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0049 OCEAN AVENUE
,I 1 d ROf C> Mlis tili X40 Town of Barnstable Regulatory Services a a a • BAMff"LE. MA & Thomas F. Geiler, Director QED yg. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 7, 2011 Mr. Peter Stepanek 49 Ocean Avenue Hyannisport, MA 02647 Re: 49 Ocean Avenue Dear Mr. Spepanek, On August 17, 2011, this office received an application to, "...renovate to year round, heated residence..."an existing cottage/barn on the above referenced property. The principal permitted use of the RF-1 District in which this property is located is a detached single family dwelling. The application as submitted must be denied because it is an intensification of a nonconforming use and for this project to proceed, it must comply with the zoning requirements of Chapter 240 Section 94. If you have any questions, please contact this office. Sincerely, RI-i Paul Roma Local Inspector `TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_ Application Health Division , Date Issued Conservation Division PlanningApplication Fee , Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/Hyannis Project Street Address Village Owner ---- — _Address 0-4 f�i, Telephoned �- a Permit RequestMW lcr de ;,� ytr ,rs8if/i N ES1� E r � - - %G� f°�S; Square feet: 1 st floor: existing iR�Ao proposecjSA E_2nd floor: existinga Zoning District —proposed-A otal new Flood Plain Project Valuation Groundwater Overlay s ® Construction Type ,. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Y Two Family ❑ Multi-Family(# units) Age of Existing Structure _ b Yes/1.S`/' Historic House: ❑ No On Old King's Highway: ❑Yes �No Basement Type: Full ❑ Crawl ❑ Walkout _ ❑Other Basement Finished Area (sq•ft.)_ } y '�Ilad rss E§fi,. r tj a 3 ... Basement Unfinish � k Number of Baths: Full: existir � g----�_ rew Half: exi �Mm€gAR F5D'C � ,�_ f ' Number of Bedrooms: existing i)new �� " r, s „nw�W . +�.,^c," Total Room Count (not including baths): existing k k la N baths) ,`�3�"� '� g — new A Heat Type and Fuel: ❑Oil ---�_Fi, ��Gas ❑ Electric G Other Pli ,�, Central Air: �'11� ', Yes ❑ No Fireplaces: Existing New .� U Ut` r , € r x Detached garage: ®existing ❑ new size t , y* F' _Pool: ❑ exist , , Attached g ❑ new size �k garage:❑existing size new .a —Shod: C] existing g ❑ new sizt>. � �tL1 "-"� � Zoning Board of Appeals Authorization � 5 ® Appeal # � M, ��... � Recorc , .tea „t max . Commercial ❑Yes No Co . �# If yes, site plan review#. . � � R` Current Use `t T Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ame Telephone Number '17 ddress c License # Home Improvement ContrUc-tor# _ _~ Worker's Compensation # L CONSTRUCTION DEBRIS RES — ,- G FROM THIS PROJECT WILL BE TAKEN Tc:i�l��'° NATURE '_DATEA � /�� r 1 12 1 2a All Cape Insulation - p, Aii 'Cape insulation & S. I Incpp Y 120A Great Western Rd Post Office Box .1556 S. Dennis, MA 02660 , S. Dennis, MA 02660' Building Insulation Report - Hostetter. Homes ._ . �.. Property Address: ' 49.Ocean Ave, Hyannisport Insulation Type Manufacturer Thickness Square R-Value. Area Used Footage - Fiberglass Batts Owens.Corning- 5.5 400 21.0 Slopes Fiberglass Batts Owens Corning 5.5° 560 14.D Cathedral Slopes Fiberglass Batts. Owens Corning . : 3.5 960 15.D Stairwell, Plates & 5?nc rete u Sf d a ;•F 'Walls Fiberglass Batts Owens Coming 3.5" 160 13.0 Divider Wall. Fiberglass Batts Owens Corning m Fiberglass Batts Knauf Fiberglass Batts Knauf N Fiberglass Batts Knauf Fiberglass Batts Knauf Fire Safe Roxul Insulation Fiberglass Blown Certain Teed Fiberglass Blown ' . Certain Teed Closed Cell Foam Demilec 2 40D R-14 Slopes, Closed Cell Foam Demifec 2° 560 R-14 Cathedral Slopes Closed Cell Foam Demilec 3 1170 21, Exterior Walls Closed Cell,Foam Demilec C ed Gell Foam I pprnilec Certified StephenJ. Mehl S `J. Me,,:Li, c a Et .< `MA Construction Supervisor,Specialty License #102780 MA Home Improvement Contractor Registration #162656 Tr# 28251,8 Office: (508) 394- 700 (800) 626-9276 Fax: .(508) 394-2220 . Mar 15 12 11:52a All Cape In"sulation 508-399-2220 :: p,2 0 Y ' '2 HEATLOK z� VU hn-tical" D t ' S-h t, JeC a a le e ............... _ ,•_y t igic, Spray ap�iieu olyvrethan �Qa►Tt;ln' sL7iClfiCln Zero ®zone Depletion Substance. 1-loss i ASi 4 HEAT LOK SOYA 200 is.two component spray applied rigid polyurethane foam,green.in color,'having.a nominal density 21bs/ft3.This• spray foam has been specially formulated to meet the intent of-the International Code Council,(ICCI,.building codes:and is;used primarily as a moisture/vapor barrier,air barrier and thermal insulation'on.above'and below grades interior and.extenorapplications. Complies with FEMA.floodplain insulation requirements_ Approved by the USDA fob Incidental Food Contact." HEAT ILOK SOY"200 is environmentally-friendly foam developed from recycled plastic materials and rapidly renewable soy o(Is,while the blowing agent is the-HFC•245fa. `Certified Insulation Material approved by'California,Department of'Consumer Affairs. GREENGUARD and GREENGUARD ChildJen ondSchoois certified.Meets LEED requirements in various categories: , Physical Properties . rt ^Method • - -- v°-Description T a Imperial units Metric units - - . ASTM D 1622-08 Density(core) 21 JbJft3 94 Kg/m3 AST C 518-04` Aged Thermal Resistance,:180 days.@ 23°C(R-Value) R-7.5 @ l Inch; 1:32 K m:/W M R-26-6 @ 4 inches 4:55 K 2/w m ASTM D 1621-M - Compressive Strength(10%) 20-6 psi l 142 kPa _ .... -- _ I AST%D 1623-09 1:Tensile Strength 45.4psi> 313 kPa i ASTM D 2126-09 i'Dimensional Stability @ 1582F(70eC),,97%R H.` ; %Change- (168 hrs,sample without.a iV substrate),L/W/T +4.9/+5.6/+7.7 ASTM D 2842-06 ! Water Absorption (Serves as moisture barrier and drain plane} 0.30?.Volume._ t ..... _ ASTM E 96-05 Water Vapor Permeance @ 1.5"(Note, Is a vapor barrier per i 0.79 Perms =' 45.5 ng/Pa.sml IBC Section 202,Definitions at L2".) ASTM E 283-D4 Air Permeance @,75Pa @1' (Note: Air Barrier Association_of 0.004 l/sm2 PP ) ,. - America(ABAA a roved,air barrier . .... - - ASTM E2178-03 Air Permeance @ 75P6,@ 1 1/2.= 0.001 LJsm= ASTM E 84-09 Surface Burning Characteristics @ 4.thick Glass Flame spread index 20 Smoke development 4o0 ASTM D 1929 01 Ignition Properties spontaneous Ignition Temperature 1004°F 540 C VOC Content VOC Emissions. from Polyurethane Foam Complies`with - GREENGUARD Children and Schools and LEED requirements Pass ASTM C1338-08 Fungi Resistance Nofungalgrowth , . a •,ASTM D>2956_ Closed Cell Content >9290 ASTM D 6866-08 : Bio-based Content(Rapidly Renewable Natural Content) 3�'• t . ASTM D 2663-08 Oxygen Index � , 239'0 ASTM E 2357705 5,Air Leakage of Air Barrier Assembly(static loading to 600 Pa and <0.0022 L/sm� ust loadin to 1,206 Pa)tom lies with ABAA re ulrements PassF DEMILEC(USA)f LLCO- 2925 Galleria Drive Arlington;TX 76011 H°ATLOK SOY®2100 Technical Data`Sheet (917)640-4900 phone 1 87.7:0EMILEC(336-4532)toll-free (817)633-2100 faK Rev.2122/2011. Page 1 of 2" www.DemilecUSA.co lnto@DemilecUSA.com - Mar 15 12 11:52a All Cape Insulation 508-394-2220 p.3 . , SOY®R 200 technical Data .Sheet Fire Test Results NFPA 286 Compliant with 2006 IBC Chapter 2603.9 the 2006 IRC 314.6 (2009 IRC 316.6)and the ICC-ES AC 377,Appendix Pass X,for use in attics and crawl spaces without a prescriptive ignition,thermal-barriee or intumescent.coatin. NFPA 285 Complies with the 2006 IBC Chapter 2603.5,Exterior Walls of Type I,II 111 and IV buildings of any height Pass NFPA 286 Complies with the 2006 IBC Chapter 803.1.2, Interior finish without a 15 min.thermal barrier with 4 DFT Pass ' Blazelok TB 200 Primer and 8 DFT Blazelok TB 200 coating_ Recycled Content of Finished i Pre-Consumer Content=9.9% Post-Consumer Content=4.7%. i Total Recycled Content=14.6% - - - - - -- Liquid Components Properties --- — _ — - Property Isocyanate A 100 Resin B 200 Color j Brown Blue Specific gravity 1.24@ 77"F(25°C) _ :. _: �- 1.2-1.25@ 77 F(25.CJ - _...._ Shelf life 1 Year 1 Year Mixing ratio(volume) ( 100 iDO ... . Viscosity 180-220 cps @ 777(25"0 35C-500 cps @ 77 F(25-C) See MSDS for more.information. Note:Store the resin at temperatures.between S9-77,°F(15—2S°C). Keep away from direct sunlight_ -- — . . ......... _.._�__ ......-_.._ .... _ .__. ______-_._.___. Processing Parameters ^— Recommended Processing Conditions .. -- - - i Imperial units Metric units Imperial units Metric units -- . :. .. _.. _ -- -----.__..... 1:1 ' Type of machine I Craco®Reactor E-30 with Fusion gun and Mixing ratio A:B. . 02 Mixing Chamber ....... i Components A&B 105°F 41°C Mixing temperature 100-120°F .°38 49°C tem . _..... - ..__ ........... Components A&B 850-1000 psi 5860-6900 kPa Mixing pressure 5 800 psi 5516 kPa pressure Ambient 73°F 230C i Substrate&Ambient >23°F ! >(-5}°C temperature ( ,temperature r _ _ - . Maximum ' 2 in. i 500 mm Curing temperature i >23°F >( 5)°C T Thickness per pass i. _�.:.... - Reactivity Profile i -- --- I - f.. r r Erd o�ri-, - Cream time 3e lime Tack rPe ini_ 0-1 Seconds 3-4 Seconds 4 S Seconds 5-6 Seconds Gr:nc,ai Information_It is recommended that the foam'is covered with an a pproved th ermal barrier in accordance to the local and national building codes when used in buildings and a protective coating when used outside.This product should not be used when the continuous service temperature of the substrate is outside the range of.-769F 1-60°C)to 176"F(80'C7.Spraying too,thick sections too fast may result in charring of the foam,or in extreme conditions a fire may result. 47 ] n 1 D;scioirner.The information herein is to assist customers in determining whether our products are suitable for their applications.We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability.Nothing herein shall constitute a warranty,express or implied,including any warranty of merchantability or fitness,nor is protection from any law or patent infringement. All patent rights are reserved. The foam product is combustible.and must. be covered by an approved thermal barrier_Protect from direct flame and sparks contact The exclusive remedy for all proven claims is replacement of our materials. HEkLOK 50Y®200Technical.Data.Sheet DEMILEC(USA)LLCe • 2925:Galleria Drive• Arlington,TX 76011 Rev.°2/2.212011 1817)640-4900 phone• 1.877.DEMiLEC(336-4532)toll-free - (817)633-2100 fax, Page 2 of 2 www.DemilecUSA.com Info@DemilecusA.com i Mar 15 12 11:53a All Cape Insulation 508-3942220 p.4 . DEMILEC ;USA)LLC. �. POLYURETHANE SYSTEUS MANUFACTURER , January-2011 RE: Spray Foam Insulation Compatibility Spray polyurethane foams have been used as a superior insulation material throughout theworld for nearly two decades and are some of the most extensively tested construction materials'in use today. Literally hundreds.of third party laboratory tests have been performed by internationally recognized agencies to verify the fire safety, durability, air and ,vapor permeability, non-corrosiveness, compatibility with other construction '.materials, air quality and the enemy and health benefits of. polyurethane foam products. ,SEA LECTION 500,.YEALECTION Agribalance 1, and HEATLOK SOY"y 200 are all polyURETHANE products.In many respects,the chemistry of these foam plastics is very similar to the plastics used-in the urethane based paints that the majority of'*auto.manufactures use .for their cars. When the foam is:. sprayed on a substrate, there.is a very thin layer of skin-like material that forms on-the substrate. The layer acts like a virtual protective finish and the foam eliminates moisture laden air from,attacking.the substrate's surface thus eliminating the;possibility of corrosion or rust. The PH of the foam is near neutral. Its auto ignition FQoint (the point :at which it will ignite). for. SE_ALECTION�` 500 and SEALECTION Agribalance`"' are over 1,000'F 'while most framing woods Th are less than 500°F.. ese . products have been used on literally millions of-feet of other construction materials without anv detrimental effects to the materials; these materials,include masonry; wood, vGood composition, fbrous insulation; electrical wiring and. Romex, Mylar, various metals (painted, unpainted. and galvanized), PVC, CPVC, PEX and vinyl. Our materials have been evaluated and are in compliance with the International Residential Code and the International Building Code. There are-no restrictions in either code as to what substrates:'. foam can be applied to. Please contact the Engineering Department at DENILEC(USA) for additional information: Sincerely, - Robert Naini Director of Engineering DEMILEC (USA) LLC`' a 1817;640, 00•Fak($i 7)633�l)(1•e�:,inuring iiulemd�casa.ct na 29=5 Galleria.Arlington;1'cxas 76011- Mar 15 12 .11:53a All Cape Insulation 508-3942220 p.5 Excerpt from the 2006 Intemational Residential Code with commentary. R314.6 Specific approval. Foam plastic not meeting the requirements of Sections R314.3 through R314.5 shall be specifically approved on the. basis of one of the following approved tests: NFPA 286with the acceptance criteria of Section R315A, FM4880, UL 1040 or UL 1715, or fire tests related to actual end-use configurations. The specific approval shall be based on the actual end use configuration and shall be performed on the finished foam plastic assembly in the maximum thickness intended for use. Assemblies tested .shall include.seams,.joints and other typical details used in the installation of the assembly and shall be tested in the manner intended-for use: Foam plastic does.not-have to comply with the installation and use requirements of Sections - R314.3 through R314.5 when specific approval is obtained in accordance with this section. This section lists examples of specific large scale tests, such as:FM 4880, UL 1040, NFPA286 or UL . 