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0093 FOURTH AVENUE (HYANNIS)
ofoln 0 I I I ii PROJECT ( 1, NAME: H� . ADDRESS: PERMIT# PERMIT DATE: : a L (p 610 LARGE ROLLED PLANS .ARE IN. SLOT Data entered in.MAPS program on:� t 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_ OQ Application #a �� ✓ ✓� Health Division Date Issued c)- Conservation Division < Application Felt Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board s -7 Historic - OKH _ Preservation/ Hyannis Project Street Address Q1 S i;7c)t_ I `E NJ_Q- Village flis Owner wlio 16L Address C) a c� (� Telephone Permit Request C C, con� &C de 4-D Q>�IV3�M _sAf a CA_ul/� Square feet: 1st floor: existing-!,-110 p posed 2nd floor: existing `� roposed Total new Zoning District Flood Plain o Groundwater verlay Project Valuation Da Construction Type Lot Size O E0 S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure /J D Historic House: ❑Yes Ulo On Old King's Highway: ❑Yes P No Basement Type: Full ❑ Crawl 44alkout ❑ Other Basement Finished Area(sq.ft.) �Q Basement Unfinished Area (sq.ft) /. 6-77 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: C4as ❑Oil ❑ Electric ❑ Other a Central Air: 0'<es ❑ No " Fireplaces: Existing New _� Existing wood/coal stove: ❑Yes dNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ .� Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Oth a o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ '_ o � w Commercial ❑Yes ❑ No If yes, site plan review # a � Current-Use- - <_ _ _ .Proposed-Use �— -=— - APPLICANT INFORMATION_ (BUILDER OR HOMEOWNER) Name Telephone Number Address Po :- License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C�, IVDPJIV. SIGNATURE DATE Lq I FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: J_nA FRAME '.INSULATIONj=- 'I . FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: HOUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE`CLOSED`OUT r , ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street } - Boston,MA 02111 3 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Lk"d I& Address: pti(, City/State/Zip: Phone#: �]91 q?j 01f� Are you an employer?Check the a propriat box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. [ 1Qew construction employees(full and/or part-time).* have hired the sub-contractors C� 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. "employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t equired.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.C9 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that 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$1,50.0.00 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 cover a verification. I do hereby u he ins and pe al 'es of perjury that the information provided above is true and correct Signature: nder ULk Date: 1Ito Phone nki qn 04 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 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 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-contractor(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 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 Ofee of Investigations 600 Washington Street Boston,MA 0211.1 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia > Town of Barnstable Regulatory Services s"MASS. ' Thomas F.Geiler,Director 639- & � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: [/-�f_'S JOB LOCATION: N3 / �� �-'� n ber street village v "HOMEOWNER": ©Vk name home phone# work phone# CURRENT MAILING ADDRESS: citYA&—, 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 r 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 les and regulations. T d sign ` omeo r"certi that he/she understands the Town of Barnstable Building Department minimum inspection pr 'd es r uir and th she will comply with said procedures and requirements. Signature of omeowner 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." ry 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. C:\Users\decolhlc\AppData\Local\Microsoft\Windows\Tempornry Internet Files\ContentOutlook\QRE6ZUBN\E)2RESS.doc Revised 053012 THE Town of Barnstable Regulatory Services • snxxsr" s, • y� Mass g Thomas F.Geiler,Director pT�► " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS 62012 HW••V�vds�uuv,(yksa/•A• t� .".N�J�•r..a=a� .m�:� ,,�a w... a�"d N•F��si 6 6 - mse�a�sam•,vr�v-w.v� oi���io,.ee•.,ay...•.d O +'�.�.>,.es,•'wmv - 'NDIltl70'1 .. "'"vaa 9nw"�mx ivr<aesa�a±a �Hoiein3a a� z ,.�� �. • • ub►sapd��. �a ' _ �d"IOW�"1-�11�N`dt'1'�"QI/��d� e.>xn:''�'°,�,� .w... �'< � •� '�r�•�-awv�klaNi��l wo wsn ay.�o n -�:m Pxa c r :soarobd Zo6 f 1 �A9 NMV214 'H 7,7I'bJ wod as sd wa.t =�wy a..u♦ws..m° � d o o ' .�• y:OU I T H• u ' 502'40'45°E 40.00 _ ` - ur 40.00 40 00' lu :0 o r ul Y Oaov ,00-04 i , t 6 g Q , .. t q , L , is ' F o , r k n k 777 o- tX ------------------------------- s � M ^^Q s {/n 1' i fi •i` •a • ' . f • 1. y F 1 l ti J I I i y r I I I tir ' ne • U P d` c - r a \OeLlc TIN4 PLAN Y C �`\ 1 ___ C-Y.T I ' // �� •rl+nF..��iw•i�aiK �� - . .. ' r+ - �is ___� --}� .. > oo eM�ahn..• ool-Ir- - .. 4aty _ _a $ • a 3s` nj _ - D-ING TYPE: SHEET NUMBER I z 3 Y a g zy ij € i I f il r . EE n s � 1 ., _ a •' _ r` N' ,. � {III X . � �y� 4 e � . Q' 3 ♦ I - P Ja t. F F I N 5" y. i ♦ _ %. - - PT.v.N Je .IHrI. ., '4 e. - e : ${ `o _ I.a M`Z a HH'in 46 A 1 0 2 f • .s � m • 0 c " r " L F r _ rc -- a ...... _ d I _ a , M: fi M6� uxx.v w o C rs�$ m2 Y. �x 4 Oil Va LU ai 13 MIE DRAWINb TYPE: - �� � Ptrak Ploor Oscic Pl.n .. - - • X r. / SHEET NUMBER. A2 00 ' 3 .-A e11 l�, a YbFa$€ e e o � - � w • a X + - ° d ------------------- s ra _ + � LU � O � ..uw. [.a P.Tcp.y",., O ra:t .w� • n omm p , i f.o O.nlle4r..faW:.J 1 � Fu( Q N �: mu}v/r. cWhy M.mi:y stMn,[wh."/�/+-m.>�/[•. m.r�Y yruf. -.. .:n "Ft�?�fi:`SfA.M1!*:: �:yu:.•�o>«r...[.r uJ. � Eo - , ``\�� •- c...m•.ua.. 11 u Q Oi ohs 0. X+ a @m V - e I +• 1 at��a�R33� s: CGONO PLOOR OGLR RJ+N n8 aY�5E ;s inw�Y....wf»..Ww•'r oe �6�p'g9�pp `k . ,. - - ei.00 n[anJxw. •ff•'eo u'IF Et�6=�p m�J JJ K i .cs.J Plan Red o.ck PL. SNEET/Nu Be.. . m n o o z - a 7 a 7s 42 ¢ c s c I I -------------------- Q G 3 --------------------- ----------------- --- w ' - A AIOF7XCAhr 4CYAP�N 1 Q � d J HI ®' ` - v 8• O via@e£ 3a�g3�� gn Atyq �elirg�lE Z r� it �01 - - t==y �_______________________________________� - DRAWING TTPE: - o WOUTNCA4fr eI.NAT1oN NeN'hwash Clavnhion c.l..I/+ I o diouhN..h Clay.h.on - SHEET NUMBER. a gy ,r d livit��yi¢li t gj Q O. N 7yy � . I I II II II — I. I II � L ' � �p,NO�TNWCaiT GLCVATION _ - � L S I I. L ___ --- � 4 • O U a alo� �e o em d c 6.2 p I I . I ��a€�•9 a 8s sgl€sl3 acSat 4�. i i od.938� t I I -- I t__i______c_y G bOUTNWC4T CLCJATI�IJ ' • � DRAWING TYPE: ' 2oWFwaat GIa��F'wn ' 9NEET NUM4BER. • PINE � (40.' WIDE) STREET S87'19'15"W 100.00' -T N O � o C Co AREA= 8,000 sq/ft rt 0.2 ACRES LOT •385 LOT 246 — PAno cnW. Z N - - - - 00N P. O Lyi - r,i 10.1 ft — — — — — —#93- Ln — — — o o — — — — — — — 25.67ft � A m LOT 383 `° 00 — LOT 248 cli DECK N FRAME 62.10' o Ln C S87'19'15"W 100.00' �1 LOT 381 LOT 250 a ' m LOOD ZONE C FO UNDA TION CERTIFICA TION RES ZONE RB WN HYANAr PORT SCALE 1"=20 PL REP 34-23 ELEV.• N/A SETBACKS:- 20'10'10' ®®® YANKEE LAND ®®�\0\HOF - ��� �GSTE�r G= SURVEY INC. I CERTIFY 7Yl THE BEST OF MY � c F � �� ® CO. , KNOWLEDGE THAT THE FOUNDATION STEPHEN �, 119 ROUTE 149 J. IS SHOWN ON THE PL9N AS e DOYLE MARSTONS MILLS, MA 02648 IT =TS ON THE GROUND �', 1'? ® TEL 508-428-0055 FAX 508-420-5553 `< F DATE.•2/25/14 NUMBER 54881 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION T. ti t Map Parcel Application Qb Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee < Date Definitive Plan Approved by Planning Board Historic - OKH ',1,A _'Preservation/Hyannis N Project Street Address 93 PaLA J;r��A A i1 P_N Le_ Village 2 s a.✓N S Owner DOV & +-" Gm 2� kl e + w-a' Address I-0u, !