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0011 MAYWOOD AVENUE
/� i i E r Q o MA YWOOp I AVENUE W z S61 ti6'47 E I � � 00 Q _ EXISTING 4.8' DWELLING 6.8' / \ DECK R.S.BOX I CK EXISTING °E-2Z4 ' GARAGE W g y ' Lu h z: �r CO / EAipC�c�\• � z FOUNDATION PLOT PLAN DGE #16-161 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION #11 MAYWOOD AVENUE HYANNISPORT,MA 40' DATE :. 4-2-2018 SCALE : 1 PREPARED FOR: REFERENCE MAP .287 PARCEL 130 WENDY L HWAIT I HEREBY CERTIFY THAT THE STRUCTURE ���iH of MASS p SHOWN ON THIS PLAN IS LOCATED ON THE DAN qy GROUND AS SHOWN HEREON. o� AIEL . s off 506-362362=1 c� OJALA N ` faz 508- - -- downcope.com 0 o No.40980 ' owns'cape endineerind,inc, \ �,,, clv/l englneers SURVE'A° r land surveyors ------------ ------ --- =- • 93 -------- 9 Ma/n Street (Rte 6A) , YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR i Q z II r MA YWOOD AVENUE W z S81106'47'e .00 _0 _ EXISTING 4.8' DWELLING 6.8' � \ DECK R.S.BOX ^{ EXISTING °EL 214 GARAGE w I (� Ld e N /�� Z I :J2 •�: I .0 I co LAj "moo••`. � 4jB be'��F FOUNDATION PLOT PLAN DCE #'6—,s, PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION #11 MAYWOOD AVENUE HYANNISPORT,MA SCALE : 1" = 40' DATE : 4-2-2018 PREPARED FOR: REFERENCE MAP 287 PARCEL.130 j1` ENDY L HWAIT J. }HEREBY CERTIFY THAT THE STRUCTURE �ZN.oF MASs�c SHOWN ON THIS PLAN IS LOCATED ON THE NfEL y� GROUND AS SHOWN HEREON. o� A. s Off 508-362-4541 OJALA (n ' ta.518-362-9880 No.4098Q I downcape.com m q down cope en ineerin inc, cvl engldeers Ll-L-1S 0SURVE�° land surveyors 939 Maln Street (Rte 6A) YARMOU7MPORT MA 02675 DATE REG. LAND SURVEYOR Town of Barn taing ble v r k i nxvsineie�, 1 Post:T;his.Card,SoJhat rt is,Visible Ftom:the Street.>_Approved:Plans Must'be Retained on•Job and this Card Must be Kept MASS posted Until.Final.lnspection Has.Been.Made ' - \� ° -,Where a Cemit rtificate of Occupancy is•Aequired,such Building shall Not'be Occupied until-a.Final Inspection.has been made. . Permit NO. B-17-2469 Applicant Name: . TATE D ISENSTADT Approvals Date Issued: 10/17/2017 Current Use: Structure Permit Type:' Building-Addition/Alteration-Residential Expiration Date` 04/17/2018 Foundation:' Location: 11 MAYWOOD AVENUE, HYANNIS Map/Lot: 287-130 Zoning District: RF-1 Sheathing: Owner on Record: GARTHWAITE,WENDY L Contractor Name: TATE D ISENSTADT Framing: 1 Address: 422 DUTTON MILL ROAD Contractor Licenser CS-098149 2 MALVERN, PA 19355 Est. Project Cost: $31,000.00 Chimney: Description: New Foundation for Garage. New Siding, Roofing. (lifting Structure . Permit Fee: $ 208.10 and Putting on new Foundation). Insulation: Fee Paid: 5208.10 Project Review Req: NEW FOUNDATION AND RENOVATIONS(NO DEMO), SAME Date: 10/17/2017 Final: FOOTPRINT Plumbing/Gas Rough.Plumbing: Building Official final Plumbing: This permit shall be deemed abandoned and invalid.unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws.and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officialsare provided on this permit. Service: Minimum%of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fir .laces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. .. _,Work.shall not proceed until the Inspector has approved the various stages of construction 2 ,Final' ersons contracting.with unregistered.contcactors do.not have access to the guaranty'fund" (asset forth in MGL c.142A•).- - . Fire Department Building plans are to be available on site Final: _ "' All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C:�29 Parcel Application � Health Division Date Issued 4 Conservation Division Application Fe D Planning Dept. Permit Fee YT Date Definitive Plan Approved by Planning Board �l Historic - OKH _ Preservation/ Hyannis Project Street Address v6gr Village Owner" �� Address Telephone nn < Permit Request LJ o f ` Le s-3 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ' Flood Plain Groundwater verlay Project Valuatio ob Construction Type . , ( —W®9 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other `fiell Basement Finished Area (sq.ft.) Basemen Unfinished Ard;fl q.ft) Number of Baths: Full: existing new OHalf: exisAgI new `�Q� 1� Number of Bedrooms: existing _new P,4 Total Room Count (not including baths): existing new First FloorRppm Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION r' L (BUILDER OR HOMEOWNER) Name Iak �5�� '`�l Telephone Number 50�,_9z2-- 0;'o� Address PJ 7f� License # CS- 0!'?l q9 if Pp✓/_ k* 0261 Home Improvement Contractor# rS S g Email r,2 S -Fwj Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 `" A. SIGNATURE Al DATE 75 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 6 0 I ZJq FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Commonwealth of Massachusetts Sheet Metal Permit M Parcel 1; b o IPA; p I — �8� Date: � I � ermit# . NOV 0 3 2017 g� Estimated Job Cost: $ �•vat Permit Fee: $ N OF BARNS Tqg Plans Submitted: YES NO Plans T eviewed: YES NO Business License# Applicant License# 7 3 b Business Information: Property Owner/Job Location Information: Name: t yz4A�t2 L,1, 1xJ . Name: e s'�4�, p Street: 2E Street: l 9 E'I)9 Qjcj>,A_ City/Town: bk q,�r W:e-1^ City/Town: U!4Q Uut S a6 ct L O r 70 �f�- �-14 r Telephone: J � � `� pho Tele Photo I.D. required/Copy of Photo I.D. attached: . YES NO sta Initial J-1/M-1-unrestricted license J-2/.M-27restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents ` Air Balancing Provide detailed description of work to be done: INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes o ❑ If you have checked)La,indicate the of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application wwalyes this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box(],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final°Inspection Date Comments t Type of License: By ❑Master Title ❑Master-Restricted Cityrrown ❑Journeyperson Signature of Licensee Permit# l ❑Journeyperson-Restricted License Number: (� Fee$ ❑ Check at www.mass.gov/dnl . Email: l,J C A4CA,1..,je Inspector Signature of Permit Approval ` The CommoymeaM qfManachzaeds Dqwftentof striarAccda Office afhoex6gadom 600 Wa&fizo n Sftwt Bastnvn,MA 02H1 wWMMaMgrrn/W7a Workers' Campensaiaan Insurance Af ixyit BrOder s/Contm ers Izifarns afon qq Please Pry v N8tm lJ r— Address~ l4sv�— CityfState,� V Cc8f %C,GLI Phonz A" Are yo- employer?deck the appropriate bares ' Type of project(reqaired}: I. I am a employes With ' 4 ❑I am a general conhmclor and I 6_ ❑l�e�v cmstruction employ=(fan andkr parW me)* e hired the sib-camp at ��,,��// 1❑ I am a sole pmpsieta r orpartaw- Tisted on the attached sheet.?. l eg ship and have no employees These sob-contractars have g.❑Demalafion w fume in ' �"� �y en�xloyees and waxlcers g_ ❑Buff c1mg addition [No wpdmss'comp-ia—ce Goop-i"sum'c'1 regaire -] 5. ❑ We are a=pmmfinaand its 1o.❑Etectdmi repairs or additions 3.❑ I ana hamemxner doing all work officers haveexercised doir 11_0 Plumbingrepaim or additions myself[No waclmrs'comp- right of won per MGL L❑Roofrgmirs msmanr:e requires j T c.15Z§1(4k andwe have no employees.[No worms' 13.❑Other U comp.iasMMce mquireal_j • Any zw5c=C=tckecksbtmfl—staisufmouttheswfmnbeEm deirwodaec®peasatiaapnTugi = fi ERmeuwaea who submt ffm Kffid2vtiadaratntg they am&ing 0 rook sad&m 1zEm aarside cacksct=— submit anetiv 2Mda&indica9iag sadi fCaatzaci�fftara3�eclai}dsboxmostattarasaddWand Shed shawiagthemameofdie sad statewhetherarnatthoseeasitieshas� ea49uyees.Iftbe bane emphrfea%diey=sr nvsn&d eir wadwWcmzp•paHF m m lain era errrpbsr drat is prauiriing workers'car perrsrdimt iaswrrrrca,�ary�rrrpbnx $eFaev is floor paFicy ami job rite i�forrrz�tiors _ Insurance Compmy Name: Aj O 'e-E 6- Foficy or Self-ice I.ic.* %(3 S t Lt Tl-( Jab Aaldress 1 t'►'`. we �`f Citg/5tafet p: Attach a copy edthe workers'caanpensationp-aEry-decLwation page(showing the policy number and ezpimtion date). Failure to serum coverage as required under Section 25A of MGL c: 157-can lead to the imposes of criminal pertalties of a fine up!a$1,50D OD and!'or one-yearimprismmnevt,as wen as civil peuslties.in 9e harm of ar STOP WORK ORDER,and a Em of up to$25100 a day against the violatan Be advised that a copy ofthis sbh mend maybe forwarded.fn the Office Of Inveftabons ofthe DIA for msmm=coverago verifioton I rfa herwby 6uler and f7iat the fidortaaf wzpriovikW nbm a is bars and carrect Sieaatarer !�V * bate•= Phone A: a Grid uss aidp l)a uat e�rita in tl urery be c=pletad by ciflt artown a,,�j`ic&I Citytw.awn.: WMM tT&ens;e Issuing Auffim ity(circle ore): L Board of Real& Z.Buffi nag Department 3.CAyf£ovm Clerk 4.Electrical Inspector 5.Ph mbnag Inslrector 6.Other Contact Parson: Phoant#- - 6 laformation and Iastzactions ` M Lssacimce fs Genc al Laws chaff 152 re:ganes all employe$s'fo provide W011=S'c-omp=%EIion f1w heir=Playees- t pursrszat to tbis sfsinfe,an enpIvyw is defined as 4:ev erY Person in die service of another ffid=my contract ofhfi-e, express or finpliA oral or ws>flffi." Au r1rVIvyer is defined as ran injEVjffiA per, association,ccapora ion or otiea Iegal entity,or any two or more of the:foregoing engaged in a Joint cntcr ise,and inchvfmg$be legal n�reseafafives of a deceased eurplrryer,or f bz receives or trustee of as MffMdaa] partnMshiP,asociatinn or other legal entity,emPlopmg C=PbY=r However the owners of a dwelling Fuse haviognot more than tb ee apmtnen s and who resides thereii6 or the occcpant oftbe - dw Mug house of anr$er who eoploys persons to do nnfi tman=.wnsftuodon or repay wow on such dwelling horse or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MCTT_cbapter I5'Z,§25C(6)also stdL-s fhat"everystate or local licensing agency shall withhold the i=. nce or renewal of a license or permitto operate a business or to construct buildings in the commonwealth for any applicant who has notprodnced acceptable evidence of compliance wn the hmwxan=coverage regnked_" Additionally,MGZ chapter 152,§2.St`M slates aNeifhcr the ca mmonQeaM nor ally of its political subdivisions shall enter min any contact forthepmfoffiance ofpubhowadcnnff acceptable evidence of compligacevM the msmmnce:._ requn-emen s of this chapter have beM presented to the corft=ting anihozity." ApPlicaa�s , Please fa out file worb=,compensation affidavit compytey,by g the boxes ffiat apply to your won and,if necessary,supply sub-confracfor(s)name(s), addresses)and plumem=bM((s)along witht1c r cerfffir e(s)of instrramce. yanited Liability Companies(LLC)or Limited Liability Paz1s(LLP)withno e�IOyem other than the members or paatacis,are not rued to cagy workers'compensation insm-ance. If an LLC or LLP does have employees,apolicy is regniced. Be advisedthatihis affida:-yit maybe suh®rtlEd to the Department of Industrial Accidents.for confirmation of fi unarm coverage. Also be sure to sign and date the affidavit: The affidavit should be-reimned to the city or town thst the application for the permit or license is being requested,not the Department of n Industrial A rci e,-�_ Shouldyon have any questions regardin the lave or ifyo are g fired to obtain a workers' below: Self-insured anies should eater their compe,caiirm policy,please caIlthe Deparfine¢t at thennmberlisiEd cam self-msor-mzce license number a a the appmpriaf�line. City or Town OfhEcials r . Please be some that the afhdav=t is complete and primed legibly. The Department has provided a space at the bottom ofthr,affidavit for you to f.out iathe event the Office ofInvestigaflcins has to coactyou rthe Iimnh Please be sure to f M in the permif/Iicense mnnber which,will be used as a reference nunbcr. In addition,an applicant that must sabmit muh]PIe penMwHcemse applinatims in any given year,need only submit one affidr&indicating c=mt p olicy.infb atioa(if necessary)and under`Job Site Address"the applicard should write"all locations in (may or town)-"A copy of the-aff davit brat has been officially stamped or marked by t ie city or to maybe provided In the appIicant as proofihat a valid affidavit is on file for firbare permip or Iicernses Anew affZdavitnnIA be tilled oid each year.,Wh=a home owner or citizen is obtaining a license or permit notrOated to any business or commercial ve±e (i_e. a dog license orpennit to bum leaves et---)saidpexson is NQTregoaed to complete this affidavit The Of of Investigation would hke to thank you is advance fur your covpex-a±ion and should you-have any questions, please do not hesitate to give us a call- The Departmefs address,telephhune and fax number. _ _ - Tha *of IBssarllusetts ' . -�c�fl�d�sAccid�nts face af��g�tio� Rwtu,M4 Ei1II Ta 4 61 t7-' -4900 eMt 4€6 or 1-977-MASSAFF Fax9 617 727 7749 Revised¢24-D7 - F�€.m ��f� DATE(MM/DD(YYYY) ,a►co CERTIFICATE OF LIABILITY INSURANCE 11/02/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS C€RT94CATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURPR(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT PHONE. -2448 x -828-2424800 403 F US[INSURANCE SERVICES LLC EQ nil Certificate@Hanover.com 12 GILL ST,STE 5500 INSURERS AFFORDING COVERAGE NAICS WOBURN,MA 01801 INSURER A: Allmerica Financial Benefit 41840 FRANK W.KELLEY INSURER B: Citizens Ins Co of America 31534 DBA FRANK KELLY PLUMBING INSURERC: INSURER D: ' 24 FREDERICKSBURG AVE INSURERS: HARWICH MA 02645 INSu ERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF.ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. INSR AQ0L5U9R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE P. POLtCYNUMBER MIDDIYYYY) MMDOMYYILIMITS COMMERCIAL GENERALUABILRY EACHOCCURRENCE S CLAIMS-MADE 0 OCCUR PREMISES Ea o=rrencel S MED EXP(Any one person) S PERSONAL&ADV INJURY S GEN'L AGGREGATE UMIT APPLIES PER; GENERAL AGGREGATE 5 POLICY❑ Rg LOC - PRODUCTS-COMPlOPAGG S OTH62: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Eacciaenn --_ ANY AUTO BODILY INJURY(Per person) 5 1,000,000 A OWNED X SCHEDULED N N AWN 979465505 11/15/2016 11/15/2017 BODILY INJURY(Per accident) 5 1,000,000 AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE 5 1000000 AUTOS ONLY AUTOS ONLY r S "- UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE 5 EXCESSLIAB AGGREGATE S DED I I RETENTIONS $ WORKERS COMPENSATION X S�TATIJfE ER AND EMPLOYERS'LIABILITY ._ ANYPROPRIETOR/PARTMERIFXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBERE4CLUDEM ❑ NIA N WEIS A791487 01 01/01/2017 01/01/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 500,000 9 yes,desaibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCA71ONS I VEHICLES(ACORD 14 t AddMonal Remarks SMedule,maybe attached If more space is required) - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE AUTHORIZED REPRESMATIVE 732 MAIN ST BARNSTABLE,MA 02630 4yNpwA UA 01985 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD 1, ' �t►+E, Town of Barnstable $ Building Department Services ` Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder as Owner of the ro subject> property hereby authorize Ul L. l e. 7 to act on my behalfy in all matters relative to work authorized by this building permit application for. 'J ( dress 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 ' Vs are performed and accepted. Sgna e.. f Owner Signature of Applicant . Print Naive - Print Name - de G� Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:0&/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 s�srwars. � • X"aa www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEAJI ION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner!•Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shalf be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomms\EXPRESS.doc 08/16/17 Home Energy Raters LLc info @EnergycodeHe1p.com 888-503-2233 Duct Leakage Test` Address- 11 Maywood Ave. Hyannis, MA Date — May 17 , 2016 Contractor- Frank Valley Conditioned floor area = 4,850 Sq Ft. ; Total Leakage-Includes Air Handler/Furnace To comply with the 2012JECC Energy Code in this home tale Maximum duct leakage CFM < 194 CFM (4,850 /100 x4 =1.94) r Duct leakage tested = 64 CFM The duct leakage tested at this residence complies with the 2012 IECC Code Test Mode - Pressurization Test Pressure = - 25.0 Pascals { Equipment - Series B Minneapolis Duct Blaster ' Duct Leakage as Percentage of Floor area = 1.31 "/o Contact our office with any questions, Andrew Popielarski n rT Home Energy Raters LLC t Town of.Barnstable Building Department Services x KA� 'g Brian Florence, CBO, 1639• Argo►�''" Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 r Fax: 508-790 623Q October:3, 2017 Tate Isenstadt PO BOX 796 Hyannisport, Ma. 02647 ,RE: I I 'Maywood Avenue,Hyanhisport, Map: 287 Parcel 130 Dear Mr' Isenstadt: This letter is in response to application number TB-17-2469. As you may recall,this office has contacted you several times regarding this application and requested additional construction documents. To date this.office has not received the requested'documents d;jherefare,your application is denied as submitted for the following reasons: I) Incomplete construction documents as required by Chapter 1 Section R106.2 of the State Building Code. Specifically, a plot plan showing the location of the structure,as relative to setback requirements and the flood zones. 2) It appears that the work proposed is in a flood zone and compliance with " R301.2.4 of the State Building Code is not demonstrated. And :if aggrieved by this riotice and order; to show,cause to why you should not be required to ado so,you may file.a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. �: Respectfully;•• . y Lauzon Local Inspector " j6ffrei.lauion@town.bamstable:ma.us (508).862-,4034 LEGEND SYSTEM DESIGN SYSTEM PROFILE NOTEB CARRAQ 04—It IS No]a �>n� ,•�n aea[[[m[a,o wmw]aua Y JL U ---f.L1 y - .PP[DUD conwA oEscN rtDw.9 BCORDDMS s IID mD.289 cPD •Am[n[>m.M ^ _qr� USE A W CPD DESIGN now µM�,o ecuq y9a,[Act iD npx xAPwfO rrn D. %PRC TANK:990 CPD(7)•if94 �� ny�a�e�[yc/aa•,yuan 0 �a v �a aoKlD rac W g�� I000 CAL.H-LO%PTIC TANK a •""J A mx'fpf�,xauw.x�M)� �p uDa b uDuw USE A—CAL.N-AT— MIMP ... 1wC�fmM b.lmw _ LEACIImD: - 1'w� ___ a u,Un nI[ 90[5: >•'U•I �'1 fne 1111. s• 1.MH H fDA AVA9m,aD DAY AXD x01 1D Bo110M: A]l]AL.]e Illl'•L��'91 i BkPD rp L01 ur[nwwD w.w[Oran "'� SWurr .u rxw•w•n•I w IWAL: moma,[WM. •, a1—P°mPAc�n>w°,(,e.n,DD nK.efL xAw vM[ma m bnfm[b rmu ne[,vu m.1O Mx.m-R r>c . 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A r -zi'` --_--_'- l\\`_• § i na 4' Le.e' y; I ° _ .,: to PRlvatt wr - T01R a/e 1mR e/e EDKELLING c C W [mna I I '%Ll,A 1 DECK li d• ..-II^ MCS 4C5 I 1 Ae' 1CD �� - P.B.BOx _^I•^ 1.1Y 8/5 - + TCBN" _ R O.00 .�_hLB \.E\„1 >20• 8_8' IID• BP' NO gLWMVMATCR CMCOUNi[P[D - ' \'; TITLE 5 SITE PLAN I W Il!I ! ``^..�;. ` ` Qssr00L5' Fi-"I"' 1 T ` I `°PM-n OF j Z r./�7-�w/,�DLr -'n..(y'•^`fl._.I-_" - i r'r r,/ ! i "` ® """ �'��V..°y pe\� `I�`� c -, fihi-I---/_i I_l��\_� _ #11 MAYWOOD AVENUE n1.n•+Ilwf. HYANNISPORT J_iN_.t i PREPARED FOR WENDY L. GARTHWAITE I 0' W \y MARCH 15.2017 1 = 1 I\ W[TICu0U5 WIAWD(CO.wc.Ja.0.Vf% 0.BJ1 At. \/M I /"� I E I ,, REVISED:7/21/17(PER CONSCOM APPROVAL) ! I NE1LAfdf TO YN I.M.Sr -75 AC. V•\L REVISED:B I I 1 TOTAL:eS.IMa% 1.605 AC pp f /28/17(CHANGE SAS BACK TO APPROVED 9 BEDROOM DESIGN 10 If 11 ' (NOT INCLUDING FEE m wAYtj \\\ / P I 21 c 1 1 SCDIr.I"w ID' rI I ! , I 1 %and SU A✓OAW9 f A GATE DAf@t A 0.MLA P.E..P.L.S.e �JYw✓�Sf�L w[r r 1 ! Mr w yb>3 Bk 3a_668 Ps 25 7 -D38718 J 1 m 2 8cx Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 MassDEP File# Ll WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE City/Town A. General Information Please note: BARNSTABLE this form has 1.From:been modified Conservation Commission with added 2.This issuance is for space to a.®Order of Conditions b.❑Amended Order of Conditions accommodate (check one): the Registry of Deeds 3.To: Applicant: Requirements TATE ISENSTADT Important: a.First Name b.Last Name When filling TDI REALTY GROUP, INC. out forms on c.Organization the P.O BOX 796 computer, d.Mailing Address use only the tab key to HYANNISPORT MA 02647 move your e.Citylrown f.State g.Zip Code cursor-do not use the 4. Property Owner(if different from applicant): return key. WENDY L. GARTHWAITE a.First Name b.Last Name • c.Organization 422 DUTTON MILL ROAD d.Mailing Address MALVERN PA 19355 e.City/Town f.State g.Zip Code 5. Project Location: 11 MAYWOOD AVENUE HYANNISPORT a.Street Address b.City/Town 287 130 c.Assessors Map/Plat Number d.Parcel/Lot Number Latitude and Longitude, if known: 41d38m02.7s 70d17m55.5s d.'Latitude e.Longitude wpaform5.doc rev.6116/2015 Page 1.of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# NLI BARNSTABLE Cityrrown A. General Information (cont.) 6. Property recorded at the Registry of Deeds for(attach additional information if more than one parcel): BARNSTABLE a.County b.Certificate Number(if registered land) 29208 349 c.Book d.Page 7. Dates: 5/3/2017 5/16/2017 7/24/2017 a.Date Notice of Intent Filed b.Date Public Hearing Closed c.Date of Issuance e. Final Approved Plans and Other Documents(attach additional plan or document references as needed): REVISED SITE PLAN a.Plan Title DOWN CAPE ENGINEERING, INC. DANIEL A. OJALA, P.E., P.L.S. b.Prepared By c.Signed and Stamped by 7/21/2017 1"=20' d.Final Revision Date e.Scale f.Additional Plan or Document Title g.Date B. Findings 1. Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act(the Act). Check all that apply: a. ❑ Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution d. ❑ Private Water Supply e. ❑ Fisheries f. ® Protection of Wildlife Habitat g. ❑ Groundwater Supply h. Z Storm Damage Prevention I. ® Flood Control 2. This Commission hereby finds the project,as proposed,is:(check one of the following boxes) Approved subject to: a. ® the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. wpaform5.doc- rev.6/16=15 Page 2 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 - Order of Conditions MassDEP File# Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE City/Town B. Findings (cont.) Denied because: b. ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore,work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect the interests of the Act, and a final Order of Conditions is issued. A description of the performance standards which the proposed work cannot meet is attached to this Order. c. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3. ❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and the wetland resource area specified in 310 CMR 10.02(1)(a) a.linear feet Inland Resource Area Impacts: Check all that apply below. (For Approvals Only) Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. ❑ Bank a.linear feet b.linear feet c.linear feet d.linear feet 5. ❑ Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet s. ❑ Land Under Waterbodies and a.square feet b.square feet c.square feet d.square feet Waterways e.cly dredged f.dy dredged 7. ❑ Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet s. ❑ Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9. ❑ Riverfront Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100- 200 ft g.square feet h.square feet L square feet j.square feet wpaf-5.doc• rev.6/16/2015 Page 3 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands MassDEP File LA WPA Form 5 - Order of Conditions assDE Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE Citylrown B. Findings (cont.) Coastal Resource Area Impacts:Check all that apply below. (For Approvals Only) Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 1o. ❑ Designated Port Indicate size under Land Under the Ocean, below Areas 11. ❑ Land Under the Ocean a.square feet b.square feet c.c/y dredged d.cly dredged 12. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13. ❑ Coastal Beaches cu yd cu yd a.square feet b.square feet c.nourishment d.nourishment 14. ❑ Coastal Dunes cu yd cu yd a.square feet b.square feet c.nourishment d.nourishment 15. ® Coastal Banks 35 a.linear feet b.linear feet 16. ❑ Rocky Intertidal Shores a.square feet b.square feet 17. ❑ Salt Marshes a.square feet b.square feet a square feet d.square feet 18. ❑ Land Under Salt Ponds a.square feet b.square feet c.cry dredged d.c!y dredged 1g. ❑ Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet 20. ❑ Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above a.c/y dredged b.ch+dredged 21. ® Land Subject to 500 Coastal Storm a.square feet b.square feet Flowage 22. ❑ Riverfront Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100- 200 ft g.square feet h.square feet i.square feet J.square feet wpaform5.doc• rev.6M6/2016 Page 4 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 - Order of Conditions MassDEP File# ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE citylrown B. Findings (cont.) *#23.If the 23. ❑ Restoration/Enhancement project is for the purpose of restoring or a.square feet of BVW b.square feet of salt marsh enhancing a wetland resource area 24. ❑ Stream Crossing(s): in addition to the square footage that a.number of new stream crossings b.number of replacement stream crossings has been C. General Conditions Under Massachusetts Wetlands Protection Act entered in Section 13.5.c (BVw)or The following conditions are only applicable to Approved projects. B.17.c(Salt Marsh)above, 1. Failure to comply with all conditions stated herein;and with all related statutes and other please enter regulatory measures, shall be deemed cause to revoke or modify this Order. the additional 9 ry fY amount here. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal,state, or local statutes, ordinances, bylaws, or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. The work is a maintenance dredging project as provided for in the Act; or b. The time for completion has been extended to a specified date more than three years, but less than five years,from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. c. If the work is for a Test Project,this Order of Conditions shall be valid for no more than one year. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. An Order of Conditions for a Test Project may be extended for one additional year only upon written application by the applicant,subject to the provisions of 310 CMR 10.05(11)(f). 6. If this Order constitutes an Amended Order of Conditions, this Amended Order of Conditions does not extend the issuance date of the original Final Order of Conditions and the Order will expire on 7/24/2020 unless extended in writing by the Department. 7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster,wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. wpaform5.doe• rev.611612015 Page 6 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau_of Resource Protection -Wetlands SE3-5479 WPA Form 5 - Order of Conditions MassDEP File# Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE Cityfrown C. General Conditions Under Massachusetts Wetlands Protection Act 8. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 9. No work shall be undertaken until the Order has become final and then has been.recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work. 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection"[or,"MassDEP"] "File Number SE3-5479 11. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before MassDEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed.necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. wparorm5.doc• rev.6I16=15 Page 6 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 — Order of Conditions MassDEP FilILI e Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE City/Town C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) 17. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. 19. The work associated with this Order(the°Project') (1)❑ is subject to the Massachusetts Stormwater Standards (2)® is NOT subject to the Massachusetts Stormwater Standards If the work is subject to the Stormwater Standards,then the project is subject to the following conditions: a) All work, including site preparation, land disturbance, construction and redevelopment, shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and, if applicable, the Stormwater Pollution Prevention Plan required by the National Pollution Discharge Elimination System Construction General Permit as required by Stormwater Condition 8. Construction period erosion, sedimentation and pollution control measures and best management practices (BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that: L all construction period BMPs have been removed or will be removed by a date certain specified in the Certification. For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation, recharge, and/or treatment, the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped in inlet and outlet control structures; ii. as-built final construction BMP plans are included, signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized; iii. any illicit discharges to the stormwater management system have been removed, as per the requirements of Stormwater Standard 10; wpafony6doc- rev.611612015' Page 7 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE Citylrown C. General Conditions Under Massachusetts Wetlands Protection Act(cont.) iv. all post-construction stormwater BMPs are installed in accordance with the plans (including all planting plans)approved by the issuing authority, and have been inspected to ensure that they are not damaged and that they are in proper working condition; v. any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance. Prior to requesting a Certificate of Compliance, or Partial Certificate of Compliance,the responsible party(defined in General Condition 18(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement)for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following: i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance, and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stormwater Report and, if applicable, the Stormwater Pollution Prevention Plan required by the National Pollution.'Discharge Elimination System Multi-Sector General Permit. e) Unless and until another party accepts responsibility,the landowner, or owner of any drainage easement, assumes responsibility for maintaining each BMP. To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record, acceptable to the issuing authority, evidencing that another entity has accepted responsibility for maintaining the BMP, and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions 18(o through 18(k)with respect to that BMP. Any failure of the proposed responsible party to implement the requirements of Conditions 18(f)through 18(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance. In the case of stormwater BMPs that are serving more than one lot, the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs. A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement. f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans, the O&M Plan, and the requirements of the Massachusetts Stormwater Handbook. wpdWm5.doc• rev.6116120% Pape a of 12 C tion Provided by MassDEP: Massachusetts Department of EnvironmentalP otec Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Ll BARNSTABLE Cityfrown C. General Conditions Under Massachusetts Wetlands Protection Act(cont.) g) The responsible party shall: 1. Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections, repairs, maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type of material and the disposal location); 2. Make the maintenance log available to MassDEP and the Conservation Commission ("Commission") upon request; and 3. Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal, state, and local laws and regulations. i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. j) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3, Chapter 1, Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. 1) Access for maintenance, repair, and/or replacement of BMPs shall not be withheld. Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions(if you need more space for additional conditions, please attach a text document): 20. For Test Projects subject to 310 CMR 10.05(11), the applicant shall also implement the monitoring plan and the restoration plan submitted with the Notice of Intent. If the conservation commission or Department determines that the Test Project threatens the public health, safety or the environment, the applicant shall implement the removal plan submitted with the Notice of Intent or modify the project as directed by the conservation commission or the Department. wpafmm5.doe• rev.6116=15 Page 9 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 MassDEP File# WPA Form 5 — Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# ILI BARNSTABLE Citylrown D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No 2. The hereby finds(check one that applies): Conservation Commission a. ❑that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw, specifically: 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. b. ®that the following additional conditions are necessary to comply with a municipal ordinance or bylaw: BARNSTABLE S.237-1 - 1.Municipal Ordinance or Bylaw 237-14 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows(if you need more space for additional conditions,attach a text document): SEE PAGES 10.1, 10.2,AND 10:3 wpaf0rm5.doe• rev.611812015 Page 10 0112 SE3-5479 Name: Tate Isenstadt Approved Plan= July 21,2017 Revised Site Plan by Daniel A.Ojala,P.E.,P.L.S. Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. Consequences may include: issuance of a Stop Work Order;fines;requirement to remove un-permitted structures;requirement to re-landscape to original condition;inability to obtain a Certificate of Compliance, and more. The General Conditions of this Order begin on Page 5 and continue through Page 9. The S ecial Conditions contained herein and all Conditions require your compliance. Q. Prior to the start of work,the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start.of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission Division prior to the start of work. 3. General Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in siltation fencing shall be set along the approved work-limit line. Wattles may be used instead,following consultation with the Conservation Agent.Where authorized for use,wattles shall be 12 inches in height at minimum.Effective sediment controls shall remain until the site, is stabilized with vegetation,then they shall be removed. 10.1 L 7. A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation Commission. Note: The strawbales and siltation fence(or wattles,where approved)must show in the foreground(or bottom)of the photographs. 8. The approved revised plan and a written construction protocol shall be submitted to a structural engineer for review. The construction protocol shall be submitted to the Conservation Agent for review and approval prior to the start of work. M. The following additional Conditions shall govern the project once work begins. Note, especially,Special Condition Number 16,requiring verification of the locations of the foundation and strawbale line. 9. General Conditions,Numbers 13 and 14(changes in plan)shall be complied with. 10. General Condition Number 18(maintaining sediment controls)shall be complied with. 11. The work limit shown on the approved plan shall be strictly observed. 12. There shall be no disturbance of the site,including cutting of vegetation,beyond the work limit. This condition shall continue over time. The only exception would be those disturbances with specific prior approval. 13. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 14. Unless extended,this permit is valid for three years from the date of issuance. 15. An Amended Order does not change the original date of expiration of this Order of Conditions. 16. Upon completion of the pile foundation,the project surveyor or engineer shall verify in writing or by plan to the Commission the correct location of the foundation and work-limit line,and note any discrepancies from the approved plan. If verification is in the form of an"as-built'plan,the plan provided shall be drawn at the same scale as the approved plan. 17. Construction shall conform to the requirements of the State Building Code and the Town of Barnstable Zoning By-Law Flood Area Provisions for construction within the coastal floodplain. .Work shall ensue only after consultation with the Building Commissioner. 18. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 19. Run-off occurring at the east end,off the existing dwelling,shall be contained and the lawn restored. 20. During construction,no area shall be left un-mulched or un-vegetated for more than thirty(30)days. All areas disturbed during construction shall be re-vegetated immediately following completion of work at the 10.2 site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas at the . conclusion of work. 21. Herbicide,pesticide and fertilizer use is discouraged on lawns within Conservation Commission jurisdiction. If fertilizer must be used,only slow-release low-nitrogen(with 30-50%water insoluble nitrogen or`W.I.N') and low-phosphorus fertilizers shall be applied. Over-fertilizing shall be avoided (not-to-exceed limit=1 pound of nitrogen per 1,000 sq.ft.of lawn per application). No fertilizer shall be spread on hard surfaces such as driveways and sidewalks. 22. Boards and seashells on the path leading to the beach shall be removed. 23. The drain pipe under the garage shall be removed. 24. Work limit markers(wood stakes)shall remain in place until a Certificate of Compliance is issued for this project. IV. After all work is completed,the following condition must be promptly met: 25. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shallbe completed and returned,along with the request for a Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect;landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists with the record plans approved in the Order. This statement shall accompany the request for a Certificate of Compliance and fee,along with an updated sequence of color photographs of the undisturbed buffer zone. 10.3 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands SE3-5479 WPA Form 5 — Order of Conditions MassDEP File# . Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Barnstable City/Town E. Signatures Important:When This Order is valid for three years,unless otherwise specified as a special JUL 2 4 2017 filling out forms condition pursuant to General Conditions#4,from the date of issuance. 1.Date of Issuance on the computer, use only the tab Please indicate the number of members who will sign this form. key to move your This Order must be signed by a majority of the Conservation Commission. 2.Number of Signers cursor-do not use the return The Order must be mailed by certified mail(return receipt requested)or hand delivered to key the applicant. A copy must be mailed, hand delivered or filed electronically at the same time with the appropriate MassDEP Regional Office. Signatures: , v4u�L�1, 2, El by hand delivery on ® by certified mail, return receipt requested,on JUL 2 42017 Date Date. F. Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order, or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131, §40), and is inconsistent with the wetlands regulations(310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Actor regulations, the Department has no appellate jurisdiction. Wpe5sigs.doo• rev.02/25/2010 Page"of f 2 Massachusetts Department of Environmental Protection Provided by MassDEP: ILIBureau of Resource Protection -.Wetlands SE3-5479 WPA Form 5 — Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# BARNSTABLE Citylrown G. Recording Information Prior to commencement of work,this Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property. In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE Conservation Commission Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. -------------------------------------------------------------------------------------------------------------•- To: BARNSTABLE Conservation Commission Please be advised that the Order of Conditions for the Project at: 11 MAYWOOD AVE., HYANNISPORT SE3-5479 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page for: Property Owner and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land, the instrument number identifying this transaction is: Instrument Number If registered land, the document number identifying this transaction is: Document Number Signature of Applicant wpaform5.doa• rev.f9M2015 BARNSTABLE REGISTRY OF DEEDS Page 12of12 Inhn G AAoorla Padietar L .. Bowers, Edwin From: Bowers, Edwin Sent: Thursday,August 10, 2017 1:47 PM To: 'b25fin@aol.com' Subject: Permit/Application:TB-17-2469 at 11 MAYWOOD AVENUE, HYANNIS for Building - Addition/Alteration - Residential In Review of your application B-17-2469 for 11 Maywood Hyannis Please Provide Current certified Plot Plan with this application Also a copy of the Conservation conditions Issued Thank You CC d Edwin Bowers Town of Barnstable Q _l Building Inspector 508-862-4025 1 n Co . .. ..... �.va�--�-.--` .y- _ � - '. . . ... .., ,..__....-.. I r `i� l �I f ( K) (� OA 0 a - C) I �.J r G� � nstable ervices Director i ion ommissioner nis,MA 02601 ble.ma.us i Fax: 508-790-6230 cate of Inspection as required by g Code, Eighth Edition. the Building Commissioner's the top right-hand corner); the fee 'on/Capacity Card may be issued. Massachusetts Department of Public Safety (97 " ns and Standard:Board Of Building Regulations I s License: CS-098149 Construction Supervisor I. TATE D ISENSTADT ; s PO BOX 796 .m, HYANNIS PORT MA 0 647 Expiration: Commissioner a. 03/24/2019 i _ office of Consumer Affairs&Business Regulation j HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: �' — Registration Expiration Office of onsumer Affairs and Business Regulation 55997 05/2B/2019 10 Park I a-Suite 5170 Bos 116 III T D I REALTY TATE ISENSTADT s } 55 LAKE AVE. •.,.° Not valid without signature k ` HYANNIS PORT,MA,02647 Undersecretary i :3.ntitled . -7-17 To Town of Barnstable fpr 11 Maywood Ave. . Hyannisnort Ma., I Franklin W. Kelley Mastgr Plumber Lic.1-2330 in regards to the garage .there is nu gas, water or waste in this building Thank you Frank 508-648-4445 sEe 3 i t E VV Drew, tnc. Electrical Construction 103A Mrd,Tech.Drive W Phone 808-778.0 '23, West;l!arrrrouth, MA 02673>' Fax 5Q8 7T1�.1Q89` E-mail: o$ras2o�.7 . TI . o whom rt-may concern': As of 08/08/17 the;;existing,detaches!garage at '11*Maywood`Ave, Hyannis; has;no electric service to the. bnutldrng... Thank'you Eric W Drew 7 ,aco CERTIFICATE OF LIABILITY INSURANCE °ATE(MMIDD"YYY) 1 08/07/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the.terms and conditions of the policy,certain policies may require an endorsement. 'A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: Kathleen:Geddis - NORTHWOOD ESHBAUGH INSURANCE AGENCY INC PHoN o . (508)771-1632 ac No: E-MAIL dins.comddi G hl ateen. es s • :ADDRESS: K C g 540 MAIN ST INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: AMGUARD INSURANCE CO, 42390 INSURED - INSURER B: - T D I REALTY GROUP INC INSURERC: INSURER D: - - PO BOX 796 - INSURER E: - - HYANNIS PORT MA 02647 INSURER F: COVERAGES CERTIFICATE NUMBER: 180043 REVISION NUMBER: THIS.IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. / INSR LICY EXP LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DD//YYYY MPOLICY EFF M DD/YYYYI LIMITS - I! COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ _ MED EXP-(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO -BODILY INJURY(Per person) $ALL OWNED .SCHEDULED 'N/A -; - .BODILY INJURY(Per accident) $: A UTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Pecaccident $ . UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ ' EXCESS LIAB CLAIMS-MADE N/A AGGREGATE-+ $ DED RETENTION$ - $ WORKERS COMPENSATION - X1 SPER TATUTE OERH AND EMPLOYERS'LIABILITY - - + ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ .100,000 A OFFICER/MEMBER EXCLUDED? NIA N/A NIA •R2WC716312! 09/18/2016 09/18/2017 (Mandatory in NH). E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 - N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,'may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only..Pursuant to.Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. - CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE _ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of BarnstableACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St - AUTHORIZED REPRESENTATIVE. ' Hyannis MA'02601 Daniel M.Crcyey,CPCU,Vice President—Residual'Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All-rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD t The Comm.omveaL*of-Massachusetts. Dep=anent o, ludusfrid Accidews owe Of kadans S©a Washiugtom*reet Baston,MA 02111 tommasmgm1dia Waders' Campensafian Insua-ance Af EdzvrL Builder-JCu.ntracturs/Flectdcians(Phomhers l TIIfM=tiGn Please Print Name(Bncim' �m aal 9 rM U �--e� Address- Ple �ifgfSlatel (S�o�� �Ph,oac —`�Z2—©kQs u as employer?Check ropriate Type of project(required)- I am a ern 1 with �I am a general contractor and I P 6. Ne* have lured fffe sub-con u construction employees(full arl�dfor parrtime). 2. I am a sole propiietof orpartuer- Tisfed oni3�e attached sheet. 