIATION PLAN NO. R` t Thr Contntort li,ealtlt of Alassac li usetty Department of luclrrstrial-Accidertts Office of/tnyestfgations 600 11'a.0hi rott Street ` BON1011. A1uy:v. 02111 Workers' Compensation Insurance Affidavit 1pnitc•tnt information• lPlease PR(NT lebl y r , Incition•° /✓ / -1 e r-e d, J h 1` / `t citw y e r�S• --. '04 1 'e, r 1 ' � t:, U Z�y y nhonA'( 09) ` 77 -sy 5Z, 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity r ,n!•wr•(... "1'oAx!?.T�'�!R•'n/}E">r .,.. w'�...��P../Ar.A, �I+fe�.Yr• .......y_ _ri.u..L..rrr_.►•.r...:.....C'...r'.i.e.rr<:u. •.._.. '.liyw..w�.l:. ._^r:�a3"�:a:�.......L�...�Yi.. ...... ....... ._.. _•..__„�[ - . _ _....�.� I am an employer providing workers' compensation for my employees working on.this.job. cons any n• rne• address: city: Phone#• insur•tnce en Policy# Tam a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company nime: address: citw nhonc#• insurance co Policy# _ .. ..: •.!.... :Y-'C^._—..-.... -�.:T'^.;;.._ .. _...__ —�f'^"2:.�•".lt�T"l:!9wwS'1'.� ^Tr`c•.. —..- ..t:�! .�.... rw comnanv nnntc• address- tin Phone#: insurnnee co Policy# _ 7-77 ,Attach additional sheet if neccssary �• � �����~��"~'��'~"'""'"' "'� '"' �� "� _._"J.'.:s��:.._-_-_--•-_.r-.-.�:s...dts►va�_:.:-.._.... - �Y.��t7►•rr�.�+.........,r-s.y�_ - ... ':J►��i�'...L�:c;:..r'a: Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal Penalties of a line up to S1.500.00 andior one scars' imprisonment:►s well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement ma% be forwarded to(tic Office of Investigations of the DIA for coverage verification. I(Io hereby certif der to pains n d •tnit' s of pc • n•that cite information provided above is true and correct. / 27 Signature Date O / !' � Print name R MCC V Phone# qZZ _ SO✓rZ— T ' official use only do not write in this area to be compacted by city or town official city or town: permittliccnse# r'tBuilding Department ❑Licensing Hoard rl check if immediate response is required ❑ Selectmen's office I. ❑Health Department contact person: P hone#: mother , i. irn,se:i i:^;I'J.0 e Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law aft eniphtme is defined as every person in the service of another under atty contract of hire, express or implied, oral or written. An eynphover is defined as an individual, partnership, association, corporation or other legal entity, or anv two or more the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwelling house haying not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling hour or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall -withhold the issuance o►- renewal of'a license or permit to operate a business or to construct buildings in the commonwealth for any applicant N-0ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha- been presented to the contracting authority. .. r T• ... _ .. .. a .... I,l t ... Applicants Please fill in the workers compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or•Towns Please be sure that tite affidavit is complete and printed legibly. The Department has provided a space at the bottom of tite affidavit for you to fill out in the event the Office of Investibations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. 17te affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. �-..y....n+.._,... ...._.,�...,i.;...... ..-....n.o••.-r-.•.... ._...ow-��T•...�_.:....+T-r1rA��+^.^f�+a..a.-.w.�rr+a.;.wE�e++w�er��q!!�Y.— �+�s.:..w-r-r+mM.v!T'•_ "_. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 °F THE The Town of Barnstable RAMSTABM 9� NAS& ,��' Department of Health Safety and Environmental Services HIED NIA. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: o. • v Est. Cost er Sf Address of Work: .3� Ili., S h br e, Owner's Name / '1 i C ti.Q b C—S r✓ Date of Permit Application: b, Jly ��` 1 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: d P_ a M Da a Contractor Name Registration No- OR Date Owner's Name ✓/kt TOOaOJMJtOOffI/L O� II.f6'�d a rfH0ME IMPROVEMENT CONTRACTOR �° `Registration -114127 -'INDIVIDUAL Expiration '08/06/97 , # '�. .:. ,�x• ,,::., '.axe Sg JOHN R. McCREARY MEREDITH RD y,,yORESTDALE NA 02644 ADMINISTRATORIx p �JLE U��r!//ILoiItCIlP.2LL/t O�✓!/(.GQ6dCl'LCC6eG�tf I - �X Restricted To: 1G DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE 00 - None . Number: Expires: IG - ' & 2 Family ::ones Restricted To: 1G Failure to possess a cerre.1 edition OI the Massachusetts State Buiilding Cede JOHN R RCCREARY is cause for revocation of this license, 15 MEREDITH RD i FORESTDALE, RA 02644v.— COMMISSIONER t -,. Engineering Dept. (3rd floor) MapW 3 2 S Parcel Off I wit# House# 13I ate Issued 9 (013oard of Health(3rd floor)(8:15 -9:30/1:00-4:30) ` f OW Fee �• Conti ation Office(4th floor)(8:30-9:30/1:00-2:00) ! Z y THE 19 BARNSTABLE.059. ` rFO MPS�`� TOWN OF BARNSTABLE Building Permit Application treet ddress RQ)/ �2i-� ?�a y GO T 7� �Z3 Village Owner��� "4�/� . Address _� ."n[P Telephone - L3Y .A [. Permit Request First Floor square feet Second Floor square feet Construction Typed S Estimated Project Cost $ 1 m0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) �Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Rw Builder Information Name Cam( 1 Telephone Number — 7 e-3 Add ss License# d _ e ®% � Home Improvement Contractor# Worker's Compensation# W1+ UJC. l ad 76303� 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 I SIGNATURE DATE - q BUILDING PERMIT DEN FOR THE FOLLOWING REASON(S) w + r�• + ; I yaI I.[ pro: ak pp1 1 .....• % f• I / 77 ...•...n........l.l •......t �OC'...•,• .•n. ty/, n :� :•� /w�- i/ \1'` j \.,, CP 01 "`4 CCDA \ dK pp i' :• �; r J 1•g17� �� \ .O V��" + — r + I r co 4 w ., 1 I / / us i i / \ ..N J /% N i i' r O : ...� o s o' \1 r \ 0 f f :: .. M r r r:+ >r x i ! is ,•' �c'; <� ; 4 1� e ! r — 1 _ t — i e• \ i q l• r• 1 i 4 I 4�wr.w 1 .r• 1 j Y4 f 5t r.�i —f i 1 Q �tr 7 T T S t �2. r I •ti"7Gi:M I (i YN 4 t is L N i s•: t 0 't 't r� 1 t C W "\ t aJ c M. t •A t ,J'• . .�•:•:•::•::.••::is•.::•:...::...:: 0 t�::_:;;::i:,:� t ��N ? Ate..••A.. ...;r,. ..�.. i ' r —t t�.e L t OD 0 ti'�• t N 1 •r. w t t T (� r'+ t J t M• N• A•• t { t t` t• O •�... r r 1: .r 0 I t 1 A A• t:;r: v HOME IMPROVEMENT CONTRACTOR Registration 105485 -0/ Type PRIVATE CORPORATION 7/17/98 Expiration 0 tt 1. SOUTH SHORE GUNITE POOL & SPA GARY GUARINO . z12 HADLEY ST N BILLERICA MA 01862 ADMINISTRATOR DEPART flENi Of PUOIIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nuaber Expires: . `Restricted io �`00 � 'rt GARYvA GUARINO 1 '_46`BRIDLE RD + ZL.+9'-g V9'tAWO BILLERICA, NA 01821 South Shore Gunite Pool & Spa, Inc. Gary Guarino 1 800-649-8080 Fax:508-667-9558 Serving New England 12 Hadley Street N.Billerica,MA 01862 . The Town of Barnstable 9. Department of Health Safety and Environmental Services � ► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: ° Est.Cost / _ 90 0 ti Address of Work: S' 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$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MOROVEMENT 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 thanent of the owner. Zo� AAA Date Co tractor Name tration No. OR. Date. Owner's Name • The ConUttonivealt/t o MassaUscttsWWTV - I I ! --_'.-1;_I De partnunt of Industrial Accidents l 7. - :i 011=VIINWS11yaUotts 600 Street Boston,A1uss. 02111 Workers' Compensation Insurance Affidavit heart information• - Please PRINTIe@ name• +oc•ttion• 61%. nhone>Y 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working- in any capacity 7y,....:�un...,�.+T--,�•---r "f':"gi p.[:..r-.Iw.RTxC.•.�!,.+.6-.�51PR�Afir+.,�'✓ _ --.. .�.—--wwr.-_—_ ^�.., .*.�--%r am'`tee..._-=•_..�•..r� I am an employer roviding workers' compensation for v employees working on this job. om m•na e• ddres fi t 11hone insurance co J/ / Inlicy# i! C. / 30 7Q 9 rJ--4 r. 