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0024 SAINT FRANCIS CIRCLE
ay sT F,ea�ur�s C.�e - - Official Website of The Town of Barnstable - Property Lookup Page 1 of 3 Select Language Assessing Division Property Lookup Results - 2012 , 367 Main Street,Hyannis,MA.02601 - «BACKTOSEARCH« t Prmt Friendly Owner Information-Map/Block/Lot:189 1 057/-Use Code:1010 ......... ....... ........ .............. _.-. Owner . Owner Name as of 1/1/12 BOBOLA,STEPHEN E Map/Block/Lot GIS MAPS 24 ST FRANCIS CIR 189/057/ HYANNIS,MA.02601 Property Address Co-Owner Name .1851 FALMOUTH ROAD/RTE 28 ' Village:Centerville Town Sewer At Address:No ....._....... ........ . ................... ......... .......... .. .................. ......... .... ................................— Assessed Values 2012-Map/Block/Lot:189 1 0571-Use Code:1010 - - ---s-e... _..._............._...._.._..---C—omp_rls ---- ! 2012 Appraised Value 2012 Assessed 1'alue Past Comparisons Building Value: $125,300 $125,300 Year Total Assessed Value I.Extra Features: $3,200 $3,200 2011-$188,300 Outbuildings: $1,500 $1,500 2010-$192,800 Land Value: $71,300 $71,300 2009-$250,600 2008-$243,800 j 2007-$256,700 2012 Totals $201,300 $201,300 2006-$259,700 Tax Information 2012-Map/Block/Lot:189/057/ Use Code 1010 Taxes C.O.M.M.FD Tax(Commercial) $0 I Fiscal Year 2012 TAX RATES HERE j C.O.M.M.FD Tax(Residential) $287.86 - Community Preservation Act Tax $50.85 t i Town Tax(Commercial) $A Town Tax(Residential). $1,694.95 $2,033.66 Sales History-Map/Block/Lot:189/057/-Use Code:1010 History.' Owner: Sale Date Book/Page: Sale Price: BOBOLA,STEPHEN E 5/2/2005 19782/152 $250000 THIBAULT,NANCY J 8/29/2001 14181/131 $1 . MILLER,MARIAN T 5/30/1997 10777/032 $112000, - THIBAULT,NANCY J 5/30/1997 10776/320 $52000 MARINE MIDLAND BANK 5/30/1997 10776/315 $45000 SCANNELL,THELMA 12/15/1987 6046/056 $1 SCANNELL,JOHN D&THELMA 3/13/1972 1615/193 $0 Photos 189/057/-Use Code:1010 ........ _... ......................... K -Code------. .__ Sketches-MaplBlock/Lot:189/057/-Use :10...10 .... ........::. .... -- - -._. . _.--. ......................_...... Constructions Details-Map/Block/Lot:189 1 057/-Use Code:1010 Building Details Land Building value $125,300 Bedrooms 3 Bedrooms USE CODE 1010 Total Improvements Value $167,002 Bathrooms 2 Full Lot Size(Acres) 0.48 Model Residential Total Rooms Appraised Value . $71,300 Style Ranch Heat Fuel Gas Assessed Value $71,300 Grade Average Heat Type Hot Air !Year Built 1930 AC Type None Effective depreciation 25 Interior Floors Carpet Stories interior Walls Drywall http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 12.asp?ap=0&searchp... 10/26/2012 r Official Website of The Town of Barnstable - Property Lookup Page 2 of 3 I _ { I i i i AsBuilt Card N/A Living Area sq/ft 1,932 Exterior Walls Wood Shingle i Gross Area sq/ft 2,374 Roof Structure Salt Box Roof Cover Asph/F GIs/Cmp Outbuildings&Extra Features-Map/Block/Lot:189/057/-Use Code:1010 ---- -------------------------------- Code Description Units/SQ ft Appraised Value Assessed Value { WDCK Wood decking 130 .• $1,500 $1,500 w/railings FPL2 Fireplace 1.5 stories 1 $3,200 $3,200 i Sketch Legend I Property Sketch Legend E2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area TQS Three Quarters Story(Finished) (Finished) BRN Barn GAR Garage UAT Attic Area(Unfinished) CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) f CLP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT ,Garage Extension Front UTQ Three Quarters Story { (Unfinished) FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUS Full Upper 2nd Story { (Unfinished) I.FHS Half Story(Finished) PRG Pergola WDK Wood Deck FOP Open or Screened in Porch PTO Patio ......... - _. ..... ...........- ... -.... .. -....-... CPrint Friendly Contact 1 Director of Assessing I Jeffrey Rudziak P 508-862-4022 F 508-862-4722 �8:30a.m.to 4:30p.m Helpful Links to Downloads t Abatements Department of Revenue I Exemptions Parcel Consolidation j Questions about values Town Tax Rates-FY12 Town Land Use Codes )Helpful Maps 1 All Town Maps 114 Flood Insurance Maps . http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 12.asp?ap=0&searchp... 10/26/2012 _ Official Website of The Town of Barnstable - Property Lookup Page 3 of 3 Property Maps (Contact Director of Assessing Jeffrey Rudziak P 508-8624022 F 508-862-4722 j 8:30a.m.to 4:30p.m. Related Boards Board of Assessors Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar Phone Directory Employment I Email Town Hall http://www.town.bamsiable.ma.us/Assessing/propertydisplayscreen l 2.asp?ap=0&searchp... 10/26/2012 oF� rq� Town of Barnstable Regulatory Services Thomas F. Geiler, Director • aARNSTABLE; • v� "�; � Building Division AlED1A°�A Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790- 6230 January 5, 2007 Attorney Peter L Freeman Freeman Davis & Stearns LLC 1397 Falmouth Road Centerville, Ma 02632 Re: Town of Barnstable vs. Stephen Bobola " Dear Attorney Freeman: Please be advised that I want absolute resolution to the aforementioned matter within the sixty day extension agreed to by both parties on January 4, 2007. Under no circumstances shall I entertain another request as your client has already had the benefit of two 60-day extensions. I trust you will take all necessary measures to ensure this. Sincerely, Tom Perry Building Commis ' ner Cc:Stephen E.Bobola JAComplaint Inv Reports\bobola freeman continue letter.doc Jan, 2. 2GOi 51: 22FM FnEEMAN LAW GROUF N�, 2�32 P. 1 Freeman Davis & StearnS LLC 1397 falmourl Road,Suite 3,Ceetervtl?q.1QA 03632 D:(509)775-5010 c`:(308)775-9105 wwwkeerrantavislaw,com Uae Lewis Whuf,Sin,MA M 10 a(617)22?-5070 is(617)227-5wi 'm. . FACSIMILE TRANSMI77AL DATE, January2 2 007 RECIPIENT, Thomas Perry,Building Commissioner FAX NUMBER:508-796-6230 RE. Stephen E.Bobola NO.Off'PAGES 2 (INCLUDING COIM LCYTER) MESSAGE: SJlIEMENT OF Cti-1VLMQTL4.LI77 — — THIS FACSIMILE CONTAINS PRIV71,EGED AND CONFIDENTL4L INFORMATION INTENDED ONL Y FOR THE USE OF WE 12VDJk]DUAL OR ENTITY NAMED ABOVE. IF 2HE READER OF THE FACSIIID'LE IS NOT THE INTENDED RECIPIENT OR THE EMPEOY.EB OR AGENT RESPONSIBLE FOR DELIVERING IT TO THE .INTENDED RECIPIENT, YOU A,RE HEREBY NOTIFIED THAT ANY DIS'SEMLIYATION OR COPYING OF THIS FACSIMILE IS.STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS FACSIMILE IN EANOR, PLEASE IMMEDIATELY NOTIFY US BY TELEPHONE AND RETURN THE ORIGINAL FACSLiffLE TO US AT THE ABOPE ADDRESS"ATTIE U.S POSTAL SERVICE. THANKYOU. IF YOUHAVE ANY QUESTIONS OR PROBLEMS RECEIVING THE ATTACHED,PLEASE CuL (508) 775-5010 _Original will notfollow—Ortbal Wallfollow I Jan 2: 29O7 5: 22PNI, FRrEMAVI LPNI GROUT N 2 32 ?: 2 Freeman Davis & StearnS LLC 4 i�7 Fdlrnouth P.oad,5ui[c 3;Cen;arvlie,�0Yb32 �:(306)?75-.i010 [:(a78)775-91:15 tnrtvSreeayst.tvi:�aw.cacn. One Lcwie Wharf,B=on.MA 02110 p:(617)227-3070 (617)227-5001 t L! January 2,2007 _ yy a Via Facsimile(508)362-0213 { , William Eldridge,Jr.,C1erkJMagistrate Barnstable District Court w P.0.Box 427 Barnstable,MA 02630-0427 co ATI'N: SUSAN Re: Town cf Barnstable vs. Stephen Bobola Application No. 0625-AC-004131 Dear Sir,'Madam: The following citations are scheduled for a Clerk's blearing pursuant to G.L. Chapter 218, Section 35A on January 4,2007 at 2:00 p.m.: 1, BAR 72595; 2. BAR 72596; 3. BAR 72597; 4. BAR 72598; 51. BAR 72599; and 6. ' BAR 72600. Conlfu' Ming a telephone conference with your office,we are requesting that these citations and the Clerk's Hearing be continued for 60 days as the Town of Barnstable and this office are working out a settlement of these issues. Thomas Perry,the Building Commissioner for the Town of Barnstable has assented to this request for a continuance. Kindly advise this office and Mr.Perry of the new date. Thank you for your assistance. + very.truly yours, Peter L. Freeman PLF/ntrc n ( J Cc: Thomas Perry,Building Commissioner Stephen B.Bobola . � c;4 � Qk �S C C> TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONS in 0IU z� Map �`�� Parcel �Z' Application#rnQ (rO ZCO Health Division Conservation Division dam'" Permit# Tax Collector Date Issued Treasurer Application fee Planning Dept. Permit Feeg�.