`tom�- 4 ai5 Telephone 5ZT'-771— 1?63 cG1� -4 7"91t1-656 6-11y/ Permit Request LA I' I.Q:I 1 e-140A 1 1 Revv"c)0(e- 4�4) K Square feet: 1 st floor: existing proposed /6 2nd floor:.existing proposed 5 6 Total new ZZ 6 2— Zoning District Flood Plain - t Groundwater Overlay Project ValuatioT/75-0'D-6 Construction Type Lot Size T.oo® Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: ,Single Family Wr"' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 0'*N�o On Old King's Highway: ❑Yes W'No Basement Type: ❑ Full U'Crawl Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 7 Number of Baths: Full: existing_ new _Q� Half: existing new Number of Bedrooms: existing new 1 ®� s Total Room Count (not including baths): existing _ new 7 First Floor Room Count S Heat Type and Fuel: �d Gas ❑ Oil ❑ Electric ❑ Other � Central Air: 2 Yes ❑ No Fireplaces: Existing O New _� Existing wood/coal stove: ❑Yes 2 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 W No If yes, site plan review # a``a , ``' O J Current Use Proposed Use _- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) . 5. Name C)=�; ; ,n-►.G l c, Telephone Number 7 Y I - �'3' y�61 ttr� _. Address �'l� Iu 17--H:2 Q- IP®. Zo S� License # Mo ,^j � 7 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO p � e W �s Sfd_V ; �e &ti w(P �j1 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DAB ISSUED MAP/PARCEL NO. w , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME " - _� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL " f + a GAS: ROUGH FINAL FINAL BUILDING 3 DATE CLOSED OUT E ASSOCIATION PLAN NO. r , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . ' 600 Washington Street Boston,MA 02111 www,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(B ss/orgaIIization/lndividual): .A'd� hNz41 -A City/Statd/Zip 1,10 'r t #: 97,3-6 1//6/ . Are you an employer?Check the appropriate bog: Type of project(required); 1.[11 am a employer with 4 ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.El am a sole proprietor or partner- listed on the attached sheet. ,, 7. ❑'Remodeling shipand have no em to ees These sub-contractors have P_ Y 8. ❑Demolition working for mein any capacity, employees and have workers', comp. insurance.$ 9. ❑Building addition [No workers' comp,insurance P� re 'd.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 33.. homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MCTL. 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 alsofill 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 anew 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, r 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 e DIA for insurance.coverage verification. I do hereby ce and a and penalties of perjury that the information provided abov �zs true and correct. Si afore:_-� % GI _V ! - Oat'e 0 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 Centct Person: phone#: Town of Barnstable` Regulatory Services Thomas F.Geiler,Director sanxsMaeic - Mass .b,� �' wBuildin Division > . • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION . 'Please Print DATE: 1 I C I 1� Q JOB LOCATION: 3 number "nn i street village j "HOMEOWNER11:NV i C ; 1 � y�Gl �7f "! 1 r�3b� /d V3 "0 name home ph�one�# t�work phone# ' CURRENT MAILING ADDRESS: 1 C�U? /'fU-� P* o W-2S 5 U � G Q city/town V. 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: g` DEFINITION OF HOMEOWNER Person(s)who owns a parcel of band on which he/she resides or intends to reside,on which there is,or is intended to be,a'one or two-family dwelling,attached'or detached structures'accessory to such use and/or farm `structures. A person who constructs more than one home in'a two-year period shall:'not be considered a homeowner. Such "homeowner" shall submit to the Building'Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other' applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department :- minimum inspection procedures and requirement's and that he/she will;comply with said procedures and requi m nts. 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 assumuig 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 cannotproceed 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,mdny communities require,as part of the permit application, that the homeowner certify that he/she understands theresponsibilities of a Supervisor.On the last page of this issue is a form currently used by several towns. You may pare t amend and adopt such a forinkertification for use in your community. Q:forms:homeexempt �l NSTAR one NSTAR Way EL EC TH/C Westwood,Massachusetts 02090 GA S December 26, 2012 Janet Kleimola P.O. Box 205 W. Hyannisport, MA 02672 RE: 93 Fourth Ave. Dear Janet Kleimola; At NSTAR, we're committed to delivering great service. This letter serves as confirmation that, as of December 26th, the electric service to 93 Fourth Ave., has been removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. If you have any questions, please contact`me at 888 633-3797. Sincerely, �A&x-a Audrey Ali ne New Cusa er Connects ^ t ° .�. ' natfona ro cu December 27, 2012 ` Attention: Janet Kleimola Re: 93 Fourth Ave. Hyanni_ This letter-is to n otify y%ou that the gas service,to 93 Fourth Ave, Hyannis; MA.,has - 'been cut and ca ed"at the valve on 12/22/2012. Cwl�wl FF ':Diane Camara _ Gas Customer.Fulfillment US-National Grid t. e t �oFiHE TWy� Department of Public Works '474 1 a ou yP o� Water Supply Division a `•anni * BARNSTABLE, * TEL: 508 d7 - 6 MASS.y g �prudo F�Mp�a1. Hyannis Water System Operations FAXg507 0_ December 13, 2012 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 RE: 93 Fourth Avenue—West Hyannisport, MA 02672 Acct# 600113 Dear Sir: Please be advised that meter# 41814565 was removed and the water turned off at the street on Tuesday, December 4, 2012. The water service was cut & capped by Roderick Construction on Thursday, December 12, 2012. The owner has informed us that the building is going to be demolished. If you have any questions, please call the office at (508) 775-0063. Sincerely, tayne'Starck Hyannis Water System ISSUED THROUGH A. A. DORITY COMPANY BOSTON STREET PERMIT BOND KNOW ALL MEN BY THESE PRESENTS,That we David Kleimola , of 93 Fourth Ave; West Hyannisport , MA 02672, hereinafter referred to as Principal,and United Casualty and Surety Insurance Company a corporation organized and existing under the laws of the Commonwealth of Massachusetts and authorized to do business in the Commonwealth of Massachusetts,as Surety,are held and firmly bound unto Town of Barnstable,MA,hereinafter referred to as Obligee, in the sum of Five Thousand dollars ($5,000.00) lawful money of the United States of America,to the payment of which sum,well and truly to be made,we bind ourselves,our executors,administrators,successors and assigns,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That whereas,the Principal has made application for a license or permit to the Obligee for the purpose of opening and/or occupying a public way. NOW,THEREFORE,if the Principal shall faithfully comply with all ordinances,rules and regulations which have been or may hereafter be in force concerning said License or Permit,and shall save and keep harmless the Obligee from all loss or damage which it may sustain or for which it may become liable on account of the issuance of said license or permit to the Principal,then this obligation shall be null and void;otherwise,to remain in full force and effect. THIS BOND IS EFFECTIVE FROM December 27th,2012 AND EXPIRES ON December 27th,2013 unless renewed by issuance of a continuation certificate. The Surety may at any time terminate its liability by giving thirty(30)days written notice to the Obligee,and the Surety shall not be liable for any default after such thirty day notice period,except for defaults occurring prior thereto. SIGNED,SEALED AND DATED December 27,2012 By: David Kleimola United Casualty and Surety Insurance Compan Bond No. 289004 By: Katie E.Ford Attorney-in-Fact A.A.Dority Company,Inc. 262 Washington Street,Suite99 ' - Boston,MA 02108 (617)523-2935 Fax:617-523-1707 KC&S Power No: 289004 UNITED CASUALTY AND SURETY INSURANCE COMPANY BOSTON,MASSACHUSETTS POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation of the Commonwealth of Massachusetts, does hereby make,constitute and appoint Philip B.Crawford,Richard-M.Crawford,Katie E.Ford,James M.Crawford,Jeffrey W.Crawford, its true and lawful Attorney-in-Fact,with full power and authority,for and on behalf of the Company as