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Home My WebLink About0239 SCUDDER AVENUE ACTIVE j + I, f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O Map .? Parcel G Applicatic Y Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board h J �J Historic - OKH _ Preservation / Hyannis Project Street Address q ' SGL'»QAZ A<VY� IIA C1114i� r�CDT- Village OwnerI�y1.9W�`D�� y Address MAY 0 5 2017 Telephone �5�� 73 6 pl'- TOWN OF BARNSTABLE Permit Request 1344A k* BNTd Square feet: 1st.floor: existing proposed S�nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3,®fin Construction Type Lot Size lZc 0��o Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family (# units) Age of Existing Structurso Historic House: ❑Yes Flo On Old King's Highway: ❑Yes �Tlo Basement Type: & ull Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) ,So 0 Basement Unfinished Area (sq.ft) 1-00 2-0 0 Number of Baths: Full: existing L, new 6 Half: existing L new Number of Bedrooms: 3 existing Q new Total Room Count (not including baths): existing new First Floor Room Count 5- Heat Type and Fuel: 0 as ❑Oil ❑ Electric ❑ Other Central Air: 9"Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes alo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of AppealZo Auorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If es it plan review# y , s site Current Use Proposed Use S�"r►�- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Av" Telephone Number �� •Z 3"'�,- t�� 3 Address 2-3q Gil t71�(L License # 600591� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO PS SIGNATURE DATE 1 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ? l� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Tke Cos rrt wea l-of Massachusetts Department of IndustrialAccidents a 1 Congress,�'tree4 Smite 100 Boston,MA 02114-2017 www.A=s; nv/dia 5 v !Porkers'Compensation Insurance Affidavit:BuMersIContractors!Electricians/Plumbers. 'IO'BE FILED WITH THE-PERi13I'I'TING AUTHORITY. AvOicant Information Please Print Legibly Name (>business/Organization/Individuak) Address: ��! s�-u 1,A/WT-- , MA City/State/Zip: Phone#: Cs7—l)3 0 �3 Are you an employer?Check Jhe appropriate box: Type of project(required): 1. i am a employer with employees(full and/or part-time).* 7. New construction 2. I'am a sole proprietor m partnership andlhave no emplbyees working for me in S: ErRemo&lft any capacity.[No workers'camp.insurance requked] 3.0 am a homeowner d'oi' all,work myself. o workers„ 9:. D tl�lti®I7 � ulyse � eAaaap:i9asuraxsce ce�ii�dYyt'. tion 4.aI am a homeowner andwill be hiring contractors to conduct all work on my-property. I will 10 E39;dfdm9 addi ensure that all contractors either have workers'compensation insurance or are sole 1 LE)Electrical repairs Or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ repairs re airs These sub-contractors have employees and have workers'comp.insurance.: 6, We are a coyporafion and`its offacers have.exerdsed,4heir right bfexenotioniperiIMGZ c. a `�, " 152,�Ig4),,axicl we�ave�no employees.�No workers'��p. sance zerfusred�. . *Any applicant that checks'box#1 must also fill out the section below showing their workers'compensation policy'information. t Horiteowners who submit,this affidavit indicating they are doing ail work and then hire outside contractors must-submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Dame: a rs:1 r o c Policy#or Self-ins.Lic.#: 6 Expiration Date: ' 1 Job Site Address: 23� SC NOIL PA 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of airs statement maybe.forwarded do;the Office of Ibvestigafions of the 1DIA fors"i�ce aaarerage-verification. I do hereby ceY14�;under the pains andperroLdes ofterjury that the infornudion provided above is true and correct. Signature: Date: "l i 7 Phone#: (508) 428-7147 00 711 4020 Official use only. Do not write in this area,to be completed by city or town official. Ct ar.7�awm,ay PermigLkense , Issuing Authority(circle one): 1.Board oflFleallh'2.`Building Department I iCity/Town Clerk 4.Electrical Inspector 5.Plumbing'Inspeclor 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services . ; oFt Richard V.Scali, Director Building Division 1 BAMSTABEZ, * ' Paul Roma,Building Commissioner MAsa 1639^ $ 200 Main Street, Hyannis,MA 02601 tED .t A www.town.barnstable.ma.us Office: 508-862-4038 Fax: '508-790-6230 HOMEOWNER LICENSE EXEMPTION 11 Please Print DATE: JOB LOCATION: III SGVD94L L±MVVI (A- a 0 number^, �street / \ village 2 "HOMEOWNER": ►1�JF/rXluF� i`1T�`1N�I ICU� 1733 I�oBj name home phone# work phone# CURRENT MAILING ADDRESS: SV �. city/town state zip code x 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 su eU rvisor. 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. x The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and . requirements. Signature—of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.- HOMEOWNER'S EXEMPTION The Code states thats "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 to amend and adopt such a form/certification for use in your community. �tHE Town of Barnstable Regulatory Services • BAMSTeata, • MASS. Richard V.Scali,Director 039. ♦0 Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 Property Owner!Owner ` Complete and Sign Tion If UsingA Bu I , f the subject property hereby authorize to act on my behalf, in all matters relative to work au orized by this building permit application for: (Address of Job) **Pool fences ad alarms are the responsibility of the applicant_Pools , are not to b� filled or utilized before fence is installed acid all final inspectio are performed and accepted. Signature o Owner Signature of Applicant t Print ame Print Name Date Q:FORM&OWNERPERMISSIONPOOLS l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Z- Application # Health Division Date Issued i Conservation Division Application Fee Planning Dept. Permit Fee 00 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address �3C1 Village t Owner Address ^ Telephone (509) -733 - qi�1�3 Permit Request f_rN A aw.MENT ticw 0e1=wc }- Pu49 Rom Square feet: 1 st floor: existing proposed el"'-2nd floor: existing proposed -"Total new Zoning District / Flood Plain / Groundwater Overlay Project Valuation 4t10'000 Construction Type Lot Size Nth Grandfathered: ®'Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family W/ Two Family ❑ Multi-Family (# units) Age of Existing Structure y Historic House: ❑Yes &ily No On Old King's Highway: ❑Yes 01<lo Basement Type: m'Full V'Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) -500 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing O new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing - new Z First Floor Room Count s Heat Type and Fuel: Y Gas ❑ Oil ❑ Electric ❑Other Central Air: ® Yes ❑ No Fireplaces: Existing New Existing wood/(coal stove: Dies a o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:) xisting .<:0 neW size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other,-;�, m oning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review# _ rn Sri Current Use �`� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name' Telephone Number Address 235 5C4J0Dr.A2. i& License Home Improvement Contractor# '7 s 2. Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'Wv►►Vs'r�v1Z SIGNATURE DATE FOR OFFICIAL USE ONLY .APPLICATION# ~DATE ISSUED MAP/PARCEL NO. g l ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION x FIREPLACE f ELECTRICAL: ROUGH FINAL t. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE_CLOSED OUT ` ASSOCIATION PLAN NO. The 69n=ams=I&gfMtnsac�meAti • t .r fvFc w F#a.,mgorldza ' cwkers3 Cumpeasafgmh=anceAffidavit RimersfCmfractursiMectnc=sOumbers AvpEczat Ecifa matian Pease P� k ibFy Na=f tt Orgsm;�atiranlFnrFrvicir:at�. CZAt�I�r�-/ -�- (tea o�Gfi� f fatr,�- 141-5` gww Mug . �a tam N 8 phom g- � q zv '7 1 4 7 Are Ygyi an employer?Check apprupriate ba= � ❑ I I frf T3p�of projmt(rc f uimd)= L PI wit 6- New Mployees(full xwbrpast�-)* � Mb_corIfMd= ❑ I am a stile pmpfietar orpartner- listed on the attached she +7- �g slip and have no emplapees Thesesub-coutracfors have g_ ❑Demniitioa u U6Hng fDE me iu any capac� empin9ees an$have workers' [Nb-wosl rs' camp_hmrauce cow-nisura a l ❑Build-mg addiiion �I 5. ❑ We area corporation and its 10-E]Electrical repairs m adtiifions �_❑ I am a homwuer doing all work Officers have exercised their 1 1-0 Piumbmg repairs or addiition& off [No,WCAM'tip- ofemapfion per MGL Li❑RofMpa= iasufanceregaired]-T c-15Z JI(4),aadwehwego eruployees.[Na wrnicesg' 13.0 Other • corup_itlsvr-enae rt�quire3.� 'Any-pfiz ihat checks bertlmnstsLwffioot# seciioabeTa�ch��i awo3cea�rmm�e�flaaUer�} �1�omeavrnes�>TcL-uY�3vs s�cl-ru i,-n,-^+;-,�sty aye gym„a•II r.��*�tb��+�*e a�irL can7ia,ctucsmnsc sit a ueu�a�dact md3rstu�sxuI� ={"0Dt^::^s t W check this bac mast stladied sn xddi;rn I sheet;I g the nee of the mbL-cont=tDa and ststP whether ocnotfru3sg hzv` tmplo-ya!s. If the MB-cffntadus luve employee..%they nmst psouide t ffir wwbM:'Comp.p DUCy uvmbiff- I am as emyLgper that ispmizNrW trarkvs comparzsYdian L-mtrancs for rrzy e_mpLayges. �eTntr is fite pdz$c}'nrtd job szi� iri,farmmliarL , IUMxM.,r_o GompanyName_ Policy;g ar Self tns_Lin Iscpi�tiat<T�ate. Sob SGv D9 I�iZ t'L, citytstaz_ip. wM 0 U 261U i Attach a COPY of the Workess'coz¢peusation policy declaration page-(shc Ndng the policy xraarber anal e3T6xation dale): Failure to secure coverage as raged-an r Seaf a25A oEMGL c- 152 can lead to the - osifim ofcriminA pefs,16 s of a fine ng to S1,5010D andlor one yearimpzisnu ,as wen as cilulpesmiHes is the fbzm of a STOP WORK ORDIR and a fine of up to,$250-00 a day agasastthe violator. Be advised that a copy of tbis stated maybe forwarded to the Office of lnvie:fffatiom of the DIAL frrr*nsur-a r5 coverage cation- I d0 harety certzfp riztder t ra pnitrs urtdpgn zes u g�rlutF tltatfha uxfvrrrra#irrn prm drib ��>s true drnd carrect Si pate 1 .9 Phi 9- ,�"u o 4 2� :-7 { -7 CWL-iZl LCss atzFy� Dr not wrzbr in rids area,to he completed by city or tawil a iciaL City or Town Pt r�ifaT cease# Fssiagr Luffi zrity(Carle Duey; . . L Stxarel o-f$eaItlz 2.RmIdingDeltartmiut at. 'FawaO=k 4_Electrical hispector S.PIuanbhigELTector 6.Qfhrr Court Per= : PlEo-nt= Massacamotfi s feral Laws cbaptrr 152 regnizes all=play=to provide worker's'comp=-,adDn for their easployem. pu sDantto this sEatvte,an e TL9yee is defined as"__ m,_T peasan in the,service of another under any contrast express or io�lied, Aral or written." . An an prgyer is defined as an mdividual,pariaeasbip,association,carpDration or other ID en[7fy,or any two or mare of fat foregoing engaged m a joint entr�se,and inrlarfncthe,legal representBfrves of a deceased employer,-or the receiver or truster of an individual,pa taembip,association Dr other legal entity, employing employees. However the owner of a dwelliag house having not more than three spariments and who resides thm7eio, Or the DGCupant of the dwelling house of anothffr who euiploys pmsms to do maintenance,r onstr action.or repair work on such dweIiiag house or on the grounds or building appurinnaut thereto shall not because of such employment be deemed to be-an employer." _MGL chapter 152, §25C(6)also stars th;±"every stag or local lscens-ing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for airy applicant who has'not produced acceptable evidence of compliance with.the insm-ance.coverage required. ' Additionally, MCiL cbaptea 152, §2SC(7)states`Ntithrr the commonwealth nor any of it political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in iirance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the virorkers' compensaton affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractnr(s)name(s), address(es) and phone numbers)along with their cerbsicafr(s) of no em-lo)ees Dther than the ' Liab Panne ' s with } i�n.�rrrance. I,iinited Liability Companies(LLC)or Linuted Arty rshtp (L.1-P) P members or partners,are not required to carry workers compensafzDn meurar,ce_ If an LL C or LLP does have employees;a policy is required, Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation ofin.em- nc-Coverage. Also be sure to sign and date the affidavit The affidavit should be retamed to the city or town that the application for the penait or license is being requested,not the Depmtment of IndusYial Accidents. Should you have any questions regardug$e law or Z you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should eater their self-Tn_�ce license number on the appropriate Lore. City,or Town.Officials . Please be sure that the affidavit is completff 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 ofInvestigations has to contact you regarding the applicant_ Please be sure to 511 in the peimitllieense number which will be used as a reference number. In addition- an applicant thEif must submit multiple permiUlicense applications in any given year,need only submit one affid-avit indicating c=nt 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 bUm leaves etc.)said person is NOT required to complete this ai�davnt The Office of Investigations would b ke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call.. The Department's address,telephone and fax number. ` 'fie CADm maaWt la of Massach fts De e�at a-f lndir.�al AQCIdMts TeL f4 6I7 727-4900 Q�±4-€6 Qr 1-&77 h R=# 617-727- 4.9 Revised 4-24--07 �dza Town of Barnstable . Regulatory Services �QFzxe roiy� Richard V.Scali,Director Building Division anxrrsEABLY, Tom Berry,Building Commissioner y Mass . 1639• 200 Main Street, Hyannis,MA 02601 a ED rum www.town.barnstable ma.us Office: 508-862-4038 Fax` 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: \ I(� C l S _- Please Print JOB LOCATION: ?7j9 SC0 K?__ J/N&5 number sheet p village -7 (5bl)T�3 name / home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor- DEFINITION OF HOMEOWNER �� Person(s)who owns a parcel of land on which he/she resides or iniends'to reside,on which there is;ior 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 Arith the State Building Code and other applicable codes, bylaws,rules and regulations. Theundersigned"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. Sign e of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109-1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor -(see Appendix Q,RuIes &Regulations for Licensing Construction Supervisors,Section 2,15) This Iack 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 Iicensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. . , To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit form_s\EXPRESS_doc Revised 061313 ` 8 t �mETti Town of Barnstable Regulatory Services &AM9 MASS.I E g Richard V.Scali,Director �A 1634- �� T 639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must. r ` ' - ► Complete andSign This Section If Using A Builder--_ I, / as Owner of the subject property hereby authorize to act on my behalf, m all matters relative to work authorized by this building permit application for. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q :FORMS:O WNERPERMISS IONPOOLS r �,ti (1RaaE IIN M r4 Q31- M � z 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 29 Parcel' �8� D Application # o O� Health Division U' . 7 14: Date Issued `�7 Conservation Division Fp 1 Application Fee 6 Planning Dept. ey �s* .Permit Fee Date Definitive Plan Approved by Planning Board (�- Historic - OKH Preservation / Hyannis Project Street Address Village Owner Address l � Telephone(S-ag) 30 - 5� K l � c Permit Request D'A0 W& (szsil- 24" 114uuw'r. M K w �yzS, USNllf��S r Sd. YID, DV—CV— e " 3 2'y e Square feet: 1 st floor: existing ; proposed 6A 2nd floor: existing b proposed 6, 6 Total new C06 Zoning District Flood Plain 'u° Groundwater Overlay Nn Project Valuation L0,000 Construction Type Lot Size IZ,S°o ;S, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family( j Two Family ❑ Multi-Family(# units) Age of Existing Structure T1_ Y14 Historic House: ❑Yes KNo On Old King's Highway: ❑Yes MNo Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) e> Basement Unfinished Area (sq.ft) aO -Sr Number of Baths: Full: existing Z new `Z- Half: existing new Y-t- Number of Bedrooms: 4 existing a new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas Oil ❑ Electrict❑—Other Central Air: ❑Yes *No . Fireplaces: Existing ✓ New Existing wood/coal stove: ❑Yes A No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review # Current Use Proposed Use S l � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number IC I Address ► K51WE 0,4w� License # G�8 SqS Pr d tot Home Improvement Contractor# �S Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �ul"PS1 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# ' —DATE ISSUED F MAP/PARCEL NO. ADDRESS. VILLAGE l- OWNER' DATE OF INSPECTION: FOUNDATION FRAME INSULATION, : I 1 3/l1 y1l/ fe- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:' ROUGH =: FINAL , FaNAL BIJILDIW- ._jiR 'k. T x jr DATE CLOSED OUT , ASSOCIATION PLAN NO. _i t 1A r The Commonwealth of Massachusetts S: Department of Industrial Accidents Office of Investigations .f 600 Washington Street lc Boston, MA 02, yy www.mass.gou/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name.(Business/Organization/Individual):' Address: " City/State/Zip: �jDNJ' o� hone Ar ,you an employer?Check the appropriate box: ]Type of project (required): I am a employer with .4• 1 am a general contractor and I �\ 6. ❑ New construction - * averee sub-contractors.. employees�(full andlorgart-time)• h 'hid the b actors listed on the attached sheet: 7. Remodeling 2.❑ I am a sole proprietor.or partner- ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers'. '9 Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ° 1 LD Plumbing repairs or additions myself. [No workers'comp. right of exemption per MOL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no - .❑, 1.3 Other. employees. [No workers _ COMP.insurance required] *Any applicant that checks box#) must also fill out the section below showing their workers compensation policy information:' t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer,that is providing workers'compensation insurance for my employees. Below is the policy and jab site information Insurance Company Name: 6b Policy# or Self-ins.Lic. #: Expiration Date; Job.Site Address: Zak gwDOLL ►"�'�^- City/State/.Zip: 6AUWAIA_. Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA'for insurance coverage verification. I do hereby certify under the pains and penalties o er'ury that the information provided above is true and correct. Signature: -ate. Phone#: - 33—%93 ' Official use only. Do not write in this"area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): - 1. Board of Health 2' Building Department 3. City/Town"Clerk 4.Electrical.Inspector: 5:Plumbing Inspector 6.Other ; Contact Person: Phone#: 1 if fnformation and fnStructio-PS Massachusetts General Laws chapter 152 requires all employers 10 provide workers' compensation for thei empl°Pees, r Pursuant to this statute, an employee is defined as ".,.every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the However the receiver or trustee of a❑ individual, partnership, association or other legal entity, employing employees. 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, constniclion yr repair work on such dwells rig houseo l or on the grounds or building appurtenant thereto shall not because of such emp to meet be decmed to be an em y MGL chapter 152, §25C(6) also slates 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 lheperforYnance of public work until acceptable evidence ofcompliance with the insrrrance 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 ber(s)along with their cerlifica necessary,supply sub-contractors) name(s), addresses)and pbone ntunccsther than the Of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees o members or partners,are not required to carry workers' compensation insurance. if an LLC or LLP does have employees,.a policy is required. Be advised that this affidavit may be submitted to the Department of lodustria] Accidents for confirmation ofinsurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or [own 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-jnsured 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 aff davit for you to fill out in the event the Office of Investigations bas to contact you regarding the appli cant. Please be sure to fill in the permiOlicense 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 provid e d to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavi.must be filled out each year. Where a bome owner or citizen is obtaining a license or permit not related,to any busines s1or commerci a l venture a dog license of permit to burn leaves etc.) said person is NOT required to complete this atFfrdaYif. a The Office of,loves ligahons wou ) C TO --d you�n ad y° GO�"`�l'�n and shou➢d yaahaye 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 lndusti-ial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617427-7749 Revised 4-24-07 www.mass.gov/dia r q AGYC Gidde to Hloor! Corrstrcictioii ilr Hi Il W iad flreas: .110 »iph {•Yield Zone Massachusetts Checklist forCampplzance (780 CNfR ,530' 1:2•1 I)' Check Compliance 1.1 SCOPE Wind Speed (3-sec. gust)............. ......... ....... .. . ....:.. . . .. ................... ............ .......... . 110 mph Wind Exposure Category.................................................................. ....................................._....................... B Wind Exposure Category................Engineering Required For Entire Project .........•........::....................0 ; 1.2 APPLICABILITY p Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) �-" stories 5 2 stories "Roof Pilch ........................1:...........I........... .... .....(Fig 2) .... ............. _ 5 1 2:12 Mean Roof Height ....................:...........7................ .....(Fig 2) ... ........... ft _< 33' c/ :5 Building Width, W ....................I......I...........I.......... .(Fig 3) ...................:: -ft - 80" Building Length,_L ......................... ...(Fig 3) ..... ..... ft s"80' e/ Building Aspect Ratio (L/W) .......... .(Fig 4) ." 5 3:1 Nominal Height of Tallest Open ing2 ...... ..., (Fig )• 5 6'8 . Fi 4 ........ ..... ........... 1.3 FRAMING CONNECTIONS General compliance with framing connections:....... .....(Table 2)...... .:..................... .... x '2.1 .FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........•.•..............•............. Concrete Masonry ............: ........ .. . .. .. 2. ANCHORAGE TO FOUNDATION1,3 518"Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative.in concrete only Bolt Spacing-general ............ (Table 4).........:........................•..•,._....., in Bolt Spacing from end/joint of plate ..............I... .......(Fig 5)...............•..;................. in. s 6"- 12" Bolt Embedment-concrete i (Fig 5).... in..' I . _ 7 14 Bolt.Embedment-mason ...... ..... :(Fig 5 .... in._ 15 Plate Washer............:.. ...................;..... Fi 5 .......................,....... >3' x 3"x y4,. ( g ).......•....... FLOORS Floor-framing member spans checked ...... .�:.:..(per.780 CMR Chapter 55) Maximum Floor Opening Dimension............... .....'......:..(Flg 6)..•..............:.....................,.: ft512' Full Height Wall Studs at Floor Openings less than 2' from Exterior:Wall (Fig 6).'•:.. ........ .;. Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall......... ....(Fig 7)........... —ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walis.orShearwall•..•......... (Fig 8)...................................................... ft s d Floor.Braciri at Endwalls.........:....::..:.:. 9 ........................ :...(Fig 9).........................•,................. .:.............:..... Floor Sheathing Type ..................................................:.:...(per 780 CMR-Chapter 55).............:..............:...... Floor Sheathing Thickness .:(per 780 CMR Chapter 55)..: ......I..::...... in Floor Sheathing Fastening .: ...: . .. ::..... . .....'. s.::,.(Table 2).._d nails at in edge/_in field 9 4.1 WALLS I Wall Height Loadbearing walls.. ....... ....•.. . ..(Fig 10 and Table 5)..... ..... `�t <10' t✓ ' No6oadb-Non -w@11s„-rm-., ;., (Fig 10 and Table 5)............:........... vft s 20' ra- r/ t Wall Stud Spacing ........................(Fig 10 and Table 5) in. s 2 '.o.c. Wall Story Offsets '..'(Figs 7 & 8): •.. .. G it :51d 1 .2 EXTERIOR WALLS' { Wood Studs `..:....(Table T)...... . . .....:... 2x ft in, Loadbearing walls.... '7 Non-Loadbearing walls ................... ............(Table 5).:...........................2x 2 ft in. :1 .Gable End Wall Bracing ; } .Full Height Endwall Studs..... ...(Fig 10) 3: WSP"Attic Floor Length........... . .........:!..............*(Fig 11 ft zW/3; Gypsum Ceiling Len th if WSP not used)...:.............•.(Fig 11 YP 9 9 ( ) ( 9 )........... ft? 0.9W and.2.x 4 Continuous Lateral Brace.@ 6.ft.o.c. .. (Fig 11)...........•..........I.................I....• ....."..... or,1 x 3 ceiling furring strips @ 16 spacing min. with 2 x 4 blocking @ 4 ft, spacing in end joist or truss bays Double Top Plate Splice Length ...... ..(Fig 13 and Table 6)............. ........ ............. ft Splice Connection (no, of;16d common nails)...: .... . .(Table 6)....................... ... .... ...................... -� If FTC Gcfide to Ff%od COIIVI•Ilefio/! ill Hi.{'/1 I-Vil-ld zove C0111 ) � 1CC (780 Ci11R5301.2.1.1)r lf�SS2CliI$CttS C1CItzSt [01 Loadbearing Wall Connections - Lateral(no. of 16d common nails).................................(Tables 7)...............................I......,............... Non-Loadbearing Wall Connections Lateral (no. of 16d common nails)..:.....................,.......(Table 8)........................................................ Load Bearing Wall Openings (record largest opening but check all openings for compliance.Lo Table 9) Header Spans ........................................................(Table 9).................................. ft in. < 11' Sill Plate Spans ........................................................(Table 9).................................. ft in. 5 1 1' Full Height Studs (no. of studs)....................................(Table 9)................................................. Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).....................................JL.ft d' in. < 12' Sill Plate Spans...........................................................(Table 9)..................................._ft_in, _ 12" Full Height Studs (no.of studs)..'.....I.....I...........I..........(Table 9).....:................................I................ " Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, Wl Nominal Height of Tallest Openingz ................. ..................................:.............I.......... Sheathing Type..............................................(note 4).........:............I.............................. �:P( Edge Nail Spacing................:........................(Table 10 or note 4 if less)........................ Field Nail Spacing Table 10 ................................................. i A6�. Shear Connection (no. of 16d common nails)(Table 10)......................................:................ t/ Percent Full-Height Sheathing...................:...(Table 10).......................:., Y. 5%Additional Sheathing for(Nall with Opening > 6'8" (Design Concepts).................... Maximum Building Dimension, L Jl. f �6 Nominal Height of Tallest Opening .......................................................................�U <6 8., Sheathing Type...'...........................................(note 4)....I.......I..... Edge Nail_Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing ).................................................. P 9.......................................:..(Table 11 t./ in. !// . Shear Connection (no. of 16d common nails)(Table 11)......................................................: y Percent Full-Height Sheathing........................(Table 11)......:..,........... ....................:....... 70 5% Additional Sheathing for Wall with'Opening> 68"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.......:.................................... ................. ............................................................... A® ' 5A ROOFS Roof framing member spans checked?.......:................(For Rafters use AWJ Span Tool, see BBRS Website) ' Roof Overhang ..........................I........................(Figure 19) ......... 0 ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls ; Proprietary.Connectors Uplift................................................(Table 12)......:.....................................U= plf Lateral.............................................(Table 12).............................................L= pff Shear...............................................(Table 12)...................................,........S= pif . Ridge Strap Connections, if collar ties not used per page 21... (Table 13)..............................I T= plf Gable Rake Outlooker...........................................(Figure 20 ft s smaller of 2' or L./2 Cis Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors , Uplift................................................(Table 14)............................................U= lb. Lateral(no. of 16d common nails)..,(Table 14)........:..............................L= . lb. Roof Sheathing Type................:.:................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness......................................:..... .............................................