�g Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village v e. _4, 1 Owner Address Telephone (4 __ Permit Request C e-t Ao Square feet: l st floor: fisting � proposed ! 2nd floor:existing ?3 proposed S�+'��-:�Total new ? Zoning District @La� ood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 33 Grandfathered: ❑Yes No if yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �� �j Historic House: ❑Yes glNo On Old King's Highway: ❑Yes l No Basement Type: Full ❑Crawl Walkout ElOther Basement Finished Area(sq.ft.) �� � � r Basement Unfinished Area(sq.ft) ��(� 0 V Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 3 .- new Total Room Count(not including baths):existing 9 new First Floor Room Count Heat Type and Fuel: qGas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes jl(No Dot ❑existing ❑new size Pool:A(existing ❑new size e J existing ❑new size cAte :❑existing ❑new size Sheqexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial U Yes q�o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /�� „. FOR OFFICIAL USE ONLY z r i r PERMIT NO. 75ATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION �� FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING -7 Cn'd DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of'Massachusetts Department of Industrial Accidents w Office of Investigations 600 Washington Street Roston, MA 02111 wwww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Flu hers Applicant Information Please Prat L.e�ibly Name (Business/Organizatiowhdividual): a ] n _a 6 0 J Address: 2. c1 S � C y City/State/Zip: (�7 © � Phone #: SO - 771—/ S`Z Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ art I am a sole proprietor or partner- listed on the attached sheet $ 8• ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for mein any capacity.�" workers' comp,insurance. g. Building addition [No workers' comp. 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.❑ 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' 13.❑ Other / comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that Is providing workers'compensation Insurance for my employees. below,is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 15.2 can lead to the imposition of criminal penalties of a fine up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of per ury that the information provided above is true and correct SiJMafore: Date: > a Z Phone#: _57 0 $ —771-/ 5�< Official use only. Do not write in this area,to be completed by city or town officiaal. e City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Towu Clerk 4.Electrica.1 inspector S:Plumbing inspector � 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation 6r 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),addresses)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. Se advised that this affidavit may be submitted to the Department of Industrial Accidents fnr confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' . compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen-is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves.etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you is 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. L 617-727-4900 ext 406 or Y a77-MASSAFE a, 617-727-7749 Revised 5-26-05 is °FIMEr�. Town of Barnstable Regulatory Services yBAWM ssBM Thomas F.Geiler,Director 039.�A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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: �j yp /=�6 1 a Estimated Cost /,/)00 Address of Work: / )S e ) l Owner's Name: . Ca- Date of Application: s 3! 0 b I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law ❑Job Under$1,000 ElBuilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. O Date Owner's Name Q:forms:homeaffidav 730 CAR Append&J Table JS.Zlb(continued) PMcriptive Package:for®®e and Two-Family Residential Building:Heated with Fesail Fueb MAXIMUM MINIMUM g Glazing Glazing Ceiling Wall Floor I Basement Slab Heating/Cooling Area'(%) U-valtm, R-valuej R-value4 R value° Wall Perimeter Equipment Efficiency' Package R-value' R-value' 5701 to 65001$eadug Degree Days' "12%a'—0:40——36— '-13——19 to-- --6" Ncrmaln" R 12% 0.52 30 ----- - —--19 19 10 -------------- Norma! 6 S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 33 13 25 N/A N/A Normal U 15% 0.46 39 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 93 AFUE W 15% 0.52 30 19 19 10 6 95 AFUE X 19% 0.32 38 13 25 1 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: "Z 0 3. SQUARE FOOTAGE OF ALL GLAZING: Z. q 4. %GLAZING AREA(#3 DIVIDED BY#2): I 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING'INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 780 CMR Appendix J r Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19,requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as.unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 �r SCREEN PORCH TJ-Beam®6.20 Serial Numb`e:7 05122634� 1 3/4" x 9 1/2" 1.9E Mierollam@ LVL Page Engine O Version:6.0.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED blember Slope:012 Roof Slope4.5M2 S e b 10'3112" a All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:8' Primary Load Group-Roof(psf):20.0 Live at 125%duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Roof(1.25) 240.0 160.0 0 To 10'3 1/2 Replaces ROOF LOAD 30/20 8'0 SUPPORTS: Input Bearing Vertical Reactions Ply Depth . Nailing Detail Other Width Length (Ibs) Depth Live/Dead/U pl ift/Tota l 1 Glulam or solid sawn lumber 3.50" Hanger 1250/857/0/2107 N/A N/A N/A CHan 6: Face Mount None beam ger 2 Wood column 3.50." 1.57" 1220/837/0/2057 N/A N/A N/A L5 None -See TJ SPECIFIER'S/BUILDERS GUIDE for detail(s):H6: Face Mount Hanger,L5 HANGERS: No Manufacturer Selected Support Model Slope Skew Reverse Top Flange Top Flange Support Wood., Flanges Offset Slope Species 1 H6:Face Mount Hanger NONE FOUND 0/12 0 N/A N/A N/A Douglas Fir DESIGN CONTROLS: Maximum Design Control_ Control Location Shear(Ibs) 1989;, 1669 3948 Passed(42%) Lt.end Span 1 under Roof loading Moment(Ft-Lbs) 4890 4890 7359 ' Passed(66%) MID Span 1 under Roof loading Live Load Defl(in) 0.234 0.492 Passed(U505) MID Span 1 under Roof loading Total Load Defl(in) 0.394 0.656 Passed(U300) MID Span 1 under Roof loading -Deflection Criteria:STANDARD(LL:U240,TL:U180). -Bracing(Lu):All compression edges(top and bottom)must be braced at 7'1"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. PROJECT INFORMATION: OPERATOR INFORMATION: 24 ST.FRANCIS CIR J Andrew Shakliks HYANNIS MA MID-CAPE HOME CENTER 465 ROUTE 134 SOUTH DENNIS PO BOX 1418 South Dennis,MA 02660 Phone:508-760-4410 Fax :508-760-4559 ashakliks@midcape.net Copyright O 2005 by Trus Joist, a Weyerhaeuser Business - Microllam® is a registered trademark of Trus Joist. ®� �Tj SCREEN PORCH -AWr:7005i226usiness 1 3/4" x 9 1/2" 1.9E Microllam@ LVL TJ-Beam®8.20 Serial Number:7006122639 Page 2 User:2 E gi eOVersion56.0.6 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will 'be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Building Code BOCA analyzing the TJ Distribution product listed above. Operator Notes: NO DRAWINGS PROJECT INFORMATION: OPERATOR INFORMATION: 24 ST. FRANCIS CIR J Andrew Shakliks HYANNIS MA MID-CAPE HOME CENTER 465 ROUTE 134 SOUTH DENNIS PO BOX 1418 South Dennis,MA 02660 Phone:508-760-4410 Fax :508-760-4559 ashakliks@midcape.net Copyright O 2005 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. f r U ' - r if r a (°tea k4 o �} �' CP j i i j Q i 1 ' 'V { i 1 i / \ J •1 { t tea, kj q (50 tellel \x , NX KI Qj p r i di i 1 ft r . v q f 1. ry 1 V • r ,. ,. � . i � j I �� ��� � � ti . _ .