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0151 SKATING RINK ROAD
r .,s Yj • • II l :' • I I ,UfSr� I .,� ,, a s ,� �� _ � i ���,,�� � �� �y�-l� �� s � rS ���Yt - � CeA 0,((2 � Jul) � � Parcel Detail Page 1 of 3 TIP m ✓� Logged In As: Pa rce I Detail Monday, Mi Parcel Lookup qO-. 6 Parcel Info ................................................................................................................................................................................................................ _._............................. Parcel ID 291-275 Developer ILOT 56 L Lot I Location 151 SKATING RINK ROAD Pri Frontage'84 ...._...�,...�..,�:__..:_.-.._.�..._�..._..:.._._......�. Sec Road Sec Frontage village;HYANNIS Fire District�HYANNIS Sewer Acct Road Index 1493._ i Owner Info ownerCATINI, MARIO T&ALICIA Co-owner! Streets 151 SKATING RINK RD Street2 _. City=HYANNIS State MA Zip 02601 Country US Land Info _ .. ..... ........ ..... ... ..................................... . . E... ........... Acres;0.23. Use SM& Fam MDL-01.. .... zoning €RB Nghbd 0106 .......................................................................................... Topography£Level Road Paved ................................................-............................................................................................... .................................................... Utilities 1Public Water,Gas,Septic Location Construction Info Building 1 ®f 1 Year j 1979-� - Roof;Gable/Hip Ext I Clapboard m N Built im Struct IGabl wall Effect£ Roof ..._ .....AC£.. ..... .. Area 12558 cover Asph/F GIs/Cmp Type=Central _. _. In t Bed i St yle IColonlal wall;Drywall drooms Rooms 3 Be _: l ....... _. ... .............. ... Intl Bath ;. . _. Model;Residential 2 Full Floors Rooms i..�.�._-.........,.�.�.,..�.�_..,.-.. Heat -- i Hot Water 18 Rooms Type- Rooms - Heat,------as n �� Found.2 Stories Gas Poured .Conc Fuel= _.__..... _ ation ___... . http://issgl/intranct/propdata/PareelDetail.ispx?ID=22820 5/15/2006 Parcel Detail Page 2 of 3 Permit Histor Issue Date Purpose Permit# Amount Insp Date Comm( 3/26/2001 Addn+Renovate 52382 9/19/2002 12:00:00 AM ADD 2N 9/1/1995 10175 $22,000 8/7/1997 12:00:00 AM HY ADC Visit History ....... . . .......... .............. ............................--................... Date Who Purpose 9/19/2002 12:00:00 AM Martin Flynn Meas/Listed 4/30/2002 12:00:00 AM Martin Flynn Measur/New UC Under Construction 2/5/2001 12:00:00 AM Paul Talbot Meas/Listed 8/7/1997 12:00:00 AM Lloyd Kurtz Meas/Est 10/15/1987 12:00:00 AM ME !� Sales History........................................._............................................. Line Sale Date Owner BooktPage Sale P 1 2/15/1995 CATINI, MARIO T&ALICIA C136403 2 12/15/1985 BORNSTEIN, JAMILA TRS C104553 3 LAWEE, MAURICE C82792 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2006 $242,400 $2,800 $0 $162,000 2 2005 $215,900 $2,700 $0 $128,100 3 2004 $176,000 $2,700 $0 $96,000 4 2003 $104,500 $2,700 $0 $29,000 5 2002 $68,700 $2,600 $0 $29,000 6 2001 $68,700 $2,600 $0 $29,000 7 2000 $51,800 $2,500 $0 $18,600 8 1999 $51,800 $2,500 $0 $18,600 9 1998 $51,800 $2,500 $0 $18,600 10 1997 $47,600 $0 $0 $18,600 11 1996 $47,600 $0 $0 $18,600 12 1995 $47,600 $0 $0 $18,600 13 1994 $47,600 $0 $0 $22,400 14 1993 $47,600 $0 $0 $22,400 15 1992 $54,200 $0 $0 $24,800 16 1991 $59,600 $0 $0 $40,400 17 1990 $59,600 $0 $0 $40,400 18 1989 $59,600 $0 $0 $40,400 19 1988 $50,000 $0 $0 $17,500 20 1987 $50,000 $0 $0 $17,500 21 1 1986 1 $50,000 $0 $0 $17,500 http://issgUintranet/propdata/ParcelDetail.aspx?ID=22820 5/15/2006 F1HE ra,, Town of Barnstable Regulatory Services BAM� MASS, Thomas F.Geiler,Director `bAr1639n.,A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 May 15, 2006 Mr. Mario Catini 151 Skating Rink Road Hyannis, Ma. 02601 Re: Illegal Apartment: 151 Skating Rink Road Hyannis, Ma. 02601 Map 291 Parcel 275 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincere Li dson Amnesty Program Zoning Officer Building Department gfonns:zoning3 ACOR ,. CERTIFICATE OF LIABILITY INSURANCETo,-2501 E M/°°""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE gft&i3 A. Gmzul Rmumrm HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BcK 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P >v y1T11w MA 02648 INSURERS AFFORDING COVERAGE INSURED INSURER A: A.I.M. Ivi t-ul NHClO T., C attini MA INSURER B:. M T C Mule & Tile INSURER C: - 151 SCZct7ng RLA{ Ibad t _ INSURER D: 1.v]A 02601 ` 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MM/DD Y DATE MM/DDNY GENERAL LIABILITY EACH OCCURRENCE $ P MMERCIAL GENERAL LIABILITY - - FIRE DAMAGE(Any one fire) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- Ll LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) r HIRED AUTOS o - ' - BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY ' ' - EACH OCCURRENCE $ OCCUR F—ICLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER WC STATU- OTH- EMPLOYERS'LIABILITY V E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYE $ 100�000 A PDT PASSIQID 01-13-01 01-11-02 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION i` 'al CE �Z DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN aAldiM 1t - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 230 SC7l1tI1 SttE2t IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS ORTj ' ac1TlC17 S/ MA 02601 a - REPREOVATIVES. AUTHO ZE REPRES NTATIVE' ACORD 257S(7/97) ©ACORD CORPORATION 1988 r IMPORTANT If the certificate holder is an .ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this 'form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 4 ACORD 25-S(7/97) �p?HE Al ,,,�,,� The Town of Barnstable MAS& 0. �m� Regulatory Services 10rEc �' Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: l �-YZ 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 wilding 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 / Date ner's Name q:forms:Affidav r f I - I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I' MAScheck Software Version 2.01 Release 3 I Checked by/Date } , . I I TITLE: First and Second Floor Additions CITY: Barnstable Y STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) ' DATE: 9-27-2000 DATE OF PLANS: 9/22/00 PROJECT INFORMATION: Mr. and Mrs. Mario Catini 151 Skating Rink Road Hyannis,. MA 02601 COMPANY INFORMATION: r Kenneth Sadler Associates y P.O. Box 1149 Hyannis, MA 02601 508.790.3922 NOTES: .H Calculations are for •the .first and Second Floor Additions only COMPLIANCE: Passes Maximum UA = 434' Your Home = 378 Area or Cavity Cont. Glazing/Door Perimeter -R-Value R-Value U-Value UA ' I ---------------------------------------------------------------- CEILINGS 163• 30.0 0.0 6 CEILINGS 475 38.0 0.0 14 CEILINGS 462 30.0 0.0 • 16 WALLS: Wood Frame, 16" O.C.. 169 15.0 0.0 13 WALLS: Wood Frame, 16",'O.C': i 1814 15.0 0-.0 140 GLAZING: Windows .or Doors 30 0.310 " 9 _ GLAZING: Windows or Doors 140 0.310 ''43 DOORS 40 0.460 18 FLOORS:. Over Unconditioned Space 321 19.0 0.0 15 SLAB FLOORS: Unheated, 48.0" -ins.ul. 160 16.0 104 COMPLIANCE STATEMENT: . .The`proposed building design described here is r F I • consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building . shall be no greater than 125% of the design load as specified in Sections 780CMR 13311100 and J4.4. Builder/Designe - `�^i-' ���� Date .. .. a .. � i .. { r s , TITLE: First and Second Floor Additions MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 9-27-2000 Bldg. 1 Dept. 1 - Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location [ l 1 2. R-38 I Comments/Location [ ] 1 3. R-30 I Comments/Location i - I WALLS: , [ ] I 1. Wood Frame, 16" O.C. , R-15 1 Comments/Location [ ] 1 2. Wood Frame, 16" O.C. , R-15 I Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1. U-value: • 0.31 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] 1 2. U-value: 0.31 I For windows without`labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I DOORS: [ ] I 1. U-value: 0.46 I Comments/Location I FLOORS: L ) I 1. Over Unconditioned Space, R-19 I Comments/Location , I b I SLAB-ON-GRADE FLOORS: ] I 1. Unheated, 48.0" insul_ , R-16 1 Comments/Location I Slab insulation to extend down from the top of the slab to at I least 48" OR down, to at least the bottom of the slab then' horizontally for a total distance of 48". > I AIR LEAKAGE: [ ] . I Joints,• .penetrations, 'and all other such openings in'the building I I envelope that r p h t are sources of air leakage must be sealed. When I installed in the building envelope, recessed 'lighting -fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and 'ceiling cavity-and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. ; I I VAPOR RETARDER: L ] I Required on the-warm-in-winter side of all 'non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION:. [ ] I Materials and equipment must be identified so that compliance can be determined.. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be - I provided. Insulation .R-values and glazing U-values must be clearly t I marked on the building,plans or specifications. I DUCT INSULATION: [ l I Ducts shall be insulated per Table J4.4_7.1. ' I DUCT CONSTRUCTION: [ l I All accessible joints, seams', and connections of `supply 'and return I ductwork located outside conditioned space, including stud bays 'or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps ar"e less than 1/8 inch. Duct tape is not,. I permitted. . The HVAC system must provide a means for balancing I air and water systems:. :- I TEMPERATURE CONTROLS:' s•.