'v.... :.. ........:,,,....:-.r..�:, ."!.!�rw. .j.w.V-.,..�[f.t^nlv.. ��..w••.+.�...Ml.twrM:�.�4.,!.'�a� x�!'!!�'�S!'�'.•aws�,n•n •. I am a sole proprietor. general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comp•tnv name• address: cih•• nhone#: insurance co nolicv# �- • _... S+Lll•«- 'Tt+ar,'S-r,r;•:'�'T'tY',NFs'T?�"'`. �iT."��e.+--r•I}MTV �,L"'S'�!i�,Rnw.r...�y..�rr .+M.,,...—ev1�'� r-tri!.•:!q.^sf��;Ve•�..�..�..t compinv name: address: city. nhone#• insurance co --Rol icy# : _ {... ;^'.;_ •,....""�,'Attach additional sht:ef if necess-- -a------*. • _w�-a--'+:��'r� f-=''s '" ' _._�'.r:..r. ---•.a...>_.".o,Y►:�;aioj�=�Y".�t'e: . _u.�,,9nit^�"iL�,rte..r.3c;.-L:,ti Fuilure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andior one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Oflicc of Investigations of the DIA for coverage verification. l do herebt•certi • t er the pants Ord allies of periurt•that the information provided above is true a correct. r 7 Signature Date r 2 'T Print name Phone#, 7 official use oniv do not write in this area to be completed by city or town official r city or town: permittlicense# rilluilding Department C3Licensing Board 17 check if immediate response is required OSelectmen's Office [311ealth Department contact person: phone#• r•IOther tm'Ised V95 PJA+ Information and Instructions Massachupctts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "lacy". an etnpl(tvee is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. An etnpl(ever is defined as an individual, partnership, association. corporation or other legal entity. or any two or more of the foregoing enLa�,ed 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 the owner of a dwelling ]louse having not more than three apartments and who resides therein. or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the ,rounds 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 of- renewal of a license or permit to operate a business or to construct buildings in the commomwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to tile city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. ' City or Towns Please be sure that tile affidavit is complete and printed legibly. The Department has provided a space at the bottom of tile affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. 171e affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. . r-auv-r....•—....,.......�_...erv,.y... ;-�w..:mn..►..•va�a•.�.v..•srZ�.,..w......++rr+.rvw�+�+�w�+sw.,..ewrp....ae.e...++1*r..�.r.!�q.—w.._w.nwq<a.!l�'t+�e.•+Nt:ACT.'�'r.Rw•+�+Mwo►+...n++..^.+..aa*, The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Y Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 one #: (617) 727-4900 ext. 406, 409 or 375 r (fOmmoncuea& o f WaijacLietti 2 rartment o1 Jnd.1tria - cCiL t, '. 600 VVaInyton Street James J.Campbell O2oiton, V1a-4sac4ajvtb 02 f f f Commissioner Workers' Compensation Insurance Affidavit (licensee/permiccee) with a principal place of business at: (City/sate/Zip) do hereby certify under the pains and penalties of perjury, that: 1 am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy O 1 am a sole proprietor and have no one working for me in any capacity. I am a sole proprieto ene tractor r homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number t, Contractor Insurance Company/Policy Number () 1 am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. Signed this J day of dc-,— 19 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 COMMONWEALTH DEPARTWENT OF PUBLIC SAFETY =� � OF i ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 L T N CAUTION EXPIRATION DATE `O A S T R' `U P�P V I a F FOR PROTECTION AGAINST a 5/2 4/19 9 5 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS I - PRINT IN APPROPRIATE LONE 02If28/1 `14 i1��5 t�t5� o � -_- .n