1715. Also, other large scale fire tests related to actual end-use configuration can be used: The intent is to require testing based on the proposed-end-use configuration of the foam-plastic assembly with a fire exposure that is appropriate in size and location for the proposed application. These tests must be performed on full-scale assemblies: The tested assemblies must include typical seams,joints and other details that will occur in the finished installation. The foam plastic must be tested in the maximum thickness and density- intended for use. Thorough testing provides an accurate depiction of the in-place fire performance of assemblies and systems using foam plastics. •. There are.two ways to show code compliance under Section R314,6.One method.is to provide the actual test report that contains a description of the assembly and test results showing that the foam plastic, in the erid.use application; has passed the test.The second method is'to obtain; from.the 1C-C-ES, an Evaluation Report that covers the end use application: ,Mar a All Gape Insulation - p, D EMILEC(USA).LLC. POLYURETHANE SYSTEMS MANUFACRJRER April 14, 2010 To wham it may concem: RE: Foam in Attics and Crawispaces We have completed testing on our open and closed cell spray foams tc allow them to be left exposed without the use of a prescriptive thermal or ignition barrier in specific applications including attics and crawl spaces in accordance with the ICG ESR-1172, IGG ESR 2600,the[CC-ES AC 377 and several NFPA 2a6 tests,as described-below, SEALECTION ICC ESR-1172, Dated Oct 1, 2009 has the following options: • Section 43.2 allows the foam to be applied as an interior finish without a thermal barrier or ignition barrier. The maximum thickness is 5-1/2"on walls and 10"on floors and ceilings. The entire surface of the foam must be coated with 14 dry mills(22 wet mills)of Blazelok®TB. This application can be used in various situations including exposed ceilings in restaurants or convention centers,above drop ceilings in,strip malls or offices and in open return plenum areas, all of which would typically require thermal barrier protection over foam plastic; • Section 4.4.2.2 allows the foam to be applied to a depth of 1.1-1/2'to the underside of the.rodf sheathing andlorrafters and in the top of the crawl spaces,and to a depth of 10"on vertical surfaces in those areas: The foam on the vertical surfaces must be coated with 10 dry mills(16 vet mils)of Blazelok®IB: • Section 4.4.2.3 allows the foam to be applied to a depth of ID"to the underside of the roof sheathing and/or rafters and in the top of the crawl spaces and to a depth of 5-12"on vertical surfaces in those areas. The.foam on the vertical surfaces must be coated with 10 dry mills(16 wet mils)of Andek Firegardo. • Section 4A2.4 allows the foam to be applied to a,depth of 10".to the floor of the attic.The foam must be coated with 10 dry mills(16 wet mils)of.Blazeloy IB.. SEALECTION AgribalanceH ICC ESR-2600, Dated Dec 1, 2009 has the following options: Sections 4.4.2.2 allows the foam to be applied to a depth of 11-1/4"to the underside of the roof sheathing and/or rafters and on the underside of the floor and/or floorjoist in crawl spaces and to a depth of.10"on vertical surfaces in those areas.The foam on the'vertical surfaces must be coaled with 10 dry mills(16 wet mils)of Blazelok®IB. • Section 4.4.3 allows the foam to be applied to a depth of W to the floor of the attic.The foam does not require an ignition barrier to be applied over it. Heatlok Soy has passed the NFPA'286 test in accordance_with the ICC-ES AC 377,Appendix A allowing it to be applied to a depth of 11-112"to the underside of the roof sheathing and,'or rafters and in the top of the crawl spaces and to a depth of 10"on vertical surfaces in those areas. The foam on the vertical surfaces must.be coated with 10 dry mills(16 wet mills)of Blazelok 16. _ Heatlok Soy 2000 has passed the NFPA 286 test in accordance with the ICC-ES AC 377,Appendix X allowing it to be applied to;a depth of 11-112"tc the underside of the roof sheathing and/orrafters and in the top of the crawl spaces and to a depth of 7-1/2" on vertical surfaces in those areas. The foam,does not require an ignition barrier to be applied over it. The various test reports are available to show compliance with the IRC Section 314.6 and the IBC Section 2603.91 as well as the ICC- ES AC 377. Please note the codes do not require an ESR o prove.compliance. The code commentary states specific test reports as well as an ESR may be used to show compliance. If you have further questions regarding these or any other topics associated with DEMILEC(USA)or spray foam insulation in general, . do not hesitate to contact anyone in the Engineering department. . Charles Waggoner Product Engineer r (817)879-8659 charles@demilecusa.com w , Engireerinb Departinent. . W7}W-4900•Fax(817)033-2l D) 'enginecting;au-'emilecusa.cofn 2925 Gallaria,Arlington.Vzxas 7601't Mar 15 12 11:54a All Cape Insulation 508-394-2220. p.7 AM - DEMILEC (USA)LLc ti POCKURETWE SYSTEMS MANUFACTURER 1anUal-y RE: Spray Foam Insulation Compatibility 5 Spray polyurethane foams have been used.as z superior.ansulation material throughout t}�e wo lar;fol nearly two decades and are-some of the most extensively tested construction materials-in use.today LireralIv hundreds of third party laboratory tests l ave.been performed by internationally.,recognized agencies to verify the fire `safety,; durability, air and' vapor perineabiCity, non=corrosiveness, . compatibility with "other construction materials; ail quality and the,energy,and health..benef.ts of polyurethane foam products. SEALECTION® 500,SEALECTION Agribalancea.', and HEATLOK SOY` 100 are,all-polvURETI-TAME products. In many respects, the chemistry of these foam plastics.is very similar to the plastics-used in the urethane based paints that the majority.of auto manufactures use for their cars: When the-_'foam:is sprayed on a substrate, there is-a.very thin _layer of skin-like material,that forms on'the s bsi trate,1-he layer acts like a.virtual protective finish and the foam eliminates moisture laden'air from attar) ing the ., substrate's surface•thus°eliminating the` possibility of corrosion or'nist. The'aPH :ef thz foam is near , neutral: Its auto ignition oint (the poini at'Which it will ignite) for>SEALECTION`— .500 and SEALECTPN Agribalance, are over,1,0000F•while most framing:woods are less,thar 500°F-'These products have been used on rliterally inillion`s of feet of other construction materials .%vithout,.lny detrimental effect's - cts to the materials; these iiiaterials include masonry, wood, wood cmnposition, fibrous - insulation, electrical r,wiring`and Romex, ,Mylar, various,metals .(pair#ed;-unpainted and,..galvahized);' PVC, CPVC,.PEX and vinyl. _ f. .; Our materials have been evaluated and are in compliance with the International Residential Code" and.the International Building Code. There are no restrictions in either code;as to what substrates. foam can be applied to. - Please contact the Engineering Department at DEMILEC(.USA)for additional,information. Sincerely`, 4 .Robert Nainl t Director of Engineering ,F DEMILEC (USA) LLC® L'ugii arin Department z (817).640-4900•Fax(817)033-210f) eneincui3tgLw,dcmilecusa.com 2925 ralleria,Arlin9ton,Texas 76011' V1 - s r Mar 15 12 11:54a All Cape Insulation r _ 508-394-2220 p.8 DEMILEC (UsA)LLC. POLYURETHANE SYSTEMS MANUFACTURER February,,]8, 2010 RE: Specific Approvals and Large'Scale Testing for HEATLOK SOY'200 DEMILEC (USA) LLCM' has completed several large scale fire tests,,.in accordance whh the 2006 IRC 314.E Specific Approval, 2006 IBC 2603.9 Specific Approval and ]CC ES's :AC 377 for Spray Applied Foam Plastic Insulation. Most recently, DEMILEC (USA) LLC'- successfully completed an NFPA 286 assembly using HEATLOK SM. 200 in accordance ICC-ES AC377-Appendix X, to meet performance based code requirements; Based on this largc scale,fire testing, HEATLOK,SOYA'.200 can be installed exposed :in attic and crawl space applications, without the code prescribed ignition barrier or an intumescent coating, at thicknesses up to 10" in walls and l 1 t.%" on the underside of floors or roo€..decks. If you have any questions do not hesitate to contact"us. Sincerely, t s Robert I\Taini Director of Engineering D1,iMILEC (USA) LLC"" , ngin�rori is Depwtment B M E40-490o•:Far.(81.)5">=_'I D(i•en intcrma a iettiilecusa ato, 2925 Gel,cria;.Arhn,-o*Tezus 76011 Mar 15 12 11:55a All Cape Insulation 508-394-2220 p.9 'Demilec Heatfok Soy R-ValUe Chart T � . . hickn ess Outside tside ^ Inside In Inches Air. Film Air Film R-Value 0 0.17 0.68 0 1 0.17 0.68 7 1.5 0.1.7 0.68. , . 10,5 1.76 0.17 0:68 12.25 2 0.17 0.68 14 2.25 0.17 0.68 15.75 , 2.5 0.17 0.68 17"5 2.75 0.17 0.68 19.25 3 0.17. 0.68 21 3.25 0.17 0.68 22.75 3.5 0.17 0.68 24.5 3.75 0.17 0:68 26.25 4 0.17 0.68 28 4.5 0.17 0.68 - 31 .5 5 0.17 0,.68 35 5.5 0.17 0.68 .38:5 6 0,171 0.68 42 ; .. un i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7� Parcel IV Application # Health Division Date Issued t Conservation Division Application,Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address q q oce+^[ � ,,Village_ Owner �e. � } Address S Telephone ~'Permit Request = n 4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay r 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 (sg4ft) Number of Baths: Full: existing new, Half: existing new Number of Bedrooms: existing _new : a Total Room Count (not including baths): existing new First Floor Room Count . :--1 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other '', Central Air: ❑Yes ❑ No . Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 (Telephone Number ? Address"" 71 a w� �r• cense # 05kl^v' /K &4 • Home"Improvement Contractor# Z,:2 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LSI GNATURE DATE--_... . ©/ f � { . ƒ . FOR OFFICIAL USE ONLY APPLICATION* � ' DATE ISSUED \ ƒ MAP[PARCEL NO. } ADDRESS ` VILLAGE § / OWNER } . DATE OF INSPECTION: } FOUNDATION . FRAME � . ! ) INSULATION } FIREPLACE $ \ ELECTRICAL: ROUGH FINAL \ ` PLUMBING: ROUGH FINAL ' f GAS: ROUGH FINAL FINAL BUILDING �{ DATE CLOSED OUT ASSOCI TI N PLAN NO. } \ Nov, 2, 2011 9: 51AM No. 4082 P. 2 Regulatory Services z r3AarrsrA>i MAea Thomas F. Ceiler,Direefor ss39. Building Division ' fF0 MAY� Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 0260) www,town.ba rnstable.ma.us Office- 508-862-4038 " Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION S)UPER'VISOR ASSUMPTION OF RESPONSIBILITY Construction Supervisor License , # � 7 � hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# V6vz Yo "" A issued to r- (Property address) t, on t I3 201 w O The following documents are attached: copy of my Massachusetts State Construction Supervisor's license ` or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' C pensation Insurance Affidavit. Road Bond (if applicable) LICENSE HOLDER DATE q/Dorms/newmairb mv:110410 ' v 02 11 09:56a Hostetter Homes 15084281974 p,1 1AJ C\J table TownZZ [ , C PRegulatory Services S � > MAS& g I Thomas F. Geiler, Director0 Ed ' ; Building Division �`- Tom Perry, Building Commissioner Q 200 Main Street;Hyannis, MA 02601 www.town.ba rnstab le.ma.us Office: 508-862-4038 Fax; 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT �. 2 Construction ruction Supervisor or License .4 , hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit issued to (property Pe mr � address CtV1\ Olt on 2 ' 201L. I also certify that on A 201 I notified the property ovvmer, that the project under construction Ntbe e a successor licensed-Construction Supervisor, is submitted on the recordsildi g Division. LICENS OLDEk DATE q�for;ns:`newtontr ref rence R-5 790 CMR r.-v:1 10410 f . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lejg4blv Name (Business/Organization/lndMdnal): Address: 7-2 0 City/State/Zip: I f � Phone#: t ' tU6 Are you an employer? Check a appropriate bog: I am a employer with 4.. general contractor and I Type of project(required): . 1.[� ❑ I am a employees(M!and/or part-time)•* have hired the sub-contractors fi 0 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity, employees and have workers'' [No workers'Comp. insurance comp.insurance., 9. []Building,addition required.] S. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El-I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t 'c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required,] . *Any applicant that checks box#I 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. xContractors that check this box mast attached as additional sheet showing the name of the sub-contractors and state whether or not those ontides have employees. If the sub-contractors have'employees,they must provide their workers'comp,policy number, Ion an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site . information Insurance Company Name: . Policy#or Self-ins.Lic.#:_ 1��C 3,02, I Z 0 Expiration Date:- 3/-Z, Job Site Address: 11. �e �C' City/State/Zip: 0 5) /ro Jl-t Attach.a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under.Section.25A of MGL c.,152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify and the pains andpenalties ofperjury that the information provided above is true and correct Signature: 3 0 /Z �j Date Phone#: ` �J Official use only. Do not write in this area, to be completed by city or town officiaZ City or Town: Permit/l icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector fi.Other Contact Person: Phone#: �1HE,gwti Town of Barnstable Regulatory Services �+xivsrmcs, MASS g Thomas F. Geiler,Director i639 o n+Ay" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder t as Owner of the subject property s hereby authorize APth�•t to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools , are not to be d✓b ore f ce is installed and pools are not to be utilized ntil fin i p tions'are performed and accepted. igna e of Ownerf, Signature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS' " THE ri Town of Barnstable Regulatory Services * sntwsTnai.E, * Thomas F.Geiler,Director MASS. A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1 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 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt • ✓lie V�ommaneueall�i �✓` /�`� Office of Consumer Affairs S Business Rcguiac ?jj�Expiration: HOME IMPROVEMENT CONTRACTOR Registration: ,,152124 'Type: 8/2/2012 DBA " WEST BAY MANAGEMENT TRUST ADAhI HOSTETTE 7%O A MAIN ST 1 1 �c OSTERVILLE MA 02655"= , Undersecretary. k t License or registration valid for indivadul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature f X�;-• Massachusetts = Department of Public SafctN Board of Building, u Rcul:atiaans and St:andal Construction Supervisor License License: CS 94302 �, K ADAM HOSTETTER t 770 SUITE AMAIN ST. : OSTERVILLE, MA 02655 Expiration: 12/22t2013 ( •noni �i.nrr Tr»: 7378 4 s A`CO�RO� CERTIFICATE OF LIABILITY INSURMCEF'°A�"' v4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RK*fTs UPON THE CERTIFICATE HOL CERTIFICATE DOES NOT AFFDWTNELY OR NE10ATIVELY AMEND, EXTEND Oft ALTER THE COVERAOE AFFORDED BY THE BELOW, Tests CERTtFiCATF OF INSURANCE PO DOES NOT COMMUTE A CONTRACT BETWEEN THE ISSUING INSURENS), AU REPRESENTATIVE OR PRODUCER,AND THE CERTLCr—ATE HOLDER MPORTANT: M the Certlfit to Aoldef Is an ADORIONAL INSURED,tt1•pci{ry(1f»)mart be sfi0o�•eQ K SUBROGATION IS WAfVEO �u the eamLs and condlCor>.of M•polXar,oaf4M Doticles may r•Qu14e an w4o►ser*nt A 513tsmOnt On thFs CoMfitate dove not coerfrr ce"Cate holdw In I*u of suth wd r*ts "Coum Marit Syv=Insurance Agency 771 Man Street 50a t1-0440 i rt.� 508 42F92 EarAJL OsWrYH•,MA 02fi55 LACER OtlE& marit W.Sr►nla A+QU W •D U RElarst AlTprtDl,G GOyEf1AG E Wes!t3 ry Ma naq err�egat Tres t vaUREA A: �^CNEa US ux c o T-1 Ma!n Street »urEnes Co Ost>,rv;>I¢,fYtA 020 S S •ourKJr c: ' attLJAHa E COVERAGES CERTIFICATE NLWSER: REY1310N MUMtBt=R: THIS IS Tp CERncY THAT THE POIIC E5 OF MfSL1RA1fCF USTEO BELOW HAVE BEEN ISSUED TO THE INSURED K"EO ABOVE FOR THE F<5 ICY pE INDICATED. NOTVWTHSTANDINC AMY REQUIREMENT, TEMA OR CCN0ITIDN OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECTTTO YWICH CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURAKE AFFORDED BY THE POLICIES DESCRIBED HEREJ►+ IS SUBJECT TO All TH_ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,UMITS SHONM MAY HAVE BEEN REDUCEo BY PAID CLA,.VS TE E1/R Ln1 TYMC)F•rSURAXCE IOLICI'"VYaeR Err {.AMIT7 A of�uwltJArlm MP0008- IM153 1214'2010 1214011 E M EACH GCCuAR CE f X CCrwa•RCY Wm i LOlNEJtAILrL - uwrV m a OGcUR nFM oocv 1 to WED IMP one pv�j f - ►EASONILL a AOV INJVR'Y 1 1 ,00 GENERAL AOOFtfCArj 1 "'L ACGRiMTE Lr,11PAFPLIE3 vE4 2'00 X POLJCr M0 L oc MOO TS•COUP. AGG S. 2 t AuroroElu Luartrtr COueWEO 1w0.6 LWIT ANY Avro (Ea rtoodr+) t ALL O%OaD ALTOS a00gr IHA1Rr.