• [ ] I Thermostats 'are required, for each separate. HVAC system. ' A manual , I or automatic means to partially restrict or `shut off the heating ' I and/or cooling input to each zone or floor shall 'be provided. I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling system is I not greater' than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4.' I SWIMMING POOLSS L ] I All heated swimming pools must have an on/off heater switch and I require a cover unless. over 20% of the heating energy is from I non-depletable sources. Pool pumps requirewa time clock. I HVAC PIPING INSULATION: '•. I L ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: L ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 I 0.5 1.0 1.5 1 100-130 0.5 . 1 0.5 0.5 1.0 ----NOTES TO FIELD. (Building Department Use Only)------------------------- , �4%►�,. The Town of Barnstable 10 'AMffr" 'g Regulatory Services 1 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: b/ // JOB LOCATION: A�� �Al 6 RllV�' )4 , >�AIIV®S number /�) �I� street / village ,HOMEOWNER": IW'7�"�'�'(/ 6 ' 'All _� 750 164e , �V L 5ff) 3-060 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,Provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides-or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and . other applicable codes,bylaws,rules and regulations. The undersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department ins a tion procedures and requirements and that he/she will comply with said . procedures Signature of owner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) ' a square feet X$115/sq. foot (above average construction) ^9 square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X-125/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value - � 7 - j l0 T IQN SEWAGE. P RIUIT NO• ILtAGE N 1NSTA LLE `Ag1E : AD OR:ESS`' r. e " OR OWNER 7/ /I--r _ d DATE p ERIMI T L.SS.0 E D.. - - ... ...... . - . DATE C ® wAPILANCE IS5UED 171 - i , Cathi Residence Beam B1 Design Critiria Supported Area (s.f.) 242.00 Design Load (Ibs./s.f.) 60.00 Point load @ mid span (Ibs.) 0.00 Beam length (ft.) 21.00 Forces W + P, total load (Ibs.) 14,520.00 w, uniform load (Ibs./I.f.) 691.43 M, moment (lb.-ft.) 38,1 15.00 Steel Values Fb, fiber stress, bending (Ibs./in.2) 24,000.00 Fv, horizontal shear (Ibs./in.2) _ 14,400.00 E, modulus of elasticity (lbs./in.2) ' 29,000,000.00 Calculations I, moment of inertia (in.4) 170.00. A, cross sectional area (in.2) 9.71 Required Sx, section modulus (in.3) 19.06 ~ REQUIRED ACTUAL RESULT A, deflection (in.) 1/180<= 1.40 0.61 PASS A, deflection (in.) 1/240<= 1.05 0.61 PASS Q, deflection (in.) 1/360<= 0.70 0.61 PASS' Fv, horizontal shear (Ibs/in2.) <= 14,400.00 498.46 PASS � s ePwellllln drw�nry+. ----- I�1 I alter el fa nb y.ds I�I I 10�'Pou.duwK.leunbYen d 1. . �--- I__ ___ leeYM9 n.t unrmu,,.u,brKa O . 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B'•HO.paNahien.�tO f`O'�YafmoSlBGcA;nq Ja4.+a Im'•nL. `t__-�`` 1/Z"MArn4ad.KwYNry 1 PrWw usn4s ------------- I._•s Pr;mse trim -�m s.B GaBm a»+.t I m•e�\ +o mdah c:w'm q. --CFwtngbuildingplo4s hs'J+Y _ B"N1.Inaulwh16 'nn.R.9G Sao 9 Ganrmaw..arra.,aM. s °as IL M1 � I/Z•m mad eadw Gapbaard ryaeka hauaawr•p one I/s"veywAl * � I%•faN an Lorncrc and+rim. � Q _ 5primedpma Trim � X 1/4"IPA rahcd slnwhlnnq P I• •hamMoh aSwinq. � ``•`11 5a♦Wd NubOlm"oL. b GenY'mUwa soff'W van+. d O1/s"HO.maNphion.wl% — � V O �/ a"pwad Lowra+c.k4. PT. mA.ZH mubAandpWc w/Pbarmco.IN andm p dY vapor bmrior. — � � fp a T Awhm bcl4co 9'aL. I/Z Zm H.ad aadp Clapboard n \ L lap of atw'mgfber Y"Gab4aW ruff�rigid;n.Nwhien.w lm — ? 0 � � •f' 7/27/7 s b • C (d� T >/o•'Aph ra+ad 4l9�ubfloar +•` _ � a'b"Pe4�ad Loncrc4e GPmp.wod fall. (9luad and nailed) Ty"eka Ivuuwrap and Z B fandaFion w/I m"a I O" I%•faW on eor"ara andhrim. LaMinUew:Lon4a4s fce4inq � H 5"Gcla+a5a{uff$rigid O inwlw4'nn.yO � _ � 0 / I/s"MAra+ad.hcNhinq /cam 4.9 WAI NUd.. ID O/9"APArakad+f9•ubfloar � � �"�'"u�' (glued and nai4d! �3 ' a v5^odn%Jew<o Im"aL. ...c g I I 88y tp6§ 000P -m'•vo.vae Lanera+a 5 6� 0 0 a Bfleunear'n,n w/ m•.lo- ����� � nuE LoMinuaw LamerNafsa4l^9 Et.. � e°Povad wwr.4a.46. °.�°y$p�� 0 S M1111�Ilktill \\ PRE VMWIN.TYP• puildnq qaL}'ionb"A"!"W' p i�ulLl�n.1G��GTI�4"tom" a SHEETN MB A400 T� k§65i8���SSk i s�gg gs$6%ti II `0 oz a LL ®0 a ` r ----------------------------- 1 r� y• T ----------------------------------------------J L. S----------------------------------- � ���P�ONT eLeVAT1�l o n,5oo GjGal e: 1/4..= 1 —O" Q u O m i i 9. Ip .�.a. ! 0 MFI EM ��Ofi v 99hh pS6yR OODa Y I pg ff ; `---_-_ _________ O_ L Y Y ------------------------- --------------r-------- DRAWING TYPE' Pulldnq Clavw}lone ���LeP'T eLev�T1m.1 ^qoo GJGgI e: 1/4" 11'-O" 5HEETN MBE Ac.7 � g61�° �e 6a 0 0 � � !}V O Z � C ,U Q p C f I _ I�II r I I I I O r- cev�T1oN a O v in ® ® 6� tl m U � m O d lit v YY��6�� � 000� �ma tdg: §§ `I___________ � 0 I— Od.V el. DIIAWIN TVPF ' Clcvw+ions �G��1GHT�Le�I�.T10N s aqo l 'ape-Ale: 1/4"= 1'-0 SHEET N UMBER• A5 o i f• R._ f .1J. Y .. TOWN'OF BARNISTABLE. Per" mit No ___-7- 71 f .. t Bwl�dzng. Inspector.an6.m� Cash: _ ,.