o �. o FtOtIERT J GLOVER � `, t P O B G Y, 7 ii 3 1 BLA. TING OP; RATO�i,� N MILLS S r A �2 b 4 Mfa INC U P.ki01� m t� RSTO+. , IL { �� PHOTO(BLASTING OPR ONLY) FE - I "` F E 0 0 8 1994 J.0 f' NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY i ,Is HEIGHT: STAMPED-OR-SIGNATURE OF-THE COMMISSIONER a r � e THIS DOCUMENT MUST BE NATURE OF LICENSEE CARRIEDON THE PERSONOF - THE HOLDER WHEN EN- � - CO M ISSIO ER i OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION. r HOiiL TMPROVEFIENT CONTRACTOR y. Registr"ation. .111157 4 Type INDIVIDUAL w . Expiration 12/09/94, ROBERT i GLOVER. e. e ROBERT 3. GLOVER ADMINISTRATOR 185 CURT S BOG RD BOX 703 NARSTONS f"ILLS MA 02646 1 p The Town of Barnstable Uel�.11-tntent of, 11cal1h ".3fely and l-nvi roll III ell III S1039 eri ices Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Crossen Fax: 508 775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME 1MPROVEMENT 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 arty pre-cadsrting 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:_ eX60X/4— '�,SEst.Cost 0 6ej Address of Work: / ' Owner Name: ,��i%✓`��5 � �� Date of Permit Application: f0 q L✓ I herebt•cerdfv that: Registration is not required for the following reason(s): Work excluded bv law Job under S 1,000 Building not ow ner-oocupied Owner pulling own permit Notice is hereby given that: ONLT'ERS PULLING THEIR O«T PER 19T OR DEALING WITH UNREGISTERED CO; RACTORS FOR APPLICABLE HOME IMPROVEN tNTF 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 owncr: Date Contractor name Registration No. OR Date Owner's name Assessor's Of ice 1st floor Ma Lot C'Kr— Permit# Conservation qffice 4th floor Date Issued Se� - Beara 'tt�(3rd floor) Accr, 1196 jJS Engineering Dept. Ord floor) House.# / Planning Dept. (1st floor/School Admin.Bldg.): i ■ARMANA It , Mnea .- Definitive Plan Approved by Planning Board 19 �D MK4 (Applications processed 8:30-9:30 a.m.& 1.00-2.00 p.m. TOWN OF BARNSTABLE Building Permit Application _v , M Pro'ect Street Address L- 7 n, 93 Village /✓yAGh//1//S Fire District (honer Address Telephone Permit Request: �'/�� ✓�i��'l JG. ,Pz ',1J/� e �J�'�'S; GI L Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appols Authorization Recorded Current Use Proposed Use Construction Tone Existing Information Dwelling Type: Single Family k Two family Multi-family Age of structure 30 Basement Historic House` IG119 Finished_ ,I® Old King's Highway 1A/0 Unfinished J4PS Number of Baths No. of Bedrooms Z�3 Total Room Count(not including baths) First Floor Heat Type and Fuel qb Central Air A-/O Fireplaces ! tV Q Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 65ea,� Telephone number Address License# Home Improvement Contractor# ✓j�� _ Worker's Compensation #P&,C+a 4 7p f--12/ y 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 Proiect Cost �07, Fee SIGNATURE DATE � l �% BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T - 2 I FOR OFFICE USE ONLY Permit -, # "9� C�c l Qc . ADDRESS.-'134 BAYSHORE ROAD, HYANNIS VII.LAGE ' OWNER PARKER REALTY Z DATE OF INSPECTION: _ , cl FOUNDATION { r - i r FRAME INSULATION" FIREPLACE i ELECTRICAL: ROUGH' FINAL - r F PLUMBING: ROUGH FINAL r r - GAS: ROUGH FINAL FINAL BUILDING: r J►� f r " DATE CLOSED OUT: ASSOCIATE PLAN NO. " ' �. I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J),Jr' Parcel O.2 / a ^�TnIN A SEWER Permit# 38 3 � ME. n Health Division EYrIi:INEERING D1U1S1UN P&1GR 4`_C Date Issu, �_9 y • (MTRUCT1oN J O T_. ion . , ' . , Fee C11�- /Treasurer Planning Dept. fi. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 4 1 Project Street Address k Village Owner CX uyC Address Telephone / *Permit Request ,.E Gnmr Square feet: 1st floor: existing proposed 2nd floor: existing propose Total new / Estimated Project Cost Sno -70 0 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size �1 3 oC_6-e ? Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. ' Dwelling Type: Single Family Two Family O Multi-Family(#units) ;Age of Existing Structure ��1 t'� �9 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) i Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing_ new t��8� �� ��, ��Q 2 C 3 Total Room Count(not including baths):existing CoC' h S -t' new V\a First Floor Room Count In, ck Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:0 existing ❑new size Pool:0 existing 0 new size Barn:O existing ❑new size Attached garaged existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Q ATE FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUED - - MAP/PARCEL NO. ADDRESS; VILLAGE < g OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION a ;• FIREPLACE ELECTRICAL:^ ROUGH FINAL- PLUMBING: ROUGH FINAL'. GAS: r ' ROUGH FINAL' t s 1 { } FINAL BUILDING. f ' •L} DATE CLOSED OUT ASSOCIATION PLAN NO: The Town of Barnstable 9�A � Department of Health Safety and Environmental Services Building Division , 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. i Date AFFIDAVIT E 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 of er. requirements. Type of Work: Estimated Cost Address of Work: G Owner's Name: L. ` Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY 1 hereby apply for a permit as the agent of the owner: - L Date Contractor Name Registration No. OR Date Own is Name q:forms:Affidav --__= --. The Commonwealth of Massachusetts L.Ygj -- Department of Industrial Accidents Olfice nllmrestigations 600 Washington Street �' Boston,Mass 02111 Workers' Compensation Insurance Affidavit I OWN e: C-L Q4 4C)eS;Ck location: l city phone# O gI am 41omeawner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers- compensation for my employees working on this job. comannv name: address: city phone#- insurance co. nolicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: comaanv name• address. :,•:.::.:,.:. dtv phone#- msurnnce co. olrty# ... .. : cemnanv name, address: city- ... phone#� ::. :: insarnnce co. :: : go CV# K. /////////G,. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Otnce of Investigations of the DIA for coverage verification �I do hereby certify under the pains and penalties of perjury that the information provided ab ve is true and correct Signature �- J. L± ate _ Print name Q U t WT 42V C�0\ Qf S C t--\ Phone# 777 1 — R . ...... .... .. official use only do not write in this area to be completed by city or town oMcial city or town: persnit/license# ❑Building Department ❑Licensing Board ❑check if immediate mponse is required ❑Selectmen's Office ❑Health Department (contact person: phone#; ❑Other (MVIMU*95 P1A1 - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coati of hire, express or implied, oral or written. An employer is defined as an individual partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewL of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. I % . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number._ �- The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlesduatloas 600 Washington Street Boston;Ma 02111 fax#: (617)727-7749 phone #: (617) 727-4900 eat 406, 409 or 375 . ijunaing Livision 367 Main Street,Hyannis MA 02601 taass. sb39• �tvtox t` Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: SL e Q_(J kAv a c S number I street vill e "HOMEOWNER": U.,C�Q(J �(�Q�C In name home phone# work phone# CURRENT MAILING ADDRESS: S If v ity/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 su eerrvisor. DEFINPPION 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. k 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 2ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner t Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a f ntcertification for use in your community. Q:FORMS:EXtI M F" RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 1314 Bay Shore Rd. Hyannis SUMMARY 325 81 - -73 LAND :.' ' BLDGS. OWNER H TOTAL RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: � - q �y{/ LAND c f. — O% ;i / :.3`r / 7 �' BLDGS. ;i TOTAL Consiglio,--Peter A. .l'r, -- ..,..._..._.. .._ - .....:..