—in. >_7/16"WSP Roaf-S-heat-hang--Fa igg........................................... bk-2)..................:....................,................._ = Dotes: This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•5301.2.1.1 Item 1, If the checklist is met in its entirety then the following metal straps and hold downs are not required per the_WFCM'110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 .e. Corner Stud Hold Downs per Figure 18a and Figure 18b Exception:Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing -'requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. r of Town of Barnstable . o� � O Regulatory Services BAE7't6TABL.E, t r Mtiss g Thoma's F. Geiler,Director 16 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax; 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize to act on my behalf, la all matters relative to work authorized by this building permit application for Z3� 5 ;� ► N�A� S (Address of Job) S, nature of Owner Date Print Name ' If Property Qymer is applying for permit please complete the Homeowners License. Exemption Form.on the reverse side. Q:FORMS:O WNERPERMISSION , . I Town of Barnstable o Regulatory Services 1. Z a�arsrwsre Thomas F. Geiler,Director russ. Building Division PrED �a Tom Perry, g,Building Commissioner 200 Main.Street,. Hyannis, MA_02601. www.town.barnstable.ma.us Office: 508-862-4039 Fax: 508-790-6230 130r4EOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village, "HOMEOWNER": name home phone# work phone# CURRENT MAMING ADDRESS: city/town state zip code The current exemption for"homeowners"was exten\tDlude owner-occupied dwe' ings of six units or less and to allow homeowners to engage an individual for hirs not possess a license,provided that the owner acts assupervisoDE1 INTITMEOWItERPersons) who owns a parcel of land on which he/sbr intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached A�,/sbe dAes accessory to such use and/or farm structures. A person who constrpcts more than one homeyear perio shall not be considered a bomeov er, Such "homeowner"shall submit to the Building a form acc table to the Building Official, that he✓she shall be responsible for all such work performed unildin ermit. (Section 109.1.1) . I' l ) .t,i The undersigned"Homeowner"assume resy for compliance with the State Building Code and other applicable codes, bylaws, rules and r tiThe undersigned "homeowner"ce• es thaderstands the Town f Barnstable Building Department minimum inspection proceduresfand require that he/sbe will comp with said procedures and requirements. Signature of Homeowner - Approval of Building 0 cial Note: Zi ee-family dwellings containing 35,000 cubic feet or larger will be req A' ed to comply with the State BuildinyCode Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building pcmvt is required shall be exempt from the provisions of this scction.(Scetion 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such wofk,that such Homeowner shall act as supp-visor." Many homeowners who use this exemption are unaware that they an 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 is ultimatcl responsible. Supervisor. The homeowner acting as S peeve y sp To ensure that the homeowner is fully aware of his/hQ responsibilitics,many communities acquire,as part of the permit\;application,, that the homeowner certify that hclshe understands the fcsponsibilitics 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 formlcmification for use in your community. Q:forms:homecxcmpt Date: 8/18/2010 Time: 8:36 AM To: PAM RIMINGTON B 9,15084287167 Rogers s Gray Ins. Page: 002 Client#:45303 RIMIPATI ACOR& CERTIFICATE OF LIABILITY INSURANCE °Q�;$;,Q"""") THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CT Rogers&Gray Ins.-So.Dennis PHONE Mina Vaughan FAX xt c No EMI:508 398-7980 (Arc,No): 434 Route 134 EMAIL P.O. Box 1601 PRODUCER South Dennis,MA 02660-1601 CUSTOMER ro•: INSURER(S)AFFORDING COVERAGE NAIC M INSURED Patrick Rimington 8 Alex Ranney INSURER A:Nat'l Grange Mutual Insurance C dba Ranney&Rimington Custom Carpentry INSURERS:Associated Employers Insurance P.O.Box 816 INSURER C: Marstons Mills,MA 02648 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE %DDL;UBR OLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYYI (MMIDO/YYYYILIMITS A GENERAL LIABILITY MP076069 8/21/2010 08/21/2011 EACH OCCURRENCE $I OOOOOO X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea oc ,nce $500,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $10,000 PERSONAL 3 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG $2,000,000 POLICY M PRO- LOG $ CT F AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE .. $ RETENTION $ B WORKERS COMPENSATION WCC5008462012010 8/06I2010 08/06/201 I X I WC sTATuI JOTH- AND EMPLOYERS'LLABILITY Y/N J ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NMI E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below -T E.L.DISEASE-POLICY LIMB s5OO,OOO , DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) "Workers Comp Information-Proprietors/Partners/Executive Officers/Members Excluded: Patrick Rimington& Alex Ranney** CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Main Street,Route 28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE attn:Building Dept. ! �� m.198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of I The ACORD name and logo are registered marks of ACORD #S55668/M55165 MLV r , i Massachusetts-Department of Public Safety. Board of Building Regulations and Standards construction Supervisor License License: CS 88595 Restricted to: 00 ALEXANDER'M RANNEY 140 SEAVIEW AVE',. BASS RIVER; M.A:02664 Expiration: 411612D12 Commissioner Trf#: 25903 i HOME IMPROVEMENT CONTRACTOR Registration: 144752 Expirat on,._-11/2/2010 Tr# 277404 TY.Pe..:DBA RANNEY&RIMiNGTON'CUSTOM CARPENTRY ALEXANDER RANNEY. 267 MEIGGS BACK US RD:,: �,e.,�t SANDWICH,MA 02563`= y:: :Administrator F R fu C. a � ice` J: ar s �l d4 r 1 M1 t Ell k ... b n: H t 1 I b V �. flaw, r { ex J ;+rx ELL � K m } �a M Y -� LLI ' Y wit d , is B rq, Y.�•yM Y - took LLI Kj- 1 FI iyyinn� #' •r t s, A Y Si ka' s � v V 1 e Y . x Y: b v ti� r Y y� 4 e �i i 3 , 1 J a i k� t) Or ✓ r j � y r t � t J V r rah d Y<T., R \/ p Z v h R vi h s s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 05L Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address -31 S ey1D: 6 Village IA4 Vies Owner - Lijo 0 Address 6i-C DJV ArTi'k.1 o r f4Ar Telephone 36q - S64q 0 2-7163 Permit Request i3uub .le ` 2 Stomp 011-I 1201 C.60" a Square feet: 1 st floor: existing (% proposed ,C f 2nd floor: existing proposed 1____�Total new 40 r Zoning District f4S Flood Plain 4H d' Groundwater Overlay Project Valuation '4 S,ccO^ Construction Type Lot Size YLS ad Grandfathered: 2(Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Le' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes X No On Old King's Highway: ❑Yes *No ,BgBement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) N9j;Rb6 of Baths: Full: existing new Half: existing neW k� 9 s Q Nu er of Bedrooms: existing _new := Tod-Room Count (not including baths): existing new First Floor Roorrf"Count ''r ! Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Others' = � >. C Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑mew Sze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing W'new size y'�`tther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 'ONo If yes, site plan review # Current Use Proposed Use S'140b S'7mW.- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I c y Telephone Number l`�� I `733 4603 0 Address i3 Ilo ►A�.a`iC�� ( 8ti4-S License # e�q (UAV 6K NIA Home Improvement Contractor# 7 5 L Worker's Compensation # wSO '(�2 8 t Zy I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Dl:�n�s�� SIGNATURE DATE S C f` FOR OFFICIAL USE ONLY U APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE k OWNER ti DATE OF INSPECTION: FOUNDATION r FRAME �- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL-' f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING K t DATE CLOSED OUT F � k t ASSOCIATION PLAN NO. r a i 'i F I s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . 1 `si;;% ' 600 Washington Street 'Ilr ' Boston, M,4 02111 = a c www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plunibers Applicant Information Please Prin"t'Le>='bly . Name (Business/Organization/Individtial): O��y`'r �� ti • "i`Di . Address: �0*. i MAjL5TeQT rn � City/State/Zip: mf� ' o?.1,40 'Phone #,: q7- r Are you an-empioyer?Check the appropriate box: Type of project'(required) . 1.kI IT— am a employer with 3 4. ❑ I am a general contractor and I 6. [ New construction _ employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet f 7• E] Remodeling ' ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp. insurance. 9. 0 Building addition [No workers' comp._insurance 5. ❑ We are a corporation and its ' required.] officers have exercised their 10.El Electrical repairs or additions • 3,❑ I am a homeowner doing all work right of exemption per MGL 1 l.F 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 41 must also fill out the section below showing their workers'compensation policy information.:'. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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:. µ'I'rl� �y'�Ii d h Wft S, U, u Policy#or Self-ins. Lic. #: 001 LIVLOltb� Expiration Date: Job Site Address: L� 5T,I City/State/Zip: MA Attach a copy of the workers' compensation policy declaration page(showing the policy number.and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Fine up to$1,500.00 and/or one-year imprisonment, as well as civil.penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of " Investigations of the DIA for insura.nce.coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is Prue and correct " Signature: /�—� Date: J Phone Official use only. Do not write in this area, to be completed by city or'towd official City or Town: Permit/Lieense# Issuing.Authority(circle one):' ; 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person:f Phone#: j, ; Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual., partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to,operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with te insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or Iicense 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 Iisted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to.contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 1Zevised 5-26-05 www.mass..gov/dia X WC Gffide to kYoorl Construcdorf a ffigh 1-Yind Ai.cas:110 mph Wh7d Zoffc, MassachIus'etts Checklist for Cotiip:Iiance (780 chTRs301.2.1.1)' . Chcck Compiiancc 1.1 SCOPE Wind Speed(3-sec.gust).... ........ ....... ............. ... -- : ........110 mph Wind Exposure Category.... ............................................. j °.. ..0 Wind Exposure Category..... .. ......Engineedn Required.For Erltire.PrD eGt..:.... :...... 1.2 APPLiCABIUFY Number of Stories (a roof which exceeds B in 12 slope shall be considered a story) 1' stories S 2-storiaS Roof Pitch ............... :---:.......- (Fib 2) ..--------••-•:•--. - ..:.. 12:12 i/ Mean Roof Height .:.......:..... _.(Fig 2).. ft=5'3,3' Building Width,W _._................................................. ........(Fig 3):.... ..._. .:._.. :: .. V It <BD'. . Building Length, L ........................... (Fig 3)................ 10 -ft_s 80," Building Aspect Ratio(L1W) (Fig 4)... <3:1 Nominal Height of Tallest Openingz _ ;.::..(Fig 4)................................................. ` s 6-8- 1-3FRAMI Generall compl ance CONNECTIONS framing cflnnections ..::.._. .:::.(Table 2) ...... ......... ....... L/=' 2.1 FOUNDATION Foundation Walls meeting requirements of 78D CMR 5404.1 Concrete: ................ .. ..:. ..: ....::.. ...:::.,..................:. ........................:,.... . ConcreteMasonry........................................................... ........ 22 ANCHORAGE TD FOUNDATION'a ` " or 5/8 Proprietary Mechanical Anchors as an alternative in concrete only Bolt 5 acin eneral 5L8 Bolt 6 Botts from�edd� ... . .:..... (Tafite 4}: ® in i0 . p 9-9 ff p 'i g joint of plate .(Fig 5) ._ b in <6'-12 1/ Bolt Embedment-concrete..........................................(Fig 5).`...:� _........ ... :4:...••--•• ........... in.>_7 ✓ Bolt Embedment=masonry..........::......:......................(Fig 5).....;......i...........:'................... in.-t,15" Plate Washer........ ......... ........: ......... .... ........(Fig 5)...... ..._....: . ......---•- '-3'X 3":x'/' x ,4 3.1 FLOORS -t 4 Floor framing member spans checked ...... ............(per 780 CMR Chapter 55}.:....... ......... ......... ' '� Maximum Floor Opening Dimension..._ ........ ...:.........(Fig 6)............... 10 ft<12' �. Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... -� Maximum Floor Joist Setbacks ' Supporting Loadbearing Wail's or Sheanwall................(Fig 7)..::......................: ... ....... • .._._... 4 ft s d Maximum Cantilevered Floor Joists - Supporting Loadbearing.Walis'or Shearwali . .............(Fig 8) ..I.................................................. ft`<d Floor Bracing at Endwalls..............................................: ...(Fig 9)...............__.............................. Floor Sheathing Type, .. ................(per 78D CMR Chapter 55) ...... Floor Sheathing Thickness (per 780 CMR Chapter 55 in. Floor Sheathing Fastening ........ . .. .... ...... . . . ....... .:.(Table 2).,. d.nails at�in edge/ in field; 4.1, WALLS - ..Wall Height Loadbearing walls... .......... ........ ......... .............(Fig 10 and Table 5)... ....................... it 510' Nan-Laadbearing walls ..................... ... ............(Fig I and Table 5) ... .. ... ........--- ft"920' Wall Stud Spacing .... ...(Fig 10 and Table 5) 1t, in s 24 D.C. Vol ' Wall StDry Offsets .............V.-............................. (Figs 7&8 ...... 0 ft.-d ' 4.2 EXTERIOR.WALLS' . Wood Studs Loadbearing vralls........................................:..............(Table )....... .2x ft 0 in; Non-Loadbearing,walls-----•..........................................(Table 5)....... .--_..... .........2x - ft�in. Gable End Waft Bracing i Full Height Endwall Studs...... ..............•-•-.....__..........(Fig 10)......................,..........I........ ... .... ..._..-•_ WSP•Attic Floor Length................................................*(Fig 11)........................................... . ft zW/3 Gypsum Ceiling Length(if WSP not used)....:..............(Fig 11)....................c....................... and 2 x 4 CDntinUDus Lateral Brace @ 6 rt. o.c. .. (Fig 11).......................................I............:......... .. 0' or 1 x 3 ceiling firming strips @ 16'spacing min.with 2 x 4 blocking @ 4 it spacing in end joist or truss bays U-01` Double Top Plate 1 � � 1 AFI/C Guide to Wood Constructiou in High fflifrd Areas: 110 flipir IKind Zofle Massaclirlsetts Checklist_ for Compliance (790 CMTZ5301.2.1.1)j Loadbearing Wall Connections - Lateral (no.of 16d common nails).................................(Tables 7)................................................. 3 Non-Loadbearing Wall Connections .3 Lateral (no.of 16d common nails)................................