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HomeMy WebLinkAbout0035 FIRST AVENUE (HYANNIS) �.�J� a i � CF 114E TO�ti7-0— 31D Application Number.................................................................. RNgrABM MAS& Permit Fee.....(.7.....,..................Zoning District... ............... 1639- TotalFee Paid..........:..................................................... ....... TOWN OF BARNSTABLE Permit Approval by...............................:..On........................... BUILDING PERMIT 2 Map...........67....................PUCC1.1,...P.'.,.Q.......................... APPLICATION Section 1 = Owner's Information and Project Location Rrsi 6\le- Village. qJ± van ri 14 Project Address Owners Name f(e'L5, Owners Legal Address (Jaild City r�sbll,A State N\,A zip 02-46 - - Owners Cell E-mail le lie I'S YYiQ Cakki Section 2 -Use of Struciu,re Use Group ❑ Commercial Structure over 35,000 cubic feet 111SP,mTercial Structure under 35,000 cubic feet Single/Two Family Dwelling Pj Section 3 -Type of Permit Fj New Construction F❑ I I'\Move/Relocate E] Accessory Structure E] Change of use EJ Demo/(entire structur-e) ❑ Finish Basement El Family/Amnesty M Fire Alarm r'Rebuild )Deck Apartment Sprinkler System VD A dilion Fj Retaining wall ❑ Solar Renovation F, Pool El Foundation Only Other-Specify Section 4 - Work Description (2 IN /V,- /,J L. r e 6 a4A---0 Itre -x4 a &-i e- z Last updated: 1/31/2020 Application Number.................................................... Section 5—Detail Cost of Proposed Construction 2S Square Footage of Project Ft- Age of Structure ¢ — Dig Safe Number # Of Bedrooms Existing .-Z2 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 [Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom t Water Supply '❑'Public ❑_ Private Sewage Disposal ❑ Municipal B--On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: A/4-'cG I am using a crane C Yes PNo Section 7— Flood Zone Flood Zone Designation `z Within or adjacent to a wetland, coastal bank? Yes El No B Section 8—Zoning Information A Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed _ t Side Yard _ 'Required ' Proposed Has this property had relief from the Zoning Board in the past? ❑ ❑ No i Last updated: 1/31/2020 Application Number........................................... Section 9— Construction Supervisor Name T�s�"a- c,��� Telephone Number 9-0 $ -7q L(S Address c{41 "[�2��I! �,r�► City &-,rNs6)L State d,44- Zip 02�?b License Number C3 U1441 License Type C s Expiration Date 41 t 312 0 2.3 sa Contractors Email �„ ;t�kl�•c c«-a� ( . co Cell # 5j013 4--4- `{S 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 b 780 CMR and the Town of Barnstable.Attach a copy of your license. - Si nature ' g .- Date I o l /Z a Section 10 —Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstab1 .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. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date /O L 2 0 Print Name U o (c, Telephone Number p �7L C E-mail permit to: Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department, 0 - v U Conservation ' ❑ { � ' For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, EI 1 S a6+t"L as Owner of the subject property hereby authorize L —'Fc-s 4, 4 T3 G-,I to act on my behalf, in all matters relative'to work authorized by this building permit application for: Address ofjob) a Signature of Owner _ date CIC Print Name 1 Last updated: 1/31/2020 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesfigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual):t o S tea-- M (ell �r- Address• __ R1A V S LN . a 2L3� City/State/Zip: ACZI,y SqV!r,VL Elk- Phone#: is $ b`�L(S ' Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. 0 I am a general contractor and I 6. ❑New construction ,qmployees(full and/or part-time).* have hired the sub-contractors 2.R I am a sole proprietor or partner- listed on the attached sheet. 7. g1godeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.kon-ance comp.insurance.: required.] . 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself ' right of exemption per MGL Y �o workers comp. 12.❑Roof repairs insurance rimed.]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 Homeowner;who submit this affidavit indicating they are doing all work and then hue outside contractors mast submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-oontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'camp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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$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 of perjury that the information provided above is true and correct Signature: Date: _ O Phone#: Official use 41y. Do not write in this area,to be completed by city or town official City or Town: Permit/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 M 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 iri 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,§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 conformation 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. a_ 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 like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office-of lnvestip'dow, 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 WWWw ew.gov/dia Town of BarnstableBuilding k( (B"NSTAVLE. s Post This Card.So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made. erm° \\.Fo May Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-17-3458 Applicant Name: YARDSCAPE LANDSCAPE& IRRIGATION, INC. Approvals Date Issued: 11/02/2017 Current Use: Structure Permit Type: Building- Pool- Inground Expiration Date: 05/02/2018 Foundation: Location: 35 FIRST AVENUE(HYANNIS), HYANNIS Map/Lot: 267-020 Zoning District: RB Sheathing: Owner on Record: PREIS, ELISABETH & FIREHAMMER,JOEL A Contractor Name: YARDSCAPE LANDSCAPE & Framing: 1 INC.IRRIGATION, Address: 144 WALNUT HILL ROAD � 2 BROOKLINE, MA 02467 Contractor License: 149188 Chimney: Descfiption: . Installation of Inground Swimming Pool. 6ft. Wood Fence to meet Est. Project Cost: $55,000.00 pool code with selfclosing gate. Autorolling Safety cover. 14'x34' Permit Fee: $ 175.00 Insulation: Project Review Req: MUST FOLLOW PROVIDED ENGINEERING. Fee Paid: $ 175.00 Final: Date: 11/2/2017 Plumbing/Gas rrP;..✓ 7....--- Rough Plumbing: Final Plumbing: Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Ir isulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ® 2 Map34 PG 13 Parcel `4 L� u Application '3 Health Division � Date Issued ^/ � II Conservation Division �`' IAA Application Fee fl Planning Dept. Permit Fee hJ^�ov Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/Hyannis Project Street Address 35 PI f CA V� Village \�`f 0e1\yni S 904, Owner_ E l I SC -6t f fe(S Address P(-S T eve YW!A„nrm 6 Telephone qqri — i ucN Permit Request j or4a k t et,-t;00 ©p i 1,J 5CW, � � t+'u`�q PQd f to w6 , Pn ce I�x 4 &Jn,t- ►`nXro,,-k (Piz( Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size �o m Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2f Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes 4 No Basement Type: ® Full ❑ Crawl ❑Walkout ❑Other ��ll Basement Finished Area (sq.ft.) Basem hed Area(sq.ft) Number of Baths: Full: existing new alf: e�s�ViRr new Number of Bedrooms: existing _new �WIV®P Total Room Count (not including baths): existing news, First Floor Room Count Heat Type and Fuel: ❑ Gas , ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - (BUILDER OR HOMEOWNER) G; Name Telephone Number Address �12 9 G ),I Au YCA License # �t Y � Home Improvement Contractor# it l l Email SCA-9t&"A e- 60MC4s Ott. Worker's Compensation # WWC 32 ,,&I / ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # GATE ISSUED I`AP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 5-T-0,0t,- l Q 113 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I `7 100.00' OR PO...'OL 7.7.7.7.7. 7. x / EXIST/NG'DELW /NG F 5 182' . �. 1000 SHE/ 051 100.00, 2.4' ROBIN 9p . WILLIAM wl�Cox , MAPLE STREET ;, No 31341 0 TO THE: BEST ,OF MY I;NFORMATION,. "PRC�pnSE1�" PLOT PLAN KNOWLEDGE, AND , BELIEF nTHE ; HYANNISPORT MASS STRUCTURES` SHOWN ON ,THIS PLAN �arS 44 a� 46, PL. .BK.. 34 :PG. 23 HAS BEEN LOCATED ON THE GROUND DATE 7/3�17 SCALE 1" AS INDICATED JOB . 7881 00 :CLIENT PREIS SW ETSER ENGINEERING 203 SETUCKET ROAD DATE PROFESSIONAL LAND SURVEYOR Po BOX 713 SOUTH DENNIS, MA 02660 OFF. 508-385-6900. FAX, 508-385-6991 C: I S8 I PROJ 1 7881-00 I.dwg 1 7881-PP001,DWG 6 2017 SWEEPSER ENGINEERING 101 jj Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 w Home Improvement Contractor Registration 1 Registration: 149188 Type: Private Corporation .� Expiration: 12/2/2017 Trfi 272848 YARDSCAPE LANDSCAPE & IRRIGATION:; JEFFREY FANARA 327 WHITE'S PATH S YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. SCA i Co �20M-05/11 Address Renewal Employment Lost Card � � � � � -- � - �B (PO�IYL%JZ09'GLQBCfLGf2 O�C%l!LCY,OuCl,Cf2LfJ6GYJ � � :. .. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only: UWOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. egistration: 149188 Type: Office of Consumer Affairs and Business Regulation xpiration 12/2%2017, Private Corporation 10 Park Plaza uite 5170 Boston,MA 02 6 YARDSCAPE LANDSCAPE:&;,,IRRIGATION, INC. JEFFREY FANARA 327 WHITE'S PATH S YARMOUTH, MA 02664 Undersecretary t valid without signature YARDLAN-01 T UIRK ACORO� DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/19/2017 THIS CERTIFICATE IS ISSUED AS A.MATTER OF: INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE.-A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the.policy(ies)must have ADDITIONAL INSURED provisions or be:endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement.on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT-- -- - - NAME: .. .. Roggers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/C,No,Ext: A/C,No:(877)81672156 South Dennis,MA 02660 E-DMAIL r0 erS ra coDR s:mail@. 