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HomeMy WebLinkAbout0083 FIFTH AVENUE (HYANNIS) Atl I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map i `I Par el L�� Permit# ` 7 Health Division 1Zo'o Date Issued a o Conservation Division I I VoLI r Application F 40 Tax Collector aPermit Fee Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 WITH CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address OA/. Village 6&$r AlUAA210k ( LT Owner '9010,e,!5,.S Address Telephone 5—DPT50 4'7_3 Permit Request _0,W"0 ZAgZ';V12& a Square feet: 1 st floor: existing proposed 9t!)!Y 2nd floor: existing proposed "f Totaknew 90,17, Zoning District Flood Plain Groundwater Overlay Project Valuation 1O0 Construction Type 04W Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentat on. Dwelling Type: Single Family W/ Two Family ❑ Multi-Family(#units) Age of Existing Structure /1 _/ Historic House: ❑Yes O'I�lo On Old King's Highway: ❑Yes 0-No' Basement Type: ❑Full &Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new f Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing A/1 new�_ First Floor Room Count 5� Heat Type and Fuel: ®'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes W Igo Fireplaces: Existing / New Existing wood/coal stove: ❑Yes 0 Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new.size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes CINo if yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name %JoRe s /72GsoGA�elephone Number sad'-7�O 83 Address_{�� ff�f/AU License# 0260 / ,T„pvvs��i Home Improvement Contractor# �/09 Worker's Compensation# a s ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE t r FOR OFFICIAL USE ONLY . PERMIT NO. DATE ISSUED MAP/PARCEL NO. v ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 4 a Q 6 FRAME �r t N�Et9 /Eo Am INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH }- FINAL GAS: ROUGH FINAL FINAL BUILDING c DATE CLOSED OUT cr s ASSOCIATION PLAN NO. r- h of O' of Barnstable •r}(E • �' '�°, Regulatory Servzdes. ' a agt�, r Thomas 7,Geiler,Vrector b�l 9 Budding Division Tom Perry,Building Commissioner' ' • 200 Main Street, Hyannis,MA 02601 Office: 508.862-4038 Fax: 508-790-6230 • Penmit ao. _ 1�ate A-VMAVIT JrOME IlOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION • MGL 0,142A requires that the"reconstruction,alterations,renovation,repair,modemization,conversion, •improvement,removal,demolition,or construction of an additionto any pie-existing ovn.er-occupied bua&ng containing at least one but not more than four dwelliag units or to structures which aro adjacent to •• such residence or buildb?g be done by registered contractors,with,certain exceptions,along with other re wraments, ,, . 4 • Es Cost Type of Work; D/ D o� - Address ofWork; /` /9�� � s✓ rt,�� Date ofApplication;, /D'��� � ' hereby certify that: Itegistration is not required for the following reason(s); ' . • CW ork excluded bylaw ❑lob Under$1,000 ' ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: oWnRS J?ULL3NG MIR O'WDt PERMIT OR DEAIMG WITH UNRIGISTERED CONTF�kCTOM FORAPPLICAB1i HOME ZITROYEMENT WOPXD0 NOT SAYE ACCESS TO TEE ARBITRATION PROGRAM OR GUARANTY Y=UNDER MGL c.142A. SIGNED UNDERPENALTIES OF PERJURY Thereby apply for&permit as the agent of the ow4er -2(. Date Contra t ame RepisEratioa o, OR wner's Name _ The Commonwealth of Massachusetts . Department of Industrial Accidents' 600'Washington Street Boston,Mass. 02111. W r ers' Com en sation.,Insurance Affidavit-General Businesses / �/ / / ...., ;•te.�t.,+r• :.T+.cr�-,•y:�.r"T",..