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0452 STRAWBERRY HILL ROAD
Sf4lW49�f All �4�z. 1 BUILDING DEPT, CA[PDEE 00rM FEB 2 6 2020 EmEftoy SOLI-Ma 4s TOWN OF BARNS ABLE 378 Route 130 Sandwich,MA 02563 PH:.774-205-2001.844-90-AUDIT Permit Affidavit Permit#: CraigBishop, u —confirm that the weatherization and air sealing w rk: m I 1 p, o co eted at g p C,P e has been completed.in accordance with 780 CMR. 1 Signature: Date: 1 Town of Barnstable Building n Post This Card So That it is V�sible'From the,Street-Approved:Plans Must be Retained on Job andFthis Card Must be Kept STABLE, • ,+< ,,.:, :�, ', i Posted Until FInnspection Has-Been Made al-I ., Permit Where,a Certificate of Occupancy sRequired,_such Building shall Not be Occupied=until a F naltlnspectim has Been made Permit No. B-20-376 Applicant Name: Craig Bishop Approvals Date Issued: 02/07/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/07/2020 Foundation: Location: 452 STRAWBERRY HILL ROAD, HYANNIS Map/Lot: 248-059 Zoning District: RB Sheathing: Owner on Record: MITCHELL, ROBERT&TRACEY B Contractor Name "° ,kCRAIG P BISHOP Framing: 1 Address: 452 STRAWBERRY HILL ROAD -Contractor License: 109E 77 2 1 CENTERVILLE, MA 02632 ~" Est Project Cost: $2,656.00 Chimney: i Description: Air sealing,attic damming,cellulose in the at ic,sealing the attic j Permit,Fee: $85.00 t i Insulation: hatch,vent chutes, insulated bath hose,basement ceilingrigid Fee Paid: $85.00 board, crawlspace ground cover& rigid board Date 2/7/2020 Final: 6 2-17-9) Z O Project Review Req: 49 Plumbing/Gas " Rough Plumbing: \_Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withinsix,months after issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for whichnth s permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws4and;codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained"open for public.inspeetion for the entire duration of the Final Gas: work until the completion of the same. , _ st Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the-Building,and Fire Officials are provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work: Service: ., 1.Foundation or Footing Rough: 2.Sheathing Inspection g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: . 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ON LZN% t�MAT� S£a`T f - Applicadon Number. ..�.... ... ........::"'................ • a gAWMABM Knse. Permit Fee........ .................:............Other Fee........................ s639 UI t LDIN E � 'Total Fee Paid..................................................................... 4 TOWN OF BARNSTABLL-4 22019 Permit Approval by......AX ....on..... 0� .p:.... BUILDING PERMIT . "; ......a...�- -2 .............Pa ccL....... .v3 ........0 APPLICATION Section I—Owner's Information and Project Location ° J6- �-�TK � - � Village )BLS Project Address Owners Name MaT Owners Legal 5� &k�e al Address Cm, �Vl(,L� State" zip Q ;?�3 2— Owners Cell# 90� .� Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement El,Family/Amnesty ❑ Fire Alarm Rebuild Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation �co� LSn J� VJ00P STW p other—specify �� Section 4 -Work Description fad= Clicak, 16 x 20 ` c3 o-� Tsuet -719=19 E -- ------------ Application Number.................................................... Section 5—Detail Cost of Proposed Construction 2 4O® Square Footage of Project 3 X0 $F. Age of Structure G 0 Dig Safe Number # Of Bedrooms Existing 3 Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist E] WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors J ❑ Plumbing ❑ Gas' -❑ Fire Suppression ❑.Heating System ❑ masonry chimney Chimn ElAdd/relocate bedroom Water Supply ❑ Public ® Private Sewage Disposal ❑ Municipal ❑ On site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: b oot v,s��V c I am using a crane ❑ Yes I'No Section 7—Flood Zone Flood Zone Designation a Within or adjacent to a wetland,coastal bank? Yes ❑ No Q Section 8—Zoning Information Zoning District 5 Proposed Use Lot Area Sq.Ft. 8, 1 -1 G Total Frontage 7,1( + Percentage of Lot Coverage /.S #of Dwelling Units (on site) Setbacks Front Yard Required Proposed T Rear Yard Required Proposed . Side Yard Required Proposed G Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No • L Last=dated:2192019 Y Application Number.............................. Section 9—.Construction Supervisor Name Telephone Number Address City State Tip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBamstable.Attach a copy of your HSC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number,508 !