-..... 3�22/60 ctf 2472 .— Ua LAND Parker Realty Corporation ` t 1-30-74 Gtf.61015 4 1/15 BLDGS. — c — G TOTAL LAND BLDGS. TOTAL LAND a) BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 41 TOTAL LAND INTERIOR INSPECTED: BLDGS. ' TOTAL DATE: LAN D ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT — 64_L... =.., �yc&-1- -y- LAND • CLEARED FRONT _- - ! BLDGS. -- REAR TOTAL WOODS&SPROUT FRONT LAND REAR C) BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND _ LAND COST nc.Walls Fin_Bsmt.Area _ 1 Bath Room / Base EILDG. COST nc. Blk.Walls Bsmt. Rec. Room St. Shower Bath / — - Bsmt PURCH. DATE nc.Slab Bsmt.Garage St. Shower Ext. Walls l PURCH. PRICE. . ick Walls Attic Fl. &Stairs Toilet Room / Roof RENT I no Walls Fin.Attic FV Two Fixt. Bath Floors iU G rs INTERIOR FINISH Lavatory Extra ""- mt. F M3ntk • AtticyZPlasterXTERIOR WALLS Knotty Pine uble Siding PlywoodBsmgle Siding Plasterboardr r� Shingles / NG C(� 'Hy c. Blk. G F P CD Bath Fl. Heat / Q e Brk.On Int.Layout Bath &Wains. �" Auto Ht.Unit f• 3 D Veneer Int.Cond. ✓ Bath Fl. &Walls Fireplace ' m. Brk.On HEATING Toilet Rm.Fl. I Plumbing 4- �/? , J lid Com V. Brk. Hot Air Toilet Rm. &Wains. /\ Tiling Steam Toilet Rm.Fl. &Walls anket Ins. Hot Water a F i IV St. Shower of Ins. Air Cond. Tub Area Total f>v , Floor Furn. ROOFING COMPUTATIONS ph. Shingle roH Furn. /�,?&` S.F 1 od Shingle /^ S.F. bs. Shingle r ; S. F. } 'YO to er c/ 7 7� H �ti ! S.F. B✓ a cn[ e Gas S F OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED ble Flat p Mansard FIREPLACES S.F. Pier Found. Floor ambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing , nc. LIGHTING Dble.Sdg. Shingle Roof �L 'r / rth No Elect. DATE ine _ Shingle Walls Plumbing ardwood Gf ROOMS Cement Bik. Electric s h.Tile Bsmt. 1st TOTAL t 'i Brick Int.Finish D' D Bs t rS' IEIngle 2nd 3rd FACTOR v ' REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. CONO. REPL. VAL. Phhy.Dep. PHYS, VALUE rFunctt.DeP. ACTUAL VAL. WLG. '';;;:i'I J ( /�:��.:;•j I- � Vy 0 A G.� / � ?0 .� /�' �i Dit0 ad /9r?.� yzw 2Faso 3 4 5 6 7 B 9 10 TOTAL [ ] [R32;5 081 . ] LOC] 0134 . BAY SHORE 0AD CTY] 07 TDS] 400 HY KEY] 238736 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 HOESCH, MICHAEL GERD ALFRED MAP] AREA169WC JV1338307 MTG10000 220 BAY SHORE RD SP1] SP21 SP31 UT11 UT21 .44 SQ FT] 1492 HYANNIS MA 02601 AYB] 1948 EYB] 1975 OBS] CONST] 0000 LAND 227300 IMP 87500 OTHER 24700 ----LEGAL DESCRIPTION---- TRUE MKT 339500 REA CLASSIFIED #LAND 1 227, 300 ASD LND 227300 ASD IMP 87500 ASD OTH 24700 #BLDG (S) -CARD-1 1 87, 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 24 , 700 TAX EXEMPT #PL 134 BAY SHORE RD HY RESIDENT' L 339500 339500 339500 . #DL LOT 93 & 94 OPEN SPACE #RR 0090 0160 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 11/96 PRICE] 432600 ORB] C142618 AFD] I LAST ACTIVITY] 01/10/97 PCR] Y r R325 081 . P P R A I S A L D A T 0 KEY 238736 HOESCH, MICHAEL GERD ALAD LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 227, 300 24, 700 87, 500 1 A-COST 339, 500 B-MKT 300, 800 BY 00/ BY ML 7/88 C-INCOME PCA=1011 PCS=00 SIZE= 1492 JUST-VAL 339, 500 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 69WC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 69WC HYANNIS PARCEL CONTROL AREA TREND STANDARD 151 15 LAND-TYPE 2273001 LAND-MEAN +0* 3395001 210000 IMPROVED-MEAN -580-. 256 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] r R325 081 . P E R M I T [PMT] ACI N [R] CARD [000] KEY 238736 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B37129] [01] [95] [AD] A 120001 [ ] [00] [00] [100] [NEW ] [HY REPAIR ] f OF114E 11, Town of Barnstable Conservation Commission . sz^H 200 Main Street 9`bA,039. .