(pe pwxm) / SCN[OV=ALITDd - - 600Lr I A1r7Y(ter ac&drf)I i H1Rao Autos • ,, - ntonRrY oA+uct : (par Irv) NO-O"KoAU•O% UY•RPUA UA• - t OCCUR KXClss Lul y eACN OCCVRAV+CE t `CLAn+5�A0e: , oeeuCT1011t �1 A REGAri i � s B Ax0 tunO►1,uitim t �C3O212Og 3R32011 Y13M12 r,C s A pn, ANY PQ00"V O"ART?/CE,(.I EC1m A - R]'J,i►il2B x E!l Or►CEENevriR EJICI 1 07 N I A E L HA 10 f SOD.rum-eaw y M YN) f awob,i,dr 0 - E.L OWE a*Ze-•EA 'C QYE a SCO CRI !�T>OVS Mar � I - t�aeC/LS6-►CLCY Lw:T I l SOC f 0e3C»II;1O"ofOMRAro**1Lor-A �hs1V[N7Cla(MycN.CORJ i1.Aq�wal bwl�f l,ardsceaegardenu+y, paintn9,CErperttry - akn.ai,kv�..�N>+e.r.+a�n�I CERTIFICATE HOLOER CA110Ell�1TgN Hoat (SCa ya2D-197A 773A a Rub Co Inc 1►10UCD ANY CF rW-ABOVE OESCRseeD POUCH BE CAHCE:LEO 8EFOA 7ztar.ik. A C2 . TTQ? f.[PT1U'ION OATS II•ERECF;. NO Ot(anrilae•.1.4A C2955 I ^CE WiL QE OEl VE�[J f ACCOR�JINCE YMTN TuE POLJCT PRflV310Pt9. • ,. ��,,�'��' Cry L�J���� ACORD 25 2001-Mg isaB lflQ9 ACORD CORPORATION ea. All r%"rern Th e ACORD Nan+*and logo are Mg,:S*rod rnarha of ACORD Puy ? G v r6'P1 r 1� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map �� Parcel. Application Health Division Date Issued��_ Conservation Division Application Fee Planning p Dept. Permit Fee Date Definitive Plan Approved b Planning Board pP Y 9 Historic - OKH Preservation/ Hyannis Project Street Address 7 q Qee-A,,j Avg Village W, o l i Owner ST&4J& k Address OG j VET�rwl�s't� Telephone G �S t Pc>3 7 n� .Permit Request �.�� � . �`'T E� �+rlali'�.*D"! S� K_ f► Square feet: 1 st floor: existing 1-0-1proposed3® t( 2nd floor: existing b�l y proposed � Total new Zoning District -A-1 Flood Plain Groundwater Overlay VV .Project Valuation 7WO000 Construction Type Lot SizeSbo Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 5 Two Family ❑ Multi-Family (# units) o Age of Existing Structure Historic House: Q-�e's ❑ No On Old Kirl`cgril Highway ❑Yes O'I1lo Basement Type: afull ❑ Crawl ❑Walkout ❑ Other v Basement Finished Area(sq.ft.) b Basement Unfinished Area(sq ft) 3 a Number of Baths: Full: existing 3 new Half: existing P mew Y Number of Bedrooms: existing new Total Room Count (not including baths): existing 1 / new S First Floor Room Count Heat Type and Fuel: O/Gas ❑ Oil ❑ Electric ❑ Other Central Air: a/Yes ❑ No Fireplaces: Existing _�- New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size&9 tarn: ❑ existing ❑ new size_ Attached garage: ❑ existing U 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 ORHOMEOWNER) Name 11U� 1 :�ST'+rl ES'( & 1'`��►/kr LV16Felephone Number Address �70 M4Tlj T-te License# �`y0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE y� { FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ° MAP/PARCEL NO. r ' fi ADDRESS VILLAGE OWNER DATE OF INSPECTION: ,._TOUNDATIOW_ a ' FRAME t. INSULATION FIREPLACE All i ELECTRICAL: ROUGH FINAL '. PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL 'F FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. F J r� The Commonwealth of Massachusetts ; Department of Industrial Accidents Office of Investigations 600 Washington Street ` - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A" licant Information Please Print Legibly Name (Business/Organization/Individual): Q, l��5 i A ,) E,) 2� Address: RD JI/Ar—/i �� DS�UZf.I✓ M � City/State/Zip: (o Phone #: S0 aY �02� Are you'an employer?Check theappropriate box: Type of project(required): 1.EY�I am a employer with ` 4. ❑ I am a general contractor and I ' employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0-Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity.. employees and have workers' utdin addition [No 9. .workers'comp.insurance comp. insurance.t E/l g 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 I I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] ' *Any applicant that checks box#1-.must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub=contractors and state whether or not those entities have employees. If the sub-contractors have.employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:A04- �Lv rq �I 5. 6 1C . U;ev Poticy#.or Self-ins.Lic.#: ( �1'j 1 S���� Expiration Date: a� Job Site Address: y9 � � r'Iv - City/State/Zip: 01�6 1 Attach a copy of the workers' compensation policy declaration page(showing.the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day:'against the violator. Be advised that a copy of this statement.may be forwarded to the Office of -`Investigations of the DIA for insurance coverage verification. I do hereby,certify under the pains and penalties of perjury that the information provided above is true and correct. a Si atum. Date: Phone-#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): Y 1.Board of Health 2 Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: '` 1 Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to.this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more ..: of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another,who employs persons to do maintenance,construction or repair work on such dwelling house' .. or on the grounds or.building appurtenant thereto shall not because of such employment be deemed to be an employer.", MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact-you regarding the applicant. 'Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current. policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or. town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to.burn leaves etc.)said person is NOT required to complete this affidavit. y . 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. r The Department's address,telephone and fax number: w The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia '4C0 CERTIFICATE OF LIABILITY. °"�(13/2013 '' �..� INSURANCE OSl13l2013 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, EXTENT! OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 Cartlfleate holder In Ileu of such endorsemsn s. PRODUCER NAV; Debble Mark%Ma Insurance Agency.LLC 404 Main Street ^% 508 gg7_N2y FUAII C No:508 57-2781 AmnEw mark ma,k�YJs v_i0��su enee,eom Centerville. MA 02692 IPNMW IAWORDING COVERAGE __ NA_IC• InmapE A:Mo fier US Ins CO INSUREDIMMER III:Travelers Insurance Co West Bay Management Trust ISUAIRC: 770A Main Street OsterAlle.MA 02655 INBUTIERD: , INSURER E: _ INatm RF: 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. LTR TYPE OFOrBURANCE POLICY NUMBER a POLICY LIMITS A GENERAL LIABILITY MPOOMOD1012633 12/4/2012 12J4rMl3 EACH OCCURRENCE _ 4 1,000,000 X COM-ERCLN.GENERAL LIAe41TY PREMISES Es omurreace S 100,000 ❑,AIMIS•►MOE ACCUR MED EIP%ftycm person $ 5 000 PERSONAL d AOV INJURY 8 1.000,000 G94ERAL AGGREGATE S 2.=.000 GENt AGGREGATE LMIT APPLIES PER 7PRODUCTS•COMPlOP AGG 8 2 000 OOO X POLICY LOC ! AUTOMOBILE LIABILITY Ee a enD INC E LIMn ANT AIITO BODILY w AJRY IPeroerson) d AALLO ED �OEDULED - BODILY NJURY(Persodgert) 3 KREDAUTOS AUTOS D } (Per xd�Pa m EE" s 8 UMBRELLA LIAS Or,CUR EACH OCD_RRENCE S owras LIA8 GAILIS•MAOE AGGREGATE ; CEO I I RETENTION S 1; WORIERSCOMPENSATION UB-7015805A 3/23/2013 3f2312014 I`�STATU. OTH• AND EMPLOYERS'LIABILITY TOR i IM TS X ER ANY PROPMETORIPARTNERIEASCUTIVE a NIA E.L.EACH ACCIDENT $ 500,000 (MEndmar/"NW)EXCLUDED? E.L.DISEASE•EA EMPLOYE• S �-500.000 Itry99 eESfYIbe um OFSCRIPTION OF OPERATIONS halaw E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VOWLES(AtInch ACORD iet•AAAlnenu RMarNs SeheMe.IF mere spice It rails Residential Carpentry CERTIFICATE HOLDER CANCELLATION (508)428-1974 GHOULD ANY OF THE ABOVE DERCR M POLICIES BE CANCELLED BEFORE Hostetter Realty Co Inc THE EXPIRATION DATE THEREOF, NOTICE WILL Be offuvGRED INHost etier Street ACCORDANCE WITH Tme POLICY PROVISIONS. Osterville,MA 02655 - AUTNORIZEDR6PRE5ENTATIVE - . — A v 0 1909-2010 ACORD CORPORATION. AH rights reserved, ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD >�rtsr,�, • NAM p, Town of Barnstable Regulatory lator Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder l• �l t-e I V•— " - an ,as Owner of the subject property hereby authorize��A IY�}�-oS-T to act on my behalf, in all smatters relative to work authorized by this building permit application.for: 6PPAY CIA , (Address o�Job) A3 °6ignatlur of Owner Date F!Al-2 ]Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Forth on the reverse side, C_lUsmWec3ollik"AppDataU.oad\miausoRlWindmvs\Tempmwy Memet MesstComentOuflook\QREfiZUBNTMRESS.doe Revised 053012 All ; ` � ���c.�r,nuuni�urar'/�r�nllr��a��u�r.•/h 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: eglstratlon: 152124 Type Office of Consumer Affairs and Business Regulation j xplratlon: 8/2/2014 DBA 10 Fork Plaza-Suite 5170 Boston,MA.02116 i - . WEST BAY MANAGEMENT TRUST ADAM HOSTETTER 770 A MAIN ST. - OSTERVILLE, MA 02655 Undersecretary Not valid without signature Massuchusctts Del)artmcnt of Public Safct%' Board of Building Regulations and Standards 3' Construction Supervisor License License: CS 9M2 ADAM HOSTETTER= .770 SUITETA-,,[MAIN ST. OSTERVILL�`MA�02M Expiration: 12/22/2013 C4Pnvn&skbner Tr#: 7378 HOSTETTTER HOMES 770 B 1,Main Street Osterville, MA 02655 Phone: ((508)428-2828 Fax: (508)428-1974 Town of Barnstable Building Department 200 Main.Street Hyannis, MA 02601 To Whom It May Concern: Please be advised that Hostetter Homes and the home owner, Peter B. Stepanek, agree to provide sufficient information from each utility company/professional contractor attesting that all disconnections from the grid have been completed. While we understand that a permit will not be issued without provision of these notices,we would appreciate your review of this application to expedite approval. Work will not commence until these notices have been submitted to the Town and permit has been issued. Thank you for your review. Sincere y, e r S` ane , T Owner Dad 13 Adam Hostetter,Hostetter Homes Date - ..a�., •" m ....Y. w. �"N -.N z•r r 1. ,. .. `� �r.:fi �• x fin,.. `. A;r' r 1 Y Fite 1 drt Toals Help max' I�x �, _ ,_ -,,�a . , �A-,, �—.-sy , ..�:=.. .... <.��s C •ks':�- cur „�, •m+ ,.. _. wad „� ,� iff" n w.rnifi � uv�ei�• P �, ... ,.ttm a awuw..,u:Ww'-a-�. �.., ..x::.. '� „t�!.,,,.. . ,.n.�r ,.r.�(4. ,...� �: ..� �t :- :�t�> �.i, �,` .,. _ {?rercquisie � Action �� b tip t �_. 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B 32 o� Water Supply Division MA.yA, ,s '* BARNSTABLE, * s MAS& TEL:5408- 3 i639•� Hyannis Water System Operations y FAX.-50 1 ArFD MA'S A • A October 3, 2013 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 RE: 49 Ocean Avenue—Hyannisport, MA 02647 Acct# 602796—Main House—Service# 584 Dear Sir: Please be advised that the water at the above location has been shut off. Hostetter Homes is going to be installing a new foundation under the main house. If you have any questions, please call the office at (508) 775-0063. Sincerely, ayne tarck -� Hyannis Water System y , I t.v [� l i o agr'd September 23, 2013 Attn: Martin Ward _ Re: 49 Ocean Ave, Hyannis, 6lAA _ This letter is to notify you that the gas service.to 49 Ocean A%e,'Hyannis, MA.-has- been cut and capped on the property on 09/20/2013. Regards,';. Diane Camara , US National Grid _ Gas Customer Fulfillment ' �.A { national roil September 23, 2013 Attn: Martin Ward Rem 49 Ocean Ave. HyMnis, MA, This letter is to notify you that the gas service to 49 Ocean Ave, Hyannis, MA. has been cut and capped on the,property on 09/20/2013. Regards,_ Diane Camara Diane Camara US National Grid Gas Customer Fulfillment r �^Y C'S GJ C Oc t. 1. 2013 7: 19AM Ns t a r _ No: 162$ P. 1 �! NSTAR One NSTAR Way 61 EC rR/C Westwood,Massachusetts 02090 GAS October 1, 2013 a , Peter S. Stepanek R -. 49 Ocean Ave. Hyannis, MA 02601 RE: 49 Ocean Ave., Hyannis, MA 02601 Dear Mr. Stepanek.- At NSTAR, we're committed to delivering great service. This letter serves as confirmation that; as of 10/1/13, the electric service to 49 Ocean. Ave., Hyannis, MA 02601, has been removed. Based on this information, there is no electric,power at this address and you may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797. Sincerely, M g Ms. Jurgile icz a, New Customer Connects a4 c t ag c-) CO C HOSTETTTER HOMES I 770 B 1 Main Street Osterville, MA 02655 Phone. ((508) 428-2828 F x:_(508) 428-1974 `. July 17, 2012 Re: 49 Ocean Avenue, Hyannisport'NIA r To Whom It May Concern: k Please be advised that all electrical work contracted by West Bay Property Management dba Hostetter Homes from this date forward will be done by M&A Electric. D. H. Peckham Electric is no',longer on this job. M&A's Electric license is as follows: 15248A Contact information: i Email: mikemck103@yahoo.com r" Phone: (617)438.-2451 Address: M&A Electric ;`r 225A Main Street 1l ' Buzzards Bay, MA 02532 T � ' Thank you. '+ t Sincer , } Adam Hostetter �; 1 F HOSTETTTER HOMES TOWN N l 8 N T 15 LE 770 B 1 Main Street Osterville, MA 02655 'Ini JU' 'I "j4.k k' Phone: ((508) 428-2828 Fax: (508) 428-1974 DIMS D July 17, 2012 Re: 49 Ocean Avenue, Hyannisport, MA To Whom It May Concern: F Please be advised that all electrical work contracted'by West Bay Property Management dba Hostetter Homes from this date forward will be done by M&A Electric. D. H. Peckham Electric is no longer on this job. M&A's Electric license is as follows: 15248A Contact information: Email: mikemck103@yahoo.com Phone: (617)438-2451 Address: M&A Electric 225A Main Street Buzzards Bay, MA 02532 Thank you. Sincer Adam Hostetter OWN of ulrSi}STABLE 49 Ocean Avenue Hyannisport,MA 02647 March 29,2012 . •_ i To: Town of Barnstable l Building Department Attn: Tom Perry,Commissioner Re: 49 Ocean Avenue,Hyannisport,MA Dear Commissioner: In that a significant amount of work is planned in my main house in the near future, I am requesting secondary electric service at my property located at 49 Ocean Avenue in Hyannisport,MA. The additional service would be to my guest house,the intent being to avoid losing electricity during the renovation period. Thank you for your consideration. .S' ereiy, Bruce Stepanek Z'd VL6 LOZti805 L sawoH je}}e;soH d9£:Z L Z L 6Z JeW The Commonwealth of Massachusetts I Department of industrial Aecide" 4 1 Office of Investigations. ,r` 600 Washington Street It " Boston,MA 02111 www.mass go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Nagle (Busincss/Organization/Individual): z- + Address: �C J r City/State/Zip: Phone #:. 77757 Are you an employer? Check the appropriate b z: t Type of project(required): 1.❑ I am a employer with _4. am a genera] contractor and I employees(full and/or part-time).* ` have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ' 17. El Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity.. workers' comp, insurance, [No workers' comp. insurance 5. 0 We are a corporation and its 9 Building addition required.] officers have exercised their ME] Electrical repairs or additions C3:0 I am a homeowner doing all work : 'right of exemption per MGL 1 LEJ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12•[] Roof repairs insurance required.] t. employees. [No workers' comp. insurance regiAred.] 