7. Retnadeling ship and have no employees These sub-contractors have S ❑Dmwlifioa o '+na forrm in any cagacifl exaplayeas and have Wodoers' ` 9. ❑S,uildiag addiiica . [No WP&05rg,' imp-insurance COII7p_insurarirp l rezlni=ed] 5. ❑ We are a vorparaficaand ifs 10-❑EleFftiral repasts or addRfioas 3_❑ F mna homeovm:er doing all worst officers have exercised their 1L❑Plumbingrepairs or additions. of fioa er MGL myself-[No ��'�F- eigu Have�a L-0 Roofrepairs inenra=erptT rnd]Y C.M§1( employees-[No workers' 13-0 Oilier comae_ksorance required_] •�ayapgham��aca:hedcst�aa�lmnitalsaSIlaYu[thesec�oabeiow�mdng�ieiraaozTcass'a�mpeasatinupuT3cgia¢ocros'uoa Saazaeomaers�bo saab�t rixis i g flwy iLC+�m'alfwo do sate tbmhax a autddecontmctnrsumd sn'hmitaa.aemsfH&v t Wirz6- sacb- fCaalrac{o6i tc3awX&istroxmastx=r% ems-RIM-23 shed sLowingtLeameofibesnb-�m sad staiewhegmarnotihnseeaitieslug emplaapes.Ifthesnbtamtraemasbaveemployers,tfiM'amstpmi t1ek=rkexs'tomp.policynmbm lain an in=ratraa jbr my enTh?jees Mow is tliapuficy and jab s&r informathm lasuranceCompany.Nama: Poficy or I ice_ 1 r > 1xpiudonDate: ' Job Site Address: � � Citylstaf a zip: Attach a copy afthe workers!compensatioapolicy-decTarafion page(shouting the policy number and respiration date). Faiinre to secure coverage as required.under Section 25A of MW-c�15-7 can lead to the imposil of criminal penalties of a fm up to$Uaa as mWor one-year impiisD--nt as well as civil penalties is the fb=of a STOP WORK ORDER scud a{ae o€up to$25Q00 a day agaimst the violator_ Be advised flrat a copy of taxis ztatematmaybehrwarded fo t1m Office of hn-estigatiofls of the DIAL for snsuraa+re coverage v 'Ida Iiercday cer�f3��1rd er s aced pa1�Es ofFeeiery t7lattTis irifarm�rrn�prmzc£�d a 6at�cs bars a�:d arrrEct Sit�ature: Date- Phone 19-7 d3,f dd use a ygy D47 flat Writ?in this Zwea,to be cmnpfeted by city artanm official - City or Town: Permit/cease 4 bmtring Auflm€ty(c rde Ong): L Board of Ekalth 1>BuaMng Deparfineat 3.City/Fown Clerk 4 Electrical hmpertar 5.Plumbing hmpector 6.Other Contact Person: Phone#: --- 6 -Information an' d TnStruefiWas 1� � Gahe�al Laws d ptEr 152 recIm=all�I0Y=t3 provide work'compe�on for 13oeir eazpIoyees. p � this ,an azrplvye�is deed as 6.eve2y,persoa in.11ie service of another imda any cc�ract of empress or implieoral or ." Air MIPToyer is def 3rd as-an i.a ivldnal,Paxta=bip,association,torpor-ion or othm legal entity,of mY two mr more deceased 1 er,or fbe ofa °Y of the foregoing m a3omt eat�se,and mclnduzg fhe legal�e�xves � reeeiYer or tmst=of an mllfidnal,Partners --association or other legal entity,employing emplDYees- However the owner of a dwelling house haying not more than tJTee aparhneafs andwbo resides fhezem,or the occupant of the- dweIIing house of anofer Who esugloys persons to do.lnajrt . ,CMSI rrt_r_Fi an ar repair wok on such dweIIing house or on the g m=& or bMV=g app�n lhcreb shallnotl)=nse of sash employmcdbe deemed to be an effip1oYW-7 MGL chapter 152,§25C(6)also sfges boat¢everystate ar 10ml licensing agencyshanwitlihold fhe issuance or rmew'a.l of a$cease or permit to operate m Dusmess or to contract bufldings is the commanwe Ith for airy appIicantw•ho has notprockced acceptable evidence of c6mpr=m wttIL for ksm-anc:q-covexage regair'ed-" AdditiDnaIly.M(a,rhapt=I52,§25CM dates¢Neii=the.c==weal&nor any ofits political subdivisions sliaIl qu cont and for crExp ¢nee ofpublic,�oricmml acceptable eviffim=0f compiiancewitji&e.i s„�anc i ester into .y P rev .=fs ofti�chapsbave Been p=matedin tiie contacting saffio hill-. AppIicaats C - Please flI oht the workers'compensafion affidavit completely,by a=J:i g&o boxes that apply,to your dbaatien and,if necessary,supply sab�ontra (s)name(s), addresses)aoAPhonennmber(s)aIongw idea rx cain(s)of insro�ce. LmntedLiabMty Companies(LLC)or Lint Liab�7ityPa-tamxbips(LIP)w�no erapIoyees ofber t the members or paztaetrs,are not rbquil�to ccaay workers'compensation ice If an LLGC or LLP does have employ== apoIicyisruFai . Beadvisedthat this affidx#maybesnbmi dto the Deparimentof Industrial Accidents fmr conEmnatin of kmn?,Mce coverage Also b e sure to sign and date-the affidavit The affidavit should beretomed to!he city or town that the application for the pence or license is being requested,not the Departmenf of L.dnytial A—talents. Shouldyou have any questions regerdmg the Jaw or ifyou are required to obtain a workers' compensation policy,please can the Dep artmeEt at$ie nmuber listed below Self-insured companies should cat m their self-;ncM ce Iicens enU ber onthe line. City or Town Of Ficials f Please be sore that$ie a$tdavit is ca>nplete andpriafed.IegIly_ The Department has provided a space at the both= of tiie davit for yo,z fn ffi1 out in the event the Office of Investigati�has to co�actY°n regmdmg tb e applicant P lease be sure in fill in the pea®it Hc=se mmbes which VM be used as a reface rmmbac In addition,an applicant eat that must submit multiple peIIicenSr-appli�ions in any givenyear.need only submit one affidavit indicating p ohc:y info=,dim(if necessary)and under`Tob Sib--Adnress�t3i e applir. sb ou7 d write"aII lot ns in (City town)--A copy of the-afiidavittiiatbas bea officially stamped azmaacedbythe city ortownmay bepmvided to the appJica-nt as proofthat a valid affidavit is on file far foinre`Pmmits or licenses Anew affidavitmust be IMMd out each. year.Where a home owner or citizen is obtaining a-license or permit not related fo any business or commercial v to bum Ieaves etc.)said person is NOT r,�d to eomple n this affidavit (ie_a dug license or petmit The Of =of InveSdgaJfi=wmulld hb--to thank you in advance fur your coopedion and shovldyou have any questions, please do nothesztal to&auis a call The gepattm eats address,telephone and fax nm aber- C.G,0EIMNqMJthE of 14assachrotttg IIepaz�'m�ntc�fAc�,id.�nts • • �4�a�mgtan � B M&Q11I Ta 4 617-' -4900 oxt 4-06 or 1-8-77-MA T�.� Fax#61'7-`27 7M Kevised424-07 pt fcb Town of Barnstable Regulatory Services ` sPLAM Richard V.Scab,Director - ►� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-962-403 8 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using A Builder --��ac as Owner of the subject property , hereby authorize /° L¢ ,l' A to act on my behalf; in all matters relative to work authorized by this building permit application for. 1l HAt-(wcoCk. + (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be fill or utilized before fence is installed and all final inspections are fkrformed and ac epted. Signature of Owner Sign e of Applicant OJ .5e-f.-r � G Print ame Print Name . Q:FORMS:OWNERPERMISSIONPOOLS i W Town of Barnstable Regulatory Services pGSH Richard V.Soli,Director Building Division sAxxsrestE. Paul Roma,Building Commissioner MASS. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION p, Please Print DATE: /) lerl JOB LOCATION: / / "1 P !j Woo Horn t1er.. /} street village "HOMEOWNER": W e to lJ At/ name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official containing 35 000 cubic feet or larger will be required to comply with the State Building Code Note: Three-family dwellings c g g q�', P Y Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lackof 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 j this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 FW Kelley Plumbing and Heating , 24 FREDERICKSBURG AVE HARWICH, MA 02645 (508)648-4445 twiyy@comcast.net ESTIMATE ADDRESS ESTIMATE# 1018 TDI DATE 08/08/2017 11 Maywood Ave. Hyannisport Ma. ACTIVITY OTY RATE AMOUNT Inspected garage building and found no water,gas or waste �— piping in this building. Walk thru 8-7-17 ------------- ------------------------------------------------------------------------------------------------------------------------_...-..-...----------- ----------- This is for Town of Barnstable TOTAL Accepted By Accepted Date { �► r f .. Legend r 01 into X Spot Heights(NAVD88) Intermediate Contours(NAVD88) Index Contours(NAVD88) J' " 1 287125. FEMA 2014 CBRS&OPAs '�`• ` - �\`�"'-�� .a 4+5' 7t t 1 (D COASTAL BARRIER RESOURCES .',.. - �. ..If 5V { .. 7'[2 q4�.,� SYSTEM / OTHERWISE PROTECTED AREA R M01- 2014 Flood Zones %223t v. VE-Velocity Zone ;4 3 EN AE-100 Year Flood ■AO-100 Year Flood < _ 0.2%Annual Chance Flood X f ! Open Water a #3S rf1t"~�'� Parcels " , {�C3 k � a + � Y -� —Town Boundary 1�2287129 ' Railroad Tracks s ` #33 ®Buildings Painted Lin Parking Lotses 2$7�130 � �,r i Paved Unpaved �b #11 — Driveways 2$71560 Paved w , ;Unpaved „ r x Roads AN IN 111 Paved Road A Unpaved Road e Bridge, d t ■Paved Median E� axY Streams v -Marsh rg ` , Water Bodies' I 4 y� t r X KHAN all ................................... Map printed on: 8/10/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026o1 O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 83 feet ' cartographic errors or omissions. gis@town.barnstable.ma.us t IKE Town of Barnstable 6 q. ♦� ecru+" Growth Management Department Barnstable Historical Commission www-town.barnstable.ma,us/historicalcom mission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk —P=; , IBU—'sj' l George Jessop,AIA Nancy Shoemaker Ted Wurzburg �. J o..: Paul Arnold,Alternate B. February 3,2016 Re: Intent to Partial Demolition of Structure 11 Maywood Ave, Hyannis Map 287, Parcel 130 Tate Isenstadt TDI Building& Remodeling Box 796 Hyannisport, MA 02647 Ann Quirk,Town Clerk 367 Main Street, Hyannis, MA 02601 JThomas Perry, Building Commissioner 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on February.16,2016 at 4:00pm,.367 Main Street, Hyannis,2nd Floor, Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.862.4787 or marylou.fair@town.barnstable.ma.us for processing information. Sincerely, Laurie K.Young,Chair 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 OFIKE Town of Barnstable MMffr►BLE. Growth Management Department eorex�° Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission I Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark,Vice Chair Nancy Shoemaker Ted Wurzburg -'lR(a1 ; t�rY;s,;__EF,. Paul Arnold,Alternate Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 11 Maywood Avenue, Hyannis Map 287/Parcel 130 Pursuant to Intent to Partially Demolish Structure The Barnstable Historical Commission received a Notice of Intent'to Demolish application for this address stamped by the Town Clerk on January 25, 2016. This property, located at 11 Maywood Avenue, Hyannis, was built circa 1900 and is a Contributing Building in the Hyannisport National Register Historic District and is associated with the broad architectural and cultural history of this area. In accordance with Chapters 1.12-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 H E AT LO K . .j ss _ , TOYM OF BARNSTABLE D - • I! _€f R' l I AM 9: 4 T Phone Number _ _ Name 1 14 Company Na 508 775 2 Cape Cod Insulation _ Applicator Name _ Installation Date -7 Jobsite Address 1 Maywood Ave. Hyannis Port A-Side Lot #'s S (� Permit Number B-Side Lot #'s `7 Fff Location of Insulation Thickness Total R-Value A 'proximate q. P. Walls 3" R-21 2500 Attic 611 R-42 3250 _ .&4�L Blaze Lok Thermal Barrior Attic Roof Line & Crawl Walls 17 Mils Wet www.Demilec.com - 46DEMILEC ' Town 'of Barnstable Growth Management Department Barnstable Historical Cowlmisso®n rt��:-Ir�tdii;Jarnstat;l:i.fii2.3.zv.'`i1S'tOn(%c3;G€aI'i(^i�5iirn NOTICE OF INTENT TO DEMOLOSH A SIGNIFICANT SUOLDING . Date of Application 1 / ! ❑Full Demotion' Partial Demolition Building Address: Number street ` AveI?ftW.-° z& :4"' Assessor's Map# Assessors Parcel# Village ZIP Property Owner: - Name a a. Phone# TA , (. Property Owner Mailing Address(if different than building address) ^ Property Owner e-mail address: �� >� Contractor/Agent: Contractor/Agent Mailing Address: Contractor/Agent Contact Name and Phone Name. Phone# Contractor/Agent Contact e-mail address: Detail of Demolition Proposed: Type of New Construction Proposed: 1-94 t.P— "2-- s Provide information below to assist the Commission iri making the required determination regarding.the status of the Building in accordance with Article 1, § 112 i Year built: 1,ol l-% Additions Year Built: Is the Bull ing listed on the National Register of Historic Places or is the building located in a National Register District? No Yes H,,. Property Agent Signature i May,2014 + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION l Map 5 Parcel � � Application # JO G Health Division Date Issued 2-/7-Ir 1�— Conservation Division Application Fe - Planning Dept. Permit Fee �7UlJ . CID Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address u -K Ad- Village aF - Owner Address Telephone Permit Request - febvo vCL e oj - iJ�G�a e ���� �a �°w /�d o �q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ITO,V©0 Construction Type GL e& Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family , Two Family 0 Multi-Family (# units) Age of Existing Structure 7 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ' &Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing J 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: I�Gas ❑ Oil ❑ Electric ❑ Other Central Air: 1�Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garagOd existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - — - _ (BUILDER OR HOMEOWNER) . _ Name Telephone Number O C7 22� Address �� T?ox _—Vb License ` uI(S ✓ �AA q / Home Improvement Contractor# Email 2S ri O CL,6 l C 0 Worker's Compensation # ALL CONSTRUCTIONS DEBRIS ESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2- 3 4, FOR OFFICIAL USE ONLY A03LICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO. .lie Commonivealth of Massachusetts Department of lindustrial Accidertts Office of 1westigations ! - 600 Washington.Street Boston,41A 02111 imins:niasmgov/dia Workers' Compensation Insurance Affidavit Builders(Contractors/EIectricians/Plumbers APPEcant Information j (�' Please Print Le 'bI None(Busiaess/organizationM,di iduai)_ eat, I e Address: City/Stat&Zip Aft Roc Phone C��— �12- - 05r6 S .Nrp,rou an employer?Check the appropriate boz: Type of project(required): 1W I am a employer with 4. ❑ I am a general contractor and I employees(full and/or yar#-time). * have hired the sub-contractors b ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7 Remodeling ship and have no employees These sub-contras#ors have g Demolition %v g, fad me in an capacity- employees and have wodcers o�ino YY 9. ❑Building addition. [No workers'comp.insurance comp.msurance.l required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions J myself [No workers'comp- right of exemption per MGL 12.❑Roof repairs insurance required.]T c.152,§1(4),and we have uo employees.[No workers' 13.