�o spY p•. _ 0 CUPANCY.. -PERMIT Bond x_— g d "No building nor structure shall be erected, and no land, building'or structure shall be used for a :new, different, cliange'd, or•.enlarged`,use ,,without a Building .Permit therefor , first having been obtained from.the Building Inspector.:,No building shall be occupied until a -certificate of occupancy has, been issued by ,the Building Inspector:" Issued to ,Gray Oaks'.De"'OpPent- Address. BOX 9579 13ya2nn3 s 7 o '56 s] r 3 . Wiring Inspector ! _ Inspection'dater ^ Plumbing.Inspector' � � •�� Inspection'date Gas inspector Inspection.date Engineering Department yy // Inspection'date= THIS PERMIT WILL NOT BE'-VALID, :AND THE BUILDING-SHALL NOT BE OCCUPIED 'UNTIL SIGNED •BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE .WITH TOWN REQUIREMENTS. Buildin Inspector,: V. - A ssor's map and lot number k ... . .................. 41-v— 7;r HE Sewage Permit number ... .... ....................................... INSTALM N NM ....... co WL House number .................... ... ....A ......................... ENVIRONME 1639- TOWN REGULAT10 ou -Af- TOWN, OF BARNSTABLE BUILDING INSPECTOR 7— APPLICATIOK PERMIT TO ...................................... ........................................... X TYPE OF CONSTRTION ... .........K...i7s.-P...... A.AAL f...................................................................... �'�/. .......... .2.7.1..21.....19........ _TO THE.INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .'1.9.7A...... ......... ...... .R.. ......IQ.&.............R.Y.A.L.Mtos.......................................... ProposedUse ......... .........................................................................................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner !AIU.....V.Rk......................Address .....B.0-A......q..92....... ................. Nameof Builder ....................................................................Address .................................................................................. Name of Architect ....R.!... .......................Address ....... ................................... Numberof Rooms ............... ..............................................Foundation .....P /.0./....................................... Exterior ...... .......... .............................Roofing ........... .. ............................... Floors ...... ......... ...............................................Interior ........P. A.L............................................... Heating ...... k:! L.........................................Plurnbing .......... ..................................................................... Fireplace ......W.11.qA...... .......................................Approximate Cost ... ........................ , Definitive Plan Approved by Planning Board--------------I-------------------19--------- Area ........../0 11 if.......... Diagram of Lot and Building with Dimensions Fee ....... ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 AJ/J• Py I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... ........................................ Grays Oaks Development A=291-275 � Nc,2135.7........ Permit for ..me...st©ry-dwe-l-ling ....... ................................................................... Location ...%..151...Skating.-Rink-R-d: t Hyais................................................ 1 1 Owner .....Grays..Oaks..Dev.;............................ Type of Construction YP .....Wood.•Framer.............. i ............................................................................. Y Plot ......:............ Lot ................................ _ A � F Permit Granted ......................June......819 79 Date of Inspection .................................-.19 Date Completed .... . ® . ...............19 j PERMIT REFUSED - ."....... .... ......................................... 19 i . '................................................ i 4 , • ' ' . 1 � • ICI ... .................................................. f. r to 0 ved ,'......................................... 19 .................... ......................................................... �� Assessor's map and lot number •` ,�u '�"� a ��3� 7� 1 l THE O Sewage Permit number 7........2.').o%...............:...................... Z MAR35T E, i y House number ........................................................................ ro rhea �. p 1639, MPY p,. TOWN ' OF BARNSTABLE RUILDIN:G INSPECTOR APPLICATION FOR PERMIT TO r'' TYPEOF CONSTRUCTION .............x...... (. r............ . :..................................................................... ...........'." :`.... ! �..:Z. 19........ r TO THE INSPECTOR OF BUILDINGS:, The undersigned hereby applies for a permit according to the following information: Location !!..�.A... .. s ...... ....... ..#.�q........... .� .............0 /1� J! ti, �C ............................ •�• . e ProposedUse ..........Rj .?..:.....:..Al �..... ................