13.0 Other *Any applicant that checks box ] must also fill out thr. ion 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 their workers'comp,policy information. lain an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address : City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year impris t, as well as civil penalties in the.fonn of a STOP WORK ORDER and a fine of up to$250.00 a day a st the violato . Be ad se that a copy of this statement may be forwarded'to the Office of Investigations of the r insurance overage ficatiort. I do hereby certi un r the d P t P i y that the information provided above is true nd correct (Si atures C" Date: Phone Official use only, Do not write in this area,to be completed by city or town official ff . City or Town: Permit/License Issuing Authority(circle one): 1. Board of Health 2. Building Departinent 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: ' y _ 4 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dweIIing house having not more than three apartments and who resides therein, or the occupant of the dwelling house of,another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to Be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter inio any contract for the performance of public work until acceptable vidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority:" Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractors) name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the ' members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number.listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that'the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/licease number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current j policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or j 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 proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog Iicense or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would titre to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts r D�-,parfinent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 DeL # 617-727-490.0 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.m,ass..gov/dia Q w © Q�� s rlk ak r� 9. � YVN � C ( f R �'i,/t mod./ 1_ �%✓�D �2-�MJ�'7-�� nJ !� �v�", � /L �- Q Town of Barnstable Regulatory Services r • • SARN9TABLE, MASS. Thomas F. Geiler, Director iOjFo 39. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 7, 2011 Mr. Peter Stepanek 49 Ocean Avenue Hyannisport,MA 02647 Re: 49 Ocean Avenue Dear Mr. Spepanek, On August 17, 2011, this office received an application to, "...renovate to year round, heated residence..."an existing cottage/barn on the above referenced property. The principal permitted use of the RF-1 District in which this property is located is a detached single family dwelling. The application as submitted must be denied because it is an intensification of a nonconforming use and for this project to proceed, it must comply with the zoning requirements of Chapter 240 Section 94. If you have any questions, please contact this office. Sincerely, Paul Roma Local Inspector JP Plumbing and Heating James M Paterson •:,�.•�<-� '''etc 42 Jonas Drive ° Mashpee, MA 02649 Office(508) 539-8987 Cell(508) 685-6037 , Town of Barnstable, Building Department 200 Main Street Hyannis, MA 02601 August 16,2011 To whom it may concern: I have inspected the property located at 49 Ocean Avenue, Hyannisport, MA. There is no water piping to the guest cottage nor is their gas piping on the entire property. Sh uld you ha v any tions, please feel free to contact me. James M. Paterson MA Master license#11020 r "Since 1910" 325 Stevens Street, Hyannis, MA 02601 (508) 775-2525 POO C 7,-,- A-IF OC 6A-Al J* At4AM 0 Pic �z �e- L,2 u.F S7; I AUG-17-2011 10:34 KEYSPAN 718 403 6986 P.01i02 nationalgrid August 17, 2011 Attn: Peter Stepanek Re: 49 Ocean Ave, Hyannisport, MA. Guest House This letter is to notify you that after our investigation it has been determined that there is no gas being supplied to the guest house at 49 Ocean Ave, Hyannisport, MA. If you have any questions, please contact me at 781-907-2927. Sincerely, r nk9— Diane E. Camara National Grid Gas Customer Fulfillment 781-907-2927 781-522-1056 fax 40 Sylvan Road E-2 Waltham, Ma 02451 diane.hazalton-camara@u.s.ngrid.com 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 'rOWN' OF BAIRNS-IABLE Permit# Health Division �� /off Date Issued `L-- Conservation Divisio 007 MAR - I AM 10. 15 Tax Collector OIL Treasurer fik_� �3j e,;2- DIVISION SEPTiC INSTALLED IN CC 7PLIX6 Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ::� ENVIRONMENTAL CODE AND TOWN REG !.ATICN3 Historic-OKH Preservation/Hyannis Project Street Address 4 OCAFA-0 Village i y (J /�-J l 5 lZ T Cr ZOwner Vn'� Lts, Address � T N 4F 63031 Telephone � Permit Request U I C. L.Dd`NAe� TIC 5VS7tb77M Square feet: 1s floor: existing Q proposed 2 d floor: existing 10 proposed /,JO Total new 2`F Valu,Ation 10a boo Zoning District _ I Flood Plain C Groundwater Overlay Construction Type i 0 Lot Size 4 3 5&o S r Grandfathered: ❑Yes CXNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ►S I A- Historic House: ❑Yes J�ko On Old King's Highway: ❑Yes >1 No Basement Type: ❑ Full XCrawl ❑W Ikout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) IA- Number of Baths: Full: existing A new 1 Half: existing new Number of Bedrooms: existing n new e> Total Room Count(not including baths): existing D new I First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric D Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size lJ Barn: O existing ❑new size Attached garage:❑existing ❑new size /k g t zx� A( & g g g Shed:❑existin ❑new size Other: S" Zoning Board of Appeals Authorization ❑ Appeal# �� Recorded Cl Commercial ❑Yes ?9 No If yes, site plan review# Current Use Proposed Use ? BUILDER INFORMATION 1 ' 4,afun.~" -""arc ; Name_ Nam(2, Telephone Number �� 7 Address 3`ig5I _ S EA SJ License# ® � 5 6- /J L 5 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V SIGNATURE C DATE 2 5 �— t FOR OFFICIAL USE ONLY t PERMIT,NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ) t OWNER DATE OF INSPECTION: ` FOUNDATION x FRAME INSULATION ' FIREPLACE -- It ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGHS FINAL f ; FINAL BUILDING ' - U1-- f fit• . :4 DATE CLOSED OUT •i " 3 ASSOCIATION PLAN NO. sux'--r S s a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map t7 Parcel 4H Permit# Health Division"/ I(D C� /D Date Issued l Conservation Division 1i �• 1611-7 ,1 Fee Tax Colle for SEPTIC SYSTEM MUST SE Treasu INSTALLED IN CoMpLIANCE Planning Dept. WITH TITLE 5 ENVI17-1,0NIMENTAL C'r,rD7 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1 ocean /ye. Village M k1 n i` &-✓T �II �^ ra-m Owner ) e'. O lu r5 6(itt e J 4zoo vi Address 41 OCeao A(e L%ci In r)I DAy- Telephone -77,5-- S'Ze 3 s� Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation �; T �Q Zoning District Flood Plain Groundwater Overlay Construction Types a vLot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 47,) Dwelling Type: Single Family C9' Two Family ❑ Multi-Family(#units) 'Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes o Basement Type: ❑Full ❑Crawl ❑Walkout . ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑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 7Authoriz .ion ❑ Appeal# Recorded❑ Commercial ❑Yes �es site plan review# Y - -Current Use- ---- _ _ _ _ __ Proposed-Use BUILDER INFORMATION Nam6056 V,0ad 0 L'Qy\dSf- „A ,�c A h c Telephone Number O 1) 00 Address •0 ; a l o License# 0 7 TT— OVA c0_41%,0, 4A__A' 02-0 Q Home Improvement Contractor# Worker's Compensation# U WC _7*1 D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE m h FOR OFFICIAL USE ONLY 5 PERMIT NO. DATE ISSUED ilk MAP/PARCEL NO. ; ADDRESS VILLAGE -OWNER' DATE OF INSPECTION: FOUNDATION t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ate _ � ASSOCIATION PLAN NO. f r. k I� 4 1�ivvS ird 1�%1 U17 N1uW, . e'ur7'S Sif/Y'J � .•• r. loo7r�139nc ° .�. /VOLEJ-70-7 F� y�}� :9-ZOV r� a (vc/r y.4 0 • v' O �••�.-Dx(%Cl'or'ti - {r ,� ° 9w 7vw y9i7def O z" :' /' S1N7N7Y//707A 7UJ07 ONa J 31e7e c. . 7JELY 01 AWYP,,VOJ 77bHS iNJ/1f1J771 • o p a D p -9N1,Y-71b'.7A 9/v/S072 17d$ JS6 Ol 531b9 ' 1/9/7Yd1CM YdONi7 7JN6'N/OJ'O /v/Y701 Yokl/ 7NJ07 Hl//l1 SrbO N�n�S a o� td0 d S7/u/1 a7YH1 7JMb/7dWO.7 At/ 9N/7N21 70/40bd 77G'7/S Y1iV/)70 • tM3/wrp C.-Z (6'dd5 2'71bl1W-Z11917b1X9 31/N/7J 9b'/7J • 3JN-7& " 1N71u77�-o Y-7&S d'9d Y916'/77 f 7N�J ZAC- N9/S30/7/61170 AYHH1 N3W 37 dd/7S jY!/70�'d 7711n ! ; D'gwW/a'S nHdHRS 7/1HWO1nH SNO/1.017.7 ,(Nb'•Nb'' 9 ONOQ d0 d,7 JO 0,9JX7-ZaV 77&Wr O1Z&V 1N9W.7•J-1/71N1P7 • eNr77 oN/a - A7"0•WWDO J11 Z N/Hl/A/ ON/70d'.7 7H�'/71N 6' 07ilOJ'ddH ON6' - 9N/7 Yd7/7rn03 OOOL' H19N�2'1S d[uOJ 17/1 T//b:/ ONEJS S1Ndd 3 71/S 77,737,(79&'NOSb`9X 6'N04c 0-95e17 • III J1 ONb' 00J 7b.707 Ol SN?/01N0.7 N9. 70 S/H1 �,Jl 17d.Y Y CAW d'/70-�7 Ol 1N=W7J 1 D'E/d ,71V0 --7P 27bHr X/W A776eJ716'w177Nd 0d/7ddd N9/S3Q t� -- ONd 09i/L✓7%/YH7HGU7P 776'115 .71/N/79 • S70od 7d,(1 79/7y;,WA1OJ / /7t/1 SNOT �1//V/7 if01 01l7//103X 7f11 Oa dd!/1 dd0 Nl 7d777• d'/JJJO •Od'H09 lt/ H1d70 N/17771N9/7 VY.Yl SS37 SiJ/7dS ='Y,-7NM..9/ YO YWC'd NO 071/WH7d 10N Qdb'P9 9N/A/0.• - • ' �70 A✓/7�'//V/W d-7.9 776'NS,. Sd6'7 ;• °' - '• 5NO/1 d/V'J7S70 aL SOYb'ON915' 0 700J AYz?Yf/Si 9079 10 i U1.YO.7/VO.7 77df7S 7921.7 7N/7d'OYN/7}1 1d7O /C.[/7 41 WYOJNOJ 776•NS 1VOCCJn?11SN070 N/ dO-dNHH 7&K-7N39 M N-B S' 10/V NDI-LOI7�l1SNOJ N� rD.Z/SYb9Sr I .cz N4711-721 72 M.GYb'ON6'1 S sA1 IA&M NU 09 70-T/67 ` SYb'9 S:/Ttl YOO Zlq / ` 0:8 A�7-7 - sr�o7v itr/m i \� b,G A77� Cl.L•/777j syve N/ .r x007YY1w-% 7vny7uwof ftvuN7o/53x 9LtluyYJ)Y!lOJn - � - 3w 7tlA!?'NY �^V• dVIII OL 1�3Y/O J7dMNOJO - N/VYD N/YN 07 A�7� 7/7dISn —SnmvH.S - Y17 •70_�7O SYVfl CY - Q 377NYS 70/�.' I NMOJ u0 OOSC •OaA77_7 swv — — — — = — _ �7v eeofn0 y,v� NNOJr�o77.UJsTS •O•F A77� ONnoro oY wo • VrAra` t 1N/Od NDU/SNrX1 7�7:t7 3+rJAy Y�zl SD'3I �••Y 7 tAVM NIOfl 7037 OP Dr9 j Y 7dYJ!/YH 7� Jvozdl YItrw /i v 0.ZA77 tK F TINm JJ3.17NW -7 -O:/g773 �1 �u°[.O•Z WV3fl ONOD lO d01 7.7,V 17N917y/ •0,0A779 7N 7 700d A N/Nd3f •zt S' S •rr3v On09 N/ TYdD£'r-t• �•/� 70Gd✓W�fdmr ,rn.y0 O 3oa7-bwa7 3/K7S Y 77aNs eZfrm-7x�r.7s 77Y rI 1.j l:p.! V kyi fit 1•. E m m - 11' dl if Sj I . LD., LL, j I I � 5 I II v I y r —` UHF- U � N_' � - F .. IQ I`' �•'I L - - 1- A- TT • � I s s-s� I i `d1 i I I'I,.� � m � i I _ FF- 'ram _ :- Il r �y �ppTHE1p Town of Barnstable Regulatory Services uxxsuat t; Thomas F. Geiler,Director HAMEL a` Building Division QED µA'i Tom Perry,Building Commissioner 200 Maui-Street,-Ayannis,MA.02601 Rww.to wn.b arnstabl a-ma-us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICEIM'SE EXEMPTION Pleare Print DATE: 9/9/// 1 JOB LOCATION: I 'Oe Q ✓ '4✓C ��d✓sS OST number strut • village �y �J "HOMEOWNER": �J'&--,y t e S �/fie/� / /5 name 2-home phone# work phone# CURRENT MAILING ADDRESS: 1144 . . c7 /toV M. StatL zip ccdrr 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. DEMMON OF HOMEOWNER Persons)who owns a parcel of land an 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 peri&d shall not be considered a homeowner. Such "homeowner"shall submit to the BuDding Ofcial 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 rcgula' ns. The undersi et*'c s he/she understands the Town of Barnstable Building Department 6cti ccdures r ements and that he/she will comply with said procedures and r- nts. Si a ' of eown s , Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or largar will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: 'Amy homeowner performing work for which a building permit is required shaD be exempt from the provisions of this section(Scetit'in 109.1.1-Licensing of construction Supenrisors);provided that if the homeomvner atgagrs a persons)for hire:to do such work,that such Homeowner shall act as smipavisor" Many homeowners who use this exemption are unaware that they are assurrung the responstbiNties of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bften tints in serious problems,particularly when the homeowner hires unlicensed perrons. In.this case,our Board cannot proceed against the unlicensed person as it wou)d with i licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensures that the homeowner is fully aware of his/her responsmbilities,many communities require,as part of the permit application, that the homeowner rertify that hrJshe understands the responsibilities of a Supervisor. On the last page of this issue is it form currently used by several towns. You may care t amend and adopt such a formIrcrtification for use in your community. Q:for ms:homcexcmpt • i 1 yTfy Town of Barnstable .�.. Regulatory Services t stxxsr�sr-� � MAEL Thomas F. Geiter,Director SAY9L. J. Building Division Tom Perry,Building Commissioner- 200 Main Stmat, Hyannis,MA 02601 w WW.town.b arnstab le-ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owt-ler Must .4 Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize to act on my behalf, is all matters relative to work authorized by this binding permit application for. (Address,of Job) Signature of Owner Date Print Name If Property Pipperty Owner is applying for permit please coin let:e the Homeowners License Exemption Form on the reverse side. Q:FD RMS:0 WTIERP ERMM3)DN f PROJ"ECTMkME: I� ADDRESS: ace _ �t�l w 1/1✓1� PER MIT# 110 a�I C) O PERMIT DATE: (� 1 M/P CADGE BODED PLANS ARE IN BOA ` SLOT C Data entered in MAPS' program on: 10 ,-c By: 4 \TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel A21 Application #-AD it bfig Health Division Date Issued Z Conservation Division Application Fee f)e Planning Dept. Permit Feed S Date Definitive Plan Approved by Planning Board / Historic - OKH _Preservation/Hyannis Project Street AddressC A�L. Villagetl�l'o�/il//S #'L� Owner PEE 2WY_ Address Telephoned Permit Request tno- 'el Ve C_ e"m se zlona6AP6 Square feet: 1st floor: existing proposed�i;iM6,2nd floor: existin eD proposed Total new Zoning District flood Plain Groundwater Overlay Project Valuation ✓ 0 --Construction Type Lot Size ,S &Af< Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family- ❑ 4 Multi-Family (# units) Age of Existing Structure '70 YO`P Historic House: XYes ❑ No On Old King's Highway: ❑Yes dNo Basement Type: gFull ❑ Crawl 0 Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing / new Half: existing new Number of Bedrooms: existing new �1 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and fuel: Pas ❑ Oil ❑ Electric ❑ Other ' ' Central Air: )6 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: e isting 0 new eize_ Attached garage: ❑ existing ❑ r,ew size _Shed: ❑ existing ❑ new size ._ Other: N) �- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review# Current Use KlkLer W Proposed Use APPLICANT INFORMATION _ (BUILDER OR.HOMEOWNER) NameJ' Telephone Number �""�,�, .✓�S� Address 1.��� ,� License # c _ b�f✓�IIL.S o11�� J } Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RES G FROM THIS PROJECT WILL BE TAKEN TO �S���% SIGNATURE DATE �� i FOR DFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ' Lg ADDRESS ! VILLAGE, " OWNER .; DATE OF INSPECTION: f r F —FOUNDATION FRAME ' INSULATION ' y FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS:-- r s - ROUGH FINAL , ` FI.NAL BUILDING. f s DATE CLOSED.OUT A ' ��ASSOCIATION PLAN NO' i w� 1 ' . `l l - 9/26/02 ---� 49 Ocean Ave, Hy'port �, �� � f� 1 Q fi N k ° i s BOARD OF+BOIL^DING REyGULATION$ License CONSTRUCTIONSSUPERVISOR Number SZ. 074t95. ., Birthdate 05%9 957 . x i. .o 061 002 no: 74195 ` o: 00 CRAIG J sPANACCIONE y � r << ' BREWSTiER MA l)2631 Adrnimstrator r � ✓fie�omvnaoo> o�,/l/laaaac�ivar,�a -— 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: Registrath Board of Building Regulations and Standards xplratio One Ashburton Place Rm 1301 06/t8/2003 Boston,Ma.02108 f: -:jype: Pdvate Corpor ' CROSSROADS CO': =? CRAIG PANACCIQNE 49 RAYBER RD. ORLEANS,MA 02653 Administrator Not valid without signature i ��o �,� �� o �� '���- v �� � 2 � I " a .. q. .:. ?