�._..,, ,. ( � �� � zi[J t I , � �3� —. -...��...F......a .,,-... ,�.......e..,, - ...! Ia ttt � i :� �; x .. _�__.___.___._w____ _.. -- �_-_ .�__-f � , � .�` � � � �� Vf } �{ � � � ! , � j { �� 3 4 �'' 1 ' jJ w � ,N�, � � I x"3 € i t� ! + i ; � � r � i :. � _ ,�� T � � , . �,� �;.. � � F 5 ; r i � � � ' �, ,�' �� � � � i � �; e i � � Town of Barnstable P�OFTHE Tp�� Regulatory Services Thomas F.Geiler,Director r BARNSTABLE, Y MASS. 1659• ,• 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: >y Z Za 1� , 1 JOB LOCATION: 'L l� n e ► C number / street village „HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: ,-a 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,-rovided 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 of 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 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." r 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 Town of Barnstable Regulatory Services swaxsznsi.e ' Thomas F. Geiler,Director A E 1 39- Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 1 . {tom www.town.barnstable.m axs Office: 508-862-403 8 Fax: 508-790-6230 PLAN REVIEW 9 Owner: GGtra�V &6 e 14 Map/Parcel: Project Address 4y 3f Emneu 6rdf, Builder: ©wwe.- he following items were noted on reviewing: ' 1 TX4 'r C RfY�� Q�C�� 0.+ 'A66V C r',44 Orr �49 `�S C 6P' Q��� 0.� I�OIti� � Ot.nQ Qe�-^ • / /-6iP�C e� O $ ,p/4� �1 ° S1�e4C. " , , �CICW IPae�+ a Ghn 16W 0.M Reviewed/by: Date: J� Q:Forms:Plnrvw oFISE ram, Town of Barnstable r Regulatory Services BAMffABMNAM ` Thomas F. Geiler,Director 1639. �0 p Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Caro IV n &6®1 g Map/Parcel: C�q Project Address F �krc/f Builder: Owwe.- 'I r�,neu The following items were noted on reviewing: ow `Is c e- o' 0d�C- d 4 foo�lltt3 - w�.�rlrm® new�- �e ��+� 14 beAow r t -7 �6w oxe- os�- Co eLA'-d 4 66Atjr 7 Reviewed by: Date: J� Q:Forms:Plnrvw RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE o square feet x$96/sq.foot= x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0041= STAND ALONE PERMITS �317,07 Open Porch e >.to x$30.00= (number) �� 67 o` o Deck _ - / x$30.00=�3 3 : (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving '" $150.00 (plus above if applicable)` Permit Fee Projcost Rev:063004 C0 Town of Barnstable Approved Regulatory Services Fee �b Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: '508-790-6230 Home Occupation Registration Date: Name:rA n�(�►�l n�f��A T tPtOhPI-� I��M�GPhone#: SD$ -7-71— Address: t Villager ' Name of Business: Type of Business: tl'' Map/Lot: q Zoning District L oning Districts RF and RC-1 require Special Permit from Zoning B card of Appeals: , INTENT:It is the intent of this,section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to;the provisions of Section 4-1.4 of the Zoning ordinance,provided that the -- or odor;no visual activity shall not be discernible from outside the dwelling: there shall be no increase in noise anything other than a residential use;no increase in traffic above normal alteration to the premises whicl 'would suggest residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on the permanent resident of a single family residential dwelling unit,-located within that dwelling unit. , • Such use occupies no more than 400 square feet of space. .. There are no,extemal.alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excessof normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. There is no exterior storage or display of materials or equipment. . ' .There is no commercial vehicles related to the Customary Home Occupation,other than one van or one t pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4'tires,parked on the same lot containing the Customary Home Occupation: No sign shall be,displayed indicating the Customary Home Occupation. ; x • If the Customary Home Occupation is listed or advertised as a business,:the,street address shall not be included: " x "5 be employed in`the Customary Home Occupation who is not a permanent resident of-the No person shall � "dwelling unit I,the undersigned,have read and agree with the above restrictions for my-home occupation I am registering. § . .F 0B ate. (o �$ Applicant: µ Homeoc.dac - > TO ALL EW BUSINESS OWNERS DATE: Fill in please: APPLICANT'S YOUR.NAME: ro/ ��hn/a �-�e0 r; fj- oboIa BUSINESS YOUR HOME ADDRE y SF -Fv�:nc���'err o TELEPHONE '` `"''""�`- Telephone Number Home -'7-2 — - 155 -7 NAME OF NEW BUSINESS i _ e TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YE Have you been given approval from the building divisi0 ? YES; 1 NO F-1 p� - ADDRESS OF BUSINESS -I-. MAPlPARCEL NUM-BER / I ZZ When starting a new business there are seve-ral things you must Min order to be in compliance with th-C ales and regul ions of the• own of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Tov,'n Clerk's Office (Ist floor - Tovin Hall) or if you get the business certificate first you MUST go to the following office to make sure yo" have u;: ,he required permits and licc-.ses.. . GO TO 200 Main St. - (corW.of Yarmouth 5d. & Main Street) and you will find the following offices:. 1. BUILDING C MISSIO R'S This individual s en in rme of rmit equirements that pertain to this type of business. r ed Sig ture*" . COMMENTS: :t/ 2. BOARD OF HEALTH This individual h n info e he rmit requirements that pertain to this ty,pc of business. Auth ized i ature COMMENTS: OUO [?�� / S usib ell,iWR 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h been informer f he ing requirements that'pertain to this type of business. ` o >� ce. Authorized Si9 nature COMMENTS: Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which youmust do by M.G.L. - It does not give you permission to operate - you must get that through completion of the processes from the various departments involved. { "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. i I e00h7336Pact 073 53s88. DEED i I, Sean F. Daley, Trustee of Shannon Realty Trust u/d/t dated December 4, 1987, recorded with Barnstable.County Registry of - Deeds in Book 6705, Page 048, of 49 West Hyannisport Circle, ` W. Hyannisport, MA 02601, for consideration paid and in full consideration of Less Than One Hundred Dollars ($100.00), grant to St. Francis Circle Corp. of 24 St. Francis Circle, Hyannis, MA 02601, ;s with quitclaim covenants, . the land in Hyannis, Barnstable County, Massachusetts, being shows as Lot 12 on a plan entitled, "Subdivision Plan of Land in Hyannis, Barnstable, Mass. Petitioner John Rosario & Joaquim 0 o Rosary," dated November 1961 and filed with Barnstable County g Registry of Deeds in Plan Book 167, Page 85. N N Subject to an easementfrom John J. Rosario and Joaquim J. i.`i`x; . Rosary to the New Bedford Gas and Light Commpany as set forth in, an instrument dated March 2, 1972, and recorded in said Registry of Deeds in Book 1611, Page 111. Q) Subject to an easement to Barnstable Water Company as set forth u u in an instrument dated March 19, 1972, and recorded in said Registry of Deeds in Book 1612, Page 269. 01 M : .s Subject to a covenant between John J. Rosario, also known as John Rosario, and Joaquim J. Rosary, also known as Joaquim w w Rosary, and the Barnstable Planning Board, dated February 29, ' 1972, recorded in said Registry of Deeds in Book 1612, Page 270. 4�N d Together with the right to use all the ways as shown on the N N aforementioned plan, in common with all others entitled thereto, for purposes for which ways are commonly used in the Town of N N Barnstable. . yDDD' For title reference, see deed of Sean F. Daley dated December 4, r' 1987, recorded April 19, 1989, with Barnstable County Registry >+y of Deeds in Book 6705, Page 053. WITNESS my hand and seal this 26th day of October, 1990. ,j .,Sean F. Daley, Tr stee COMMONWEALTH OF MASSACHUSETTS a, r . SUFFOLK, ss. October 26, 1990 Then personally appeared the above-named Sean F. Daley, Trustee of Shannon Realty Trust, and acknowledged the foregoing ti instrument to be his free act and dee before me, Jor n E. Sutherland Rotary Public My commission expires: August 21, 1993. -Bari (T OCT 26 90 1 N N . 