��� Hyannis Massachusetts 02601 Fp Mp`t Office: 508-8624093 I FAX: 508-778-2412 Z.3 Permit No. Statement of Applicant/Applicant's Agent upon Obtaining a Building Permit Application Signoff from j the Barnstable Conservation Division I fully understand that although I have obtained a signoff on the Building Permit Application for my project,site work may not begin under the Order of Conditions until the following requirements(from Section II of the Order of Conditions)have been met: Not Met Met ❑ 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein, General Condition number 8(recording requirement)on page 3 shall be complied with. - --Must be met prior to sign-off. 2. It is the responsibility of the applicant,the owner and/or'successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work. ❑ 3. General Condition 9 on page 3 (sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice 1 week in advance of the start of work. 5. The work limit line shown on the.approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in.siltation fencing shall beset along the approved work limit line. Effective sediment controls shall remain until the site is stabilized with vegetation. ❑ 7. . A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation " Commission. Note:the strawbales and siltation fence must show in the foreground(or bottom of the photographs. Appli ant.or App ' is Agent Signature Date Company Name Phone# l -- print Name— q:fonns:bldsignoff PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY NO. LAND/OTHER FEATURES DESCRIPTION I ADJUSTMENT FACTORS Iy UNIT ADJ'D.UNIT Land BylDale Sae Dimens!o" LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Descrlptiort P AR K E R R E AL T Y CORP MAP- co. FF-De mlAcres E #LAND 1 227,300 CARDS IN ACCOUNT - L 15 1WATERFNT 1 X .4 ioc 164 314999.9 516599.9 .44 227300 #BLDG(S)-CARD-1 1 87,500rMARKE 01 OF 01 A #OTHER FEATURE 1 24,700 T 339500 N BATHS 2.0 U X C= 100 7000.0 7000.0 1.00 7000 B #PL 134 BAY SHORE RD HY T 30080E p - NO BSMT S X C= 100 5.9 5.95 1492 8900-8 #DL LOT 93+94 OME A, AIR CO ND S X C= 100 1.7 1.7 1492 2500 e3 #RR 0090 0160 p FIREPLACE U X C= 100 3100.0 3100.0 1.00 3100 3RAISED VALUE p D RP3 POOL CT S 20 X 40 196 C= 60 30.E 18.00 648 1170D f A 339.50E A U RD3 ST DOCK S 4 X 60 197 C= 80 1.0 54.2 240 13000 F PARCEL SUMMARY T S LAND 227300 A T BLDGS 87500 M 0-IMPS 24700 F E TOTAL 339500 N CNST E N DEED REFERENCE Type DATE Reco.ded P R I O R YEAR VALUE A T B- Rage Inst. MO. Yr.D sales PrK. LAND 227300 T S C61015 :00/00 BLDGS 112200 U,V TOTAL 339500 R E BUILDING PERMIT *ST DOCK CHG FIRM S Number Date Type Amount R D 2 T O R D 3 8 8 F Y. LAND LAND-ADJ INC ME SE SP-BEDS FEATURES BLD-ADDS UNI7S 22730E l 247E 3700 B37129 1/95 AD 1200E ................ Class Consl. To]a] Year Built Norm. Obs v. U its Vn�15 Rase Race Atll.Ha]e Alum Elh Age Depr. Cond. CND. Loc. %R.G. Rep].Cost New Adj.Repl.Value Stpnes Haight Roortrs ed Rms Baths O Fia. Partywail F.e. 01C+ 000 100 100 61.55 61.55 48 75 19 80 100 80 109367 87500 1.0 6 3 2.E 7.0 Descrip]ion Rate Square Feet Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: ML 7/88 SCALE: 1/7��n NTS CODE CONSTRUCTION DETAIL S SAS 100 61.55 1492 91833 GROSS AREA 1492 SINGLE: FAMILY ` DWE.LLIN CASTGP:00 FEP 65 40.01 144 5761 *----- 03RANCH 0. T _-30-_-__--*--14--* ------ -- -------------------fFG, 30 18.47 312 5763 � FMP � �R DJMT 00 0.UFMP 55 5.50 420 2310 14 14 14 ALLS 11W_OOD SHINGLES____0._C ! TYPE OFYGAB H W-ZONED 0.FFG 5 *- *30--18---* *--- , .FINISH --- ---------------------- T _ _ _. 16--- INTER.FINTSH_ _04DRYWALL_ _______0._ U INTER.LAYOUT _72AVER./NORMAL0._ R ! FEP ; ! INTER.QUALTY AM E AS EXTER.