•:• "d• �,%: � .;�;izYl / , nanme ad-dress., state: Zi O hone# 'GP cI00*7 address �r U57 ✓3 e:�Ijoc,aotiaon full ,m•a le proprietor and have no one Business pea ❑Retail❑Restaurant1Bai/Eating Establishment worlr ng in any capacity. ❑ Office❑ Sales(mcluding•Real Estate,Autos etc.) ❑I am an em toyer with sin Io ees(full& azt tim�: Elt Oher ' I am an e-ployer providing vYorkers' compensation for my employees worlang on this fob. - i• •. .. .•tr.. '• •'..''. .;' ,.. .,e,1,:,fit .t• :„ :.ii t's,:}S:1''• : 't: 'i``P'' .,Sj;:'.'i. :1`t.'.^•' 4 -ii•i:`4: ':l.1.ry.' :i: •a; ti ;,^'f. .•"j'• ..7., ''i• 7^. "�:-' :ram:t -' COITI-an t, •'•ate:' . ,i: �:t: ",t., ., ,.. F,.a,.; ', ,, v: '•t',?•.•i`.•. i:;:, .ar:•'v�;i 'rr•., ••}, ' •t. :'1' �'a Y ^:Ft•:t4• 1 ••I'.:•lrtj��t• _ ,i+,.'. _uf.i.�" aR.,',. `'t:z :S' r'e:t:•.f+r'!:. ''{.:, �7.�r.•'1r ,, 1 t, .. eddressC '�' •• ,r•,,�::'r;a = •r;i,:�;- ,' rt'; s.''•' .4:' '�.%F C .a rsr� �114:•' '+, .: .',''•. :;.::.: •�� .. s, .s'. J'i:• 'S. � ';. '.r, •�,�L: is•'.ri•1.:%iti.•.'•K:.. j.• 011C`•#. c:.a• .,. fIISurance.CO'S •.•:;:..t•^..:'LS..� .:.,:ic: .• r :•....• •..r.•;•;a. t .;r.:-�.; / /,Me / /%/am asole proprietor and hired the independent contractors listed below who have tie following workers' .compensation polices: , :an7' - ,tiC t-• `'t �': .,., tf: •L"r ..��..ij::. :.r:r it nt'..�/tia. ':n•::�''.: 'a 'O�'t a'nt'••llama' 4' .1] •` ; .•:'.Y:r.14.p;•.'• ''�•l:Y:•, '�. C •.s ,Lyt_ .!' :.�: •.t• l`n fr t''a:. .I� .t .., :1�.': � • .!' •ra:�•:t,r' _ ,i.+ '�a:....:•••.-i�i i.'.;• ._ eildre"ss:. ♦.rY! y•r,.: _ - 5. �7?.•.,'t_'i t"•"'?:I:' •i, hLr r' .l�• •j,i•" - � CI '' '•},r:'rTil{;y„, :�,::5,%�;. •.'::.`'8'.;a11.::• ::.,:'r••.i,ti'. ,:ij. •y;;�!Ar••;,'. .•r: .i�..• •+.�:+.'''�'O"liC : .r:�r..•i•:.::}'•.4' r':r::•'• `{•'i.,a�. t. fnsurance-co. �Y %�///%l/%/%/ / coal an. uEt e: .,a a df6s: ' > •• , . rL.. .ti.. - :�,i,•t. t4• : �, -ILL<.•: , . .r. .�lO1iE�:• CI ,•,_ - :i,y .:r.•. 4'ti:. •`d.•r.i+ •a.` .i.. %''+.:a�{'"•S• ::' :i•';a: :1a�+•. ':a;,.•i'.:1, •' r ' +•ti4:••;, ;'.;..Z�r il'.': :i. .•t, r'' .',mac �.i:•;" _ ;•:;'•�::a., r_ 'r a.',',••. tf• •�•�';,. •:'�::i;�,., ::Y•.� '�, ::'••+ �;::•.,:is �i ••�': tt• :1.rA.!•�.,,:: 'r! �'" ,•�' '• "�•�': .i: t:'• '•e:^ :.•i:i: :c',•..t. .,:,. 11Cv: •{" fnsur�ace�eo:'{° R,0 Failure to secure coverage s9 required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to Sl¢OO.DO and/or one years'imprisonment as well as civil penalties#n the form of a STOP WORK ORDER and a fine of$100.00 a day against me, I understand that$ copy o(this statement maybe forwarded to the Office of investigations of the DIA for coverage verification. I do hereby c i r pains and ponaltles of perjury that the information provided above is.true and correct. . Date 1 c7-•2b-5`'1 Signature pit name r V`�- -- S/0/Ji� 0 6a !L'L5 /J �i oY��ie Phone# r=- city ial use only do not write in this area to be completed by city or town official permit/hcense tr ❑Building Department or town: ❑Licensing Board • e ❑Selectmen's Office ❑check ifinlmediatE response is required ❑Health Department contact person- phone ir; other _ (revised Sept 2003) Information and Instructions. ?,p n Massachusetts General Laws ch�pter 152 section 25,requires all employers to provide workers' co ensatiou for'the�r. employees: As quoted from the `law", an employee is.defined as every person in the service'of another finder any contract of hire, express or ur�plied; 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 enferprise, and including the legal representatives of a deceased,employer, or the receiver or trustee of an individual,P�IIe'ship'•association or other legal entity, employing employees. 