�O Cell or.Work Number I understand my responsibulities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Bolding Code. I understand the construction inspection procedures,specific inspections and do 780 CMR and the Town of Barnstable. Sicamentation gu Date h .APPLICANT SIGNATURE Signatur Date C;4 Print Name A5 7Z-V Telephone Number c5 JAW E-mail permit to: �rn�,S/'�'I.-�- T.e .....i..a-.i.1 mum o L Section 12—Department Sign-Offs Health Department ® Zoning Board(if required ❑ Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ ` Conservation ❑ For commercial work,please take your plans directly to the fn a.deparbnent for approval Section 13—Owner's Authorization h , as Owner-of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name Last ua&Uxk 2192018 . , . Town of Barnstable Buildingt �� e Post This_Card So That rt is Visible=From=the Street :A rovetl,Plans Must be Retained onJob and thisCard Must be Kept y,�.y.�,; . �� � � PP �aa � � :.; '3 �1 :��,�'� `„, w`� EW osted Until Final Inspection Has Been Made `, r ' a , ,e a Certificate of Occu anc `is�Re"u�red sucheuildm shall Notlb�e Occupied until a Fsmal Inspection has beeMade ��lYi� Permit No. B-19-668 Applicant Name: MITCHELL, ROBERT&TRACEY B Approvals Date Issued: 03/08/2019' Current Use: Structure Permit Type: Building-Deck Expiration Date: 09/08/2019 Foundation: Location: 452 STRAWBERRY HILL ROAD,HYANNIS Map/Lot 248 059 Zoning District: RB Sheathing: Owner on Record: MITCHELL,ROBERT&TRACEY B Framing: 1 �� Contractor Name g� Address: PO BOX 18 Contractor License' 2 '� y 3 Cl. h = "32 Est Project Cost: $2 600.00 CENTERVILLE,MA 026 Chimney: Description: EXTENSION OF EXISTING WOOD STEP PATIO DE,,K�16'X20'ON BACK Permit Feb: $ 110.00 pY � OF HOUSE x n Insulation: Fee Paid $ 110.00 ' �Date ' 3/8/2019 Final: lIS Project Review Req: 3 � - Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced withan six months after issuance. Final Plumbing All work authorized by this permit shall conform to the approved applicationan�dthe`approved construction document`sfor whch this permit has been granted. All construction,alterations and changes of use of any building and structures'shaIk a in compliance with the local zoning by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access str{6 or rba&a`hd shall be maintained open for publiclinspectio for the entire duration of the Final Gas: work until.the completion of the same: � The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials�are provided onA is permit. Electrical Minimum of five Call Inspections Required for All Construction Work: {' 1.Foundation or Footing s Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue li,nirigs,installed , 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department ` 11 Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: a The Commonwealth of Massachkise.tis Department of IndustfialAccidents ' Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I . employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor mein an capacity. employees and have workers' .Y P tY• 9. ❑Building addition [No workers'comp.insurance comp.insurance 1 required.]. 5. F1 We are a corporation and its 10.R Electrical repairs or additions, 3..� I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp.- right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other dv comp.insurance required] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi er the pains and penalties of perjury that the information provided above is true and correct. atur Si Date: o� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: • Phone#: , 4 . Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal,entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the" members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom i for you to fill out in the event the Office of Investigations has to contact you regardingthe applicant of the affidavit y g Y aPP Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copyof the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone,and fax number: �. The Commonwealth of MassachukM Department of Industrial Accidents:. Office of Investigations 600 Washington Street Boston,MA 02111 - a Tel.#617-727-4900 ext 406 or 1-877-MASSAFE j Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 452 Strawberry Hill Rd. (Main System) Property Address Robert$Tracey Mitchell Owner Owner's Name information is required for every Centerville Ma . 02632 6/312012 page. cityrrown State Zip Code Date of In spection D. System Information (coot.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately f) t) ^ C7 v 1 Z z w o Y % .. 30 — s�I -•� cis Z 7 6... s -11no Tim 5 Official hwecffon Form:Subuarace Sewage Disposal System•Pape 15 of 17 . y` .UNRE61STERED LAND , FILE NUMBER- 84466 DEED BOOK 2616 PAGE:284 ATPORNEY: BARON & HINES P.C. PLAN BOoK: 204 PAGE.67 I.)I�+IDItiR NORWEST MORTGAGE INC p OF OVNER—RUTH ANN MULDOWNEY REGISTERED LAND APPLICANT: ROBERT MITCHELL & TRACEY MITCHELL DATE:_08/18/95 REGISTRATION BOOK: PAGE: SCALE: 1�'��' • CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(3): FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL: 0005C DATED:_08/19/85 MAP: BLOCK: PARCEL• MORTGAGE INSPECTION PLAN 452 STRAWBERRY HILL ROAD, BARNSTABLE, MA N/F CROSBY 211.25' -N/F PERRY o HEo N Cl Go 0) STOR 2 SiI G' 01 O E/0 N0. 0.45 115.41' 100.55' STRAWBERRY- HILL ROAD MORTGAGE LENDER USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND 'ABOVE LISTED ATTORNEY AND LENDER. DES LAURIERS & ASSOCIATES INC. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED 40' 0 40' 80' DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED 130 WEST STREET, WALPOLE, MA 02081 ON THIS LOT FXCFPT -Ac CWnWAI TCI .fannMo,7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division But[_�)�or : Date Issued �r/t C7 FDEPT Conservation Division ' Application Fee 17 Permit Fee Planning Dept. AUG 0 2 20 ' Date Definitive Plan Approved by Planning Board 1-0 WN OF 131ARN";7-71'r;LE Historic - OKH _ Preservation / Hyannis •_0/lat �r_ojeeTStreet�A�dr•€s ""� ��.Z �`��1�1,/s28��S� �/7�L T►� ffVft?1st/%S ��-� O /94&t-_2f n _q� Address 46CY2� ?g ffi e 50 507 Qermitr9te.K, nest �LJy� ZU/�(/DS /7 �� JC �` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ct V,aluat�iEPP �P�. ro Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing D new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION— (BUILDEROR HOMEOWNER) ame n/ T9Whone NuM,,b,e =ctdress %X�'Zoe kz:� License# (0;4�32 Home Improvement Contractor# mail . 2LZ L Worker's Compensation # ALSL�COq�STTRUCTION DEBRIS RESULT FRE)MlTH-7PPROJ'E-CtWILL BETAKEN-TO SI'GI�IATU'SE " DATE: =!-!II -- FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED - MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE + �4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Cammlortfveddi ofmursadlusetts. Departs ent q, Indus rid Accde7ts - Q �a '1�ittiaiEa�xs _ 600 Wi7Shh,gtori Jtreet . Boston,t' 4 02111 wim-nmasmgap1dia Wmimrs' Campensaf mn Insurame AfdavyL B�derslCantrachwsMect ician rJPhixnhers A.ppticant Information Please pi int�epI V Are you an employer?Checkthe apprainlaf e b= Type of project(required).: 1.❑ I am a employer vz it 4�. I am a general contmator and I 6. ❑New construction employe andfor part-time)-* leave Iwed.fffe sub-contracfoss es(fish 2.DI am a sole propiietof orpaztner- listed 8afhe.attached sheet. I ❑Remodeling ship and have ao employees These sab-c=ftactors ha,ve . 8-.Q Demolition worldn, forme lm any emplayees anclhace wodwre 9. ❑H,uilding ad3itiom: [No w anmrs' comp.insurance comp.insura im-1 \1 i. requires] 5. E] We are a corporafion and its 10 El Mectrcal repairs cr ad�ion 3_❑ E ama fiomeoimer doing all wor3c officers have R=cised flamer 1L0 Plumbiugrepairs or additions.. sel€ o wokkecs' rigU of exemption per MGL L 7 insuranceEaked]F c.152,g1(4k and fsave zla El IZoafregairs a employees-[N'oworkers' 13-❑Other cow_ksarance required.j •Amy appficzmtdmtdhedabox9lmrstelsa fin oatthesecdonberowshaving8ie-swaleW campeamt; vpoTkyiafrmsooa- �ffO�leDNa4lS WrrD SIIi7�it this Ig"'-J aze'11aia;8rr W�8a�t�12IlbkIE outside