(Table B)..................................................... Load Bearing Wall Openings(record largest opening but check all openings for corripfiancejo Table 9) Header Spans ........................................•..............(Table 9).................................. ft 0 in.< 11' Sip Plate Spans ........................................................(Table 9)...................................J': ft Oin. <11' Full Height Studs (no. of studs)............................. ......(Table 9)..........._............................ -- Z- Non-Load Bearing Wall Openings(recmd.largest opening but check all openings for compliance to Tab 9) Header Spans.............................................................(Table 9)............................. ....._ft in.<12' .1001— Sill Plate Spans.................: : ..... .... ....................................(Table 9)..•--._...........•-••-...... ,ft_in.< 12' Full Height Studs (no. of studs)....................................(Table 9)...................._.............�....:._....... -� Exterior Wall Sheathing fo Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest Openingz ............................................................................. i1 SheathingType..............................................(note 4)...................................................... Edge Nail Spacing..........................._....,.........(Table 10 or note 4 if Jess).......................... in. FeldNail Spacing...........................................(Table 10).................................................. in. Shear Connection(no.of 16d common nails)(Table.1 D)....................................................... Percent Full-Height Sheathing........................(Table 1D)...... .............................................IC0 % 5%Additional Sheathing for Will with Opening>6'8'(Design Concepts).................... Maximum Building Dimension, L r�0 Nominal Height of Tallest Opening a SheathingType..............................................(note 4).-.................................................... 6e✓ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ FeldNail Spacing..........................................(fable 11)................,................................ V in. Shear Connection(no. of 16d common nails)(Table 11)..........................................................3 Percent Full-Height Sheathing........................(Table 11)............._---------------------------------------P % =�~ 5%Additional Sheathing for Wall with•Opening>6'8'(Design Concepts).................... Wall Cladding �,u►/�; 5�� / Ratedfor Wind Speed?....... f.................................................. .............................................. ---•-• ......... t/ 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC S an Too[,see BBRS Website) Roof Overhang .....................................(Figure 19)._.._.__.....� t_<smatter of Z'or Lt3 L� •------- ..... Truss or Rafter Connections at Loadbearing Walls = . Proprietary Connectors Z �" Uplift.......................................---•--.(Table 12).............................................U= p[f " Lateral.............................................(Table 12).............................................L pff1rwR- Shear............................ ..................(Table 12).......--•............... S= pff Ridge Strap Connections, if collar ties not used per page 21... (1-able 13)...............................T= plf Gable Rake OUtIOOker...........................................(Figure 20) ............. ft S smaller of 2'or L12 Truss or Rafter Connections at Non-Loadbearing Wafts Proprietary Connectors Uplift...................................... --......(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)................................_......_L= lb. `l Roof Sheathing Type...........:....:..................................(per 780 CMR Chapters 58 and 59) ...........: �fl Roof Sheathing Thickness.................................-.-.:..... ............................................—in.>7/16' WS �f . RoofSheathing Fastening............................................(Table 2)......................................................... d Notes: 1. This checklist shaft be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•53012.1.1 Item 1. if the checklist is met in its entirety then the following metal straps and hold dawns are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to B ft,shall be permitted when 5% is added to the percent full-height sheathing. requirements shawn.in Tables 10 and fl. ss ssu e treated#2 rade. 3. The bottom sill-plate in exterior walks shall be a minimum 2 in. nominal thickne pre r pp THE Tp� LF— Town.of Barnstable Regulatory Services Thomas F. Geiler,Director. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma,us Office: 508-962-403 8 Fax: 508-790-6230. Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property herebyauthorize au to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) „ Signature of Owner Date ILA Print Narhe: If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dccollik\AppData\Local\Microsoft\Windows\TcmporLry Intcmct Files\Contcnt.outlDok\DDV87AA.Z\EXPRESS.doc Revised 072110 ' Town of BarnstaWe- THE Regulatory Services Thomas P. Geiler, Director RARNSTAac.s, "� Building Division Eb a Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.t6wn.barnstable.ma.us Office: 508-862-4039 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTIO Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": ti name ho phone# work phone# CURRENT MAILING ADDRESS: Y: city`wn state zip code The current exemption for"homeowners'\w extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an in R dual 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 landiron which he/she resides or intends to reside, on which there is, or is intended to be,a one or tWD-family dwelling, attached or.detached structures accessory to such use and/or farm structures. A person who codstmcts 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 farm acceptable to the Building Official, that he/she shall be responsible for all such work/performed under the builkng-•p rmit. (Section r109.1.1) The undersigned"homeowner"assumes responsibility focompliance with the State Building Code and other applicable codes, bzmcowncr" s,rules and regulations_ The undersigned"h certifies that he/she understands the Town of Batmstable Building Department minimum inspect4in procedures and requirements and that he/she will comply witlr-said procedures and requirements. r Signature of Hpmcowncr Approval of Building Official t Note: Three-family dwellings containing 35,600 cubic feet or larger ill be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTON The Code states that "Any hbmcowocr performing work for which a building permit is required shall be exempt from the provisions; Lj of this section(Section 109.1.1 -Liccnsidg-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.)5) This lack of awareness often resuRs'in serious problems,particularly when the homcowricr 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 responsibic. 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:homccxcmpt Date: 8/9/2011 Times 9956 AN Tos PAM - I FAXED TBB CEBT TO TORN 8 9,15084287167 Ro gers 4 Cray Ins. Page: 002 Client#:45303 RIMIPATI ACORD. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDETHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the cergfkate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROGATION IS WANED,subject to the terms and conditions of the policy,twin policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements). PRODUCER Rogers&Gray Ins.-So.Dennis NA Mine Vaughan 4N Route 134 O1 o Era): 3W7980 No): EMAIL P.O.Box 1601 South Dennis,MA 0266061601 MURERla AFFORDING COVERAGE HJUC 0 INSURED _. INSURER A:Nat'l Grange Mutual Insurance C - Patrick Rimington&Alax Ranney INSURER a:Associated Employers Insurance dba Ranney&Rimington Custom Carpentry INSURER 0: P.O.Box 816 INSURER D: Marstons Mills,MA 02M INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF BNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRMED HEREIN E SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. 1� pp� LTR TYPE OF INSURANCE POLICY NUMBER ! EFF �r�pDnpy A GENERAL LIABILITY LIMITS D812112011 00121IM12 tEAcmENCEX COMMERCIAL GENERAL LIAB8ITY srOWO ENTED :ADEOCCUR SW 000 ale person) fDV INJURY $REGATE GENT AGGREGATE LIMIT APPLES PER: . PRO• LOC PRODUCTS-COUPIOPAGG s2,000,000 $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT .. ANY AUTO =0iden ALL TOED S 6EDLLED BODILY INJURY(Per peman) $ HIRED AUTOS NON-OWNED BODILY INJURY(Per aadderd) $ AUTOS PR rOPERTY DAMAGE 5 $ acdclenti UMBRELLA LIAR OccuR . EACH OCCURRENCE $ EXCESS LIAR �AMS.MgpE AGGREGATE I; DED RETENTION B WOR1U@R8 COMPENSATION noNBILITY V=5008462012011 0612011 08/0 m X we STaTU DTH t AND EMPLOYERS'LIABILITY ANY PROPRETORIPARTNE LSECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? NIA EL EACH ACCIDENT $100 000 (Mandatgry In NH) If yae,d R e under EL DISEASE-EA EMPLOYEE $100 ON DESCRIPTION OF OPERATIONS 6ebw EL DISEASE-POLICY LIMIT $500 Ow DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(Atinch ACORD 101.Addi0awl Rwna w Bahadeh,It more quip to required) 'Workers Compensation-PropristorslPartnsrs/Executive Officers/Members Excluded:Patrick Rimington& Alex Ranney*** C FICATE HOLDER CANCELLATION '**SAMPLE CERTIFICATE FOR SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCEUED BEFORE PROOF OF COVERAGE"* THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 19 10 ACORD CORPORATION.All rights reserved. ACORD 25(2010/0s) 1 of 1 The ACORD name and logo are registered marks of ACORD #589970/M69755 Mk.V Irl all,lall 11 U.11ll,l— Vll/ill lull 111 t/l f 1111111 Jill l"l� - Board of' Buildin;; Re-ulations and Standards Construction Supervisor License License: CS 88595 Restricted to: 00k. u ALEXANDER M RANNEYs 140 SEAVIEW AVE BASS RIVER, MA-02664 Expiration: 4/16/2012 ('llnunissioncr Tr#: 26903 Office of Consur erzAffalr f in�4.1s Re,gulation �es . I HOME IMPROVE I ENT CONTRACTOR I x Registration: 1.44752 Type: s`c Expiration: <1xfi12�2012 DBA i RA EY$RIMING Ory E;USTOM_:CARPENTRY j s ALEXANDER RANNEY{ :-4 I i 140 SEAVIEW AVE1; i BASS RIVER,MA Undersecretary I i -----_----:- f _�. License or registration valid for mdividul use only before the expiration date. If found return to: Office of.Consumer Affairs and Business Regulation 10 Park Plaza_Suite 5170 Boston,MA 02116 ' I Not valid without signature p 6} �a n I v { 3 V { ' � 3 i C �a �1xZ �C - � X n a 'i U - Np r(1 C ° q N J rs � � R- W N C v x w N d O ` l/� e �p f N F I �1 N 1 c b� r \ v r_.� ,.,` ,�\ '�� " -' /' __, �, �� G.. TOWN OF BARNSTABLE Building Department - Foundation Permit Date 3-- �G - (i Permit # '�6 ( ( 6 e414 L y' Name Location 3 `3 S S c_ c>Pb C—/c— Insp. of Bldgs. c> r—a Coll OU v EX. SONO DWELLING TUBES TOP OF (Typ) p FOUNDATION EL=100.0 O t� O 2" LEACHING , 6100 FAdUTY 1� FOUNDATION AS-BUILT PLAN ,f MAP 289,_PARCEL--82 I CERTIFY THAT THE IMPROVEMENTS SHOWN of �239-SCUDDER�-L-A____Nt, HAVE BEEN LOCATED WITH AN INSTRUMENT ,�� Ass90 HYANNIS, MA o� ys DATE: 9-12-11 DRAWN: RBS SURVEY. ROBB SCALE:1"=30' JOB A E00886 c SYKES DWG. CPP No. $5418 EASTBOUND *LAND SURVEYING, INC. N s P.O. BOX 442 ROBE SYKES, P. S. DA TE FORESTDALE, MA 02644 �oFr►+r r ti Town of Barnstable „ *Permit# Regulatory Services 6„��„�l�sfro,,, .�sr,� are Thomas F. Geiler, Director Building Division IJ Tom Perry, CBO, Building Commissioner 4 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us — Office�..._548=862=403.8 � _�..__,..w.._�_��-_,,_-�-„-,..,.;- 'Fax: 508-700-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY e� Not Valid wilhout Red X-Press Imprlril Map/parcel Number. Property hAddress S D 4, /x t4l A� 3 residential Value of Work ( (� •� } `Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address W Contractor's Narne ' ' Telephone Number ,-733-96,93 Home Improvement Contractor License:#(if applicable) �� 2 Construction Supervisor's License#(if applicable) 6 f,5,1j " Q(orkman's Compensation Insurance - ` -PEES PERMIT ' ✓✓ C eck one: Lam a sole proprietor AUG 7 5 Z010 I am the Homeowner I have Worker's Compensation'Insurance TOWN OF BARNSTABLE Insurance Company Name �yi°I(L &S% CC ' Workman's Comp. Policy INc- —06' `39 2— ) Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) °'�Re-roof(hurricane nailed) (stripping old shingles) AII'construction'debris will'be taken to D:E i'rAl�°LJ, ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) . Re-side t �j #'of doors Z Replacement Windows/doors/sliders:U-Value 3 ` � (maximum .35)_tl of windows ?..-;+ *Where required: issuance of this permit does'not exempt compliance with other town' epartment regulations,i.e.Historic,Conservation,etc: ***Note: Property Owner must sign Property,Owner Letter of Permission. . A copy of the Home Improvement Contractors License & Construction Supervisors License is. required. SIGNATURE' QAWPFILE&FORMS\building permit forms\EXPkM-doc Revised 072110 a OF THE BARNSfABLE, Ss. Town of Barnstable i679• �� ATFD MPr A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ; -. --- -- I, I09A as Owner of the subject property ' hereby authorize �LX Rama to act on my behalf, in all matters relative to work authorized by this building permit application for: -Ave , qAamv-%vs (Address of Job) t, IA & III A Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side: n • QAWPFILESTORMS\building permit forms\EXPRESS.doc ±_ Revised 072110 t P�olMEl Town of Barnstable Regulatory Services ]Ej�^fASS. Thomas F. Geiler, Director ,639• A�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 98-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER" name home phone# work phone# CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable-Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." I Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she"understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 • Client#-45303 RIMIPATI ACORM CERTIFICATE OF LIABILITY INSURANCE /09°'Y�""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&.Gray Ins. -So-Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual Insurance Co. Patrick Rimington&Alex Ranney INSURER B: Associated Employers Insurance Co. dba Ranney& Rimington Custom Carpentry INSURER c. P.O.Box 816 INSURER D: Marstons Mills, MA 02648 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED-NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MIDDIYY DIt1TE MWDDIYY A GENERAL LIABIUTY MP076069 08/21/09 08121110 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PR AGE TO RENTEDen $500 OOO CLAIMS MADE 51 OCCUR MED EXP(Any one person) $10 000 X PD Ded:250 PERSONAL&AOV INJURY $1 000 000 GENERAL AGGREGATE $2 00O 000 GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PROT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS . (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS r (Peraccident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY:. AGG $ EXCESSJUMBRELLA UABILRY EACH OCCURRENCE 3 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE e $ RETENTION $ $ B WORKERS cO�IPENSATION AND WCC50084620'12009 08/06/09 08106/10 X ►RC STATUS OEEL TH- EMPLOYERS'LIABILnY E.U.EACH ACCIDENT $100,000 ANY PROPRIETOWPARTNERIEXECUTIVE OFFICERWEMBEREXCLUDED? E•L.DISEASE-EA EMPLOYE E $100,000 irMyas describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS "PLEASE NOTE THAT THE PARTNERS HAVE ELECTED NOT TO COVER THEMSELVES UNDER WORKERS COMPENSATION" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of BamStable: DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ OAYS WRITTEN 200 Maio Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,rTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #46403 MLV © ACORD CORPORATION 1988 Z•d eZo:L L OL 90 5nV HA� s Am \ License or registration vafid for individul.use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Registration: 144752 Board of Building Regulations and Standards s One Ashburton Place Rm 1301 Expiration'. 