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HomeMy WebLinkAbout0038 CROOKED POND ROAD �� Cr&Wed ;brd �'� Air o�--f�-��, P S r Town of Barnstable Building aA Po This Gard So That it is Visible From,the Street ;Approved;Plaris Must be Retained on.Job and. his Card Must be Kept Posted Until Final Inspection Has Been Made 4; Where a Certificate of Occupancy is-Required„such Building shall Not�be Occupied until a Final Inspection!,Fias been made xm� ,.._heate � �.tupa �m _ .,._ _ — � e 1 Permit No. B-20-1748 Applicant Name: BRUCE P MILLS Approvals Date Issued: 07/16/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 01/16/2021 Foundation s % Location: 38 CROOKED POND ROAD, HYANNIS Map/Lot: 2917154, _ Zoning District: RB Sheathing: Owner on Record: BROADLEY, KRISTIN R& BOWEN, LAURETTA Contractor Name: `:,Bruce Mills Framing: 1 Address: 38 CROOKED POND RD Contractor License: 136003 2 HYANNIS, MA 02601 '„" Est. Project Cost: $72,000.00 Chimney: Description: Add on a family room 15'x16'den 11x10 niudroom/entrance 6x12 Permit Fee:. Insulation:$417.20 S i and a bath with shower stall to right and rear of house i Fee Paid: $417.20 r Project Review Req: ,�°` Date: f` 7/16/2020. Final: e. t1�, cM Plumbing/Gas Rough Plumbing: fficial This permit shall be deemed abandoned and invalid unless the work authorized by thispermit is cmme onced"within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. - Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public.inspection for the entire duration of the work until the completion of the same. -. s Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures,by the Building and_F,ire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:! r 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue'lining is installed , . �_.. Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable *Pe t# l 1 3Exp0� 3 . °. Regulatory Services Pee "`6m°ndrsjr°°'u date MASS ,b�' Thomas F.Geiler,Director a PERMIT ► � Building Division ,JUN �j % l;; Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOW OF BARNSTABLE www.town.barnstabid.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL.ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address .3 > (,,- �0"Rdsidential Value of Work k e Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /' Contractor's Name f ('tly S Telephone Number ( L f Home Improvement Contfactor License#(if applicable) Go Construction Su ervisor s License# if applicable)--�< ❑Workman2s Compensation Insurance Check one: I am a sole proprietor ❑FI am the Homeowner ❑ I have Worker's Compensation Insurance f7 Insurance Company Name f hCx,,e., (Zip Workman's Comp. Policy# 7opy of Insurance Compliance Certificate must accompany each permit.. 'ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side U #of doors ( Replacement Windows/doors/sliders. U-Value p 3 7 (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. GNATURE: WPFILESTORMSIbuilding permit formslE USS.doc vised 070110 i The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations ,- g si 600 Washington Street \ 4M11 Boston, MA 02111 www.mass gov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/IndividtW): - ldjt Address ' City/State/Zip.- 1 (�, ' � � Phone n #: Are you a:ae loyer?Check the appropriate box: Type of project(required): 1.❑ 1 am loyer with 4. 0 I am a general contractor and I 6 New construction empl (full and/or-part-time).*• have hired the sub-eontracfors 2I am prroprietor or partner- listed on the attached sheet t ?•. ❑Remodeling ship e no employees These sub-contractors have 8: []-Demolition workrme in any capacity. workers' comp. insurance. g Building addition [No ws' comp. insurance 5. 0 We are a corporation and its requir officers have exercised their 10.❑Electrical repairs or additions 3.El I am aowner doing all work right of exemption per MGL 1 l f] Plumbing repairs or additions myselworkers'comp. c. 152, §](4), and we have no ]Z.❑ Roof repairsinsuraquired] t employees:[No workers' comp: insurance required.] 