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. ,fr fi ra t{ ..jc c ,. ,r�, s Name of Owner ...............J.....:�.1-:.::.......................Address ...../.'�•�a..:::........�ti..:�.......:�.� , . a�x, ,,f.................. Nameof Builder ....................................................................Address .................:................................................................. :............ ' .........r.......................Address ................l....f} l. :.:.f....:.?r'.................................... Name of Architect f"' ...... Number of Rooms Foundation .....1}3 "r�r_ �� C ' ..... .................................................... Exierior - r ✓ y T�..'..�.�......: .......... �.......�:...............................Roofing ............. .. ......."....?�........�...-.!�.. Floors r �. i ,+, ; , �:_ r� �-..�':......................................Interior 'L( Heating ........... '..............`...'............................................Plumbing ................................................................................. Fireplace ...... I/......... `).!t......... . ...........................Approximate Cost ..... J�,<?••{%............................. at C, �Definitive Plan Approved by Planning Board ________________________________19________. Area ....................... Diagram of Lot and Building with Dimensions 9 ` 9 Fee .......:�...:..:+.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � 3 i 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name L.' >[. ,+ _...:�....:n.,.. .,...-.,,.:..�.,,,.x e.vk_.u,..:...:.,-. l..�c,..,._k.... :.::....._:.akr...i.:�-.a,ua.....�..:e.:e,..., .,...a.,.;.....:,W,��,. .. ....... ".E. �-7 . . . . ' . � � ^ ^ � - � e` � � cSS� e —3 (� � ij��� � ��i' w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p 0)-W Parcel a 7S `. Permit# 2 36- Z— Health Division � CJ �/ � Date�lssued Conservation Division o/ a®/©/ Fee tT SEPTI SL M�\Imu Tax Collector • sue- INSTA EDIN 04PLIANC Treasurer TJ` . ae�c 21&D/tad wiT'H TITLE 5 j''� /ENVIRONMENTAL CODE AND Ma T'JAU ODI C TOW N REGULATIONS- rd Rom - Project Street Address E S I<xj %/A/ / /IV �� • i Village IUAIIS W4 . t Owner Rol o/- 4 A>/ y/ Address 15/-!�k}J %ly-e 'A l,I le Telephone 79a ..7 / fit ��'! S'i, Permit Request � 1-2 Square feet: 1 st floor: existing 4W/ proposed '(1`c60 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure z Historic House: ❑Yes 8 No On Old King Highway:'s Hi hwa : ❑Yes 4No Basement Type: full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new Half: existing. new Number of Bedrooms: existing new ,Total Room Count(not including baths): existing new—� First Floor Room Count )Heat Type and Fuel: ❑Gas M/Oil ❑Electric ❑Other Central Air: ElYes ®"r�No Fireplaces: Existing �l _ _ New Existing wood/coal stove: ❑Yes W 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 • BUILDER INFORMATION Name-n/,P—a �C Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO li SIGNATURE DATE !:12, X D C) 0 FOR OFFICIAL USE-ONLY - PERMIT NO. c x DATE ISSUED - MAP/PARCEL NO. ADDRESS ° `; - 'VILLAGE OWNER DATE OF INSPECTION:t FOUNDATION FRAME en INSULATION' FIREPLACE - ELECTRICAL:-C ROUGH�= ; FINAL PLUMBING: ROUGH FINAL GAS: ROUGH f*y FINAL ' FINAL BUILDING s DATE CLOSED OUT r j ASSOCIATION PLAN NO. • e J +t� �_-,M.mmx� 2'1 • m O.C. ; spacingWN y� • ***THREE STAR*** t•=12 `16`8" ' 19-10";. 22',-7" 17'-4" 20'-8 ;`23'-6 .:: ::26 J 22 5'_"..25 5 ,'.`, 28'2 25'9"- 29,"2 32'-4" 35'4" 38 3 16 115 2 18 V''!- 20'-T' • 15'710" 18'--10 21'-5" 23 10 1:20-5", 23'-2" 25'8" 23'-4" 26-6' 29'4, 32' 1" • ° 34'9" F 19.2 14 4.`` 17 1 19,5'<< ,14'=11 1 T 10 20'3 `? '22 5 1'9 3 21 10.; 24'-2 22'0" 24'1.1 -: 27'-7 30'2 ;:;32 8 '_; 24�+, t -13 4 a. 15,11;, 18 1, 1'3'-1,1• 16'-7 n.18, 10 ;1'9. 10 17 10 `19 7 19 10 .;•20'-5" 23'72' ,25'-8 28'0",, 30 4 14'4'' ' , 14'8 12'8 14'=8 14'-8 ^ :14 10=.` =14 8 * ;`>14 8 ^ ;.14'-10" 18"-4 20--2" 20'-3 24'-8' 25 6'+. ****FOUR STAR**** -12 :, ;`�11';6".- 15'.-6" 17'-8" 11'-6" 16'-2. : ,18'-6- 20 5 ;_e.1 T 6" _ .19 1.1°,; 22'' 20'-1:' 22!ml0" 25'-3" 27'7" 29'11`',' f:.16 11-6" . 14--l" 16'7'1• 11'_6° 14"_8`. . `1'6'9' 18 7_ 15 10_'-,:.18'-.1'! 20'0" 18'2" 20'8 P2' 10" ° 25'-0" ' ;:2T 1 ..; .17'-6". -19 2'_` 0'.., 10' ' 13'3" 15' 1" 10'0'' 13' 10'° 15'9 1411 ;.:1 T 0" 18'40" 1 T-0" 19'4" 21'75" .23'5".' ...25 5 •, !24 ,. '- 10 0,; :. 12%4" •: 144'.. .10'4' 12•-10 14'-7 . .'" ,16 2 , '13 10 -"",15 9,�. 17 5•.»' ,15 9 ,17 11 "1..9'10"_ 21"8" 23 6 j!32 9.4'-. 