'However the owner of a dwelling house having' .ot•inore than three apartments and-who resides therein, or the.occupant,of the dwelling house bf - another who employs persons to do.maintenance, construction or repair work on such dwelling house or on the grounds or eto shall not because of such•employment.be deemed to be:an employer.. building appurtenant ther. : 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.cbmmonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the coirffnonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with.tie insurance requirements of this chapter havebeen presented to the contracting . '4 authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies.to your sitdation. Please. supply company n'arne, 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 t should be returned to the city or town that the application for the permit or license is being affidavit The affidavi requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law' or if you are requ red to obtain a workers'•compensation policy,please call the Department at the number'listcdbelow. City or Towns . Pleasebe sure that the affidavit is ebmplete 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 ense number.which will be used as a reference number. The.affidavits may.be.returned to, be sure to the permitllic the Department by mail of FAX unless other arrangements have been made. ; 'ons would h�lce to thank you in advance for you cooperation and should you have any questions, vesti ati The Office of In g . Plea thesitate to give us a-call. sedono The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents Bike of l�ss��tlens • 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext..406 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment .$25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot x•0041= plus from below(if applicable) J ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&.detached) square feet x$32/sq.ft.= x.004.1= 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.0041 STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= _ .. • (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Prmenst 730 CMR Appeedk Table J5.2.1b(continued) Pracriptive Packages for One and Two-Family Resideutial Buildings Heated witb Fossil Fuel MAXIMUM MINIMUM Glazing Glaring Ceiling_ Wall Floor I Basement Stab -Heating/Cooling Area'(%) U-value R-value) R value' R-values wall Perimeter Equipment Efficiency' Pie R-value` R-value' $70I to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal . R 121va 0.52 30 19 19 10 6 Normal S 12% 0.30 38 13 19 10 6 83 AFUE T 15% 0,36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal v 15% 0.44 38 13 25 N/A N/A 85 AFUE w 15% 0.52 30 19• 19 10 6 35AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% OA2 38 13 19 10 6 90 AFUE . AA I8% 0.50 30 19 19 1 to 6 90 AFUE 1. ADDRESS OF PROPERTY: 1 1y W es c L bw 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: rI g �� 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5: SELECT PACKAGE(Q—AA-see chart above): t� NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS. ARE AVAILABLE: ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J6.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 fF of decorative glass may be excluded from a building design with 300 fl of glazing area. I After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure; or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. 3 The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example, an R 19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frarime or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or.5. If you plan to install more than one puce of heating equipment,or more than one piece.of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J52.