13. Other \r *Any applicant that checks box f 1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing 0 work and then hire outside contractors must submit a new affidavit indicating such. tContractws that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers compensation insurance for my employees: Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/zip- Attach a copy of the workers'compensation policy declaration page(showing the policy number and.expiration date). Failure to secure coverage as required under Section 25A of MGL c..152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 3250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby.certify under the pains and aloes f erjury that the information provided above is true and correct S i store: Date: " Phone#: :S"10 >1qP0 Z [66. cial use only. Do not write in this area;to be completed by city or town offuial y or Town: - Perm it/License# uing Authority(circle one): oard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspectgr 5.Plumbing Inspector ther • J 1 Information and Instructions Massachusetts General Laws chapter.152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the Iegal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or.to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited L;iibility Partnerships(LLP)with no employees other than the- members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or Icense is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are.required to'obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the-affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any,business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. . The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 I _ i VimT � Town of Barnstable Regulatory Services f' � g Thomas F.Geiler,Director ` Building Division Tom Perry,Building Commissioner a - 200 Main Street,Hya=is,MA 02601 www.town.barnstable.ma.us Office: 508-862-4-03 8 Fax: 508-790-6230 Propexty Owner IV1us t Complete and Sign This Section Y sa If Using A Builder f rc... zs Owner of the su.bject•property here by authorize aG to act on a my b ehalf in aI1 matters relative to wprk authorized by this buUding permit application for. 6� (Address of Job) Date , Lv�r�2 i Print Name' . If Property Owner is applying forpe mitplease complete.the Homeowners License Exemption .dorm on :the reverse side. S r Town of Barnstable y Regulatory Services Tbamas F. Geller,Director HAS& . g g6�16 ;a�` Building Division Tom Perry,Building Commissioner 200 Mam•Strcct, Ayannis,MA 02601 WWW.town-barnstable.ma.us l r Office. 508-862-4-03 8 Fax. 508-790-5230 HOMEOWNER IICTNTSE=Ml'TION Please Print DATE f JOB LOCATION: nvmba strcat ,' village NolrrEowxm�: ,' ' Wane bome phone f wort phone# t CURRENT MAMNO ADDRESS: 6 6 city/tow state ap code The current ex=aption for"homeowners"was txtendc \ords, wner-occupied dwellings of six mats or less and to allow homeowners to engage an individual for hire wossess a Litt nsc,pravided that the owner arts as stmcryisor_ DEF=ON TR Persons)who owns a parcel of land on which helshe re4ds to reside,an which-1i=e is, or is intended to be, a one pr two-f=ily dwelling attached or deta4hed,isory to such use and/or farm structtrrs. A person who constrgcts mare than 6ne home in a two-yt�ar of be considered a homeo-j�ncr. Such "horneowner"shall submit to the Building OfEcW ola fog acccptablc,)to tse Building Official, that he/she shall be responsible for all such work peIfbrmgd"under the building,permit_ (Sccti 109.1.1) The undersigned `Iomcownor"assumes resperosibitity for compliance with the to Building Code and other applicable codes, bylaws,roles and regulations. The undersigned`homeowner"certifies that.hc/ understands the Town of Barnsta e Building Department ,insp&ction procedures and r is and that he/she will comply with sai rocedures and rcz ix-emcnts. Signatint of Hor=a"r-r Approval of Butlding•Ofcial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.Q Construction Control. -90hz0W1QER'S FXEMFIION The Code stairs that: tray homeowner pafo¢rrang work for which a bmlding p=rnit is rr quirrd sball be exempt from the provisions of this sec6c.m.(Seetidn 309.1.1-Licazsing ofcmutrortioo Supervisors);provided that if the homeowner=gages apesoa(s)farbirs to do such r,+ark,that rush Homeowner shall act as supervisor" l acy hcmeawnas who use this Qaaption are unawus that they are Lnuming the responsibilities of a supervisor(see Appendix Q Rules&Regulations for 1 e=si„g C=rtrUCtimt Supervisors,Section 2.15) This lack ofawa,=c=Men rmulrs in serious problems,particularly when the homeowner hirrs unliemsed p--m Br this case,our Board rannot proceed againaf the unliecnsed person as it would with:liearsed *pervisor. The bmt mwoer acting es Supervisor is ultimately msporutblr- To ensure that the bom=vmrr is fully aw+a:ofhislher nta iesponsrbtlitics,many comnitics rcqufi-e,as part of the pcmit application, tat the homeowner eatify tbat bdshe understands the resp=wbrlitics of a Supervisor. On the last page of this issue is a.form eurrrntly used by ..e= l towns. You may care t amerrd and adopt such a forrn)ccrdB=Uon for use in your eonanunity. License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 1. � r , Not valid ithout signature r. Of �amryn�y� {acsO� Coag°Vne—V CoN�� Zg42g1 HOM StcaC�a `' 3�12n Fte9� . f�� r— 3:.1.0 • Xp A\01 1)0 \ 13 16 GR� MP p2 Massachusetts- Department cif Public SafetN 4 Board of Buildin!o Regulations and Standards Construction Supervisor License License: cs 78687 00 Restricted to: F �... .