Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0080 SOUTHGATE DRIVE
_ _ . �v ��- �,� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 ® � Parcel ' Application Health Division• Date Issued `7`3 —�`'� p2 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 8O OvIvi'13 Village A4- �J Owner �i� Address �® J�v���laT - t'J�/► �✓ Telephone 7,2 Permil Request a( 14, C/TP/d A a'N .pc- Square feet: 1 st floor: existing proposed:3Q 0 2nd floor: existing 0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation h SIM Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family fib' Two Family ❑ Multi-Family (# units) Age of Existing Structure M Historic House: ❑Yes V o On Old King's Highway: ❑Yes �Ko Basement Type: ❑ Full 2f Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new ® Half: existing new 0 Number of Bedrooms: existing d new Total Room Count (not including baths): existing new First Floor Room Count .� Heat Type and Fuel: dG as ❑ Oil ❑ Electric ❑ Other o y Central Air: kYes ❑ No Fireplaces: Existing New Existing woo0er al stoves❑YV6 wl-f'�o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑e fisting ❑-new We— A,-Ached garage: Yexisting 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD Commercial ❑Yes Ji(N o If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER Name _ ?a it9�r�v r►e �� ke— p/ . ��' � l Tele hone Number q Address D �u�l t vOaJ License # Z a CIO S M�� M 4 a /�• o�G�� Home Improvement Contractor# Email tat 'o e J GOt"1 r S/ / Worker's Compensation # VA, c I 1 3 '1 ALL CONSnT�UCTION DEBRIS RESULTINGFROM THIS PROJECT WILL BE TAKEN TO SIGNATU �/� DATE 110701141 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAPS/PARCEL NO. ` ADDRESS VILLAGE'` OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL f ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE-CLOSED OUT• ASSOCIATION PLAN NO. a � Hite Comwoymwakh of Massachusetts Deparftnent offmhuftial Accidents - 0,Twe of`Investigations 600 Washirititow Street Boston,MA02111 Workei-s' CompensatiGulusurancts,4ffidavirt:$iriTderslContra:_ctorsMeclricianMumhers Appikcant Information Please Print,Legibly Name(B sslt3rganizafioo/fi°dividnal): IA? 4--e ou C,-e Address /0f9 CityfstateJMzp= - -.-._ -- -_Lire yctu an.employer?t<heck the_app:ropriate bo _ ---__.--- -__ .-- ._ ._T- of project(required)_. -- - -- - 1-❑ I am a employer with 3 4. ❑ I ant s general contractor arid I. 6_ ❑New constuction employees{full and/orpart�ime}*. have hired the sub-contractors �. 2_❑ I am a sole proprietor or partner- listed on the attached sheet: 7- ❑Remodeling drip and ha<<e no employees These sub-contractors have g- ❑Demolition woddng for mein any capacity- employees and have workers' 9 X Building addition [No.Work:erS comp-insurance comp_mcnrance -] 5-❑ We are a cotporaticsn and its 10❑ kcal repairs or additions required I❑ I am a homeowner doing all work officers have exercised their 11_❑Plumbing repairs or additions myself [No worker$'comp- right of eizemption per MGL 12 0 Roof repairs insurance required-I l c-152,§1(4),and we have no employees-[Na workers' 1 _❑Other comp-insurance regrnre.&I *Azzyaupbxcc 1futchecks box-1nmst also fll Out the section below showing their woaETS coWensationpsdicgiufnrmatiozv Homeowners who submit ties sfGdavrt hx cog they are doing alf tic and then lne outside contracturs zmzst submit a aew at�dsvit m 'ratsng sorb lC ntnctors ihst citgY this bozo most attached an additional sheet shoscing the name of ttie soft-cnzh3c tore and state whether ocnot those Mtilies hxve employees- If the suh-contzacturs hose emPItzgees,dLV must pauvide ter'warless'comp.policy number am an�rmpIo} c fliatispro idirtg tt�orkers'campRrunh'vn irisnrrugce for ttt t=rrrp7�aes Iteln*V is Ste poiie}*and fob site information_ E , s r a/ Insurance Gompatiyriams- � � ® a � P-olicy if or Self im. 'v�/Jr� � E piratic .D8te: I 0 �g Job Sites address: d ® �C/ 1 1��f'j�e, City/State/Zig: ju i i s Affach a copy of the workers'compensation policy declaration page(showing the policy number and cgAration date). Failure to secure coverage as reT redunder Section 25A o€MGL c- 152 can lead to the imposition ofcriminal penalties of a fine up to S1,500-OD andlor one-yearimpxisamnent,as well as cii ii penalties in the.form of a STOP WORK ORDER and a fine of up to S250-00 a day against the violator_ Be advised that a copy of this statemertt maybe fnrwarded to the Office of hrvestigations of the D far in�rrartc�coverage veeification_ ' I do here �eerfi thepains anrlpenatfiss o that fire information prolrzdRd a �e is anti correct 73ate: I q Phone# k ��3 c� ftj cial rrsa onF}. I not rvriias in fFiis urea,fa bs enNrpletad&y cif} rrx town offi'ciat City or Town-. PerttritUcense# . Issuing Authority{circle one}: 1.Board of Health 2.Building Department 3.Cit yfFovm Clerk 4_Flectncal Inspector 