surety,to execute and deliver and affix the seal of the Company thereto,if a seal is required,bonds,undertakings,recognizances,consents of surety or other written obligations in the nature thereof,as follows: Any and all bonds,undertakings,recognizances,consents of surety or other wntten'obhgations m the nature thereof and to bind UNITED CASUALTY AND SURETY INSURANCE COMPANY,thereby;grid all of the acts of said Attorney-in-Fact pursuant to these presents,are hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by authority of the following Resolutions adopted by the Board of Directors of UNITED CASUALTY AND SURETY;INSURANCE COMPANY at a meeting duly called and held on the I" day ofJuI _1993-which _ Resolutions are now in full force and effect: _ Resolved that the President,Treasurer,or-Secretary-be and they are hereby authorized and empowered to appoint Attomeys-in-Fact of the Company,in its name and as its acts, to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the naturethereof,with power to attach thereto the seal of the Company. Any such writings so executed by such Attomeys-in-Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. This=power of_attorney_-is signed and sealed by facsimile under and by the authority=of the-following Resolution adopted by the Board of Directors of UNITED-CASUALTY AND SURETY INSURANCE COMPANY,==at a meeting duly=called and held on the I"day of July, 1993: -- —!-That the signature of any officer authorized by Resolutions of this Board and the Company seal maybe of .ed'by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undertaking,recognizance or other written obligation in the nature thereof-,such signature and seal,when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, UNITED-CASUALTY AND SURETY INSURANCE COMPANY has caused these presents to be signedby-its- proper officer and its corporate seal to be hereunto affixed thts=l4th day of July,2010. UNITED CASU Y AND URETY INSURANCE COMPANY =Todd S.Carrigan, Pre Commonwealth of Massachusetts,County of Suffolk ss On this 14th day of July in the year 2010 before me personally came Todd S.Carrigan to me known,who,being by me duly sworn,did depose and say: that he resides in the Commonwealth of Massachusetts;that he is President of UNITED CASUALTY AND SURETY INSURANCE COMPANY, the corporation described in and which executed the above instrument; that he signed his name thereto by the above quoted authority;that he knows the seal of said corporation;that said--seal affixed to said instrument is such corporate seal,and that it was so affixed by- authority of his office under the by-laws of said corporation _ - — Caitlin L.Flanagan _ r Notary Public T Commonwealth of Massachusetts My Commission Expires Notary Public 0 5/1 41201 5 1,Timothy M. Carrigan,Treasurer of UNITED CASUALTY AND SURETY INSURANCE COMPANY certify that the foregoing power of attorney,and the abov- quoted Resolutions of the Board of Directors of July l,__1993._-have not been-abridged or revoked and are now in full force and effect- Signed and sealed by its proper officer and its corporate seal to be hereunto affixed this day, ew Z0, Of Timothy M. Carrig T asurer = TO CONFIRM AUTHENTIGITl'OF THIS BOND OR DOCUMENT CALL(800) 829=2663-- L Kan't Kopy"K1 Kan't Kopy K1 Security Paper Security Paper • Hidden Pantograph Hidden Pantograph • Color Match ( Color Match 9 • Artificial Watermark Artificial Watermark • Anti-Copy Coin Rub Anti-Copy Coin Rub • Erasure Protection Erasure Protection • Security Features Box Security Features Box • Microprint Protection Microprint Protection • Acid Free Acid Free A Kan't Kopy"K1 Kan't Kopy K1 1 Security Paper Security Paper ! • Hidden Pantograph Hidden Pantograph ( Color Match ( Color Match ! • Artificial Watermark • Artificial Watermark • Anti-Copy Coin Rub Anti-Copy Coin Rub • Erasure Protection Erasure Protection • Security Features Box Security Features Box I Microprint Protection Microprint Protection • Acid Free Acid Free Bk 15►9�]3 F g 72 JL37926 06--06-2005 a 102440. QUITCLAIM DEED 1,BARBARA KIPPEN,as a 14.3%interest owner and meaning and intending to convey all of my right,title and interest,and 1,JEANNE HUBBELL,as a 14.3%interest owner and meaning and intending to convey all'of my right,#ide acid interest,and J,CAROL V ANDENBE•-R€;H,-as$ 14.3%interest owner and meaning and intending to convey all of my right,title and interest,and .A I,STEPHEN FRANKLIN,as a 14.3%interest owner and meaning and intending to convey all.of my right,title and interest,and I,ANN T.FRANKLIN,as a 19.5%interest owner and meaning and intending to convey all of my right,title and interest,and 1,JANET F.KLEIMOLA,as a 23.3%interest owner.and meaning and intending to convey all of my right,title and interest,all c/o Stuart W..Rapp,Esquire,749 Main Street,Osterville,MA 02655,for consideration of FOUR HUNDRED TWENTY THOUSAND AND 00/100($420,000.00)DOLLARS,paid .. do hereby grant and convey all of our right,title and interest in and to the herein below described - property to'JANET F.KLEIMOLA and DAVID W.KLEIMOLA,both of 188 Old Schoolhouse Lane,Hanover,MA 02339,as husband and wife,Tenants by the Entirety 4. " rit#t f f.Al ;fl IG1'1 T_S the land together with the buildings thereon,situated in Barnstable(Hyannisport),Barnstable T' County,Massachusetts,bounded and described as follows: _ 1^ Northerly, by Pine Street,as shown on a plan hereinafter referred to,one hundred (100)feet Easterly by Fourth Avenue,as shown on said plan,'eighty(80)feet; Southerly by Lot 250,Block D on said plan,one hundred(100)feet;and . J Westerly by Lots 383 and 385,Block D on said plan,eighty(80)feet. The above described premises are shown as LOTS 246 and 248 Bloch on a plan entitled `Plan of Seaside Park"at Hyannis Port,Mass.owned by Seaside Park Association,Boston,Mass.,Aug. 1893, Scale: 100 feet to an Inch,Fred 0.Smith,C.E.",.which said plan is duly recorded in the C.1 Barnstable County Registry of Deeds in Plan Book 34,Page 23. Said premises are conveyed subject to and with the benefit of ali'restrictions,reservations and , s r_ �far as,the MW are of legal force and effect;.together with all rights of easeme!ways and appurtenances thereto belonging. For title,see deed recorded at the Barnstable County Regis try`of Deeds in Book 1'2880,Page 185, _ and deed recorded at the Barnstable County Registry of.Deeds in Book 19575,Page 99,and the Estate of Richard E.Franklin Barnstable Probate and Family Court Docket#t03P0288EP1. PROPERTY ADDRESS: `93 Fourth Avenue `Hyannisport,MA rf stNta�i '1�n4 S` c�n�� C'1 1'1 Oft 'A WC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2,1.1)' Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph WindExposure Category.......................................:.......................... ...........:......................._.........................B v 1.2 APPLICABILITY Number of Stories ...............................................................(Fig 2)............................_,7_stories <_2 stories RoofPitch .......... ........ ...................................................(Fig 2) ........................................... <_12:12 MeanRoof Height :......_......................................................(Fig 2)......,......................................:.. ft 5 33' \ BuildingWidth,W ...............................................................(Fig 3)........................................... ft 5 80' ... �1--Building Length,L ........ ......................................(Fig 3).......................................... ... ft <-80, Building Aspect Ratio(L/W) ...................................I...........(Fig 4)............................. 5 3:1 Nominal Height of Tallest Opening ...................................(Fig 4).............................. . ... ........ _:::S 5 6'8" �>L 1.3 FRAMING CONNECTIONS General compliance with framing connections.......... .........(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................:................................................................................ ConcreteMasonry.................................................................... ................................................................ 