11' 1" 12'-9" 9'-9" 11'6 r .13!'3rt.14 8 ,..,12 4 , `,14 3 14 10,':; 14 1 19'7" ' 21 2 <. *CODE APPROVED 12" 18'-5" 21'-11" 24'-11" 19'-2" 22'-11" 26-0" 28'-10" 24'-9" 28'-1" 31'-2" 28'-6" 32'-4" 35'-9" 39'-1" 42'-3" 16" 16-10" 20'-0" 22'-9" 17'-6" 20'-11" 23'-9" 26'-4" 22'-7" 25'-8" 28'-5" 26-11" 29'-4" 32'-6" 35'-6" 38'-5" 19.2" 16-11" 18'-11" 21'-2" 16-7" 19'-9" .22'-5" 24'-10" 21'-3" 24'-2" 24'-10" 24'-4" 27'-8" 30'-7" 33'-5" 36-2" 24" 14-4- 1T-0" 18'-11" 15'-5" 18'-4" 19'-7" 19'-10" 19'-7" 19'-7" 19--10" 22-4- 25'-8" 27'-2" 31'-1" 33'-7" 32" 12'-5" 14'-5" 14'-8" 13'-6" 14'-8" 14'-8" 14'-10" 14'-8" 14'-8" 14'-10" 20'-0" 20'-2" 20'-3" 24'-8" 25'-6" • Table values assume that sheathing is glued Table values assume minimum bearing ,t,t* Live Load deflection limited to U480. and nailed to the joists. lengths without web stiffeners for joist depths of 16 inches and less. 18 and 20 inch joists **** Live Load deflection limited to U960 to • Table values represent the most restrictive of require web stiffeners. provide a floor that is much stiffer for simple or multiple span applications. the more discriminating purchaser. • This table was designed to apply a broad • Table values are based on residential floor range of applications. It may be possible to * Live Load deflection limited to L1360 loads of 40 PSF live load and 10 PSF dead exceed the limitations of this table by as allowed by the building code. load. analyzing a specific application with the BC • Table values are the maximum allowable Calc software. clear distance between supports. The performance of a floor is a matter of opinion, the To improve the performance of a floor "feel" that might be acceptable to one person may not be system, a designer will frequently change acceptable to another. Many factors affect the perceived the deflection criteria from L/360 to L/480 performance of a floor system,some of them are: or higher. One way to accomplish this is by reducing the on-center spacing of the joist. * The depth of the joist The load capacity of the joist system will be • Continuous or simple spans increased but the "feel of the floor system i;Decking and flooring material will not be significantly changed. The • -Gluing and nailing the decking stiffness of a floor system is significantly • On-center spacing of the joist system increased and the vibration is reduced by • Lack of drywall attached to underside of joist increasing the joist depth. To illustrate this, • Level bearings see the BCI span table above. • Location of walls and furniture DF-31/2", 51/4", 7" 25/16" 31/2" Sp- µ-1�3/a" 1 1/16" 1" 13/4" ,1/2" r 1 K r T7 t . ? 11/e" I t 1I 9/z" ' T 9Yz" 117/s" 14�� 5yz„ 9/z" 7 3/8.. 91/2" 3/8;� 117/e" 3/8 �-14" g 16" to 117/e" 11 /a" /s —.�— 14" 14" 117/a" 14" 16 20„ 20" 16„ 16" 14" 16" 11/2 1:CM1 11/2 1 11/2"I C �, 11/2" -'ate l 1 1 NO 1 BCI 40s BCI 45s BCI 6os BCI 90XL Versa-Lam Versa-Rim 98 BC Rim Board t �i rR `N ,�4., �?�'k4e`3'�` �F�z $�l ��u � +K � ,'.r'it .`rwt .. sggb�r� ScorE This work includes fihe complete fiffi*.ing and installation DltAwuvG Additional drawings showing layout and detail r' n.�zs"t�£r `^ dt^�''�s'�� x.�; x '� �r����� "^ .lr, �e�' h�s _... S . C Of all BCI JoistS ads shown on the drawings,herein specified and necessary for detenrunirig fit and placement in the building are-, necessary to complete the work i E (are not)to be provided by the supplier q ,} ,, fi +°fc ti ads u a Fa].,, 'z C +�, j • R.ff'aa.�Q . a,F#'z7' }f a w'�4�rr'.ry`�.s - r /4 .. x.h FABRICATION he BCI Joists shall be manufactured in plant'',, MATERIALS BCIJoists shall be manufactured byW BosesCascadeg kuw ;vim r r approved for fabncaiori by the building code and under the` Corporation with oriented strand board webs,Uersa Lam laminated � y t t , 3 as �� , , 4 supervision of a third party inspection agency veneer lumber flanges and waterproof structural adhesives � a ` �3Qw � y STOIiAGE�ANI)INSTALLATION: The BCI O]StS,if Stored prior to fiz,i' d ;s� �, '�{Fie"Y� a ,y §,-s :J + xJoist webs s- all be aded Structural I E osure 1 by an_,:agen erection,shall be stored in a vertical and level position and accredited by a model code evaluahoii service Str ds on the face protected from the weather They shall be handled`with care so i " y Y the are not darn ed layers of the web panels shall be oriented vertically yin,the Joist Y gI The web ane sh be gludtogether to forni a continuous we J p p The BCI oasts are to be installed in.accordance with the Tans aiid a member The web panels shallbe machined°to fit into a groove in Flr" s M r Boise Cascade's Insti6tion'Guide.Temporary construction loads the center of the wide face of the flange members so'as to form a t 'w s may, which cause stresses beyond design limits are not permitted.: presse glue Joint at that Junction �'� #Ix 3 z{ a =f i_ , Al f � - 3 }$F Erection bracing shall be provided to keep the BCI Joists straight ` � � � k* " ancf plumb as required and to assure adequate late`raii suppo7 for- DEsiGN'They�BCI Joists sliall,be sized anddetailed to fi#they the individual BCI Joists and.the entire system until the sheathing dimensions and loads indicated on the lans All deli shall be m y p gns material has been applied F accordance with allowable values and section properties assigned - and'approved by the building code CODES The BCI Joists shall be evaluated by a model code r / 5/ /Assessor's Office.