5.Plumbing.LLTector 6.Other Contact Person: Phone#- - ti Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 e m l the 1 representatives o a d e g g gag ) rp dmg galf eceas d 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(05)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the comnconwcalth forally 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 vrith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contactors)name(s),address(es)and phone ntnnber(s)along with their ceriificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no emrloyees 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 maybe submitted to the Departreent of Industrial Accidents for confirmation of insurance coverage. AIso be sure to sign and date the affidavit glee of fidav�it 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 Iaw or if you are required to obtail--i a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter heir self-insurame 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 penmitllicense 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 citizea 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 Commanwealth of Massaehus,,tis Degatlneat of Rndustdal,Accidents Of bt e of kvestigatims GOO Washtngto-a St-�t Boston,MA 02111 T6L 4 617-727-49W Qxt 4-06 or 1-9 MASWE Revised 4-24-07 Js am# 617-727-7-149 v,w w_mas,5_gov/dia ��FFEpII �ffd�OrEe ATVC Guide to FKood Can trucfrarr is Higfi WiI d Amu r Alassacftusefts Checklist for COMPEance(rgn UAR53012.I_*1 Loadbearing Wall Connections L'- a�er'a!(no-of 16d common Waits)�� :-:------_--_-----.__(fables 7_)--__�_---.-_----_-----•------�—•- NDn•-Loadbearing WallConnecions Lateral(no_of 16d conunan nails)-------.---._._(fable B)—' .___ ��------- ------__ Load Bearing Wan-Openings(record largest opening but ch irk all apenings for comprrance Tabbl 9) Header Spans ----_----------------------_-__--.(Table 9)_—_:_________-- _--- it . irtt 11' Sit[Plate Spans ' (Table 9)----_-:---.,----------.�ttin S 11' Full Height Studs (nD.of studs)__._.__—_._----- _--.(Table 9).._..... __._ hlan-LOad Bearing Wall Openings(nacont largest opening but check all openings for Campft2r1ce V U5 9) Header 5pans-,_----------------_._._�__—_--------- Sin Plate Spa ns...---------------- _----____-_— --(Table 9)__—_--------__-__-_ft_in_5 12` Full Height Suds(no.of studs)--------- __ __--(Table 9)_____------_.__ Bdarior Wa1!Sheathing to Resist Uprdt and Shear Simullaneausfy4 hfu imam•Biulding Dimension,W �- NDMinal Height of Tallest OpeningZ i ff_ 5h-Bathing Type-----' :_____----------(note 4}_�_-_-------------------- i •_�, -�✓ Edge!Mail Spacing--------_---.---__.—,_--(Table 10 or nDtie 4 if l !!' Feld Nail Spacing.=�..___�----:__--.;__.(Cable 1D)._ in. " Shear Connedian(no_of 16d common halls)(Cable 1 D)-------- 'Pa t FuIFHaighfSfieathing:--- 5%AdCHDnal Sheathing for WA with Opening>6'9'(Design Concepts}____.__.___- . Maximum Building Dimension, L Naminal Height afTallest Opening?---—------------------------------------------------------............ ,<T13- N/ Sheathing TYPe- —— —- ------ -_(note 4)-------------- ---�..__— -- Edge Nail Spacing------------------ 11 or naf$4 if Feld Nail Spacing.-----.___.—.--------..._--- .(Table 11)----:----•—_-.-------.-_ i in_ Shear Connecfron(no.of 16d common nails)(Table 11)______-___,__._____.—_____ Percent Full-Height Sheathing-- —_--.(Table 11)__.-_--_----_- 5%Add-dianal Sheathing for Wall wr h Opening>B S'(Design-Concepts) Wail Cladding Rated far Wind SPe ?—--- - -------- — - --- -�-- — — ---- 5-1 IZQf7F5 RDaf framing member spans (For Ravers use AWC Span Tool,se'a BBRS Websif;:) Roof Dve i a g ----------------------- (Fgrtre 1 f3)•---:---_-_ft s smaller of 2'or Lf3 Truss ar Rafter ConneCfiDns at Loadbearing Wa!!s Proprietary Connednrs Uplift---------------------—-----—--(Table 12}__---- - - ---------U=Tq ptf ,V able 12 --— -- pff - 5hear.__.___—_--- =___,(Table 12)-----------•-_--.__ _�— S= pff_ Midge Strap CorinaCtiens,if collar ties not tiled per page 21.., (Table 13)---_-----------•--___--T pff s Gabe Rake Otsffooker_ .., .---__ 2Q) -- --------- f1 s smaller of 2'orj[12 Truss or Rafter CDnneCf]Dn5 at Non-inadbearing Wa11s Proprietary CDnnednrs (Table 14) U= Lateral(no.of 16d common nails)__(Cable 14)___________________-_--'-----------___L= . lb. Roof Sheathing Type— ---=------ -- (Per TBD.aMP,Chapta-s 53 and 59)___.-•-:._: a� Roof Sheathing Thiess___._...__ _ _-��_��___�---_—__—�_in ?7Yt6'VVSP E*— Rnaf Sheathing Fastening---__-_.-----___-----_---.