11/2/2010 Tr# 277404 -� rt Boston, Ma.02108 �1 ,r`- Type' DBA 44 _ b 11i r. RANNEY& RIMINGTON CUSTOM-CARPENTRY _ 3 ALEXANuER RANNEl�� 267 MEIGGS BACKUS not alit{ without signature A g SANDWICH, M 025b3 y ll Massachusetts- Department of Public Safety " Board R. of BuildingR ucgTlations and Standa rd's . Construc tion Supervisor License �License: Cs 88595 Restricted to: 00- i ALEXANDER M . y RANNEY r 1 140 S E AVIEW AVE. � 9 BASS RIVE R, M .�i A 02664 F- • Expiration: 4/16/2012 ('irmmisirrncr i . Tr#: 26903 J The Carr mornvealth ofAlassachusetts De pr7rtinerrt of lrarrrst;„iad Accidents Office of Irnlaestrgalions 600 Washington Street Boston, 1614 02111 ti'at w'muss govIrein Workers' Compensation Insurance Affidavit: Builders/Cantr-,ictors/Electizc ins/Plumbers Appllicant Information Please Print Legibly Name. (Btisines&'Orrgani--a ion,gn&vickml): W 6-TJ d US-vr- , kw G Address: 131 .50PPIR2 AVE y PYAWLs City/State/Zip: M f PUZ-011A Phone## 00 22-7 ( +� Are you an employer?Check the appropriate box:: Type of project(required): 1 r I am a employer with `l. 0 I am a general contractor and I ermployees(full and/or part-time). * have hired the sub-contractors 6. New construction 2..❑ I am a sole propzietor or partner- listed on.the attached sheet. 7;254Zermodehng ship.and have no employees These sub-contractors have 8_ EJ:Demolition working for me in any capacity. employees and have workers' .Buildin addition [No workers' comp.insurance comp_Msurance..l F g required] 5. 0 We.are a corporation!.and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ :I am a.homeowner doing.all weak 11.. Plumbing repairs or additions myself [No workers' c.comp.. right of exemption per 1 GL 12. Roof repairs ins--insurance required.]t152 1(4),and we have no 0�1( employees. [No workers' 13..0 Other comp.insurance required.] *Any apphcavt that checks box#1.must also fill out the section below showing their workers'compensation policy information- Homeowners who subunit this affidavit indicating they are doing all wort and then hire au=de con mctors roust submit:a new affidavit indicating such. 1"Caatractors that check this boot must attached an sdditinnat sheet showing then sme of the sub-coutractnrs anal state whether or not those entities have employees. Iffthe sub-contractorshav=e employees,theytaust provide their workers'comp.policy number. .. ... I aan ari eutploy r tlir�t is prof idirig nrorkers'canrfrertsrct an iatsatrarcotr for airy,errrplay a�s' Below is the police'mid job site ir�orrrrrrhoar. Insurance Company Name: '° Policy#orSelf--ins.Lie.9: Wt- 00431 —yu© Expiration Date: ® 10 Job Site.Address: 13q sGWP CIL AVC City/State/Zip: pyltww ,Alp l,26Fl Attach a copy of the workers'compensntion polio, declaration page(shomi;ng the policy number and expu-ation d9te). Failure to secure coverage as required raider Section 2.5A of hfGL.c.. 152 can lead to the imposition of crinninal penalties of a :tine up to$1,500.00 and/or one-year imprisonment,as well.as citial 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 D.IA for insurance coverage Verification. I do la by certify under thepains arrrl penalties of pedu.ry that the h1formiTtion prm ided above is.true and correct. Si tore: Date: c7 Phone M t! '7;:7,cf 60;? official use oatiy. Da not write in this area,to be coaaipleted by,cih'or town officiaL City or Tome: Permit/License# Issuing Authority(circle one): 1.Board of Health 3.B•uilding.Department 3.CityfImvn Clerk 4.Electrical Inspector 5.Pltambingg Inspector G.Other Contact Person: Phone# 6 03/09/2011 10:21 7743532142 MCKENZIE ENGRG CONS PAGE 01/01 1 j� March is 0, 201 l N R E F , Mr. Jeff: Lauzon ENGINEERING Building Inspector Town of Barnstable CONSULTANTS t. 200 Ma in S Hyannis, MA 02601 ° RE: Framing Issues, 239 Scudder Ave. W. Hyann,isport, MA Dear Mr. Lauzon , MciCen..zie Engineering Consultants, Inc. was retained.by Ranney &Ri.m.iuington. Builders to complete an inspection and analysis .for several items identified.by your office during the framing iji,9pedi. ,{ 4 We completed a site visit on 8 March 201.1 and-review the items. The Pollowi.n.g is a list of items reviewed and the requi.rexrerits as needed. L The ceiliiig joist installed irrthe living room arid.master bedroom were installed in accordance with Section 58 of the 7`l' edition of the Mass`Codc and specifically using the roof rafter span tables and the reduction factors. c 2. The 2x'10 rapers that were slStered to the existing 2x6.rafters.are adequate the way they were installed. They are nailed to the 2x6 and with'the slash cut, still � . have adequate support and shear;l;orce resistance at the plate as installed 3. An.LVL beam.was:iostaJ.lcd to support the second floor across the living room 3 '{'g area. The post to support the end.of the:beans lands on the girder below but is too.far froze aiid cxistin lall c olunm and.the irder i.s not atron: enough to g Y ; g g 8 . pick Lip the post load..,.A new tally colum1a.(3 ''/Z")is requ..ircd to be installed x directly below the post location above and a new footing(l8 xl$ xl2 )is s required to be installed below the lall.y column: f: 4: A ripped lvl header was installed for the 5 ft. oP g ening in the bear wall. The II depth: of.tl e header is 4'%4"which is from.a.9 ''/Z" Ivis that was.ripped in.pal:(. Based on our an.alysi,v;.the (2) 1. 3/1"x 4 1/�" lvl header is adequate to carry the second floor load. If there are lily.questions, feel rice to give me a.call--„- �yJkAOF s� ; �. Sincerely, . MARK A. s McKENZIE 'a IL 9088 Q M rk A. Me •B STEP Pres.,McKenzI onsu.l.ta.nts; Inc. 1279 Millstone Road Brewster, MA 02631 t 774.353.2144: f 774.353,21 A.,2 www.mckengi neers.com- 2 � r T 1tw1w A ��' t � ' ^ #Yr''�� - � • x r�.�`.l �� R ,#N' 1t is rt r t -'t. •�P�1�� •1. } �r + �t i r � t j, �! � t= ' / ',� ° •� ��,+, `s. F 'r� lei r d. # ., " �r ` .,F � q�x mil/ ° ...�. ,,.r�: ,., • - F' _ {y� e r ,r.� � r � "� � d ['�'rYY(ylr♦ �� .lf .G k+ ..-aM �, 44 { w i L '�. � ♦.-v-'yam_ .. l #1 lk or ro wrrrr�i�rl' 4 ! �.. r _ " � 1 y �t� MO�e e� r Y � 4 Ig i -,£ "1]C�-K'-�"r�'"•-+n�.._.+sa�w.+. �n �— ..w-Yr-�T'^e-"t.�-r..�.+.+..�n^�.w+.-...iiir-�- �t . •ry +1'� y ,1 '�' �':'y'4`. .^�rY"'a'"�'' ..�v.a'/'�� Jk4�+ai' }ti' _"`` `*ay � �.........v...'....f•-�+-^e .'w�^+`./—^^�^..ww a �+-^.,... i fix, � 7t, i i � nl .l 4 .� '., • 6� �'e' � ., .. ?..' a..k r e� A � '.� � r�,°..,. �g , ;,.,�.*M,,.r� J,;, „y,5►„a. '`�^' :.. 'yp".°. ��'�4�"� � ° "v;,;a"'°� „°��'�,`� * 1". .1� a� +,a �:'� , _ p::...+•.�-t "*''*' t,?". a r �,1",!„+.�.i""" .�4..,w'�k.+_r a.rw�.IyMRn.,"* !"'^:y'•• w .F_'k! �..s* •-.Tr IZJLJ_.All .1..:, ".).'f. - � �L. .. .. ......... .,r. �... ...... .......e...a •................r. .. ..� _.. .. ... .. ... ._. _ .. TOWN OF BARNSTABLE Board of Appeals John J. and Margaret W. Boven _ _.__......... Petitioner Appeal No. 1:67-ZdI ._. »»__.»»dan . _ »»»»» »» 1967 FACTS and DECISION li Petitioner John...J' and s�farrra.ret W. ..._......._.....»......».....:..........»....»....».»....1%Ow83?:...._....»»..»_.... filed petition on ..sT.aL1y.. 19 67 requesting a variance-permit for premises at �jcLudder AVAI18H_ Street, in the village ' Hyannis Earl So and Margaret 5. Archibald F?enJamin . • L `i..... ................................ adoinin remises of»�!?la �S? 'k�..»�•». sr.0121.. ....t'8 ,� w..ari(1 un �ncaerson .ferry , Jkies go and Catherine 0. Torrey, James L. and Jane F. Cody, Millard T `; ,,T ,/ and oris Go ,,atthsews. for the purpose of ».__.usir? existing_Premises_» ..» .j ►z�llin .....................»...... ._..»». .......................................................................................................................................»...................»........»......................................»......................................................................... Locusis presently zoned in ltesitenCe A. ..................................._.............................................................................................._ Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Cape Cod Standard Times, a daily newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town .of Barnstable was held at the Town Office Building, Hyannis, Mass., at ......3100... »»..x3mP.M. ............ �totml...._...... .............._.». .» 167 , upon said petition under zoning by-laws. Present at the hearing were the following members: Charles._....�' rat.�t___ » »_..._ {�a-ene s` ??.»_..._»»_.»......... ..Raliam .1whaw..».........._..»..» Chairman At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. On ............ ......_._ ... .._ __ ...._.___ _» _ . 19 , the Board of Appeals found Daniel Sullivan lysqo represented the petitioner. Fir. Sullivan stated that the promises for which the petitioners were seeking permission to use as a tuo family dwelling were located on Scudder Avenue .near the intersection of Pitchers Way. The house is now occupied by the Dowen family and Mrs. Bowen'a invalid sister, Separate quarters have been prepared for the use of Mrs* ioweno sister. The attorney stated that the actual request at this 2ft= time is for installation of additional plumbinu; so that the sister can live in a small separate apartment. As her condition has become more serious, the necessity of walking back and forth from the Bowen family quarters has become hazardous and requires relief as requested It was the opinion of the Board that a sufficient hardship was' shown to warrant the granting of a variance. The use of the premises in the manner outlined by. the petitioner would not be detrimental to the neighborhood. The :,card unanimously voted to grant a variance for a two family unit to be limited however to the life of Helena K. loser, the sister:of the petiMoners. Restrictions imposed Distribution:— Board of Appeals Town Clerk Town of ar stan ble' Applicant Persons interested Building Inspector . Public Information By Board of Appeals Chairman PROPERTY ADDRESS I I ZONING (DISTRICT CODE SP-DISTS.I DATE PRINTED CSTATE LASS I PCS I NBHD KEY NO. 02'39 SCUDDER .AYENUE 07 R8 400 07HY 07/09/95 1041 :00 55CC R289 082. 194284 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Lana By/Date St:e Dimension LOC./VR.SPEC.CLASS ADJ. CON D. Ty UNIT PRICE ADPRICENIT ACRES/UNITS VALUE Dexnpfion 80JEN. JOHN'J - & MARGARET`W MAP- CD. FF�De m/fives //LAND 1 32i500 CARDS IN ACCOUNT - L 10 18LDG.SIT 1 X: .2 =10 224 49999.9 111999.9 .29 325UO #BLDG(S)-CARD-1 '1 62.100 01 of 01 A #PL 239 SCUDDER AVE HYANNIS S �jr- N BATHS 2.0 U x C= 100 7000.0 .7000.0 1.00 7000 a 1lRR 1440 0100 ARKET 78200 ON FIREPLACE U X. C= 100 3100.0 3100.00 1.00 3100 a INCOME A SE D PPRAISED VALUE D 1 94,600 A U ARCEL• SUMMARY` T S AND 32500 A T LOGS 62100 M -IMPS F E OTAL 9460C CNST E T T DEED REFERENC ype DATE Re ftd R I O R Y EAR-V A L U E ABook Pege Insl- Sales Price A N D 32500 T 1017/305! 00/00 LOGS 62100 OTAL` 94600 BUILDING PERMIT LAND LAND-ADJ INCOIME SE SP-BEDS FEATURES BLD-ADJS UNITS Number Date Type Amoont 32500 1 10100 Consl. Total Base Rate Adj.Rate q Class Units Units I A e r B It I 9e NDoepr' COarsiG. CND Lot %R.G Repl Cost New Atlt Repl Value Stories Height Rooms Rms Baths /Fix. I Par 1-11 Fat. 02C, 000 100.100 62.45 62.45 62 75.19 80 90 70 88678 62100 . 1.0 7 3: 2.0 8.0 Destnptlon Rate Sgeare Feet Rapl.Cost MKT.INDEX: -1•00 IMP.BY/DATE: ML 6/88 SCALE: 1100.67 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 62.45 816 50959 - DW NG CNST . GP. FFG 30 18.74. 352 6596 *----16---*-------- i --34----------*---- STYLE 03 ANCH 0.0 FSF . 90 56.21 374 . 21023 ! " FFG ! t FSF ! ESIGN_ADJMT- -00 ------------------Q.O ! ! XTtR.WACCS Tt OOD SHINGLES 0.0 EAT/AC TT PE 09 IL-ROT'YATER 0.0 --- - ---- -- ------------------- - - 22 24 BASE 22 22 NTER.fINISH_ OS CASTER 70�.0 i t , � NTER:LAY6UT_: T2 VER:/NORMAL U.O AIER.0UALTY 02 AME -A5 EXTER. 0.0 - -- - ------ -- W*----16---* ! ! LOOK SfiRUCT i)2 D JOIST/BEAM _ 0A D *----17----* E COOR-COVER-- -06 A72PEfi g viNfc 71.0 E Total Areas Aux= 3.52 Rase 1190 *----------34----_-,__X Clor-TYPE---- -Oi ABLE-ASPR_ S_H T _ BUILDING DIMENSIONS LEC TRI CAL OT VE RAGE 0.0 A BAS W34. N24_FFG W16 S22 ' E16:N22 0 WaATYCSN -OZ ONfC BLOCK 9�.4.. SAS E34 FSF .E17 S 22 W17 N22 -------------- - _-_ ---------------------- .a. SAS S24 L NEI-GW90RH 1H-00 3TCC- AQN-M - LAND TOTAL MARKET PARCEL 32500 94600 AREA 4027 VARIANCE t0 ♦2249 STANDARD 25 �4-7 L Z r � ` %pR 0E1 , �I�NS� Erg TaE��` eFLU ma's�N�G VIO CIO � ,AND � a,. b a 'C r / 9 'l P n R�e 9 �� ®F'T4HEl BLTI DyI G{ CgO�D�E AN�DJ�OR�Zy>�1vING � a IRE H-� IN UMa i t YO. A HEREBY Np .�FLED' IiAT z r o R 0 rl t Ll a .� A� i €+ I a J J ,L t � NIP � � � N"O ADDI'TIOONA ='„` rwS HA�I+� N �E��SEPWA i ®R.THP1VIIS 5 � OC'C f I`E`D L1N'i'f''I'L" THEE � � _ ,O<V�E VII�AT�ION'S r �x. AW A PERS'®NI � I1�1 E 5 NOTCEr#`TI' :O PC a;y P ' O FR�A-� I . ' TI S}® U A ,' IBr. E� T �7 'IaNE �F ® LE�SST s P I N t 4 ' s w � ,� M,, ��.�.�s`;"��0�_NE�H'`L�JN'D ��"D DOL �'��• : � IV �� i Aild�re• s�y �t�� y � � � `� - � � � � _ � �� , `F t t�� _� , � �� B�jn��.� •; -�� _ �� Fes. E x Town otbarnstwie Building Department Comp la,nt/Inquiry Report / Assessor's No.:d�9-,o�� Date: free d by: Complaint Name: Location 3 Address: ivu Originator Naine: Street: State: Zip: Telephone: D/E Complaint a Desaiption: G� �I Inquiry Dmaiption: For Office Use Oolr Inspector's Action/Comments Date: 70. Follow-up Action Additional Info. Attached TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A-9 Map Parcel d Permit# Health Division Date Issued U Conservation Division Fee 2, Tax Collector ® � Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address a 3 cf Village n�'lU C S Owner M 0,ag 0 l EP— Address SS)4M 9 Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 Historic House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: Full ❑Crawl 0 Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing . new First Floor Room Count Heat Type and Fuel: ❑Gas VOil ❑ Electric ❑Other Central Air: 0 Yes XNo Fireplaces: Existing I New Existing wood/coal stove: Cl Yes A No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:Xexisting O new" size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes X No If yes, site plan review# Current Use Proposed Use r e BUILDER INFORMATION Name Telephone Number - g Address a3cl ck�1)bgyp- ftVEJ\3u-'i- License# t r�, tJ l S ►Ul A C) Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO /�',r �77`Y3�� FJL� SIGNATURE /%Zn, FOR OFFICIAL USE ONLY PER}MIT NO. DATE ISSUED ,. x MAP/PARCEL'NO. ' •fir y ^ ADDRESS E. VILLAGE i OWNER ; r DATE OF INSPECTION: FOUNDATION r FRAME INSULATION ' •- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL ' FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. d f The Commonwealth of Massachusetts Department of Industrial Accidents == office 91119YO ti SHONs _ 600 Washington Street Boston,Mass. 02111 workers"Com ensation Insurance Affidavit name 1:2 ddop location 3 J s U 14 � ci .S d hone# I am dhomeowner perf g all work myself ❑ I•am a sole v.7riet/c and have no one workin in ca achy I am an employer providing workers' compensation for my employees worlang on this job.