9 9 Y•. m INSURERS AFFORDING COVERAGE NAIC# _ INS URERA:Arbella Protection Insurance Company,Inc. 41360 INSURED - INSURERB:WeSCO Insurance Company 25011 -- Yardscape Landscape&Irrigation Inc& INSURER C:.. Bella Pools 327 Whites Path Road.. INSURER D South Yarmouth,MA 02664 INSURER e INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED.TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR:CONDITION OF'ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED.OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE.POLICIES..DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY - 1,000,000 .. EACH.00CURRENCE CLAIMS-MADE OCCUR 8500046547 03/18/2017 03/1812018 DAMAGE TO RENTED 100,000 P EMI E E curr n $ MED EXP(Anyoneperson) $ 5,000 . PERSONAL&.ADVINJURY $ 1,000,000 MOTHER: L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE 21000,000 PRO- :.. .. ..POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2000,000 A AUTOMOBILE LIABILITY - : COMBINED SINGLE LIMIT 1,0001000 - ... Ea accident $ ANY AUTO 1020015747 03/18/2017 03/1812018 BODILY INJURY Per person) $ OWNED Lxx SCHEDULEDAUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRESNON OWNED - PROPERTYDAMAGE XAUTOSONLY AUTOS ONLY-- Per accident $ A X UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ 1,000,000 EXCESS LIAR Hx CLAIMS-MADE 4600046549 03/18/2017 03/18/2018 AGGREGATE $ 1,000,000 DIED I X I RETENTION$ 10,000 B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY - - X ST T TE ,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N C3282679 06/07/2017 06107/2018 1 -- .. E.L.EACH ACCIDENT - $ . OFFICER/MEMBEREXCLUDED? - �� NIA - (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,OOQ000 DESCRIPTION OF OPERATIONS below -- - - E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES:(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Landscape&Gardening Contractor Workers Comp Information-Officers Included CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Elisabeth Preis - 35 First Avenue West Hyannisport,MA 02672 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The CawmompeaWt o r�rt e s Deparormt Bastotra MA DZIU • iAtV'kR.lf!&��aP9�� . WAS mml Cuu Pneatcnr Twarmc ffil��- m'fiiP m/ ers AppHc2mt Please Frint •Nm= sWt 10166W225 T-nIC, Are gnu as exaplager?Chcckthe agpraprsats bu= Type of ec L ama w Z 4. ❑Iama�al.coskaetxsxandI �'Qt i {regttued}= & El New coust� Z.❑ Iama sale prcpdotor orpmt3er- Fined on:tie dbmhed ahem 7 ❑RFWn 4 and hwe no emplgem Mrase sub-conhw1am.have S. p Demolition v cddng f r=s iu aqy capacity el�plqyecs andb= s 9- ❑$ ad og INO wodmw=MP -1 �. ❑ e axe a pozafion and I p Eled i d mpaim or adai=s 3.p I am.a des'doing zllvmk oftroers have cm=d tbek 1L❑Fh=biagrepz-=or additions ' o=dmw gip light of a ea Per MW- i ance c C.M§IM andwe hwe as 17❑Rflcs repaxs 13_C , sn►&roU Hw y [Na ' C0�-msora� � � ,gyms MimsEMEXUB depamaabi.-0 McTl- fea®siffmg c ryes 6�Est ,e aasddiG�t sheers sLea of the mb-ca �site a�aot em - employees.T€t��-c�a.�a�es7��o�To�S�egim��tr,�s�dr�r Qa�'�P-P�r�� I atn m�srrrg7ay�sr fLaf'isgraucdug�oarl�ers'coatimt iasrxraracs�vr�emFfo��ex $eFaty is t7esgrrFicy arcd faFi ritss ` TTY-mT= Comganymamm Paficg or elf-ins.Iia¢ 1N�1C 32 S 2��� 2 L Job Situ Jl - isl" i�V2 c gis+ F l P1n�S � , V`►Wi Attach 2 copy of the vr&rkare EMM P &aMrAfina page•(shawisg the p'Q&Y I er and Coq]IIz&iL dxte)�. Failure to sew covmmp as requinAuud-Sew 25A of MGL m 152 can lead to Se imposiiioa of criraiMai pis of a fine up to$L5aa as wWbr ono-yearimpdm=mesx f.es Dreg as ciul peaaffies is•Hie fa=of a STOP WDRX€EDERand a,fin of ups to$250-M a dap agatiast tiie violator. Be ahised!flit a cagy a€tbis sta mn maybe fax warded to the Office of Imvestfgati=ofttre DTA inr ise—ce covemp rer6cafticn- fy $� and psrsaIfiesF� attta iar enrriarxgroded a i aid Fboae t� . 02ki d am wiFy. 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Nua k� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section_ If Using A Builder I, ���I ScA' t''� F ��$ ,as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building pettnit application for 35 Firs - a c,-Avi (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final ins a ns are performed and accepted. Signature of er S of Applicant �U TV1 Print Natne Print Name t Date QYORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services p1fr Richard V.Scali,Director Building Division IMENSTAI= = Paul Roma,Building Commissioner XAM ��� 20.0 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less.and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who.owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one,or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year 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 yermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a-licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 . ..w-IHAYWARKY . . POOL:AND SPA/HOT TUB HEATERS H150FD, H2O0FD, H250FD, .H300FD, H350FD & H400FD MODELS SERVICE & INSTALLATION MANUAL pESIGN FOR YOUR SAFETY SP SP A WARNING: If the information. in these CERTIFIED instructions is not followed:.exactly, a_ fire or �fRnF�w explosion may result causing property%damage, injury, or death., Do not store or use gasoline or other flam- 4 mable vapors or liquids in the vicinity of this or any other appliance. e o . WHAT TO DO IF YOU SMELL GAS: • Do not try to light any appliance: • Do not touch any electrical switch; do not use any phone in your building: • Immediately call your gas supplier from a neighbor's phone.Follow the gas supplier's instructions • If you cannot reach your gas supplier, call the fire department. Installation and service must be performed by a qualified installer, service agency,or the gas supplier. Wiring Connection Diagram / Schema de Connexion de Cablage Hl50FD, H2O0FD, H250FD, H300FD, H350FD, H400FD Fuse Circuit Board Keypad/Pavd num. . :. m .erique YOQQ Display Circuit Board Water Temperature - v Carte de circuit BRBK.Y O R GY G G W BK - Limit Switch e fusible sERVI�Eo7---�o AN�: r�„nHGo Carte de circuit Commutateurlimiteur M , e e e d'affichage de temperature d'eau . T2 Tt T4 T3 24V C P1 TRANSFORMERS Low HIGH VOLTAGE . PPoMARY VOLTAGE 0 P6 P3 P5 u'BK .. m RAN ORMER TRANSFORMER O sscoN —E Water Temperature Sensor BK Water Temperature - Capteur de temperaturede I'eau Gas Valve Limit Switch .10LO aoRLo sLoeLo So Gas Valve - - Commutateurlimiteur de temperature d'eau V� V V ,Flame Sensor .. .. '. .. .Capteurde .... '. VOLTAGE TRANSFORMER R, O M GYM . M1 U Flammes SELECTOR GECONDARY. � � : �� DISRAY �� �E13 R BK - I P2 T2 r� r4 n z4v c -N - rzw P4 ..T. R °n T' :E7 ""` .E12 0 0 0.0 O 00 .. 240 VAC Plug F1 BK .. ' Prase de 240 V c.a. R R GY GY W p .: - In O Water Pressure Switch .. 120 VAC Plug R - - m n, Control Module BL Pressostat d'eau Prise de 120 V c.a. E4 Module�de cemmanIf a BK Ell R SPAc U Transformer W z4va Transformateur O - G ROOL D_ Blower Vacuum . : E1 E3 iNcucER E6 E10 b BK -Switch xx+naR .. r ,. Commutateur a vide ¢ a - O -:W de souffiante ... ---- BK black noir W W gL gK Vent Pressure Pressostat O 3 7 -:. R BL blue bleu 1. BR 2 6 GY - BR brown marron I Switch d'event G green vert Ignitor Combustion Blower I (Indoor (modeles d'intedeur I - Rallumeur - SouFllante de combustion I Models Only) - seulement) I , .o o GY gray g"s L--- -------J - .� .. 0 orange orange.. ... -— ., R red.: rouge. - - V violet viole4 . ° W white blanc BK— 1 5 GY � .Y yellow jaUme .6K. NOTE: _ ..... G —♦GND ., Power Connections _ I _ I 1. Heater is factory wired for 240VAC.To convert to 120VAC,install 120VAC plug into mating connector on fuse I _ I Power Connections Connexions d'alimentation N/ ♦ I IzrvLr I circuit board. -- RNV --�N/L2 _ I -I— Connexions d'alimentation ) GND�--— — G� 2. For field power connections use 14 AWG or larger wire rated for at least 75°C(167°F). � BK ♦L/.L1 -3. For field remote thermostat connections use 22 AWG or larger wire. Remote Thermostat — I 4.If any of the original wire supplied with the heater must be replaced,it must be replaced with 18 AWG,UL or _ CSA approved wire,rated for 600V and 105°C. I I Remote Thermostat Connections SPA�-—— R __ Connexions de COM I I I O ♦POOL/PISCINE-Connections ♦——— W REMAROLE. w ———♦COM Connexions de thermostat POOL/PISCINE�-—1—— o t 1.Le rechauffeur Est c2ble A I'usine pour 240 V c.a.Pour le convertir 6 120 V c.a.,installer la prise de 120 V I R ——t—-►SPA thermostat teleoommandd � — — c.a.dons Is connecteur correspondent sur Is carte de circuit a fusible. : — — J teteeommande 2.Pour[as connexions d'allmentation de terrain,utiliser un fit de calibre 14 AWG ou plus gros,homologue pour Left Junction Box 75°C(167°F)au moins. Right Junction Box ) Bone do jonction de gauche 3.Pour lea connexions de thermostat de terrain 3 distance,utiliser un fit de calibre 22 AWG ou plus gros. BoTte de jonction de droite 4.Si lout fit foumi initialement avec Is rechaufieur doit aVe remplac6,it faut Is remplacer par un fit de calibre 18 AWG,approuve UL ou CSA,homologue pour 600 V.at 105°C. 1303103801 rev 1co ... LO Automation and Chlorination .. .: � .. Installation Manual for models 1. .. .. .. .. .. PL-PS-4 PL-PS-8-V PL-.PS-8 PL-PS-16-V PL-PS-16 L i r Low Voltage Wiring _ Valve Actuators The Pro Logic can control up to four(PS-4/8)or eight(PS-16)24V automatic valve actuators. Two of the valve i„ outputs are dedicated to the pool/spa suction(Valve2)and return(Valve 1)valves. Valve3 and:Valve4(Valves3,4; I 7-10 for PS-16)are for general purpose use(solar,water feature,in-floor cleaner,etc.).For installations with solar heating,Hayward offers the AQ-SOL-KIT-xx solar kit that contains a valve,actuator,and extra temperature sensor.The"xx"indicates the valve type from the 2 choices below: ` AP 1.5"Positive Seal: -2P 2"Positive Seal ' The Pro Logic is compatible with standard valve actuators manufactured by Hayward,Pentair/Compool,and Jandy. See diagram on page 12 for the location.of valve connectors. Heater Control The Pro Logic allows for independent control of up to 2 heaters plus:a solar heating system if applicable.Atypical use for this feature is on a pool that has both a gas heater.(for rapid heating of the spa)and a heat pump(for economical heating of the pool).IMPORTANT.If you chose to use the"Heater2"control output,then you will not be able to use the"Valve4"output.These 2 functions use the same internal relay and only one can be enabled.In the configuration menu,if"Heater2"is enabled,then the configuration for"Valve4"will never appear. The heater interface wiring,as described below,is identical for"Heaterl"and"Heater2"except for the terminal connections at the Pro Logic control. The Pro Logic provides a set of low voltage dry contacts that can be connected to most gas heaters or heat pumps with 24V control circuits. Refer to the diagram on the following page for a generic most. The manuals supplied with most heaters also include specific wiring instructions for connecting the heater to an external control (usually identified as"2-wire'.'remote control).For millivolt or line voltage.heaters;contact Hayward Tech support, 908-355-7995. Refer to the diagrams and the information on the following pages for more details on the connec- tion to several popular heaters. Generic Heater - 1. Wire heater to 120/240V power source per the.instructions in the heater manual. The Pro Logic does NOT f control the power going tothe heater: 2. Wire the Pro Logic.dry contact heater output per the diagram below. Many internal parts of the heater can get very hot--see the.heater manufacturer's recommendations:on the minimum temperature rating for wires. Ifno guidance is given,use 1050C rated wire..: - - 3. Set any ON/OFF switch on the:heater to ON. 4. Set the thermostat(s)on;the heater to the maximum:(hottest)setting. I� _ Kill Switch Thermostat i HALYWARIY I526115VSP Rev-A Pump@ ,Vs.5uper Owner's Manual 'Q Model SP26115VSP i :Super Pump VS Variable Speed Pump Hayward's Super Pump VS variable speed pump delivers incredible_.energy savings via its advanced _. hydraulic design combined with a totally enclosed, permanent magnet motor. Super Pump VS is easily installed either as a programmable stand-alone pump or with a Hayward or third party controller and features an easy-to-use digital controf interface that can be mounted in four different posfdans on the pump or removed and mounted on the wall for total user convenience. Note: To prevent potential injury and to avoid unnecessary service calls, read this manual carefully and. completely. Unless otherwise stated, instructions in this manual apply to both pump models. SAVE THIS INSTRUCTION MANUAL • g � � c 3 I SPEED i.. l SPEED 3 STOPIRESUPAE QUICK CLEANa* 5 i i. Preset Speeds: Buttons labeled SPEED i.thru SPEED 4:can be used to run the pump at predetermined speed for a certain length of time. Preset Speed settings can be quickly updated using the.