7+ p tl / (tit\\) 31, o � h pw aQ P , n I ,. Ilk �► A� kn S r Q _ �! CIO\ '' l i • s f'K F - y 1 o ti` c>Q ` r N Olt. qA 44 , i i t _ y lI (44 01 W f Y cl 3 � f ilk\ LA i i� JI 1 I Nn 1 V l tY 'v J � Q 1!� y t r }i 3 �4 ' 1 1. a 1 a i j g I rti. 1 r' T .. 0 J b ��� V � O a ,a ttt 2� a i I ep — $ i i D° _ s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map° Parcel2_ Permit# Health Division �� �1'— �2/� C� I Date Issued 62 Conservation Division Fee 4 - '0 6®o o� �D o��Qo� ,2 Tax Collector - _ N - _ _- _— -F ok col( o �D� �p9A, propo � y SEPTIC SYSTM PAUST BE Treasurer _ ">=---- - �®1O o, =T=W1N=MJANCE Planning Dept. IRS TITLE S Date Definitive Plan Approved by Planning Board 8WIROMMAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address F4,et 1 r r 14 Village Owner s �r ��/I Address r � Telephone Q T< -"7_ //< 5 Permit Request A w �/a , 4. e m eri n Ai Z_ 9 A1 - ONLY 0-AAN-4&- +n 15)o7_;PRW7- /•S 0)65 QN 600S r Square feel: 1st floor: existing proposed �03 2nd floor: existing SV Z- proposed ?'03 Total new -3 7 Valuation , g o —Zoning District Flood Plain.� g � Groundwater Overlay Construction Type /V Lot Size -A A ill V, Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family 0 Multi-Family(#units) Age of Existing Structure I-I Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ATNo Basement Type: O Full 0 Crawl ,Walkout ❑Other ; Basement Finished Area(sq.ft.) 4700 Basement Unfinished Area(sq.ft) g 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 0 Other Central Air: ❑Yes A No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes XNo Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:0 existing 0 new size Attached garage:0 existing ❑new size ShedA existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial 0 Yes No If yes, site plan review# Current Use Proposed Use . -e BUILDER INFORMATION Name C � (�r.�J Telephone.Number 54t 7`? `fig Address S'4 b�_�a�r 3� �. License# 0 ST el ''_7 - 1 Home,Improvement Contractor# ® Worker's Compensation# VC /,3 1.53/7 Zn 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO rA , , � r SIGNATURE i DATE ` 8 i _ �Y FOR OFFICIAL USE ONLY •PERMIT NO. s, DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE OWNER =' - DATE OF INSPECTION: FOUNDATION -FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL i to GAS: ROU V! FINAL iff— FINAL BUILDING r' m DATE CLOSED OUT a �= ASSOCIATION PLAN NO�-o z 77ie Commonwealth of Massachusetts Department of Industrial Accidents t � _ '_� - omcratlaias�oa�aas -" — 600 Washington Street . Boston,Mass. 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XJ£w.at: .;i ..;F•ah<x, •.:C. L�F^'Y?'TAJ• v:,++:.::� v >.`':< .. Z vPNw`Y.Cik^,a ..K.�:6rTKn .X,;2�::+R.�>} ; eia;. "'ea:wt{oyt�,eYegy� •2, J� ?{;.::J...>�.•.Y•.�•�.•'?'.:�..:. gas to seeo:e as eegadesd—daa Seetion251,otMGM =cold to tba da i peaaiilea da lh�ap to S1�00.Q0 aadlor aaweaeaChu Pei inthtttumdasrOP OI datndtiNmadatavimtma ttIDdastmd<hat:a �P7 of Chia atat�mat ha torwanied�tha Oma otIarntiptfom ottha DtAtar��� I do har3y=AfY under the Ftmct tmdPawkiet ojper�ury 'au prvri&iabow it truce mrti caned p y Cc,".k Paat nBlpe K 9 9 !` �. .� am oinciaL use a* do not wtita in this area to be eowleted by d.y"7 er tOAd tli��/�t� ��,,,.� �OltOAa: O �Fsdtdia`Dee ` . Q chLckuiaaz�ediata response to required Licanong Board (]Hadth Depews rung _❑HeaithDeps� contact person: Phone0 �Other 4enrp Y/93 P1N r , Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for :: empiovees. As quoted from the "law", an employee is defined as every person in the service of another under env c of hire, e:cpress or implied, oral or written. An employer is defined as an individuaL parmership, association, corporation or other legal entitY, or any two or more ci the'foregoing enz_aged in a joint enterprise, and including the legal rep rescotatives of a deceased employer, or the rc—n,e: truster of an individual,partnership, association or other legal eatity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides thercm,orthe occupant of the dwelling htnmse of another who employs persons to do maintenance, construction or repair wark on such dwelling house or on the gr^mds c: building appurtenant thmeto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or loran licensing agency shall withhold the issuance or renewm_; 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. Addtttonally,neu commonwealth nor any of its political subdivisions shall enter into my contract for the performance of public wm:k ozb u u ntil acceptable evidence of compliance with the iasuraaex=q 1 of this chapter have bees presented to the authority. - Applicants Please fill in the wod=, compensation affidavit completely,by checkingthe.boxthat applies to your situmatiaa and supplying company names,address and phone numbers along with a certificate of insurancx as all affidavits maybe submitted to the Departuat of Industrial Accidents four c ofiasur�mce coverage. Also be sure to sign and date the affidavit The affidavit should be to the city or to thatthe application forthe permit or iic=se is being requested,not the Department of Industrial Accidents. Should you have nay goesfw=regarding the`law"or if you are required to obtain a wodmm'eompensatioa policy,Please call the Department at the mmber listed below. City or Towns Please be sure that the affidavit is complete and primped legibly. 'Ihe Department has provided a space at the bottom oft . affidavit for you to fill out inthe ment the Office of - has to camact you regarding the applies= PL-se be sure to fill in the pci63Micease nunbei which will be used as a re&=jcx suer. 'Ihe affidavits may be rcuu:iR to the Deparancat by mail or FAX unless other aaaagemeats have been The Office of Investigations would like to thank you in advance for you cooperation and should you have nay cluestions. Please do not hesitate to give us a call. r� Xxx The Deparancat's addrm:ss,micphone and fax number. The Commonwealth Of Massachusetts ' Department of Industrial Accidents Ofllce of lavesuations 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 f1MET�O ti The Town of Barnstable "aAsNsrwsc.s. = . NSrA g Regulatory Services Thomas F. Geiler, Director 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: a >. Estimated Cost Address of Work: Owner's Name: Date of Application: /67 -7— I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 uilding not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING W UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVIDENT 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 the owner. - Contractor Name Registration No. T- Date O Dat Owner' ame q:forms:Affidav:rev-070601 Preuriptire Packagn for One=W TWO Fam* BdWliW Snnd t*Foud Ftuh MAMIum lYmYIIN11M HoanBrCooLaB Gla=g Qlam"8 Ceiling Wall I Floor a-- • " Area'(0/0 U-Vaiuc R veluet RrwW=' Rrvaitd Will F4simp Fgde 1pad=e RWabjlo Rrvaloar SI01 to 6=ff*xd29 D flaw Q 17'. 0.40 38 13 19 10 6 Namal R 121% 03Z 30 19 19 10 6 No=ai S 12Y. OSO 38 13 19 10. 6 83AFUE T 15% 0J6 38 13 2S WA WE Normal U 15% 0.46 38 19 19 10 6 Narmai v 13% 0.44 . 38 13 25 WA WA 15 AFUE w 15% EO.42 32 30 19 19 f0 6 8S AFUE X 18% 32 38 13 25 WA WA Namud Y 18% 38 19 21 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA is% 030 30 19 19 10 6 90AFiJE r �1 Z 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS. 