(1st floor Map' Lot it# / `7 S Conservation Office(4th floor) cl � `�i S - D to Issued Board of Health(3rd floor)(8:30-'9:30/1:00-2:00) Engineering Dept.(3rd floor House#1 / ,�� P �� Planning Dept.(1st floor/School Admin. Bldg.) t EN A Definitive an App oved by Planning Board ' 19 �� �'• ®� TOWN AND = • 0,43 TOWN OF BARNSTABLE Building Permit•Application Project St et dress /J�/ ` Village Owner Address ZTelephone Permit Request � Y- Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st C2nd stories) square feet �QQ Estimated Project Cost $ do?, tr7r-�) Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential VZ Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address 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 DEBRI SULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIE OR THE FOL OWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 10175 " DATE ISSUED 9/6/9 5 MAP/PARCEL NO. 291 275 ADDRESS 151 Skating Rink Road VILLAGE Hyannis Mario Catini f OWNER DATE OF INSPECTION: FOUNDATION ful L FRAME [-� ` INSULATION FIREPLACE"' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • -Y GAS: ROUGH:- FINAL y FINAL BUILDING DATE'CLOSED�OU'T 4. • .,�Yw.= SSA.: ASSOCIATION•PLAN NQ3' • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Pleas e P.rant q - - DATE JOB LOCATION , Number Street iddress Secti of town "HOMEOWNER" . .... .. Name Home phone Work phone PRESENT MAILING ADDRESS 1`�:-` City/town State Zip code The current exemption for "homeowners" was extended to include owner-occu 'pie 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: Person(sj 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 Offic. on a form acceptable to the Building Official, that he/she shall be responsi: for all such work performed under the building permit. (Section 109.1.1). The undersigned "homeowner"' assumes " responsibility for compliance with the S- Building Code aad other applicable codes, by-laws, rules and regulations. The undersigned "homeowner," ce ifies at he/she understands the Town of Barnstable Building Department 'nspection procedures and requirement: and that he/she will compl w' rocedures and requirements. HOMEOWNER'S SIGNATURE G. 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 Owr. shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 01 Rules and Regulations for . licensing Construction' Supervisors, Section 2. 15) . This lack of awaren 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"Owner,'act as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. m, communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On t 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. r r-. - - The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvestigatlons ''I' `_ -� 600 lVashington Street M,--1 Boston,Muss. 0 111 `-" Workers' Compensation Insurance Affidavit Annhcant Into... ..n: ' Please PRINT lebtbl a F7. mfi�jq-,el,6 // I c,tion: �S eit -12hone# 1 am a ho owner performing all work myself. 1 am a sole proprietor and have no one working in any capacity r.I .�c�:z. vsi..,,s.as`�"�s..f�...�..»:...:�• 1 am an employer providing workers' compensation for my employees working on this job. company name- address: 661: _ Phone# insurance co. policy.# ... '" i'��"�'.'..<:..+'d h""Nn.��`°,u 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: company name address city: phone# insurance co. Policy# 4.;..:�.xz....—,.•.3_�" _.-._...:s•.a ra.1.:�sx.sn.. s...�ra ..tina,.?�+-�¢"..v,1'Iaas�r�r �.i � u'�.'z'.`6 r � +a F:�n`:'' `i:�.� :��.t:�. y company name: address - city: Phone#• insurance co. policy# Attach additional sheet of necessa � '_> ��`E>x `' �"" t < "`• r Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as i enalties in t c form of a STOP N1'ORI:ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be for. �d t c- is of Investigations of the DIA for coverage verification. I do hereht ce. 1.1 er the p 'i n p n ��' ojperjury that Nye information provided above is true and correct. Signature Date ` 95 Print name 1 / /I�� l D t� %/ /LJ / Phone '?official use only do not write in this area to be completed by city or town official `` city or town: permit/license# nluilding Department OLicensing Board 0 check-1 immediate response is required. []Selectmen's Office - � OHcalth Ucpartmcnt ' . '- contact person: phone#; nOthcr _ (revised 3195 P1A) - 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 emplgvee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An eniph ver is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the fore�_oing 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. 7 '.. ...` .,.,�.a Irv: �.: ;.:..:. .',.,u •.,. .,,f :::" f 0 •.$�.�P'T..�fR i i� �A Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. W ¢�^^^ a "�.ri F ;yY• il y„F.4 3 t.. C f '::,.o .;. _ t .�s.; t5;Fs z'Y.^ f*l.�.. cif;::•:..Y,Y�1 Y.`r'�' ?eda"'�k"f, y'xfit City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ,,ppS$.w. rvT.SK. ' g'M�,,..,r.y 4JwjyyRva4 Y i)rE—> i ,.: •X 'w'x {� Uy .. �'S���{�"M K:[L'tY�jp.AM�'Hd�`T'°R { U�.f -,.r t ; , :'f > t'�"'ti.