-.— x x a rylf Ltl ©CIS§rlelp 3 x8dyz� sa x io 7:-:w , '{7 - i ;L� qs' L`� tNF�y"7 t'r;,,i�rt '§ „ eion . .F x a:m `.:: .: •*,",r .2 x£T• `"'-�' s 4 � .r xti a'T� ,4'at W ..: ., .' ,,"` •,� Detd1 g �r� t pllCat7on <'�� � .t t-. 7 �c Collet° �totus '6 r`tCTI"JE � $i6�61�r �IF tP �'r 4 �.Dep art rJent �G30-BUILDINGDEP�:RTMEN � k _ ° , 5TEP�iNEK FETE Al O1CSe.�De a� - j tty " z RES DENT'I.+� !ADDITIO.t�:±"�.LLTEf 'TI(3i�t � � < ` s ,. ' .ate. Pm etlAtrv3 � CorFtratar E B��30RR8S S S(3NNj NC I�N000v v Descr idh 7 ADD.Z 4 POOLHOUSE/�1 �,SH�EUA 2�'P.MGO %' � � �� `� •+— �a a =,-..w•.:v... .�..,*,.n. aa ,tea °` .� BuSu , DBsCl1p�ICn 2 �aflCln �MISC g :F;Ax ... .-,. �w 7' ti IPr�perfi} �Praperty/use �;Non Cor framung DdtEs Ilse �trn s .,ti p n� a �r ----- =.d - I 'r i � �. %, � ���' ✓•..x z fi'.x. ` '�c4�.., a a�*2� �,.; ;+��" €e°*^.,� `G.,,, �.#`+'�" .,q`�.." ., � ys '^ m s""^ a.�:.�-; - _ x. _ ~Properly U$e� 'ReaGtPlatB } � ors �Fr r � :¢ + ,G . 7LZacatlon 4SUah � Eiastga�se� 1Q8�D ! lUt TIPI 4 � s Strut , OCEAN AVENUE � y zanu�g RF 1 =ARE flD, Parcel �, 27.1Z1F f r erna Escfo,� -,� �` r x��rs I '. s,I�Ounc a1r H'r'N'=HYa'iNNIS `` ,� � g�:ki € 3ll K I :disc s r -' r 4t r " h # IP�GpCet�i3Se ? 7I� TP,L �RESID F! and r i . f IS CJyh 1 y. ;, a c am` + a ,�tYleRiO-1 L�Catio � I FTiIYI Pem rt , ;d a *-1 r.�. W. ++ : ,.. .. , ry .g„r Prere46's es , I(3 Hazr "Res r ( Nareaes Cr $orac�s ? Suit drs; jv T , 0.1 " y :" �" °Prtrr Hist _ `; Ins r c#lons'; atat�ans �" 2evlev�Ls �' •O era ite s' 4 'ar�un s I �' Fuac�Ralmte - s*.,`v' ti.. r �n . 3'° s,u rah ° s+ „4-.,o= � '" '. 5,. . :,� +"any T ?ri'�°. �` f�. : ;��ia'�*�� �.� `' . D-7 { ".ta .sffi `%+• # +" �_ ,.x"`-' "...fr,.gw-: .x', h. Farce Lo .. t( �.Cc�nnecti,.., 9_M�Ir�Sys r�t�{crosoft � � Pdyinent .,Finio Lrte �-'a dap�Mc..� L ,u.Looki9lp i THE .. °� The Town of Barnstable • anxNSTnat.e. g Regulatory Services �A i6T9' D A Thomas F. Geiler, Director, TE MAl . Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862 4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal.demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C ,y�, , ��,� Estimated Cost 4(4 r 000 40 Address of Work:— Owner,s Name: r Date of Application: 1 b 11 L-v I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT R GUARANTY FUND UNDER MGL cE. 142A. ACCESS TO THE ARBITRATION PROGRAM O SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: /p ��'"_ u e . Registration No. Date Contractor Name O _ 'L fA-/ Date Owner's Name q:forms:Affidav:rev-070601 The Commonwealth of Massachusetts ........ .•_ Department of Industrial Accidents - = Of/fce offorest/gatloos 600 Washington Street Boston,Mass. 02111 Workers' COMIDensation Insurance Affldavit name: V t U$S(���5 (�(,l!���C ��!` ✓t l�� .. location . U ,f D 'I 0 city 0✓I tf(4A,-2 GL O ZCe S3 phone# ❑ I am a homeowner performing all work myself. ❑ I a sole p opn'etor and have no one worl� is any capacity / / //��/ �� p/ / workers' co ensation for my employees working on this :: : ::::,,.:::::::: Iam an employer.P..........,... :::.. .:.::::::... ::.:::,,.r>,:.::.: :::.:::<..::,::.:.:::::.;:;.::..:,::,:.:::::.:::::::..:::.;.:.::::::.:.::::.::.: ::: :::::::::::..;:.:.:..:.. .::.............. ...::.:::::..........::::.:::::.:.....:.::: :.:...>: as :.. ::. m any name ctl P :;:::: ::>>:;::.: .::...... .,,.... hors . . .:: :... . ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have - olives.. workers co e n P the following ...mP .. .:::::..:::..::.:::..;:::::._:::::::..::r::...<..:.:: ::::::.:_:.:.::::.:::::.:::.::.:.:::.:::..::.:::::.::::.:::::::::.::<.r.:::::::::::.:.::::. in m na w e :a� :;iL 4 ::,•n r': :::`•:::e??;isy:<:,'•:¢:;;:{•i:;......::;:;y:;- .......:•. ..MW .. -........ ....:..:.... :.:.::..::::.:::::...:....::•::_:�::>.�.�:x::•::::::::::•:::.�::::::{•:{•::>:}:•risS::r:�'rrr:�::•S:�i:::>;:i•::::2�:::5:�{: ..n.rl... .171 ....... ...... ....... ........ .................................:• .. nv:{•:n;.v,.}:r.::n:Y:-0}}.::::•'r..,•::n?'4:•ii:•}:L::::..vi.b.:... ' ....... .......................... ................................... .................:.. .....:v}:::•:r.....::::•w:::nv:;.•:.. ,:::•::•w:n{•:rRi}}•}:C:w::::::•:::•.::1..:y.:... ... :.v}:4w::::.�.�.�{•:�:?.::{4i:i+�:{'rT:i::{i�i}i%iii:--}:h:}::n .•x�::2i{:iiiii:}i.::. � �.` .:i5: ?::-}:;:;ii:}: sii ?:i};::;i{:+:?i:{%'t:;:y:il,:!:S{{i;i:'v:i:;:j?ti;<i<:{i4i:{i{{•}:•`ik+{^>:•i:{{^i::::::::•: :•........... :w.............. ...:::::: ........:...............:...............•::::::..........:. .....::'::::..:..:..................:......... any :':.;<:::•::•> :....:.:::.... one :........:..::::::.::..:::.:::................... ::............... :.::........:......... ..........................................::::::::::::.............................................. .:.::.::...... ..iv and or Fame to seems coverage as required under Section 25A of MGL 152 can lead to the impos tlan e o f$100i pea day s ga a tine . to dull.00 that a one yam,huprisomnmt as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against nu. I underttmd that a copy of this statement may be forwarded to the OtIIce of Investigations of the DIA for coverage verldcatlon. I do hereby certify the penalties of pa j►ry that the information provided above is tnw.and eorred Date -Z Sigaa Print name Phone# �Lt e'o 9r�0 ndat use only do not write in this area to be completed by city or town ofdal pentdtJllcense# ❑Building Department rdtyortown• ❑Ltcensing Board d ❑Selectmen's Office cheek if immediate response is required (:]gealth Department ❑Other contact person: phone#; (=uuo 9/95 PIA) • F Information and Instructions Ma ssachusetts General Laws chapter 152 section 25 requires all employers to provide workerosf�ctomthe�undoaav ctheir employees. As quoted from the "law", an employee is defined as every person in the service of hire, express or implied, oral or written. of An employerthe is defined as an inditidual, partnership, association, corporation or other legal entity, or any two or mrecoeriver the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or association or other legal entity, employing employees. However the owner of a trustee of an individual, partnership, dwelling house not more than three apartments and who resides therein, or the occupant of the dwelling house o another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds o building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance who enevi of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant not produced acceptable evidence of compliance with the insurance coverage required.e Additionally, d iti o Pu n lic work until commonwealth nor any of its.political subdivisions shall eater into any contract performance to the contracting acceptable evidence of compliance with the incnran_ce requirements of this chapter have been p authority. , Applicants ' Compensation affidavit completely,by checking the box that applies to your situation and Please fill in .he workers - . mpplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents for confirmation application for the permit or license is date the affidavit. The affidavit should be resumed to the city or town that the the °`law"or if yo being seed, not the Department of Industrial Accidents. Should you have any questions re gardwg are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns bl The Department has provided a space at the bottom of tl Please be sure that the affidavit is complete and printed legibly. licant. Please affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the aPP be returned t^ be sore to fill in the permit/licease member which will be used as a reference number. The affidavits may unless other arrangements have been made. the Department by mail or FAX e Office of Investigations would Ike to thank you in advance for you cooperation and should you have any questions. Th please do not hesitate to give us a call. ///%%//////%%///////%%%%//ddre/ The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 f B Town of *Permit k..P # Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division 0 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 X-PRE A� www.town.bamstable.ma.us S ER,W'T Office: 508462-4038 FaAY8-390- EXPRESS PERMIT APPLICATION - RESIDENTIAL ORWN OF 13ARNSTgg� � Not Valid without Red X-Press Imprint E j [ap/parcel Number Z9 1 2 7esiden dress Aq 0 C A c O 7 al Value of Work c`Minimum fee of$25.00 for work under$6000.00 caper's Name&Address 7 ontractor's Name t C�(� ��C� ��)C` Telephone Numbers 13�j ome Improvement Contractor License#(if applicable) 7W� c ' upervisor's License#(if applicable) orkman's Compensation Insurance Check one: I am a sole roprietor El omeowner I have Worker's Compensation Insurance surance Company Name orkman's Comp.Policy# �� � opy of Insurance Compliance Certificate must be on file. :nnit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof not stripping, Going over existing layer of roof) Re-side DO, � �� e � ie-i A t..__ Replacement Windows. U-Value _(maximum.44) 4 SAA p 1 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Co ac rs License ' quir t GNATURE: ?orrns:expmtrg vise071405 The Commonwealth ofMassachusetts Department oflndustrialAccidents Ogee of Investigations 600 Washington Street ,; Boston, MA 02111 www.mass.gov/dia Workers' Affidavit: Compensation Insurance Adavit: Builders/Contractors/Electricians/Plum hers Applicant Information Please Print Legibly Name(Business/organization/Individual): U Address: f4 City/State/Zip: UV&I�YTJl 5 M APhone#' ��.. �j(r, ( 3-3c AWeyo; n employer? Check th 'appropriate boz: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(fall and/or p time).* have hired the sub-cortracton 2.❑ I am a sole proprietor or partner- listed on the attached sheet: ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition) working for me in any capacity. workers' comp,insurance. . g, ❑ Building addition [No workers' eoarp,insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required,] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11-El Pbunbing repairs off• additions myself.[No workers' comp; C. 152, §10),and we have no 12.❑ Roof repairs - insurance required.] t , employees. (No workers' comp.insurance required.] 13•[ Other � *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinformatiow t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contactors must submit anew affidavit iadicaiing ouch rContractm that check this box must attached an additional sheet showing the name of the sub..contractors ead their workers'comp,policy iufarrnatioa. lam an employer that Is providing workers'compensation Insurance for my employees. Below Is the policy and job site information. Insurance CompanyName: Policy#.or Self-in'..Lic, *: Expiration Date: _ Job Site Address:_ D City/5tate/Z4i: ✓� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to sec re coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,:00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of -� Investigations of the DIA for insurance coverage verification. a I do hereby ce der the pains a enalties o rjury that the information provided above is true and correct: Si tore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town ofneial City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric Q.Electrical Inspector 5.Flumbing Inspector 6. Other Contact Person: Fhone#: •i-J-LJl V A J AJ.K&A V J,l. "AA ML JLJ.J P vi "V V1 V A.A J7 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their curployees,. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.&al 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,partnershfp, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to,do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer," MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings In the commonwealth for any applicant who has not produced acceptable evidence-of compliance'with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfomrance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checldng the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone numbers) along with their certificate(s)of insurance, Limited Liability Companies.(LLC)or Limited 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 havrt 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 Deparfinent of . Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensatioupolicy,please call the Department at the number listed below. Self-insured companies should Wter their self-insurance license number on-the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom. of the affidavit for you to:0 out in the event the Office of Investigations has to contact you regarding the applicant - Please be sure to fill in the permitllicense number which will be used as,a reference number. In addition;an applicant that must submit multiple'permitllicense,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, Anew affidavit must be filled out each ' year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit: The Office of Investigations would lie to thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 617-727-4900 ext 406 or 1-o77-MASSAFL Fax#' 617-727-7749 Revised 5-26-05 W-0VV.mass.0rov/0ha 3 b BOARD OF BUILDING REGULATION. Licelue: CONSTRUCTION SUPERVISOR y, shthdate: 08/26/1951 : /tOD7 Tr.no: 11220 00 _ 3 i WHITNEY P WRIGHT. - . POB 10450331 OIL JAIL LN BARNSTABLE. MA 0263leo 0 r�r0D�'r`v -per .' Commissioner t■� U`' �p ,�A tf' o73 SS, vaftM�Ta,, Town of Barnstable Regulatory Services rm MASS. Thomas F.Geiler,Director p�ED►AA�� Building]Division. Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 'www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign TWs Section. If Using A Builder I, 52::�J C—c Pn Lk)( as Owner of the subject property hereby authorize_ Est�,� C.kocz; to act on my behalf, in all matters relative to work authorized by this building pernut application for. 4� OC;6Ar4* O-Z"G,47 (Address of Job) S' e of , Dat s Trrnt Name li Q TORM&OWNERPERMISSION • . ��/�Z/may OFIME rah, Town of Barnstable *Permit# o q� 3' �+ Expires 6 months from issue date DAMMAM= * Regulatory Services Fee- (A 2� •.�� 9� 16 9. ��� Thomas F.Geiler,Director �ED1AA�� Building Division Tom Perry, Building Commissioner ! 200 Main Street, Hyannis,MA 02601 a Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION :RESIDENTIAL ONLY Not Valid without Red X-Press Imprint CD p1parcel Number--- rp Adress-_ -I 'I . l J CQ/Z_�_1`(1 } V n a (n Y�15 Port- c'- Residential Value of Work (000 Minimum fee of-$25.00 for work under$6000.00 mer's Name&Address -- t'0.ul,onP� S� hA1L N1- 03b�1 ntractor's Name �j�1�I CSC ZIP AO l Telephone Number ime Improvement Contractor License#(if applicable)_ b`�> 1 nstruction Supervisor's License#(if applicable) CWorkman's Compensation Insurance g� Check one:' -P" MIT ❑ I am a sole proprietor ❑,I an the Homeowner N O V 0. 