coalmdtorsmact soFrmit a near sffida�t sack fCaa�ctors�zt cbedlci3us bmr most sttarIred�aasdditi�al siae�Y dfiouiagtbenameof the sob-cn�scdo-a•snd st�et�rhethec oraot�nse eatitiesha�e employem IMesab-canktdomb a emglayea%cheyamstpmsmd&the-s warken'comp.parity amabm I am arm elrrplqjw Slat isprarzdri markets'comrtsa(iorr iesurarrca far�rcy*entpla��ees Sela�v is fl�e�pa£icy�and Jobe in�Ot7rlajiatL ' In�ce Cmnrgaay i�Fame: 'Poficy ikL or Self-ins--Lis-.k MxpinrtionDate: Job Rb--Addm= city/Stateff": teach a'COPY of the w&rkere compensatioa.policydeclarafion page(showing the policy number and expn-ation hate). Faiinre to secvm coverage as regmredvader Section 25A of MGL c-152 can lead to the impositiaa of criminal penalties of a fine up to$U-M Oa andlor one-yearimpnsormn—f.as well as civil penalties in ffie fozm of a STOP WORK ORDEAand A fine of up to$25(LOO a clay as ind the violator. Be advised flrat a copy of this statement maybe forwarded fo the Office of Investigations ofthe DI4 for imsmamce coverage sreciffbaHtra. I tfa hereby csrhb,rzlt&&r tfta paves and penalties a:.P cr1'ff=ttlrs in;�arrranim�grat cied abates A bars and ctrrrect one akfaE use ern£,. Da not wrke in this area,to be campfeted by cify arto n n fjWK City or Town: ge rmauceuse# Issuing Auf ority(cud-e one): L Board of ElimItfi Builffling Deparfinmt 3.Cityffuwu Clerk d:Electrical Inspector S.Plumbing Inspector 6.Other ' Contact Person Phone it: 'orination and lns cons Massa r_T�Gearaal Laws ch�I52 reguzes all=ipIoy=IW provide woes'compensarou for flr-r eo Ployees- Pnl=,ntto this sty,an�T0y=is deemed as":�YezYPrasonfn.$ie service of anof3�er modes any ca root ofbnr., express ar implied,oral or Wlitb=f An.mTkyer is defined as.-au individun,partnership,aWDCh on,cmpmrdon or off legal wffty,or ffiY two or more . m a3 oint and incb Tjog&e,legal represetdtives of a dceeased employes,or fhe of the foregoing engaged Vie, However the recei tver or trustee of an in.�yidual,partnership,association or other Iegal entity,employing Y - owner ofa dweIImghorsehavingnotmore thM tbree apachne�s aadwho residestherem,orfi�e occ¢gant ofthe- dWMU3ng horse of MDtl=who=ploys persons to do main±= - .ca=r uc i on or repair woII on such dwelling bowm or onthe gmma& or bmldmg appurfenantthereb sballuntbecamo of such employmedbe deem.edto be an employer_" MGL cbapter 152.§25C(6)also states fhat aevery sfaf-e or kcal licensIag agency shall TFRhhold fie issaance or renewal of a Bcease or permit to oper m ate a bus ess or to construct bmldings in the commonwealth for airy aPPlic=t Who has notproduced acceptable evidence of compfianm W ifii flxe hmuran=coverage rapired Additionally.M(H-�tE b52,§25�s{ates WDft ter the nor my ofifs political subdivisions shall enter ink any contract f=the pe rb==co ofpnblio work�I acceptable evidence of=Plimcewn$ie fimn . rmLa re:nienis of_ff i chaptrrhavebeeupr =tt:dto the confra�.anfhozfy_" AlphraaEs � . Please fill o-13t the wotlrers'compensafn on affidavit completely,by chec, e,boxes that aPPIY to your srfnaton and,if necessary, Ply sah- oafs r(s)name(s),addresses)andph°nm n mmbm(s)alongwiththmr cert>frcaie(s)of antes or IrimitedLiabz7iiy1'arfnenhips(LIP)wrthno m3ployees offer than the ��Ce_ yimit�LiahiiliCy Comp �� ensalion inso=ance If an T LC or LLP does have members or p are not req�ed to cagy empIoyees,apolicyisrequhed. Beadvisedthatthisaffidayitmaybesnb�dtothe Department oflndusftial Accidents for conEaation of insurance coverage Also be sure to sign and date the affidavit The affidavit should be-retarned to--e city or town that the agplicaf um for the perms or license is being regae stc-d,no t the D epntmamf of Tn i[ ¢h-i a1 A cci =tI. gwuldyon have any questions rmgM-Tmg$ie lavr or ifyou ara regmred to obtam a work=' coaipensationpohep,Please call th.6DepartmatatthenMMbeslidedbeI0Vr Self-insoredcornpaniessbonIdeatrrtheir Self insm=ce I=min number on the appropriate Ime. City or Town Officials r Please be sane that the affidavit is complete and.prinfed IegRIy. The Department has provided a space of the bottom dons has to eon act ou the applicant of the affida-vit for You to ill out m tha event the Office ofTnvesti.