+and-arrow buttons to change the speed and then pressing the>button to save the new speed setting. When a speed is selected,the LED beside the button.will illuminate to indicate operation. a. Default Speeds: • Speed1: i000 rpm • Speed 2 175o rpm.. • Speed 3: 25oo rpm • Speed 4. 325o rpm . .:.. 2. Menu/navigation buttonse The MENU:button will scroll through the setup menus when pressed. The<and > arrow buttons are used to.move between displays and to select parameters to edit, and the+and -arrow } buttons are used to change parameters. 3. Status LEDs: The CHECK SYSTEM LED will illuminate when the pump is experiencing an error condition.The TIMERS ACTIVE LED will illuminate once timers have been programmed to run the pump, even if the pump is not presently running. 4. Stop/Resume::This button is used.to stop the pump to allow strainer basket cleaning, etc. When this.button is pressed,the pump will remain stopped until the button is pressed a second time.to resurne:normal operation. When the.pump is stopped,the red LED beside the button will illuminate to indicatethat the pump has been stopped. 5. Quick Clean: QUICK-CLEAN is a-mode intended for use when the pool will be cleaned with.a suction side vacuum _ - USE ONLY HAYWARD GENUINE REPLACEMENT PARTS Page 19 of 32 Super Pump VS Variable Speed Pump IS26115VSP Rev-A 100.:00' rC 1 nr A BAILABLE FOR POOL z / EXISTING DWELING 29.6' EXISTING SHED � -� 1000 - G.S.T. vJ 100.00'. 2.4' pEpT. ROBIN WILLIAM WILCOX_ _ MAPLE STREET 201i NO. 31341 SABLE ° TOWN OF BARNS F eL LA10 THE BEST OF MY- INFORMATION; "PROPOSED" PLOT PLAN )KEDGE, AND BELIEF THE HYANNISPORT, MASS ,,UCTURES SHOWN ON THIS PLAN LOTS 44 & 46, PL. BK. 34 PG. 23 3 BEEN LOCATED ON -THE GROUND. DATE 7/317 SCALE 1"=20' INDICATED JOB 7881-00- CLIENT PREIS 117 SWEETSER ENGINEERING 203 SETUCKET ROAD -E PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02660 OFF. 508-385-6900 FAX. 508-385-6991 C: I S8 1 PROJ 17881-00 I:dwg 1 7881-PPOOL.DWG O 2017 SWEETSER ENGINEERING i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 2 d Application# l) Health Division ®C_ Conservation Division Permit# Tax Collector Date Issued 1 C11 k Treasurer Application Fee Planning Dept. Permit Fee 7� 1 Date Definitive Plan Approve b tanning Board Historic-OKH �� eservation/Hyannis Project Street Address 3! /ST /?v� Village LtJ h'�ia�/drS lr4i2 i Owner ( ,dlz .vrtj,"'Al d ,= t t �i v Address 4''4ZGroC1V AV49 ,p Telephone 201 9� —3 g} /+��s�7 �J o 7y�1 S � t Permit Request r1��[J �,���'N.�"I✓ Ooko e r3 %Y y eit/ee Axe oV AeAw wy 7cr,tlov tt,Jii+r.Jo eu Aziot-N—e iyi . 40&��Xp) A/rao" kowe rip Y 911C�0r"10 fY Square feet: 1 st floor:existing / 2 proposed ` "C-2nd floor:existing 00 proposed '"'O"Total new Zoning District Flood Plain Groundwater Overlay Project Valuation X Construction Type &Aoo 4� Lot Size Grandfathered: Ales ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2r Two Family ❑ Multi-Family(#units) Age of Existing Structure �9` p89 Historic House: ❑lYes 46o On Old King's Highway: ❑Yes ❑No Basement Type: OTNII ff Crawl ❑Walkout. ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) 6—fT Number of Baths: Full:existing •3 new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing 7 new First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑ Electric ❑Other Central Air: 4 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 4 Commercial ❑Yes B No If yes, site plan review# r � Current Use Proposed Use .- BUILDER INFORMATION cif `- Name &aa Telephone Number 2 as Address D DQD���.ri�4i?�. LiV License# ��3 f�6 3 1 #�_, Home Improvement Contractor# )34ra`�Sl—z Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THI ROJECT WILL BE TAKEN TO. /LN�►lJ/� � f7,Y 1 '+ _ SIGNATURE DATE t f 1 s FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` MAP/PARCEL NO. ADDRESS .VILLAGE f j OWNER 'r. DATE OF INSPECTION: 3 FOUNDATION I • f FRAME U INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING D�C— (9 `�" 7 0 7 ' DATE CLOSED OUT a ASSOCIATION PLAN NO. j The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual); IVNA de Q Address: 30 ADsa rr.•,, City/State/Zip: !t/ Y�r�trarov:�f O2L'�3Phone.#: CO6P Are you an employer?Check the appropriate bog: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I 6. New construction.. employees(full and/or part-time).* have hired the sub-contractors 2.I'rI am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑Building addition [No workers'comp.insurance comp.insurance.$• required.] - 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date), Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 tLs-ofper' ry th t e.information provided above is true and correct. Si mature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/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 t 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 legal representatives of a deceased employer,or the receiv�oLtrustee of an individual,partnerft,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-conti•actor(s)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 thatmust 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 tevVn)."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 like to thank you in advance for your cooperation and should you have any questions.- please do not hesitate to give us a call. a , The Department's address,telephone-and fax number: The CommouWWth of Massachusetts Department of Industrial Aoc demts Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax##617-727-7749 Revised 11-22-06 w.mass.gov/dia E '.lV it X& va �+.•..��.......�..,..� Regulatory Services Lam ; Thomas F.Geller,Director. Building DivWon '°Tan Tom•Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 WWW.tomj,barnstable,ma.us_ Face, 508-862 -4038 Fax 508-790-6230 Date • AFFIDAVIT HOME IMPROYENIN T CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION lyiGL c, 142Aregnires that'the"reconstruction,alterations,renovation,repair,mode2nization, conversion, proyement;remoya, demolition,or construction of an addition•to any pre-existing owner-occupied building containrD$at least one but not more than foot dwelling limits.or to Structures which'are adj scent to such residence or building be done by registeree contractors,with testa is exceptiow,alcrng Rzth other require'nents. Type of Work: A&A OD1� Estimated Cost_ /�� Ix Address of Work: pyer's Name: Date of Application I 6 I hereby certify that . Re&tratign is not retired for.the following reason(s); []Work excluded by law 036bUnder$1,000 Mutiding not owner-occupied ❑Owner pulling own.peanit Notice is hereby given that: OWNERS pULLING THEIR OWN FERMI ORI]EALING WITH UNREGISTERED CONTFACTORS FOR APPLICABLE HOME IMPROVEMENT VORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UnERMGL c,142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a Permit as the agent of the owner; 3at ontractor Registration No, p Z OR Date Owner's Signature Q;�vpfiies.forms:homeafiidaY ' Rev: 060606 03/09/2007 09:13 2012228890 HCCI HOBOKEN OFFICE PAGE 01/01 T o 'of Barnstable QRegdatory, Services - h ARMISTABLE Thu=T.Ge���r,Dizeetsax yA7�+srasLC D1"P.isiol4 k M. v8• L ag�4.ba �i113�C 1 161 MAR —9 Tozu.1'eSryy B�taing�emvsl;ssion�fi 200,MoinStreet, ]4yp ss9 'A 02601 p��E; 508-g62•4b3S property ovmet INTlast c)mplete and SigtaThis Section f Using A B�i?�dex (Dram of the s ibi mtpxop� eo act ou=p bcha , hezebT auth� e isi a]lrcmatters zelatitve to rox��� gtl2ed by t'As b-43in,pa=t apiacat�oa (Address of Job) g atur of C>W'Aet Boa d 1U Id Reg uing anac�u ruction Su lards Const • � Supervisor License Licen's�,: CS 73853 ' { Birthcfa>e_ 1954 X ,09 Tr# 9472 i MARK D BI'BBO L{ 30 ROS EMARYLN §` f W YARMOUTH,MA 0 673—= Commissioner Property Location: 35 FIRST AVENUE AIAP ID:267/020/// Bldg Name: State Use:1010 Vision ID:19155 Account#168348 Bldg#: 1 of 1 Sec#: 1 of 1` Card 1 of 1 Print Date:11/28/2006 09:57 CONSTRUCTIONDETAIL, CONSTRUCTIONDETAIL CONTINUED Element Cd. Ch.Pescription Element Cd. Ch. Description Style 06 Conventional i � Model 1 Residential Foundation 07 14 Grade C Average3 Stories 1.5 1 1/2 Stories Bath Split 30 3 Full to , ccupancy � MIXED USE 16 FEP 1 Exterior Wal1 1 14 Wood Shingle Code Description Percentage Exterior Wall 2 1010 Single Fam MDL-01 100 —` Roof Structure 03 Gable/Hip AS 3 11 oof Cover 3 sph/F Gis/Cmp MT 25 tenor Wall 1 5 rywall 6 COSTIMARKET VALUATION 14 � Interior Wall 2 - - - - 14 Interior Flr 1 12 Hardwood Adj.Base Rate: 02.66 .�✓ S t Interior Flr 2 2 inimum/Plywd 20 ' t Heat Fuel 3 Gas 20 5 FHS t r Replace Cost 07,271 ,t BAS 2 Heat Type 4 of Air YB 1930 C Type 3 Central EYB t985 Total Bedrooms 5 Bedrooms Dep Code 41 UAT ' Total Bthrms Remodel Rating 8 BAS 10 t`> Total Half Baths Year Remodeled 8 MT a21 OP B 15 t`~ • Total Xtra Fixtrs. ep% 0 Total Rooms 8 8 Rooms Functional Obslnc D BAS Bath Style External Obslnc 11 11 2 ` j- Kitchen Style Cost Trend Factor 1 $ �w Status %Complete Overall%Cond 0 .' pprais Val 165,800 ep%Ovr Dep Ovr Comment s isc Imp Ovr isc Imp Ovr Comment Cost to Cure Ovr Cost to Cure Ovr Comment Q OB-OUTBUILDING& YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) Code Description Sub Sub Descri t LIB Units Unit Price Yr Gde PRt Cnd %Cnd 4pr Value SHED Shed L 80 8.00 1990 1 100 500 No Photo On Record BUILDINGSUB-AREA St RYSECTION Code^ Description Livin Area Gross Area E .Area Unit Cost Unde rec. Value AS First Floor 1,302 1,302 102.66 MT Basement Area 0 544 10.19 EP Enclosed Porch 0 224 30.71 HS Half Story 503 670 77.07 OP Open Porch 0 30 20.53 AT Attic,Unfinished 0 348 25.67 Ttl. Gross Liv/Lea.ce Areal 1,805 3,118 Property Location:35 FIRST AVENUE MAP ID:267/020/// Bldg Name: State Use:1010 Vision ID:19155 Account#168348 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:11/28/2006 09:57 .