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY#2): � S. SELECT PACKAGE(Q—AA-see chart above): _NOTE: OTHER MORE INVOLVED METHODS OF DEI UMMING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyliehts. and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirem6nt. For example.3 fr'of decorative glass may be excluded from a building design with 300 fl of glazing area- 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.53a U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavityy insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing.must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R,19 requirement could be met EITHER b R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to Y t3' wood-frame or mass(concrete,masomy,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mer: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d_scribed in Note b. 'The R-value requirements are for unheated slabs.Add as additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city ortown see Table J52-la NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with . different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted aveiag_e U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Town of:Barnstable . Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 5,08-862-4038 Fax: 508-790-6230 c HOMEOWNER LICENSE EXEMPTION Please Print JOB LOCATION:_ 4_ s�— CCV1 US Cif C number street \ ^� Cvilllaagge "HOMEOWNER':_`�v'o l k t.— ?: ( SOb ) �� I SS / C J�C)) v) name home phone# work phone# CURRENT MAILING ADDRESS: ssztib 1-I C 131-) 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. /l,u � Signature of Iforneowner 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 F peison(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:EXEMPTN i . � ; R'� � � a� �l � i - - --�-- --`^� t a '�.� 4 `W � � � � � �Q { b ��` O � I � � ` f ��,- �v X4�.�-r..�.w { � ' � � � � � � � � , � � . � � � 4 � ' ? � ' . � � � . _ � .. N . . - � Q ,, � �- �� � � � �' � °„�� � � ` - .�� . s .. , � r�,,� . �i,, . �'"` .� - 1 r" _ � - 1 i O ao a rb _1 3_ tl\ v , v 1 r k LA _ W aQ E l Y U j x py .ram � k r.5 Y hL^ . 77 ` ' Cyy YYY V e1��♦ � lk m k'j r) �> N� Ll All Tr- IT) �. kj� o �G V tdi !7 i f f I s -4 n ' 1 0 y31 c5Q j i N " J iJT �y 0 _ 1 t C1 x a r f 1' � r O a TI -V.11 CO �j - e In a - f. 1 � 4k rA r TI Ll r 1 R r , a .4 Q o u iq i � °FYHE A Town of Barnstable Regulatory Services 9 ntuv c.e$ Thomas F.Geller,Director 1659. �0 �''°rfo Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number j �x /0 .. � V Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? / LGC i ci,. As Conservation Commission(signature required) /, ' / �� _ A'oTEb o/+.j PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:083001 op 27 "� \ / FLAG 3 \ 27. 4 \ \ _ EXISTING 1000 CAL DIRTDRIVE � SEPTIC TANK 1 SOIL T7TS (2) FLAG 4 28 � S XISTINC I FLAG 5 ��FtLINC 1 5 1 EL�.y ZOO R 6 co 30 FLAG 6 I c — y ® zs: I 29 gS \ \ 1� ---725 _LJ_ 26 T H-2 �. ' ' TH-1 27 BENCHMARK AT Cn 29. 7 / F HOOD STAKE FE ELEVATION = 26.0 9� \ 28 /\ 2 WORK LIMIT LINE (EXISTING ~' 30 30 ELEV. CZ \ PROPOSED LEACH FIELD EXISTING FLOWDIFFUSORS (SEE NOTE # 11) 30. 7 KEY: RETAINING EXISTING CONTOUR: — D-Box WALL PROPOSED CONTOUR: EXISTING SPOT ELEVATION: 25.5 /�• PROPOSED SPOT ELEVATION: 25 j �.Ca�L/ �i� � 3r '� • TEST HOLE: 2•5' z7 . UTILITY POLE: -0- 101 FENCE LINE: HYDRANT: -6- 4� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map g ` Parcel oZ Permit# Z/ 70 Health Division '` Date Issued/UU Conservation Division Fee Tax Collector- S c, Rai Treasu Planning Dept. Date Definitive,Plan Approved by Planning Board , Historic-OKH Preservation/Hyannis :Project Street Address Village Owner Address, U Telephone 7 2% S� , Permit Request , < - aA -7 D Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation#4 0 a Zoning District Flood Plain Groundwater Overlay 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 lo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl G�Walkout ❑Other _ ` Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new -i Half: existing new Number of Bedrooms: existing new , Total Room Count(not including baths): existing new First Floor Room Count Heal Type and Fuel:*Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes /; No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes ❑ No Deta axage�❑existing ❑new size--Ped-U.existing ❑new size existing ❑new size Attache-aage7 existing ❑new size Sled existing ❑new size ---8t Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ . Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGMPRE tea, DATE � � + FOR OFFICIAL USE ONLY , PERA41T NO. DATE ISSUED ;• i. i MAP/PARCEL NO. ADDRESS - _`� VILLAGE OWNER" • �� - , r - -y , _ . , - . ^ III DATE OF INSPECTION., • FOUNDATION FRAME INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL r, PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL - FINAL BUILDING _r DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts . ' Department of Industrial Accidents oxce of/mesdFROEs 600 Washington Street �4 Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name Ca d d L2 ®S 1 location: t� » C C, d' ci hone# 2 I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in ca achy I am an em 1 er raviding workers' compensation for my employees working on this job. ❑. .. . . Pay P.. .. cam an name p Wine: a # alley#: , instuance cd. 22 ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have e following workers' compensation polices: com an .names ad ..::::.. ........ °thin ei ........... et ............................... ::.:::::::::::.:::::::::::::..:.....:::::::::::::::::............ .::::::.:............................................,.........:::::::::::::::::::::::::::::: ::::::......................... :.: :...::..::...................::::.:................................... tv hsnratreeca;: ;� sit;name:... ......... ;,,, ,....: .:...._; >..... ,:................:..........:....:. address: :. bane# ct n�nrance co>. <: oli Fall=to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,Moo and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand finat a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincedom I do hereby certify under the pains and penalties of perjury that the information provided above is trw.and correct Signature �'�-n-m�.Ar..� �O>� 9-t?�� Date /•� ��' 7 � � - Print name , Phone# �Z '7 ofncial use only do not write in this area to be completed by city or town official city or town: perndt/llcense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; o�er Uevuu 9/95 PJA) { r� Information and Instructions t Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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. F*wk ,Applicants V hA k Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and 71 ` , PPly�g Company names,address and phone numbers along with a certificate of insurance as all affidavits may be r���.�'�submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and :4'g 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. City or Towns that the affidavit is complete and printed legibly. The D Department has provided a ace at the bottom of the Please be sure comp PeP P space 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 pemiit/license number which will be used as a reference number. The affidavits maybe rctarned ie the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Imle31302HOns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 . The Town of Barnstable Regulatory Services ED MAC'' 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 ® 0 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: 5� Estimated Cost Address of Work:�� �/�,r ge )., r. > z Owner's Name: C6 r 1P Date of Application: 0 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 �wner 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 the owner: Date Contractor Name Registration No. OR Date Owner's Name g1orms:Affidav + - Will ti The Town of Barnstable EMMSTABM 9 MA g Regulatory Services 1639.'OrEOMF►'ta Building Division 367 Main Street,Hyannis MA 02601 I Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: /0 A J JOB LOCATION: Z n numb r street village "HOMEOWNER": co.