� Y g P le:s a be sure to f ll in.the perllicrose number which wM be used as a reface number. In addition,as aPpll caat ihhat must submit multiple penoiilIicense appli�ims in nay given yea,need only submit one affidavit indica�g content or policy mfornation.(if necessary)and under°Tob Si be Add—rose the applicant should Mite-all locations n (ems` .•town)"A copy of lhe-affidae that has ben officially st mTe d or m der d by•the city or town may be provided fin the applicant as proofthat a valid affidavit is on file for fnime peunits or lieeuses_ Anew affidavit mu t m hared Ott ea.cdi year.-Where a home owner or citizen is obtain ag a license or pezmit not related i business any busin or comet ezcial v brmnleaves eh.) e� said person is NOTrmEdto complete Ihis affidavit tie_a dog license orpennitto The Office of Ind would Iibe tb Brink you m advance for your cooperation and should you have any qucstions, please do nothesifafe to give ms a c�aIl- The Departmaes address,telephone and fax n=bea: • . 'I���rxi �of I�a�ir�s - - - - . �Q€�id�za�Arc�d�nts ` Mce of DMgaeafi=.- �4 man Ta 4 617-727-49W cxt 496 or I-977 MA q,&AFE Faxf 617`27 7M Fevised424--07 - vIdg I AWC Guide to Wood Construction in Sigh Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(78.0cn7x5301.2.1.1)` Check Compliance 1.1 SCOPE WindSpeed (3-sec.gust)...............................:...................................:...............................................110 mph WindExposure Category.................................................................................................................:.............B 1..2..APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories :5 2 stories RoofPitch ..........................................................................(Fig 2)........................................... 512:12 Mean Roof Height .. ..(Fig 2)...............I..............: _ft <_33' ................................................ .......... ................... BuildingWidth,W...............................................................(Fig 3)................................................ ft 5 80, BuildingLength,L ..............................................................(Fig 3)..........................:.............. . _ft 5 80, ..... . ...... Building Aspect Ratio(LIW) ...............................................(Fig 4)................................................. 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)......................:......................... 5 618" 1.3 FRAMING CONNECTIONS _ General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............................................................. .......:.....................:................:.................. Concrete Masonry....................................................................................... 2.2 ANCHORAGE TO FOUNDATION I,3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an altemative in concrete only Bolt Spacing—general................. ............ ...... .(Table 4). ...................................... .... in. Bolt Spacing from endroint of plate ........(Fig 5)..................................... 1n.:5 6" 12" Bolt Embedment—concrete........................................(Fig 5)................................................._in.z 7" Bolt Embedment—masonry.........................................(Fig 5):........................................... in.2:15" PlateWasher................................................................(Fig 5)................................................z.3"x 3"x%" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)........ ............................ Maximum Floor Opening Dimension.......................:...........(Fig 6).................................................. ft:5 12', Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).........................: ......... . Maximum Floor.Joist Setbacks Supporting Loadbearing Walls or Shearwa_II................(Fig 7).................................................... ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)..................................................... ft 5 d Floor Bracing at Endwalls.....................................................