�CVRRENT O ER TO UT I ES -,-s R JROAD - , �LOC TIOJV CURRENT ASS SS EN UCCHIANERI,BARBARA TR 1 Level 2 ublic Water 1 aved Description Code Appraised Value Assessed Value " P BUCCIANERI INVEST TRUST ES LAND 1010 282,900 282,900 801 O BOX 794 as eptic SIDNTL 1010 165,800 165,800 006 Barnstable Data,M, SIDNTL 1010 500 500 HYANNISPORT,MA 02672 -SUPPLEMENTAL DATA Additional Owners: ther ID• Plan Ref. Tax Dist. 400 Land Ct# er.Prop. #SR Life Estate VISION DL 1 LOTS 44&46 Notes: DL 2 GIS ID: 19155 ASSOC PID# Total 449,200 449,200 4 RECORD OF OWNERSHIP" BK-VOLIPAGE_ SALE DATE qlu vA SALE PRICE KC, PREVIOUS ASSESSMENTS(HISTOR s UCCHIANERI,BARBARA TR 10412/321 09/15/1996 U I 10 IA Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value UCCHIANERI,ANGELO&BARBARA 1353/107 Q 0 005 1010 143,700 004 1010 143,700 003 1010 62,906 005 1010 143,800 004 1010 135,800 003 1010 115,400 005 1010 600 004 1010 600 003 1010 600 Total. 288,100 Total: 280,100, Total: 178,900 EXEMPTIONS_ r OTHER`ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year Type escri tion Amount Code Description Number Amount Comm.Int. 0 5C rSIDENTIAL EXEMPTION 0 APPRAISED VALUE SUMMARYTotal, n s r Appraised Bldg.Value(Card) 165,800 ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 0 NBHD/SUB NBHD NAME STREET INDEX NAME TRACING BATCH Appraised OB(L)Value(Bldg) 500 0111/A Appraised Land Value(Bldg) 282,900 _NOTES . _ _ _ Special Land Value 0 1 Total Appraised Parcel Value 449,200 ANGELO G BUCCHIANERI Valuation Method: C DOD 8/15/1998 0 Adjustment: DC 14228/139 9/13/2001 et Total Appraised Parcel Value 449,200 a BUILDING PERMIT RECORD VISITI CHANGE HCSTORY. �. Permit ID Issue Date T e Description Amou 1.nt Insp.Date %Comp. Date Camp. Comments Date Type IS ID Cd. Purpose/Result B37725 05/01/1995 AD 5,000 01/15/1996 100 HPPORCH 6/25/2003 PT 01 eas/Est B34128 01/01/1991 AD 46,000 01/15/1992 100 HP ADD'N 7/14/1999 DD 00 eas/Listed 5/15/1992 LK 00 eas/Listed LAND LINE VAL UATION SECTION B Use Use Unit I. Acre C. ST. # Code Description Zone D Froniaze Depth Units Price Factor S.A. Disc Factor I& Ad'. Notes-Ad" Spec I Pricing d'. Unit Price Land Value 1 1010 Single Fam MDL-01 RB 4 0.18 AC 170,000.00 4.20 5 0.0000 1.00 0111 2.20 10 1BLDG.SIT ; 282,900 i rr �` Total Card Land Units: 0.18 AC Parcel Total Land Area: .18 AC Total Land Value: 282,900 NEcJ Po RCN /�R�=.a4 _ - �3wcaiw� Sv/��-'o.�fi• � � JJ i( C.o. i Sc t?�'e.l 1 �a r?C t1 - - C868 ! I 9LrTt �ILl� I k 46EC.hs -r ,dt p I—,/2"3A,2, I Zv22 r'' D�.f - CG O --- _ L_LEW t LLV 1-1 A NN I S Pa f? r 12-ZI -06 (3,� —CtILINC� ,, �RFviSFp 3-3-07 _ i I ?I In Ali ! c4Ti-4€DRAi- C E r L1-1J6 if I�1 j } LLEW t LLB/N 35 tST AVE, - _ � NN e s Pa R'►' � i2-zi -06 gs-CElL1l�� E 0P1:N \ I, (V t f _ AL -_---- L. 13CAI`vI�S r 2. LvL � 7lyXl3/�- 13 0O f A-I- SUPPORT, 4.4L4 y C0LUMN . 1 i b ( ALL F00�:/lV!mob LQ cv )575 00( � a ti f-i3o I _ a Ft30,5, ��9H LLC'k1E4.4YM btl� 1-/ / N l5 Po I P3 2Xy �or1P. Ga R na / \13 2 I a 2-i- c'X� 13000-/�c / M�TIr v/i6aZ �LvS� 2�-2 w/sb ra jCARR VE4. / 2X0RIN Pt-y4960D 90 �Z I I5 SI �� iuro Rfi /t 2''oc t e `' --R2 WALL c '-R3o CEwt.hrl I 7 flf&AFP r� LLE i 36 IS T, rQYtr. Vv' l�y4.vs✓�sr'o�i Town of�arnsta * `Zo 005 3 C �y o ble Permit# Regulatory Services Grp%res6nrar sJronrissrredate swxvsr�sue, Fee Thomas F.$ Geiler' Director Building Division Tom Perry, CBO, Building Commissioner MIT 200 Main Street, Hyannis;MA 02601 Or- - R L010 www.town.barns tab le.ma.us Office: 508-86274038 TOWN OFF $TAam EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Nol Valid without Red X-Press Imprint Map/parcel Nunber Property A d d ress 3 f E/C-> g Residential Value of Work Minimum fee of$35.00 for work under$600000 Owner's Name & Address J 2 �, �� � Contractor's Narne Telephone Number Home Improvement Contractor License#"(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ® Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roo fl ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum .35) # of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc, ***Note: Pro erty Owner s sign Prop Owner Letter of Permission, opy of the a mprov n Contractors License & Construction quired. Supervisors License is 'GNATURE ,WPFILESIFORMS1b Idingpermi orms\EXPRESS.doc wised 072110 771e Ct7inniolrivealth of-Massachusetts ----- Department of h>dusirial_4ccidents �-- Office of investigntrons t' 600 Washington Street I Boston, rV,1 02111 rt.�stwt�.ntass.gov�'�in NVarkers' Compensation Insurance AffidaNit: Builders/Conti-act©i-s/Electricians/Plumbers Applicant Information Please Print Legibly Nerve (Btisines&/Orgmizatim.gndividuai): Io AR �/ r,s ff Z V Al Address: Ave City/State/zip- V747 Y V i 0A one #: ?c?I-9/S- 3> >jff Are you an employer^Check the appropriate boa:: Type of project(rewired): 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 constnictYon 2.❑ I am a sole propnelor or partner- listed on the attached sheet_ 7. ❑Remodeling ship.and have no employees These sub-contractors have g- ❑.Demolition wvorking :for me in any capacity. . employees and have workers' [No workers' comp.insurance comp.insurance.. 1 9. ❑.Building addition required] 5. ❑ l 'e are a'corporation.and its 10.❑Electrical repairs or additions am rs 3.® .1.a a homeovmer doing-all work affi.cers have exercised their 11.❑Plumbing repai or additions myself [No workers'comp. right of exemption per MGL 12.R Roof repairs ins-unrice required.]r c- 152, §1(4),and we have no employees. [No workers' 11❑Other comp.insurance required.] ;Any applic=r that checks box#1.must also fill out the section below showing their workers'compensation pahcy inforrmtian. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a uew affidavit indicating such- IC'ontractors that cheek this:boot must attached as sdditioml sheet showing the:nsme of the sub-contractors so.d state whether or not chose entities bane emplovees. If the sub-•contntctors:have employees,they,must provide their workers'comp.policy number. I arrt art errrpioygr fhat is protridirrg tt%rkers'conrpertsation irrsrtrrr.rrce for r�tti'ixt9rplay gs. Belo",is the policy arrd job site irformadVIL Insurance Company Name.- Policy#or Self--iias.Lic_#: Expiration Date: Job Site Address: city/state/Zip.- Attach a copy of the workers'compensation policy declaration page(sho wing the policy number and expiration date). Failure to secure coverage as required under Section 25A of hfGL 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 ci,.ril penalties in the form of a STOP WORK ORDER and a fine of up to$250M a day against the viola A. Be advise at a cop),of this statement may be forwarded to the Office of Investigations of the D for msuranc ge v a I do hemby c-ertify der Ella pair rr altigs o p .it. 'that the h format on prm�ided above is true and correct. Si Date: ***4 —2 Phone#: official►ise only. Do not.rtrit-e in this area,to be completed by tiff or town ofciaL. City or Town: PermitfUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Fowvn Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 6 �I fHE Town of Barnstable Regulatory Services 9 aw�JASS. Thomas F. Geiler, Director $� b79• a�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 518-862-4038 Fax: 508-790-6230 r HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER" ,9.r2 n✓t y name g f -home phone# ;. work phone# CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,. bylaws, rules and regulations. The under 'gn*rents es that he/she understands the Town of Barnstable Building Department minimum inspection procedu nhe/she will comply with said procedures and requirementslSigat e of Hord Approval of Building Official Note: Three-family dwellings containing 35000 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 ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as r supervisor." ' Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,'Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc s- Revised 072110 OF THE w anxxsrnsLE, 1619.MASS. Town of Barnstable prfD MA'S A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. _ y. as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: % A/A (Address of Job) /0 - 2D Signa re of 00 ner Date ��R�1 y LLawPLL � /Jf Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORMSIbuilding permit forms\EXPRESS.doc Revised 072110 37.1 _ 1>\37 6 i 37.6 x :----------- x 36.7 / 36.7 � I _2 \ L 8 0 33.4 , 3 .7 ' 1 X 2 .� \ 9 l�34.5 ` �r 3 I 13.7 5 -t 3 �32.9 is •5 1.3 33. 32 3 1 8 Xi3 s VEGETATION, TOPOGRAPHY AND PLAN IMETRIC DATA INTERPRETED FROM 1989 AERIAL OVERFLI( 1"=800'. MAPPED AT 1"=100'. PARCEL DATA DIGITIZED FROM 1"=100' ENGINEERING ASSE � - °�-`7 - dam � D� orc �cv� �� � ; ��� � ���� e�� i i3OWN OF BARNSTABLE BUILDING PERMIT APPLICATION �'T f Map 2 4 ' Parcel G 2 Application#o Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee cpv Date Definitive Plan Approved by Planning Board �► `' Historic-OKH Preservation/Hyannis Project Street Address 3 f—>a.5 7- A Village d Owner ^, �� s'' A� /u/ c � °Address S;9 ,Le_- Telephone Permit Request � e�� ' !L L!��/�it�t� �� ,� ✓»� Square feet: 1 st floor:existing / f12 proposed 2 2nd floor:existing .S� proposed 3-0-3 Total new Zoning District Flood Plain Groundwater Overlay Project VaTua�iOnk` Construction Type �Vg ro z�5?�,WA_ Lot Size Grandfathered: QYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family lid Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes RrNo On Old King's Highway: ❑Yes 21Vo Basement Type: ® Full _ hd Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area,(sq.ft) d6© 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: RGas ❑Oil ❑ Electric ❑Other Central Air: aYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes &No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:&existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ z c ==== Commercial ❑Yes Aa No If yes, site plan review# Zzi z Current Use Proposed Use BUILDER INFORMATION '' Name zVx1aJ,, O.o �i a Telephone Number Address- 4� ,� License#—0�37. l�2a2J1 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE 7 FOR OFFICIAL USE ONLY a PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE I OWNER ` DATE OF INSPECTION: FOUNDATION I FRAME ® ��— l "-D Plot— INSULATION �C- �—L`.IR J ( U-o 7 O( 7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers,-Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please Print Ledbly Name(13usiness/Organization/Individual): �s3�j�c:;���� - Address: Z2 City/State/Zip: Phone.#: � 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 stab-contractors ti. ❑New construction . 2&1 am a'sole proprietor or partner- listed on the:attached sheet. 7. }Remodeling ship and have no employees These sub-contractors have g, ❑Demolition iyorking for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑•Electrical repairs or additions 3.❑ I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers' comp, right of exemption per MGL 12.