❑Other comp.insurance required.] ;Any applicant:thst checks box R most also fill out the section below showing their waders'compensation policy information. Homeowners who submit this affidatit indicating they are doing all wan}and then hire outside contractors must submit anew affidavit indicating such. =Contractors ihst chest this boa must attached an additional sheet showing the name of the sab-conmwAars and state whether or not those entities have employees.If the.sub-contsacturs have employees,theymust provide their workers'comp.policy number. I attt att eetplalRr that is prmzding workers'congretesadott iimiratrce for my etnploj?ees. Below is the pol cy and job site information Insurance Company Name: Policy,4+or Self-ins.Lic.4- Expiration Date: Job Site Address: City/State/Zip: Attach a ropy pf the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 2.5A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 an ifor 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 ofthe DIA for insurance coverage verification I do hereby ce►tify tinder th i and penalties ofperjtuy that the info rwi ado n prmi&d abm .is trU49 mld correct Sitmature: Date-'- Phone#: d Ofjfciad use only. Do not write in this urea,to be campleted by city ortown offidal, City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C hyfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Mformation and Instructions ` Massachusetts Geheral Laws chapter 152 regaires all employers to provide workers'compensation for their employeeg. pnirguarntto 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,pawl netship,association,corporation or other legal entity,or any two or more of the foregoing Peed 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(5)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 ofpublic work until acceptable evidence of compliance with the iumrran ce. requirements of this chapter have been presented to the contracting au Thor ty." Applicants Please fill out the workers'compensation affidavit completely,by checIcing 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 certificates)of insurance-. Limited LiabMty 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 empIoyees, a policy is re;,ircd Be advised that this affidayit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date+he 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-insur-a ce license abet on the appropriate lime. City or Town Officials t - Please be sure that the affidavit is complete and punted Iegibly. 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 parmit/license applications in any given year,need only submit one affidavit indicating current p olicy information(if necessary)and under"Job Site Address"the applicant shoed,.Ynte"all locations is (citw or Lown)_'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 furinre permits or licenses. A new affidavitinuust be filled out each year.Where a home owner or citizen is obtaining a license or permitnot related to any business or commercial venture (i-e. a dog license or permit to burn leaves etc.)said person is NOT requked to complete this affidavit The Office of Investigations would like to than 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. TbLt CGmMGaWeaZth-of Ma s chusetts Degartmmt Gf Iadugtaal Aaci,dents _ Oface of lkvestigatio= 600 WasbiVola St=t BGstan,YA(1i111 Td.#617 727-4900 cot 406 or 1-977-MASSAFE Fax 617-727-774g Revised 424-07 .mas-gavldia otrro,�yy Town of Barnstable Regulatory Services r X&M$ Richard V.Sc4 Director Bui do ng Division Tom Perry,Eur1dmg Commissioner 200 Main Sweet,H7amis,MA 02601 www.town b arnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must :. Cofiaplete and Sign This Section If-Usinl rABuilder I, as Owner of the subject property herebyauthorize ,rA. —7 2,, C-keA to act on mybebal& in all matters relative to work authorized bydh s building permit application for.' (Add=ss of Job) ' "Pool fences and alarms are the responsibilh7of the applicant. Pools are not to be filled or utsIized before fence is ' d aid all final " pe -ons,are Pen<oimed and accepted. T Signature Of Owner igmature of Applicant Print a= . Prinx Name ir Dare QF0R1,S:0WNER?E MMSJ0JeooLS Town of Barnstable Regulatory Services rosy Richard V.SmlI Director . F F t $�ai�•R*4 Tom Ferry,Building Commissioner 200 Mum H MA 02601 �� yes, . www.town.barnsiable ma us Office: 508-962-4038 Fax: 508-790-6230 • HOMEO�PbFER LICENSE EXEhtPTIOPI • P[czse Print DATE: JOB LOCATIOK � anmbct' sfnct �� '�i0I�4EOWIgR: ' names - bomwphonc# woikphonc# . 7 - CURRENT MAILING ADORES S: -- _ c /mwn sf� up cods The current exemption for"homeowners"was extended fin include owner-ocgn dweIIinas of six units or less and to allow homeowners to engage an individual for hirewho does notpossess a license,provided that the owner acts as supervisor_ DFFMMON OFHOMEOwNER 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, at ached or detached structarcs accessory to such use and/or farm structures. A person who constructs more than one • home in a two-year penod shall not be considered a homeowner. Such"homeowner' shall snIimitto the Building Official on a foam acceptable to the Bunldiag Official,thathelshe shall be responsible for all Bach work performed underthe bulldina penait (Section 109.1.1) The undersigned`•`homeowner"assumes responsibility for compliance withthe State Building Code and other applicable codes, bylaws,rates and regulations_ - 'Ihe un&rsigaed"homeowner='certifies thathe/she ua&slands the Town ofBaanmtable Building Deparimentminim=inspection procedures and rmpizements and that he/she wiill comply with said prorminres and regaaeinm s. signahn-c ofHomoowacr Appravat ofBm7dingOtficial Note: Three-family dwellings containing 35,000 cubic feet or larger willbe required to con:1PIy with tha State Building Code Section t27.0 Construction Control 110&MWNEXIS MMOTION The Code states that: ¢Arty homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109-U-Licensing of construction Supervisors);provided that if the homeowner engages a persoa(s)for hire to do such work,that such Homeowner shall act as supervisor." 11fIaay homeowners who use this exemption are unaware,that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction SIIpervisors,Section 2- 5) 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 ukbnaWy responsible. To ensure that the homeowner is My 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 rare t amend and adopt such a form/mrtifrcation for use in your community. Q�YIPFILESIFORM51bm7dmgPe�itf�sl�PR,FSS.doe . Revised 061313 i 1 - ------- ��e tparrurnanweu,�C�a�VUGc�acrc�ccoeCZ`a:'; Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: I kr- gistrati R �MENT Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 piration: /29Z2017, Private Corporatiors+ Bosto4Not D I REALTY GROUP INC4 1, j 'ATE ISENSTADT 1r + j5 LAKE AVE. - 1YANNIS PORT,MA 02647 Undersecretary a without signature t Massachusetts -Department of.Public Safety ' Board of Building Regulations and Standards ^ --•- -- , ' l.Ull\LI UI.LIII I/Supervisor V IsIIr License: CS-098149 TATE D ISENSTA T '� PO BOX 796 Hyannis Port MA-7026 z Expiration Commissioner 03/24/2017 ��0i22��pp�j �a 22 TDIRE-1 OP ID: KG CER II W,MATE OF L�O4i1�OU II ll OIN�IuJIf'�4i111 CE DATE 1012812015 1 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NONTACT AME: Kathy Geddis Northwood Ins.Agenc ,Inc. PHONE A 540 Main Street,Suite A/C No Ext:508-771-1632 IAIC, No): 508-393-2955 Hyannis,MA 02601 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:A In G UA R D INSURED TDI Realty Group Inc. INSURERB:WESTERN WORLD INSURANCE CO P O Box 796 Hyannisport, MA 02647 INSURERC: INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER MM/DD MMIDDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR NPP1389955 01H6/2015 01116/2016 DAMAGE TO RENTE PREMISES(Ea occurrence) $ 50,00 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PR - POLICY ❑JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETORIPARTNERIEXECUTIVE YIN N CERT WILL FOLLOW FROM CO 09/18/2015 09/18/2016 E.L.EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) WITHIN5DAYS E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 230 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ,,y- O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD PROJECT , : -NAmE. : ADDRESS: PERAHT# PERMIT DATE: M/P: (� .1 LARGE ROLLED PLANS .ARC e ®x � ut �27 Data entered In MAPS p ro 'atn on. L BY: r q/wpfi�es/fomss/arehive. r; T OWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_--� Parcel Application #20I50-7 zoS Health Division Date Issued S— Conservation Division Application Fee #C�01 Co Planning Dept. ,Permit Fee " Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address /f 04 RY C(W 0O Village f6v-r0*"s R14- Owner L)j5 k Address Telephone Permit Request lotior�. O� OR,�case_ 4tL.t t,/toY— P �� �41L - o� Square feet: 1 st floor: listing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing x new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room"Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover❑Ye_-W ❑ No a Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑`>newryrsize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � Se s Telephone Numbers F L24�- �o Address �® 90)� o 14- License # V 1 / I A�J Home Improvement Contractor# 5 Ste_ Email M _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c k/ - SIGNATURE DATE t 2 '` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION s' FRAME j i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. the Comuzormea,k-h of M-ds-.sadr setts Deparf meut qfrndzfstrid Acdderdg - = flf rre o,lnna igadons 600 Washi.izeon Street =y Baston,ALA 02.U1 ' ft mv.masmgravIdia '"Turners' CtmpensafianInsurance davit-13.uiliiers/C;antracfnrsMectricians/Phmbers i-caut Iafur-inatiau A Please.Print Leaittl Name, 6&t) Address: . � c • City/Stater a,no g re . u an employer?t hecicthe appropriate b=x- ' Type of project(required). 4. am a general contractord I an I. I ant a emp layer u7t1i I❑ 6. [—]New consfructiozE employees(full and(or part-time* liaveliiredtlfe sub-contractors 7.❑' I am a sole gx-opriet�arpartner- " Tisted on the attached sheet 7- ❑FPmadeling ship and bane ao employees. These sub-contractors have 8..❑Demolition woddag for a in any capacity. employees and hare workers' 9. ❑Building addition [NO-n-rsrLers, comp-insurance comp.insuranml required-1 5•,❑ We are a corporation and its 1 ❑Electrical repairs of addstions 3.❑ I am a homeowner doing all work officers have-exercised their 11.❑Plumbingrepairs or additions myself[No workers'comp- right of exemption per MGL 1-❑Izoofrgmirs insurance required-]2 c.152,§In andwe have no ' employees.[No workers' 13-❑otht r comp.insurance required-] *Amy WHcsat&stched-sbasMmastgmfMovithesecfimb9ow-sl v _4&&wo&ezecompenmficapaRryiufn=a6caL ISamemmem wbo submit dtismffldnt==hating&yamdmmgzUwc&and.dim bieautsidecDntm cT,rsamstmbmitsnewr1adz-dtiaNcgpinesacs_ fCaahsci. t5st check ibis bmc m mr t aita[hed z:m 2dditi-21 street sboumg tbe'nmne of The sub-contact m sad stye-whether or not abase ead ies 1uve i e=pluyees.Tfthesvbtaatradaesh�e empIoSe'S,they pnM-Ae their warkeW•mmp.pa1kY-i m Ian[an empIoyRr tlerrt is prmzdutg workers'camp m- srdivrt inmiraure jor m-y empTcyces. $eloov is the poEcy rued jah;ate irzjarmrdton, Insurance Company Name: Policy 4*1 or Self-ins-Lac-,�� Expii7d.onDate: Job Site Address CitylState Z p: Attach a copy of the worlrers'compensalioapolfcy-dedaration page(sho-wing the policy number aad expiration date). Failure to secure coverage as requiredunder Section 25A o€MGL c-1.52 can lead to the imposition of criminal penalties of a tine up to'$1,5QU G and'ar one-yearimpmc,nlnellt as well as civil penalties in the form of a STOP WORIK ORDERand a lime of up to$250-00 a day against the viohdor- Be advised that a copy.of this statement maybe forwarded to t1m Office of Iravestrgations of$ie DIA€or- u=ce-coverage smdflcati.= Ida hereby canh 5,as aloes o„if$erjx���atftte irr�ar m�prmuied dFiot i s s aetd correct " Sionature:. lot Phone ik f3f�Cial use aa£�: Do titrt avrtta Eet tf�s area�Ire crriisplete�d by city artam-n a,�rciat , City or Tows: Pei it tense ff- LnMing AMfi€arity(ea de One): L Search Of Healffi IT laufTifing Degar-(nmt 3.QtylTown.Clerk 4.Fleetrieal Inspector S.PFmbing Fnsgectar 6.Other Coact Person: - Phone#: Liformation, and instructions Maccarhnsefts Ge: e- a Laws ffiVt r 152 req�aII=pIoyers in provide wmkc&comxpmsafton f=ffie r employees. pmsuant-to this sty,an e1zg7Ioyr�is defined as.¢.every person.in$e service of aoother under any comract ofhite, express or implied,oral or written." An Mayer is defined as`pan jaffi7 ,paxinemsbip,association,corporation or other legal entity,or any twO or mome of laic foregoing engagcd is a joint entm F se,and mclndmg the legal represenfafives of a deceased employer,or the rec jM or trastee of as indiwiffiA pa taCES14,association ar oiler Iegal entity,employing employees. However fjie owner of a dwelling house havaignot mare than three apartments and who resides therein,or tic occ¢pant of the - dweMag house of anofher who employs persons to do mainfPnan ce,contraction or repair work an such dwelling house or oa the grounds or bmlding appur�tj ante shallnotbecanse of such emplaymentbe deemedtm be an employer." 1vIGL chapter 152, §25C(t7 also sfa�s teat"everystate or Ioca.I licensing agency shall withhold the issuance ar renewal of a Been e or permit to operate a baseness or to construct burldings ill the commonwealth for any applicantwho has uotproduced acceptable evidence of c6mpIiancewitli the insurance coverageregoirerL- AddifionaIIy,MQ,chapinr 152,§2SC(7)states fiIeither the comma gmveala nor airy its political subdivisions shall enterinto any contta.et for tlieperformanceofpubhoworkuaiaacceptableevidenceofcompliaDce iththe;,,enr�r,c�. requirenieDts of this cbz&r'have.beenpreSn edto the confraciing autTioiity" Applicants � • PIz rise fiII.oirt file wormers'compensation affidavit completely,by checki g the boxes that apply to your situation and,if necessary,simply sub-contractors)name(s), addresses)aadphonenumber(s) alongwiththeir certificatE-CS)-of „sr nce. Limited Liabi—J4 Compames(LLC) or Limited Liability Partamijaips CLEF)with no employees other thm the members or par triers,are not r4 g-q e to easy workers'compensation insurance. IE an LLC or LLP does have employees,apolic-y is required. Be advised that ihis a$dayitmaybe submitindto the Department of Indnsfrial Accidents for confnmation of msm-nce coverage Also be sure to sign and date the affidavit The affidavit should be-retumed to$e city or town that the:application for the.permit or license is being req`nested.not the Dr-padmeat of Ln2 stria?A=dents. Shouldyou have any gaestions jrgarmg the Iaw or ifyon are reed to obfam a workers' compensation policy,please call the Department at the nrmzber listed below? Self-insured companies should enter their self-inszaaace license number on the appropriate line. City or Town Offccials Please be sore that the affidavit is complete and prk&edlegiibIy. The Depn meathas provided a space of the bottom of the affidavit for you to fll out in the event the Office of Investigations has to confactYog regarding the applicant Please,b e so¢e to f 1l m the p ehnitllicense number which will be used as a reference number. In addition,an applicant at must submit m eruhi&p Wlicrose applications in any given year,need only submit ane affidawitindica?�g rrTir�nt ch policy filfb ation(if necessary)and under"lob Site A ddress"the applieam Should write-all locat i"s II (cr[y or 'own)-"A copy of the,affidavitbrat has been offieiaRY stamped or maimed by the city or town may be provided to the appHca- t as grooftl at a valid affidavit is on file for fatal 'peunifs or licenses_'Anew affidavitmust be f acd ant each year.Where a home owner or citizen is obtaiaing a license or permit not=elated to any business or commercial v=•t u (fie. a dog license or peunit to bum Ieaves ei,.)said person is NOT required to complete this affidavit The Office of Investigations would lie to link Moir in advance for your cooperation and should you have any questions, please do not hesita±o to give us a call The I?eparfinent s address,telephone and fax mm=ber: - Th�C-a=M= aSffiE of Ma.ssa.rhnsettR ' Fax EI7 727 7M Revised 4-24-07 W Vi -m 9Pxrfdia" AFDC Guide to Wood Corrstrucdan ui Higlr Hrind Areas: 11 D niph Find Zone Massachusetts Checklist far CanipliAnce(780 CMIR5301J.1.1)t" Loadbearing Wall Connections ' Lateral (no.of 16d common nails).