(Fig 9).................................................................... Floor Sheathing Type ...................................................................................(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness ................................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening..................................................(Table 2)..._d nails at in edge/_in field . 4.1 .WALLS Wall Height „ Loadbearing walls................................:.......................(Fig 10 and Table 5)..........................._ft 510, Non-Loadbearing walls................................................(Fig 10 and Table 5)............................_ft 5 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)..................._in.5 24 o.c. Wall Story Offsets .........................................................(Figs 7&8).............................. 4.2 :EXTERIOR WALLS Wood Studs Loadbearing walls......................:.................................(fable 5)..............................2x_-_ft_in. .. Non-Loadbearing walls................................................. (Table 5)..............................2x - ' ft in. Gable End Wall Bracing Full Height Endwall Studs............................................. ...................... ......(Fig 10 WSP Attic Floor Length.......................................... (Fig 11). ........ ..... ............. .. ft zW/3 ..... . .... ..... ..... .. Gypsum Ceiling Length(if WSP not used)..................(Fig 11)............................................_ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................. ............................... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length .....................:..................................(Fig 13 and Table 6)...................................... ft Splice Connection(no.of 16d common nails).............(Table 6).......................................................... AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CAM 5301.2.1.1)' r Loadbearing Wall Connections Lateral(no.of 16d common nails) ..............................(Tables 7)................................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................._ft_in.511' SillPlate Spans ......................................................(Table 9)................................... ft_in.511' Full Height Studs (no.of studs)...................................(fable 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................._ft_in.512' Sill Plate Spans...........................................................(Table 9).................................._ft—,in.512" Full Height Studs(no.of studs)....................................(Table 9)........................................I............... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously, Minimum Building Dimension,W Nominal Height of Tallest Opening2 ..............................................................................._5 6'8" SheathingType.............................................(note 4)...................................................... Edge Nail Spacing.................................:.......(Table 10 or note 4 if less)....................... in. Field Nail Spacing ................ . ...................(fable 10)................................................. in. . .... Shear Connection(no.of 16d common nails)(Table 10)........................................................ Percent Full-Height Sheathing.......................(Table 10)...................................................... 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L . Nominal Height of Tallest Opening2. ........ ........................................................... 5 6'8" SheathingType............. ...............................(note 4). ................................................. Edge Nail Spacing.........................................(Table 11 or note 4 if less)....................... in. FieldNail Spacing.........................................(Table 11)................................................. in. Shear Connection(no.of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing.......................(Table 11)....................