9 2004 I have Worker's Compensation Insurance �' T®WN ®F P3ARNSTABLE staance Company Name/`/�'�) p �S � S\1 .A �1C� orkman's Comp.Policy#_ E> - 1�J O Lo 4 )py of Insurance Compliance Certificate must be on file. rmit Request(check box) . )te-roof(stripping old All construction debris will betaken to !. G LL ru0er ❑Re roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum,44) *Where required: Issuance of this pmmit does not exempt compliance with other.town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property'Owner Letter of Permission. N-r-romeImprovement Contractors License is required. gnature i ,Forrns:expmtrg . svise063004 i Town of Barnstable , Regulatory Sexvices unxrrsrest f Thomas F.Geiler,Director MASH °$ �". � [f ((� 77*� v:r, ,x. .-._. i639 �� BnlclYng-T►ivlsYonT � Tom Perry, Buildinggonunssion_er , _ r 200 Main.Street, Hyannis,MA 02601 - www.town.barnstable.ma,us Fax: 508-790-6230 1:)ffic:;e: 508-862- 4038 - Property Owner Must ' Complete and Sign This Section If Using A Builder as Owner of the subject property hereby to act on my behalf, authorize x� �`' ' orzeclbi}"tFusbuilclin erinitapplicationfor: ,so ti m all'•matters relative to-work auth y 9 P (Address of Jo ) igaature of mer Dar . 5 1?mot Name ` °s r g) gi- � fie Board of Building Regulations an =an �ars One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement':Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, Paul Cazeault 1031 MAIN ST y , OSTERVILLE, MA 02658 Update Address and return card.Mark reason for chang Address Renewal Employment Lost Card DP8-CAI Co SOM-04/04-GIO1216 �ItC C�anvJlcaJ 0�✓I�GQdOQGdU4P ----- -'y Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for indivitlul use only Rogistration:. 103714 before the expiraion.d:Ue. if found return to: B and of ut ilding Regulations and Stand: I ds Elugxpiration:;?/9/2006 ouc Ashburton Place Rm 13.01 <Type Private Corporation Boston,Ala.02108• a: J. PAUL J.CAZEAULT;&..SONS,INC' Paul Cazeault ..�.•. 1031 MAIN ST OSTERVILLE,MA 02658 ✓fir, 6oiiiri1oruueu�. o � Administrator i �.�flulaur/ctle(,(a Nu BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 026325 Birthdate: 10/20/1959 Expires: 10/20/2005 Tr:no: 8603.0 Restricted: 00 PAULJ CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Administrator Board of Building egulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR 410ENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/200.5 Restricted To: 00 PAUL J CAZEAULT 1031 MAIN ST OSTERVILLE, MA 62655 . Tr.no: 8603.0 Keep top for receipt and change of address notification. I DATE(MMIDDrfY) RD- CERTIFICATE OF LIABILITY INSURANCE 8/24/200 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McShea Insurance Agency, Inc. g Y� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE .- 508-420-9011 INSURED Paul J Cazeault & Sons INSURER A: Lloyd's Roofing Inc. INSURERB: Traveler's 1031 Main Street INSURERC: Osterville, Ma 02655 INSURERD: — 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 BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE MMIDD/YY DATE IMM/DDfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000 ,000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ t'. LGL034776 04/30/04 04/30/05 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1 ,000 ,00 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR u CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND WC TATU- TH- EMPLOYERS'LIABILITY TORY LIMITS ER 7PJUB-0095864A04 08/13/04 08/10/05 E.L.EACH ACCIDENT $100,000 B E.L.DISEASE-EA EMPLOYEE $ OTHER E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL J_OL_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED RE �NrTA I ACORD 25-S(7/97) 1J1 1 0 ACORD CORPORATION 1988 ' ' ' � ��lC' Cl71711J1lIltK�crrillt r�.�fasscrclrusctlr. , -_--.:. -. Deparinicnt of Industrial Accidena t` ;ti =•;�� ,• Olflce�/lo�es�'9atlour - �. 601111 itsldn,.q un Strcrl • \ ':,;� Busion.Main 02111 Workers' Compensation Insurance Affidavit A�Piic-+�n1 ntot�nati�n• . ._ ., i'le��c PR1NTlr� - . . . . . �: . . lnc�tinn• . y cit • � nhnnc l► ❑ I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one workina in any opacity 1 am an emplover providin;workers' compensation for my employe=working on this job. • rim ERNEST B. NORRIS & SONS Mc. _ t" t ... 385 SEA STREET pilrirres• • HYANNIS 508-775-0457 EAS"I'ERN CASUALTY INSURANCE ccmpAA'Y- cnnn •,y WCG 1000807 A _:••: ❑ I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below wi the following workers' compensation polices: , tcrmnnn�•n�mc• . phone P? cu cc co •noiicv f! .... r' _ •:. ; .;._• s�- s_•ac.�.r+:7-z-*z'_r';"�F' TnP►`rts`g �t7-•+S phone lt• • cu c co •• policy�1 :�tt.ch aJdlHoa:I sheinia ,•:.,Y •y cam- •-+. •�•,••--�•: r- , . Failure to scrarc covmFe as required under Section SA of NtGL IS:cia lead to the imposition of criminal praaitics of:fine rip to SMDD_Uo uric}car='Imprisonment its well as civil penalllu in[be form ofs STOP WORK ORDER tad a fine o a svt fs100.00 day apinst me. 1 rzdcrac Cap."of this siaernent may be forxsrdcd to the Office of lnycti�ntioru ofibe DIA for cmrsLt miQestion. ' 1 do licrrbr crrrifj•lint/cr r/ie pains and p dries ojlicrjurt•rher the irrjorn:sion pi csidtd Cho Pe is trot arrd eamrs Sicnztur. Prat nzme- CRAIG N. ASHWORTH .. phone 508-775-0457 o0ma.l•use only do not write is ibis arcs to be completed by city or tan•o ofIldsl cif cr torn: JxmiVlJccrse t!_ t 18oi1dIa-Dcirsrracat. pUcros r;.Dcnrd • Q chrcl;if lrnncdiate response is rtquirid oSdertmra's Offtcr - �..._._—_ _- _ — -------�- C311oitb DrF2r1acat 02/25/2002 13: 39 6036739540 HAMPSHIRE PAPER CORP PAGE 01/01 HAMPSHIRE PAPER CORPORATION 24 POWERS STREET MILFORD,NH 03055 603-673-6161 603-673-9540 FAX Craig TO: C i Ashworth FROM.- Bruce Stepanek DATE: February 25, 2002 SUBJECT: Proposed Pool House at 49 Ocean Avenue For the record;the proposed pool house for our property located at. 49 Ocean` Avenue, Hyannisport, MA is intended to be an accessory building and will not be used for a habitation or dwelling. - Peter B. Stepan (�rynar�wouuea o�_lf �ar/uraeClo BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015851 Birthdate: 09/28/1953 Expires: 09/28/2003 Tr.no: 5619 Restricted:,00 CRAIG N ASHWORTH 385 SEA STREET ,,,,, HYANNIS, MA 02601 Administrator RESIDENTIAL BUILDING PERMIT FEES . i APPLICATION FEE New Buildings,Additions , $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 { FEE VALUE WORKSHEET LIVING SPACE square feet x$96/sq. foot= x .0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x .0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1t >120 sf,-500 sf $35.00 >500 sf-750 sf 50.00. >750 sf- 1000 sf '75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00 , (number) Deck x$30.00= rJ (number) Fireplace/Chimney x$25.00= ° (number). Inground Swimming Pool $60.00 d Above Ground Swimming.Pool $25.00 y Relocation/Moving. $150.00 (plus above if applicable) Permit Fee projcost The Town of Barnstable Regulatory Services A i619• �0 b ' TEo►may' Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner , 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A.requires that the "reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more thanfour dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: AICC:F,�;50(ZU U:5L��- At-J I Estimated Cost L®© o® Address of Work:_ "(� d C�f�l� J 1�7_ Owner's Name:_ - C , Z LL,5� Date of Application: l 02 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under S1,060 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR.OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME.IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of th owner: _ Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav. I 4 = O G p O O � � rp 2' • 2 ti d � _ O O O a X Fw ..11YY\\ 1111110 i v o {-+ `c jj v L 77. l�% 4- r v f' Z 3, V J _ t 1 �� j �+ L Assessor's map and lot number .......................................... ! '1 I� "•� — %`" 7 Sewage, Permit number .... Wit. yoF?HEr��♦ TOWN OF BAR.NSTABLE Q i BA"STLBLE, "b 9 BUILDING INSPECTOR O Gm APPLICATIONFOR PERMIT TO ...............................................................................................................: TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ^� Location ............... ......... 1 ......................... ................ f�.... i Proposed Use .....................................:...................................................................................................................... ................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner '..u...............'....Address ....... ............................................ 5 t................................................................ M...... .Address .... Name of Builder .._.:.::.�........�..�..f ...'............................... .��, ,,,•.:�:�........................................................... Nameof Architect .:................................................................Address .................................................................................... 1 Number of Rooms ........... .....................................................Foundation ....�............................................. .......................... r t r, r �t Exierior C Roofing ........... ........................ ........................!.... !f c't14....................................... Floors ,,..{{}}-- ..................................................................Interior ........../a: ......:X .-- Heating ..t,.;Jl;^i.':............................................Plumbing .........�:!�............................................................. ...................... Fireplace ............ !(7 1'2_............................I..................Approximate Cost ........... .. .. ..................................... Definitive Plan Approved by Planning Board __ __________________19________ . Area '.... Diagram of Lot and Building with Dimensions Fee : SUBJECT TO APPROVAL OF BOARD OF HEALTH DPI i 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ....................................... ..... ....... | Ward, Laurence C. A=287-121 . ' 18389 add tosingle/ � .'- -----, Permit. for.------.. - family dwelling ^ .............................................. ------ . / ����~ / ~°=~. Ave Location .------.--------------.. ' Bvazn1apmrt --------.------------------ ) . � ) ^uu^ � \ � ' �| ame . � �^ � — —— — -----------� > r/c« . � Permit Granted _ � . . \ Date of I . ' �. . / --- Completed �> ' \ / . � PERMIT . ' 19 ' ` � — .�----. / ' / ...... .../..........' — .....,.................. ........................... ' \ � ' / ...................... ' � . --------.—.-----... ! . � ............................. � --- -- . Approved ................................................ lg } i ....................____________,_______ ' � � . . \ -----------^----------^---^' � . ' ' . . . ` r� Assessor's map and lot finumber, ...... ....... V C&t 5 Tw „ SEPTIC SYSTEM MUST BE :j INSTALLED IN COMPLIANCE Sewage ermit number .. .. (d � . W IITH ARTICLE If STATE NITARY CODE AND TOWN 4 � ' t- oFT .ETo TOWN OF BARNS XHILIE r i BARXiTADLE; i i:; , r 9 M & Kfi C. 1639- - UUtL I INSPECTOR Epp, \0� APPLICATION` FOR PERMIT TO ............................. ...................... .................................................................. TYPEOF CONSTRUCTION ......:...............................................:...........................................................,.................. w ................................... .........19........ `•TbJ�(�W:kAil�lTQ2,.,�F-.BUILDIL�IGS__�._.._...__' �,..��.,_ , , The undersigned hereby applies for a permit according to the following information: Location ..........�A:WA. .......... ... ..........)., 4 :....... .................... ..... .... . .... ProposedUse ..........�. ............. ..... ..:................................................................................................... ZoningDistrict ...........:...........................................:..............:Fire District .............................................................................. Name of Owner .........S11.1........................ '...V.". ::..Address ....... ..................... Name of Builder .t s.r... ........ .�........ ......:...................Address ..! ' f ........�.. Name of Architect .:.................................................................Address Numberof Rooms ...........�.....................................................Foundation ..:.. ........................................................................ Exierior ......... .::...............Roofing ....... ............................... Floors ..... ...................Interior .......... . .................................................................... Heating . .. _ ....Plumbing r Fireplace .................................................Approximate Cost ............. . ..1?7r ..................................... Definitive Plan Approved by Planning Board -------------------------- ...... -. ..t�.... --____19______--. Area ' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 ` m s I I t.: fit: pp1 � Io �, f PoRcH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .......... !... ..... ....... .......... Ward, Laurence C. No .... Permit for .....add...to...s i.ng.1.e... f am.i.l.y..dwe 1 I.ing........................................... ...... . . .. ........... ...... 'Ocean Avenue Location ................................................. ..........................�y��1!Tisport .......................................... Owner .............Laurence C. Ward ..................................................... Type of-Construction ........I..f.rame...................... .............. ............................................................... Lot ................................ Plot ............................ f May 14 76 Permit G.ranted ................ .......................19 Date of .1hspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................. 19 .............. �1 7- .................;:7...................................................... ............. .............................................................. ................................................................................ 4pprovecl,.-.,�............................................ 19 ............................................................................. ...................... ........................................................ A Assessor's map and lot number /�/ //J/7- ' SEPTIC SYSTEM INSTALLED IN CO UST NC :C� V ITI�I MPLIAIVC Sewage Permit number ARTICLE 11 � .. . ............... 'ITA4Y STATE � CODS T®tlVN �Qypi THE W \ )61 $A$BSTdDLE, 9� 0 ara� RUILUNG INSPECTOR APPLICATION FOR PERMIT TO .........T.Uf. ........ .D.2z. a...... .....`. '-Y�?G� .. ... 7���,�// p '�`3" � TYPEOF CONSTRUCTION ...........I/J1.0 6 ........................................................................................................ �J. .... .:..................19.....s? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........� ......A�&,Ag .........�f j1' !1.1 . G.. ...... .................................................. Proposed Use ........ o ... .....!•1 ...s�...............4/�� .. .�/�f O!E!~ ............................................... Zoning District ......................................................Fire District ........