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete olnLv Bolt Spacing_general ..........................................(Table 4).................................... .:.... . in. Bolt Spacing from end/joint of plate .............................(Fig 5)....................................._ in.5 6"-12" \ _ Bolt Embedment-concrete.........................................(Fig 5)...............................;................ID in.>7" �1- Bolt Embedment-masonry.........................................(Fig 5)............................................ in. 2:15' PlateWasher...............................................................(Fig 5)...............................................>3„x 3„x,/4' 3.1 FLOORS \ Floor framing member spans checked ..............................(per 780 CMR Chapter 55).................................... �1 Maximum Floor Opening Dimension ...............................(Fig 6)........................... /J�) ft 5 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)......................,.............................—ft <_d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall . . (Fig 8)...................................................._ft 5 d FloorBracing at Endwalls...................................................(Fig 9)................................:................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)...................S in. Floor Sheathing Fastening..................................................(Table 2)..e_d nails at 4�D-in edge//7 in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)......................:. ft <-10' Non-Loadbearing walls................................................(Fig 10 and Table 5).................. ft 5 20' .........................(Fig 10 and Table 5 in.<-24"o.c. Wall Stud Spacing .............................. ( 9 )..................��' WallStory Offsets ........................................................(Figs 7&8)............................................—ft <-d —� 4.2 EXTERIOR WALLS' Wood Studs Loadbearingwalls........................................................ Table 5 ..............................2 - ft n. Non-Loadbearing walls................................................(Table 5).............................. - ft47! n. _ Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................................. \ WSP Attic Floor Length................................................(Fig 11).............................................�ft>_W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_ft>_0.9W 2 x 4 Continuous Lateral Brace @ 6 ft:o.c. .. (Fig 11)............................................................ Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)..................................4:::::�ft Splice Connection(no.of 16d common nails)..............(Table 6)..................................................... �_ ' AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone 'Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)t Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7).......................................................� Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8).......................................................Z Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans . ......................................................(Table 9).................................. ft in.<_ 11' �ll Sill Plate Spans ........................................................(Table 9)................................. ft in.s 11' Full Height Studs (no.of studs)...................................(Table 9).........................:.............................. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance o Table 9) HeaderSpans.........:...................................................(Table 9)...........:...................... ft in. <12' Sill Plate Spans...........................................................(Table 9).................................. ft:: in. Full Height Studs(no.of studs)....................................(Table 9).................................................::.... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously, Minimum Building Dimension,W Nominal Height of Tallest Opening2 .......................................................................... 6'8" SheathingType..............................................(note 4)........,.....................................:....... \, Edge Nail Spacing.;.......................................(Table 10 or note 4 if less)............. ........ Field Nail Spacing........................_............ ...(Table 10)......................................._......... in: Shear Connection(no.of 16d common nails)(Table 10).................................... . .............:..:. Percent Full:-Height .. Height Sheathing.......................(Table 10)..:. ............................................. . % 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L .1 Nominal Height of Tallest Opening2........................................................... ......... 6'8" SheathingType..............................................(note 4).........:..................:.............,........... Edge Nail Spacing.........................................(Table 11 or note 4 if less)...................:.... in. Field Nail Spacing:... (Table 11)................... .........................:..:17 in. Shear Connection(no of 16d common nails)(Table 11) Percent Full-Height Sheathing........... .......(Table 11) .......................................... Imo% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)......: .......... Wall Cladding Rated for Wind Speed?............................................................... ........................................:...................... . 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) V Roof Overhang ...................................................(Figure 19)........... ft<_smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors \ . Uplift............................................:...(Table 12)............................................X. p plf Lateral.............................................(Table 12)............................................. plf Shear...........................................:...(Table 12)........................:................... lf \ Ridge Strap Connections,if collar ties not used per page 21.....(Table 13)..........................:..:T If V_ Gable Rake Outiooker..........................................(Figure 20).............. ft 5smaller off'"or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................ Ib. \�l_ Lateral(no.of 16d common nails)...(Table 14)... ........................... Ib. .................(per 780 CMR Chapters 58 d 59 �F Roof Sheathing Type................................. (P p ).................. Roof Sheathing Thickness........................................... ............................................ju in.>_7/16"WSP Roof Sheathing Fastening ............................................