❑Roof repairs . . insurance.required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp,insurance regtiired.] *Any applicant that checks box#1 must also fill out the section below sbowing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the$ub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide theiF workers'comp.policy number. I am an employer,that is providing workers'compensation insurance for my employees. Below is.the policy and job site* information. Insurance Company Name; Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:-5 f 4 �tl� 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of' Investigations of the.DIA for insurance coverage verification. I do hereby certi f tK10 that he iriformation,provided above is true and correct. Si afore: Date: -_ — Phone • Official use only. Do not write in this area, tb be completed by city or town official City or Town: ' Permit/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#: 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 legal representatives of a-deceased employer, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not pro.ducedsacceptable evidence of compliance with the insurance coverage required." . AdditionaIly,MGL ehapter.152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public-work until acceptable evidEnee-of compliant. withtl a insurance requirements of this chapter have been presented'to the contracting authority.'•• Applicants j Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited 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 c f 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 maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:. The COMMOU €Wth of MMaC&US00S D ent of In�aI Accidents " Of .cc of investi bons .600 Wuhin ari Stmd Eostcn; t12111 • . TO. 617-727 4-44i ext 406 or 1 1�rIASSAEE Eae#617- 7-77-49 Revised I1-22-06 www.ffiamg6v/dia . . L 1 V T1 u va y"a aa,J L.w�w Regulatory Services - a►+xivsx�sn. Thomas F.Geller,Director ass. 9�� ��•� Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 w vvmtown.barnstable.ma.us Rce: 508-862-4038 Fax: 508-*-6230 permit no. Date AFFIDAVIT HOME MROVEIoMNT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires that the"reconstruction, alterations,renovation,repair,inodernizaticn, 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 bolding be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: s' s`rev .,l l t_ •��► / �`��a� f • Owner's Name: Z22k®'' Date of Application: z- I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 []Building not ov mer-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 B Y I hereby apply for a permit as the agent of the owner: Date ontractor ignature Registration No. OR Date Owner's Signature Q;yrpfiles.forms:homeaffidxv Rev 060606 - I -? Property Location: 35 FIRST AVENUE MAP ID:267/020/// Bldg Name: State Use:1010 Vision ID:19155 Account#168348 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:12/19/2006 10:14 CONSTRUC7I01V DEI AIL CONSTRUCTION DETAIL CONTINUED Element Cd. I Ch.Pescription Element Cd. Ch. Description Style 06 Conventional Model 01 Residential Foundation 07 14 Grade C Average Stories 1.5 1 1/2 Stories Bath Split 30 3 Full ccupancy MIXED USE 16 FEP 1 Exterior Wall 1 14 Wood Shingle Code Description Percentage Exterior Wall 2 1010 SingleFam MDL-01 100 Roof Structure 03 Gable/Hip BAS 3 11 Roof Cover 3 sph/F GIs/Cmp MT 25 Interior Wall 1 05 Drywall (i Interior Wall 2 COST/MARKET VALUATION 14 14 Interior FIT 1 12 Hardwood Adj.Base Rate: 102.66 Interior FIT 2 2 inimum/Plywd Heat Fuel 3 Gas 2 FHS Replace Cost 930 BAS 2 Heat Type 4 of Air yB 930 C Type 3 Central yB 985 Total Bedrooms 5 Bedrooms ep Code 12 UAT Total Bthrms Remodel Rating BAS. L8� T 21 10 Total Half Baths Year Remodeled _f Total Xtra Fixtrs ep% 0 OP 15 Total Rooms Rooms Functional Obslnc 11 BAS11 Bath Style xternal Obslnc �1 Kitchen Style Cost Trend Factor 8 Status /o Complete ^ Overall%Cond 30 pprais Val 165,800 ep%Ovr ep Ovr Comment isc Imp Ovr isc Imp Ovr Comment Cost to Cure Ovr Cost to Cure Ovr Comment OB-OUTBUILDING& YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) Code Description Sub Sub Descri t LIB Units Unit Price Yr Gde Rt Cnd %Cnd pr Value SHED Shed L 80 8.00 1990 1 100 500 No Photo On Record BUILDING SUB-AREA SUMMARY SECTION Code Description Living Area Gross Area E .Area Unit Cost Unde rec. Value AS First Floor 1,302 1,302 102.66 MT Basement Area 0 544 10.19 EP Enclosed Porch 0 224 30.71 HS Half Story 503 670 77.07 OP Open Porch 0 30 20.53 AT" Attic,Unfinished 0 348 25.67 TH. Gross Liv//.ease Ar,-a:l 1.805 3.118 Property Location:35 FIRST AVENUE MAP ID:267/020/// Bldg Name: State Use:1010 Vision ID:19155 Account#168348 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:12/19/2006 10:14 CURRENT OWNER TOPO. UTILITIES STRT(ROAD LOCATION CURRENT,,ISSESSMENT UCCHIANERI,BARBARA TR 1 Level 2 Public Water 1 Paved Description Code Appraised Value Assessed Value P BUCCIANERI INVEST TRUST S LAND 1010 282,900 282,900 801 O BOX 794 as Septic —RESIDNTL 1010 165,800 165,800 006 Barnstable Data,M. SIDNTL 1010 Soo 500 z UYANNISPORT,MA 02672 SUPPLEMENTAL DATA Additional Owners: ther ID• Plan Ref. Tax Dist. 400 Land Ct# er.Prop. #SR Life Estate VISION DL 1 LOTS 44&46 Notes: DL 2 GIS ID: 19155 IASSOC PID# Total 449,200 449,200 RECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE /u v1, SALE PRICE V.C. PREVIOUS ASSESSMENTS HISTORY UCCHIANERI,BARBARA TR 10412/321 09/15/1996 U 1 10 IA Yr. Code Assessed Value Yr. I Code I Assessed Value Yr. Code Assessed Value UCCHIANERI,ANGELO&BARBARA 1353/107 Q 0 2005 1010 143,700 2004 1010 143,700 2003 1010 62,900 005 1010 143,800 2004 1010 135,800 2003 1010 115,400 005 1010 600 004 1010 600 003 1010 600 Total: 288,100 Total: 280,100 Total: 178,900 EXEMPTIONS OTHER'ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year T e escri tion Amount Code Description Number Amount Comm.Int. .,A b 5C rSIDENTIAL EXEMPTION 0 APPRAISED VALUE SUMMARY Total. Appraised Bldg.Value(Card) 165,800 ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 0 NBHD/SUB NBHD NAME STREET INDEX NAME TRACING BATCH Appraised OB(L)Value(Bldg) 500 0111/A Appraised Land Value(Bldg) 282,900 NOTES Special Land Value 0 Total Appraised Parcel Value 449,200 ANGELO G BUCCHIANERI Valuation Method: C DOD 8/15/1998 0 Adjustment: DC 14228/139 9/13/2001 Net Total Appraised Parcel Value 449,200 BUILDING PERMIT RECORD VISIT/CHANGE HISTORY Permit ID Issue Date Typ e Description Amount Insp.Date %comp. Date Comp, Comments Date Type IS ID Cd. Pur oseIResult B37725 05/01/1995 AD 5,000 01/15/1996 100 HP PORCH - 6/25/2003 PT 01 eas/Est B34128 01/01/1991 AD 46,000 01/15/1992 100 HP ADD'N 7/14/1999 DD 00 eas/Listed 5/15/1992 LK 00 eas/Listed [:AND I.rNF .VALITA_TIONSECTION B Use Use Unit L Acre C. ST. # Code Description Zone D Frontage Depth Units Price Factor S.A. Disc Factor Idx Ad'. Notes-Ad' Special Pricing d`. Unit Price Land Value 1 1010 Single Fam MDL-01 RIB 4 0.18 AC 170,000.00 4.20 5 0.0000 1.00 0111 2.20 10 1BLDG.SIT 282,900 Total Card Land Units: 0.181ACI Parcel Total Land Area: .18 AC Total Land Value: 282,900 1 4 f JAN—CE-2007, 15:04 N J71 T COMMUNICATIONS 9735961525 P.01 Tovrnbf Barnstable RegulatorY SeMUS 'lots► Building Dividon 1 To=Perry! Bnildht C0zMk'aio'1Rr 200 Met eat; Hymmis.MA M601 per; 3(3S'-794.6230 Of�icp� 508-�52P�0'39 proporty Ownet must Complete and Sign This Section ' if 1 r sing A Builder �1 11L .�:a6 hex a�4iie au ,eei �xo�e�ty 15, is��t��zesi9�►e•.o tiaox.��ue�eragd b�4kus�„±� r�+ pe�,�applic�eon fe z: "o.'.a (Ades s of Jola) «u:e o£Qr�es Aare igst Nstpe ��tl&uS�Q�NFJCPSS,O:t TO'AL P.E1 BOISE- Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SID Floor Beam1F1301 BC'CALC®9.3 Detiign Report-US 2 spans Left cantilever 1 0/12 slope Monday, January 08, 2007 09:02 Build 057 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: FB01 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: 'M i Y 01-00-00 05-00-00 B1,3-1/2" B2,3-1/2" LL 838 Ibs LL 628 Ibs DL 723 Ibs DL 520 Ibs SL 419 Ibs SL 301 Ibs Total Horizontal Product Length=06-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Standard Load Unf.Area(psf) Left 00-00-00 06-00-00 40 10 04-00-00 2 Unf. Lin. (plf) Left 00-00-00 06-00-00 60 n/a 3 Unf.Area(psf) Left 00-00-00 06-00-00 20 10 04-00-00 4 Unf.Area(psf) Left 00-00-00 06-00-00 15 30 04-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1533 ft-Ibs 15.9% 115% 15 2- Internal Completeness and accuracy of input must Neg. Moment -284 ft-Ibs 2.9% 115% 17 - 1 -Right be verified by anyone who'would rely on End Shear -940 Ibs 17.0% 115% 15 2-Right output as evidence of suitability for Cont. Shear 987 Ibs 17.8% 115% 17 2-Left particular application.Output here based Total Load Defl. U2050(0.028") 11.7% 15 2 on building code-accepted design ° properties and analysis methods. Live Load Defl. U3143(0.018 ) 11.5/0 15 2 Installation of BOISE engineered wood Total Neg. Defl -0.017" 3.4% 15 1 -Cantilever products must be in accordance with Max Defl. 0.028" 2.8% 15 2 current Installation Guide and applicable Span/Depth 7.9 n/a 2 building codes.To obtain Installation Guide or ask questions, please call %Allow %Allow (800)232-0788 before installation. Bearing Supports Dim.(L x W) Value Support Member Material BC CALCO,BC FRAMER®,AJSTM, B1 Post 3-1/2"x 3-1/2" 1979 Ibs 22.3% 21.5% Spruce-Pine-Fir ALLJOISTO, BC RIM BOARDTm,BCI®, B2 Post 3-1/2"x 3-1/2" 1449 Ibs 16.3% 15.8% Spruce-Pine-Fir BOISE GLULAMT"^ SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, Cautions VERSA-STRAND®,VERSA-STUD®are Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. trademarks of Boise wood Products, Column at Bearing B2 analyzed for bearing only,column analysis has not been performed. L.L.C. Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram a b d � a • �• • c a minimum=2" c= 3-1/4" b minimum=3" d= 12" Member has no side loads. - Connectors are: 16d Common Nails Page 1 of 1 I J i BOiSE' Double 1-3/4" x 7-1/4" VERSA-LAM(g) 2.0 3100 SP Floor Beam1F1303 BC t-ALCO 9.3 Design Report-US 6 spans Left&Right cantilevers 1 0/12 slope Monday, January 08, 2007 09:02 Build 057 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: FB03 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: 3 4 1 5 li�lli;' FIR 01-00-0 03-06-00 05-01-00 05-01-00 ?- 05-01-00 02-00-00 B1,3-1/2" B2,5-1/4" B3,3-1/2" B4,3-1/2" B5,5-1/4" LL 1311 Ibs LL 2531 Ibs LL 2301 Ibs LL 2431 Ibs LL 2390 Ibs DL 1389 Ibs DL 4129 Ibs DL 2424 Ibs DL 2324 Ibs DL 4167 Ibs SL 1432 Ibs SL 5062 Ibs SL 3115 Ibs SL 3061 Ibs SL 5030 Ibs Total Horizontal Product Length=21-09-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type . Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 21-09-00 40 10 10-00-00 2 Conc. Pt. (Ibs) Left 04-06-00 04-06-00 310 1812 2325 n/a 3 Conc. Pt. (Ibs) Right 02-00-00 02-00-00 310 1812 2325 n/a 4 Unf. Lin. (plf) Left 00-00-00 04-06-00 60 n/a 5 Unf.Area(psf) Left 00-00-00 04-06-00 20 10 04-00-00 6 Unf.Area(psf) Left 00-00-00 21-09-00 10 06-00-00 7 Unf.Area(psf) Left 00-00-00 21-09-00 15 30 10-00-00 8 Unf. Lin. (plf) Right 00-00-00 02-00-00 60 n/a 9 Unf.Area(psf) Right 00-00-00 02-00-00 20 10 04-00-00 10 Unf.Area(psf) Left 00-00-00 21-09-00 15 30 10-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 2164 ft-Ibs 22.5% 115% 13 5-Internal Completeness and accuracy of input must Neg. Moment -3483 ft-Ibs 36.2% 115% 21 3- Right be verified by anyone who would rely on Cont. Shear 2851 Ibs 51.4% 115% 23 5- Left output as evidence of suitability for Total Load Defl. 2xU889 (0.054") 27.0% 15 6-Cantilever particular application.Output here based Live Load Defl. 2xL/1128(0.043") 31.9% 15 6-Cantilever on building code-accepted design Total Neg. Defl. -0.015" 3.0% 14 6-Cantilever properties and analysis methods. Installation of BOISE engineered wood Max Defl. 0.054" 5.4% 15 6-Cantilever products must be in accordance with Span/Depth 8.4 n/a 3 current Installation Guide and applicable building codes.To obtain Installation Guide %Allow %Allow or ask questions,please call Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation. B1 Post 3-1/2"x 3-1/2" 4132 Ibs 0.3% 45.0% Steel BC CALC®, BC FRAMER®,AJSTM' B2 Post 5-1/4"x 3-1/2" 11722 Ibs 0.6% 85.1% Steel ALLJOIST®,BC RIM BOARD-, BCIO, B3 Post 3-1/2"x 3-1/2" 7840 Ibs 0:6% 85.3% Steel BOISE GLULAMM,SIMPLE FRAMING B4 Post 3-1/2"x 3-1/2" 7816 Ibs 0.6% 85.1% Steel SYSTEM®,VERSA-LAM®,VERSA-RIM B5 Post 5-1/4"x 3-1/2" 11587 lbs 0.6% 84.1% Steel PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Cautions L.L.C. Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. Column at Bearing B2 analyzed for bearing only,column analysis has not been performed. Column at Bearing B3 analyzed for bearing only, column analysis has not been performed. Column at Bearing B4 analyzed for bearing only,column analysis has not been performed. Column at Bearing B5 analyzed for bearing only,column analysis has not been performed. Notes Design meets User specified (2xU240)Total load deflection criteria. Design meets User specified (2xL/360) Live load deflection criteria.. Design meets arbitrary (1") Maximum load deflection criteria. Page 1 of 2 i , BOiSIE' Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1FB03 BC CALCL-0.3 Design Report- US 6 spans Left&Right cantilevers 1 0/12 slope Monday,January 08,2007 09:02 Build 057 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: F603 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must a be verified by anyone who would rely on output as evidence of suitability for • • • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide a minimum=2" c=3-1/4" or ask questions,please call (800)232 0788 before installation. b minimum= 3" d = 12" BC CALCO, BC FRAMER®,AJSTTM Connection design assumes point load is'top-loaded'. For connection design of'side-loaded'point loads, ALLJOISTO,BC RIM BOARD- BCI®, please consult a technical representative or professional of Record. BOISE GLULAMM,SIMPLE FRAMING Member has no side loads. SYSTEM®,VERSA-LAM®,VERSA-RIM Concentrated loads are not considered in side load analysis. PLUS®,VERSA-RIM®, Connectors are: 16d Common Nails VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, L.L.C. BOISE- "Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\F13O5 BC CALC®9.3 Design Report-US 3 spans Right cantilever 1 0/12 slope Monday, January 08, 2007 09:02 Build 0`57 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: F1305 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: VIA /ire.. Ts S ', 04-00-00 04-00-00 01-04-00 BO,3-1/2" B1,3-1/2" B2,3-1/2" LL 234 Ibs LL 583 Ibs LL 403 Ibs DL 547 Ibs DL 1479 Ibs DL 1027 Ibs SL 502 Ibs SL 1356 Ibs SL 942 Ibs Total Horizontal Product Length=09-04-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 09-04-00 40 10 01-00-00 2 Unf. Lin. (plf) Left 00-00-00 09-04-00 60 n/a 3 Unf.Area(psf) Left 00-00-00 09-04-00 15 30 10-00-00 4 Unf.Area(psf) Left 00-00-00 09-04-00 10 06-00-00 5 Unf.Area(psf) Left 00-00-00 09-04-00 20 10 04-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 827 ft-Ibs 8.6% 115% 13 1 - Internal Completeness and accuracy of input must Neg. Moment -1270 ft-Ibs 13.2% 115% 17 1 -Right be verified by anyone who would rely on End Shear 614 Ibs 11.1% 115% 13 1 -Left output as evidence of suitability for Cont. Shear 1185 Ibs 21.4% 115% 17 1 -Right particular application.Output here based Total Load Defl. U5868 (0.008") 4.1% 13 1 on building code-accepted design ° properties and analysis methods. Live Load Defl. U9654 (0.005 ) 3.7/0 13 1 Installation of BOISE engineered wood Total Neg. Defl -0.003" 0.6% 15 3-Cantilever products must be in accordance with Max Defl. 0.008" 0.8% 13 1 current Installation Guide and applicable Span/Depth 6.2 n/a 1 building codes.To obtain Installation Guide or ask questions,please call %Allow %Allow (800)232-0788 before installation. Bearing Supports Dim.(L x W) Value Support Member Material BC CALC®, BC FRAMER@,AJST/d, BO Post 3-1/2"x 3-1/2" 1283 Ibs 14.4% 14.0% Spruce-Pine-Fir ALLJOIST@, BC RIM BOARD , BCI@, B1 Post 3-1/2"x 3-1/2" 3418 Ibs 38.5% 37.2% Spruce-Pine-Fir BOISE GLULAM- SIMPLE FRAMING B2 Post 3-1/2"x 3-1/2" 2372 Ibs 26.7% 25.8% Spruce-Pine-Fir SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are Cautions trademarks of Boise Wood Products, Column at Bearing BO analyzed for bearing only, column analysis has not been performed. L.L.C. Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. Column at Bearing B2,analyzed for bearing only, column analysis has not been performed. Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Page 1 of 2 f BOISE' ' Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1F1305 BC CALC@ 9.3 Design Report-US 3 spans Right cantilever 1 0/12 slope Monday,January 08,2007 09:02 Build'657 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: F1305 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b —d— Completeness and accuracy of input must L be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood •1 • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c= 3-1/4" (800)232-0788 before installation. b minimum=3" d = 12" Member has no side loads. BC CALC@,BC FRAMER@,AJS- ALLJOIST@, BC RIM BOARD- BCI@, Connectors are: 16d Common Nails BOISE GLULAM-,SIMPLE FRAMING SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD®are trademarks of Boise Wood Products, L.L.C. 80iSjE" Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\F1304 BC CAL.C6.9.3,,Design Report-US 5 spans Left&Right cantilevers 1 0/12 slope Monday, January 08, 2007 09:02 Build 057 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: FB04 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: a 2 01-06-00 06-00-00 05-00-00 05-00-00 01-04-00 B1,3-1/2" B2,3-1/2" B3,3-1/2" B4,3-1/2" LL 2154 Ibs LL 3265 Ibs LL 2771 Ibs LL 1714 Ibs DL 1275 Ibs DL 724 Ibs DL 626 Ibs DL 437 Ibs SL 854 Ibs SL 18 Ibs Total Horizontal Product Length=18-10-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 18-10-00 40 10 01-00-00 2 Unf.Area(psf) Left 00-00-00 07-06-00 40 10 11-06-00 3 Unf.Area(psf) Right 00-00-00 11-04-00 40 10 10-06-00 4 Conc. Pt. (Ibs) Left 01-06-00 01-06-00 461 540 n/a 5 Unf.Area(psf) Left 00-00-00 01-06-00 10 06-00-00 6 Unf.Area(psf) Left 00-00-00 01-06-00 15 30 06-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1976 ft-Ibs 23.6% 100% 16 2- Internal Completeness and accuracy of input must Neg. Moment -2171 ft-Ibs 25.9% 100% 20 2- Right be verified by anyone who would rely on Cont. Shear 1731 Ibs 35.9% 100% 20 2-Right output as evidence of suitability for Total Load Defl. L/1393(0.052") 17.2% 16 2 particular application.Output here based Live Load Defl. 2xL/1538(0.023") 23.4% 13 1 -Cantilever on building code-accepted design o properties and analysis methods. Total Neg. Defl. -0.039" 7:9/0 16 1 -Cantilever Installation of BOISE engineered wood Max Defl. 0.052" 5.2% 16 2 products must be in accordance with Span/Depth 9.9 n/a 2 current Installation Guide and.applicable building codes.To obtain Installation Guide %Allow %Allow or ask questions,please call Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation. B1 Post 3-1/2"x 3-1/2" 4283 Ibs 48.2% 46.6% Spruce-Pine-Fir BC CALCO, BC FRAMER®,AJS-, B2 Post 3-1/2"x 3-1/2" 3989 Ibs 44.9% 43.4% Spruce-Pine-Fir ALLJOISTO,BC RIM BOARD-, BCI®, B3 Post 3-1/2"x 3-1/2" 3414 Ibs 38.4% 37.2% Spruce-Pine-Fir BOISE GLULAMT"" SIMPLE FRAMING B4 Post 3-1/2"x 3-1/2" 2151 Ibs 24.2% 23.4% Spruce-Pine-Fir SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are Cautions trademarks of Boise Wood Products, Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. L.L.C. Column at Bearing B2 analyzed for bearing only, column analysis has not been performed. Column at Bearing B3 analyzed for bearing only, column analysis has not been performed. Column at Bearing B4 analyzed for bearing only, column analysis has not been performed. Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets User specified (2xU360) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Page 1 of 2 Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1F1304 BC CALC®9.3_Design Report-US 5 spans Left&Right cantilevers 1 0/12 slope Build 057 Monday, January 08, 2007 09:02 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: FB04 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for • T• • particular application.Output here based t on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood •1 • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide 12" or ask questions,please call b minimum=3" d = a minimum=2" c= (800)232-0788 before installation. BC CALC®, BC FRAMER@,AJSTM' Connection design assumes point load is'top-loaded'. For connection design of'side-loaded'point loads, ALLJOISTO,BC RIM BOARDT"' BCI@, please consult a technical representative or professional of Record. BOISE GLULAM-,SIMPLE FRAMING Member has no side loads. SYSTEM@,VERSA-LAM@,VERSA-RIM Concentrated loads are not considered in side load analysis. PLUS@,VERSA-RIM@, Connectors are: 16d Common Nails VERSA-STRAND@,VERSA-STUDO are trademarks of Boise Wood Products, L.L.C. 'Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam1RBO2 BC CA LC®9.3 Design Report-US 3 spans No cantilevers 0/12 slope Monday, January 08, 2007 09:02 Build 057 File Name: M Bibbo_Llewellyn.BCC Job Name: LLEWELLYN Description: VERSION#2 Address: 35 First Avenue Specifier: City, State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: �o 12 05-04-00 15-06-00 02-10-00 BO,3-1/2" B1,3-1/2" B2,5-1/4" B3,3-1/2" DL 0 Ibs LL 533 Ibs LL 658 Ibs DL 0 Ibs SL 781 Ibs DL 3089 Ibs DL 3813 Ibs SL 490 Ibs SL 4000 Ibs SL 4937 Ibs Total Horizontal Product Length=23-08-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Standard Load Unf.Area(psf) Left 00-00-00 23-08-00 15 30 10-00-00 2 Unf.Area (psf) Left 00-00-00 23-08-00 10 10 04-00-00 3 Unf.Area(psf) Left 00-00-00 23-08-00 10 03-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 7126 ft-Ibs 29.1% 115% 2 2- Internal Completeness and accuracy of input must Neg. Moment -10778 ft-Ibs 44.1% 115% 2 2-Right be verified by anyone who would rely on End Shear 3996 Ibs 44.0% 115% 2 3-Right output as evidence of suitability for Cont. Shear 4192 Ibs 46.2% 115% 2 3-Left particular application.Output here based Uplift 1001 Ibs n/a 194 1 -Left on building code-accepted design properties and analysis methods. Uplift 3525 Ibs n/a 194 3-Right Installation of BOISE engineered wood Total Load Defl. U822(0.226") 21.9% 2 2 products must be in accordance with Live Load Defl. U1382 (0.135") 17.4% 2 2 current Installation Guide and applicable Total Neg. Defl. -0.021" 2.8% 194 1 building codes.To obtain Installation Guide Max Defl. 0.226" 22.6% 2 2 or ask questions,please call Span/Depth 15.7 n/a 2 (800)232-0788 before installation. BC CALC®, BC FRAMER®,AJS-, %Allow %Allow ALLJOISTO, BC RIM BOARD-,BCIS, Bearing Supports Dim.