❑ P com as ;;. address.':: > ".: . ...................................... .:::::; city phone# l�istlrance co. olicv# no I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers.' compensation polices: X. ..:..::::.::.. ..:..... address . ...... »:<:... ............ L`S ..... .....................................:::::::::•.......:::::::::i:•iii::::::}J:Lii::i%:!:v......................... ...........::::::.:•:+;:::)):i:?i:i}i:: 14i:iii:'i:<vi:ii:t<:.'C:iiii:�ii:ii?`:!Sri:Liii:iss;j:Siiiii::.:ii::i`:<�:ivi::+{<%+ :': '...:..::..;:.....;'::>: :;:: ....:::"'':''>::::;;:;:»»::;::::..::.:::.:':>:>':<:;:'; (ne: > :.: :•r.. h c sa'names>:. address;:: . X 6hon s :::»::. :::.:;:.;:::;:.:::.;..;. ....... ::::::.:..:....:.. 010111, Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of erimioal penalties of a fineto SI,500.00 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 that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under th pains and penalties of perjury that the information provided above is trap and correct Signature Date 4r / ; ZIP r, Print name Phone# 2 C G ^ - ------------ official use only do not write in this area to be completed by city or town official city or town: _ perndtAlcense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑selectmen's Office ❑Health Department contact person: phone#; - ❑Other (revised 9/95 PIA) 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. 0111 APPlicants 'f. Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 4( ti 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 permt/license number which will be used as a reference number. The affidavits may be rettnrned to 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 Me of Imlesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 e F`"E Department of Health Safety and Environmental Services h Building Division sAxtvsTABc.e. = 367 Main Street,Hyannis MA 02601 MASS. 9 i639, �ATBO hAA't A Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ' ,/ Please Print / DATE: /0� `h JOB LOCATION: a (S b V21 village number ni street or+s-- P41) "HOMEOWNER": K FFNIOLP� r l a 9 YVt'J -..o PfS t4 L��, home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, orp_,_vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land oh 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'r Si ature H eowner Sn 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 comunitieultimately re telye,as oast ofe. the permit To ensure that the homeowner is fully aware of his/her responsibilities,.many q p ds the responsibilities of a Supervisor. On the last page of this issue is a application,that the homeowner certify that he/she understan d and adopt such aform/certification for use in your community. form currently used by several towns. You may care to amen Q:FORMS:EXEMPTN r Op IME A : The Town of Barnstable - snxwsrnsc.e. • 9� `1 Regulatory Services Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more thanfour dwelling units or to structures which are adjacent to .such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: Owner's Name: Date of Application: 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 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. Date n r' Name 4 g1orms:Affidav f Engineering Dept. (3rd floor) Map Parcel Permit# �-9�/ Z�1 Q House# Date Issued Board of Health(3rd floor)(8:15 - 9:30/ 1:00-4:30)�� ✓ lee `7 �t�t�_ Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) �TME rq Definitive P n Ap oved by Planning Board 19 ESEPT OC SYST a BE cr. s TOWN OF BARNSTAB ®NME�AL DE ND Building Permit Application T0WN .REGULAT1 ` -,: Project Street Address Z J 1Q 4 F Village Owner Z9694 ✓a S`il Yg, a,yN%,_- u� S A od,/Address • nS Telephone /` 9 O --Z $ ,3 Permit Request %0 0 a nJ i/ 7' #4 r V" j9 C,4 at fJ '�-.04 S �/4 Z O d/n 4 iti i�vc iE'd o� First Floor square feet Second Floor OA) F e-1 square feet Construction Type (',e n e)el 7 R A,,n�g- Estimated Project Cost $ `lgrZ , IS-Od-0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 3'j Historic House ❑Yes dNo On Old King's Highway ❑Yes ©'No Basement Type: eFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Z New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas &(Oil ❑Electric ❑Other Central Air ❑Yes dNo Fireplaces: Existing New Existing wood/coal stove ❑Yes k(No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) / Z O ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 0/3 U/6/ l/, �S/J C y Telephone Number Address g J I, so- p p L 1 C/ License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO oUJ v� O Qo92tis V4-/I SIGNATURE DATE G - BUILDING PERMIT DENIED FOR THE FOLL ING REASON(S) a tvlNdoLAI ---- -- - - ------------ - -- 1 5 r -- . 60 • o ! l �- r � .._ -. _r��. _� - - ----- �T x _.. _ ___ x. _ __ _ - ___ ... .. .--2 _,.._.K .iS ^.--. �___.--�-__-(_ _�_-�---,.--m�-��. _ __ _. E �' __.... � _ _ ..�y__-� _. - .. _. _ _ _,_._. _ _. . -"'Y_ . _„�. - _. .. .. - .. a ..._.. ._ -__. _ .r. -- -� -- .. _. __.. _ - -- � -- --r.. -- -- �_�._c� _ ._.. -_-�.-��..__..T�..�_ _. .. ..� --.�- -''---' _ _ � - ---- - - -. r - �� — -- ---M - i y`\1 ' 1 ' v The Town of Barnstable •.EOMSTnst.e. • 9� ' Department of Health Safety and Environmental Services - p 59. 8. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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 Est.Cost Address of Work: 3 Owner's Name )i��w 041111� PAI'Z�Q;4.1�, Ulf Date of Permit Application: —/� 9� 1 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 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 96 Date Owner's Name The Cummutim-calt/t of fassacltmeffs ;t-j� '�•.� --'_� De arinrent of In�dyu�saia�l/Accidents ` '` 6 1 11 ayltbigion Street Bnnron.A1a3& 02111 Workers' Compensation Insurance Aftid2rit cim �,a/ if 3gf" I am Aomeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. . m i t - City- nhene#! iesur•tnc rn eelicti• I am a sole proprietor.general contractor, or homeowner(circie one)and have fared the contractors listed below the following workers' compensation polices: CMD.11ni.n r� phone#- CllMiicr CO ��,�r„�, �q� y .• ��—T M, Crimpini.na c- address- 11hone#* ' sur•►nrn en "Offer it . :attach additionai'sheelif'tieeessa w Failure io secnre coverage as required under Seetton:SA of AIGL 152 can lad to the imposition of eriudmd penalties of a fine up to S .t unc}ears'imprisonment as well as civil penalties is the form of a STOMORI:ORDER and a fine ofM00.00 a day aptittst me. I under COPY of this statement may be forwarded to the Office of Iavestigations of the DIA for eorerage+'eritieadon. 1 d ,herebr c I under the pains and penalties ojpedun that the information prorided above is true and correct Signature 790 FF 3� Print name ✓ S• L tmet� ` oAicial-use oniv_ do not write in this arts to be completed by city or town official cin•or town: permit/1lcense# _Mguiidim Departmen l3Ucensintt Board a5deetmen's Office check if immediate response is required (31lesith Department Information :and Instructions Massachusetts Genera! Laws chapter 152 section ..S requires all employers to provide workers- compensation pensation employees. As quoted from the "lay+", an employeee is defined as every person in the scrvice 6fanother under contract of hire. express or implied. oral or«Titten. An c mph rer is defined as an individual. partnership. association. corporation or other legal entity. or any two the forc�_oing engaged in a joint enterprise. and including the legal representatives of a deceased employer. or receiver or trustee of an individual • partnership. association or other legal entity, employing employees. How owner of a dweiling house having not more than three apartments and who resides therein. or the occupant of t dwcl ling house of another who employs persons to do maintenance, construction or repair work on such dwcf or on the ;,_rounds or building appurtenant thereto shall not because of such employment be deemed to be an er, MGL chapter 152 section 25 also states that even•state or local licensing agency shall withhold the issuanc rcneival of a license or hermit to operate a business or to construct buildings in the commonwealth for ai applicant ` -Ito ltas not Produced acceptable evidence of compliance with the insurance coverage required Additionally. neither the commonwealth nor an), of its political subdivisions shall enter into any contract for th, performance of public work until acceptable evidence of compliance with the insurance requirements of this ch been presented to the contracting authority. .. �� •Z• .. :;•t i .�.: . .• .'1'•.. �4-r'!;;•q...• U.' .tea'•. a, _•�.� .`•7:u•r _ is .. .J.•:��i:•.:J. ::�r�.•;�:. :►v�.�•J,•—.7 j.!..".. •. Applicants Please `;;1 in the workers' compensation affidavit completely, by checking the boa that applies to your situntior supplying company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. T1t affidavit should be returned to the city or town that the application for the permit or Iicense is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are re, to obtain a workers' compensation policy, please call the Department at the number listed b--Iow. Clr.v or•Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bor the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant be sure to fill in the permit/license number which will be used as a reference number. Tlie at�daA may be tttu. the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would Iike to thank you in advance for you cooperation and should you have any qu please do not hesitate to give us a call. , U!•W�.w—...raw+•. -!w.�.•. _ :v _. —...:. .. ..rs...-. ... ..•: - - • The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents r Office of investigations 600 «'ashington Street Boston,Ma. 02111 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 2 3 SC Number Street address Section of town "HOMEOWNER" Narfie Home phone Work phone - PRESENT MAILING ADDRESS /// IT4 1441. C' ®Z Goy 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acCaptable 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comp with said procedure and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction; Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner, actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, . man communities require,- as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. f _ TownofBarns e Building Department ComplainVInquiry Report Date• -/•Z �J' Rec'd br. 2L= Assessor's No.:oZ P 9—o Complaint Name: it I't14Location 3 Address: lvt/r z 7 75•-'�G aL Originator Nwne: Street: Vim: State• Zip- Telephone: D/L Complaint . Descripdon: . Inquiry 0 Descripdoa: For 0 ce Use Onlv Inspector's Action/Comments Date: At - L oe- 000, �. Follow-up Action Additional Info. Attaclied __ -nm•nismbution: — [L7ute-Department File RESIDENTIAL PROPERTY FIRE DISTRICT MAP NO. LOT NO. SUMMARY STREET Scudder Ave. Hyannisport - LAND .J 0_7n 289 82 �.� H �� BLDGS. �/7 OWNER //do j �.�+W e° .--' TOTAL0-0 �? -...__... .._ LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. Bowen2 John J. &-Margaret W. 2 911 520 LANDL 29arn BLDGS. TOTAL LAND A' BLDGS. 0 � TOTAL r � LAND BLDGS. TOTAL LAND a) BLDGS. TOTAL LAND BLDGS. O) TOTAL LAND BLDGS. INTERIOR INSPECTED: ; 0) TOTAL DATE: _ LAND ACh.EAG COMPUTSsf`TIONS BLDGS. LAND TYPE $♦ OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT j�� o' W 9 6 1/ eo (o s LAND CLEARED FRONT rn BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR pl BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAN D ~ BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND /D ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND FOUNDATION BSMT. & ATTIC PLUMBING PRICING \ LAND COST onc.Walls Fin. Bsmt.Area Bath Room ! Base BLDG.COST ~� onc.Blk.Walls v Bsmt. Rec.Room St. Shower Bath. Bsmt. PURCH. DATE � mc. Slab Bsmt.Garage - St. Shower Ext. Walls PORCH. PRICE. .. , rick Walls• Attic Ff. &Stairs Toilet Room Roof RENT tone Walls Fin.Attic Two Fixt. Bath Floors ers INTERIOR FINISH Lavatory Extra smt. F ✓ 1' 3 Sink Attic. 1/z r/4 Plaster Water Clo. Extra EXTERIOR WALLS Knotty Pine Water Only / cable Siding Plywood No Plumbing Bsmt. Fin. ngle Siding - Plasterboard Int.Fin. - Shingles TILING f,Z �72u 0 ✓ f (3 7�l -nc. Blk. G LF P Bath Ff. ice Brk.On Int.Layout Bath Ff.&Wains. Auto Ht. Unit IL t7 j D 30 Veneer Int.Cond. I.Ir I Bath Ff. &Walls Fireplace )m. Brk.On HEATING Toilet Rm. Ff. Plumbing 4w Aid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. ;7 Tiling Steam "Toilet Rm.Ff.&Walls lanket Ins. Hot Water St. Shower aof Ins. Air Cond. Tub Area / Total Floor Furn, ROOFING Z at< COMPUTATIONS sph.Shingle Pipeless Furn. ��(� S.F. food Shingle No Heat .21 S. F. 13 Vo a sbs. Shingle Oil Burner 36 S.F. �/, *n / late Coal Stoker 3 -7 7" S. F. /3. le Gas S. F. OUTBUILDINGS ROOF TYPE Electric able ✓ Flat S.F. 1 2 3 4 5 6 7 8 9 10 112131415 6 71819110 MEASURED ip Mansard FIREPLACES S.F. Pier Found. Floor ambrel Fireplace Stack Wall Found, 0. H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing one. LIGHTING Dble.Sdg. Shingle Roof arth ! No Elect. DATE — Shingle Walls Plumbing ine ardwood ROOMS Cement Blk. Electric G-/ram ••y a 7 sph.Tile Bsmt. 1st 7 TOTAL Zi3 Brick Int. Finish PRICED G G 3 ingle 2nd 3rd FACTOR REPLACEMENT - OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. jWLG. i 9:2 ` �� 7G L� y �' 7 v a/7dd 1 2 3 a 4 5 . 6 7 8 9 10 TOTAL ' TOWN OF BARNSTABLE BOARD OF APPEALS NOTICE OF PUBLIC HEARING • UNDER ZONING BY-LAWS ' Appeal-No. 1967-41, Setpember 15, 1967 Earl S. &-Margaret S. Archibald, Ben- iamin F. & Sara B. Tillman, John R. Berry, Jr. & Ruth Anderson Berryi James M. & Catherine D. Towey, James L. & Jane'F. Cody, Millard L. & Doris. C. Matthews. Being all persons deemed interested or affected by the Board of- Appeals, under Sec. 15 of Chap. 40A of General Laws of the Commonwealth of Massa- chusetts and all amendments thereto, ' you are hereby notified that JOHN J. & MARGARET W.' BOWEN has ap- pealed to the Board of, Appeals from a. decision of the Building Inspector and petitions for permission, to vary the zoning.by-law to permit use of existing premises as. a two-family dwelling; premises- located on Scudder Avenue, Hyannis, in a Residence Al area. A public hearing will be given on this petition, in Town Office Building on October 4, 1967 at 3:00 P.M. You are invited to be present. By order of the Board of Appeals, Charles McGrath, Chairman. ' 9/19,26/67. 