(Table 2)...................................................... Zvi Notes: B(�C.P 1. This checklist must be met in its entirety,excluding the.specificexception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per figure 18a 2. Exception: Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness.pressure treated#2-grade. f AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(78o CMR 5301.2.1.1)' 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top .plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on.center per the Figure, Vertical and Horizontal Nailing for Panel Attachment ` AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone 'Massachusetts Checklist for Compliance(780 cNm 5301.2.1.1)' WHEN THE EDGE REM ON FMMING(M8d MACS A-rsrojc 11 11 11 1 u 1-I 11 11 Ii 11 It 11 IY 11 1 71 it 11 / N i•1 11 11 11 � 1 7 11 11 1 I r i i 1 1 11 tl • 1/ Il It 41 Ir uj 1 - - " II ti J► 7 - II 14 11 14 t 1 I I to I 1 rl - 11 1 it tl i WUBLF CDGE 1`, MAN-SPACiNC ! t PANtL _ v' See Detail on Next Page Vertical and.Horizontal Nailing for Panel Attachment AWC Guide.to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance t7so CMR 5301.2.1.1>1 1 1 to i 20 :3 i 41 1 + ' #1 r 1 i 'r r� ' 1 Q w 1 1 r3 1 p 1 1 d 1 p [p 1 ra + FiiMING MEMBERS 1 i t EDGE 94TE MEDIATE 1 e f 1 1 1 r r 3"MIN.. � 1 1 ll 1 STAGGERED XNL PATTERN PANEL PA14H_EDGE V DOUME NAIL EDGE SPAMG DETAL s Detail Vertical and Horizontal Nailing for Panel Attachment vi. Generated by REScheck-Web Software Compliance Certificate Energy Code: 2009 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Glazing Area Percentage: 13% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 93 Fourth Ave Kenneth Sadler West Hyannisport,Massachusetts KSA design P.O.Box 1149 Hyannis,Massachusetts 02601 508.790.3922 Compliance:7.7%Better Than Code Maximum UA:235 Your UA:217 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Ceiling:Flat or Scissor Truss 660 38.0 0.0 20 Ceiling:Cathedral 228 301.0 0.0 8 Wall:Wood Frame,16in.o.c. 698 21.0 0.0 33 Window:Wood Frame,2 Pane w/Low-E 105 0.250 26 Door:Solid 20 0.350 7 Wall:Wood Frame,16in.o.c. 360 21.0 0.0 18 Window:Wood Frame,2 Pane w/Low-E 24 0.250 6 Door:Solid 20 0.410 8 Wall:Wood Frame,16in.o.c. 419 21.0 0.0 21 Window:Wood Frame,2 Pane w/Low-E 46 0.250 12 Wall:Wood Frame,16in.o.c. 264 21.0 0.0 12 Window:Wood Frame,2 Pane w/Low-E 26 0.250 7 Door:Glass 32 0.300 10 Floor:All-Wood Joist/Truss Over Uncond.Space 880 30.0 0.0 29 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. �' Name-Title ' _•� Signature ^ ate Project Notes: Calculation are for new house not existing additionCS#039020 Project Title: Report date: 11/08/12 Data filename: Page 1 of 5 Generated by REScheck-Web Software Inspection Checklist Energy Code: 2009 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Glazing Area Percentage: 13% Heating Degree Days: 6137 Climate Zone: 5 Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling:Cathedral,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall:Wood Frame,16in.o.c.,R-21.0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-21_0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-21.0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window:Wood Frame,2 Pane w/Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes-No Comments: ❑ Window:Wood Frame,2 Pane w/Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes-Frame Type Thermal Break?-Yes-No Comments: ❑ Window:Wood Frame,2 Pane w/low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?-Yes No Comments: ❑ Window:Wood Frame,2 Pane w/Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes-Frame Type Thermal Break?-Yes-No Comments: Doors: ❑ Door:Solid,U-factor:0.350 Comments: ❑ Door:Solid,U-factor:0.410 Comments: This door is exempt from the U-f actor requirement. Project Title: Report date: 11/08/12 Data filename: Page 2 of 5 ❑ Door:Glass,U-factor:0.300 Comments: Floors: ❑ Floor`.All-Wood Joist/Truss Over Uncond,Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions);attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,.gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Air barrier and sealing exists on.common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated.(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. Wood-burning.fireplaces have gasketed.doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building.envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring: (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunroorns:: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building the envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: ® Building framing cavities are not used as supply ducts. ❑ All joints and seams of air ducts;air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions:. Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a.hinge effect, vProject Title: Report date: 11/08/12 Data filename: Page 3 of 5 Continuously welded and locking-type longitudinal joints.and seams on ducts operating at less than 2 in.w.g.(500 Pa): Lj Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 68.3 cfm.(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 102.5 cfm(12 cfm per 100 ft2 of conditioned floor area). (3)Rough-in total leakage test with air handler installed:Less than or equal to 51.2 cfm(6 cfm per 100 ft2 of conditioned floor area). (4)Rough-in total leakage test without air handler installed:Less than.or equal to,34.2 cfm(4 cfm per 100 ft2 of conditioned floor area). Temperature Controls: Lj Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating.system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load.. Heating.and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating.compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are-insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chiiled.fluids.below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. 0 Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered,energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,.b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: ® A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 11/08/12 Data filename: Page 4 of 5 Project Title: Report dater 11/08/12 Data filename: Page 5 of 5 f -C _j 2009 I ECC Energy Efficiency Certificate Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): . Window 0:25 0.31 Door 0.30 0.27 .. Heating System: Cooling System: Water Heater: Name: Date: Comments: ®I3ot�ece��aae Single 11-7/8" 13CI090s-2.0 SP DesignsW01 1 span 1 No cantilevers 1.0/12 slope Monday.November 19.2012 BC CALCO Design Report-US 16 OCS Repetitive Glued&nailed construction Build 1757 File Name: K Sadler Kleimola.bcc Job Name: Description:Designs\JO1 Address: Specifier: City,State,Zip: , Designer: Customer: Ken Sadler Company: Code reports: ESR-1336 Misc: Q -- ---- ---- - —, :— - --- - — - -- 22-0o,oa BO B1 Total Horizontal Product Length=22-00-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live bead Snow wind Roof Live BO,2-1/2" 68510 465/0 439/0 B1,2.112" 608/0 16810 Live Dead Snow Wind Roof Live oCS Load.Summary Tao Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(lb/ftA2) L 00-00-00 22-00-00 40 10 16 2 Conc.Pt.(Ibs) L 04-00-00 04-00-00 120 120 n/a 3 Conc.:Pt.(Ibs) L 00-00-00 00-00700 220 439 n/a Controls Summary value %Allowable Duration Case.._.Location Disclosure._ Pos.Moment 4,412 ft-Ibs 46.2% 100% 1 10-04-07 Completeness and accuracy of input must End Reaction 1,151 Ibs 70.7% 100% 1 00-00-00 be verified by anyone who would rely on End Shear 917 Ibs 42.1% 100% 1 00-02-08 output as evidence of suitability for Total Load Defl. U473 0.551 50.7% n/a 1 10-09-10 on building acode accepted d here based ( ) on building code-accepted design Live Load Defl. U619(0.421") 77.6% n/a 4 10-10-07 properties and analysis methods.. Max Deft. 0.551" 55.1% n/a 1 10-09-10 Installation of BOISE engineered wood Span/Depth 22 n/a n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide "y llow %Allow or ask questions,please call Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation. BO Wall/Plate 2-1/2"x 3-1/2" 1,309 Ibs n/a 70.7% Unspecified BC CALCO,BC FRAMERV,AJS-, B1 Wall/Plate 2-1/2"x 3-1/2" 776 Ibs n/a 47.7% Unspecified ALLJOIST®,BC RIM BOARD-,BCI®, BOISE GLVLAMTm.SIMPLE FRAMING Notes SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, Design meets Code minimum(U240)Total load deflection criteria. VERSA-STRAND@.VERSA STUD®are Design meets User specified(U480)Live load deflection criteria. trademarks of Boise Cascade Wood Design meets arbitrary(1")Maximum total load deflection criteria. Products L.L.C. Calculations assume member is fully laterally braced. Composite El value based on 23/32"thick Douglas Fir plywood sheathing glued and nailed tc member. Page 1 of 1 ®b3olsecaseade Single 11-7/8" BCIO 90s-2.0 SP Designs\J02 1 soon I No cantilevers 10/12 slope Monday.November 19.2012 BC CALCO Design Report-US 16 OCS( Repetitive j Glued&nailed construction Build 1757 File Name: K Sadler Kleimol&bcc Job Name: Description:Desia_ns\J02 Address: Specifier: City, State,Zip: , Designer: Customer: Ken Sadler Company: Code reports: ESR-1336 Misc: 21-06-00 -BO B1 Total Horizontal Product Length=21-06-00 Reaction Summary(Down/Uplift) (tt Bearing Live Dead Snow Wind Roof Live BO,2-1/2" 671 /0 431 /0 380/0 61-.2-1 IT 589/0 18810 59/0 Live Dead Snow Wind Roof Live =ocs Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(Ib/ft^2_) L 00-00-00 21-06-00 40 10 16 2 Conc. Pt.