--_' ` BRUCE P MILLS 16 CROOKED POND RD HYANNIS, MA 02601 . Expiration: 5/29/2012 ('ummissiuner Tr#: 26675 i rs- ®PRESS PERMIT Town of Barnstable *Permit# APR13 2007 Expires 6 months from issue to `R Regulatory Services Fee S TOWN OF "'TABLE Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY N1ot Valid without Red X-Press Imprint Map/parcel l�Tumber /S �l L c) Property Address C ro®k.-.Q \' %,Residential Value of Wor �^r2 Q Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ( _'�e `P )!3n f AN Hu, O r ,� ` Contractor's Name �,��J� Telephone Number S_b P=a 00C) Home Improvement Contractor License#(if applicable) ` 0 Construction Supervisor's License#(if applicable) 0 ❑Workman's Compensation Insurance Check one: I am a sole proprietor ff�I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side c WReplacement Windows. U-Value _ (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License-is required. SIGNATURE: E� Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,MA 02111 o„M yV•�t www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organizationandividual)' ('C CQ_ `• ` S'� Address: 6CPO City/State/Zip: D 6 C9 � Phone#: FCC 6 ire you an employer? Check the,appropriate box:. ❑ I am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 9j am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for mein an ca aci . workers' com . insurance [No workers' comp. insurance 5. We are a corporation and its Li u �g a ion required.] officers have exercised their 10-❑ Electrical repairs or.additions ❑ I.am a homeowner doing all work right of exemption per MGL`: 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers'' comp. insurance required.] 13:❑ Other .. . ny applicant that checks boat#1 must also fill out the section below showing their workers'compensation policy.information.• omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtractors that check this box.must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. m an employer that is providing workers'compensation insurance for my employees.'Below is.the policy and job site ormation. , urance Company Name: icy#or Self-ins.,Lic. #: Q Expiration Date: Site Address: is City/State/Zip: I ach a copy of the workers, compensation policy declaration page(showing the policy nu er and expiration date). lure to.secure coverage as required under Section 25A of MGL c. 15.2 can lead to the imposition of criminal penalties of a up to$.1,500,.00 and/or one-year imprisonment, as well as civil penalties in.the form y of a STOP WORK ORDER and a.fine ip to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to estigations of the DIA for insurance coverage verification. the Office of r hereby certify under the pains an-Avenalties perjury that the information provided above is true and correct- nature:. Date: Q ne#: .,fflcial use only. Do not write in this area,to be completed by city,or town official. -ity or Town: Permit/License# ssuing Authority(circle one): .Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector �.Other 'ontact Person: Phone#: Information and Instructions [assachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. arsuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, Tress or implied,oral or written." M employer is defined as-"an individual,,:partnership,,association, corporation or other legal entity,or any two or more f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the ,ceiver or trustee of an individual,partnership, association or other legal entity, employing employees. However-tle wner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik-on such dwelling house r on the grounds or building appurtenant thereto shall not because of-such employment be deemed to be an employer." ,1GL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable,evidence of compliance with the insurance coverage required." additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall ;nter 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. 4pplican+s Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub.-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(I:LC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners' are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. B.e advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate`line. • City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for:future permits.or licenses..A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete:this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Deparanent's address;telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents Office 9 f Investigations y 600 Washington-Street4 . Boston,MA 0211 L. Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 revised 5-26-05 www.mass.gov/dia N Town of Barnstable Regulatory Services rs110INSTASnss.I'E`g Thomas F.Geiler,Director 1 .3 �ATED►��p�0 Building Division. Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA b2601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder . I, -��j" � �C��-��.``, ,as Owner of the subject property hereby authorize V C-11? Al? 11�US, to act on my behalf, in all matters relative to work authorized by this building permit application for: P r� (Address of Job) Sig o er Date 4t )vt- /�06—cl IC Print Name C QTORM&OWNERPERMISSION e4 H U pr13rl//UI IMF IMPRulatiu ✓`�`���a ` _ Re9istra �VFMF 'S an.11 �ONT "tea QRC/ FkpfraGtan 36p 3T ?qcTo �:!,. C / SF;U(,� P M/tt 1 `.y Type lnl 1:Y?00'1 1y C MRCS ; diJiaUal qN N Po o /�lo�,D j✓ , 1 L 9 2 6 "WH of SARJ'ST,ggl� Town of Barnstable *Permit# y�FtH�E tphy Expires 6 months from issue date -, = R 2b 10= p Regulatory Services Fee * AM NAM '$ 6 Thomas F. Geller,Director 9�'°rEa 39 .e Building Division. DIVISION Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT Office: 508-862=4038 APR 4 6 2004 pax: 508 790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONL Not Valid without Red g Press Imprint TOWN OF BARNSTABLE Map/parcel Number Address n t Property In Value of Work r [`Residential 110 . Owner's Name&Address �3 �' CN t` S" Telephone Number b o '��o � � > Contractor's Name e�-- tt // 5� ' E,-9 6 6 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) nWorkmanis Compensation Insurance Check one: 9-I am a sole proprietor NJ am the Homeowner [] I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ` [JRe-roof(stripping old shingles) All construction debris will be taken toDy [�Re-roof(not stripping. Going over existing layers of roof) ( Re-side' ❑ Replacement Windows:U-Value (maximum.44) p p icons,i.e.Historic,Conservation,etc. *Where required- Issuance of this permit does not exempt compliance with other town department regula' **Note*, Property Owner must sign Property owner Letter of Permission. Home Improvement Coutracto euse is required. . Signature Q:Forms:expmtrg _ ' i ��ze -Porivnzoozcvva/,�i o��.aeoac/zuae(�a : I . F B�IIILDIN;G R C�ai t Lq' lov,S , License ©NSTRUCTION Sl�1F i R\/ISOR ''I NumbrF CS 078687 !q�i�r6hdate��t0�/t2131k9¢0 j i E�epiee .QS/29I3004 Tr.no;: 7868s7 i Restricted Ttt 00 BRUCE°P MILLS HYAt NIS, MA 02601 { %� minist�afor 1t T1ie C�omaruueall� o�,/�aaaae!iuGella .____. __ Board o.;Building R.egulatious and Standards License or registration valid for individul use only HOMi_IidIPOVEMENT CONTRACTOR before the expiration date. If found return to: \ Board of Building Regulations and Standards Reegstration '136003 n z { Oe Ashburton Place Rm 1301 7iClatr 15on0/04 l � r Boston,Ma.02108 try y -� cliividual BRUCE P.MILD,z- 10 ?.- BRUCE Mll_LS r %i 16 CRO LOKED PGIVC?R1 b :. I HYANNIS,'MA 0260-1 Administrator Not valid without si;natu-: t HfV �3•y`/y]fY hP OF YHE tp��O� Town of Barnstable Regulatory Services s $, STAXz,c.$ Thomas F.Geller,Director 10 i9, Building Division ' Tom Perry, Building Commissioner 200 Main.Street, Hyannis,MA 02601 office: 508-862 4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder _ the.subjectptopetty- . .. _. hereby authotize rnattets relative to work authonzed by.this building.pe=ft-applicationtfor. ob / (Aaatess of r � , a. i Signatae of Qwnet Date Print Name ' i Application Number.... .......:o `...I .. �... ................. * MASS.� Permit Fee..........q17 . Z� Other Fee: : .. ...... ........... s6;¢ � Total Fee Paid ri TOWN OF BARNSTABLE Permit Approval by.. on - r " BUILDING PERMIT 01 r . , Map., ...................................Parcel•...Lte..1................................ APPLICATION Section 1 Owner's Information and.Project Location Project Address ; o (�� Village F Owners Name L&w -a- : h r e Owners Legal Address_ CaO6 ko �a'� �' f City ( State A/ / Zip 6J Owners Cell # ''d 7��.` /�� E-mail Section 2 — Use'of Structure c o c r— Use Group ❑ Commeicial Structure over 35,000 cubic @t 7 27 ❑ Commercial Structure under 35,000 cubicet - � N m Seigle/Two Family Dwelling o .