-_------------------:........(Tables 7)._.-----_----_--------------_.-..__....-__-• Nan-Lmadbearing Waif Connections Lateral(no.of 16d common nails)._.------•--------•------(Table 8)........_.........................................< i Load Bearing Wall Openings(mart compliance largest opening but check all openings for to Table 9) HeaderSpans ----....------_-------_.__-.-_..__-.......... (fable 9). , -......_......-....._.. —$_are 11 SillPlate Spans -_-----------------------.__....__.__......._.(fable 9)......_------_------------------_ft in.511' Fug Height Studs (no.of-studs)------------ S)..........._.____._......_.._._..._...._ __ NonLoad Bearing Wall Openings(re- ord largest opening Nit check all openings for'comptiance to Table 9) Header Spans.:..................._......-:__.... .._.:..._....__..(Table 9)_....---------:...._........ ft in 51z Sili Plate Spans.::.....-.•.....•.....-_............._........--•--..(Table 9)........- ....._.....__•__.._.._ft in _<12' Full Height Sleds(no.of studs)..._...._......._._......._.(Table 9)--------------------------------__ ..... Exterior Wall Sheathing to Resist Uplift and Shear 5imultaneousfy4. ' Minimum Bulding Dimension,W Nominal Height of Tallest OpeningZ .........................................................._._._..: ..._.. .5 E& Sheathing Type...........................................(note 4)::,---•-------•--•----------•- •------..-.. in. Edge Nail Spacing.............__..__._ (Table 10 or note A if Tess) ` -.---•-- ...---•• Reid Nail Spacing.................... -:_: - gable 10)--------------------------------------........ in. ' Shear Connection(no.of 16d common nails)(fable i 0)._..___......_.........................:........... __-_- Percent Full-Height Sheathing-------:_........_...(Table 10)...................................................._°3 5%'Additional Sheathing for Wall with Opening>SV(Design Concepts)------............. Maximum Building Dimension,L Nominal Height of Tallest Openiny..............•••---........................--••---•---•................ SheathingType--------------------------......_......(note 4)......................---..........._....._---••- Edge Nail Spacing._._. ._.:.._._.. .._._..__(i able 11 or note 4 if less)....._._............ in. - Feld Nall 5padng...._......__.:._:__.::.._.._:..(fable 11)........ , ..... _ in. Shear Connection(no.of 16d common nails)(Table 11)...._.:__,_.:.._......__..__ Percent-Full-Height Sheathing-,____(Table 11)..._..________..__..__-----.__�.--___9�0 5%Additional Sheathing for Wall with'Openrng>6'8'(Design Concepts).......:..._..... Wall Cladding - Rated for Wind Speed7._.__.:._..-._.._.:._ _..._...__.............•----•--.... -_.__._.._ 5.1 RoaFS• ' Roof framing member spans checked?.....................(For Ratters use AWC Span Tool,see BBRS Websita) . Roof Overhang ....(Figure 19) ft s smaller of 2 nor Lr3 Truss or Ralfer Connections at Loadbearing Walls Proprietary Connecters Upi'rft.........-.......... 12)........_..................................U= pif Lateral....__._. ...___--.-----•-_.........(Table pff 12).._.......... _.....__.:... Ridge Strap Connections,if collar ffes not used per page 21... (Table 13).____...................._T= plf Gable Rake Oudooker...................----.--- _.__.(Rgure 20)........ _ft_<smaller of 2'or L2 Truss or RafterConneralons at Non-Loadbearing Walls' Proprietary Connecters Uplift___._.-:......._...:...._._.._.__.-..(Table 14)___._...�__._..__. Lateral(no.of 16d common naffs)_.(Table 14)....................................-L= . lb. Roof Sheathing Type (per T80 CMR Chapters 56 and 59)............ Roof Sheathing Thickness_............ .-- ..--__......................._ In.2:t11V WSP - Roof Sheathing Fastening........:....... ........ (fable 2)_............. ----:-........� ._....._.._._.._ _ Notes: 1. , This chedcfrst shall be met in its entirety, eluding the specific"exception noted in 2,to comply with the requiMments of 7B0 CMR.5301.21.1 Item 1.If the checklist is met in ifs entirely 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 Gdge Straps per Fgure 11 r- Uplift Straps per Figure 14 ci. AU Straps per Figure 17 ' e. Comer Stud Hold Downs per Figure 1113 and Figure 18b ' 2 'Fxr epdorr Opening heights of up to a ft shag be permitted when 5%is added to the percent full-freight sheathing nequirernents shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shag be a min num 2 in.nominal thickness pressure treated P-grade: ' AWC'Guide to Wood Construction iu High find flreas:Ila inph Frind Zone Massachusetts Checklist for Compliance(780 01IR5301•2.I.1)' compliance 1.1 SCOPE WindSpeed ec.gust)._.___-:P C•�--s 9 ).._...._._._...-.:.......__........--•--•-•--•--.......__.....................................__.110 mph WindExposure Category---------------_----------------------.-._._.........................................:----------------------------B Wind Exposure Category................Engineering Required For Entire Project.........................................0 • 12 APPLICABiLr Y Number of Stories(a roof which exceeds B In 12 slope shall be considered a story) stories 5 2 stories • Roof P'rtr!-t ..._..---..........__............�(Fig 2) -------_................................. _1212 Mean Roof Height•-..........._.._. ....... ..--(Fig 2)............................................. <. ,._ Building Width,W........ ................-..................(Fig 3)__..••-••-......=-•------•----••-._ =--_ft BO Building Length,L ........................................... (Fig )....................... _... F 3 - c _BO Building Aspect Ratio(JVI) .._.._..-•---••-•....................-..._..••(Fig 4)-------------------------------------------- <-3:1 Nominal Height of Tallest OpeningZ .(Fig 4)-------_-----_------------------------------- - < 1.3 FRAMING CONNECTIONS General compliance with framtrig coinnections..................(Table 2).........................................._._...____.:...... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 ConcrEte................................................... .................................................. .........•••-•••-•-- Loncrt_Masonry ........................__....._....-••--••--..............-•---:_........_..... 22 ANCHORAGE TO FOUNDATION1-3 , 5/B'Anchor Boltsvimbedded or 5J8'Proprietary Mechanist Anchors as an alternative in concrete only Bolt Spacing-genera!.................................___.(fable 4)......._.-.. .._....._.____._._ . in. Bolt Spacing from endljoint of plate.._......._...__.__._.(Fig 5)---------_.....:................ in. 5 6'-12'. Bolt Embedment-concrete.-......._........._..._............(Fig 5)...............................- -= --_. in.i 7' Bolt Embedment-masonry........................__...:......_(Fig 5)=...:_._.t........................__... in_z 15' Plate X x Y x K" . 3.1 FLOORS Floor•framing member spans checked ___._.__..-._.__(per 780 CMR Chapter 55):.._....._......_.. Maximum Floor Opening pimension.-:._.......-_. ~' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................•.............. Mbxdrrnim Floor Joist Setbacks Suppoiting Lpadbearing Wail's or Shearwall...._........_(Fig 7)................._._-_.----___..__...__._.:Tft 5 d Maximum Cantilevered Floor Joists SUPPorlin(3 Loadbearing Wans or Shearwall........_...._Fig 8)_..................................... ft 5 d FloorBracing at 9)-•-------._.._.._.__......... -----. .-..._. Floor Sheathing Type .._..---_.._.._...-..:_.___......_.._...._(per 760 CMR Chapter 55)..................__....._... _ Floor Sheathing Thidness......_.._._...........__...._..__:..._(per780 CMR Chapter 55)......._.._._. In. Floor Sheathing Fastening_.._...._.__.....___.._...._.._.:...:_(Table 2)_—d nails at in edge/_in field 4.1 WALLS Wall Height . Lnadbeadng walls.-._..'* ......_.._..___--............._.._(Fig 10 and Table 5)_...._.__.._......._. ft 15 10' Non-Lom bearing walls.._...__.:_..'____._-:._ -.(Fig 10 and Table 5)......_..._........._._ r 10 and Table 5 ln.5 24'a.m Wall Stud Spacing ._..__.._......:...........__..__... � (Fig )._..........._..._ Wall Strary Offsets ___.____._:......._..______..__.(Figs 7&B)_........_..».._-•---._...._ _It 5 d 4.2 DC MMOR•WALLS' Wood Studs . Loadbearing walls..__.._..._...._.__....._......_. _...(fable$)....._._........._.._._.2,c —it—m, Non-Loa*eanng walls (Table 5),_...w.:.......___..�c - ft in. ' Gable Fed Wall Bracing' •--__.........-._.---....__._._ — — •— Fun Height Endwall Studs..__....___.__...._._......_...(Fig 10)_ - WSP, Itc Floor Length. :.:_.. -..__.�.—(Fig 11)_,.p__.._._..___...._.. ft zW/3 _ 'Gypsum CerTing Length(rf WSP not used)- (Fig 11)_._.._..._._.._.__......._:..—ft>_0.9W - and 2 x 4 Continuous Lateral Brace @ 51 or-_(Fig 11)....:..........:................__.�_.�_..�.... or 1 x 3 wilingfiming strips @ 16'spacing rnh with 2 x 4 blocking 4.IL spacing in end joist or truss bays Double Top Plab Splice Length _ _.-_-___(Fig 13 and Table 6).._......._..__.__._._._ft Splice Connection(no.of 16d common nar'!s)_.....__..(Tab[e 6)_._-____..-.................._.:_.._.__._ • AWC Gicide to Wood Construction Li High W rnd Areas: 110 mptr frimd Zone • Massachusetts Checklist for. Compliance c7so CrAR 5301?J:l�r 4. - - a. From Tables 10 and 11 and location of wall sheathlhg and Building Aspect Ratio,determine Percerit Full-Height Sheathing and Nail Spacing requirements b.. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows: L . Panels shall be installed With strength axis parallel to studs. n. All horizontal joints shall occur over and be nailed to framing. liL 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 botthm'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 inrhes on center per figures below:Vertical and HDftnW Nailing for Panel Attachment 5. Glazing protection: a)new house or horizontal addition—required if project Is i mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical addition—not required unless there is extensive'renovation to the first"fioor c)replacement i dridows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(VJFCM)for 110 MPH, Exposure 8 may be obtained from the American Wood Council (AWC)website. J,• USE WAILS • i! ll � i, i ��Q r � t tt It • 11 11 dIs Z Los ' FRALMM MELMSRS11 I1� 59 l i z 1 S 11 ,1Is i 1 Le If ii F' ` r 1 1 Y 12 H • a-Kai 1 i hilt YAf F If srArGUED part )AtPA31EM _ PMIe_ ' • • ' —"'+8` �• RR10�IDCE couxEmLa=.ESPAuvc DETAL See Detail on hlexf Page' Detal Vertical and Horizonlel Nailing Vefical and Hotizon�l Nailing for Panel Attachment for Panel Attachment ' r Ty Town of Barnstable a� ` Regulatory Services E MASS. Richard V.Scab,Director 16 Building Division Tom Perry,Buildiag Commissioner 200 Main Street,Hyan is,MA 02601 www.town_barnstabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereb7aurhonze act on my behalf In all matters relative to work authorized bythis buldiag permit application for- (Address Of Job) Pool fences and alarms are the responsibilityof the applicant. Pools are not to be filled or=-1 zed before fence is installed and all final " inspectio ar erformed and accepted_ S o Owner War&of Applicant Print Namer Print Name Dare . Q:FORMS.OWNERPERMLSSIONPOOLS . Town of Barnstable Regulatory Services �THE r, Richard V.Scali,Director Banding Division + t Tom Perry,Building Commissioner r ' AM a� 200 Main Street, Hyannis,MA 02601 z639- � www towa.barnstable-ma us Office: 508-862-4038 Fax: 508-79Q-6230 HOMMOWNER r ICMVSE E)CEre=ON -Please Print DATE: JOB LOCATION: number s(tcct "HOIv1FAWhTER: name bone phone# WO&phone fr 7 CURRENT hLkU-J SIG ADDRES S: —— — •- - city/fawn sly zip rode The current exemption for`homeowners'was extended to include owner-0ccppied dwellings of six emits 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_ DEFlNMON OR HOMEOWNE 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"homeownez"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be Monsible for all such vaork performed under the buildinz 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"cmtifies that he/she understands the Town ofBarnstable Building Department minimums inspection promdu res and requirements and that he/she will comply wilt said procedures and requirements. Signat=of Homwwncr Appmval ofBgi]dingOfficial Note: Three-family dwellings containing 35,000 cubic feet or larger will bvrequired to comply with.the State Building Code Section W.0 Constmclion Control- - HOIYMow TFAIS EXEIVETiON 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_IA-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2-1.5) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this rase,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 fEMy 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 wised by,several towns. You may care t amend and adopt such a formtcerfi5.c ation for use in your community. Q:141PFIIESIFOR'►,�rc�t„,l�gpermitf�slEXPRFSS.doC Revised 061313 ' �e cparrumo�cuea,�d�C��aac�c�eCG.t. 1 v Office of Consumer Affairs&Business Regulation License or registration valid for individul use only F ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: f 5997 Type- Office of Consumer Affairs and Business Regulation jj xpiration: ;_5/29/20.9s7 ! 10 Park Plaza-Suite 5170 _ Private Corporation T D i REALTY GROUP lT7C Boston,MA 0211 TATE ISENSTADT t, 55 LAKE AVE. HYANNIS PORT, MA 02647 Y� Undersecretary Not 11 without signature 7 ,u Massachusetts -Department of Public Safety Board of Building Regulations and Standards L.,IIIIIL 1 Ill LI�111 License: CS-098149 `tTIS ♦ �� n TATE D ISENSTAfiT PO BOX796 Hyannis Port MA7-026 , z Expiration', 0312412017 Commissioner 1 -rom:Kathy Geddis FaxID: Page 2 of 2 Date:10/28/2015 04:07 PM Page:2 of 2 TDIRE-1 OP ID: KG Y ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE 10128/20/ YY) 10/28/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS N CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). L CT PRODUCER NAME: Kathy Geddes Northwood Ins.Agency,Inc. PHONE 508-771-1632 AIX No):508-393-2955 540 Main Street,Suite 9 AIc No Ex Hyannis,MA 02601 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 9 INSURER A:An1G UARD INSURED TDI Realty Group Inc. - INSURERB:WESTERN WORLD INSURANCE CO P O Box 796 Hyannisport, MA 02647 wsuRERc: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MM/DDIYW MM/DDIYYYY LIMBS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR NPP1389955 01/16/2015 01/16/2016 DAMAGE TO RENTED PREMISES Ea ccurrence $ 50�00 MED EXP(Anyone person) $ 5,000 PERSONAL&,'A V/INJURY $,h^= ,---1t000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AG'GRE,GATE $-1 ;'t�2,000,00 POLICY JECT LOC PRODUCTS OAP/OP AGG - 1,000,000 OTHER: '$s AUTOMOBILE LIABILITY - - - - COMBINED SINGLE LIMIT ,$ accident 1 Ea ANY AUTO BODILY INJURj(Per person) ALL OWNED SCHEDULED w AUTOS AUTOS BODILY INJU11(Per accident)''$ C ') NON-OHIRED AUTOS AUTOS (Per (P raci n)tMAGE .i$ S. JJ t $ 9 UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - - PER H- AND EMPLOYERS'LIABILITY Y STATUTE ER A ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N 1 A CERT WILL FOLLOW FROM CO 09/18/2015 09/18/2016 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED9(Mandatory In NH) WITHIN 5 DAYS E.L.DISEASE-EA EMPLOYEE $ 100,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL _BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 230 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ii it �� � Boathouse 12'-6"x 24'4" Workbend' ... J n. � G Boathouse Plan - Z Deck Deck 10'-6"x 31'-0" Sunroom 10'-6"x 28'-8" r 9'-10"x 17'-8" UP. UP Z. `Porch I v uv 8'-4".x 6'_6, aer.. Laundry ® I I I [�ti0 C', 13'-0"x ( Kitchen Dining Room ' �� 2 2 o 13'_0"x 15'-2" oo ! m 7'-0' 19'-7"x 16'-10' dO Cc I Hall Living Room 0 a r 16 7"x 8`_10" Sunroom N 23'-4 x 24'-10" `g m i l 20'-8"x 10'_8" v o N P- I I ZIP ` • I Office/Mudroom i Pantry i o 13'-3 x 1 T-6" ' I I__� I ; � , Foyer i s I I 13'-5"x 19'-7" I Butler's I Q ; UP I Pantry , Bath loset I e w 13'-4"x i 9,-7, x I 9'_7"x !. I 8'_0" 6'-0" 6'_1" N , I 11 Maywood Avenue First Floor-Plan ,', r l Hyannis Port, MA 02601 . ceiling Height=T-0" scale 1"=10'--0" . ' ' jal�•t� A �� a�l IT�FS'n: (-{fir' �ISS�t'' r r 3_= o = m Z - I- Elevator - - Closet m closet I I Z Be oom Bedroom; v Bedroom Bedroom 12'4'x 8'-10" 12'4"x 8'-11" V , 12'-4"x 13'-8" 124"x 11'-7" Bedroom Y r� 16'-0"x 13'-8" Bedroom Office Bedroom t y�o-,U - p2,`�O `.p g._2"x6'4„ _ g'_1"x 12'-1 '/, -- _ i 20'_3"x 14'_2 r c 0. o iC, v o a Ot+0 ! - N o-o ON i 1 cc N Closet. ---- I. I Closet Closet I T_3"x Bath I I 6� . I Closet Q --- ON I- o 2- g-2 .. , 5,-10„x I - E € I - _ Bedroom �atn I t.