(fable 2)------- __._��_--_----------_--•_ �' f. _ This cheds&f shall be met in ft entirely, excluding the'specific e=epiion noted in 2, tD Comply With the requirements of 730 C IMR_53D12 1.1 Item 1- tf the chemist is met in its entirety than the fallovrrng rnefal scraps and hoid downs arm not req uii�ed per the WFCIL4 110 mph,6Llde: ' a. Steel Straps per Figure 5 b. 2b Gage:Scraps per Figure 11 r i~ Uprdt Straps per Figure 14 d_ ,All Straps per Figure 17 ' e; Comer SfDd Hold Downs per Figure 1 r3a and Figure 113b. Exception:Opening heights of up io 3 fL shafE be permitted vehen 5%!s added fn the percent fulf-height sheathing - requiremerits shdm in Tables 10 and 11. The bofium sM plate in exterior walls shall be a mir-Imurn 2 in-naminal uckness pressure tr-aafed P-giada- AFDC Guide to Wood Coa ort is High Hli-nd.4reas:110 kLph Wad'Zons Massachusetts Checkl f for com anee (7t30 cA-fl~`30Ia I.I)r - E1 ch,-k _ 1.1 .SCOPE Wind Speed(3-sec. gust)--------- 0 mph Wind,Exposure Cory_..__:.__._ ___ =---------•------------__-_.----__-_--8 - Wind Exposure Catagory.................Engineering Rewired For Erdire Project-_.--..---.----__.- -- 1.2 APRLICABILIIY Number of Stories(a rDaf which exceeds 8 In 12 slope shall be-considered a story) Stoll' _<2&tortes 1� R.oaf Pith__,:._ -- ----- (Fig Z) — ---- ----- -=---- s 12:12 Mean Roof Height'_----- --- -- -_-(Fig 2)- ---__- ---------� --- —ft <--33` Building Width,W----— -— - ---- ---(Fig Building Length, L -____._------_.-------------_----_,(Fig 3)----------_--•--_----�._� _.. ft s BD` Budding Aspect Ratio(i m) -----=------- --- - -- (Fig Nominal Height of Tallest D. g peningz ------------_-- ---(Fig 4)---------------------.-_.!9 - 1.3 FRAMING CoNNECTic)Ns General compliance with framin-g c�nnectians_..-.------.(Table 2) ___-•-------------------_—_•---------- 2-1 FOUNDA-HDN Foundation Walls meeting requirements of 780 CMR 54D4.1 C�ncti --•-------•-------------- -•--------•---• :.. - - r-' --- - Cancreta Masonry....... - --_ _-- ------ - - ---- --=----- = J11 22 ANCHORAGE To FOUNDATlDW-3 513*Anchor Bolfstimbedded or 51B"P Dprietary Mechanic l•AnchDrs as an alternative in concrete only Bolt Spacing-genet ai - ........................... (Table 4) Bolt Spacing from endToint of plate__.___-•-�_--__--•(Fg. -- =-------=-------=--------- Bolt Embedment-concrete--------------------__-(Fg 5)•---------- -_-__ _-_ in >_7 !/ Bolf Embedment-mason �V �` - _- ___>.. _- =- --(FIgS)-� -=----- ------------ in--'1s" Plate (Fig 5) -- ------- -L 3-x 3`x Y." 3.1 FLDDPS - » Floor'frarning member spans checked:-_--_--.__--__(per 7B0 CMR Chapter 55) ®�-J 12 ® _ Maximum FloorDpening'Dimension_-.----------------(Fg 6)-_------------------ ...... -•• A-�-- Full Height Wall Studs at Floor Openings less than Z from Exterior Wall(Fig 6)-------------------- M D� rrr s .floor Joist Setbacks Supparfing loadbearing Waifs or Sheanwal( Maximrsm CanSleyerad FloarJoists -� S rtin- Loadbearin Walls or Shaarwall_...___-•-- ft s d . . Apo g 9 (Fig B)----------------------:--�___-_. FloorBmcing of Endv��ll _-_- - - ----- ---- (Fig s)-. Floar Sheathing Type '.:----------------- ------ -----(per 7B0 CMR•Chapter = `- ---------- Floor Sheathing Thidmess Floor Sheathing F4&tw ing_----- ______________-.----- �_--(Tal?le 2 _ dd nails at in edge I in field !�^ Wall Height Lcadbearing walls. ._ -__-_- -., (Fig 10 and Table 5)-..__—,—_--- y}t c 1 Q' 70 Nan-Loadbearing watts.._-__�.------------�-.(Fig 10 and Table 5)_-----_---._..__-_ '$-s 2D` Wall Stud Spacing ______----.._.---------.____--(Fig 10 and Table 5) Wall Sta,ty Offsets- _------ —-- ___-__�_(Figs 7 8) _---------- s d r4 42 EXEERI OR WALL e Wood Studs L-Dadbearing vrafls:__----------_-•-..__..__..____--------•(Tat le )_—.=-------------___. e� d in. v --------.--2x -_ft_in_ Gable End Waft Bracing 1 - Full Helght Endwall Studs_-----.-.__.-____.-----..__.(Fig 10)---:-------- ...... WSP-Attic Floor Lengftt-------- ----__ _ =(Fg11}_----------._-.__------__ ft}Wf3_ Gypsum Gaffing Length(if WSP not used)_.��_-�-(Fig 11)__--- _--------_-_-_ f} 0.9W and Z x 4 Continuorss Lateral Brava @ 6 fL o_a._ i 11 - (F g }- _.._...---•------•---------- - or 1 x 3 ceding furring strips @ I T spacing min.yffli 2 x 4 blcckbig a@ 4 ft-spacing in end joist or truss bays j>'^ Double Tamp Platt= Spfica Length ---------_--:- ---- (Fig 13 and Table 6)-_-_---- _ SpGce ConnecffD 1 (no_of 1Sd common narls)_-__._._..__.(Table 6)_=-------------___ _ ----- Town of Barnstable ` Regulatory Services BA.RNSTABLM 9 MASS. � Richard V.Scali,Director 1639- Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize max;0 A p V A to act on my behalf, in all matters relative to work authorized by this building permit application for: ' �&A (Addre s 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 f inspectio erformed and accepted. t { tgnature of e Signature of Applicant S Print Name Print Name �73 A Q:FORMS.O WNERPERMISSIONPOOLS d Town of Barnstable Regulatory Services �oFTHE rrhyy Richard V.Scali,Director Building Division rt rt ' BARxsras1 Tom Perry,Building Commissioner Mass. 4� 1639. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town slate 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 hue,who does not possess a license,provided that the owner acts.as supervisor_ DEFT TITION 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's' shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official _ Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.1S) 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 fomis\EXPRESS.doc Revised 061313 I Office of Consumer Affairs & Business Regulation - Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation r Home Consumer Rights and Resources Home Improvement Contracting . HIC Registration Complaints Registration # 101413 Home Improvement Contractor Registrant Registration Home Page Name Lawrence Kenney Address 100 Sullivan Road City, State Zip W. Yarmouth, MA 02673 Expiration Date 06/25/2016" Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search http://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=1... 7/24/2014 Massachusetts - BOard of Department of Public Safety. Building Regulations and Standards Construction Supervisor License: CS-005609 LA 1 pWRENCE g �h1NE_ '- W I"AN lit YABMOTTtg} J Commissioner Expieation 03/08/2016 'Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m3)of enclosed space. .R Failure to possess a current-edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: wwwAass.Gov/DPS �— Workers Compensation and Employers Liability Insurance Policy Polic. Number Policy Period N S U R A N C E y From To C O M P A N Y WC 0113246 01/26/2014 01/26/2015 12:01 A.M.Standard Time at themailing address 26255 American Drive of the Insured as stated herein Renewal Of Transacfion Southfield, MI 48034-6112 Policy Declaration 1.: Named Insured and Mailing Address Agent LAidREJCE K. KENNEY COCHRANE & PORTER INSURANCE 100 SULLIVAN RD AGENCY INC WEST YAMIOUTH PLA 02673-3544 981 WORCESTER STREET V.TELLESLEY A1A 02482 UNEMPLOYMENT ID# CARRIER# FE►N# Risk ID# Entity of Insured 24562 165287178 0162432 INDIVIDUAL Other Workplaces Not Shown Above: 2. The Policy Period is from 01/2 6/2 014 to 01/2 6/2 015 12:01 a.m. Standard Time at the Insured's mailing address_ 3. A. Workers Compensation Insurance: Part ONE of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part TWO of the policy applies to work in each state listed in Item 3A. The limits of our liability under Part TWO are: Bodily Injury by Accident $ 100, 000 each accident Bodily Injury by Disease $ 5 0 0, 0 0 0 policy limit Bodily Injury by Disease $ 100, 000 each employee C. Other States Insurance: Part THREE of the policy applies to the states, if any, listed here: All states except North Dak6t4i Ohio, Washington, Wyoming, and states designated in item 3.A. above. D. This policy includes these endorsements and schedules: See attached schedule 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates, and Rating Plans. All information required below is subject to verification and change by audit. Assessments and Taxes SEE EXTENSION OF INFORMATION PAGE MA $659 If the premium is paid on an installment basis, a$5.00 per payment charge applies. Total Estimated Annual Premium $ 23, 374 Expense Constant $ 338 Minimum Premium $ 5oo Premium Discount $ - 852 ❑ This is a Three Year Fixed Rate Policy Deposit Premium $ 24, 033 Premium Adjustment Period: ® Annual; ❑ Semiannual; ❑ Quarterly; ❑ Monthly Issued Date: 05/22/2014 Authorized Representative Issuing Office WC 00 00 01(Ed.12/04) INSURED COPY uj N LU u 3 2 in m � � O O c� i m °- PROPOSED <v i z ADDITION ~O Q ti ` ` � O EX15TING DWELLING Q o LOT 29 QQ N i� 1 1 5 1 1 .5 5.F. F BUILDING LOCATION PLAN FOR 80 50UThGATE DRIVE HYANNI5, MA PREPARED FOR JOHN REGAN * KENNEY BUILDERS 14OF� SCALE: R 1 PATE:" = 30' 07- 1 .5-2014 DRAWN BY: TMW JOB NUMBER: EV1510N: 5HEET NUMBER: g �yy. 13-023 CPP- 1 79 y WELLER * ASSOCIATES RFcis P.O. BOX 4 17 CENTERVILLE, MA 02G32 LA"NO TELEPHONE: (508) 328-4G92 1 EMAIL: trl5weller@gmad.com REGISTERED LAND SURVEYORS * ENVIRONMENTAL CONSULTANTS Traverse PC Project: L Kenney_80 Southgate Shepley Wood Products, Inc. Le Location:Multi-Loaded Multi-Span Beam 2 216 Thornton Drive Multi-Loaded Multi-Span Beam Hyannis<MA 02601 [2009 International Building Code(AISC 13th Ed ASD)] StruCalc Version 8.0.113.0 7/22/2014 1:56:52 PM A992-50 W12x30 x 19.0 FT LOADING DIAGRAM Section Adequate By: 109.2% Controlling Factor:Moment DEFLECTIONS Center Live Load 0.29 IN U787 Dead Load 0.16 in Total Load 0.45 IN U506 Live Load Deflection Criteria: U360 Total Load Deflection Criteria: U240 REACTIONS A B Live Load 5760 lb 5760 lb Dead Load 3213 lb 3213 lb Total Load 8973 lb 8973 lb Bearing Length 0.74 in 0.74 in 19 ft BEAM DATA Center.. Span Length 19 ft Unbraced Length-Top 0 ft Unbraced Length-Bottom 19' ft UNIFORM LOADS Center Uniform Live Load . 