___0._ A 26 BASE ! FLOOR_STRUCT_ 02WD JOIST/BEAM___ 0. L p W! 21 20 22EFLOOR COVER 05CARPET 8 HOWD d_ TetalAreas Aux= 876.Rage� 1492 ! ! ! � ROOF TYPE __ 0. BUILDING DIM EN SIGNS 01GABLE-ASP_H S_H_ ! ! ! ! ELECTRICAL 01AVERAGE _ p. - _ ----- S W60 N20 FEP W08 FFG N05 W12 ! *-8--* ! FOUNDATION_ -02CONCRETE BLOCK 99. --- - - -------------- SAS - - --- 6 E12 N21 ..- FEP S18 ED8 N18 *--12-* *---------------60---------------X ___ _ s E12 NO2 E18 N14 FMP W30 NEIGHBORHOOD 6--- HYANNIS L S14 E30 N14 .. SAS E14 51.4: E16 LAND TOTAL MARKET S 2 PARCEL' 227300 339500 AREA 70000 VARIANCE +0 +385 STANDARD 25 • r r P • N _ :1 1� war • :r.- ♦ � 1�� .1�:r 1 , 1. • ro ��-./� ►� ��� lam' �L • ' •J , i ! •�• i III �I III w Ld 6. y d14 W m o - 0 1-- v V► QV p Z W � I cc CL m :� a = 4 �t JU �ts. 2 � p `'llW Pp � w v i .,1.a y 8 o0 o� �o 4�� A"'y g � Qti w� to Ok Ld -- :rw..t 4�- l � I / � • 4 � e Xj O O4 _._ 4. zt . bi 1 N Vff I • h tq 0 2 - • x IlPGRA e�A L J Co ON OLT�AT \ stone Reyej. / Concrete c to R4q,t in ry ' LOW SN i fed 13ucP�r ur3 s� E SAZ3' 2 - - 6 Existing Poo/ 0 o �1 Lo BUS �. Choirs Link O Opy Fen 7 — ROO W�L• Ce Fnc%sure 1.0 • �SUN O�Ci'YP) '' _=50 Buffer. (i. �P F ca o� O _ Nie I Vv O h 41 g _ G �'�`���`° aR vow E✓ -- _ O nl e o Nso lu i /_ CR Soto �o� G \ \ Awl_ S R Tu LLED p A C _ �S / _ — / fi Gx l srl Pq i / Ge�o� o G 3+1 / _P°S®..�.... IV 4`J?Q¢ & QQ Roi/Fenoe C1- r OH py QQ OH Ok en t Q � � + oy ILOQ ova - / Notes: FEMfA -'/„r d 47 4�4-v /a �,,Y T 7L �,�� f 1. The proposed dwelling lies within the FEMA 100 year flood plain Al (EL 10.0)as shown on FIRM Community Panel L NO.250001 0018D Revised July 2,1992. 2. The 2185 square feet of enclosed space below the base flood elevation 10.0 NGVD is for storage only. This space is r G ' designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the automatic entry and exit of flood waters. 3. Flood waters are allowed to flow in and out of the enclosed space through a minimum of 3 openings in the foundation. The EQ� \ 0 F t'`' openings are a minimum total of 22.5 square feet(3240 square inches)and are sized to have a minimum net area of one _ square inch per every square foot of enclosed subject area.The bottom of the opening shall be no higher than one foot R I C H i,,n n t;;\;, above grade.The openings may be equipped with screens,louvers,or other devices that allow the automatic entry and exit J/• 'i{ of flood waters. GEr�(I_/•:Ii J �,; '� 4. The top of the concrete foundation shall be set at elevation 10.0 and the dust cap shall be set at elevation 7.0. The finished grade at the flood openings will not exceed elevation 8.0. 5. For property line information see Site Plan by Sullivan Engineering dated March 26,2002 latest revision date April 2, 6. The proposed dwelling complies with the sideline and set back requirements for the Town of Barnstable. t j I . 7z_ Z 29�d� 13=•y%Z 3=9" :/Z-o" 3'q - 23=!/" i K-.9•• - - -- -- '- 1 b s 'PANEL ;° I _ •. •- _ _ :. +' --- • ty �' Ir ct rcrc ILL D • - .. : N Oi-:�::?K1°iH:C Fray i m I I - — '__'—_-'_--=--- _ -- N j r I fLoo PANEL ``.�L� i L -'LLCF, PANEL I I � �T-`'� Fro �t Z o +" 0\ eit o c 0 -- - o _c o_ I �'o" �'o -�--C .o -b -�- i - -------- I — o I I I ! TtTr-`-fi- r_r �t _t -r— �,,Z to r i41 T t < t a � CDtiLnAcr Ftll, --— .0 ql ° ._._ 2'xzszseTInLFrG.FORa1M hl CONC.FILUD LALLY COL - tf' -�GLE, Dh 01 ,gJ._or__ I�oalDt N - - --. Cps\ail.,'_SPACE-,.__ I � i 508.428.6191 t I% T-!%Z 7'-/%z 7'-/%i" 7-0%" 7-M:' Q (2evl i n I j 3i-am come..euu' Cyr U s tpnl a' 4 e e \ I la u es igns copyright®2001 r ... .. .... .._. All Rights ci r' , r •.O e. Reserved Fttt- • , L i .• i. -'KP"tikl•N. utsu.M1ADH - _— - LKl W r W t Z 30•0' I 9.p.. 5.'D• 14.0- ( r2o" Ie.o- t�.,o.. � �. I r1,r S, Q — i }_ 2 rC 7 rouwr')nTioi`a MAW i A3 ALL FTS;s To tl1 ON tit r]4LNv'vrri SlV'$OIL_ (�. ALa_wnLLJ Tu r+E 4q"MIW.DELosv L1Nnt_G0.^nC to Toe oy FLJLMt]A':lt)•+-Tu h6 At etei..]e 12.0' Tor'of 4LM.70'A FT C'CIC.L 9.50 Ii Preliminary plans and layouts by D,C.D.are for the use of their Customers only Any other use is strictly prone Dite t