�-" `�aihO 1-6.x I ,. 13'-10"x 12'-2" g '' 'Q 9'-6"x ' IIII��II � S Second Floor Plan Ceiling Heidht=T-0". N 11 Maywood Avenue a 2 2 Hyannis Port, MA 02601 Scale 1"=10'-0" Town ®f Barnstable *Permit Fvba,6monft frost issue dare MASS Services Fge �(�(. ', s e�e� Thomas F.Geiler;Director Building Division Tom Perry, Building Commissioner 200 Main Street Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL,ONLY Not Ya4d without RedX-Press Imprint Map/parcel Number 2 7 ( 3 D Property Address. I M Ay V J©O 0 O(Residential .Value of Work �DO�X Minimum fee of•$25.00 for work under s6000A0 Owner's Name&Address M k y u)e o L L-C Contractor's Name_ $. 1V2(s ! G Telephone Number 5b8 � l ( L Home Improvement C=iractor License#(if applicable)__ 0 2-D ( 4 Construction Supervisor's License#(if applicable) 5 657 l Q ]Workman's Compensation Insurance ' Check one: � E I • I am a sole proprietor ❑ IamtheHomeowner MAR 7 2009 I have Worker's Compensation Insurance [nsuranceCompanyNam 9;0 TOWN OF BARNSTABLE Worltmaa's Cord.Policy# W CA O 2— Copy of Insurance Compliance Certificate must be on file. ?era3it Request(check box) Re-mof(stripping old shingles) All construction debris will be taken to g�(..L A ❑Re-roof(not stripping. (3oing over existing layers of rood ❑ Re-side ❑. Replacement Windows. LT-Value (maximum.44) *Where required: Issuance of thispeamit does not exempt compliance with other town deparu=t ngulatiam,i.e.Historic,Conservation,etc. ' ***Note: Property Owner must sign Property Owner Letter of Permission. Home Impmv Contractors Li required. t:F�s:expmng - 1evise063004 ( 2 � rynvnzo1nrr z a ccJ,, zaceea j Board of Building Regulations and Standards � C } r Construction Supervisor License r License- CS 15851 Birthdgtq 9/28/1953 Expiration 9/28%2009 Tr# 2366 J estnction 00 } E4 ,CRAIG N-ASHWO ktHl il.2 7- 385 SEA STREET "6, ,- " HYANNIS, MA 02601 :Commissioner , ✓�ie �ory����suealtsi c�../�ooac�uae� . Board of Building Regulations and Standards License or registration valid for individul use only �= HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 102014 Board of Building Regulations and Standards Ex iration One Ashburton Place Rm 1301 P , 6/30/2010 Tr# 268470 Type P:nvate Corporation Boston,Ma.02108 ERNEST B. NOR.RIS&SON INC Craig Ashworth P 1 138 Osterville W.Barnstable �L`' Osterville, MA 02655 Administrator Not valid without signature 1 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111 wwwanass.gov/dia Workers' Compensation Insurance Aff davit: Builders/Contractors/Electricians/Plumbers _Applicant Information nPlease Print Legibly Name (Business/Orgaaization/Individual): t f' � �5 r/� t N G Address: S © LPL /UJ T2 A1�►, -,A� 1 City/State/Zip: Are.you an employer? Check the appropriate box: .Type of project(required):. /L . am general contractor and I 1•�I am a employer with � 4 � I a 6. ❑New construction . employees(full and/or part-time).* • have hired the sub-contractors 2.C] I am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. []Demolition: employees and have workers' working for me in any capacity. 9. [�Building addition o workers comp,insurance comp.insurance.$' � 10.[]Electrical repairs or additions required.] 5. [] We are a corporation and its 3.❑ lam a homeowner doing all work officers have exercised their 11.D Plumbing repairs or additions myself.[No workers' comp: right of exemption per MGL 12,E]Roof repairs t c. 152, §1(4), and we have no insurance.required.] 13.❑ ether � employees. [No workers' 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 ornot 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'cornpensation insurance for My employees. Below is.the policy and job site' information. / r Insurance Company Name: 4 C-4V/ Policy#or Self-ins.Lic.#: _�/y L'Ss 2--I Z��o I Expiration Date: d Job Site Address: L flu 0©O P A V r- - City/State/Zip: - �b Attach a copy of the workers' compensation policy declaration page'(showing the policy number and exp ration ate). Failure•to secure coverage as.required under Section 25A of MGL a 152 can lead to the imposition.of criminal pena 'es of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORORDER and a fine of up to$250.00 a day against the violator.,Be advised that a copy of this s WORK ORDER maybe forwarded to the Office of Investi ations of the'DIA for insurance coverage verification, ' I do hereby certify under the pains and penalties of perjury t t the information provided above is true and correct. Si afar Dater 2 !1 Phone# Official use only. Do not write in this area, to be completed by.city or town off ciaG City or Town: ' PermitfLicense# Issuing Authority(circle one): 'l.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as,"...every person in the service of another under any contract of hiie, 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 ehapter..152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall ,enter into any contract for,the performance of public work until acceptable evidence of compliance�vitb 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-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies•(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners, are not.required to carry.workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. . Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license,is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the nuutbcr listed below, Self-insured companies should enter their self-insurance license number on the appropriate-hne: 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 permitilicense 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 fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depa;riment's address,telephone•and fax number,. Th�,- commonwealth of musachusctt �c�azb�c�t��Tnd�t�ia1 A���c1c�.ts Of " of lavest gatious 600 Washinatoli S.tm ` Baston,.MA 0.2111 TO. 617-7274M ext 406 Qx 1 77-MASSAFE Fax#617-727-7749 Revised 11-22-06 Date: 6/18/2008 Time: 10:51 AM To: @ 9,15084281196 Page:'002 ` Client#: 646400 2NORRISEB_• ACORO,r, CERTIFICATE OF LIABILITY INSURANCE 0618/0$°"") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF,INFORMATION, Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED ` _� _;• - ,,- INSURERA: ACadla.111SlJranCe - •"_- E. B.Norris&Son., Inc. - .INSURER B: 138 Osterville West Barnstable Road • -INSURER C: Osterville, MA 02655 INSURER D: ' - - INSURER.E: ^ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT,TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE E BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE. 'POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ; LTR NSR .DATE MM/DDIYY DATE MMIDD/YY A GENERALLIABILITY CPA005234519 05/03/08 0510/69 EACH OCCURRENCE ' ` $1 OOp 000 X COMMERCIAL GENERAL LIABILITY,. - - DAMAGE PREMISES OEa occcu RENTED $250 000 - CLAIMS MADE F x1 OCCUR 1v1ED EXP(Any one person) $5 OOO PERSONAL 8 ADV INJURY $1 000 000 GENERAL AGGREGATE - $2,000000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2 OOO,OOO POLICY PRO- JEC T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO - - (Ea accident) ALL OWNEDAUTOS - BODILY INJURY SCHEDULED AUTOS - - (Per person) HIREDAUTOS BODILY INJURY -I NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE - $ - (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE. $ OCCUR CLAIMS MADE- _ AGGREGATE- $ - DEDUCTIBLE ' -. .. - $ RETENTION S $ A WORKERS COMPENSATION AND .,WCA021246411 M. -05/03108 05103/09 . X WCST CETR '- c EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE g -� - E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? NO - - E.L.DISEASE-EA EMPLOYEE$500,000 If yes,describe under - SPECIAL PROVISIONS below - - - - - .. E.L.DISEASE.POLICY LIMIT $500.000 - OTHER ^ i^ .. DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,,other limitations and endorsements. Nothing contained in the certificate-of insurance shall be deemed to have altered,waived,•or extended the F coverage provided by the policy provisions. CERTIFICATE-HOLDER - 'CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES.BE CANCELLED BEFORE'THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R ACORD 25(2001/08)1 of 2 #52449 LS1 0 ACORD CORPORATION 1988 zHElti Town of Barn-stable Regulatory Services y&kMa MASS.i E� Thomas F. Geiler,Director 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 Property Owner Must Complete and Sign This Section If Using A Builder I, �CBC P(,-A A w eA/Z , as Owner of the subject property hereby authorize 8 N 6 R12/Z Z.90 A � 1/ 'to act on my behalf, in all matters relative to work authorized by this building permit application for- (Addfess of Job) a -7 ignature of Owner bate Print Name f If Property Owner is applying for permit please complete the .' Homeowners License Exemption Form on the reverse side. n•CrID WXQ-MIMM0 DAD IA TV QInU � Town of Barnstable oF s Regulatory Services BARNSPABLE, ; - Thomas F.Geiler,Director. 1' . ,�� Building Division plfD �n Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 Rww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508=790-6230 HOI%,EOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: . city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building 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 Departrnent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building pen-nit is required shall.be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious.problems,particularly. when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner,acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fom>lcertification for use in your community. Q:forms:homeexempt -7 - Zy69 MR FORT HILL Strategic Perspective, Exceptional Results VERTICAL CL ADDRESS: — SHAFT SCHEDULE RE)nES 54 CANAL S7RF.E/' DEPTH I is BOSM,V M MARK SIZE LENGTH REINFORCING { I T 877 305-4163 (MIN) T 877305-4163 P1 14YIXAMETER 10'-P 41I" FY6 YERT.WI N3 TIES I `POCHE INDIICATESpl 18DIAMETER 15'-0 N'-0' -VERT.WIN3 TESVE20NEI PIP LICE ANADDITIONAL 3 SETS OF N3 TIES IN THETOP P-YOFTYPES PI MIDR 2:SEE SHAFT REINFORCING DETAILS THIS WIG.FOR ADDITIONAL INFORMATION IS)GRADE ELEV 15'0" 1 X/VE ZONE BOUNDARY I DK \\ a I LLI N SHAFT TABLE C4 \ Z \ Q IIA 510 Gt Ot C2 I� SIDI 101 I 0" It 15,_0.. \ \ W TOP OF(E) A 4 In N I. € _ O.SHAFT —- _ _—___ I N (4).5/8"OANCHOR w BOLTS ^ F - •,. W m . LA > WBx31 W m .... - _ Z Ln ILLJ GRADE 11'-C' ' ` -� Q a S o a a Z e VERTICAL O N REBAR W>M31 GCTO REMOVE EXISTING n IS ROPERLY SUPPORTED WITH W Z 0 0 1 N3 TIES F1 "" r Q Q o �� I E 2%8 34 � CPIB SHORING � J W } .._ U = u3x \\\ IE1 GRADE OC \ (E)GRAD\ LEEABLE --- �33'-0" W8x31 SHAFT SECTION Ba 1O \\ REv DATE BEwuvnox 7 8T-S" 7'"6" DRAWING ISSUE: PERMIT B ISSUE DATE: 7111117 Bx r 5101... 4 _� M B01 Ix i:--_.�I..... '.�, LILUg_ L— .. SEAL: - — - — _ 2x10 PT/REDWOOD 1-1/2 }"O GALV.BOLTS JOISTS @12"oc B3 RED 4NII4M! W/2"SO BACKING PLATE SIDI CEDAR 1D tlML TYP DECK 5101 SPAN ... (E)2.WALL ss/ (E)GARAGE SHEATHING / FRAMING .. 16'-0" IS)2x ......... UTV JOISTS .............. ...':.... .`' GtI ......... .� I V SIMPS TIE-DOWN N HI PROJECT NUNBER:R17J01 TIE-DOWN @ DRAWN BY:TVG EACH(E)JOIST GALV '7 /] w8KBEAM FRAMING PLAN FOUNDATION PLAN i l CHECKED BY:ING (E)CARRYING J NS.N.M. 12"x1'A' SCALE: 1/4'-1'-0- BEAM GROUT PLATE-GALV. SCALE, 1/4"=1'-0" }"O THREADED ANCHOR T.O.SHAFT NOTES: BOLTS IS.5.) NOTES: }•LEVELING PLATE 1. TOP OF EXISTING ELEVATION TO BE RAISED TO 19'.0" 1. SEE DETAIL C4/S300 FOR SHAFTTABLE FOUNDATION 2. ZONE VE ELEVATION=15'-0" 2. CONTRACTOR SHALL FIELD VERIFY ALL DIMENSIONS PRIOR TO POURING FOOTINGS AND PIERS EXISTING FRAMING PLAN AND DETAILS SECTION A4 S 1 00 rNm L ............... __....... ...._.. ................ FORT HILL Strategic Perspective, Exceptional Results _ ...... ADDRESS: ..i .._ 54 CANAL STREET 2NDFLOOR BOSTON•MA 021)4 T 877305-4163 F.F.ELEV F.F.ELEV IEI IEI DECKIEI DECK Ig'-0-0" a DECK k9�-O,� ,..,.,,._.. ...,,-.--.., .,-,-,-.� ....,,....,.... -_ .' // .. ELEV 17-0'.'.. ELEV 17-0" • __ , ELEV 16-0 _.'ELEV,I6-0"„ _. ..... ..... MI .:. '' B F E 1s o' ♦ a ELEV 11'-0'. ELEV,15'-0' B.F.E.15'-0' ELEV 14-V'. ELEV 14'-0'... ELEV 13-0" ..ELEV 13'-0"....... .... ! ...:.`NvF %.ZONE _.. .� _._ ELEV.12-0" ELEV.12'-0 ! VLVI LA 9e M SECTION CZ SECTION C1 _ u Q LA LA 2.PT LEDGER W/3/16"TRUSS LOK @8'- 1-1/2"PLANKS �W ;a '1'CHAMFER V a LA ° ..... .... .. _ ZZ 2-2XJO19T5 4KPT SOLE .... ... ____ „.«.,, ......_. ..... W/�'OANCHORS (SS)@ 32"•6"FROM N ENDS u LU Q La IEI RADE _ F.F. I '-0" v .� .._ i YI }— #5 CONT. n F.F.ELEV IEI DECK 19'-0'0 ELEV DECK 19 4 MID ' 0 IEI GRADE - .. .._.ELEV..11'-0 _.ELEV,IT-0C O #a BEM ELEV,16-0° ..... __ ... .. ... .. ELEV._36 i1'... 0 Q 0 DOWELS #S CONT. + B F.[.15 D ♦ _ ELEV,15-0"_ CL „°� B F,E.15 D ELEV.35-0° LA 3 BOTTOM ...r .. .... ELEV..:16'-0"... .. .... Z Q Z -7I—ICI I CONCRETE SHAFT _. ELEV,.13-0"_. - - ._ .W.J Z < USEE SCHEDULE FOR X ZONE _ ELEV.12 ELEV 13'0 3 SIZE AND DEPTH - ELEV..12'-0'... y�tl jl�XZONE .�.... ........ _. 'VEZONE .. - CI ..... ... ....... u VEZONE SECTION SECTION B2 SECTION B� ,�.,.' B3 µ...t�A REY DALE DESWRIION DRAWING ISSUE: RERMIT ISSUE DATE: 7/13/17 SEAL: �O1w� tc�wceN a1u NO M 7 - / PROJECT NUMBER:R17101 DRAWN BY:TVG CHECKED BY:TVG SECTIONS S101 ,� ,:•,. � O r.-. �.,; , y,•. •t ,:--,1 - -Gt.. '.�, r��� #'Z }:'•a F\ORC�E �o �. � �.:.-. «- it _i' �arn � .,�'� �" ,. .y. .. tIS p - .•.a •, r• A° 'Cl • •k, !'' .}L.R'. `• , .;,• _ .... O -�♦ $.•• a.. .,,a+. .+..*� > "? o-), +;-I.—li t, '1' rv� sr "`:-� • r "%... t ,I� m t� r, r. ` s °.,,, Y9.(, _ Ilk i .e -. rx...,,;� ;.: �¢•,, .. .•• � �.,�,fi.� ,.� Z. .,.��a,a.�; �z '•a-' •ZONEVE `a '�� �E��1 .�� Z m m 44'' ,REDWOOD Le4NEfi.a �, z Q — � t • •• , ., � •• �,�, ,,��, .:. E •13 LIMIT OF MODERA HR® *z, � _ � _ a �' ;•� � g. ,�, ,•;•,-I Q� �z � , , � fit„ MAP SCALE 1" — 500' qd •"• `.•.••a ' .` _ . , , SUMMER c . WWAVE ACTION E.. 500 .• Im �'` f: xr_- t 50 0 l000 _• .. `d,«;d:: ".o« ::tF.1a s . :,•. . ,''` N _ :a• LANE ., sy � r S O D rg? �3' .._:�. •J. ...::'.'.Y:4.'a 7 ;r ;'S• ',;, ` r ! i , I."'