� YVi h•'..ip+r� Tf-f r� 4'� 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 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 i " - �T—tGYai oc AEG. a:Jt �" s.NT�•�2�E<�Av. ..g—mac__— " � - - B�f5T1[1.' KITG15f'�l ♦3c16T. NE;..! OPFGE/STUp•f b�.TH o.p {..IhLL�F NEGES•a�.1�•(� � I v M 4-4 Pv'iT=G.O-`1P-rH —beta-1) ------1— ' 4n4'rosT ii 4 4 Povr _77 (hvO Le.uY i I _ (AGv LOLLY GOL..m�6L0{4 I I r Q � � ,I — ♦a r I (FLUSH) MV.r�I I �� —� rr 1 - � I 7 Q Ni I i It t ?�12 KfRsE - e O ILf O.G. 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'o �it •n ,n� tt �t 6- a,fe .r3.!: • a•r :r 4, 'z::, .,.:::>.,s 't .�:�. < 'i_; .:..:'..c:: .r,.:a?4_'............. ).'t..r+"3!�%s .- ..:),,+,.,..tr'.t:5':.!'�_?,...Y, ..,.-t'-'.Jm�1r•'t,�:r, ...y...#3-sa,. "?3+ -.w, �' '#•;rcG .i-,. ,.+�._,. e..,{�:,, �~ i?�`,.�'r�.aukr,:,_::">,. SOIL LOG 7. °# ONE •LOAM 6 /ILI_•T_ 71!"NA% `�A•� '�-^ 4"C. 1. DIST a 1;• I o e . � ��t� �•00 G A L. 1000 BOX I;.• . .' 1 o�• � e 10'MIN. GAL. --- PRECAST OR o �- 24" .. , SEPTIC I• BLOCK ° ° ; I MIN TANK ` , ° I SEEPAGE_ • �. : I -- oe.'If SI I PIT ` ! 4 IAreta 2 0' MIN - ----—----�i ' FOUNDATION 1 %2" WASHED STONE '* - 1 I ELEVATION SKETCH 10' PERC. RATE �. '• __. SCALE : 1"= 4' • TEST BY h = ,P• — TOWN INSPECTOR Cr�.ec•....... `° BACKHOE OPERATOR -,a-AV I h' T/1,o97 TN �`"C U s}iisJT/ah! TEST MADE O N : r i+/p r,1.r.y �,E J.y e.�/.✓s .GO G�r TD t1�0 .LAMES LAP5LEY No 22591 STEVa uA 1%4 L%f� z5'au:�..•,e.R '~�'s,.nr..�x".c.-_ J _ r ii•'� ��`,\ � � � �' � � }',,._.-..._, �.,ram /' �N.�' !3;.4...:1s / �.. Ito , O `'t1! 0 a.. by ,.>" ...-•) N :© ag t`1 ,• p o & � .�• .... o'er G�'' 1, 1 N I 5 s I ee 100 p-Bay �. L�' `� r t P1 T 1.01 ''' e a) t ,,. I,.� ..�,• "F"• ` ��� , �,?n" ,tea ��5 '—ln4 %;1 •��'�'•.�,�?.'�a cam��.x F��ac� 3 B� t�:?aesr»S �ti� vAr t+�a�� '��ti.v�}s�j r �i© G�+��/�y�d• . : 3310 *AJ-/gy ?} /+-f A.N, .y 6 4�tv'„t d4.�' [�,K+/<.y r•�cE•�s•v Fo.Z T��•s ,:'yS Teoi. � . `}.!-�e.�t'fi7:.G.S •• /2yrw 5,.� k �. s 6.�.c.�c�Y�,-r.,rc s 3 i 5' y►�►r.fJ�'� QoTT•�M _.7L...—'S.F. �r /•a fr,�j�.r�ff',1'%t;" - 7�_ 9`AG�.(��fr" �rr,>�, ?v , 5•f; 3�4 �►A�./fit' iion ELEVATION SCHEDULE PROPOSED SITE PLAN I. INV. AT FOUNDATION = /a?¢" � a /� SEWAGE SYSTEM DESIGN 2. INV. INTO SEPTIC TANK ---�+f I N 3. 1 NV. OUT OF SEPTIC TANK _ . , 2 Z sue"�,,�'...-,�.r•ti.F r�,�,.;r,�,s.' 4. INV. INTO DISTRIBUTION 80X - SCALE: 1"= Ze�>' f- . 3, 19 -q 5. INV. OUT OF DISTRIBUTION BOX = L�-S C ' ?:! tz 6. INV. INTO SEEPAGE PIT =/sla, ' CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = p HYANNIS ,MASS. s NG R / NK ROAD , Arta A11cC: " S81.36'30 aF CB ro. �. .�yor e S _ L _ U C)Goont C�J ka n' ��nk � N ria Connemara a! Cenvi � N f � LOCUS MAP ,� 24. 0 ' ZONING i �rW' — - PaYed 16' ZONE: — RESIDENCE B — RB '� Drive � Proposed w Addition. _ 23.0' ; MINIMUM LOT AREA: 43,560 S.F. MINIMUM FRONTAGE: 20 FT. ____---- --- 42.4 � MINIMUM WIDTH: 100 FT. z , 18.9 MINIMUM YARD SETBACKS: FRONT: 20' o - No. SIDE: 10' House REAR: 10' 1 THE LOCUS IS LOCATED IN A GROUNDWATER PROTECTION DISTRICT N THE LOCUS IS LOCATED 1N FLOOD ZONE C (AREA OF , MINIMAL FLOODING) AS SHOWN ON F.I.R.M. MAP 250001 0005C 20.0 -- — DATED REW SED AUG. 19, 1985 ~- --- DEED REFERF_NCE ``` b ll r, opck CERTIFICATE OF TITLE NO. 56137 04 N -- N PLAN REFERENCE cc o Proposed o ` �_--wLn o Addition N i _------ LAND COURT PLAN 27099—B SH. 3 of 4 N GENERAL NOTES 5.33 24.5 UNDERGROUND UTILITIES TO BE MARKED ' S 33' -�-- PRIOR TO ANY CONSTRUCTION, WATER BH n SERVICE LOCATION IS TO BE VERIFIED 5 33' IN THE FIELD PRIOR TO START OF ANY CONSTRUCTION. J DIG - SAFE Anyoneti Who Excavates On Public Or Private ` Property Must Notify Utility Companies At Least 72 Hours Prior To Digging, Except In An Emergency. The Expense Of Repairing Damaged Facilities Goes To Those Responsible For Damaging Them. Notify Dig—Safe At 1-888-344-7233 To Mark Facilities On The ` Ground Prior To Excavating Lot — 56 I CERTIFY TO MARIO CATINI AND THE BARNSTABLE 10,080 S.F. BUILDING DEPARTMENT THAT: 0.2 Ac. ' 1. THE HOUSE LOCATION SHOWN ON 84.00' THIS PLAN IS BASED UPON ANJL INSTRUMENT SURVEY. N81'36'30V e SCALE 1 " 10 o 40 , / , / 1 N RE.GISTERE-0 LAND SURVEYOR DATE 0 5 10 20 30 40 CB Ind. awe T)r� n A : JMcLOCAT/ON PLAN Revision. STFNBECK & TA YLOR INC. SHEET SHOWING EXISTING HOUSE ' Checked Bv : WM AND PROPOSED ADDITION - ''�"�s"'"' sc�tlt : „ - l0 Registered Professional Engineers and Land Surveyors 1 OF 844 Webster Street 9 Steeple Street PARCEL NUMBER 291 -275 - Date: 04-73-01 151 SKATING RINK ROAD ft� Suite 3 P.O. Box 63(1 JOB N0. Joh No. :6239 Marshfield, Ma. 02050 Mashpcc Commons, Ma. 02641) HYANN/S, PAA ___ __ (1 ! !:,� �'o. :62 39 CATINI LP 781-834-8591 SOS-539-930 Fax: 781-83 7-8238 Fax : 508-539-9301 6239 PREPARED FOR: MARIO CATINI �/� ,er� Sttt i l: I OF www.stenbeekandtaylor.com Email:sandtggis.net