(L x W) Value Support Member Material BOISE GLULAM-,SIMPLE FRAMING BO Post 3-1/2"x 3-1/2" 781 Ibs 8.8% 8.5% Spruce-Pine-Fir SYSTEM®,VERSA-LAM®,VERSA-RIM 131 Post 3-1/2"x 3-1/2" 7622 Ibs 85.8% 83.0% Spruce-Pine-Fir PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are B2 Post 5-1/4"x 3-1/2" 9408 Ibs 70.6% 68.3% Spruce-Pine-Fir trademarks of Boise Wood Products, B3 Post 3-1/2"x 3-1/2" 490 Ibs 5.5% 5.3% Spruce-Pine-Fir L.L.C. Cautions Uplift of 1001 Ibs found at span 1 - Left. Uplift of 3525 Ibs found at span 3-Right. Column at Bearing BO analyzed for bearing only, column analysis has not been performed. Column at Bearing 131 analyzed for bearing only, column analysis has not been performed. Column at Bearing B2 analyzed for bearing only, column analysis has not been performed. Column at Bearing B3 analyzed for bearing only, column analysis has not been performed. Notes Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Member Slope=0, consider drainage. Page 1 of 2 \ BOISE, 'Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam1RB02 BC CALCO 9.3 Design Report-US 3 spans No cantilevers 0/12 slope Monday,January 08,2007 09:02 Build•057 File Name: M Bibbo_Llevvellyn.BCC Job Name: LLEWELLYN Description:VERSION#2 Address: 35 First Avenue Specifier: City State,Zip: West Hyannisport, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions, please call a minimum=2" c=7-7/8" (800)232-0788 before installation. b minimum=3" d= 12" BC CALCO, BC FRAMER@,AJS'TM Member has side loads. ALLJOISTO, BC RIM BOARD- BCIO, Connectors are: : 16d Common Nails BOISE GLULAM-,SIMPLE FRAMING SYSTEMO,VERSA-LAMO,VERSA-RIM PLUS@,VERSA-RIMO, VERSA-STRAND@,VERSA-STUDO are trademarks of Boise Wood Products, L.L.C. SST Connector Selector: Joist Version 2006.2.1 (4/5/2006) Page 1 22:42 01/07/07 Load Duration Uplift Duration Style Conn ID Q Roof 125 Quake/Wind 133 Any Header Top Flange Options Type Size Memb ID Open/Closed Sloped Down Offset LVL DF/SP 3.5xl1.25 0 None 0 None None Joist Type Size Load Uplift Skew Sloe Memb ID Sawn SPF 2x4 DBL 0 None 0 None Model W H B TF TF Fstnr Face Fstnr Joist Fstnr Load Uplift lcost LUS24-2 3.125 3.125 2.000 4-10d 2-10d 825 425 100 :125 3'1'25"2. 1-6 - . . ful U24-2 3.125 3.000 2.000 4-10d 2-10d 605 275 152 U24-2 3.125 3.000 2.000 4-16d 2-10d 710 275 153 HU24-2 3.125 3.063 2.500 4-10d 2-10d 615 285 316 HU24-2 3.125 3.063 2.500 4-16d 2-10d 720 285 317 Refer to current Wood Construction Connectors catalog for General Notes&Installation Instructions. SST Connector Selector: Joist Version 2006.2.1 (4/5/2006) Page 1 22:41 01/07/07 Load Duration Uplift Duration Style Conn ID GQtyt Roof 125 Quake/Wind 133 Any Header Top Flange Options Type Size Memb ID Open/Closed Sloped Down Offset LVL DF/SP 3.5xl1.25 0 None 0 None None Joist Type Size Load Uplift Skew Slope Memb ID Sawn SPF 2x8 DBL 0 None 0 None Model W H B TF TF Fstnr Face Fstnr Joist Fstnr Load Uplift (cost LUS26-2 3.125 4.875 2.000 4-16d 3-16d 1155 760 100 LUS26-2 3.125 4.875 2.000 4-10d 4-10d 1050 850 101 LUS26-2 3.125 4.875 2.000 4-16d 4-16d 1305 1010 103 LUS28-2 3.125 7.000 2.000 6-10d 4-10d 1350 850 111 -----16�0-Turn--r1a U26-2 3.125 5.000 2.000 8-10d 4-10d 1210 555 180 U26-2 3.125 5.000 2.000 8-16d 4-10d 1420 555 182 HUS26-2 3.125 5.188 2.000 4-10d 4-10d 1095 865 285 HUS26-2 3.125 5.188 2.000 4-16d 4-16d 1320 1000 287 HUS28-2 3.125 7.188 2.000 6-10d 6-10d 1640 1295 294 HUS28-2 3.125 7.188 2.000 6-16d 6-16d 1985 1500 297 HU26-2 3.125 5.375 2.500 8-10d 4-10d 1230 570 350 HU26-2 3.125 5.375 2.500 8-16d 4-10d 1440 570 352 HU26-2 3.125 5.375 2.500 12-10d 6-10d 1845 855 366 HU26-2 3.125 5.375 2.500 12-16d 6-10d 2160 855 369 HU28-2 3.125 7.000 2.500 10-10d 4-10d 1540 570 369 HU28-2 3.125 7.000 2.500 10-16d 4-10d 1800 570 372 HU28-2 3.125 7.000 2.500 14-10d 6-10d 2155 855 386 HU28-2 3.125 7.000 2.500 14-16d 6-10d 2520 855 389 WNP28-2 3.125 7.125 2.500 2.188 2-10d 2-10d 2525 0 742 Refer to current Wood Construction Connectors catalog for General Notes& Installation Instructions. -:y t3o�r(4 y4€Bsss'aing Y Ef;sria sous��:�&t a s..s-:e a ' �a r i " entt�r 135, T ' incssJuUt t F'4�d1'J ` i. �i' Y :;2i��tJJ:W,Pr1t��2E73 T3 s���}•�cz�f���f e :. ``cep �0?,3a53 Nu. 8 � ;a r T 1 a5 4 9c E - a8x� Lo /J � 'Prl_D✓tCo M w I T 2 >. wee@ah„ - ro s MAK .. 0. d('K&G o. x K66 a drr u 13. 77 OM1 SHpa R. PJATH 11 ANLL lull Irk TU8 _ � � � y �• PIL a - II a G6 I 'b 3b ui ci Rnn^A - --o' as'-o•' FIRST F(-OC)12 P(,A W IA)DCW u B C V o i 82or)C. ypVAJDATIVN WALL LO 4 3O(r UDNT. FOOT/nJG. C�//� 111 9:«ru VENT A5 ,2EQUIKEU ` MAX 3/a"tour• COL. P F/LLE.D (7-/,0) CCNf. pyDS� itijp� � J L Jf 3 ax la =0" S. __ �X15T RJG LOUnI D,AT7CYU '� � L%NJC �NcNoR �oL�5 e a=0, NA x ALL APou,-ur-) F ouN7 e C7�11' o FOUN DrAT/OrU /DEAN p 9 mr B UIL D1}NtlP_E'RryM1T , TOWN OF BARNSTABLE MASSACHUSETTS =4 �6 a G May 10 95 NQ 37725 A 7.O�Q DATE y 19 PERMJT NO. APPLICANT Angelo Bucthianeri ADDRESS 35 Ftffit Avenue, W. Hyannisport IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO Add porch - ( ) STORY Single family dwelling NNUMBER OF NG UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 35 First Avenue,..; W.� Hyannisport D ZONING CT— (NO.) i (STREET) I u. BETWEEN AND ,(CROSS STREET) " (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE - USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: _ Sewage #85-140 AREA OR $VOLUME 224 sq. ft. ESTIMATED COST 5,000.00 FEEMIT50.OQ (CUBIC/SQUARE FEET) OWNER Same BUILDING P . ADDRESS BY i' � , MASSACHUSETTS B��fL Of k�E R�IVr1�T `` FT6oWNOF BARNSTABIE- tea A;2fi7.0-20 � DATE � 10 95.19 PERMIT NO. Q 3772 , APPLICANT Angelo BucC hianeri ADDRESS 35 Fatt&t Avenue, W. Hyannisport . (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Add AOYC�1 k ( ) STORY SinglE'.. amily dwelling NUMBER OF DWELLING UNITS (T'PEOF_IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) _-. 35 First Avenud,, fY Hyannisprrt ZONING (NO.) �� t (STREET) DISTRICT BETWEEN AND (GROSS STREET)`. (CROSS STREET) LOT SUBDIVISION LOT-BLOCK-SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: _ Sewage #85-140 AREA ORVOLUME 224 BQ• ft. S,OOL.00 PERMIT $50.00 ESTIMATED COST FEE (CUBIC/50 UARE FEET) OWNER Same BUILDING DE'P ADDRESS BY N THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR 'PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A:.CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL_ QUIRED,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ( 1 1 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. BUILDING PERMIT ��C� / � �rnr�� �-- �/� �s /��l fC2�� �� ���-s��I�B �� ��/ �o ✓ i k A �t Assessor's office(1st Floor): Assessor's map and lot number �� / r�Ot D. -Q�pF TWE to`` Board of Health(3rd floor): d� Sewage Permit number Engineering Department(3rd floor): _ �AHd9foDtL House number c� S�.c�Jii'''" o s639. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ,j i TOWN, OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Addition to existing dwelling TYPE OF CONSTRUCTION Wood Tant�ary d 19 91 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 35 First Avenue,HHyannisnort Proposed Use 1 Family Residence Zoning District Fire District Name of Owner Ange $ Barbara Bucchianeri Address 35 First Avenue. Hyannisport Name of Builder Same Address Same Name of Architect Address Number of Rooms 4 Foundation Block Exterior Cedar shingles Roofing Asnhal t Floors Hardwood and carpeting Interior Drywall Heating Forced hot air (gas) Plumbing - hath Fireplace N/A Approximate Cost W,000.00 Area annrcaac.���-2�0-�s •-f-t-: Diagram of Lot and Building with Dimensions Fee �w - � r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1 Name. r Construction Supervisor's Licensees . fi BUCCHIANERI, ANGE & BARBARA A=267-020 �( 7 No 34128 Permit For Build Addition Single Family nwPllin g _ Location 35 First Avenue Hyannis Owner Ange & Barbara Bunch; aneri 4 Type of Construction Frame Plot Lot Permit Granted January 7; 19 91 Date of Inspection /-19 Date Completed 19 j ' r PERMIT COMPLETED ��- • 1p Assessor's office(1st Floor): r� 4 SEPTIC;SY'STEIW Iik)US E'SE ,Assessor's map and lot number INSTALLED IN COMPLIANCE Board of Health (3rd floor): � WITH TITLE 5 Sewage Permit number RONMENTAL CODE AN = DASd9TLLLt Engineering Department(3rd floor): . I House number c35 — I TOWN REGULATIONS '�0 116 9. z. Definitive Plan Approved by Planning Board 19, 0 MAY APPLICATIONS PROCESSED 8:30-9`:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Addition to existing dwelling; TYPE OF CONSTRUCTION Wood a: January 4 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 35 First Ayenue,wannisport Proposed Use 1 Family Residence Zoning District Fire District Name of Owner Ange $ Barbara Bucchianeri Address 35 First Avenue, Lb=nisport Name of Builder Same Address Same Name of Architect Address Number of Rooms 4 Foundation Block Exterior Cedar shingles Roofing Asphalt i. Floors Hardwood and carpeting Interior Drywall Heating Forced hot air (gas) Plumbing -i bath Fireplace N/A Approximate Cost Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License BUCCHIANERI , ANGE & BARBARA No 34128 - Permit For Build Addition Single Family Dwelling n cz `c Locations 35 First Avenue 'J ' L 0 Hyannis- tit _ , c ` ,H Owner +Ange & Barbara Bucchianeri Type of I�onstruction� 'i -Frame °' � � wt * - 1 Plot Lot r a c' r PermittGrantedt 'January c7 , 19 91 , s ` -Date of Inspection " c' Date Completed / ` ` 19 - r In i i 7 L 'f is -1 444 �r I C. �• _ - f- • TOWN OF BARNSTABLE BUILDING DEPARTMENT : HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street address Section of town "HOMEOWNER" Name Home. phone Work phone PRESENT MAILING ADDRESS J by 7 C/ 7 as 6 722 Ci y town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual 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 to six 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 buildin ermit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with .the Stat - Building Code and other applicable codes, by-laws, 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 ith said pro1 ures an requirements. HOMEOWNER'S SIGNATURE � APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION 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 Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix ations for licensing Construction Supervisors, Section 2. 