[.4�. .,radw`11..a........................................... Nameof Owner ..� • + ........�tA&,�.............Address .................................................................................... Name of Builderays `..�.. ,t� �r3.. ..c�.Q1l�Address ..... ...4�T .....5). ...�> i111/, ,� 1......... Name of Architect ..... ..........,#jv.:2o................................Address .................................................................................... Number of Rooms .... .7...EIL ......1...1 !�................Foundation ....... LeOG�'4.................................................. Exterior ......1/V.O 8. ......:(Q�!J Zt!i f�. ............................Roofing ......... ............................................... Floors .............W�I0.I4.........................................................Interior ...... ...................................... Heating .....)0.fl. .......f .J...........................................Plumbing ......... � ' / r.............................................. Fireplace G� ............... Approximate Cost ......... �J,.................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ...... wl .... !..... Diagram of Lot and Building with Dimensions Fee ..........o..I. .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ®C&IW F,--,�WA62:5— flu C Qa�� I hereby-agree to confor to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ... .......if.. .... . .. .......... ............ Name . .......... � Ward, Larance � 16572 add to single — ° . � . � --- — —. . . _— _ family dwelling .---.--.....—.—^—.......----~—.. .. ' Ocean Ave. ' ----.. .~--'-------.----.--'\»^-- . '..r------'"—nrdkzia--..=—.--.�-------- ��,`a Owner ---���a�m�m..�����---------.. ' ! Typo of Construction ----fzn�n�| Construction ---------- f ' � ---.—..^—'-------------------. � | Plot ............................ Lot ___________ . - . ou�a of | pac�o . - oota completed ' \ - ' � ' � PERMIT REFUSED .--.--------.---------.. lA * . --------..-----------------. � � -.~-----......-------_--------. � . ^ [ � i '----'—^------'—^'—^^--`'—^—^—~—' } ' ^ � '------------^^----'^'^^^—''...1,^^ | ` Approved ................................................. lA' � ---------------...~----~.--.. ..................— ...... -----------.~--..— � ^ `. ^ ' � ~ | � + >. yt / C . • . I � - . , i ,- .. i . �� - z . ' �, - .__ t t _. .. r .. -^ a. • � r ' � r • +. _ � , _� � __ - a � -. _ .�__ .. ._� �__ _. _._____.._. .__ ___ _�:.__. .� __. - � _—_ ._ _��...__ _ _�.-: F r � r � � ._ { a • - T J } ._ � r _ �, � 1 � � . _ i .` G - .. i i f • • ' � M1 .r ` 0. s Foundation Certification in' Hyannis Port Ma. Prepared For Peter Stepanek Assessor's Map : MAP: 287 PARCEL: 121 Baxter, Nye & Holmgren, Inc. Community Panel Number: 250001 0006 D Registered Professional F.I,R.M. Map Zones: C, A10 & V10 Engineers and Land Surveyors Plan Reference : Land Court Plan 33,385 B & PB 83 PG 47 812 Main Street Deed Reference — LC Cert.: # 118491 Osterville, MA., 02655 Rm - (308) 4284131 Fox - (908)421-3780 Owner : Peter Stepanek Et Ux Job Number: 2OW-071 Scale 1" = 40' Date 3126102 a OCEAN AVENUE �o 0 S 63'19'50" E 161.60' _M CB/FND _kQ> GUEST GARAGE v. COTTAGE STONE GRAVEL DRIVE v 0 0 EXI SUNG HOUSE Uj ca PORCH].__ N/F DONAHOE LL z N N � cNn o PARCEL AREA a, TO MHW rn 0 . 52172t SQ. FT. 00 r^ 1.20f ACRES o 0 W : .� EXISTING STONE WALL., o N/F WRIGHT CB/FND 17.1' -- --- . EXISTING EXISTING POOL HOUSE POOL FOUNDATION i v' 16.9, H- PARCEL A o PB 83 PG 47 CB/FND 140.36' CB/FND _ CB/FND N 63'00'43" W N LOT 2 rn L.C. PL. 33,385 B o z N/F POLAK i n W � C N/F KENNEDY j H- rm o i 0 g CB/FND �QC/ MHW HYANNIS HARBOR I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON � y� JOl fl ^ K. 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D rn — � N z m g rn oy r149 ?F N 8 6 ' Additions & Alterations to the Stepanek Residence '"Er.^i.I 1'°en'll "' ° e{ Ktbn49 Ocean Avenue lwAI'u<•gilu i�"�°lwp e•'l"�e1'"49.9�e.0 u'C°",hAm°e"nt°pt°°"T1 na"r" •e .Tl, �(VJ A R C H I —T B C H I'� 6-school street t 508-.420.SD5 t 508.420.5,W Hyannis Port, Massachusetts ASSOCIATESA COW it, nee ou •info@archite<hassciates.com— M Jem o 6.qp'-I IM.. e MbT °°IMJ - w Details t�•„;'1e �, architectural design architech associates.com E E25 v r (coNrD) GENERAL STRUCTURAL GENERAL STRUCTURAL SHEARWALL SCHEDULE: SHEARWALL HOLDDOWN SCHEDULE: E V NOTES:. NOTES: LALL CONSTRUCTION IS TO BE IN ACCORDANCE WiTH THE WALL:FRAMING UPLIFT CONNECTIONS: WALL TYPE SCHEDULE: MASSACHUSETiS STATE BUILDING CODE FOR ONE.AND TWO- SECOND FLOOR HOLDDOWNS: « • A FAMILY DWELLINGS,EIGHTH EDITION(780 CMR),AND ALL 1.ATTACH EXTERIOR WALL STUDS TO THE DOUBLE TOP PLATE AT }"PLl W'C0D-(EDGES BLOCKED) m AMENDMENTS, WHICH IS BASED ON THE 2009 ATERNATIONAL THE ROOF WiTH(1)TSP CONNECTOR AT 32'O.C. PROVIDE(9)-10d / I (1)-CS 16 COiL STRAPS W/(26)I Od(0.148"x 3"LONG)NAiLS m RESIDENTIAL CODE. x 1}NAILS TO THE STUD AND(6)-lOd NAILS TO THE DOUBLE TOP / 1 Ed COMMON OR GALVANIZED BOX NAILS Qa 6-O.C.EDGES O WHEN STRAP IS APPLIED OVER PLYWOOD SHEATHING(15- AND - - MIN.STRAP END LENGTH AT EACH END OF STRAP)OR(30)8d ' PLATE.CONNECTOR TO BE APPLIED DIRECTLY TO 2X FRAMING. 12"O.C.FIELD. 2.THE WIND DESIGN.CRITERIA FOR THIS BUILDING IS IN (0.131 x 2}"LONG)NAILS WHEN STRAP IS APPLIED DIRECTLY o ACCORDANCE WITH AMERICAN FOREST AND PAPER ASSOCIATION NOTE:NOT REQUIRED WHEN USING H2A CONNECTOR PER NOTE H •� (AF&PAj,"WOOD FRAME CONSTRUCTION MANUAL FOR ONE.AND '2'•"ROOF FRAMING CONNECTIONS". }}"PLY WOOD-(EDGES BLOCKED) TO 2X FRAMING MEMBERS.(171 N4N.STRAP END LENGTH AT 2 �\ EACH END OF STRAP).PROVIDE HALF OF,THE REQUIRED TWO-FAMILY DWELLINGS(WFCM),AND THE"MINUMUM DESIGN ` Ed COMAfON OR GALVANIZED BOX NAILS(a33"O.C.EDGES NAILS SPECIFIED ABOVE AT EACH END OF STRAP. (IF STRAP LOADS FOR BUILDINGS AND OTHER STRUCTURES ASCE7-02)..THE 2.EXTERIOR WALL STUDS ON SECOND FLOOR TO ATTACHED AND ( TO STUDS ON FIRST FLOOR ACROSS SECOND FLOOR RLM BOARD 12"O.C..FIELD. IS LOCATED AT EXTERIOR WALL,CONTINUE STRAP TO BASIC WIND SPEED FOR THE DESIGN OF THIS STRUCTURE IS 110 W(1)CS 16 COIL.STRAP W P CUT LENGTH OF I8"/(14)10d NAILS(7 NAILS AT EACH END SINGLE STUD IN FIRST FLOOR WALL IF THERE IS NO �y MILES PER HOUR WITH EXPOSURE CATEGORY' OF STRAP)WITH A STRA C.. +THE CLEAR SPAN SHEARWALL BELOW,THE DOUBLE STUDS AT END OF THE P"PLYWOOD (EDGES BLOCKED) ACROSS RIM BOARD. STRAPS TO BE SPACED AT 32"O.C.(EVERY /3� Ed COMMON OR GALVANIZED BOX NAILS Qa 2"O.C.EDGES SHEARWALL.IN FIRST FLOOR WALL BELOW,OR WRAP THE C/) 3.THE CONTRACTOR IS RESPONSIBLE FOR CONTACTING THE v+ OTHER STUD).STRAP IS NOT REQUIRED AT SHEARWALL AND STRAP AROUND THE HEADER BELOW. PROVIDE HALF OF V W LOCAL BUILDING OFFICIAL FOR THE STRUCTURAL FRAMING HOLDDOWN LOCATIONS.:CS 16 COILSTRAPS TO BE APPLIED 12"Q.C.FIELD.FRAMING AT ADJOINING PANEL EDGES SHALL THE REQUIRED NAILING AT EACH END OF THE STRAP.) 4) INSPECTION(S). IF THE BUILDING OFFICIAL REQUIRES THAT THE OVER PLYWOOD SHEATHING. BE (2)•CS 16 COIL STRAPS W/(26)IOd(0.148"x 3"LONG)NAILS H INSPECTION(S) BE COMPLETED BY THE ENGINEER OF RECORD,THE _ 3"NOMINAL OR WIDER AND NAILS SHALL BE STAGGERED. INSTALLED AS DESCRIBED ABOVE. CONTRACTOR SHALL CONTACT THE ENGINEER OF RECORD 24 ro NOTE:FOR PLYWOOD TYPES 1,2,AND 3 LISTED 3.ATTACH FIRST FLOOR STUD TO RIM BOARD WITH(I)CS 16 _ HOURS PRIOR TO THE TIME WHEN THE INSPECTION(S)IS TO BE STRAP AT 32"O.C.AND PROVIDE(6)10d NAILS TO STUD-AND(6)10d ABOVE,8d COMMON OR GALVANIZED BOX NAILS -(0.13.1 x 2 PERFORMED.THE CONTRACTOR SHALL INSURE THAT ALL" O (3)-CS 16 COIL STRAPS W/(26)IOd(O.I48"x 3"LONG)NAILS F,,y STRUCTURAL MEMBERS AND CONNECTIONS ARE VISIBLE FOR NAILS TO RIM BOARD. AT RIM BOAR FOUNDATION SILL }"). GUN NAILS MATCHING THE NAIL DIAMETER AND 3 INSTALLED AS DESCRIBED ABOVE U INSPECTION. IF DURING THE INSPECTION, ANY PORTION OF THE PLATE-WITH(1)DSP CONNECTOR PER 32"O.C. LENGTH MAY BE USED AS A SUBSTITUTE. �. STRUCTURE IS DEEMED NOT ViSiBLE OR IS INACCESSIBLE FOR ALTERNATE STRAP +? INSPECTION, FINAL APPROVAL OF THE ENTIRE STRUCTURE WILL V - NOT BE GIVEN IJNTTL THIS CONDITION iS CORRECTED AT THE A)ATTACH FIRST FLOOR STUD TO RIM BOARD WITH(1)CS 16 FOUNDATION HOLDDO WNS: STRAP AT 37 O.C.AND PROVIDE(6)IOd NAILS TO STUD AND(6)IOd (5 HDUS-SDS2 5 W/SS i"824 V DIAMETER ANCHOWBOLT W/ CONTRACTOR'S EXPENSE. - (S NAILS TO RLM BOARD. WRAP STRAP UNDER FOUNDATION SILL TB24 AN 04 L •: '' PLATE AND OVER TOP OF SILL PLATE. FILL ALL HOLES IN STRAP' E D`" ` CALL WOOD CONSTRUCTION CONNECTORS AS SPECIFIED ON - - THREADED ROD INTO HOLDOWN POSITION SSTB24 W/' � �ON TOP OF SiLL PLATE. - - � � � THESE CONSTRUCTION DOCUMENTS TO BE SINAPSON STRONG=TiE '" ANCHORMATE TO FORMWORK PRIOR TO CONCRETE IN ACCORDANCE WiTH CATALOG C-201 I..iT IS THE POUR FOR CORRECT PLACEMENT. r 0*017—1 RESPONSIBILITY OF THE CONTRACTOR TO.INSTALL ALL 4.CONNECTORS AND STRAPS AS SPECIFIED ABOVE FOR UPLIFT' CONNECTORS IN ACCORDANCE WITH MANUFACTURER'S TSHHFALpL tPARIOL]VnIZDtEpA CONTINUOUS LOAD PATH FROM THE ROOF TO A F(DUS-SDS2.5 W/b"DIAMETER THREADED ROD SPECIFICATIONS. 5:CO1vQtE R OaS�R WALL OPENING ELEMENTS (REFER TO DETAIL I A SOLE PLATE CONNECTION SCHEDULE: THROUGH TILE PARALLAH BEAM BELOW.WITH 2_W� Itm. HEADER SIZE" HEADER TO JACK STUD LACK STUD TO SOLE PLATE `'3"X3-X1"PLATE WASHER AND P NUT. 5:.ALL ENGINEERED LUMBER PRODUCTS TO BETRUS:JOIST OR - _ CONNECT ION FLOOR R.IM BOARD' EQUAL INSTALLED IN ACCORDANCE WITH MANUFACTURER'S L�I'•. 0"TO 4 0 (I)LSTA 9` (1)SP4* SPECIFICATIONS. " * �� HDU8-SDS2.5 W!SSTB28 j^DIAMETER ANCHOR BOLT W/ L=.4'-1-TO 6,0"„ ._r (2)LSTA 9 (2)SP4 WALL TYPE SOLE PLATE CONNECTION TO RIM BOARD. -O�7 ROOF-FRAMING:CONNECTIONS: L 6'-I"TO S-0" • CN W}"COURCER NUT BETWEEN SSTB28 AND P. , (2)LSTA 12 (2)SP4' ` � * �\ (3)-I&f COMD:[ON NAILS PER'16". THREADED ROD INTO HOLtX)WN. POSITION SSTB28 W L=.B'-I"TO 10-0" .� (")LSTA.15 (2)SPH6 / ANCHORMATE TO.FORMWORK PRIOR TO CONCRETE 1.ATI'ACH OPPOSING RAFTERS AT TIC RIDGE OVER THE TOP OF La Id-1"TO 16'-0" (2)ST2122 (2)SPH6 POUR FOR CORRECT PLACEMENT. THE RIDGE WITH(1)LSTA 18 TENSION STRAP AT 16"O.C.STRAP (4)-16d COMMON NAILS PER I6": TO BE INSTALLED OVER ROOF SHEATHING INTO RAFTERS W/10d *ALTERNATE:THE CONNECTOR SHOWN FOR THE JACK STUD TO A A C 1/[A 1;7 I C COMMON NAILS TO RAFTERS.(REFER TO DETAIL 1-RF) SOLE PLATE CAN BE SUBSTITUTED WITH THE HE SAME CONNECTOR 1,A HDU8-SDS2.5 W/ d"DiAMETERTHREADED ROD ' t V 1 IN L i V G L SHOWN FOR THE JACK STUD TO HEADER. ATTACH CONNECTOR ,M-SINIPSON SDS25312(1"x 3}")WOOD SCREWS PER 16". THROUGH THE PARALLAM BEAM BELOW WITH A ENGINEERING 2.ATTACH THE END OF EACH RAFTER TO THE DOUBLE TOP PLATE WITH HALF OF THE REQUIRED NAILS TO THE JACK STUD AND 3"X3"4"PLATE WASHER AND b"NUT." OF THE EXTERIOR WALL WITH(1)H2.SA CONNL•'CTOR. _ HALF OF THE REQUIRED NAILS TO THE SECOND FLOOR ' - - - - CONSULTANTS • CONNECTOR.TO BE APPLIED DIRECTLY TO 2X TOP PLATES ON RIMBOARD OR FOUNDATION RIMBOARD.CONNECTOR TO BE CONNECTION TO CONCRETE FOUNDATION OUTSIDE FACE OF WALL.ALTERNATE:USE(1)H2A FROM EVERY ATTACHED-DIRECTLY TO 2X FRAMING AND RI.MBO\RD: ---- - }�U CI-SDS2.5 W/SB 1X30 1"DIAM1tETER ANCHOR BOLT n9 Ma�smNa.xo. RAFTER TO WALL STUD BELOW. TSP CONNECTOR PER NOTE T ALTERNATE CAN NOT BE USED WHEN SOLE PLATE iS ATTACHED III sreR Mw SILL PLATECONNECT'IONTOCONCRETE W/CNW I"-COUPL.ERNUTBETWEENSBIX30AND.I" WALL FRAM1ITNG UPLIFT CONNECTIONS".iS NOT REQUIRED WHEN Q ffp'LYTO-:FOUNDATION STEM WALL OR CONCRETE SLAB. _____-._._ _ __ _ � THREADED ROD INTO HOLDOWN."POSITION SB I X30 W/ K<crva+a•ne USING(1)H2A AT EVERY RAFTER. NNOOTTEE }"DIA.ANCHOR BOLTS AT 32"U.C. ANCHORMATE TO FORMWORK PRIOR TO CONCRETE 3.BLOCKING TO BE PROVIDED ABOVE THE DOUBLE TOP PLATE OF A.HEADERS FOR DOORS AND WINDOWS TO HAVE(1)HE POUR FOR CORRECT PLACEMENT. THE EXTERIOR WALL AT THE ROOF WITH ROOF SHEATHING CONNECTOR AT THE TOP AND BOTTOM OF ALL CRIPPLE STUDS. NOTE: ANCHOR BOLTS REFERENCED ABOVE TO BE�"DIAMETER .L� NAILED TO THE BLOCKING AT 6"O.C. PROViDE'V'NOTCH IN A307 STEEL ANCHOR BOLTS WITH 3"x 3"x 1"PLATE WASHERS O V BLOCKING TO PROVIDE ADEQUATE V'HNTILATION AS REQUIRED. B. HEADERS 4*-1"AND LARGER REQUIRE(2)JACK STUDS AT EACH ' C QJ 3 (u DIRECTLY TO BE ATTACHED DECTLY TO DOUBLE TOP PLATE END OF THE HEADER. WITH T MI;JTMUM EMBEDMENT INTO CONCRETE. c L V Z OF THE EXTERIOR WALL W/(1)RBC CONNECTOR _ _ C C.PROVIDE(1)A23 CLIP ON THE TOP OF ALL HEADERS AT EACH LEGEND: Oo 4) V) 4.PROVIDE 2X BLOCKING AT THE RIDGE BETWEEN ALL RAFTERS END OF HEADER TO THE KING STUD ADJACENT TO THE OPEN WG. � (J7 > AT THE EDGE OF THE ROOF SHEATHING. ATTACH SHEATHING TO BLOCKING W/8d NAILS AT 6"D.C. RIDGE BLOCKING IS NOT D.PROVIDE(1)SSP FROM EACH KING STUD TO DOUBLE TOP PLATE §c ® ` REQUIRED WHEN SHEATHING IS ATTACHED DIRECTLY TO A OF THE WALL,WITH(3)IOd NAILS TO DOUBLE TOP PLATE AND SHEAR WALL TYPE N RIDGE BOARD OR STRUCTURAL RIDGE BEAM. (4}IOd NAILS TO KING STUD. FOR CS 16 STRAP SIZE REFER TO. SHEARWALL CONSTRUCTION: ' ^�, 4, c OCL 0 — NOTE"2"ABOVE.FOR FIRST FLOOR LEADERS PROVIDE(1)CS 16 4 1 FROM EACH KING STUD TO THE FIRST FLOOR RLM BOARD. FOR CS 1.ALL SHEARWALLS TO HAVE DOUBLE TOP PLATES'AYD DOUBLE O SHEARWALL GRIDLINF. E6'- 2 "0i� C •V1 FLOOR FRAMING CONNECTIONS: 16 STRAP SIZE REFER TO NOTE•4-ABOVE. 2X STUDS AT EACH END OF WALL.(UNLESS NOTED OTHERWISE) t a - c: I.PROVIDES 1'x 11 I"PARALLAMS UNDER ALL FIRST FLOOR E.KING STUD TO RIMBOARD CONNECTION SPECIFIED IN NOTE T7 - 2.FACE NAiL DOUBLE TOP PLATES W/16d NAILS AT 16^O.C. USE I SHEARWALL HOLDDOWN INTERIOR"SHEARWALLS WHEN THE SHEARWALL IS PARALLEL TO - ABOVE IS NOT REQUIRED WHERE A.SHEARWALL HOLDOWN IS O I Ftl� -_ b 2 THE FLOOR JOIST FRAMING DIRECTION. USE 117/8"LVLS UNDER (8)-16d NAiLS AT EACH SiDE OF LAP SPLICES IN TOP PATES. ADJACENT TO THE OPENING. SECOND FLOOR INTERIOR SHEAR WALLS AND WRAP THE CS-16 3.NAILING FOR PERFORATED$HEARWAL.LSTO BE CONTINUED ate+ SHEARWALL HOLDDOWN STRAPS AROUti'DTHE LVT_S AND NAiL F.SILLS FOR OPENINGS LESS THAN 4'-0"WIDE REQUIRE(1)A23 ?' - job no. �. ABOVE AND BELOW'ALL OPENINGS IN SHEARWALL. in S CLIP AT THE BOTTOM OF THE SILL PLATE TO THE KING STUD AT. SHEARWALL date EACH END OF THE SiLL PLATE. FOR OPENINGS 4'-0"AND LARGER. N' 4.ATTACH DOUBLE'2X STUDS AND BUILT-UP CORNIER STUDS AT / - PROVIDE(J)A23 CLIPS AT EACKEND OF THE SILL PLATE ON THE - V f scale TOP AND BOTTOM OF THE SILL PLATE. SHEARWALL ENDS S A_N O l NAILS AT 6"O.C.,STAGGERED SECOND FLOOR SHEARWALLS:1ND(2)16d NAILS AT 4"O.C.S1':\GGERED PERFORATE SHEARWALL. CONTINUE PLYWOOD drawn FOR FIRST FLOOR SHEARWALLS. ABOVE AND BELOW OPENING WITH NAILING ACCORDING TO SPECIFIED SHEARWALL TYPE. rev. 5.REFER TO HOLDDOW'N SCHEDULE FOR TIE DOWNS AT rev. SHEARWALL ENDS. XK, XJ 4 OF KING AND JACK STUDS REQUIRED AT WALL OPENING (J ISSUED FOR.CDORMN snt 9 Of 15 J �l � I . o 0 D — ZU i �YQ .1 J4 a 5 h� - Z R � I. N7 Jp4T5 1.1 3�.14�LN fDFLPA 1M�1.• j IT2 Ll.Oxi Al ^�073tTl'y'a 4Rl � 8°7•.r.i R''�dLUY��. .� :'p a T rp i .ro LVLI uXL t \, _ - T rg I t d) bi o'ti o a a .cr Tec ras)s o .o ` 1 l X M a rn0 Ui 5 _ 7 n ,a C) O O u># o o _0 O r c c l7 3^ U� rn D O f U1 N O V � � � o•T..pp` UN D } n in O �F Fit r_ y O e `t tP i . itt D UN - nt z nt S Y `tau D Ol7trt \� tom'- _a�Ui ntO(� (O yOUt i t— CUP ,' nrp P,toD OD YwZ p tj ` Drn zrn rnxur I.,. x� _ a _,t ,l•, t F, r-Z' kp fit Or O pr—rn t�. •' r r �6 X17 O UI �t N 3 / �a Atr ` r �OtO 8 y �rnat tT - a & additions and alterations to the o Stepanek Residence ; o z . 