480 i plf A STEEL PROPERTIES' Uniform Dead Load 240 plf W12x30-A992-50 Beam Self Weight 30 -plf - Total Uniform Load 750 plf Properties: " POINT LOADS-CENTER SPAN Yield Stress: Fy= 50 ksi Load Number One Modulus of Elasticity: E= 29000 ksi Live Load 2400 lb Depth: d= 12.3 in Dead Load 1296 lb Web Thickness: tW= 0.26 in Location 9.5 ft Flange Width: bf= 6.52 in Flange Thickness: tf= 0.44 in Distance to Web Toe.of Fillet: . ek= 0.74 in Moment of Inertia About X-X Axis: •.., _ ;Ix= 238 in4; Section Modulus About X-X Axis: Sz= `38.6 in3 . Plastic Section Modulus About X-X Axis: Zx_ 43.1 in3 .•�; �5 ? Design Properties per AISC 13th Edition Steel Manual Flange Buckling Ratio: FBR= 7.41.; Allowable Flange Buckling Ratio: . . AFBR 9.15 Web Buckling Ratio: WBR= 41.62 :Allowable Web Buckling Ratio: AWBR 90.55 Controlling Unbraced Length: Lb= 0 ft Limiting Unbraced Length- for lateral-torsional truckling: LID= 5.37 ft Nominal Flexural Strength w/safety factor: Mn'= 107535 ft-lb Controlling Equation: A 1721 Web height to thickness ratio: h/tW 41.62 -: - Limiting height to thickness ratio for eqn.G2-2:h/twdimit 55.95 Cv Factor: Cv= 1 Controlling Equation: G2-2 Nominal Shear Strength W/safety factor: Vn :63966 Ib' Controlling Moment: 51400 ft-lb - 9.5 Ft from left Support'of span 2(Center Span),. Created by combining all dead loads and live loads on span(s)2 Controlling Shear: 8973 lb v At left support of span 2(Center Span) "- Created by combining all dead loads and live loads on span(s., Comparisons With required'sections: Read Provided Moment of Inertia(deflection): 112:93 in4 238 in4 Moment:`' 51400 ft-lb 107535 ft-Ib �- Stiear: 8973 lb 63960lb ®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam1R1301 Dry, 1 span I No cantilevers 1 0/12`slope Tuesday, July 22, 2014 BC CALCS Design Report- US Build 2627 File Name: BC Job Name: Regan Description: New Ridge Address: 80 Southgate Specifier: J Madera City, State, Zip: Hyannis, MA Designer: Customer: Larry Kenney Company: Shepley Wood Products Code reports: ESR-1040 Misc: 12. RF 16-00-00 BO Total Horizontal'Product Length=16-00-00 Reaction Summary(Down/Uplift)_(lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 1,296/0 2,400/0 B1, 3-1/2" 1,296/0 2,400/0 Live Dead Snow Wind Roof Live Trib. Load Summary , Tag Description Load Type Ref. .Start End - 100% 90% 115% 160% f126% 1 Standard Load Unf.`Area (lb/ft^2) ' L 00-00-00 16-00-00 15 30 -10-00-00 Disclosure Controls Summary value %Allowable Duration Case Location p Completeness and accuracy of input must Pos. Moment 13,950 ft-Ibs , 57% 115% 4 ` 08-00-00 be verified by anyone who would rely on End Shear 3,104 Ibs, 34.2% 115% 4 01-03 06., output as evidence of suitability for Total Load Defl.. - U300(0.621") 59.9% n/a 4 08-00 00 =particular application.Output here based ' on building code-accepted design .,, Live Load;Defl '' U463 (0.403") �. 51.9% n/a 5 08-00-00 ,properties and analysis:methods. r: Max Defl..:`` Y r.'r`, 0.621" 62.1% n/a 4 08-00-00'` Installation of BOISE engineered wood Span/Depth 15.7 ,:n/a, n/a 0- 00-00-00 ` products must be in accordance with current Installation Guide and applicable %Allow n %Allow building codes.To obtain Installation Guide or ask questions,please call Bearing Supports'- Dim.(Lx W) . Value Support Member Material (800)232-0788 before installation.tn\nBC E BO Post 3-1/2"x 3-1/2 3,696 Ibs n/a 40.2% Unspecified CALC®,BC FRAMER@,AJSM, - B1 :Post 3-1/2"x 3-1/2" 3,696 Ibs. n/a 40.2% Unspecified ALLJOIsT®,BC RIM BOARD- BCIS, BOISE GLULAMTM,SIMPLE FRAMING Cautions SYSTEM®,VERSA-LAMS,VERSA-RIM PLUSS,VERSA-RIM®, For roof members with slope(1/4)/12 or less final design must ensure that ponding instability VERSA-STRAND®,VERSA-STUD®are,- will not occur. .,. trademarks of Boise Cascade Wood For'roof members with slope (1/2)/12 or less final design must account for Rain-on-Snow Products L.L.C. surcharge load. ` Notes Design meets Code rhinimum (U180)Total load deflection criteria. Design meets Code minimum (U240)_Live load deflection criteria. Design meets arbitrary ( `') Maximum total load deflection criteria. '.,' Calculations assume Member it, Fully-Braced. Design based on Dry Service Condition. Deflections less than'1/8"were Ignored in,the results. + ' Fastener Manufacturer: TrussLok(tm) Page.1 of 2 , ®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAMO 2.0 3100"SP s Roof Beam1RB01 Dry j 1 span I No cantilevers j 0/12 slope Tuesday, July 22, 2014 BC CALCO Design Report- US Build 2627 File Name: "BC Job Name: Regan Description: New Ridge Address: 80 Southgate Specifier: J Madera. City, State, Zip: Hyannis, MA Designer: ' Customer: Larry Kenney Company: Shepley Wood Products Code reports: ESR-1040 Misc:. Connection Diagram • • a minimum=2" c=7-7/8" b minimum =4" d =24 e minimum = 1" All TrussLok screws may be.installed from one side of multiple ply VERSA-LAM beams. All TrussLok screws may be installed'from one side of multiply Versa-Lam beams.. Member has no side loads., Connectors are: FMTSL338 t R - z Page 2 of 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION pp Map Permit#'' �0� J` Health Division �: �' 2!