+ ORRISI` G® FEET ..; f ,.:.... IN '' '. ::;..� SMITH.STREET.. •: :.. :;` . rJp*s L M,Ijf OF MODERATE ON •" NTREET • r ..�--- .. r . 'WAUEACTION A E E,s \ � 4 (E 13' r ONE A _ �� - O � pp. (EL a P Q TpN. k t GROCKER` 9: Q A ,w- aer, V -c �. .. �, .; +'��.• � .. :.s�:,,,,� GLE. _�°�,_. 'E,�•�h,.;•.�n.������ � ;� �-`^a ENUF (DEL 12)-•.,>, � >�;'.,- ��STREEyT ���, ,,� ._ ., a r, . ` .::•�. ;:�: 41. ZONE AE r. �.,;SEYQJ ; ' - `: . t € av ' ,. ' `+'k A';*,^f.1 ,a +t: �, .i}`' .,":. • ', .: •.• •r fis y s ti:.:J y"��.,,. I ,x(ILL 1:1')° s, ��, `: �� �` >; y;, «� < �. • . � .. .. ' •� :ZONE: • 1 $: � ,.-..� .3 '',.. -..,may..,..•a•v � •s• �. • "Q; ,:. r: 7, 4"'.' '� ,a ;,; sue,_ •`:' ,,,° •• '• 1.•• ' " •'q• 4r'• �` Y sR •.y.� ... ,(E� 5) � • • . NOB,HILL- MODERATE Roan 4.Zo ;, *,�` ' "' .'. �` .. �9€ m t_-• „�`' FUSE � 1 a QYIS N ey . ., RlPo-ai.• -.; aRi.d �: �- f�.c iY - N a, Z ' ONE AE ' ZONE AE , r ,';••r .r ,, , �., .,,'>., .>, w.-LIMIT OF MODERATE .�:. PANEL0568J L . €L 1 `. '• . 4,;z , + `.. ` a ,WAVE_ACTION r,: ( °s ZON .`'N " . . . . . . .:;.r:r.:•. '' oN . ,a w (EL�a) E ... ZONE VE. MILL. 1.• ' . R` „"., ITS m Z W,� M x \ (EL 14) FARM E A E ARCHANT, ,:,<, .; �'' ,.A. p •a \ ZONE AE M WA N p R AU �.: .''(FL 11)" z' \E , N , ' z Fill. _ •` , „' 4 ` ° FLOOD INSURANCE RATE MAP L 12 •' fi _ ..,�\PK. -=� UE i_ _I GE #W R. I pV ED f N •,. IOOD ., , , � � •� vE ,, � ,;; i,l.� -*•-+ � z Q; , ,^ w �,�, . �: BARNSTABLE COUNTY, �t, ZONE AE, t `. ,sf'. �Z`�'PcjG x '.�� m .o /y�q ., r ' \ ,. ( ) E;. SPC v ` . 4ti9y� :K �± Z :. =-:3.•. y j AVENUE ZONE VE \ -h , .:• (ALL JURISDICTIONS)S w G law 0° :, . .b,' \ ` �� SQL -=Z; • .r„ ..:: � . 1 anticsIa rr ' .'\- ,,,.,• •...�\ 75 ,_+-r- "r"' rg'(; +`�0- �� 4> -*'.' � � .` ".,,.Z 1 PANEL 568 OF .,..`�,Q' • -. ,:e _� . „' .• '$ ,:.. . p' ,.f, : �. *m 4:. �..:. .•.#•` -" ' \ ti' SEE MAP INDEX FOR FIRM PANEL LAYOUT) ESTER AVENUE _ a WINCH '" y c } ,,, .. .-3.. .• ..w n--� ,+`!P y'�;l-- CONTAINS: �• �; _" • . tk..?•• i": ;.. ,� `.rvr, .: x.°. z ""�**, 'f '.. '`��.,�S •• ONE,4V ,. x^•.,e a i7 �•'k .-yam >l �:`r;` a NUMBER PANEL P9 �EF�X r" • / - ``a♦.,,•• .. ,• \3 .� ."..P` -' +�' y- - �_ 'y>, •• ,rqa+ ♦r ) COMMUNITY BARNSTABLE.TOWN OF 11-11 1111 J .h .,� r � �g.• �;.is�:> WAS NGTO �" �� • 1t; '' .0 i ti a t r t , _ X, Q ., s ' '(i�...- I. a .:, .,.. x s ari.r♦ ,"- .,a" r v, '1`.`'t r. 1�. �;`+v' MARCHANT MILL... `. ._.. .t. .. ! ,- U =.. -•.=1' :, ,;�.., .,,; .,.,.;., " y.: �xx,g'F� ^�.�,h "'�'r+ C..*`ls��� y.��e.. x�t:�;�. W .-, ; IYANOUGH .r2 �;: , s; M 'ROAD U i . VE Z OTE- �. AVENUE,~ s k . N �'.. _ .:w, "�,.. •<. ,.,.. , ..,r °2, �,' _.,..,. r! �.. M ,`�-a;'�'c 4*"*.r..•- . -., - "'?',, ,}. '{»•,� ;.� ,. +tom'?.:.?:_ 3 :. :T Z.v.. 1k:ah THIS MAP INCLUDES BOUNDARIES OF THE COASTAL BARRIER " � i- - '�'• '�''*�= '-" �'; '^ d G � :f t' :' - -� }�"a�.� `�^ ��- "ih '�, 7 .¢; � "4 3,.: $� �.:. `1,�' i �•T..q t. RESOURCES SYSTEM ESTABLISHED UNDER THE COASTAL i .. '�;, ;�: ..I y, � r -:.i r �'.. '{„ Z, .:..y. „�5+5 ,.. ... .: _ ,^..�..Y T,'?.,�x.. ,:.. :.._; .w, ,-,.ar �'3 ..h: �._..._."t't �' � ,.,•`, ® BARRIER RESOURCES ACT OF 1982 AND/OR SUBSEQUENT �. , r +�,y, ♦ m r -:;. a NN.;;.. .. ,,�, I it s , ;.. ,,� ,.1 -ak.. k.. £„•.17 ,, Qy: x. .fir s v. .�s� .'.+ ,'�, ,:.:.• ENABLING LEGISLATION. :....,. . m o , :• ,,,. , y .y;. Notice to User: The Ma Number shown below h i r should be used when placing map orders; the ,...., ..>.. 4 y..�a .y,R..s, c.. .+ „0 ,�*�' _ Community Number shown above should be A!° I `,.. t� '1 b LIMIT OF MODERATE 'Nil y m IR, s � ; c>..w .��. �, a;.: used on insurance applications for the subject ;, ��, mx ss �, �� WAVE ACTION - i Z Z NE AE ��, s :,- M. �:;; st`'��� ,�� "��� x�� ;'��; , ��r�t� '^ sezt ma �a � �:,,�'�: community. G i' s �, � ,x ^" °Zvr.>„ c ",•'. � �, ZONE UE s� ,: "c r � a+; �1 r axe N o r EL1s . , � x ,, �*,,; x -�1 MAP NUMBER a art - Z v- „' r• ( ); Yr, � n , _� as �z ZONE AE - t� x :,� � aw� � t ,, ,. - . - ': . *� u"'� `�..f � '!'..`�, by 5� k ,i' p �n 'yi„-a ® .�. > 4 --.. -., ,; � :�•�, .;' , z _ 25001 C0568J EL 12 1C, EAE � �,,: -r �. Z�a NE,VE � � � � � �: N a z� �, �' �._ ;� � ��� ���- ,�.� �� � �� r,:•�E� ° EFFECTIVE DATE AT.LA ray" 'f', ry' ® 1` ,V. :a 4 �a. `'h fi�.S ,.e«w+!5.. • � e`z ..� .. ,. . .., ... . > 'fit s o I E L 12 ,, `� k e k''^�F �. � t^+.� n UE (- - .,.. „ham � . .,y� x. ,;:�4Q >,# �`x�, r� �'t' ,3 °,� ��;. �ti xi�a-•-`~... <cH sF.c EL.14 �, , r S fi:.,�e \ r D > , >m ( ,. �� ty t � . .t JULY 16,2014 g n " • . 5, 1 ;_ r 1 !t z., s x, y ¢Y ., a x� u at,; w a .�.. Federal Emergency Management A enc • .. � � 4�. , � S Y �' b' Y • � ..V err,.''Y'p+ .' S,� .� ,': y�yAi ... ,, .-: 'y,..'r'.+;"•,. ,. ,,, ,f,;:, -:de s 'ice, ts'Ss �5.�..Sr�� .� u. s� ,d:; a�'�'x� •�. �. _fi' « '- ' a... r' „ ., I a. •... ., _ :_ t" �.'n i �+* rt�x f .s s� a.,:, ,� �,ax- y1�°-�. • Y ..x±, +,,. '� :.- ::'� �� .�4:. i.. c5 AM•+" �4 ..3-tp''`4 Y/�'s:xec*ak`k', 'S`"�"' FijnV'3��at �' 's, by ''...., IKI •.e • �--'"'r.,., ��. :'�� ,,.: �' ;�: '' l.�s s,z 't, ,�a`e�`cn�a�.„+' *. X}�i "�t"•."" p_�,i�A°'^i ZONE AE ,. ,Po :: _ �� �, t ,. , ��^•r �ks� � � ,:� , � .- •. Q �: .� ^54 ra r� n��: °a� �'^' f �. ��"yi .e �.'�. s "..,. 'k"i^,i_f�eaa.2� ••y p . _.- .-. .. _ I -' z ,. a a'xx v.. 'a. "4 c }8 r a A ix ,.� rs 't 4v.=,A- >;a EL 13 •1. � N • .. _ .. _.� �, ;' ,�., ';: �'� :.��„ •a r'�,', -.c��a.; � }�,'' +�� , ,?,�;' ��.;��`�'G"sx�a�;�nr" '. v�.,'" ..1 ( ) '-•, A�� ::. , d `�'��+w.�+vrrSY-'e •:�'sx ',€r ;i„l �S�f �:.a: 'k ., • fi` � ,w1.\S � ' Ngg�� �;Y.y.�,,�� ��"'S. •' • UP • ro li � y �;. t S-'''3`"�, `� 4��`S"a.i � �.�+��r,�.,s +,. �"* � � xi.,.., �'-e^ ,, `sm#, :n. z . ., -• ':. .• I - - �`x � �`�• Via§ «�Erg `":� }gip,, p �'' � y�;' ,'t•.z .ra �a",. .�;,, m+ 1 r I z.• <:a�':9 :'`F ,� r���' i^�� „k .�,y, ��`r :.� � ...�^ .:`� ,`":a't:Wa�R a �: .,'� = N w It - :, I 1Vantucket�ASouncl . , - AK ESTABLISHED 10/1/1983. �• � :::.t .: „ .. ,.:. � .;'; �t,d ,bq a,..,r � ., - f, �-.-, ,,,p "�.�,��'w; .*:' This is an official copy of a portion of the above referenced flood map. It ....,.:.. .. „ ...... :.. � .'�.sm `'s.+ ,y,.. 'CF ` • _ ":'s+• �' :4 +. r': ., -..a. +°r.'z' " `t++".. was extracted using F-MIT On-Line. This map does not reflect changes SEE',GBRS;LEGENp,• a�. ,:. or amendments which may have been made subsequent to the date on the ;d',, '�. • - - ' l ly "" title block. For the latest product information about National Flood Insurance Program flood maps check the FEMA Flood Map Store at www,msc.fema.gov ti �_V V SYSTEM DESIGN: SYSTEM PROFILE MALL ARKED EMWIT COMPON NTTAPSHALL E OR BE NOTES LEGEND PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 1. DATUM IS NGVD29 = Oak 99 - EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING X 99. EXIST. SPOT Ear v. FILTER FABRIC OVER STONE miSth 3. NO PLAN OF LAND FOUND, FULL PERIMETER SURVEY DESIGN FLOW: 9 BEDROOMS 110 GPD = 990 GPD 18.0' MINIMUM .75' OF COVER OVE PRECAST PROP. TEE 2% SLOPE REQUIRED OVER SYSTEM 19.0' RECOMMENDED, LOT LINES SHOWN PER SURROUNDING 99J 'ROPOSED CONTOUR PLANS AND DEEDS OF RECORD, SUBJECT TO VERIFICATION USE A 990 GPD DESIGN FLOW PRECAST 99 PROPOSED SPOT EL. RISERS (TYP)O BLOCKS OR BY FULL PERIMETER SURVEY. 4"�SCH40 PVC PRECAST RISERS 2'o MORTAR ALL H-10 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS THt SEPTIC TANK: 990 GPD (2) = 1980 PIPES LEVEL 1ST 2' 2, COMPONENTS /' ood 'EST HOLE USE A 2000 GAL. H-10 SEPTIC TANK (TYP.) INv's EL. 15.8' 4' TO BE AASHO H-10 ENDSri (EXCEPT PC WHICH = H 11(7 t0" SIDES 1 6.6' -20) < � o -0000000 00000000 2> SLOPE OF GROUND USE A 2000 GAL. H-20 PUMP CHAMBER **14.5 TEE 2000 GAL H-10 �, ° p p p o7iEP� 0 p p o p o 0 0 0 5. PIPE JOINTS TO BE MADE WATERTIGHT. d 0 00®® mooEll= o ° o ° o SEPTIC TANK 14.25 „ °°°o°°°o 0� 0��00• ° ° ° ° ° • ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Locus 0 0 0 C 0 0 o c 12" MIN INT. DIM. o , o ° ° ° �� (]����4' LIQ. LEVEL Q ° o000000°000 0� o°o°o°o° p p oo 'oo°o°o° rvlACME OR EQUAL TUF-TITE EF-4 �? 0 0000500 009 00 6" MIN. SUMP >0000000o p p p pp p p p p p p o o°o°o°o° 310 CMR 15.000 (TITLE 5.) tUTILITY POLE ° ° O�®����C]�0O®D�����ODC� ; o 0 0 0 0 LEACHING: EFFLUENT FILTER o 0 0 0 (OR EQUAL) Q 16.26' 16.09' >°o°o°000 00000000 ' o FIRE HYDRANT SIDES: �80.5 + 12.83��.74) = 276 GPD W/MOLDED IN GAS �� o 0 0 0 13.8 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Nlll�ltllCkBt .•- DEFLECTOR Q BE USED FOR LOT LINE STAKING OR ANY OTHER NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING o 0 0 o O o 0 0 0 0 o c H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. Sound BOTTOM: 80 5 x 12.83 �.74) = 764 GPD o00000000000000000o000oc oa TOTAL: 1405 S.F. 1040 GPD O„O,�O„O,�O�O o„O�O„O�o2O, Q 3/4"-1-1/2" DOUBLE WASHED STONE PURPOSE. AROUND PRECAST STRUCTURES (9) UNITS REQUIRED 6" CRUSHED STONE OR MECHANICAL 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. OVERALL DIMENSIONS TO OUTSIDE OF STONE: 80.5' X 12.83' 5.0' COMPACTION. (15.221 [2]) 9. *THE INSTALLER SHALL VERIFY THE USE (9) 500 GAL. H-20 LEACHING CHAMBERS ( 2 % SLOPE) WI COMPONENTS NOT TO BE BACKFILLED OR CONCEALED LOCATIONS OF ALL UTILITIES AND ALL (ACME OR EQUAL) WITH 4' STONE SIDES 2' ENDS. MIN. WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LOCUS MAP BUILDING SEWER OUTLETS AND ( 1 +% SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING NOT TO SCALE ELEVATIONS PRIOR TO INSTALLING ANY 16' 8.8' BOTTOM TH-1 & 2 DIGSAFE (1-888-344-7233) AND VERIFYING THE PORTION OF SEPTIC SYSTEM FOUNDATION ST 128' PC 28' D' BOX 31 ' LEACHING NO GROUNDWATER FOUND LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES �- 24' AGILITY PRIOR TO COMMENCEMENT OF WORK. ASSESSORS MAP 287 PARCEL 130 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE MA *NOTE: 2 LINES OUT FOUND REMOVED 5' BENEATH AND AROUND THE PROPOSED APPROVED DATE BOARD OF HEALTH PROP. WATERTIGHT MIN. 20" DIAMETER COVER TO GRADE LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X, ALARM AND CONTROL PANEL 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND VE (EL 14), VE (EL 15 NGVD29) AS TO BE INSTALLED INSIDE PROVIDE QUICK DISCONNECT FOR PUMP REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. SHOWN ON COMMUNITY PANEL BUILDING. ALARM TO BE ON #25001 CO568J DATED 7/16/2014 SEPARATE CIRCUIT FROM PUMP 13. RESOURCE AREAS SHOWN SUBJECT TO VERIFICATION (FOR NAVD '88, SUBTRACT 0.88') BY THE TOWN OF BARNSTABLE CONSERVATION COMMISSION. FLAGS BY BRAD HALL **PROPOSED SEPTIC TANK INVERT IN ELEVATION BASED ON 14. ABUTTING BUILDINGS FROM G.I.S. DATA, APPROXIMATE, NOTE: 9 BR DEED RESTRICTION REQUIRED CURRENT CLEAN OUT INVERT ELEVATION (ADJUST AS NECESSARY SHOWN FOR REFERENCE ONLY. TO PROVIDE MIN. 2% PITCH FROM DWELLING TO SEPTIC TANK) INV. IN 12.33' 15. INSTALLER TO DETERMINE SUITABILITY OF ELECTRICAL 2000 GAL. H-20 S/ 2" PRESSURE LINE SYSTEM FOR PUMP INSTALLATION 1040 GAL.+ SLOPE TO DRAIN BACK TO PC 16. SITE SUBJECT TO CONSERVATION COMMISSION ORDER f ALARM ON RESERVE INV. T 13. OF CONDITIONS SE3-5479. I FLOAT SWITCH 0.25" WEEP HOLES � SETTINGS: PUMP ON CHECK VALVE I II 6" WORKING RANGE 5 MYERS SRM 4 TEST I 6„ SUBMERSIBLE 4/10 HP PUMP HOLE LOGS \ PUMP OFF 12" SYSTEM (OR EQUAL) I \O, _ I � � VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405: ARNE H. OJALA PE PLS 0 o coo 00 0 0 0 0 000o ENGINEER: ' > 1b & TOWN OF BARNS. REGS: INCREASE IN MAX. ALLOWABLE DEPTH OF PC (> 36" BUT < 72") I - _ PUMP CHAMBER 1f: REDUCTION IN SETBACK, ST TO COASTAL BANK (25' TO 12'); PC TO COASTAL BANK (25' TO 11'); WITNESS: DONNA MIORANDI, RS PROP. VENT WITH CHARCOAL FILTER I I \ - _ _ - SAS TO COASTAL BANK (50' TO 42') 1 AND BUGSCREEN (FINAL PLACEMENT BY I \ - (NOT TO SCALE) DATE:. 1 1/21/13 CONTRACTOR WITH HOMEOWNER I I \ - _ UNDER TOWN OF BARNSTABLE REGULATIONS SECTION 360-1: \ -- WATERPROOF/WATERTIGHT ', Q PERC. RATE _ < 2 MIN/INCH CONSULTATION) I I _ _ - \ - - _ _ _ REDUCTION IN SYSTEM COMPONENTS TO WETLAND RESOURCE AREA (COASTAL BANK): MA YWOOD \ ^ ` , - _ - _ _ Q � 100' TO 42' (SAS); 100' TO 11' (PC); 100' TO 1' (ST); CLASS I SOILS P# 14186 40' PRIVg7 \ ENUE - _ Z j REDUCTION IN SYSTEM COMPONENTS TO WETLAND RESOURCE AREA (BVW): I / _A E WAY 0 100' TO 88' (SAS) 100' TO 59' (PC) AND 100' TO 87' (ST) \ - - - ELEV. ELEV. PROP. GARAGE CONSTRUCTION STAGING AREA I / ` �- - - _ \ - - - _ _ aE:P REPLACE HEDGE AFTER CONSTRUCTION, I I �^ BRICK 21� - _ \ L� O / Q" 18.8' 0" 18.8' WASHED STONE CONSTRUCTION APRON I WALK `� 380 SF MIN. o - - - - \ N I A A 8, OHE OHE OHE S81'O6'47" w \ I LS LS PROP. WORK LIMIT LINE OF STAKED SILT FENCE / - BACKED BY COIR LOGS - 218. D \ 10YR 4/2 10YR 4/2 I II I S H 1 \ < � � ` - - -_- - - I OFF TCB I \\DER I �H -OHE - - - - _ - - MCS MCS TH 1 I / \ 20' PRIVATE - - - - 1 OYR 6/6 1 OYR 6/6 I I 1 0 - - _� ' \GP �� - ��� � - - _ �cB - - _ - WAY - 24" 16.8' 24" 16.8' I I \ I - _ so � I PROPOSED NEW PILE FOUNDATIO I PROP.GAL. \\ EXISTING I\\ I Q - _ _ _ - UNDER EXISTING GARAGE II I/ �� PC\ \ \ DWELLING \ - - 22 �w C PERC C FLOOR ELEVATION = 19.0' \ ALTERNATE BENCHMARK: \� I\ USE DECK ELEV. 22.4' GARAGE AND RAMP TO BE I 7 d I I Q C3 - MCS MCS RESTORED WITHIN EXISTING I 15 WA ALL RE T._16 �° E pGE\\\ I �° \ DECK R.S. BOX _ FOOTPRINT REFERENCE STRUCTURAL +15.5 - TC�#� o L/� Co - f 1 j ENGINEERED PLANS BY I - - - - DECK _ 2.5Y 6/5 2.5Y 6/5 FORT HILL, INC. - -\ - B#2 - - - - - {, _ I I o GARAGE I - -_15 E Ai�lp�-•L p _ _ ` _ - - _y �� { { \ _ -EL. 22.4 i J I T b�° COq�Tq��� B ,3 , _ - ROPE - T7�5 - �- �g - - - - - - _ z°NE��o��x �An _ •..-..�"'� \ \ _ - _ C�O. Kj -/� � \ \ _L 120" 8.8' 120" 8.8' LOCAL C.BAT1 \ 1��N1 70, - - - - - �CB5 3�� - - - \ NO GROUNDWATER ENCOUNTERED i PROP. WORK LIMIT LINE OF - r7 T.0 I ZO NGJOZ / / / / % °- - g, , \ - - \STAKED SILT FENCE - -\ - - `N -C - 4�, ,`r�- - - - - Q \ \ \\ I t� \ \ 19 PROP 2000 S 1 TE ANK N --GAL. ST - - j 14- N P /I. i\ � � � - w � \ � �COA�TAh \ � , \ \ ,\\\ � \ - - --_'.- - - - - - - - - Ir boo � � � - BANK \ � � I / I / / / / / / j --'!�� \ \ 5� \ - ` \ .� \ N -\ \ cv - - \_• 2- - - L - - - -cam- I' \ eq -16- - - � CESSPOOLS; �� -11- - - 7 \ \ ZONE OF X OF I � 1 / l / l l � `\- - - \�'•���\��� \ \ � � \ \ � � �\I \\ \� U - - 11- �_\ / � - - - - - 1 \ � \ � � y \ \ EL 14 z ��/ / l ji _ - -� ' � , �\ ` I, \\ � - - - - - - I _ �� � , # 11 MAYWOOD AVENUE RELOCATE PATH OUT OF WETLAND, # BOR�i �� \ \ �� - - -9 / I_ O / / / ALLOW EXISTING PATH WITHIN WETLAND OFR/ - - - - - - /�I \ I \ I� ®� TO REVEGETATE NATURALLY /�/G, ��� \ I u u - 2 1 Q PREPARED FOR WETLAND #3 - _5 � � WENDY L. GARTHWAITE I 0) I I I I I �` #5 c� o I I\ \ � \ MARCH 15, 2017 a I I I CONTIGUOUS UPLAND ZONING 36,058E SF 0.83E AC. � / \ �✓�� Z 1 l I I \ \ \ REVISED: 7 21 17 PER CONSCOM APPROVAL Z I I I ` WETLAND MHW: 29143E SF 0.67t AC. � � !'�� /#4..•j� 0 1 -D 1 I \ \ / / ( ) 1 I I Ict� a I 1 \ REVISED: 10/6/17 (CHANGE SAS BACK TO APPROVED 9 BEDROOM DESIGN) 0 1 I I `. \\ TOTAL: 65,204E SF 1.50t AC. \/� 3 1 Z o I I \ \ Scale: 1"- 20' I I I \ (NOT INCLUDING FEE IN WAYS) / I w I p 1 N 0 V `- Z '�N OF htq�s mz I I \ I I �� 0 10 20 30 40 50 FEET DANIE_LA. t. N 2 /,. hA off 508-362-4541 W fax 508-362-9880 p C z �7 P6' \ \ ca r °s downcape.com 3) sus 5•'a'r, I down cape eagiaeefiag, inc. z N � civil engineersco o 0 i �.n �- �m \ \\ •. \ I I I I / / - land Surveyors DATE C)ANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) ►rl 6- 1 61 YARMOUTHPORT MA 02575