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.A If a door contains glass and an aggregate U-value rating for that door is not available,.include the glass area of the door with your windows and use the.opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R value requirement for that component. Glazing.or door components comply if the area-weighted.average.U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). I Al A-CC A ii ii A �a su . . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OLDS CAPE COD INS AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 435 MAIN STREET COMPANIES AFFORDING COVERAGE HYANN I S MA 02601 COMPANY A INSURANCE CENTER SPECIAL RISK INSURED COMPANY MICHAEL J SMITH INC B COMPANY 117 CAPT ELLIS' LANE C HYANN I S MA 02601 COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY. PERIO.D.... INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS (MM/DD/YY) DATE(MM/DDNY) GENERAL LIABILITY BINDER 10/0 7/0 4 1 Q/0 7/0 5 GENERAL AGGREGATE S1, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, ( O CLAIMS MADE ©OCCUR PERSONAL&ADV INJURY $1, 0 Q Q, 0 Q Q OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE S1, 000, 000 FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND W STATU- TH- EMPLOYERS'LIABILITY TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE IS OTHER DESCRIPTION OF OPERATIONSA.00ATIONSNEHICLESISPECIAL ITEMS .F.nJ.i...V ... ::.i::::::.:.:.1::%'Si::;;:�:."'i iri::i::iv::;:.::.::.::;.i.:i;:1';;;i:i:iiai:. .i...:i .. . A'C ...FAO.t.tiF..::...::::.. ................. ................................... ,.:::::: :.. AN ............................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DOLORES GIOFFRE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, S 3 5 TH AVE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY WEST HYANN I S PORT MA 02673 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHOREZED REPRESENTATIVE _.........L..............._........._ ......:'•:" Martha J. Findlay MF A . . • p CnFt�flitA�101�t '1.988 f tHE Town of Barnstable o Tp� , Regulatory Services BAMMBM : Thomas F.Geiler,Director MASS. �p 1639• ♦0 Building Division rF0 MA't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: +I l "W4 JOB LOCATION: 8 3 S r fl AUl W�Si NUANiw S Q�2 number street l village •'HOMEOW ;NER":i>rl. _�)pt,o �c-S U G,*o FFI,� fI �0✓7 21 /Y name home phone# work phone# CURRENT MAILING ADDRESS: g 3 S?N AV V city/totym state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. 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,- Q� � Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt , ` I I30,46, .25 31 LOTS 386 & 388 I� 7,948 SFt r`u SHED TH N w\RE 1 I i CESSPOOL G X -f 29.28-- l. +30. 4� 0 4" CI � � 7' P E j 3 ' EXIST. 30 00 8.92 9;44 ASL DWELL py f 0= O EXISTING 29.04 D o SH 6 DWELLING & , - .06 7 GAS TF=30.4' M .9.81METER (1'CRAWL) I ARKING J 29 , RASS) 1 z 29.04+ �9 i _ C / 30.41 287I }29.� I +28. 2 8.56 2 ,1,6 33 hh 0.00 1 SEPTIC SYSTEM IS NOT BENCHMARK 3 ' DESIGNED FOR VEHICLE BENCHMARK BOUND = + 0) 1 LOADING \ �j ELEV = 26.67' 7 27.27. " f9pj 3®. N V 4 29,05 > 09 26.67 84.97' 28. 28,99 X 32 X �.47 aL�--------27------ Z7OD- pGE OF PAVE PINE STREET HOUSE HAS NO BASEMENT (INVERT INTO LEACHING FACILITY IS BELOW THE CRAWLSPACE ELEVATION) r of l Town of Barnstable *Permit# 67° ys O,A KVIres 6 months from Issue date f . RUt MASM . Regulatory Services Fee 0 KAM n63s} `0� Thomas F.GeOer;Director. �fOtAP`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA.02601 Office: 508-862-4038 Fax: 508-790-6230 "P�� � PERMIT EXPRESS PERMIT APPLICATION - RESIDENTIAL Oli 0 5 2004 Not Valid without Red X-Press Imprint Map/parcel Number- W k. 12 t4 TOWN OF BARNSTABLE Property AddressZ f i ff(A AV W 6-57 i , POLE Residential Value of Work --."YCV Minimum fee of.