(lbs) L 03-MOO 03-00-00 113 113 n/a 3 Conc. Pt.(lbs) L 03-00-00 03-00-00 220 439 n/a Controls Summary Value . %Allowable Duration Case Location Dlsalosure Pos. Moment 4,422 ft-Ibs 46.3% 100%0- 1 09-10-01 Completeness and accuracy of input must End Reaction 1,102 lbs 67.7% 100% 1 00-00-00 be verified by anyone who would rely on End Shear 1,089 lbs 50.1% 100% 1 00-02-08 output as evidence of suitability for Total Load Defl. U478 0.533" 50.2% n/a 1 10-05-07 on builds g codapple-accepted pted dOutpu signhere based ( ) on building_code-accepted design Live Load Defl. U674(0.378") 71.3% n/a 4 10-07-12 properties and analysis methods. Max Defl. 0.533" 53.3% n/a 1 10-05-07 Installation of BOISE engineered wood Span/Depth 21.5 n/a n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide %Allow %Allow or ask questions.Dlease call Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation. BO Wall/Plate 2-1/2"x 3-1/2" 1,220 lbs n/a 67.7% Unspecified BC CALC®,BC FRAMER®,AJS- B1 Wall/Plate 2-1/2"x 3-1/2" 777 Ibs n/a 47.7% Unspecified ALWOIST®,BC RIM BOARD-,BCI®, BOISEGLULAMTm SIMPLE FRAMING Notes SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, Design meets Code minimum(U240)Total load deflection criteria. VERSA-STRANDO,VERSA-STUD®are Design meets User specified(U480)Live load deflection criteria. trademarks of Boise Cascade wood Design meets arbitrary(1")Maximum total load deflection criteria. Products L.L.C. Calculations assume member is fully laterally braced. Composite El value based on 23/32"thick Douglas Fir plywood sheathing glued and nailed tc member. Page 1 of 1 r ®9clseCascade Single 11-7/8" BCI®90s-2 0 SP DesignsIJ03 4'snan l No cantilevers 10/12%Inne Mondav November 19.2012 BC CALL®Design Report-US 16 OCS l Repetitive l Glued&nailed construction Build 1757 File Name: K Sadler_Kleimola.bcc .Job Name: Descnotlon:Desians\J03 Address: Specifier: City,State,Zip: , Designer: Customer: Ken Sadler Company: Code reoods: ESR-1336 Mist:. t s p Lill 03-00-00 B0. B1 TotalHoriaintal Produd Length.=03-00-00 Reaction-Stimmary(Dorn i Uoliftl i ibs t Bearing Live Dead. Snow Wind Roof Live BO,2-1/2" 80/0 20/0 61.2-1/2" 193/0 353/0 439/0 Live Dead Snow Wind Roof Live: .00S Load Summary Tag Description Load Type Ref. Start End 100% 90% 1150/6 . 160% 125%. 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 03-00-00 40 10 16 2 Conc. Pt.(Ibs). L 03-00-00 03-00=00 11-3 1-13 n/a 3 Conc.Pt.(Ibs) L 03-.00-60 03-00-00 220 439 n/a Controls Summary _vague., %Allowable Duration _ Case Location Dirtcinnfir3 Pos. Moment 62 ft=Ibs 0.6% 100%'` 1 01-06-00 Completeness and accuracy of.input must End.Repot on R97 lbc 44 2%;. 1-15% 3 03-00-00 be verified by anyone who would rely on End Shear 861bs 4% 100% 1 00-02-08 output as evidence of suitability for Total Load Defl. U35,933 0.001" 0.7% n/a 1 01-06-00 on building application.Output here based ( ) on building cede-accepted design Live Load Defl. U444917(0.001"_) 1.1% n/a 4 01-06-00 properties and analysis methods. Max DO. 0.001" n/a. n/a 1 01-06-00 installation ofBOISE engineered:wood Span/Depth 2.8 n/a n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide %Allow %Allow or ask questions,please call Bearing Supports Dim.(L x W) )232-0788 Value Support Member Material (804 =before.installation. BO Wall/Plate• 2-1/2"x 3-1/2" 100 lbs n/a 6.1% Unspecified BC CALCO,BC FRAMER@,AJSTu, B1 Wall/Plate 2-1/2"x 3-1/2" 827 Ibs n/a 44.2% Unspecified ALLJOIST@,BC RIM BOARD-,BCI@, BOISE GLULAM1m,SIMPLE FRAMING Notes SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Design meets Code minimum(U240)Total load deflection criteria. VERSA-STRAND@,VERSA STUD@ are Design meets User specified(U480)Live load deflection criteria. trademarks of Boise Cascade wood Design meets arbitrary(1")Maximum total load.deflection criteria. Products L.L.C. Calculations assume member is fully laterally braced. Composite El value based on 23/32"thick Douglas Fir plywood sheathiq%glued and nailed tc member. Page 1 of 1 PA TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Map 4/6 Parcel O g� O u p�pt;STASLE Permit# 6 013,36 T0� i 9 iJ Health Division 2 U 2- 200 - `; !+ Date Iss d AR 26 `( 3 Conservation /y-- Division � � 7.E7c�Z � Fee Tax Collector ,-70-o '1'2/�/l E TreasurerLLB I I C0 M P L I A Planning Dept. WITH TITLE 5 0NR1EE.M,TAL C0r2r,_ A; Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address/ Village Owner Address �rS� C'v�Ofcro� ff4titr��/� l Telephone .527 6 P(6 Permit Request C Otis-/ZuC 461 k17 Square feet: 1st floor: existing proposed proposed P/7 2nd floor: existing proposed Total new Valuation �SbUo,as Zoning District Flood Plain Groundwater Overlay Construction Type Id o® V Lot Size P 000 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Er-' Two Family ❑ Multi-Family(#units) Age of Existing Structure ks Historic House: ❑Yes ffl�_o On Old King's Highway: ❑Yes &Iq-o Basement Type: ❑ Full yawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Numberof Bedrooms: existing �L new _ L Total Room Count(not including baths): existing new 3 First Floor Room Count Heat Type and Fuel: 9"G"as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ErN o Fireplaces: Existing ✓ New Existing wood/coal stove: ❑Yes O'IKo Detached garage:❑existing ❑new size Pool:Cl 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 BUILDER INFORMATION Name Telephone Number 6"OS= 7,9y-D,'V/ Address License# UD ff 7J— s9�u�i�J 4;zj� 0 / Home Improvement Contractor# //O�O j Worker's Compensation# WL J'= ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 11A,-3_M,/ SIGNATURE1 DATE � 6�� _ - FOR OFFICIAL USE ONLY i f PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: n FOUNDATION �� G �r l d cif FRAME Ud f, INSULATION FIREPLACE r' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL g GAS: ROUGH FINAL FINAL BUILDING • DATE CLOSED OUT r ASSOCIATION PLAN NO. - j Y C The Town of Barnstable Regulatory.Services bprfc ,;�►�� Thomas F Geiler, Director Building Division Peter F. Dfflatteoi Building Commissioner 367 Main Street,Hy..anniis MA 02601 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation.repair,modernization,conversion, improvement.removal.demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other- requirements. , Type of Work: AV211"M,, -re,da1,W,5' Estimated Cost b roU(�TJ Address of Work: Owner's Name: �C C �l�� -�i����/c: I-T,/ Date of Application: �z Z2 t/p I hereby certify that: Registration is not required for the following reason(s): riWork excluded bylaw ❑Job Under$1,000 ClBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL.c.141C SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner•. } Date Contractor Name. Registration No. M OR Date. Owner's Name i ''��_---� The Commonwealth of Massachusetts Department of Industrial Accidents exec 811HOS998011S t 600 Washington Street Boston,Mass. 02111 -- Workers' Compensation Insurance Affidavit name: location: city hone# ❑ I am a homeowner p . g all work myself. ( I am a sole p oprietor and have no one workin in ca achy %%/O//O///% %%% /////////%////%%//%%%%//%%%%%//%/%%//%/%%%%%%%/%/%%///%/%/%/�%%/%/%%%%/%////////////// I am an employer providing workers' compensation for my employees working on this job. i s???: ::>i2s2 .> a ?i ` Si: - ?tOIDpeDY'la `g �ress n lri3uran ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: X. '> s>` .... ?` i;�i: i i'ii i> `.. ?is >5 i i'?>'isi<i i ::i'i:: ii.... `comvanv n ...............:.....::.............. :::::..::::..:......... .acids ........ ........ ..... ... . ........:..:::�::•::.::...:..::•v.::::::::.�:::.v:.�::::i?:i:-?'.�::::::::::4?ism:ii:i+4'•??i?:�::::�i::::i!_?i:•::::i}.v.?:.�:i.........::?:i•?'viiiii i.;.:....::.,.:......... r... ....... _ •:ii:?:•i:ii:ii:i•�:::ryj}:i.vi?nw::.,:�.v.:�:::::::::......::.�::nv.�::...........,:..............v:::i^:�:::::::ti6????ii::�?:4::::::•:.?:�i:i{•.::•:4:v::i::::.:;:::.::'•:::?:::i i:4:•i?::.;v.:y,_.;•.�.....:•:??'::.t:.;i::�?:s??:^i??:L:v+:• ..........v::r::.v:v::::::-::::r.v:r:::::::::v::::v.x:w::r:::::::v:::::,.... ...... .... ... ... ....: .... .... .r.:.::...