0� O+► AMSTAX Z NABS abs,039. TOWN OF BARNSTABLE VARIANCE PETITION FOR SPECIAL PERMIT UNDER THE ZONING BY-LAW To-the Board of Appeals, Hyannis, Mass. Date J. .. .. _.. ..._.1. .....- 19 0 The undersigned petitions the Board of Appeals to vary, in the manner and for the reasons hereinafter set forth, the application of the provisions of the zoning by-law to the following described premises. Applicant: ..John . ....................................... ;Pnr1s.......__............. ._ (Full Name) (Winter Ad�ress) Owner: ...........................sampa.. ........................................................................................................ ... .... ........ ....... ............ (Full Name) (Winter Address) Tenant (if any) : ...................................... ................................... .......................... ...............................................__.. ... ......... .................... _........_..... (Full Name) (Winter Address) 1. Location of Premises 5..G.11.dder...A .e nue....................................................HyanrlS.r...I`aaa achu.Setts............................ (Name of Street) (What section of Town) 2. Dimensions of lot .....100 X.12�r................... ....._............................... 2 .. ......... ........... Area _....1 �122........................................_ _... (Frontage) (Depth) (Square Feet) 3. Zoning district in which premises are located.....R.A=3............................................................................ 4. How long has owner had title to the above premises? .....1951.................................................................................................... 5. How,many buildings are now on the lot? ..........One.............................................................................._....................................................... 6. Give size of existing buildings ......24...X...6.6....................... Proposedbuildings ................... ..iWne................................................................................................._...._............................................................ r. State present use of premises 111ezi.dell.ual.................... S. State proposed use of premises .....hofile....atd....2...1/a...ro m...spy.r..tment.........._......._....................................................... 9. Give extent of proposed construction or alterations: .............................................................................................................................. .............................................I?t?t... n....a a m d....:ink...................................................._.._..............__._.._ _ __._... __ _.......�.._.........._. .__. 10. Number of living units for which building is to be arranged ......2........................:................................................................. 11. Have you submitted plans for above to the Building Inspector9 ......X ,S.. _.. . 12. Has he refused a permit? ............................................................................. .........................................._..................................._........._....... .._ ..� 13. What section of zoning by-law do you ask to be varied? ........................................................„......................................................... Special permit under H. Residence A-1 Districts. .........................._...................................................................................................................................................................................................._............................................_.........._._ 14. State reasons for variance or special permit*: .........The....petit,loneT.,....J.oha...Bovxen.,....built................. this...hous.e a.s a...home....for...J-L.s...family..and...a1Po...�ng.1u.ded....txSt...quarters...for...his ,sister,-in•-tin,,,...I�?h4....In....i�,A�t..:a...ua.r.tual...�lauE.id.........3. ....i,o...the.......�..............� condition ,of .his sister-in-lain .move � ,t 1 I'. o�llt....and-the... m tion Of a Mm 111....slnk...in...k),er...P?rcoant....ouar.t ars...will...ab ..a,te....the....ne.GesaLty._.nf....her.:..txaum_ elling.through,three rooms to r.each a„aink,..-A ,trap which_i,yx).1_vc s of falling as has happened..several tunes. �.n..,r.ag. of....any...kind,....inside...my....outsicie.,....are._.r. quirod..._ ............. __._..._.. _..._ _. _ _...._....�.:... .. .._.�.._..__.� Respectfully submitted,,--- (Signature) J.�Gk.:. . f✓_cam,^..'"-�'�.��`G�µG-, 11 ['etition received by ................................................................................ (Address) ..._..__...._..........._._..._ _...-....__... Hearing date set for ........ 19; ' * Filing fee of $15.00 required with this petition. * This form may also be used for Appeals. aX �P (Over) /I --� Please type or print only. A, Earl S. and Margaret S. Archibald' Benjamin F. & .Sara ;:B. Tillman John R. Berry Jr & Ruth Anderson Berry James M. and Catherine D. .Towey James L. and Jane F. Cody Millard L. and Doris C. Matthews The following are the names and mailing addresses of the abutting owners of property and the name and address of the owner across the street, according to the records in the Assessor's Office at the date of this application: rqr. cc Mrs. John R. BFRRY, Scudder Avenue, Hyannis; Mr. & Mrs Benjamin F. Tillman, Fernwood Avenue, Hyannis; Mr. et Mrs. James Cody, Scudder Avenue, Hyannis; Mr. & Mrs. James Towey, Scudder Avenue, Hyannis; Mr. & Mrs. marl S. Archibald. Scudder Avenue, Hyannis; Mr. & Mrs. Hillard L. Matthews, ) riarwobd Road, Hyannis.- SEE ABOVE Verified by Assessor's Office i .�Aeseseor There must be submitted with the within application at the time of filing a plan of the land, in duplicate, (or two prints) showing: 1. The dimensions of the land. 2. The location of existing buildings on the land. 3. The exact location of the improvements sought to be placed on the land. Applications filed without such plans will be returned without action by the Board of Appeals. 161 CJCLLACLEz �VEnttE cy yannls, assaAaieth 02601 G -2 19G OA3 p twytj d vA r Y" �� + � � .:F ;t ,. . 1;. � � . .. ... ... ... .. .... .... _ _...i._. _,_, .. . __.. .. ..._ � _...._... ._, -.._, .., .. .. _ ... ..��.. • ! , V o—��V1 i ////� .fhb" THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE BOARD OF APPEALS January 23 .1968 ----------------------------- ------....------.._.._... .-. NOTICE OF VARIANCE Conditional or Limited Variance or Special Permit (General Laws Chapter 40A, Section 18 as amended) Notice is hereby given that a Conditional or Limited Variance or Special Permit has been granted To John J. and Iargaret W. Bowen .......-------- - - --•--- --- - -_ .. .... .... ... ----•-------•-------------------- Owner or Petitioner Scudder Avenue Address.......................•--•---••-----.....--•-----------------------------.....-----------.......----------------.................._--•--- Cityor Town------------------..Vann1.s...............................................•----------•---•-----------------•----•------------------------ -------------------------------------------------------•---------------- ---Scudder--Avenue,--Hyannis-----------------•----•------- Identify Land Affeeted ....................•------••-------------------.._..-•-------------------•--------•--•---•---------------........•-..----............................. by the Town of Barnstable. Board of Appeals affecting the rights of the owner with respect to the use of premises on..... . ....udder.Avenue Hyannis ... .. ...... Street City or Town the record title standing in the name of John J. Bowen & Margaret W. Bowen ------••.......................•-------............-------•----•----•-•------------------....------•-----------•--......__..._...............----....... whose address is........�dder Ave. (Box_ 35) Eyaru�fe Massachusetts Street City or Town State by a deed duly recorded in the.......... rns �?�..•....___County Registry of Deeds in Book -_-_lOM7-_- Page......395----- ____________________________________________________Registry District of the Land Court Certificate No................. ................Book ----------------Page................ The decision of said Board is on file with the papers in Decision or Case No----1967-l---.- in the office of the Town Clerk of the Town of Barnstable. Signed this...223Zd.day of...........AM=.................... . 6 8 Board of Appeals: ------------------- - --• . -- -- --------------- ........................Chairman Board of AP Is ----------•- -•------ -----------•.....------------------•-=•-----------------Clerk Board of Appeals ................................................19........ at..............o'clock and...................t-----------:minutes ----M. Received and entered with the Register of Deeds in the County of........ __________________________ Book........................ Page........................ ATTEST ..................................................•----._.....:_..-------•-- Register of Deeds Notice to be recorded by Petitioner { z f0 v) uu s 91lie IML 3S d . ..-�.�... .r _� --Ppo-'' 3 ° 0000 3 4 . '7 ] [R289 . 082 . ] LOCI 0239 SCUDDER AVENUE CTY] 07 TDS] 400 A KEY] 194-284 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 ASHLEY, MARY JO & MAP] AREA] 5 5 CC JV] MTG] 0 0 0 0 BOWEN, BONNIE J SP1] SP21 SP31 239 SCUDDER AVE UT11 UT21 . 29 SQ FT] 1190 HYANNIS MA 02601 AYB] 1962 EYB] 1975 OBS] CONST] 0000 LAND 32500 IMP 62100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 94600 REA CLASSIFIED #LAND 1 32, 500 ASD LND 32500 ASD IMP 62100 ASD OTH #BLDG(S) -CARD-1 1 62, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 239 SCUDDER AVE HYANNIS TAX EXEMPT #RR 1440 0100 RESIDENT'L 94600 94600 94600 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 09/96 PRICE] 1 ORB] 10390329 AFD] I A LAST ACTIVITY] 10/23/96 PCR] Y i_ R289 082 . # P R A I S A L D A T A ! KEY 194284 ASHLEY, MARY JO & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 32, 500 62, 100 1 A-COST 94, 600 B-MKT 78, 200 BY 00/ BY ML 6/88 C-INCOME PCA=1041 PCS=00 SIZE= 1190 JUST-VAL 94, 600 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 55CC ----------------------------- NEIGHBORHOOD 55CC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 325001 LAND-MEAN +0% 946001 78256 IMPROVED-MEAN -210-. 25% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%1 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R289 082 . OP E R M I T [PMT] ACTICw] CARD [000] KEY 194284 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT : . . ( ; . ) � w d � � � ) . . � ) , � ) � � J [ \ ,ROPERTVADDRESS I ZONING I DISTRICT CODE SP-DISTS. DATE PRINTED I CSTATE LASS I PCS I NBHD KEY No. 0239 SCUDDER AVENUE 07 RB 400 07HY 07/09/95 1041 00 55CC R289 082_ 194284 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADJ'D.UNIT BOJEN. - J OHN'J & MAR6ARET III MAP— Lano gy/Da,e sae omenson LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE De—ipuon / co. FF.oe mrAq es #LAND 15 32.5OO CARDS IN ACCOUNT — 10 18LDG.SIT 1 X= .29 =10c 224 49999.9 . 111999_9 .29 325UO #SLDG(S)—CARD-1. 1 62.100 01 OF 01 #PL 239 SCUDDER AVE HYANNIS ST0-- (IBATHS 2_0 U X C= 1001 7000.00 7000.00 1_00 7000 3 #RR 1440 0100 MARKET 78200 FIREPLACE U X . C= 100 3100.0 3100.00 1.00 3100 8 INCOME A USE D PPRAISED UWE 94.600 A U ARCEL SUMMARY" Sl AND 32500 a TI LDGS 62100 M 1 —IMPS Ei OTAL 94600 N � � CNST T I DEED REFERENC ins DATE pies P d R I OR' Y EA R'V A L U E Book Page MO. Vr_D A N D 3 2 5 0 0 S 1017/305 00/00 LDGS 62100 IOTAL' 94600 i BUILDING PERMIT. > � LAND LAND—ADJ INCOIME I SE SP-6LDS FEATURES BLD—ADJS UNITS Number Date Type Amount 32500 I 10100 Cass Cons,. To,al gale Rale Ad Rate r B ilt A Norm. Obsv. Units L'n its A I ge Depr. Contl. CND L- %R.G Rep, C-1 New A0, Repi Va,ue S,one_ Heign, Rooms Rms Batbs /fia. P�rtywall F.c. - 02C 000 100 100 62.45 62.45 62 75 19 80 90 70 88678 6210J 1.0 7 3 2.0 8.0 C;-e p,ion Ra,e Square Fee, Repl.Cos, MKT.INDEX' 1�00 IMP.BY/DATE. ML 6/88 SCALE:. 1/00.67 ELEMENTS CODE CO NSTRUCTION DETAIL 6AS 100 62.45 816 50959 1 1 Y U TWO FAMILY DWELLING CNST GP: 0 ' FFG 30 18.74 352 6596 *=---16---*----------34----------*----17----* STYLE 03 ANCH 0.0 N __ FSF 90 56.21 374 21023 ! FFG ! ! FSF ! ESIG AOJAT 00 0.0 1 -XTLA.WALLS T1 OOD SHINGLES 0_0 1 ! ! EAT/AC TYPE (19 IL=HOY'YATER 0.0 22 24 BASE 22 22 NTER.FI --sw Os _ ___ CASTER 0.0 ! ! ! ! NY8R-LAYOUT T2 VER_/NORMAL 0.0 1 ! ! ! ! NT8-9 4UALTY 02 AME a AS EXTER_ 0.0 ( ! ! ! ! L01 STRUCfi J2 D JOIST78EAP1 0.0 W*----16---* *----17----* E LOOR COVER- 06 ARP Efi S VINYL 0.0 D ------- --------- - Total Areas Aua = Base = 1190 * --- 34----------X 20Gf TYPE O1 ABLE—ASPH SH 0.0 T, BUILDING DIMENSIONS LP TR1CAL 37 VERAGE 0_0 6AS W34. N24 FFG W16 S22 E16 N22 GUN-DATION 02 _OW CREYE BLOCK 9-V.9 A BAS E34 FSF . E17 S 22 W17 N22 -------------- --- ---------------------- I .. AAS S24 .. ---- REI�lf80RH -00 3SCC IfYANNIS L LAND TOTAL MARKET PARCEL 32500 94600 AREA 4027 VARIANCE +0 +2249 STANDARD 25 RESIDENTIAL PROPERTY MAP Ij-14O. LOT NO. FIRE DISTRICT SUMMARY STREET Scudder Ave. Hyannisport LAND 289 82 / �� BLDGS. H OWNER �Fs /;,i �� /- r:% u m-� TOTAL - LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. Bowen John J. & Msr aret W. 2 5 911 520 B TOTAL LAND IO� BLDGS. TOTAL LAND s BLDGS. TOTAL LAND BLDGS. TOTAL LAND m BLDGS. TOTAL LAND 01 BLDGS. TOTAL LAND BLDGS. INTERIOR INSPECTED: ' TOTAL DATE: 6 �� v LAND 'ACF2EAG COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE R- 'GJ ZCJJ`� y (nSC} LAND CLEARE ONT rn BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR O BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND lu f) BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER /Q ROUGH TOWN WATER (Dim HIGH GRAVEL RD. LOW DIRT RD. LAND SWAMPY NO RD. rn BLDGS. Cone.Walla Fin. Bsmt.Area Bath Room ! •� Base 1:i `% d BLDG. COST Conc.Blk.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. PURCH. DATE Walls Cone.Slab Bsmt-Garage St. Shower Ext. PURCH. PRICE. Brick Walls Attic FI. &Stairs Toilet Room Roof RENT '^ 'Stone Walls Fin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra 3 10 Bsmt. F ✓ 1' 3 Sink '% % 1/4Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt.Fin. Single Siding Plasterboard Int. Fin. vvo�Shingles TILING Gj ilt.ri( ✓ ;onc. Blk. G F P Bath FI. Heat 0,7 p �v` Zy �/(' �Z Z Face Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath FI. &Walls Fireplace Com. Bilk.On HEATING Toilet Rm. FI. Plumbinga 3y Solid Com. Brk. Hot Air Toilet Rm.FI.&Wains. Tiling Gam°.Z Steam ,Toilet Rm.FI.