$25.00 for work under$6000.00 Owner's Name do Address I�o b C5 Contractor's Name Telephone Number 5DY•-710-i y T3 Home Improvement Contractor License#(if applicable) 121 3O!4 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ck one: ff-I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name sSw/m/va- C6f/✓off;'t s�CC/!�� ✓l/S� Workman's Crimp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) bb e-roof(stripping old shingles) All construction debris will be taken to-Al4O,, ❑Re roof(not stripping. Going over existing layers of roof) Re-side ( Replacement 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 Q:Forms:expmtrg ltevisc063004 7 10/26/2004 15:26 5084205082 BSBICHRISTINE KESTEN PAGE 02 c G r r s Town of Barnstable -I A 43 1 . ZUMCMQ La inner Inn Mai„Rtraat T-Tvwvmi• MA M O Mf •tee 6-..�r_LS-- va �G: �vv-uvi—rii�v rum; 7VCS-%7tiwlu3V uVIIIUICLC aiad .31Mrn I dlag S-ae tea€ _ --r red fits W1,16—rt omneYm !AAA�ma -hl" Sian4fi�rr n_ ( xmrr - nwre P&t Na= - y C},SrfIRM4l]Whl17riUFAi,nccTC91S Results Page 1 of 1 a Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: r AND Cj OR Search Search Results Reg. No. Applicant Street City State Zip Name Title Ex iration 127304 MICHAEnLC SMITH 1117 C LN ELLIS HYANNIS MA 02601 MICHAEL PRESIDENT 10/5/2006 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement , http://db.state.ma.us/bbrs/hic.pl 11/9/2004 o a' Erpires 6 mondisscfrroom issue date Regulatory Services Fee J Thomas F.Geiler,Director Building Division CQ 3 Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION Not Valid without Red X-Press Imprint Map/parcel Number a Property Address i Residential . OR Commercial Value of Work a r7Cb Owner's Name&Address r4i ar 0 V �a Contractor's Name1—,zy Tel one Number-egD9 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) rkman's Compensation Insurance Check one: EPI am a sole.proprietor U 1 am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) X-PRESS PERMIT Re-roof(stripping old shingles) ` S E P 11 2002 Re-roof(not stripping. Going over I existing layers of roof) TOWN OF BARNSTABLE ❑ Re-side Replacement Windows. U-Value (maximum.44) Other(specify) •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic.Conservation.etc. Signature l expmtrg a - SM KE ETECTO REVIEVYIEP IMPORTANT UPGRADE REQUIRED STPPTE BUILDING CODE REQUIRES THE UPGRADING' OF 6ARNSTABLE BUILDING DEPT. TE S�NOKE DETECTORS FOR THE ENTIRE DWELLING WHEN. ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED, FIRE DEPARTMENT . DATE --- _— — _---- NOTE; A SEPARATE PERMIT IS REQUIRED FOR THE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING INSTALLATION OF SMOKE DETECTORS-THE.ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT — - - 8 — - wolk 2g 31Q_A s sc�. gks--�-� - ------�-yam P nP-oo�'1 � PDi`1' IDN D ' SCALE: ! 6\ 1� " APPROVED BY: _ - DRAWN — I DATE: ©C� -8� ��! . Hyannis,MA DRAWING NUMBER: BARRYJONES=HENRY ARTIST/DESIGNER F 1 - _ - - f ' 75 �r s -- - - F-�-UJ /I 3_2' f 1 i L.:_._ ., - f i i i, i i i - �. Gi�?►i 343iD Rd•-_�� AIT'"' g - D 2SN -52 0- I - .. SCALE: II j L�fr APPROVED BY: DRAWN BV .�f�. .. DATE: QCJ e� n Hyannis,MA. .DRAWING NUMBER. BARRY JONES=HENRY ARTIST/DESIGNER i .. pl I. V> v 5. I 14 i i - - - I ,✓G.r�. --V�}t7�ri vc�.l-` _��i!"h:Jc..t1 W6otJ - � - r� I \ 2 wr-_ 1 wa 1—I � 6T-p.N'/-, - 7rw r I =-_ 2 G ------- . . . SCALE: IgI- (�� APPROVED BY: - DRAWN BViGTt'I�__.� DATE: de.8i n Hyannis,MA DRAWING NUMB.ER BARRY JONES-HENRY ARTIST,/DESIGNER �� Q j NnS I�)NG K LSD L - — -- - u rz 1LI�nT�_1.1 .V L -: l(ki .fie � _ O I'aG, fT p�UGca.T-a 21D[.F_ r�`'2 Spy, >._ sPN/JI�SFi)i\ILL . - �.. IV ! Ix(v. G� L+ . „Jy uk,=¢-13d2etER E Dr,E �o G 9_ 8` � e/EE��✓tS 3 9 o.c vci�Gig — - - G1 —._ _—_ 1X� � W 3 6.,3 K 8' p r s __D _srELLA W FCA� _ 1 Y1'✓cgc�0 -- I 4i5v'frty p 2X.7D P3 crltzT i 1/` _0'I P+ h.T ftw st �s'EA, STL LR 1.1 I - - Rtf9Y CAF L0c' RJ91D FudM --=- -Ant, , PAVI 4 T _ APPROVED BY: SCALE:�11� �.L�t DRAWN BY DATE: �ir — e2 JU den - .. .. .. Hyannis,MA DRAWING NUMBER BARRY JONES=HENRY ARTIST/DESIGNER a F r. s j C� l -*I')ut2 I /qus c��T.S'f/��ma's•/?Q�. TOP FNDN. AT EL. 30.4' -SYSTEM PROFILE TEST HOLE LOTS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6 OF FINISH GRADE ENGINEER: A•H. OJALA, PE m / 30.