•,•::.:. •: v...-:.v:-v.-fi•?:�:v:ti. -• i►i:C?:i:;Y�:'::}�:":::::•::'::j':ti`:::: )::`::!4�i:5::7?i$��::�i:::'?:���::ti:is�:si`:,.WY `�:::ii::;i:;:y}::i:;i::j }v 'i:'�'{'' ?J% � '"`% '`�-53`i�'%'?r? J� ii���'�i'�>?%'`ac�rs :�i:": :` �?k� "?<�S>�>'�' lvae .....,.:.,....::.. cam.n ................................ .......... .............. . ...........::>?: n onei �"{.�Wit'%�?' ' <�=?`•33>....r..:....:. ON Faibnrc to secure coverage as required under'Section M of MGL 152 can lead to the imposition of criminal penalties of a Ste up to SI;S00.00 and/or one year''imprisoamad as well as dvg penalties in the form of a STOP WORK ORDER and a Sue of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains mid penalties of perjury that the information provided above is ftw.nand correct Signature -x --Date /�D /�, • Print name �,' C91/�f���t/ Phone# ��/�— ? a' om ial use only do not write in this area to be completed by city or town official city or town: perndt/iiceme# OBuilding Department ❑Licensing Board ❑checkifimmediate response brequired ❑SelectmewsOffice CIN adth Department -: contact person: phone#; Other Owind 9195 PJA) Information and Instructions lassachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their nplovees. As quoted from the "law'; an employee is defined as every person in the service of another under any contract Phire, express or implied, oral or written. ,n employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of ie foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or ustee of an individual, partnership, association or other legal entity, employing.employees. However the owner of a welling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of nother who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or wilding appurtenant thereto shall not because of such employment be deemed to bean employer. 4GL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal f a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has lot produced acceptable evidence of compliance with the insurance coverage required. Additionally,.neither the ommonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until cceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the contracting uthority. applicants 'lease fill in the workers'. compensation affidavit completely,by checking the box that applies..to your situation and upplying.company names, address and phone numbers along-with a.certificate of insurance'as all affidavits may be ubmitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and. late the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is ►emg requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you Lre required to obtain a workers' compensation policy,.please call the Department at the number listed below. I"ity or.Towns 'lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the L idavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please �e.sure to fill in the permit cense number which will be used as a reference number. The affidavits may be returned in- he Department by mail or FAX unless other ariaagements have,been made:_....:. ._�_._... .�_ ._,._.. the Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. )lease do not hesitate to give us a call. 1'he Department's address,telephone and fax number: The Commonwealth .Of Massachusetts Department of Industrial Accidents Office of Iovestlgatlons 600 Washington Street * Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409.or. 375. ' RESIDE BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 - Building Permit Amendment $25.00 . FEE VALUE WORKSHEET NEW LIVING SPACE x' 7 square feet x$961sq.foot= 'I F4/ x.0031= plus from below(if applicable) ALTERATIONSIRENOVATTONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000'sf- 1500 sf .100.00 >1500 sf-Same as new building permit: square feet xS961sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (member) _ Deck x$30.00= (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool . $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 — j (plus above if applicable) , —_ . • Permit Fee projcost Table d3T.lb( Preaeripttre Packages for Qna mw Two randy ResMoodaa BWW V Seotad with Foeeit Faeb MAXIMUM A'IMNI NUM Glazing. GLring Ceiling Wall Flom Bosemeat. Slab �� . Army('/•) U- R value'. I-valuoi R valud Wall Eqdpnm pie Rwahte' &vaiod Ml to 6500 Heada;Down Da>w` Q 1271. . 0.40 3E 13 19. . !0 6 Norte R 12% 032 30 19 19 10 6 Normal 9 120.4 030 38 13 19 10. 6 ES AFUE T 15% 036. 3E 13 25 WA Wt Normal U 15% 0." 3E. 19 19 10' 6 Normal v 13Y• 0.44 38 13 23 WA WA 113 AFUE W 15% 0:32 30 19 19 10 6 15 AFUE X 19% 032 3E. 13 23 WA WA N0ffnaf Y 18% 0.42 3E 19 2S WA WA NonmLi Z 18% 0.42 3E 13 19 10 6 90 AFUE AA I8%. 030 30 19 19 1 10 6 90 A� 1. ADDRESS OF PROPERTY: Pu22c�/ r�Ue 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 72-7 3. SQUARE FOOTAGE OF ALL GLAZING: l �� 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS-OF DEZERNUNING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. F • BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-1980303a Footnotes to Table J5Z.1b: --- ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-class doors, skylik_hts.'and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wail area. expressed as a percentage. Up to.1%0 of.the total glazing area may be excluded from the U-value requirement. For example.3 ft=of decorative glass may be excluded from a building design with 300 fl of glazing area. After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating.Council (NFRC) test procedure, or taken'from Table J1.5:3a: U. -values are for whole units:center-of-glass U-values cannot be used. The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the foil insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R--8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the.sum of cavity insulation.plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned.space and the ventilated portion of the roof. Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used): Do not include exterior siding, structural sheathing,and interior drywall.For example;an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus 1-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry„Iog)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. TI:a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcc: the same R-value.requirement as above-grade walls. Windows and sliding glass doors of conditioned br..,ements must be included with the other glazing. Basement:doors must meet the door U-value requirement d_scribed in Note b. The R-value.requirements are for unheated slabs.Add an additional R 2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must Imeet or exceed the efficiency requited by the selected package. For Heating Degree Day requirements of the closest city or town see Table J5M.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. It-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer.in accordance with.the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door.U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). e) if a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area weighted average R value is greater than or equal to the R-value requirement for that component: Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 t ' � ,��.> ✓� I J,l�Zl7:d::Q.'G/2ttrP.G�ile � ../�Ze _/l14n?YLO'n�A/Pi! a c-,./•. BOARD OF BUILDING:REGULATIONS ' ; License: CONSTRUCTION;SUF?EI2UISt?R,' ' Number: CS 009975 ' Expires:..08113/2003 Tr.,r o. 2479 Resiricted: .00 BILLY E CAUTHEN s,• 86.BETH IN HYANNIS, MA 02601 A'dmi6isfiator YiIPP. 6 a fiFq�la'RT CCt F�,�I;�mMi ~ E paratio!n: 06125/2.U0`2 w BILLTE MUD BILLY CBUN.LN urh7 �i *BETII LANE hi nK�ssTsa�� sa NY:pNNI IA Mal I Town of Barnstable Geographic Information System December 28,2012 a t 246106 i� #78�,.�-""�� 246112 #81 246121 #84 - p►NE WAY . : 44 246095 92 2460Q8 x 246099 � �.�.