�a 7 7 r c w name �C — home phone# ork 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. Stgnaiu�re-of meowner 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 cotnmunity. Q:FORMS:EXEMPTN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel Permit# A-9 Health Division Date Issued Conservation Division_t7_I1 on Fee 2 �� Tax Collector �� C" Q ���,-/!z I&LeLl.e4 'P71C SYSTEM MUST Treasurer . ll -1-7r tSTALLED IN COMPLIANCE Planning Dept. 4 WITH ENVIRONMENTAL CODE AND'�LE 6 Date Definitive Plan Approved by Planning Board TOWN REQUL—nONS Historic-OKH Preservation/Hyannis Project Street Address `�-.U ���v�c i S C 1,C c 1 Village 0,\v1 S Owner o Address Telephone t Permit Request ,�2 Z2 C 2 //�10 � Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new i Valuation `3 3S0 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Q. Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o . On Old King's Highway: ❑Yes No Basement Type�ull ❑Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) 7 0 Basement Unfinished Area(sq.ft) 6"�? Number of Baths: Full: existing new Half:existing�� new Number of Bedrooms: existing new / Total Room Count(not including baths): existing Z new First Floor Room Count Heat Type and Fuel:yas ❑Oil ❑ Electric ❑Other ` Central Air: ❑Yes vJ/moo Fireplaces: Existing New Existing wood/coal stove: ❑Yes(3Ko Det gafga"O existing ❑new size �slexisting ❑new size Barn: ❑existing ❑new size A�aarag,"existing ❑new size �__,%hed'D existing ❑new size Other: Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE O .i FOR OFFICIAL USE ONLY PERMIT NO. y DATE ISSUED _ MAP/PARCEL NO. ' ADDRESS VILLAGE , OWNER ' DATE OF INSPECTION FOUNDATION+ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: . ROUGH FINAL FINAL BUILDING in DATE CLOSED OUT ASSOCIATION PLAN NO. ' FILE # MIP 17801 ;'> .CENSUS TRACT # 126 CLIENT : su11.ii-an Williams & Quintin DEED BOOK 7626 PAGE 207 OWNER: H. -Mull i an� P AN BO K PAGE LO ASSESSORS PLAN 291 PLOT 224 APPLICANT: Carolyn Bobola MORTGAGE INSPECT' I0N PLAN of LAND LOCATED AT 24 ST. '.FRANCIS CIRCLE SCALE : I "= 40' BRRNSTABLE, MASSACHUSETTS JANUARY 6, 2000 Q� ,x LOT LS>T 13 LOT l 2 14.p°± Z4 ` . I/Z STY P �` R. WALL 8G-32' - -70 00 5T, FRANCIS QKCL-E I CERTIFY TO SULLIVAN, WILLIAMS, & QUINTIN, TRANSGLOBAL MORTGAGE SERVICES, INC , AND ITS TITLE INSURANCE COMPANY, THAT THERE . ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION , THE LOCATION OF THE DWELLING AS SHOWN HEREON `"A"A°"IS IN COMPLIANCE WITH THE LOCAL APPLICABLE *ri tN OF • ZONING BY-LAWS WITH RESPECT TO HORIZONTAL ; 4�P`r. ' DIMENSIONAL REQUIREMENTS . j — ° KR s\ FFf 4-IRA THE DWELLING SHOWN HERE DOE N OT ALL WITHIN NL)* 28716 +� A SPECIAL FLOOD HAZARD ZONE S DE INEATED , ON � 9 �2 A MAP OF COMMUNITY #250001-00 DATED r 7/2/92 BY THE F . I , A, 1VAt-i,�1ai%`� THE EXACT LOCATION OF THE BUILDING SHOWN CAN JOT BE DETERMINED WITHOUT AN ACCURATE INSTRUMENT SURVEY . Kur►ncth lt.Tcrrcira Engineering, Inc.' R0.0(ix 19113 ' Nv.IMN� New Bedford,Mn 0274 1-1 903 Tel:508 992-nn20• Fax:508 992-3374; GCNCRAt NOTCS: (1) The declarations made above are on the basis of ■y knowledge, information, and belief as the result of a mortgage plot plan tape survey. inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (1) Declarations are made' to the above named client only as of this date. (3) This plan was not made fo'r recording purposes, for use in preparing deed descriptions or for con— . structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate ;instrumenC''sucvr.y. " f 'eo x %JI th IA fir KP � s t e 00 _oo - _ i _ - - ' _-- E �_ __ __ - - --- _ _ _ _ � --- • • 1• In fE 1 ts d �lOa +fI � • - a U . �. 1 All . . i Y IKKE The Town of Barnstable B"R g Regulatory Services 1659. oi9.�� Building Division 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 2 - /1l JOB LOCATION: Z village numbe street "HOMEOWNER": _e o l work phone# name home phone# CURRENT MAILING ADDRESS: ,!���'Q 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. 4_aoMom4weT_4__��� 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 asupervisor(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:EXEMPTN 1' _`i2-- — The Commonwealth of Massachusetts A-=ter:_. : . ' Department of Industrial Accidents x . , - : Offlce 01/fnresMM989819s - 600 Washington Street - Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name: C,a C 0 1 1� .1-\ . 46D z z za - I I • location: Z c , I, f I . . M e. r, » hone# I am a homeowner performing all work myself. ' - . I am a sole rietor and have no one workin in anv achy /%%///%%%///%%%% ////G� %l//� '�/�/%%i ❑ I am an employer providing workers' compensation for,ray.employees worldng on this job. . ::;;< :.:; . ..... .::... . cbaiaanvname :: . sd8fess .: :. . .::..:.:;;:: ..:..:.:::..:.:::.;:.;..::.;;:.::.;..;.:::::::.....: .:..:.:..:..:. ;. :;:;.;.:;.;.:;.::: ohtme#:. .:::.::::::.:.. :..:.:::.::: ;;;>:::;. ::.::::.. .: .. :::..:.:....... .::::...::...: insnraace ro. . . .. /, ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have ' , ! the following workers' compensation polices: comyanyname - . : .:........ ... :. Tess. ,. ;.:. .:::::::<.::;::;:.:::.::.;;::..::;;:.;;;>;:.::::.;:::;. :;:.:::.;:.:;:.;:;;r;::<.:>;;<.:> :::: :.;.. <:::::>:.::.::«:::::;:<:>::>::;::::;::;:::;:: A::....::.:. :::::::•::• ...... ......... .... ................ T' �'Y'..... .... ................................................................::.A................v.:...:...:n:...:::w.v::.v:.�::::::::::.: .... ............................. ................................. .... ..:x:::a•;::::••.w:.. ...:�...:n:...3.: >..bhtm ;;::; <:::�:; :... ...................:................................... :::. >•........ banranee co : : .:X:,:.........:........I . ...... ,..::.. olity# ::,: .... . . .- ... /. :.. snv:name:,....:.,:,<::::::;::,:,:::. aditress. cilV" ...::...: .. <>::<>:> :......::::.....<::::>: phone# i>s>:_ » :.` � `t'> > .....-g as ?>2}<i ' ::`'li ;co::.: 0 n c e inn ra gailmm to sees coverage as required under Section 25A of MGL 152 can lead to the fmpositlon of erfmioaf penalties of a am up to si.swo0 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flue of S100.00 a day against me. 1 tmdeestand two copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage vertfleatlon. I do hereby certify under the pains and penalties of perjury that the information provided above is trw and correct Signature Date /A � o Print name -_, r * /v ., J A �A Phone# 7�I I S 1 7 official use only do not write in this area to be completed by city or town official city or town: permit/license it ❑Building Department . ❑Licensing Board ❑checkifimmediate response is required ❑Selectmen's Office ❑Health Department contact person: phone 0; ❑Other UrmW 9195 PJA Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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. NO ,_yjApplicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and I;;,,supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be N 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. City or Towns 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 permrt/license number which wdl be used as a reference number. The affidavits maybe retemed'to the Department by mad or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. For The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Ottloe of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 CF 114E : . The Town of Barnstable • BARNSTABLE. • X. g Regulatory Services rEc N,pr a Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, 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. I �f /—W— Type of Work: 1�@ p o // C, Estimated Co Address of Work: �- � �.5 c y r y� 7 Owner's Name: ` Date of Application: J / 7 / ° e I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBIT RATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav 1 THE To�ti The Town of Barnstable Department of Health, Safety and Environmental Services 9RAWNWABIX$ Building Division �A i639' a,0 367 Main Street,Hyannis MA 02601 TFa N►n� Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: TyJ4 1 , 1g99 Name: On it I"t-n M Dire V a Phone#: — 291q Address: y sh-. 