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I MIN.EMBED. j MIN.REBAR LENGTH � MODEL NO.' DIA. MIN.EMBED. MIN.REBAR LENGTH o - u w NAILPER�\ " (PER DETAIL./1'\) , (PER PLAN) / (N ---) )SSTB16 5!8 I_� i 50" t-- �`� STB16 5/8 12{" o j S j 50" OPENING i j I SSTB20 1 5/8 j 16�" 58" \\ SST�I 5/8 16�^ 58. I v I SSTB24 j 5/8 I 2�`s" 66" I I I f ( I SSTB24 j 5/8 20 66" STRAP CS 16 I N " I + jSST28 j 7/824 74" I;SSTB8 78 24 d 74 " 79 (PER GSN) - SSTB34 7/8 ;' 28 il. 8,,, - r j r _ I SSTB34 7/8 _L_ 28 J" j C, fi• 1 E \ SB I a30 I f 24" 96" -1 HDU HOLDON N'- I I+ I 96" - a� - - e� _ ° HDU HOLDOWN - — I i \ o j I SB1x30 j 1 I 24" V *NOTE:#4 REBAR TO BE CENTERED ON HOLDOWN CS 16 PER GSN) I �. *NOTE:#4 REBAR TO BE CENTERED ON HOEDOWN .4ND LOCATED 3"TO 5"DOWN FROM TOP OF THREADED ROD I I AND LOCATED 3"TO 5"DOWN FROM TOP OF THREADED ROD FOUNDATION WALL ( FOUNDATION WALL --- "-- - -' '- - -- _ ---- - PER SIMPSON MANUFACTURER'S SPECIFICATIONS. I — { PER SIMPSON MA UFACTURER'S SPECIFICATIONS. y LIPS e • e (PER GSN') - 45\U+OeBO a (PER GSN) ! #4 REBAR! SSTB HOEDOWN ANCHOR °! d CNN'COUPLER 1 , #4 REBAR T DS PER GSN)e ` •'' (PLACE SSTB ARROW a\ ----- - d � - ! SSTB HOLDOWN ANCHOR- ° / a ON TOP OF AN -��-�.•_- l -EDGE DISTANCE 1 o S. ° d POSITION IN WALL PER 1.75"FOR 2X4 WALL i , i- DIAGONAL IN CORNER c . 3"TO 5" c #4 REBAR a I 3"TO 5" d REBAR J Z APPLICATION) ; rn / n n SIMPSON MANUFACTURER'S 2.75"FUR 2X6 WALL ' d_ � c CNW COUPLER � SILL PLATE °' c DSP / SPECIFICATIONS. SILL PLATE / a e ANCHOR BOLT-/ ° /(PER GS&')v f ANCHOR BOLT J d (PER°GSN) (PER GSN) SSTB HOLI�WN ANCHO�- ° EDGE DISTANCE W d a MIN.REBAR LENGTH ° 1.75"FOR 2X4 WALL o n SSTB HOL AN CHOR NCHOR I �•REBAR 2J5"FOR 2X6.WAl.L 1 HOLD DOWN PLAN VIEW @ 2 HOLD DOWN @ PLAN VIEW s"MrN �-+ -HD WINDOW OR DOOR OPENING HD EXTERIOR BUILDING CORNER �q C BUILT-UP CORNER STUDS u V) (PER DETAIL. I ) MODEL NO. DIA. MIN.EMBED. MIN.REBAR.LENGTH wF7 SSTB 5/8 12�„ 50" 2x4 WALL 2x6 WALL 04 En SSTB20 5/8 16�" 58" ` SSTB24 5/8 20�" _66" j 6"O.C. 4"O.C. 6x6 DOUG FIR POST 6"O.C. 4"O.C. 'O SST828 7/8 24�" 74" SSTB34 7/8 _ 28�„ 82" _ ++I :w + + + D*0 D HDU HOEDOWN SBIx30 1 24" 96" _ � ++ + + + + + ° *NOTE;lt4 REBAR TO BE CENTERED ON HOLDOWN �. + + CS 16 STRAP- I I AND LOCATED 3"TO 5"DOWN FROM TOP OF HOLD DOWN HOLD DOWN (PF.-R GSN) THREADED ROD (PER PLAN) ++ FOUNDATION WALL ++ (PER PLAN) + + + + I I PER SIMPSON MANUFACTURER'S SPECIFICATIONS. ++ + + MIN.REBAR + t LTP5 ftNCHORj `(PER GSN) PLAN VIEW ELEVATION (PER PLAN VIEW ELEVATION VIEW - NOTES: NOTES: DSP(PER GSN) 1.ATTACH STUDS AT BUILT-UP CORNER TOGETHER WITH 1.ATTACH STUDS AT BUILT-UP CORNER TOGETHER WITH MC K ENZIE.3"TO5"-'1 =3 z "'#4 REBAR (2)ROWS OF 16d(0.162"x 3.5")NAILS AT 6"O.C.FOR 2ND (2)ROWS OF.16d(0.162"x3.5)NA'ILS AT 6"O.C.'FOR 2ND' 'ENGINEERINGSILL PLATE•. ° tCRW CUU LER ° EDGE DISTANCESTORY SHEARWALLS. STORY SHEARWALLS. ANCHOR BOLT d '0 1.75"FOR 2X4 WACONSULTANTS 2.75"FOR 2X6 WA 2,ATTACH STUDS AT BUILT-UP CORNER TOGETHER WITH 2.ATTACH STUDS AT BUILT-UP CORNER TOGETHERWITH(PER GSM SSTB HOEDOWN ANCHOR d SSTB HOLDOWN (2)ROWS OF 16d(0.162"x 3.5")NAILS AT 4"O.C. (2)ROWS OF 16d(0.162"x 3.5")NAILS AT 4"O.C. Ina MlusroNE RD. {PLACE SSTB ARRSTAGGERED FOR 1ST STORY SHEARWALLS. STAGGERED FOR-IST STORY SHEARWALLS. °RC`"SR•MA. ON TOP OF.ANCHOR. Y %r��}ia76 3 . HOLD DOWN @ DIAGONAL IN CORNER PLAN VIEW I BUILT-UP CORNER @ Ho INTERIOR BUILDING CORNER APPLICATION) wF END OF SHEARWALL . s .. (u ou ROOF SHEATHING ROOF SHEATHING N j EDGE NAILING• SHEAR WALL END POST—� C C V / ROOF (NAIL PER( ) 4) N LSTA STRAP 16"O.C. (PER GSN) 2X BLOCKING BETWEEN RAFTER ) C p RAFTERS(NOTCH FOR PER PLAN VENTILATION IF REQUIRED. I I ro Y � :a ROOF SHEATHING REFER TO ARCHITECTURAL EDGE NAILING HDU HOEDOWN ° C I O PLANS FOR MORE INFO.) (7)-I OD NAILS (PER PLAN) N C O� C EACH END -� !� � to N C I �� � ro _ +•++++•++/ \\ ++-++++ I DOUBLE 2X TOP PLATE PARALLAM THREADED ROD / ROOF RAFTER PER PLAN.( (PER PLAN) )°b no•:oa SEE ALTERNATE REFER TO ARCHITECTURAL H2.5A(INSTALL PRIOR data ��lea.r� PLANS FOR TO BLOCKING AND ROOF RAFTER PER PLAN RAFTER DIMENSIONS AND PLYWOOD state +s a�reD EAVE SHEATHING) ALTERNATE:ATTACH OPPOSING dream RAFTERS BELOW RIDGE BEAM OR DETAILIN ALTERNATE: *NOTE:DRILL HOLE FOR THREADED ROD \ DORLE 2X TOP PLATE H2A 2X STUD THROUGH PARALLAM AND ATTACH W/ r*"• s Mnnc ao s RIDGE BOARD WITH 2 x 4 COLLAR RBC(INSTALL PRIOR _ NUT AND 3X3X 1"PLATE WASHER TTE AS SHOWN. RIDGE STRAPS NOT BEAM TSP(INSTALL PRIOR T'• : REQUIRED WHEN USING A COLLAR TO WALL SHEATHING TO PLYWOOD (IF SHOWN ON PLANS OR ON SHEATHING) TIE: S-m-6 TOP OF DOUBLE 2X NOTE:NOT REQUIRED I 3 TOP PLATES,PROVIDE IF H2A IS USED AT. S INTERIOR ERIOR HOLD DOWN STRUCTURAL RIDGE BEAM RAFTER TO TOP PLATE 90a�aa�aD BEND TO EVERY RAFTER: RF RF BLOCKING) HD IN FLOOR FRAMING ON em 14 of 15 O 1p U OPTION #I HEADER SIZE DE OF '. GO - V W I G L= 1'-0"TO 4'70" (1)LSTA 9 (1)SP4 PER KING (1)A23 (1)A23 (1)H8 TOP/BOTTOM OF EACH CRIPPLE STUD ra C C (I)SSP NOTE:FOR HEADERS LOCATED t~ ~ L=4'-1"TO 6-0" (2)LSTA 9 (2)SP4 PER KING (1)A23' (2)A23 DIRECTLY BELOW DOUBLE TOP V (1)CS 16-(6)8D NAILS 0 O EACH END OF STRAP (1)SSP PLATES,STRAP HEADER TO r l �• L=6'-1"TO 8'-0" (2)LSTA 12 (2)SP4 PER EACH KING STUD (1)A23 (2)A23 TOP PLATES WITH(I)CS 16 E E _ PER KING (SEE NOTE'4') PER 16"WITH(4)8D NAILS �s c (1)SSP EACH END OF STRAP. BEND ` L=8'-1"TO 10'-0" (2)LSTA 15 (2)SPH6 PER KING (1)A23 (2)A23 STRAP OVER TOP PLATES AS REQUIRED. 44 ALTERNATE:ATTACH EACH HEADER(PER PLAN) •• 'L= 1 O'-1"TO 16'-O" (2)ST2122 (2) O PERKING SPH6 (1)SSP - 1 A23 (2)A23 RAFTER TO HEADER WITII f (1)H8 A A OPTION #2 INNa HEADER SIZE © ® © OD E WINDOWIDOOR OPENING (1)-CS 16 (1)SSP L= 1'-0"TO 4'-0' W/(5)8D PER KING (1)A23 (I)A23 (1)H8 TOP/BOTTOM EACH END OF EACH CRIPPLE STUD , Wl-CS 16 (i)SSP NOTE:FOR HEADERS LOCATED h1 c K E N Z!E " r0 6'-0" EACH H END 8D L=4'-1 PER KING (1)A23 (2)A23 DIRECTLY BELOW DOUBLE TOP S EACH (1)CS 16-(6)8D NAILS F F (2)-CS16 SEE NOTET (1)SSp EACH EN-DOFSTRAP PLATES,STRAP HEADER TO ENGINEERING { L=6'-1"TO 8'-0" W/(6)8D PER EACH KING STUD (1)A23 (2)A23 TOP PLATES WITH(1)CS 16 EACH END PER KING (SEE NOTE W) PER 16- WITH(4)BD NAILS CONSULTANTS . (2)-CS 16 EACH END OF STRAP.BEND L=8'-1"TO 1O'-Un un""�°"1 WI(8)SD (1)SSP STRAP OVER TOP PLATES MILLSTONE RD. EACH END PER KING (1)A23 (2)A23 AS REQUIRED. nRr. Simi A m 1, AUMRNATL':ATTACH EACH Rv[},bY 12.1 8 p p L= 10'-1"TO16'-0" (2)ST2122 (1)SSP - � RAFfERTOHEADERWITH . 17 i7 PER KING (1)A23 (2)A23 (1)HB ID Vf NOTES: O U C 1. HEADERS 4'•I"AND LARGER REQUIRE(2)JACK STUDS AT EACH END OF THE HEADER. H - D D 2. CONNECTORS SPECIFIED ABOVE SHALL BE ATTACHED DIRECTLY TO 2X FRAMING MEMBERS. 3. NAIL FULL HEIGHT JACK STUDS TO KING STUDS WITH(2)-16D NAILS PER 6-O.C.(JACK STUD TO SOLE PLATE STRAP NOT N Q tv p� 4.REQUIRED) TRAP NOT REQUIRED WHERE SHEARWALL HOLDDOWN IS ADJACENT TO OPENING. rp S. DETAIL FOR WINDOW AND DOOR FRAMING ONLY. OTHER STRAPS AND TIES NOT SHOWN FOR CLARITY. C (u O 2 FRAMING @ WINDOW AND DOOR OPENINGS un ro c 00 CIO)-N Ln WF = N c Ln job no.:o.m date =3 xab s NpTED drvwn • Lev. 19 ti.,Rc-=:a .. - rev. ISSUED FORCONSTRUCWN ens Is Of 1s Foundation . Certification ' i n H annis ' Port Ma. Prepared For Peter Ste anek Assessor's Map : MAP: 287 PARCEL: 121 Baxter, Nye & Holmgren, Inc. Community Panel, Number:._ 250001 0006 D Registered Professional F.I.R.M. Map Zones: C, A10 & V10 Engineers and Land Surveyors Plan Reference Land Court .Plan 33,385 B & PB 83 PG 47 812 Main Street Deed Reference — LC Cert:: # 118491 OsterviAe, MA., 02655 Fhm - (508) 4M4131 Fa - (508)-428-3750 Owner : Peter Stepanek Et Ux Job N~. 200"71 Scale 1" = 40' Date 3126102 OCEAN AVENUE o� o S 63.19'50" E 161.60' _..� __. ._._ ,._. . CB/FND �6> _ GUEST GARAGE: a. v COTTAGE STONE GRAVEL DRIVE C a EXISTING HOUSE ca POR� Ff,_a_ cra N/F DONAHOE z N N o PARCEL AREA- o� Nrn TO MHW rn 52172t SQ. FT. W m 1.20f ACRES o EXISTING STONE WALLS O N/F WRIGHT CB/FND 17.1' EXISTING ~EXISTING POOL HOUSE POOL FOUNDATION y cn t __ a , ...m�_�. 16.9' ++ PARCEL A o PB 83 PG 47 CB/FND 140.36' CB/FND _ CB/FND N 63'00'43" W N_ W rn LOT 2 L.C. PL. 33,385 B o z N/F POLAK ( N ono C N/F KENNEDY H- m 0 o ti(Q�c� I CB/FN D MHW HYANNIS HARBOR I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE J®Ri AND SETBACKSETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS , SHOWN, AND IS LOCATED WITHIN SPECIAL FLOOD HAZARD AREAS. 74 R GISTERED PROFESSIONAL LAND SURVEYOR DATE pxo a. 1.•oR» Z. STETSON LN MASHED GRADE _ 1&0 TYPICAL SYSTEM PROFILE TEWAR CREEK ILL RD EOGE A NRo Z �' Q TOP or F"DATON 16.20 NOT TO SCALE A X OYEIt LANK . 17.0 SOUTH ATE DR ""NED O FMSNED aaAOE OVER D. BOX . ».o SI W. a' VCKER Hi40)Poc �. 4' ECM. 40 PVC Fomr 2' (TO BE LEVEL) 4 >eCED. 4o pvc slop. - 0.00! FOOTM 4" PVC _ LOCUS HYANNIS HARBOR LOCATION MAP N TS ASSESSORS MAP 287 PARCEL 121 ZONES: AQUIFER PROTECTION OVERLAY DISTRICT ZONING DISTRICT: RF - 1 MINIMUMS AREA = 43,560 S. F. FRONTAGE = 20' WIDTH 125' FRONT SETBACK = 30' SIDE SETBACK = 15' REAR SETBACK = 15' FLOOD ZONES: C, A10 & V10 FIRM COMMUNITY PANEL No. 250001 0006 D REVISED: JULY 2, 1992 AS SHOWN ON THIS PLAN SEE NOTE RE ORIENTATION/PLACEMENT ELEVATIONS REFER TO NGVD REF MASS DPW 113 C - EL = 12.32' 1000 GALLON SEPTIC TANK TO BE *STALLED ON A UVa STABLE BASE CLUSTER OF CEDAR TREES EXISTING CESS , POOL i 1 1 i i DISTRIBUTION BOX TO BE INVALLED ON A LEVU STAR[ BASE PMSHM GRADE owe LE40*C TIK/A2+ . 14 D 9" (min) Cover M' (max) Cover 2'Layor 1/8"to1/2" ,I >, ,y WETLAND RESOURCE AREA DELINEATION 3Q BY -ENSR - JANUARY 8, 1998 o� N5 FLAGS A=1 A-5 - TOP OF BANK o FIELD LOCATION BY BAXTER do NYE, INC. JANUARY 21. 1998 / 6' MIN No Oroundvat.r Ob"—d 0 F N a Z 0 N E A 1 0 12 / ( EL 15 ) Z 0 N E V 1 0 ( EL 15 ) E R w R 1 1 F 1 L I N G 5 5 I N N R Y A 0 B R A N 10' FINISHED GRADE 36"MAX.— 9"IN. COMPACTED FILL 2- PEASTONE 4 •,; ,•� 3/4- TO 1 1/2 " 30I5" p. 0 r DOUBLE L WASHED STONE y77(CC SECTION WASHED STONE• •=r �. ,1 \\\ 20 PLAN OF LEACH CHAMBERS \ \ NO SCALE q V F N 22 °/R •,V Design Schedule ELEVATION TOP OF FOUNDATION Finished Slob) 18.25 SEWER INVERT AT FOUNDATION 16.3 SEWER INVERT INTO SEPTIC TANK 16.1 SEWER INVERT OUT OF SEPTIC TANK 15.8 SEWER INVERT INTO DISTRIBUTION BOX 75.5 SEWER INVERT OUT OF DISTRIBUTION BOX 15.3 SEWER INVERT INTO LEACHING SYSTEM 13.0 BOTTOM OF LEACHING TRENCH 11.0 WATER TABLE 2.5 Leaching Area Requirements POOLHOUSE — DAILY FLOW — 200 GPD ADDITIONAL 50% FOR GARBAGE DISPOSAL —NA—GPD PERC RATE— 2 MIN/INCH(TO BE VERIFIED AT INSTALLATION,' LTAR - 0.74 GPD/S.F. MIN. LEACHING AREA OF S.A.S. 200 GPD/0.74 GPD/S.F. — 270 S.F. PROPOSED SYSTEM : 237 GPD W/LEACHING AREA OF 320 S.F. GENERAL NOTES : ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE DATED MARCH 31, 1995 & ANY LOCAL RULES APPLICABLE. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE DESIGNING ENGINEER. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT FOR INSPECTION. FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN APPROVAL OF THE DESIGNING ENGINEER ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4- PVC. EXCAVATE AND REPLACE ALL UNSUITABLE MATERWL SURROUNDING SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5'. PER 310 CMR 15.255. THIS AREA TOP BED CONFIRMED AT TIME OFDSEPTIC CONSTRUCTION LOCATION OF UNDERGROUND U77LMES ARE APPROXIMATE AND SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. POOLHOUSE SEPTIC SYSTEM DESIGN AT 49 OCEAN AVEN U E HYANNIS PORT, MASS. FOR PETER AND LISSA STEPANEK SCALE: 1" = 20' NOVEMBER 20, 2001 BAXTER, NYE & HOLMGREN, INC. Registered Professional Engineers and Land Surveyors 812 Main Street, Osterville, MA 02655 Phone - (508) 428-9131 Fax - (508) 428-3750 RE ZONES V10 & A10: FLOOD LINES DIGITIZED USING TOWN OF BARNSTABLE CIS SHEET WITH SURVEY LOCATIONS OF EXISTING BUILDINGS ON LOCUS AS BASE. GRAPHIC SCALE 20 0 10 20 40 ( IN FEET ) 1 inch = 20 ft. 80 PUMP & REMOVE EXISTING CESSPOOLS LOCAMON MAP NTS MAP 287 PARCEL 121 ZONES: AQUIFER PROTECTION OVERLAY DISTRICT ZONING DISTRICT: RF - 1 MINIMUMS AREA - 43,560 S. F. FRONTAGE - 20' WIDTH 125' FRONT SETBACK 30' SIDE SETBACK 15' REAR SETBACK 15' FLOOD ZONES: C, A10 & VIO FIRM COMMUNITY PANEL No. 250001 0006 D REVISED: JULY 2, 1992 AS SHOWN ON THIS PLAN SEE NOTE RE ORIENTATION/PLACEMENT ELEVATIONS REFER TO NGVD REF MASS DPW 113 C EL = 12.32' 0 17" 410 Ob �b eb 12" \" CEDAR -2f, -M'- NTAP L PK FND >2�2 CEDAR .......... . . .. ............. ............. ....................... ................ .............. L. C EL 73. .......... --------- - EXISTING 3000/GAL. H-20 SEPTIC /TAN� ..... ........ ......... ...... ..... ...... . ..... /YOU 9 XIS71NG 9-BOX LUUL ...... 0 F LAWN k -- ---- co .......... ..... ..... V.) 3 .......... 4 MPLE LAWN x 22 30- �OLE STONE WALL 2' WIDE LAWN ----------- 3 1/2HIGH---- - IRRIGiATION t Oj3 I \ \ x 25.6 �ONTROL kyo 0 ipox�s A, 4e 3D11V IRRIG TiON P4 CONTROL /LAqDSCAPE C�\ BOXES' x 2&0 < /� 11 Iyq oscq ------------ BENCHMARK: FO ALL ETAININ6- EDGE OF RET. WALl� LAWN EL. = 24.88 x 25. /GAS METEA 18.8 \ x x PERGOLA f 9 o04 d00 S4- -------- '18.9 q89 Qqp" 0 RF9;P60, x. _e� �q4f4t FF IYO&S 4D4t4N/4 \\ \\ \\,.8 STONE \ j // �`.`\ / ��' F/RST 411v& POO\L E66)�K(N\ --x 18.8 P4 F11JER OUTDOOR 04? e4 SHOWER 44{yH 'A MV-14111- O�- x 19.0 Op r8. 9 5 sTK SET 4., EL - 21.76' �--AL Ix, APPTIC SROXIMYSTEMATE LOCATION OF SEP y, lrv, LAWN 10, ENVIRONMENTAL INFORMATION Z 0 N E C SITE IS NOT WITHIN AN AC.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE PER NHESP MAP OCTOBER 1, 2009 'ESTIMATED HABITATS OF WE WILDLIFE' -- EL 15.4----------- FOR USE WITH THE MA WETLANDS PROTECTION ACT REGULATIONS (310 CMR 10). • CB FND6'------- CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1, 2009 I1 CB FND •SITE DOES NOT GATE EL - 16.12' TERTInED VERNAL POOLS ----------- • SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 2009 IPRIORITY ---------------- HABITATS OF RARE SPECIES* FOR SPECIES UNDER THE MASSACHUSETTS ENDANGERED SPECIES ACT, REGULATIONS (321 CMRIO). • SITE IS NOT WITHIN A STATE APPROVED ZONE 11 GROUND WATER RECHARGE PROTECTION AREA. SITE IS NOT WITHIN THE ZONE OF CONTRIBUTION OF SALTWATER ESTUARIES (B.O.H. 360-45). 12 SITE LOCATION: 49 Ocean Avenue Hyannis Port, Mass. UTILITY INFORMATION SHOWN HEREIN PREPARED FOR • THE CONTRACTOR SHALL CONTACT N SAFE (AT 1-888-DIG-SAFE) AND U71UTY COMPANIES TO LOCATE Bruce & Lissa Stepanek ALL EXISTING UTIU71M AT LEAST 72 HOURS PRO M THE START OF CONSTRUCTION. THE LOCATION OF EXISTING UNDERGROUND INFRASTRUCTURE, UTILITIES CONDUITS AND LINES ARE SHOWN IN AN APPROXIMATE TITLE WAY ONLY, MAY NOT BE LIMITED M THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE AY&ABLE URN RECORDS NOTED HEREON. THE CONTRACTOR AGREES TO BE MY RESPONSIBLE FOR Proposed House Additions MY AND ALL aWNM WHICH MIGHT BE OCCASIONED BY ME CONTRACTOR'S FAILURE M LOCATE SAID INFRASTRUCTURE AND UTILITIES EXACTLY. F FIELD CONDITIONS DIFFERS FROM PLAN *FORMATION, THE CONTRCTOR S14ALL NOTIFY THE ENGINEER IMMEWTUY MR POSSIBLE REDESIGN BAXTER NYE ENGINEERING & SURVEYING • LOCATION OF EXISTING SEPTIC SYSTEM TAKEN FROM INSTALLER'S AS -BUILT CARD, PERMIT 12011-274. Registered Professional Engineers and Land Surveyors 78 North Street - 3rd Floor, Hyannis, Massachusetts 02601 � OF Mgss Phone - (508) 771-7502 Fax - (508) 771-7622 -(N OF 4fq SHANE M. BRENNE ST HEN ti 20 0 20 40 No. 45917 - mmmmomw 101. UZ10 SCALE IN FEET 3 7,15 SCALE: 1 20' NA1- 08-27-2013 IV. \4vvv \4vVV—VI I \QVn I r- I \WVrKbIlt \4VVV—VI I— :6 l'i 7 '14000-07 1:01 DRAWING NOURF17