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6 OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 29 0' WITNESS: DAVID W. STANTON, IRS 2" DOUBLE WASHED PEASTONE 1 1 1 04 �_ cRacvILLE sencH Rona RUN PIPE LEVEL DATE: / / 28.5'f* FOR FIRST 2' INCH PROPOSED 1500 / 3 MAX. PERC. RATE _ < 2 MIN/ 28.0' GALLON SEPTIC 27.75' 27.5' CLASS 1 SOILS P# 10,847 m TANK (H- .;': .. 10 GAS 27.0' mo �68 0 a a o I� 0 BAFFLE i Z 0 26.69 = 0 = Q ELEV. ( % SLOPE) �6" CRUSHED STONE OR MECHANICAL a�oo� = = 0 = = = = ED oil 30.0' PINE 2 = = = = = === . r COMPACTION. (15.221 [2]) ooZSo '= 000 24.6 A / DEPTH OF FLOW 4 ( 1 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE LS LOCUS TEE SIZES: INLET DEPTH 10" 6" 10YR 2/3 OUTLET DEPTH 14" B LOCATION MAP NTS FOUNDATION- 10' SEPTIC TANK 74' D' BOX 16'. LEACI-ING LSFACILITY 5 89' „ 10YR 6/8 ASSESSORS MAP 246 PARCEL 124 24 28.0 ZONING: RB *THE INSTALLER SHALL VERIFY THE FRONT: 20' LOCATIONS OF ALL UTILITIES AND ALL C SIDE/REAR: 10' BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM PERC FMS FLOODZONE: C 18.8' 10YR 7/4 N t29.86 � ' 134" 18.8' NGWE 31 LOTS 386 & NOTES: ; 25 100.00, 30.46 388 I / - SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM IS ASSUMED 7,948 SFt 30� DESIGN FLOW: 3 BEDROOMS 110 GPD 330 GPD ry SHED H WARE I USE A 330 GPD DESIGN FLOW 2. I1%IUNiCIPJAL WATEo, -ram _ ..� 0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. G -� x __9 SEPTIC TANK: 330 GPD ( 2 ) 660 10 cEssPooL +29.28- 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- +30. ° 4" Cl 1 9 USE A 1500 GALLON SEPTIC TANK 5. PIPE JOINTS TO BE MADE WATERTIGHT. 7' E i = LEACHING: 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. EXIST. 30 O 3� Ln 8.92 EXISTING 9,44 ASLrNE p = ENVIRONMENTAL CODE TITLE V. 290 2(30 + 9.83) 2 (.74) 118 DWELL. O 6 DWELLING 9 . D SIDES: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 7 SH GAS TF=30.4' i.o6 < BOTTOM: 30 x 9.83 (.74) = 218 TO BE USED FOR ANY OTHER PURPOSE. 29 9.81METER (1,CRAWL) I RKIN i Z 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. RASi TOTAL: 454 S.F. 336 GPD _ -}-�9,U4 C 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 29.04 29 30.41 �9j- - N +29� USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED +�8. z EQUAL) WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' FROM BOARD OF HEALTH. z 8.56 2 .�6 BETWEEN UNITS 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM � I 28.33 h 0.00 i SEPTIC SYSTEM IS NOT C+� i BENCHMARK 3 + 4 I DESIGNED FOR VEHICLE CONC. BOUND �, , LOADING ELEV = 26.67' z7.z7 N �- �-� 2 . 4 �99.b5 LEGEND TITLE 5 SITE PLAN 26.67 84.97' 1 100.0 PROPOSED SPOT ELEVATION OF �8 28. 28.99 83 FIFTH AV E N U E x X 32 100x0 EXISTING SPOT ELEVATION .47 27 -----1 8.43 IN THE TOWN OF: _ ___________ z -code of PACE 100 PROPOSED CONTOUR (WEST HYAN N I SP 0 RT) BARN STABLE PINE STREET 100 EXISTING CONTOUR PREPARED FOR: B O RTO LOTTI CONSTRUCTION/GIOFFRE 20 0 20 40 60 BOARD OF HEALTH HOUSE HAS NO BASEMENT (INVERT INTO LEACHING FACILITY IS I MA NOVEMBER 3, 2004 BELOW THE CRAWLSPACE ELEVATION) APPROVED DATE SCALE: 1 = 20 DATE: off 508-362-4543 fox 508 362-9880 �``'��4..OF r�AsS�c+ � >10F IN{s down cape engineering, inc. 4� ARNE H AwNE o� OJALA OJALA CIVIL ENGINEERS CIVIL NC. 0792 Non28348 LAND SURVEYORS ��o �F �o x % r 04-309 939 main st. yarmouth, ma 02675 F A OJALA, P.E., .S. DATE