� Section 3 -Type of Permit M ❑ New Construction_ ❑_ Move/Relocate ❑ Accessory-Structure ❑ Charige of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire'Alarm Rebuild. ❑ Deck Apartment F Sprinkler System Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description .sue ` . vd ig, CAA i Application Number.......... ......................................... Section 5—Detail . Cost of Proposed o truction O Square Footage of Project Age of Structure Y Dig Safe Number a " PA0 5?S # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics Wiring Oil Tank Storage Smoke Detectors a (� Plumbing F1 Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom 4 Water Supply Public El Private �-. Sewage Disposal ❑ Municipal On Site Historic District ❑ . Hyannis Historic District ❑ Old Kings Highway SF JDetirig Disposal Facility: �yNidc �( `�n� I am using a crane ❑ Yes No ' .t• i r Section 7—Flood Zone Flood Zone Designation a Within or adjacent to a wetland, coastal bank? Yes ❑ No i i Section 8—Zoning Information Zoning District _ Proposed Use Q Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required -.Proposed Rear Yard Required Proposed E_ Side Yard Required `6` Proposed a Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 .- i i Application Number...................... 4 Section 9- Construction Supervisor ; Name �' �? _ t Telephone Number o-- Address L& a City State Zip (� 6 o t License Number 4V License Type S'f�z Expiration Date Ste. 27 o e � f ell �Q ��6 Contractors Email ® # Q `ra r I understand my responsibilities under the rules and regulations for'Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town,9f Barnstable.Attach a copy of your license. Signature `Date 'j.) { Section 10—Home Improvement Cohtractor Name Telephone Number ' Address City State Zip Registration Number r; 6QQ S Expiration Date 94 Y--C) I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 " CMR the-Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. 1understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name �U['_e MI'l 1 Telephone Number E-mail permit to: v L _ Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ ' Zoning Board(if required) ❑ i Historic District ❑ Site Plan Review(if required) ❑ / Fire Department ❑ i Conservation ❑ For commercial work,please take your plans directly to the fire department for approval s Section 13— Owner's Authorization as Owner of the subject property hereby authorize c c' S' to act on my behalf, in all matters relative to work authorized by this building permit application for: Cl`CX::I 2 0 (Address of job) - Si ature of Owner date tp�rTn_ Print.Name i Last updated: 11/152018 The Commonwealth of Massachusetts Department of IndustridAccidents r Office of Investigations 600 Washington Sired Boston,MA 02111 ' www.massgov/dia ` Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r[ Please Print Legibly Name(Business/Organization/Individual): Address: b c, dc3 _o d tI cytd Q?0( - City/State/Zip: 6 6-0 J Phone#• 'S —A-0- Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New-construction 2.KI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling 'ship and have no employees 'These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' $ 9. KBuiIding addition [No workers' comp:insurance comp.insurance. required.] 5. ❑ We'are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their - I LEI Plumbing repairs or additions mysel£[No workers'comp.', right of exemption per MGL 12.❑Roof repairs insurance required.]t c- 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out'the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that lsprovidin_g workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: L111 st Coto Policy#or Self-ins.Lic.#: 000 75'05 Expiration Date: Job.Site Address: "384 G'010-�kd&A City/State/Zip: .d 00601 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). •Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine, of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations'of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties perjury that the information provided above is true^and correct Si store: / .Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Pernit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person id 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 4egomg engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,parin'�'erft,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 sucYemployment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the.commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants . Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lilce to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TO.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia Commonwealth-of Massachusetts. Division of Professional Licensure= Board of Building Regulations and Standards Constrgc0.1 §bpe.`pvisor CS-078687 +, Ezpir es: 05/29/2020 BRUCE P MILLS 16 CROOKED.�OND ROAOr HYANNIS MA 02601 �; •! /1 ® .. Commissioner /L/�� Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 136003 09/24/2020 �. BRUCE MILLS, tI {p J xkf i" a r T. Wn iz T,J BRUCE P.MILLS . 16 CROOKED POND HYANNIS,MA 02601'= Undersecretary T NOTICE OF ASSIGNMENT EMPLOYER: COMBO I.D._ STATUS OF EMPLOYER BRUCE P MILLS 000775053 Individual 16 CROOKED POND RD HYANNIS, MA 02601 COVERAGE GROUP 0811553 Coverage under this assignment The Waiver of Our Right to applies to Massachusetts Recover from Others Endorsement operations only. For coverage is available on Pool policies. outside of Massachusetts, contact Contact your agent for details. the appropriate Pool or Plan for that state. INSURANCE COMPANY: AGENT KERRY INSURANCE AGENCY f LM INS CORP OR W SCOTT KERRY i COMMERCIAL SERVICE OPERATIONS PRODUCER: P 0 BOX 1945 P 0 BOX 66400 N EASTHAM, MA 02651 LONDON, KY 40742-6400 (800) 653-7893 AGENCY FEIN: 043069234 CLASSIFICATION•"OF OPERATION CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION ------------------------------------------- ----- -------------- ---------- ---------- CARPENTRY - RES DWELLINGS NOT EXCEEDING 3 5645 $0 7.10 $0 STORIES IN HEIGHT CARPENTRY-RES DWELLINGS EXCEEDING 3 STORIES OR 5403 $0 7.64 $0 COMM STRUCTRS EMPLOYERS LIABILITY 100/100/500 9845 STANDARD PREMIUM $0 LOSS CONSTANT 0032 $50 EXPENSE CONSTANT 0900 $159 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 TOTAL POLICY MINIMUM PREMIUM $500 TOTAL ESTIMATED PREMIUM $500 DIA ASSESS. 3.519.1 $0 TOTAL EST. PREMIUM PLUS ASSESSMENT $500 INSTALLMENT BASIS: Annual DEPOSIT PREMIUM: $500 THIS IS NOT A BILL COMMENTS Coverage effective 12:01 AM on .09/11/19. DATE OF NOTICE: 09/11/19 PREPARED BY: Joanne Shea EXT 530 * * SERVICING CARRIER ASSIGNMENT The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street• Boston, MA 02110 (617)439-9030 - FAX(617)439-6055•www.wcribma.org L�Z'QCTrlol 1 e7�'`t de7l���LeIe7 e7TaZe]►t;�d:�O jet d[07►n 1.n 1[N I14�11.1 e17�\:7��F`�7+�r1 130 MPH EXPOSURE B WILD ZONE Checklist 1.1 SCOPE Wind Speed (3-second gust).........................................................................................................130 mph WindExposure Category .........................................................................................................................B 1.2 APPLICABILITY Number of Stories .............................................................. (Figure 2)............... / stories <_2 stories Roof Pitch ...........................................................................(Figure 19) ............................ <_ 12:12 V Mean Roof Height .............................................................. (Figure 2)................................... 7 ft. <_33' L/ Building Width,W ............................................................... (Figure 4).................................. ft. <_80' V Building Length, L .............................................................. (Figure 4)................................... ft. <_80' Building Aspect Ratio (UW) ................................................ (Figure 4).................................. S 3.0:1 L 1.3 FRAMING CONNECTIONS General compliance with framing connections?.................. (Table 2)......................................................... 2.1 ANCHORAGE TO FOUNDATION Type of Foundation.............................................................. (Figure 5)................................ wfk C101Mk Foundation Anchorage Proprietary Connectors Uplift.........:....................... ........... .......................... (Table 3)......................................U = plf S� Lateral..................`................................................... (Table 3)......................................;L plf A Shear...................................................................:.. (Table 3)...................................:..S plf, 5/8"Anchor Bolts Bolt Spacing........................................................... (Table 4)..............................................M(in. (� Bolt Embedment..................................................... (Figure 5 ............................................ .-7 in. U Washer Size ................................ .......................... (Figure 5).............. in.x-3- in.x�[in.thick 3.1 FLOORS Floor framing member spans checked? .............................. (IRC or WFCM).............................................. V • Maximum Floor Opening Dimension................................... (Figure 6).................................... :?>' ft. 512, 1 Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................. (Figure 7)...... ................................Z ft. <_d ✓ i Maximum Cantilevered Floor Joists i Supporting Loadbearing Walls or Shearwall................. (Figure 8)......................................Q ft. _<d Floor Bracing at Endwalls.................................................... (Figure 9)....................................................... Floor Sheathing Type........................................................... (IRC or WFCM).......................... +(� Floor Sheathing Thickness.................................................. (IRC or WFCM)....................... in. Floor Sheathing Fastening .................. Table 2 k�COO 4.1 WALLS Wall Height g ................ (Figure 10) ..................... ft. <_ 10, Loadbearing Walls..................... .............. .............. < Non-Loadbearing Walls................................................. (Figure 10) ................................. ft. 20 Wall Stud Spacing............................................................... (Figure 10) ..........................Lj�.in.<_24" o.c. U_ Wall Story Offsets................................................................ (Figures 7-8)................................. ® in. <_d 4.2 EXTERIOR WALLS Wood Studs Loadbearing Walls........:................................................ (Table 5)......................2x, - ft. y in. Non-Loadbearing Walls................................................. (Table 5).................:....2xy:- ft. b in. AMERICAN WOOD COUNCIL r oo kc — ;Mcf 75- YLI Bracing Gable End Walls Double Top Plate Loadbearing Wall Connections Non-Loadbearing Wall Connections Wall Openings Connections at each end of header or sill Wall Sheathing Minimum Building Dimension,W Maximum Building Dimension, L Wall Cladding 5.1 ROOFS Truss, I-Joist, or Rafter Connections Proprietary Connectors Outlooker Connections Proprietary Connectors Uplift.................................................. ..................... (Table14)......................................U = Kz | Roof Sheathing Type ...........................................................0RCmv ------. ` �� b� � Roof Th�kneaa-------------------------------��*�in �3/8' , wsp Roof ----------------- [�xb���------------.— _��_ Sheathing - . � � , �. w � AMERCAN WOOD COUNCIL | | , . 777 American Wood Council , AWC Mission Statement To increase the use of wood by assuring the broad , regulatory acceptance of wood products, developing f,. design tools and guidelines for wood construction, and influencing the development of public policies affecting the use and manufacture of wood products. t jr h. ' fl REScheck Software Version C6.5 C�J( Compliance Certificate .' Project New Addition Energy Code: 780 CMR 51.00: Massachusetts Residential Code, 9th Edition, Energy Efficiency Location: Hyannis, Massachusetts Construction Type: Single-family a ` Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: 1 Permit Number: ' Construction Site: Owner/Agent: Designer/Contractor: 38 Crooked Pond Rd. + Bruce Mills- Hyannis, Hyannis, MA 02601 16 Crooked Pond Rd Hyannis;MA 02601 Compliance: 0.0%Better Than Code Maximum UA: '105•:.;;Your UA: 105 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. +� It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. �• Envelope Assemblies Ceiling 1: Flat Ceiling or Scissor Truss . 490,; r, •38.0 • 0.0 ,, •0.030 15 Wall 1:Wood Frame, 16"o.c. 640 421�O ' 6.0 0.057 27 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 58 _ 0,300 17 Door 1: Glass 100 .: a X;oo 0:300 30 Floor 1:All-Wood joist/Truss:Over Unconditioned Space 490,r_r,!-'30.0 x•;e •+O:O r'C'0.033 p,)16 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 780 CMR 51.00: Massachusetts Residential Code,9th Edition, Energy Efficiency requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: New Addition Report date: 05/27/20 Data filename: Untitled.rck Pagel of10 REScheck Software Version 4.6.5 Onspectoon CheckOis s Energy Code: 780 CMR 51.00: Massachusetts Residential Code, 9th Edition, Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each recuirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified' # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, ;Construction drawings and ❑Complies 103.2 documentation demonstrate 5❑Does Not r [PR1]1 energy code compliance for the i ;building envelope.Thermal ;❑Not Observable ; ,envelope represented on #❑Not Applicable construction documents. 