&Walls � jf�j� i I; Blanket Ins. Hot Water St. Shower .5 Roof Ins. Air Cond. Tub Area / Total Floor Furn. ROOFING Z COMPUTATIONS ' Asph. Shingle ✓ Pipeless Furn. �/6 S.F. Wood Shingle No Heat .71 S.F. 13 Vo o? Asbs. Shingle Oil Burner 34 S.F. -'�_ 80 / d/ ' Slate Coal Stoker Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S.F. 1 2 3 4 5 6 7 8 91101 112131415 6 7 819110 MEASURED Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Rail Roofing — Conc. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Pine Shingle Walls Plumbing Hardwood ROOMS Cement Blk. 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Z/8n.plywood sheathing n 30 yr. architectural asphalt shkgoes with ice and water barrieri30 felt 2x10 collar ties at each rafter, Ceiling dad with TrvG 1 x6 2x10 rafters at 16"O.C.tied to top plate.with,H2.5A humcane.dips 1 x6 Fascia, 1x8 Soffit , :: .F - f X =: Continuous Beam-W.wrap around,all three.saes,tie to-posts 2x4 walls at 16"O.C. with metal straps/plates All°Pressure Treated' Timber,with 4x4 Posts Factory Screen Panels at 3'intervals,wrapped -?'in Azek'tnm:boards Azek.panels interim WC shingles exterior Verify all'bottom plates W4 Azek Deckicig existing} and posts are tied to existing beam and into _existing foundation;tubes Nt Existing,Geck-W—D Joists(g7.1'6"GL. , Existing Bkjfoot Foundation Tubes - --- o ci: v _ CROSS.,SECTION. 239 SCUDDER AVE, HYANNIS 4130/1:7 LEGEND Arbor Wy N BULDING DEFI gg— — EXISTING CONTOUR Syivon Dr— x 100.98 EXISTING SPOT GRADE �twOod Rd ' MAY U 5 2017 � w EXISTING WATER SERVICE m uJaav��. �ooa \ --O•H,W---- OVERHEAD- WIRES �� o m 8, TOWN OF BARNSTABLE TEST PIT Fewood Ave,, Q . v 9 _ BENCHMARK ` ! > d Ave _v\ cotchb sin Ok Q p,newoo a LOCUS P e c LOT 13 �� 9&58 LOCUS MAP F�F �- NOT TO. SCALE co CL o , .�^ o - 12,900±SF 92 O catchba ini p0 0 oo N 9 0 EXISTING DECK GENERAL NOTES: LOCAL J ea / i ' -9 — I 1 x`98,40 f I 1. ALL CHANGES TO THIS PLAN`- MUST BE APPROVED BY THE L r %Ey SS OS (ap ox.) BOARD OF HEALTH AND THE DESIGN ENGINEER. lL D 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DO OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. I i t ram. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT.BE BACKFILLED- PRIOR ! >� >` _ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE x 97,54 1 99,33 1 EXISTING; I J s' _ DESIGN ENGINEER. 'S - 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 1 } 1 1 HOUSE (#2`39) i /' �j g6 FROM- THOSE'SHOWN HEREON SHALL`BE REPORTED TO THE DESIGN t i T.O.F.=100.00t, 16�X32� > `A �`' '' ENGINEER 'BEFORE CONSTRUCTION CONTINUES. . ,'f DECK rf � 10 f r 95,58 - �tN OF Mgss 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. co EXIST. SEWER ice\ �„' �'<'LSg �°S 3`3, y�Q 9�y 6. THE DESIGN ENGINEER IS. NOT RESPONSIBLE FOR THE FAILURE OF_ INV.=96.7f ?tiv3'� _ o THE CONTRACTOR OR OWNER TO: NOTIFY THE LOCAL BOARD OF '` t i 1 ; 4 4 \\ �, � ' <v !� �'y I ROBBIn HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. \ 98.75 `` 4 �� ii — i i o SYKES t9N' j X2�' \v- ,� ��' <�� r �' No. 35418 7..,WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. {, 98,5�" O 7 0• �� TP-2 i .,y �?/ 16, h '. o THE. PROPOSED S.A.S.' .� ' i �- ��3�, 9 ,0 i ��^ �i �� O �o� p _ �0 8. THERE ARE NO WELLS WITHIN 150 OF 9. ALL AREAS. CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS TP-1 �'�'� �' p0�� FS�C�S ,� AGREED UPON BY OWNER AND, CONTRACTOR OR AS OTHERWISE PROPOSED ,� OQOg DIRECTED BY THE APPROVING AUTHORITIES. SEPTIC y� >�y" 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 98 97,65 TANK �� / l THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. `r 9 �` \� �F MASS 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS A922? A�. 96,00 �c�P� q�yG IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND PETER T. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). F` rr_.� o McENTEE "CIVIL 12. AREAS REQUIRLNG STRIPOUT OF UNSUITABLE MATERIALS SHALL BE X 95 51 U NO. VI INSPECTED BY HEALTH' DEPARTMENT PRIOR TO BACKFILL 13. ENGINEERING WORKS IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED �EGISZE ' �� SEPTIC SYSTEM .COMPONENTS WHICH MAY EXIST ON. THE PROPERTY. , SS/0 Benchmark ;1 �� . PROPOSED SEPTIC. SYSTEM UPGRADE PLAN Outside car. of Bulkhead 239 SCUDDER AVENUE, HYANNIS, MA EL.=99.46 (Assumed) Prepared for: Raney & Rimington, 239 Scudder Ave., Hyannis, MA 02601 x Engineering by: Surveying by: SCALE DRAWN JOB. NO. 95A8 OWNER OF RECORD Engineering Works,Inc. ' EASTBOUND 1 19=20' P.T.M. 197-10 SIKIORA, WALTER & PAMELA M 12 West Crossfield Road LAND SURVEYING, INC. 19 GLEN EAGLE CIRCLE Forestdole, MA 02644 P.O. Box 442 DATE CHECKED SHEET NO. FLOOD PLAIN DESIGNATION { ATTLEBORO, MA 02703 Forestdole, MA 02644 9 8 10 P:T.M. 1 Of 2 NON HAZARD (508) 477-5313 508) 477-4511 � t , LEGEND Arbor Wy N . EXISTING CONTOUR Sylvan Dr qt w 0 ad x 100.98 EXISTING SPOT GRADE -O ,m• Rd W EXISTING WATER SERVICE CD � H.bye--- OVERHEAD WIRES o V\/ 98 ® TEST PIT Fernwood Ave. / BENCHMARK ,; Pinewood Ave. V catchb sin _ aoc LOCUS P F �e - LOCUS MAP LOT 13 ��9` 98,58 °0 ° NOT TO SCALE PN 289-0 F� "� a 12,900±SF 92?� O catchba •° s- 9 0 ��• EXISTING DECK GENERAL NOTES: G z ro' TO BE REMOVED i1� ti �g LOCAL 1. ALL CHANGES TO THIS PLAN', MUST BE APPROVED BY THE o x 98.% EXISTING CESSPOOSL (approx.) BOARD OF HEALTH AND THE DESIGN ENGINEER. i TO BE PUMPED, FILLED W/ 2. ALL WORK 'AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SAND AND ABANDONED OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. y �\ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION ENGINEER.D APPROVAL BY THE BOARD OF HEALTH AND THE TING 99.33 EXISTI I x 97,5 � %5' " � 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING HOUSE (#2.39) / �� _\ " ( 96 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN T.O.F.=100.00f PROPOSED )� rLi ENGINEER BEFORE CONSTRUCTION CONTINUES. I I I I I I I 16'x32' i� i� // 95,58 ��N OF MAS 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. i �i DECK SS EXIST. ��P 9cti 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF SEWER i S o' lNV=96.7f � � � G THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �� .t RC HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. I .t 98,75 X��'\ �� X i fir\;i o SYKES N 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. �. No. 35418 x 98,5 'L 97,00•_- TP-2 i�^�R�i i � 6'� ( �' 00 0 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. yi gin �r � o��Fc/S �J 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 9s� Ag. TP-1 p�'i� a0 s y S� AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE PROPOSEDj1� DIRECTED BY THE APPROVING AUTHORITIES. SEPTIC '�*' C � i 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 98"— TANK � � i� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 97,65 CONSTRUCTION. OF *SS9 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS A9. �9 ��96,00 �Q �y IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND o� PETER T. , ;'G� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310•CMR 255(3). McEN ITEE 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE CIVIL INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. ?p, x 95,51 No. 35109 13. ENGINEERING WORKS IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED 'i lv QEG/ST� �� SEPTIC SYSTEM COMPONENTS WHICH MAY EXIST ON THE PROPERTY. /0 Benchmark i ��h PROPOSED SEPTIC SYSTEM UPGRADE PLAN Ben � e cor. of Bulkhead ^�� ,I� 239 SCUDDER AVENUE, HYANNIS, MA Ou tsid �V` EL.=99.46 (Assumed) Prepared for: Raney & Rimington, 239 Scudder Ave., Hyannis, MA 02601 Engineering by: Surveying by: SCALE DRAWN JOB. NO. OWNER OF RECORD Engineering Works,Inc. BAST90UND 11I=20' P.T.M. 197-10 95,18 SIKIORA, WALTER & PAMELA M 12 West Crossfieid Road �BoS'URVIs'YING, INC.x 442 DATE 19 GLEN EAGLE CIRCLE Forestdole, MA 02644 Forestdale,MA 02644 CHECKED SHEET N0. FL000 PLAIN DESIGNATION ATTLEBORO, MA 02703 (808) 477_5313 508) 477-4511 9/8/10 P.T.M. 1 of 2 NON HAZARD !�,y a, , r • III, �J } LEGEND — - --- Arbor Wy N I — gg—— EXISTING CONTOUR sylvan or 'qty, I• x 100.98 EXISTING SPOT GRADE v ��• 00d Rd i W EXISTING WATER SERVICE arc a %/ — OVERHEAD WIRES o c�°Ja `o`�oo 98, TEST PIT ernwood Ave. a ' BENCHMARK ,; J Ave. catchb Sin Q pinewood LOCUS Q�e a n @, I ; LOT 13 a��9LF 98,58 00 o ; LOCUS MAP r) NOT TO SCALE Q o� �,�� PN 289-0 F�� ti a m .'h o 12,900±SF R92� catchba int pc0 V ,29 2�sy Ns, 9 , o �A. EXISTING DECK GENERAL NOTES: �98 ' TO BE REMOVED 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL rL x 98.40 EXISTING CESSPOOSL (approx.) BOARD OF HEALTH AND THE DESIGN ENGINEER. TO BE PUMPED, FILLED W/ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS t i' OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SAND AND ABANDONED LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR t t TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE x 97.5 �'� s 99,33 EX/STING /%� DESIGN ENGINEER. HOUSE (#239) �i 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING T.O.F.=100.00t PROPOSED t ob FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN / I 16'x32' i i� �� i ENGINEER BEFORE CONSTRUCTION CONTINUES. I I I I I I 1r 95,58 ��N OF M,4SS 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. DECK i� �� /�' t. EXIST. SEWER �� S �� P 9c 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF INV=96.7f `� i,� S2, �S o=� tiGJ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �� i� �. �y ROBS HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 98.75 2�\ ,� , �\ i o SYKES X I F X �' �� X ,� < o " No. 35418 "' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 98,5 97.OQ_.t TP-2 , �� ;��v �6• oo � ,p ,A O �0 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. F FG`/S 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS —1 < �'ry �� Ssi N AGREED UPQN BY OWNER AND CONTRACTOR OR AS OTHERWISE PROPOSED , Q�� %�j1 � DIRECTED BY THE APPROVING AUTHORITIES. _ SEPTIC ?�QC � �i 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 98 97.65 TANK Q�Fs �, �� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING x i� CONSTRUCTION. `s / \� �F MgsS 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL 'UNSUITABLE SOILS " 96,00 P�. 9�yG IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND PETER T. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). A. McENTEE 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE �I o� CIVIL `" INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. x 95,51 j No. 35109 13. ENGINEERING WORKS IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED /SjL� �� SEPTIC SYSTEM COMPONENTS WHICH MAY EXIST ON THE PROPERTY. , o� A9yFS ANC��` Benchmark �'' .�� F PROPOSED SEPTIC SYSTEM UPGRADE PLAN Outside cor. of Bulkhead EL.—99.46 (Assumed) � � 239 SCUDDER AVENUE, HYANNIS, MA Prepared for: Raney & Rimington, 239 Scudder Ave., Hyannis, MA 02601 OWNER OF RECORD Engineering by: Surveying by: SCALE DRAWN JOB. NO. 95,18 SIKIORA, WALTER & PAMELA M Engineering Works,Inc.LAND SURVEYING. INC.EASTBOUND 1"=20' P.T.M. 197-10 12 West Croasfield Road 19 GLEN EAGLE CIRCLE P.O. Box 2 02644 DATE CHECKED SHEET NO. FLOOD PLAIN DESIGNATION ATTLEBORO, MA 02703 Foreatdale, MA 02644 NON HAZARD (508) 477-5313 508) 477-4511 9/8/10 P.T.M. 1 of 2 t I I NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:93.3 FOR 'A DISTANCE OF 15' AROUND THE (3) 5" DIA.OUTLETS PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 155" - I"16 -.-I2" INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT OUTLET AND SET TO 6' OF FINISH GRADE COVER SET TO 6" OF GRADE T.O.F.=100.0 I �4 • L.=97.5t F.G. EL: 96.Of F.G. EL: 96.33(MAX.) 15.5" 1 12 EXISTING F.G. E J" 6' MAINTAIN 2% GRADE (MIN.) OVER S.A.S. T ..y %)Mill R • T •' 1 INSPECTION PORT 2" L = 20' L -24' L = 6'(MAX) EACH ROW H-10 LOADING ® S=1% (MIN.) ® S=1% (MIN.) ® S=1% (MIN.) 4'SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC s' is I 14" s" 11.3" TO INVERT D-BOX INV.=95.50 afi" uaul0 l LEVEL INV.=93.40 -3 ROWS OF 6 UNITS AT 6.25'/UNIT = 37.5' GAS BAFFLE1NV.=93.57 PROPOSED INV.=92.94 • . .. . . . . . .. INV.=95.25 D-@42S SOIL ABSORPTION SYSTEM (PROFILE) FL PROPOSED SEPTIC TANK ESTABLISH VEGETATIVE COVER -75" BACKFILL WITH CLEAN NATIVE OR TIE IN TO EXISTING SEWER PERC SAND TO TOP OF CHAMBERS AT HOUSE, INV.=96.7t BREAKOUT=TOP TOP ELEV.=93.33 NOTES: INV. ELEV.=92.94 V 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=92.00 INVERTS, PRIOR TO INSTALLATION. III III�IIIIIt�I `) 2 SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 2.8S 76" TRUE TO GRADE ON A MECHANICALLY COMPACTED EFFECTIVE WIDTH=8.5' PROFILE SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE 310 CMR 15.221(2). MATERIAL 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO GROUNDWATER, EL=85.0 - I 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE USE 3 ER UNITS SEPTIC SYSTEM PROFILE WITH N0 SEPARATION BETWEEN EACH ROW & 0 WS OF I ) ADS BSNO STONE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. �- 16" N.T.S. TYPICAL SECTION 11.2" EXIST7NG SOIL L HOUSE OG f� 34" � �#239) DATE: AUGUST 31, 2010 (REF#13,041) . SOIL EVALUATOR: PETER McENTEE PE SECTION END CAP 0_H USE WITNESS: DAVID STANTON R.S. BAA� DESIGN CRITERIA B HEALTH AGENT 40.0' ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 16„ HIGH CAPACITY (H-20) BIODIFFUSER UNIT NUMBER OF BEDROOMS: 3 BEDROOMS 96.0 A 0" 96.0 A 0" SANDY LOAM SANDY LOAM MODEL 16" HICAP SOIL TEXTURAL CLASS: CLASS I 95.5 95.5 6"10YR 4 2 10YR 4 2 LENGTH 76" DESIGN PERCOLATION RATE: <2 MIN/IN � g / 4 /g EFFECTIVE LENGTH 75' NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT " TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 6+ '� DAILY FLOW: 330 G.P.D. R, t0� p SANDYI LOAM SANDY LOAM DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. DESIGN FLOW: 330 G.P.D. 01 10YR 5/4 10YR 5/4 SIDE WALL HEIGHT 11.1 GARBAGE GRINDER: NO P 93.5 Cl Cl 30" 93.5 30" OVERALL HEIGHT 16 OVERALL WIDTH 34" 4640 TRUEMAN BLVD M-C SAND M-C SAND JJZHILLIARD, OHIO 43026 LEACHING AREA REQUIRED: (330) = 445.9 S.F. 2.5Y 6/4 74 20% GRAVEL 42" 2.5Y CAPACITY (101.7 20% GRAVEL GAL) ADVANCED DRAINAGE SYSTEMS, INC. PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 92•0 48" 92.0 C2 48" 11 PROPOSED D-BOX:: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED C2 PERC PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3 ROWS OF 6-16" (H-20) ADS BIODIFFUSER UNITS i M-C SAND M-C SAND 239 SCUDDER AVENUE HYANNIS MA V�1/NO STONE (8.5 x 37.5 BED) 2.5Y 6/4 2.5Y 6/4 H Hyannis, MA 02601 1 PROPOSED S.A.S. u, Prepared for: Raney & Rimington, 239 Scudder Ave., y , (HIGH CAPACITY INFILTRATORS MAY BE SUBSTITUED) - 5% GRAVEL 5% GRAVEL L------------------- Engineering by: Surveying by: SCALE DRAWN JOB. NO, BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF UNIT) r 37 5' I EASTBOUND----I s5.o 132" s5.o 132' Engineering Works,Inc. NTS P.T.M. 197-10 (BIODIFFUSERS) 18 UNITS x 6.25 LF x 4,70 SF/LF = 528.8 SF 12 West Crossfield Road LAND SURVEYING, INC S.A.S.LAYOUT PERC 'RATE <2 MIN/IN. ("C" HORIZONS) Forestdale, MA 02644 P.O. Box 442 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74(528.8 S.F.) = 391.3 G.P.D. 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