/� Date Issued Conservation Rivl, Fee d d D ,o cp Cuiz� XTaxCollector r -Treasurer, `�n q j 4 Planning Dept. ti. ST OBT�ASE Date Definitive Plan Approved by Planning Board aptICANTI�R- FROM T•'0 + CC)I\NFCTIO-S RRINO DNISION PgIOR Historic-OKH:. Preservation/Hyannis s CON��,jCT1oN- i Project Street Address S©vT2Y�'-�#7Y Village Owner CIA/iL woOd A 9 Address .��a�✓�9C-'!4l� AV, Telephone 2 91 Permit Request c"r &'g'e a X lCo Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay 'Construction Type &/lei,® Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type:-Single Family 9' Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic.House: ❑Yes' C$�o On Old King's Highway: .❑Yes Cf1Vo Basement Type: ull ❑Crawl ❑Walkout ❑Other •tasement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 4, new Half: existing new Number of Bedrooms: existing - new ir Total-Room Count(not including baths) existing new f 'First Floor Room Count Heat Type and Fuel:. SIGs ❑Oil ❑ Electric ❑Other Central Air: a'-Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage'❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: xisting ❑new size Shed:❑existing` ❑new.. size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ o .. 1 Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# t . Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DAT r - FOR OFFICIAL USE ONLY PERMIT NO. - ' ''`t _ . . � ,. • DATE ISSUED . /J7 MAP/PARCEL NO.> ADDRESS : 1VILLAGE OWNER— tit DATE OF INSPECTION: FOUNDATION FRAME INSULATION t FIREPLACE1 - ELECTRICAL: ROUGH `. : FINAL PLUMBING: ROUGH FINAL, GAS: ROUGH FINALell FINAL BUILDING `•r p a .K . 1 _ �:`. :•:} tom.. !- - ,. ' DATE CLOSED OUT t ASSOCIATION PLAN NO. ��:`�,�-.` _ � • � � � � � . I � .�/��/ y � ��- � ��.-. f ,� `grt�/�!%�ti �r' > �► ��� �// ®� ��.v��R Ap a`1 t p K e own ot barnstaDie • s�aivsr�stE. • .&6 9. Department of Health Safety and Environmental Services rEo �" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 i Building Commissioner Permit no. J J Date AFFIDAV i 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. z Type of Work: ,��'�l�' Estimated Cost ®d' Address of Work: S,?`4 _S �' T Owner's Name: ,�lrs�/ll/d o/� �— ��y�,l✓i /� - /S�/t7/�� Date of Application: I hereby certify that: Registration is not required for the following reason(s): go rk excluded bylaw Under$1,000 []Bu' ing not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav Department of Industrial Accidents '� �' _ �' Olfrceafln�estigatfons z: p 600 Washington Street Boston Mass 02111 Workers' Compensation Insurance Affidavit name: t)xe D 0 JZ F—"NO IV location OV -S)!Pse�14 ,6 PiV, city © P-S 0 phone# �7 ❑�Fl:l am a homeowner performing all work myseif. //%/ and%/%e no one worki in%////////%%%O/D%/////%//%//%////a//O/%/%//i///%////%/%/%a//////////////%%%o/%%%%//%%%%%/%%//%/%%„ ❑ I am an employer providing workers* compensation for my employees working on this job. . comnnnv name: address: :•.:: city phone#- insurance cn. polim# r ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: companv name: address: ::::•....::,;...;; :;.:. dtv phone#c . ..:. insarnnce t:n. o11N#.. <... %/ ............... /.%/%i//%///%/%//////i%/////////%////%///i%%/////%////////%///////////%////////////////////////////////////// camnanv name- :,.....:•:::.;;:.... ..... ..:..... address. cih- phoneM t oiicv#rance co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of S100.00 a day againa me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage veritication I do hereby certify under the paints andppn •es of perjury that the information provided above is truw and correct Sigatur Hate CSSl— 9 _ Print name /�Gf/Dc*� j�/�/1�h n/� Phone oMcial use oniv do not write in this area to be completed by city or town official city or town: permit/license 0 ❑Building Department .0Licensing Board ❑ check if immediate response is required ❑Selectmen's Ot9ee ❑Health Department contact person: phonett; ❑Other (muec 9,95 PIA) Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the:.r employees. As quoted from the "law", an employee is defined as every person in the service of another under any cow-.:" 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 recce ve: trustee of an individual,partnership, association or other legal entity, employing employees:Mowever 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 wlio employs persons to do maintenance , construction or i epair work an such dwelling house or on the grounds cr building appurtenant thereto shall not because of such employment be deemed do be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency a en shall withhold the issuance or renewa- 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 cantract for the performance of public work uutii acceptable evidence of compliance with the *insurance requirements of this chapter have been presented to the contracting authority. ' --------------------------- 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 along with a certificate ofinsurance 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 Departmeat at the number listed below. --------------------------------------------------------- WIFE 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 wM be used as a reference number. The affidavits may be retuned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts-' Department of Industrial Accidents Office of mWesmatioas . 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eXL 406, 409 or 375 The Town of Barnstable FSHE t Department of Health Safety and Environmental Services Building Division ` 367 Main Street,Hyannis MA 02601 �ArFO fNA't A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION �J � �J Please Print DATE: ,14M// OV JOB LOCATION: O E7 .� y�l?`(�fj�L_ � /l�/J/✓iL'�;S—" number y/ street �JP.�Q— �1/ �village "HOMEOWNER":L t�/Wao 10 �� �� / X i/O ` 9 name home phone# work phone# CURRENT MAILING ADDRESS: �d <220_r/�l'& E ", 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 ,require ents. Signature ofHcpreo ner Appboval 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 personas 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. QTORMS:EXEMPT • a- AAlk ww- r i 2-7 S 7z-�00�00 o .2- w i bTr 4 I oa 2 7203S, c: Sov7-H o H" yam s 9 CERTIFIED PLOT PLAN . No sucty Lo T Z 9 S0d7_N/G.,-7 rz,va NEW CONSTRUCTION ONLY TOP OF FOUNDATION 13 S� FEET IN ABOVE LOW POINT OF ADJACENT S? /3 G ROAD. /n SCALE, /'=So' DATE t LDREDGE ENGINEERING CO.IN G��" e I CERTIFY THAT THE Fo�ao�T,� ✓ CLIENT__ SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED JOB NO. �.� ON THE. GROUND AS INDICATED AND CIVIL I LAND , CONFORMS TO THE ZONING LAWS ENGINEER ( SURVEYOR DR.BYl OF &QjA^ec - aSS. CH.BY$ J� 712 MAIN ST. ll.a(o$I - HYANNIS. MASS_ eurrT / nor I n a I w.ln eevevnw t7-ri/' Po.Sr ail/ TA/ %'ILL Wo q P T r .a L /g . /�iqk»� v lq 7'I°?�'1 l t � ,L b,4, 9ZO , I C 1 �' 27 TOWN OF BARNSTABLE Permit No. -------- 3-2 t Building Inspector )AE1fT..P ' .... Cash - — 00�0 YPY �� OCCUPANCY PERMIT Bond_ _xWr "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Greenbrier Corp. ..Address Box 510, Centerville Lot #29 80 Southgate Driae Hyannis ' Wiring Inspector ` - Inspection date Plumbing EaspecIor"f � � � Inspection date Gras Inspector .. -, — Inspection date 4, Engineering Department Inspection date THIS PERMIT WILL' NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. `h ........._.. .......... . .... . 19_ _ .... ........Building Inspector ten,, �7.3 z io o00's.F L.o.a- ol 1p \ N 7 z u 3 S'3 p yv IZ So cJ 7"N �9 T p'e'' ` O$ HN GN ® e� 40 STo� CERTIFIED PLOT PLAN N4 SUR�� Lo T Z 9 sovTN GR'"7 elva NEW CONSTRUCTION ONLY TOP OF FOUNDATION IS_ 1-1 FEET IN ABOVE LOW POINT OF ADJACENT 1314/iCp /S-F i /3 ROAD. SCALE= I'-So' DATE , Fo��✓v�-n o l LDREDGE ENGINEERING CO.IN CLIENT 1 CERTIFY THAT THE EOISTERED REGISTERED �/0s3 SHOWN ON THIS PLAN IS LOCATED CIVIL LAND JOB N0. CONFORMSON THE RTONTHEs ZONING LAWS INDICATED D I DR.BYE1 'Q` ENGINEER ,SURVEYOROF eP"TA3 , ASS. CH.BYE J i 712 MAIN ST. HYANNIS, MASS. SHEET . OF / DATE G. LAND SURVEYOR " "' ----`--•--,��-..,--.. ....-.n---".. ..-.s.--........--...—......,.-^�—S,_"'�.. ,--«v-.�- ..,-v�"'T'l"-f^'f,'.. :..:- i "ter'."'t'"'."`''^"._�^.^e'.-^"r.-.•.-,.-»-..-....... __ dAssesser's map and-lot number . ......... .. �� . np .... .. . .. d` 'X, SEPTIC SYSTEM ro cF Tr HE To�� PLI Sewage Permit number �NS� ��pp���p.�# TITHE 919►I1 Z 2JHB9TdDLE, i �0 . `f �rneaHouse number, .... n?. .`.........:............................ r .... ENIRONMENTAL ,C i639. e�0 i TOWN REC #.li *. pYPYa\ TOWN OF -BARNSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO :.C.v............ . i G ,... ... .......� --�.. ,� .......................... TYPEOF CONSTRUCTION ......................:.:............................................................................................................ t .............C7. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according ggJto the following information: Location .......................................G..U. ...1..............��..0 1..7E' .....`....�� ..5.. �' '� ProposedUse .............. ............ ( .1. ......... '`'../ ..........�................. :.......................... .......................... Zoning District (� .....Fire District ���'"`"'' .................................................................... ............... ........ ................................ .............. G� ��,.��P�z � 5.to C- Nameof Owner ............... ...................................... ............Address ......... . ..�.,�.... ........... Name of Builder. .............. .M..-�. ...................:.............Address ................................. :.........Name of Architect ........................................................ Address .................................................................................:.. :' �0.`t ram................................................0 (� Number of Rooms .................Y :.......................... ........... ......Foundation ...........l Exterior 7` ��� Roofing / / .. ................ .......................................... g ......................... C .li ....� Floors .............Interior '� •...•....•• Heating Y G.,tSPlumbing ........................ .................Approximate Cost .. U G Fireplace ............. ....... ....................................................... pp ....................... .,,.................. . ........T - cc /S R�Definitive Plan Approved by Planning Board ---__— ______19_v__ . Area ......................��........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ( ✓�/o v1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... ........ ........................................ GREENBRIER CORP. 0 ... Permit for ,One...Story ............N .. ..... .... .. .... .....Single Family ... .............. Location ..:Lot........#.2.9........8.0.......S.outhgate Dr. ........ -Hyannis .. ...................:........................................................... Owner '..Greenbrier Corp. ................................................................ Type of Construction ........F.....ame.......r ...................... . .....................:......................................................... Plot ............................ . Lot ................................ Permit Granted ....................:................December 28,...19 81 Date of ....................19 Date (;a m leted ....... . ......... .....I get", Assessor's map and lot number ...:. THE U yG Sewage Perm �?.%�Permit number- ,_. ? '??!� -tom � +.,4 .s Z EARNSTADLE. i House number ......�.....h?)�.................................................. 90o M639 G �'c waY a. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... TYPEOF CONSTRUCTION ..................................................................................................................................... ............ �� C............................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................... � C C. j... 5 Proposed Use .............................. .........,.. •: ...........i r >> 1 /`f .............................................. Zoning District ...................`...4. ..........................................Fire District ...............!'r J.i9F --c^� f Name of Owner ............. ..........................................� Addr ess ........................:...: Nameof Builder. ............. .....................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................ ............................................Foundation �+�_,. �...,: ........ . ...Q............................................................ Exteriorfia,� ^.. ...Roofing ` ��^............,................................................................... ln..... ...;...., .......!..?.. ................ Floors '"of/ ......................Interior / . .. Ac r.. ..t-.......................................... v GigS Heating .....................Plbig C C Fireplace ............................................Approximate Cost Z S.. U 6 Definitive Plan Approved by Planning Board ______ y'__/ ___--------19_!__(. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH � 47. 5� Z``` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... ............. .. ..... I...."... z ........... GREENBRIER CORP. ',=306—., 23729 One Story NoPermit for................. .................................... ........S.i.ngle...F.amiZ.y....D-We-l-1,i.ng...... . Location Lt Southg t .... o ..........#29................80..................... ....o......Dr... Hyannis Owner Greenbrier Corp. Type of Construction Kra.......... .......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....December 28, 19 81 ....... ................. Date of Inspection ....................................19 Date Completed ......................................19 i . �1,��,, a , , , h- n' , : r : , IF l�• 'i , r I l l 'L 1 I , r I� , T i _ r; f. , , .: - a — : - , 1 � U Cl Q o"' 1.7 tIllo PPo. .I ...-C: �- : � - r ( _ t y , h: 4 1 •ti4 P I h -- „ r QU ui t.. . �,�..::.' ' :....:.. .. .. _.. f.. _.. }CRF >� �V?t.-1k. 3� -• o to .:; r ♦ r : _ I ..,..: .. , O. .. :.. .. .. L Tw� 1 e>Ssro�alButldt!t$..,. � Sner. Z • So Y