• �< � �'�� .3cz. 246096 #102 246097 246100 #104 r 0 14 Feet Via= DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:246 Parcel:098 - Selected Parcel ED boundary determination or regulatory interpretation. Enlargements beyond a scale of 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:KLEIMOLA.JANET F&DAVID W Total Assessed Value:$315300 are only graphic representations of Assessor's tax parcels. They are not true property - Co-Owner: Acreage:0.18 ages Abutters , boundaries and do not represent accurate relationships to physical features on the map such as building locations. Location:93 FOURTH AVENUE Buffer /` NOTE. TOWN WATER AND SE WERAGE ; 1 ' fA O • � E STR�'�'T PINS' r40 > D 160.00 � o A M. 24t3 98 �? o LOT:246_ _ AREA 8,000 sq/ft o Qi LOT 385 HSE �s .24 1... o- 1•_ 4.o LOT 383 LOT 248 - l: a • 11*00 P/RS I..� �TJ9 a LOT.:250 - o I CERTIFY .THAT THIS `SURVEY AND PLAN WERE MADE. INS ACCORDANCE WITH THE PROCEDURAL.AND. TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SUR.VEYINC _IN z OMMONWEALT OF:MASSACHUSETWD s �i PA UL A. MERITHEW L S .:_may.----.-•-- __�_.__.-�_._��- I• vE-C-wATIV,E — I' - -- I Ir®RS O./f �_.. \ BgRNSTAB .. `��� UDC llyG DBPr a I 4 i .Ou .. f,.�lnl.�•4B��El.ola Got'-j �.. .. .. .06w r-ooF .6EYot4P_ ...:_._ w Ps, =- r __ _— -- Z7°.H. r�E-09ATr, WconIL, W/ MIF -----( - . 1� - FIB PpsYh uo �Lr . -_hH�ITT�,�s To l'�Tui Ex15T'_ -I,��y- Go�Fx. 6or.�-D� E • Wiwc>oW TRIG T. E. A7 s-_ - - - WOOP,6}{IL1(mLEh To E)415j — hEE iJoTa --...--- rr-oPofhED ACIPITIO�j -- I? IGHT �IPE TH E-A67 EL-E�/.411oi1 1_lEtJ pPI ioiJ Ih1. LOoFc ELE�/A i6tiJ wiWoo�l N�� • F T F 7 ll G.ii�l-f ALJn .IL-r n-o2 Ll r,l/n rl Y<S TO I-414,TGt{ L�LIfjTIF�JG, . _ • _ _ , LLB` W "�l DcGORiTtdi: WooP P-A,11- ir rN- I • - EXISTIh1G- -- • O cz� ®cZ� • O O O " • � � ,�. / I , � _ Lltil. ; s��-.1�RoaF w�Fi�.• r i 7 Groh i OV-� E, I - �K /I E id hIZr--AWD T--_ 1 I � . o,� ��K WI-('�j DL1N ER. � aI-o5.�.. • _. r. 16TIti1G }�oLJSE ESL. Em-• 'I 1/7 ji I 3,L Y t Op/1-9 op ,to yet��k • ' � l�e� di • •�ao�-P�?Ion/ _i 2�bh SwF QSpk4i� l jy ' D,c`I cvx P crD Q s 17 ir r2a9 cr r Se�T r p�✓a�- !f� '_ _ ''-._ U .:� _ char,.'s,�� - �DOS3''TXPES�• r.1.•+... ..�..L. _.--.w_ ... -- .. _.. ._.. __.-.. ��- ' a GENERAL NOTES: ` M' W WINDOWS ARE BASED G WINNDOEW AS`FOL p HILD" FOOTING AND FOUNDATION WALL: NARROWLINE DOUBLE•HUN 24"WIDE X 10"DEEP CONCRETE FO NCBNG WITH SHALL B HI 000 r�nnFr,N ROUGH OPNC I`1Q � CONCRETE FOUNDATION WALLS. 2'-101/8 z 4'-1 1/4" 5: psi AT 28 DAYS.STEP FO)TING AND�CABLEFOUNDATION WALLS TO 28310 ..., gGSTING WHERE O PLYWOOD, O 2'-6 1/8"z 4'-9 1/4" 6e. EXTERIOR WALLS AT 16"O.C:WITH 112"EXT ?A46 2 X 4 WOOD STUD CEDAR SHINGLES TO MATCH B ' LYVHI{BUILDING PAPER AND CED TION BATTS(R=15)• EXISTING.3 1/2"FIBERGLASS INSUL A O 2432 2'-6 1/8"x 3' S 1/4" 1 INTERIOR SURFACE SHALL BE 1!2"BLUEBOARD WITH SHIM COAT PLASTER FINISH... *TWO PAIRS ARE`SHOP MULLED' .. 4. FLOOR CONSTRUCTION* H 3W'T&G PLYWOOD SLIDING DOOR,:AT NEW FAMILY ROOM: 2 X 10 FLOOR JOISTSAANTD•NAILS TO JOISTS. SHIED"GLIDING PATIO DOOR, SUBFLOOR,GLUED ANDERSEN"PERMA INTERIOR PARTITIONS: . 2 X 4 WOOD STUDS AT 16"O.C.WITH 112"BLUEBOARD AND MODEL NO.PS510L;ROUGH OPNG.5'-10 1!2"x 6'-8" , SHIM COAT PLASTER FINISH- ROOF- OF:2 X 10 RAFTERS AT 16"O.C.WITH 1/2" rruFD RO . PNEYLPLYWOOD ROOF SHEATHING AND ASPHALT SHINGLES.2 X 6 ING AND CEILING JOISTSITH SKIM COAT PLASTER FINISH.R=30 1/2" BLUEBOARD _ FIBERGLASS IN SULATION ,ac�xj nr nT ROOF:2 X 12 JOISTSAT 16"O.C.WITH ADHERED -DECKINGSLOPE�TO`�PITCH 114"PER FOOT.FULL ry. DUBBER i.- INTERIOR FINISHES AND TRIM:INTERIOR _ ES REV AND WINDOW TRIM WITH O ER.TO S ERIFYA� DOOR REQUIRE BASEBOARD AND ANTERIOR FINISHES. WINDOW CASINGS, NOTE. TOWN {PATER AND SEWERAGE I " DEED REF. ROAD 1288011,55 9FACH y I. PLAN REF 34/23 Lam-- 98/45 xAi 2 y Q0� yp �fC� A.M_ 246/98 I ' FLOOD ZONE. ZONING. FR• 20 a SD.• 10 CTR RR- 10" N�'i (40`, WIDE) �✓ 1 1 EET lo. IYATER PROTECTION ZONE. AR" G " PI C. . o� % SQUAW �pV . - — - - V ISLAND _ 100.00" ) - N -A.M. 246/98 o AREA B 00 0 sq/!tT_246_ o o4: y o LOT 365 v �_ -� Ri. . 31.6 ' HSE -o - PLOT PLAN OF LAND 193 -_- PREPARED FOR. -235 RICHARD E. FRANKLIN LOCATED #93 FOURTH AVE 0 0__ oA - BARNSTABLE (HYANNISPORT), MA. LOT 383 q LOT 248 MAY 17, 2001 h too.00' YANKEE SUR BEY CONSUL TAN TS 71, P.O. BOX 265tz, ; �a a UNIT 5, 405 INDUS'TRY ROAD °�- MARSTONS MILLS, MA. 02648 a o PH.(508)428-0055 - FAX(508)420-5553 �. LOT 250 c GRAPHIC SCALE zo o 'o zv _ .o I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE IN ACCORDANCE NITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN T OMMONWEALT OF MASSACHUSETWD & ( IN FEET.) des Finch = 20 It.PAULA. MERITHEW P.LS. e JOB,¢V 52751 CB ^• rsi1 1 r d� o Z. I i • N . BO.OoI .\/E,I� u� SCHEMATIC SITE PLAN SCALE:F=10' DUSTING CONDITIONS INFORMATION TAKEN FROM"PLOT PLAN OF LAND"DATED MAY 17,2001 BY YANKEE SURVEY CONSULTANTS,MARSTONS MILLS,MASSACHUSETTS. ZONING ANALYSIS: ZONING DISTRICT: RESIDENTIAL DISTRICT"RB" DIMENSIONAL REGULATIONS / MINIMUM YARD SETBACKS REQUIRED PROPOSED{FOR NEW ADDITION} FRONT YARD 20 FT NOT APPLICABLE SIDE YARD 10 FT 20 FT/1+5' REAR YARD 10 FT .12 FT+ PROPOSED ADDITION d12,��...� '. r;.4 ,1"•� ,.i:.�a '�' .1�.E:;. l�.. /9 r� �W M,Trn,.S'S - - -� V �I gu o G1 0. y OO �, ..p • x r sTiN6 Fla�� P1 40 93 Fou >H Act', C-0 U NOTE.• TOWN WATER AND SEWERACE DEED REF.- 128801185 BSACH y toAD PLAN REF.- 34/23 98/45 z z y i QpE� A.,V: 246/98 " ., L �' - �oJ FLOOD ZONE. C �qP�Go J0 ZONING. "RB" p y Gv i FR• 20' a to SD.• 10 RE- 10" 40' WIDE) 7?EE T ;o WATER PROTECTION ZONE "AP" y9 G PINE' Gyp SQUAW py" \ISLAND 1 0 0.00 'car `,�'-J A.M. 246/98 LOT- R46.__ __._ _. -AREA_.. 8,000 sqlft o LOT 385 46 HSE =o _ _ _ _ PLOT PLAN OF LAND 93 " — —,— — # - ;;, - PREPARED FOR s RICHARD E' FRANKLIN s - _ _23.5 - _ 5 LOCH TED #93 FOURTH AVE s 0 LOT 383 t BARNSTABLE' (HYANNISPORT), MA. LOT 248 MAY 17, 2001 roo.oo r YANKEE SUR VEY CONSUL TAN TS P. O. BOX 265 �K UNI T 5, 403 INDUSTRY ROAD MARSTONS MILLS, MA. 02548 y� A. 4 PH.(508)428-0055. FAX(508) 20-5553 LOT 250 :GRAPHIC SCALE so dJ g 20 0 10 20 40 I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN T OMAfONWEALT OF HASSACHUSEWD y It1 FEET ) 1 inch. _ 20 ft. PA UL A. M'ERITHEW, P.L S- ` - ! �!► JOB,¢( 52751 CB' LEGEND ROADBEACH CONCRETE BOUND (FND) o x y o� IRON PIPE (FND) a ba y 4 a T0 TL l_j ET (40' HIDE)PINE P11 V - i so 587019'15"E 00.00' SQUAIP I \ 1 ISLAND j AREA= 8,000 sq/ft 0.2 ACRES o.. LOCUS PLAN REF: 34-23 DEED REF: 19903-72 LOT 246 -98ASSES OR'S MAP: 246 D ZONING: RB LOT 385 - - _ _ - PR UNDATION SETBACKS: 20'-10'-10' - - - - FO +y ___ ____-__-_ o ff' i FLOOD ZONE: C W ___ _=________ o i� PANEL NUMBER: 250001 0008 D 10.1 ft =__- o o DATED: JULY 2, 1992 erg —_- - - = = _ = _ _ �a - - - - - - - - - - - - - b- - - - - - - - - - - _ � PLOT PLAN OF LAND _ GRAVEL {i LOCATED AT: LOT 383 DRIVE Y " DECK ! 93 FOURTH AVENUE a SLOT 248 HYANNISPORT MA yy 1,"tiS.sti�ee • 100.00' 1 "�~ J PREPARED . FOR: S87*19'15"E 9.9ft { e STc�NEN s 13.6ft i �.� DAVID KLEIMOLA JANUARY 7, 2013 REV: LOT 381 LOT 250 REV: REV: GRAPHIC SCALE YANKEE -LAND SURVEY CO, INC. zo o ,o zo +0 119 ROUTE . 149 MARSTONS MILLS, MA LOT 379 LOT 252 1 inch 20 ft. TEL: (508)428-0055 FAX: (508)420-5553 yankeesurvey0comcast.net www.yankeesurvey.net IF SHEET 1 OF 1 JOB#: 54881 JM LEGEND SAD BEACH � ,� y CONCRETE BOUND (FND) ■ , IRON PIPE (FND) b y '40 Sco a 40' WIDE) STREET PINE � 4-�� oo.oo' S87°1915"E SQUAOF EA= 8,000 sq/ft 00 Q co 0.2 ACRES - . LOCUS M A P i ._ . .�. ..�_� _,� � � PLAN REF:-''-- 34-23 �D �� DEED REF: 19903-72 LOT 246 ASSESSOR'S MAP: 246-98 PROPOSED y ZONING: R B LOT 385 ____ - __ - FOUNDATION SETBACKS: 20'-10'-10' _ _ _ _ _ _ _ _ _ _ _ o FLOOD ZONE: C _ _ _ PANEL NUMBER: 250001 0008 D 10.1 ft - - - _ _ — - - o DATED: JULY 2, 1992 �tp - - - - _ _�—_ - -- - _ -- .A p - - - - - - - #93-_-_- -_- - - --- — 25.0ft p -_— — — -- - ---_ _ _ _ --- - - - - - - - -- - _ _ _ b - ---- - - - - - - - - PLOT PLAN OF LAND __—_- GRA VEL LOT 383 DECK DRIVEWAY LOCATED AT: LOT 248 93 FOURTH AVENUE 41_ HYANNISPORT, MA fi I ► �1'VtH OF ldgsS��� c !n �G\-T�aFv y� . _ 587.19'15"E 100.00' 9.9 ft : PSTEPHEN PREPARED FOR: 13.6ft ; COJ. Y�E N DAVID KLEIMOLA 41 � #37 JANUARY 7, 2013 D ►►,yyFSU ► L m��oQl � l�i LOT 381 LOT 250 `�y,J REV: REV: REV: GRAPHIC SCALE YANKEE LAND SURVEY CO, INC. 20 0 10 20 40 119 ROUTE 149 MARSTONS MILLS, MA LOT 379 LOT 252 1 inch = 20 ft. TEL: (508)428-0055 FAX: (508)420-5553 yonkeesurvey@comcast.net www.yankeesurvey.net SHEET 1 OF 1 JOB#: 54881 JM