9VnX C A-, C V-C\e Village: c7.r\y--\i-S Type of Business: Ra,2-\\A1ncx Qo.n OJaA On Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: 0A p-g A 0" 2MM 4 gS Date: 1 gQpi Homeochoc �I . q.�/ -� *TNU ; Assessor's map and lot number ..� �f.,. .............�� .../ o 0 Sewage Permit number '. ............... ... : 2 BARESTNAGa LE, Hous . 2...number ................................... .;�.............................. �. 90o 1639. \00� r' 0 Mix a' TOWN OF BARNSTABLE T*w BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......1.! r Uwe . ................................................................................................................ r TYPE OF CONSTRUCTION ........�.,l�I)/77�R .................................................................................................................... ���ICofjPr ��o ...19....0.. ; TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ^Location .. ... �.:.., .`�!`??�� '. ..5.... /!((.. . —.......................................................................................................... Proposed Use ....��v//I/('^..,.!i.L(/, �l/V..; ............................................................................................................. Zoning District ........R..8......................................................Fire District ..... .f. !t/ . 5....................................'...... Name of Owner ..� �/1�.. ... 4�.J.................Address �..Y.., !7 yl../V/✓l,S �1���f..e ��� .. /�.•7....... . Name of Builder~/ . .... ::...U .. .. Address .. 5 . ......../ . r.:. l 1 Name of Architect ..................... ...... .........Address ........ .... .. .......... ............... ..;. ASSOC:_.... KNumber of Rooms .............Foundation ....................................................:.......... �yINGL'� S Exterior ...................-...............................................................Roofing ........:........................................................................... j Floors �� �f. j//1/�0..................................................Interior .................................................................................... Heating . :.C T� / Plumbing /� f Plumbin ...................... >..................................................... Fireplace ... 0.......................................................................Approximate Cost ..� U,..0.UU.:.f'd.....:........ :E � , Definitive Plan Approved by Planning Board ________________________________19________. Area ...................`:`...................:: Diagram of Lot and;BLilding with Dimensions Fee'................. ....-..................,.. SUBJECT TO APPROVAL OF BOARD OF HEALTH e ,1! r v OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of arnstable-�ega,�ng the above construction. l Name . ................. ...... ..................... ............ Construction Supervisors :License s`.... ......:............12 DALEY, SEAN F. A=29 4/224 I -8to y No ....M.05.. PerMit for ......... .... .................... Single Family D elli g 1 ........................................... ......... ......................... Lot 12, 24 -/F Location ............................. . r 4.n. ......: D:.A1Aqis...Cir.cle Hyannis ....................................................................:.......... Owner ...S.e.an..F.....Da.l�U.................................. Type of Construction ......Frame.......................... ................................................................................ Plot .... ........................ Lot ................................ Permit Granted ...October 4,..... ......y.......................19 85 Date of Inspection ....................................19 Date,"Completed ......................................19 map and lot Aoehor's� 'q number %THE Sewage Permit number ....... ........................ A MM ST IM '31, STABLE.3%1E House number ............................#..? l........ A* IC .%37ALLED i C oa Mff?,-t T11 L 11M TOWN OF BARNSTANDLEmENTALCODE AND TOWN REGULATIONS BUILDING INSPECTOR � i �y s ; '' 'J°'� "LE APPLICATION FOR PERMIT TO ....... ..................................................................... . TYPEOF CONSTRUCTION ........ ...................................................................................................... '4.... 19 . ........... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Z.- .......... Location ...'I 57-..h.gd.,W. ..azs....cxecz,c.. .............................. ............5..�7r y.......... ........ .............. 2 ........- ....... ProposedUse ....41 xa� .............................................................................................................. Zoning District ........R.)(3.............................:.......................Fire District .... 5........................................... 1�YkJAI'lVi S PO)Q-j-C-IR C 4C #'y1W1t1,(S-11t ........— -Al F J)1-F 4�Z..............Address . .............................................................. Name of Owner ..................................... 1-20 V Nameof Builder ... .... .................Address . . ........ . .... ............ ............................. .. .... ....... ....... ... ...'..K.ARYN7.6.q.1 -.5S6C,. -�..Adclress I.:A. ................... .1 Name of Architect . ......... .fie ...................................................Foundation .................. .. ....................................................... Number of Rooms ........ . Exterior ... ..............................................................Roofing ... . . ........................................................................... Floors ....................................Interior .......................................2 Heating . .................................................Plumbing ............................. ..... Fireplace .../VQ............. .............................................. Approximate Cost .......................... ................... ........ Definitive Plan Approved by Planning Board -------------------------------19--------- Area ./6-2 . . ................ Diagram of Lot and Building with Dimensions Fee ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH ��/''" " `- (9 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of ornstabl"egca,, i g the above construction. Name . .. ................ ............. ..................... ..................... --- � 7-3 S' Construction Supervisor's License ....................i 0/ 9 .? a DALEY, SEAN F. 'rjo 28485..... PeG.mit for ...1.2...Sto.Xy................ � � I Single Family..DF?P.U:LClg......................... r'1 Location .... .. zxcle.............. H.yan .', ;............................................... ` Owner Sean F. DaJ • Type of Construction ........Fr.L-,ie.................. :... .................... ........................................................ Plot ... Permit Granted October 4, 85 .................. e 19 N Av Date of Inspection 1:7. .... ..........199, Date Completed �- P 7 -.r 4 (0 F l ` „ le,460 ,�.. r©7-4Z- v 0 l r cE AAc;pT/F/ED f'L aT AKAN FOR .a TOWN OF: . . �' 1 �, �. ss. LOT J SCALE i / CERTIFY TMAT WHAT /S SHOWN ON THIS PLAN IS AS IT EXISTS ON THE GROUND sWD CONFORMS TO TOILt/N k'EGlILAT/ONS�tT 7HE TIME OF CONSTRUCTION. PATRIM <yA� gig § JOHN o i n's 4 c; Q©YLE' ASSOCIAT''S '' F• Z-lWO41rR, MA. { f' TOWN OF BARNSTABLE 2848.5 oFtxero` Permit No. ................ ° BUILDING DEPARTMENT I Cash TOWN OFFICE BUILDING .a. a639. HYANNIS,MASS.02601 Bond ......... CERTIFICATE OF USE AND OCCUPANCY Issued to Sear. e. taley Address 24 S' . Francis, Circle ,q • Hyannis, 114assac:iusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING 'INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. April ... 19 $� ..... ....� --� `Building Inspector TOWN OF BARNSTABLE / BUILDING DEPARTMENT _ BUISTAU MLZ TOWN OFFICE BUILDING 639 HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit $ ... .,! 7z ~� ..................... .......................................................»»...... .............. .. ». issued to �•,;• r ; tir................ h c ••./ � `•` '�G�rs f� ' �,�► .................. _........................ . .. .. _ . .. j» ......_..� . .._. i Please release the performance bond. " " 7 s LOCUS y REQUIRED VARIANCES FROM TITLE FIVE: 1. SECTION 15.248: NO RESERVE LEACHING AREA. 2. SECTION 15.212: LEACH AREA TO BE 4' ABOVE GROUNDWATER. S. SECTION 15.211 (1): LEACH AREA TO BE LESS THAN 10' FROM PROPERTY LINES. SAINT N 4. SECTION 15.266 (5): REMOVAL OF SOIL TO BE LESS THAN 5' LATERALLY. FRANCIS 5. SECTION 15.211 (1): LEACH AREA TO BE LESS THAN 20' FROM CELLAR BALL. CIRCLE REQUIRED VARIANCE FROM THE TORN OF BARNSTABLE HEALTH REGULATIONS: 1. SECTION 1.1 & 1.2 (DATED, REVISED: 2-11-92 : LEACH AREA TO BE LESS THAN 250' FROM WETLAND, 4' ABOVE GROUNDWATER AND SIZED IN ACCORDANCE MITCHELLS WITH TITLE 5. Wes, 2. SECTION 1.15: LEACH AREA APPLICATION RATE TO BE GREATER THAN 0.5. LOCATION MAP LOT 12A 13,983 ± S.F. (0.32 ± AC.) 80' - I 96" ASSESSORS MAP: 291 I PARCEL: 224 FLOOD ZONE: C I ' I FLAG 1 M S f- 25 \ FL©I Op FLAG 2 i b F SE 33( r ' 27 \ \ A \ FLAG 3 3: 27. 4 - _ - �� ` LE EXISTING 1000 GAL DIRT _t SEPTIC TANK DRIVE \ SOIL T STS (2) 28 I _tiG I FLAG 4 s XISTINC 28 2 gR00A( I I FLAG 5 ED M sELLIAR I ELE�us R 6y' co 30 FLAG 6 I — e _ � � 3 _ 25 26 T H-2 N �. . TH-1 so 27 BENCHMARK ~ \ \� F� E WOOD STAKE AT 29. 7 ELEVATION = 26.0 9� r /\7.1 2 28 WORK LIMIT LINE (EXISTING) 30 so ELEV. PROPOSED LEACH FIELD EXISTING FLOWDIFFUSORS (SEE NOTE # 11) so. 7* KEY: RETAINING EXISTING CONTOUR: — D-ROX WALL PROPOSED CONTOUR: EXISTING SPOT ELEVATION: 25.5 PROPOSED SPOT ELEVATION: 25 TEST HOLE: 2.5' sr 27' UTILITY POLE: -o- fa FENCE LINE: .. HYDRANT: -6 4.. RETAINING WALL: e n 16 o 411 0 L LOCUS REQUIRED VARIANCES FROM TITLE FIVE: EN( 1. SECTION 15248: NO RESERVE LEACHING AREA. 2. SECTION 15.212: LEACH AREA TO BE 4' ABOVE GROUNDWATER. WIT 3. SECTION 15211 (1): LEACH AREA TO BE LESS THAN 10' FROM PROPERTY LINES. 4. SECTION 15.266 (5): REMOVAL OF SOIL TO BE LESS THAN 5' LATERALLY. DA7 SAINT N 5, SECTION 16211 (1): LEACH AREA TO BE LESS THAN 20' FROM CELLAR WALL. PEl FRANCI S CIRCLE REQUIRED VARIANCE FROM THE TOWN OF BARNSTABLE HEALTH REGULATIONS: T. 1. SECTION 1.1 & 12 (DATED, REVISED: 2-11-92): LEACH AREA TO<.BE LESS THAN 25V FROM WETLAND, 4' ABOVE GROUNDWATER AND SIZED IN':A000RDANCE WITH TITLE 5. FILL MITCHELLS 2. SECTION 1.15: LEACH AREA APPLICATION RATE TO BE GREATER THAN 0.6. WAY LOCATION MAP LOT 12A 13,983 ± S.F. (0.32 ± AC.) 80' I 96" OBSERV ASSESSORS MAP: 291 GROUDY .PARCEL: 224 FLOOD ZONE: C I USGS i WEi I (PO N FLAG.1 SEPT 26 o 25 co I o FLOW EST I. op. FLAG 2 i b _3L BEDR00 SEPTIC 7 330 CAL/ USE.. 1500 27 ,. \ \ FLAG 3 27. 4USE ON F.Y.IS fgQ0_f7A-'. /SEPTIC'TANK ;� \ \ SOIL T7TS (2).. � ` 2' FLAG 4 SIDE Al 28 --� \ BOTTOM �• EXISTIlyG I FLAG 5 BEDROOdf L (o ( D1y zz NNJ 1 5 SEP7 a CO 30 i FLAG 6 y 2 — D1 A \ ► 33.87 8. P.C. FIRST Fl 29 35' \ \ 25 26 21 1 El TH-2 \/ TH-1 (EXI: 27BENCHMARK WOOD STAKE AT 29. 7 \ F ELEVATION = 26.0 28 CZ /\ 29 WORK LIMIT LINE (EXISTING) so so ELEV. TEE S / IN1 C1 \ PROPOSED LEACH FIELD OU7 EXISTING FLOWDIFFUSORS (SEE,NOTE # 11) (GAS 30. 7* KEY: RETAINING EXISTING CONTOUR: — D-Box WALL PROPOSED CONTOUR: EXISTING SPOT ELEVATION: 25.5 PROPOSED SPOT ELEVATION: 25 31' TEST HOLE: 2.5' 27' UTILITY POLE: —O— 10' FENCE LINE: HYDRANT: -b- RETAINING WALL: c� DM 17' DEMAREST—McLELLAN ENGINEERING 21' 24 SCHOOL STREET P.O. BOX 463 - ,WEST DENNIS, MASSACHUSETTS 02670 LEACH FIELD DETAIL .PHONE & FAX : (508) 398-7710 DM # 9_&124 jD30F26) . 1. S6CI-lUN 7a.L'�: lY1J tcb"Jb�I.d a.oiu.n�nv anon. 2.SECTION 15212: LEACH AREA TO BE 4' ABOVE GROUNDWATER. WITNESS: JERRY DU S. SECTION 15211 f : LEACH AREA TO BE LESS THAN 10' FROM PROPERTY LINES. N 4. SECTION 15256 fb): REMOVAL OF SOIL TO BE LESS THAN a LATERALLY. DATE: 10-14-98 b. SECTION 152H (1): LEACH AREA TO BE LESS THAN 20' FROM CELLAR WALL, _ PERCOLATION RATE: PER A REQUIRED VARIANCE FROM THE TOWN OF BARNSTABLE HEALTH REGULATIONS: TH-1 1. SECTION M & 12 (D_ATED, REVISED. 2-f1-92): LEACH AREA TO BE LESS THAN • 30.0 260' FROM WETLAJND, 4' ABOVE GROUNDWATER AND SIZED IN ACCORDANCE RLEV, WITH TITLE b. FILL . 2. SECTION 1.1b: LEACH AREA APPLICATION RATE TO BE GREATER THAN 0.5. t , •.N MAP. 2A ; AC.) 80' I N` 1 9c OBSERVED. 22.0 'AP: I GROUDWATER 1 EL: 224 C IUSGS GROUNDWATER ADJU WELL: AfW-280, ZONE: D, (POND ELEVATIONN AT TI y i e ej �-�, e,� I � ab .� FLAG 1 too SEPTIC SYST 2s , �o 26 z FLOW ESTIMATE: \ O,aFLAG z -I-BEDROOMS AT 110 CAL/DA SEPTIC TANK. =GAL/DAY. x 2 DAYS = USE 1500 GALLON SEPTIC Tj 27 � � � FLAG 3 1 � Z7. 4 LEACHING AREA: D \ USE ONE LEACH FIELD (2S ' DRIVE � � \ � � SOIL T STS (2) 1 FLAG 4 \ SIDZ ARXA- N/A 28 E BOTTOM AREA: Zr z 1r = 4, xr sr I � 28. 2 * l �Dy ° I 1 FLAG b a 1o¢o FNC fix'' 1 SEPTIC SYSTzoah E r 30 bb < FLAG s pry l 28. _ FIRST FLOOR i \ 25 arr,cA o 1 28 126 / .0 aELEV + fi TX 1 TX-2 / (EXIST.) 27 BENCHMARK WOOD STAKE AT 1000. GAL 29. 7 SEPTIC TAJNIC r ` 2e ELEVATION 28A (EXISTING) CZ 29 WORK LIMIT LINE (EXISTING) 30 s0 ELEV. TEE SIZES: (TO BE CONF, INLET: C UP, 18' DOWN C'Z PROPOSED LEACH FIELD E OUTLET: 6" UP, 14" DOWJ XISTING FLOWDIFFUSORS \ (SEE NOTE 11) (GAS BAFFLE AT OUTLET 30. 7 S ONTOUR: V` � D-BOX WALL AINING ;ONT OUR. .............................. POT ELEVATION: 25.5 C G� 3 POT ELEVATION: 25 3f q 2s 27" LE: -0- c v-, cN a S e- c--X, WALL cLZLLAN SNGINSZRING 2P REST P.O. BOX 483 r, MASSACHUSE4TS OU70 � � � � LEACH FIELD DETAIL (508) 398-7710 D9OF26) THOM SOIL LOG J SITE PLAN r i. g0. z 37- w/ T I.s l.. ..f A-TO �Z �`f' 3 ' r ' /��A T T IG w- R. TOP Of FNNDATIBN EL.: . 3 ,,0.� to A L L is.Iz v L►4 ram. -----3 - i 26 Z I T� IN.EL. •- ANEL7 TUrI IN.EL. � 1.8 • IN.FL. J : 2 3 i.5 t, Love/ r ; rF -_.___— sT ia. 0 - - 12 ! D/1 W/ 6" r- SUMP �. ,�� ,/ 3©, 1 + ��' i 3 of �? r, •; 4- L14110 LEVEL - -�` t a r�° 14 , i � • 5.5 o PERC TEST 1 2� RESULTS '._?r) E L- �.� � _ ._J- L Z ►. `,t/.,1 t �;c_ 1 r� -� PRECAST SEPTIC TAM WITH _.__ __ ____ --- ` / PERC RATE: CAST IN PLACE INLET AND _ Z �' - �` � ��AGN "��t " d" RE>a .� WNITNESSEI BY: OITLET T 'S PER TITLE � p' "'��' � _ � �'-A�-��=>����`-� BOARD OF NEALTb � ,�.�,�. � _ T SIZE : I . , L� (•• PR I F PR P ED Y Z � y OF LE O O OS SEWA E G S S TENt ,. 4 SYSTEM DESIONEO BY TK TIWN Of REINLATIBNS ANI ' � .Z SCALE 1/4= 1* 1" r,a. STATE TITLE ]f FBI SY OOfACE AltlOSAL IF SEWAOE . '`' , `� �- =�2='J fn t- N . B . 1. ALL PIPES SMALL BE SCNEOOLE 41 P.Y.C. SEWER PIPE Z. ALL PIPES SMALL BE SLOPEN 1/4 PER NOT EXCEPT FOR THE FIRST 2 FEET NIT IF TIE 111 WNICN SMALL BE LEVEL -� ,% t°3�a` ► '� �,�' L 3. DESIGN FLIW r-2 BEDROOMS AT 1l0 NALBAY PER BR. GAL/DAY •` n SEPTIC TANK SIZE =QC) X 1�4�) BAL. v ,t. USE >o $AL. W/ f----) 1ARBAIE DISPOSAL I LEACNINI SYSTEM: USE / �. tt C v w L EFFECTIVE AREA: SIRE -+ + t � f x i � K - IZO A-.L �A `h �=� �s � � . s � / 2�' � - BOTTOM P, 1 - ___ x 4:AL 11>_-11. TOTAL FLOW . ._ _ t TNIAL RE�'8 FLOW 21,L 2 X Z. 0 2DC2 WI Ur •GARBAIE DISPOSAL / o RESERVE FLOW -�8 _ �. sa GAL/BAY__ • `'' REFERENCE PLANS : G - GO APPROVED BY : I BOARD 0 F HEALTH P L A IK) DATE : E WAGiE PLAN ' PROPERTY INNER • t � , SITEAND FOR : F .� E SIN6lE FAMILY, 7 . A� G '� BEDROOM par -is LOT : .. _. ._ U.✓ l 3 �* DATE . "`-"`{ DOYLE ASSOCIATES FALMOUTH , MASS .