1 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate `❑Does Not 403.7 energycode compliance for i [PR3]1 :lighting and mechanical systems. _ ❑Not Observable ; ,Systems serving multiple i❑Not Applicable dwelling units must demonstrate ;compliance with the IECC ' ,Commercial Provisions. 302.1,1 Heating and cooling equipment is Heating: Heating: ;❑Complies .; 403.7 sized per ACCA Manual S based Btu/hr : Btu/hr ;ODoes Not [0112]2 on loads calculated per ACCA Cooling: Cooling: Manual J or other methods 9 ;❑Not Observable f Qv Btu/hr Btu/hr ; approved by the code official. ❑Not Applicable 103.1 :Solar-Ready Roof: New detached �❑Complies ['PR4]1 i one-and two-family dwellings, i❑Does Not I ,and multiple single-family k :dwellings(townhouses)with > ❑Not Observable ; 600 ft2 (55.74 m2)of roof area i❑Not Applicable F oriented between 110 degrees ;and 270 degrees of true north comply with sections AU103.21 [ ; .through AU103.8(1113103.2 ithrough 116103.8). Additional Comments/Assu"mptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New.Addition Report date: 05/27/20 Data filename: Untitled.rck Page 2 of10 r ROOF SHEATHING 9 The Town of Barnstable RAFTER SIZE Department of Health Safety and. 2" x 10 Environmental Services Building Division 16'�l��L, CEILING JOIST SIZE: 2" X O.C. WALL STUDS 2" X (7 11 O.C. FLOOR SHEATHING= " SILL 2"X FLOOR JOISTS SIZE: 2"X O.C. FOUNDATION W L THICKNESS 6 BASEMENT FLOOR SLAB THICKNESS FOOTING SIZE TOWN OF BARNSTABLE PERMIT CHECKLIST Sign off hours for Health and Conservation ire 8-9:30 a.m. and 3:30-4:30 p.m. A complite pew applicadon includes fl/1109 end moans 1.13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS Site Plan showing setbacks of proposed and existing structures -One complete set of full sized plans one reduced 11"x17" (plans may require a stamp by an architect or engineer): KResidential - 5 Sets of floor plans no larger than 11"x 17"smoke/co detectors marked Worker's Comp. Affidavit and policy(if required) Res Check or COM check from the 2015 International Energy Cod Council(IECC): Interest for new houses only(not required for rebuild after teardown) aac botd made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF.A BUILDING (NOT PARITIAL) Everything above plus shut off letters from following utility companies: ❑ Gas . ❑ Electrical - ❑ Water ❑ Sewer(if required) ' 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details, pool specs(engineers design) ❑ Work man,s Comp Affidavit and policy(if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. HYANNIS s� s LOT 3 LOCUS N86'0010 E 121.83 12' WIDE WAY \ - - -- - - - -- -- 0 TOWN U.POLE — — — — \ \ o\ LOCUS MAP PLAN REF: LCP# 14034—F \\\ J \ _` `~ ' TITLEPARC RE: MAP 291423 154 \ pR1VE Y , O WA `i 'y. \ _ 52 7 OF ZONING: "RB NOT IN RNY OVERLAY OR WP DISTRICTS \\ c!� _ —_ _—_ _ O, SETBACKS: 20 F-10 S-10 R ° „' WIND EXPOSURE: "B" FLOOD ZONE: "X" Q / _ COMMUNITY PANEL: 25001 5-0001—D DATED:07/02/92 LOT 4 - - - \ AREA=11,212t S.F. #38 6. CERTIFIED PLOT PLAN BARNSTABLE LOCATED AT: \\ __- -___ -_ ADDIITIIOND 38 CROOKED POND ROAD 70 s HYANNIS, MA. 40.6, PREPARED FOR 0. \ / WPC c3` 2 JULY 2, 2020 �� i 1 10.2' 10.1' \ 120.27 OF / N83'4510„E EDWARD cys v A. CJ STO .2 0 ,. LOT 5 Al ANn 0 MacDougall Surveying & Associates GRAPHIC SCALE P. O. Box 2428 Mashpee, Ma. 02649 0 ,0 0 20 2 40 80 I'PH. (508)419-1086 CELL: 774-327-0617 ( IN FEET ) email: inch = 20 ft. macdougallsurvey©comcast.net J#2186 _ - _ - — ' — tip — - _ " �(j` /,c,, - .,.._....s.«_ ,.-....._....._...__ _� ...1 ..._.. ,lam / i O�G 1'f'u V O': �� t c aTV jii^- Lj' l = i F166 r ( T ui- %/`1 1 :� Smakp- inn an 6 S �s i A a f�i� i° Ana. 6S2M-2AV ell '-f— � -� i �Fe��C fnly� 1y WanBco .� �w iL V66 tin a3Nil sam-stable Bldg. Dept. Ap,,)roved by: ?A fj t Permit 1 :,_, SMOKE DETECTORS REVIEWED r a -;)OD — 14, b 8r BARNSTABLE BUILDING DEPT. D"ATE R DEPART ENT DATE — - — BOTH SIGNATURES ARE REQUIRED FOR PERMITTING t' .I > ' t y; Run s i d K n Av cvts- TO f FT 9 gg 4 i 17fd i I I if.jC -)ui�- 1 x I I 31X ID o G, + x � 7r I co Apo (�d#• } __ I \V i 1 � � 1 r. I I � t dal CIO (�C+410 Dx 10 Gcr� o a a (o F71 + Cet 7�7-()�- I St- Oki DX6 W d sfod-s li Cat L, -<,X)Iat� a�c. w�r-�, % cry U A P-rO Al ht- ZZ 1�;e UJ� 411) 40 K Ct .F n .. �aA to 16 y C, t r A lL ( l, Lja-1 bS 1 ad u( I �!+ c '/% Cd MAIn On