155) . RuThisalackegu oflawarenes 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 actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home certify Own that he/she understands the responsibilities of a supervisor. On thelast 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, Assessor's Office 1st floor Map' -Lot L Permit# �: ► Conservation Office Oth floor 'q/9S/ Date Issued S /Z")/gr Board of Health Ord floor �/ Engineering Dept. Ord floor House# °R ,,' � Planning Dept. (1st floor/School Admin.Bldg.): _ i a�wsreeti, t Definitive Plan Approved by Planning Board 19 ° " MUST BE -INSTALL MPLIANCE A lications rocessed*30-9:30 a.m.& 1:00-2:00 .m. WITH TITLE 5 ENVIRONMENTAL CODE AND TOWN REGULATIONS TOWN OF BARNSTABLE Building Permit Application Project Street Address 1w'S_ /y r- Villag 1DOW 1 Fire District Owner Address Telephone Permit Request: "9DiD /ye'o'?C,4j Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Eaistina Information Dwelling Type: Single Family e_11 Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished d Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Alm Other Detached Structures: Pool Attached Barn None Sheds Other 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 Project Cos 15-40, Fee Q. SIGNA a , DATE S`S=-95 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 5/10/95 267.020 ADDRESS 35 First Avenue VII.LAGE W. Hyannisport Angelo Bucchianeri OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE . 1 4 • ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i 1 r ROUGH FINAL �_6 FINAL BUILDING: fr 'r -V� vl✓ �� DATE CLOSED OUT: VV ASSOCIATE PLAN NO. + -: t i ,t.. t I �0 ; i TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. ; DATE JOB. LOCATION 5� Number Street address Section of town "HOMEOWNER" Name Home phone Work phone PRESENT MAILING ADDRESS �(� /��Y �� 2- city/town State Zip code The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an in. dividual 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 r( side, on which there is, or is intended to be, a one to six family dwelling; attached or detached structures accessory to such use and/or farm structure; 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 response for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURW APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. f 11;02'9•i 17:02 %Y617 7 27 7 122 DEPT IND ACCID 0c conunol?,Ltle,�iltll 0/ lWaJiaclutietti aU artmereE opJ'•ndu�Erial�cccden�i 1 600 Wu�in I=Sh l James J.Campbell &Ion, Vaaac M 02f f 1 Commissioner Workers' Compensation,Insurance Affidavit (QoeetsecJpamittee) with a principal place of business at: (OW/srae/Zia) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this Job. Insurance Company Policy Number I am a sole proprietor and have no one working for me in any capacity. O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors Listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Plumber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number I am a homeowner performing all the work myself. I undErs[crd that copy of this sltement will be fo N%zrded to d:e Office of investigations of the DTA for cc%Tr2ge verification and that failure to secure cove-age as rec-:ired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties eonsisdn¢of a fine of up to S 1,500.00 and/or cr. years' impr scnrnent as well as civil penalties in the for.of a STOP WORK ORDER and a fine of S 100.00 a day against me_ Signed this day of 19 0,1�L r', . Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department 3 7 7,;' ` TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOin? OF BARNSTABLE BUILDING PERMIT # The Town of Barnstable ,'� `e$ Department of Health Safety and Environmental Services ► ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fw- SQR_T75_�:dG AFTMAVI T HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMITAPPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair;modernization,conversion, improvement, rentotial, demolition, or construction of an addition to any pre-adsting owner occupied building contacting at least one but not more than four dwelling units or to strnuur-s which are adjacent to such residence or building be done by registered contractors,with certain cmccoons,along with other requirernents. T)pe of Work: Est Cost Address of Work:__3_5-- Owner Narne:—,4/4,1-:7-c© Date of Permit Application: 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 pulling own permit Not:=is hcrcb}'given t,w:: OWNERS PULLING THEIR OWN PERMIT OR DEALING NVITI-i UNREGISTERED CONTRACTORS FOR APPLICAELE HONE IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE AREITRATION OR GUAFLANrrY FUND UNDER NiGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I.hcrcbN apph~for a permit as the agent of the owner: Date Contractor name Registration No. OR R Datc Owner's name ' As��H[i Stl►►d���S I2 OC X Cow ex 5l LL 2 axe m r X5)5 T)N 6 Ooil-01N6 l i I i l� I I l I I i I a I � � T , 1 S 1 11 ALA z c.t► ��G 5 H,..7 G-lf 5 FFTI ------------ IG 1- T— E c—.E VA T7 vnJ 4 r \' Em TV- 1 liLLL111t ---------------- LLL I. i ax ro 2.r0GE x O L Sr<, ,25 � 02 A cc.E A-)Fx� Ti G- �N}U(rATE n ►2 co E ->P-�L000z—, _ y v f � f - lk �LODi2 � is-2- 8• ,, ti,a.,c AX ip „� axG �.T 5/LL AK)o icrZ 3oiT5 /& Ff' w'//G''x 8 G�1 P del 1 C&A L.3 C. FOOT/V e p FEAM I A)(,- SECTrOAl �, A G G - G O _ rr 3'_(o" _O�, _ a a�► -- - 'Pr E'D R ao AA Y o a 0 StIoWER �No . _ r G P:F4R.QOM a�x�� y ,c� 8 ► v xG er .� ro 0 M ZECo N p CtiE:DUIE GLAD S l 17-E L o oe 9 c iTE aSx �g 1 � OEaK-o-S!''AG st•ALANr Oit eLOG,olci�T BAR3 EItTA'NOsro FROM _ ___ „ AAP�l+O✓ra EeaWW&OV CONrABoWrOR Oe OWA m WALL 7"b CE 6•.eor/NacO 3 M/N //l W/OE X %v OEEA OP ELECTR/C/AN Q %x" AOLV•✓Dw _~ PER'/METER BOND CEAM OC WATER L/NE PRtQ F, •ExIWAN•a/oN✓WAM MarteiAt � ELEV O••o,. K ONC,tVTi! BY POOL ,�l O •NIA►i rr4w.-!a"O j'r4 REeAR CQN!/Nf/OVS N Q eo .!'T Cdl?RAC !'•O" .!/•COMMGNOEO �- /N!lQNG ,!lCAA! OWN eY COAMA0IC & ' SLOPE y~Pm fT Z 2 ---ELEV /'-p•• 5 Z oa oWNtR �' + M/mil. � c 0 ' TILE t " � ELEV 2-O" ® • 10 �*IeA,4A7"/z cVc "► w ATa $ EACH WAY 3ir �` ELEI/ O i FILL SPOUT DETAIL L/Ne' ueoaT s A"WLw no I J P44SMR MAW ,►'� arf3 ELEV 4'•D" &V Xr: A0,01MM001. ,8199S TG BE ,i. ea eErEsawLt ea AT lr�'tcTANc CRERTER • ., f s jOoe'PS/sT.lU:N4'7•N AT ELEt/S.o Pl A •D /IV GE•/V7`�.r R t'.1F RE6!!l/�1E' .tI DAY•? MIN ~STONE OQ'PT'N AC�OIT/ONAG�' 1lARS .� /z % TAMru eorTows�Ao/us ,MRS RESvGT/A✓6 /N /9 6r N /zII r6^V ? CN/'BM .LOCAL ObILO/AI` COME A i%L TERMINATe''Ch1�!'S' l✓/rN/N ELEV 6=0" �/�/Q T-0RN• . FoR Aao/rioNA� AAsclrrycwr/ows / DOT VA*777P OA'dEAM a L &LeD"MiL ;F••or N�?•"� WA10AF Wit".f 'h. EtEv B'-p", ft/V.D 02 G�LD4!/.f ^RE /''1PRx TWRN sTEEc eA,e DECK WITH STANDARD COPING a t� ~ 6'VC1-EAR MAW covE,e � �/�`Ir Mid, :� fx y ,Q/gRS /s REV v rRFD. WXf/2 E TYP/CAt FLOOk' R!''/NF'ORCIN!r 1CONOf//T BEYOND TN/S LA707'/NRrAfoveO Mye/t"O/C EACHW.�Y f'/i✓//'TOUTf 1PR .fTi��s• !� /�� PO/NTDYELEC7�RiCJAN POSIT/ON j ,a/FRs AS ,p,EQvi.eE1? STANDARD WALL SECTION 0 L�k-- n �--COP/IVG M/N If T/L E 20' • N TOP O/r NIAGL � N , GRABRAIL INSTALLATION , J -T a NC=S spgcipicATzaNs • I q .�4tv WATER tEVEt , nta Ia 1. All construction work to conform to state and • Local codes. sEA tT 1R4 eo4ors saner t/GNTNJtNE' P• • AG/C . Ja 2. Pool shall be wireq and grounded in strict SW/M4�///P w�j9j RA/L ,SEA/.ED accordance with the latest edition of Article 680 STA//VLE35 STi�'EG WATER C000ED of The National Electric Code. A,eEA 3. Concrete to be /.90 O/A X.ol9 WALL placed by .the Granite method and Aocln WAL '''YBARs AT tevla have a 28 day strength in excess of 3500 psi. IWEOGE ANCIMe G'OPOWER N/CNE LOM^s/TC/DlNAL AT SLOPE SWiM4v/P'w40'z/ TRAN3/TioN Aomw 4. Reinforcing steel to meet ASTH-615 Grade 40 Q ESCOMveON NYDR0�7•AT/C REL/!rF quality. splices are to be lapped a Minimum`of 40 6»Q SN�/MQ111P'r 4f/O LIGHT INSTALLATION WITH JUNCTION BOX VAcMr 09M,91,v ZWA/,v 7 WO- AfA?1,0V ,AX19`#- ,9N.o bar diameters: !/EE aNN 49RS T//ROv6yo f/T M � . j'N/O ✓/SrL�€5 JP��U/R�.D. 1 tl• Wi4TER LEVEL //✓ sE/�SRA s'E /'0 7"S. y PO T'� 5. Piping to be MOP approved scheduile 40 •PVC piping, 1�. solvent welded after cleaning with solvent FRAME AND GRATE Pt ASTER AtL SUAVACES POOL CROSS SECTION cleaner. T 6. This pool is to be cotnpietsly encioaed by an self latchi g ga�tes.oAarlmW tr//G CDDE self is4FcTRrr/7, Machinery and/or equipment that service the pool such as hot water heaters, circulation pumps, 6 "9eAas 9 a:"a/c filters, electrical junction boxes and electric, EACNWAY distribution panels, are. not permitted bel w the minimum elevation standard, N.01 N6vb-121 ' .r�•: •.v.• NYGti205TAT/C REG/EF ✓ALYE •8. This pool has been designed to withstand the flood HANDRAIL INSTALLATION ANo coGtEC7•oe TUBE REOv/rem depths, 'pressures, velocities, impact, uplift AND O✓ER 019 DEEP ENO Z'ANG forces and other factors associated with the base Z40.600 PLACE M/MAMM 20 rVN A a 7i2AP ROCK a7 REBAQS �NQoNo r9EAMflood up to elevation 12.0 ft. NGVD (minimum) and eaw,N, tiwe /VOTE r 7-WVqrO 0 VAAJIR5 j wave velocity provisions for A thru V• zones, TOPOIr jg&VD QEAM 2E920—//2ED. ANO MUST DECKAQ " MAIN DRAIN BE //V 71 E/ cAP 6 /�l/g//V �D/Pf�'//V p0 TS D!� /5f 1�D/PD VRL��`Q i7��E �'EQV1?�D.. �-j✓o ,coR rove AIN /+p�/NS'; 7°k,/o .C•O/2 THE ,I,/�U.Po Via" VA A S) F/LTl'rtf ENO4ffi0=✓"#L/NEREQOWIM N 3• 5PA POOL .•j• ^ RETVRrV L/NE Tt9PooL O +g�y8AR5 got D•�C LcRGX falRy' /I✓ F ON Bella Pools / AYGTl7! �•I 0 3/vOT !/S,EA ON Tip/S ��, _ 327 White's Path. So.Yarmouth MA 02664 1 Z A iNaeA/N »� ,� 8ACNwASNt/Ivs 2 IYMN ARR.04 Ir} 1rN �� /°/TO Jr'EG?"' 3 .sEOHR�9TJOI✓ ARE JP L/Na's ,•AfJMP W/TN,IVA/R 0 T ANO 4/IVT.6TiQ/ mew fiND SVR S Z NYORO.STAT/C'I wrAmmur /� A'/� 4"M/IV f/TT/NEE /itEG/6'I�' I�i1L l/Bs' O P 71ON l- (2 M Nf ' RECESSED LADDER STEP DETAIL TYPICAL PLUMBING SCHEMATIC SPA ADJACENT„TO.POOL DT"�: TOP OF �d01 �' v/�/y, /✓j" S13 As per CT IRC Code Section AG 106 (3109) , all STANDARD CONSTRUCTION N ,9 pools and spas are to be equipped with 2 -Main .�.� Ar OR /940OVF �L,�' Y, 13. 0 Drains separated by 3 feet. Further, the � aM�ssq DRAWING S'AA,,8 /f r'G 0E /& 77V1,C/r /9AIo& suction piping shall have a Safety Vacuum Release TIMOTWA HY lc'.Ei/✓.�-o�Pc ,r� !�✓/T'/y . y Ri9/�s /Z•, System as per ANSI/ASME Section A112.1.9.17. Of lWis /NONE' Lrlllo�r� rh N o,9137s o w �� uca+ o F a l Na . TIMOTHY WALKER --� CONSULTINd ENGINEER Pvr/r�s /F /�i�Es�ivr. - 19 WOODSIDE A INESTPORY CT.•'�OadaO u�oc�it No. oan�nNo Mwri[R, .� I�THE SIGNATURE ANO ENGINEERS 'SEAL-ARE NOT!N A � �� �'� �" /•�/vs�//gsr/E CONTRASTING COLOR, THIS SHEET IS A COPY AND IS NOT VAUD Ste• t?Dra cr s-dQa