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?............................................................................ . ............................................. 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters.use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)............._ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= plf Lateral.............................................(Table 12).................................. . .....L= plf Shear.......... ..................................(Table 12)..............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (fable 13)...............................T= plf Gable Rake Outlooker.........................................(Figure 20)............._ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................ able 14 U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type. ................................... . ...(per 780 CMR Chapters 58 and 59) ........... Roof Sheathing Thickness.........................................:. .................................... ........ _in.z 7/16"WSP RoofSheathing Fastening ........ .............................(Table 2). ...................................................... — . Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. . AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(Ise CMR5301Z.1.1)1 a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: {. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row,of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -WHETI THIS EDGE REM ON fifiAhllNG USESd NAU AT6�oa. ' 71 Ir 11 1 11 11 1/ 1 V 44 it 11 11 1 . • 11 Il 11 - 1 If _ 11 11 II 1 . IN 11 11 11 { r - 1 11 1 C 1 11 Il K 1i _O /Y A•�- I - - It 11 5 K of Ed 1- U - 11 O II � F1 Ilk m !' I r u III _ 1 IL U u IIJ 1 . 11 It , 1 11 Q I/ 1 at c v u I{ I— I{ lr k { • 1 �+ ii II ii , 1 r 1 +{--"---1 I ti 1 •—.J{ —r 111- e r - • .— DO F EUC ----- ` MA LSPACRJf3 aAW 4 See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment r re AWC Guide to Wood Construction in High lend A as:110 mph Vind Zone Massachusetts Checklist for Compliance(7sa cMR 5301.2.1.1)1 as • I i 6 N 1 i d 1{ r � � EDG r � � FRAMIFJGMEhRBERS � ' EBITERMEMATE r , r r r ( mat ; --- --_----- -----j- -i--- -F-�--- ---^t SS.AMMM JO MW. KA&PATTERN � PANEL PA1VH.EDGE DOUME NAIL EDGE SPACING DEM Detail Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)1 FAQ*: WFCM Checklist Question: I understand if a new home is built in a town in a i10 mph wind zone then the American Forest and Paper Association (AF&PA) Wood Frame Construction Manual can be used to prescriptively design it. I also understand that in some cases the home can be framed per the WFCMYoo mph Guide, if it meets certain requirements including but not limited to aspect ratio, roof height, number of stories, and exposure category (B). I have heard that Massachusetts has a "modified" checklist that can be used instead of the checklist at the end of the Guide. Is this true and what can you tell me about this "modified" checklist? f Answer: You are correct on the items that you have noted. MA has modified the checklist in several important.ways. The.MA version allows a roof with a pitch up to and including 8 in 12 to not be "counted" as a story. Further it does not require steel hold downs and straps in many locations if full height sheathing is used as defined in the MA checklist. Further; if the building will have furring strips . installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the ceiling joists are not required. There are other changes as well that were not noted here. The MA version of the checklist was formulated in recognition of the highly regarded framing methods used in MA for many years and wood framing that has been used in North Carolina over the past io to 15 years which has performed well in severe hurricane weather in that state. *Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of the BBRS. Town of Barnstable • Regulatory Services rbyy� Richard V.Scali,Director Building Division Paul Roma,Building Commissioner asAM 639.. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print J013 L QCATION\ 2 C� �� 7 � / number / street village oMEowr-rER� �flGz� �•/Yl/1��`%� U�D�5�OQ ����- name hom.e phone ># work phone# C�1JRR)rNf MAILING-ADDR:ESS`iSmZ 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. DEFINMON 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 proced and requirements and that he/she will comply with said procedures and requirements. S'gnature-of. a wner� 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 lackof 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 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. QAWPHLES\FORIAMbuilding permit forms\EXPRESS.doC 06/20/16 y Town of Barnstable Regulatory Services ` PIAM Richard V.Scab,Director Building Division. Pant Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 509-862-403 8 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behal& in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted.. Signatute.of Owner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOI S E R(+�.ygV u Kyy , I���{���5av�a,a.�:+1� � {3� -��^�9 ,/�'--�V--■■__��''__AA66--,� �G L�+y E 1 v,WY 11 @G6'I'.=::1� �2'��'Y I�O�1�1'.�L'il V G �� O / 5t� e•y j sY�, 11 Axv iollas N�>t IIN � �• mIIdA7aV � � . � iioaoi it ��� A A . .. EataMng SitoAen ---�bra�—� r/ I• \� �qmp Eztsting House IAaar lu1 ora i r.max - �� � 9 � � t• $} •a alAaJnar Emitting Dining RM $ L $ m � .��nal..Aup naaa e•w I..I�I ll.r.alI I - M 411 cvi r a o Ial im rim ia/l t00 .i la sar I Ale ItlUlfl01 �'H Foundation/Floor Frame e•v 1111Y' Cotigge e.r• FrontLLL —'---------------1-1� .e.w.err v _e Rim 48�wanaav IQeeei le• a �' O I.4 ;h1 91,Ma Eiting Howe ® !. nor zs C� I ereaiveorN�aba � New Bedroom II 4 S 9Yl" 89' Y•e" II 8?BV@1 M.LeBARON I g Z° II 8u8dar/Deaf$aw• EaleMng SmandPloor ri, v e.rauo B ti1ZJ II �B7 EsiaMng 34de{Ye+o �g i a l.l,ar•ew I �� ��®y d wrlw FRAMEME LAY DDAR AYO(1T 9Y" llbNnp hoWa/NlydaabA 21'10•' sit- AHRMMUI®vyy°a 8R: P. i 02F Frame ELevoHan ' e•r 9.2ar' � o i t j 1 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION h T0'�� , OF B==ARNSTABLE E Map oG�g Parcel�J�, Application # Health Division fr `€ ,` ti7 "1 9. 0 4 Date Issued Conservation Division. Application Fee Planning Dept. _ a- Permit Fee lJ 5 d b Date Definitive Plan Approved by Planning Board � Historic - OKH _Preservation / Hyannis Project Street Address .5 Village O h n 1 Owner 06 l w Address 41 Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type Lot Size 0. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes M No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) ////0 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: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: aYes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes S No Detached garage: Wexisting ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal #' Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name y Telephone Number v�`O��O v`�gig Address 5 License # �WILK(ff k- ®2-(03Z Home Improvement Contractor# Emaigl rA M 1— �]��'�(, t�/� Worker's Compensation # ALL CONSTRUCTION DEBRIS )=TING FROM THIS PROJECT WILL BE TAKEN TO 6ou . SIGNATURIIIJ ,- DATE FOR OFFICIAL USE ONLY APPLICATION # s , DATE ISSUED MAP/PARCEL NO. •ADDRESS VILLAGE OWNER DATE OF INSPECTION: r 4 FOUNDATION FRAME � 6 INSULATION i r FIREPLACE iELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING g l` li c. .t DATE CLOSED OUT ASSOCIATION PLAN NO. e ?Tie ConivaompeaUh of -Massy djusetts De artrrrent of rndustri4 Acciderz& - office of.£iilvstigadom 600 Washfirgton Street Boston,HA 0211I >•j Pm-v ma gosfdin 'Workers' Compensafian Insmrance Affidavit:BnildersiContryactursfEIectricianslPhumbers Applicant Infarmafan Please Print Leerily • �a�(BnsineganizatiaaElndividual} �/�t; (U . p///'�if��i Add;e-ss- City istatef r: 'Phase .SU �� Eire you an employer?Checkthe appropriate bow Type of project{required}_ L❑ I am a'employer with 4. 0 I am a general contractor and I employees(fish andtor part-time)-* have hired the sub-contractors 6- ❑New construction 2.❑ I am a sole proprietor orpart nee- -listed on the attached sheet: 7.-0 Remodeling slip and have no employees. 'these sib-contractors have g_ ❑Demolition working forme in any capacity. employees and have worlcers' jNo❑,rr ors'comp_insurance comp,instsranc�e 9. 0 Building addition required-] 5. 0 We area c ration orpo and its lda Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 1L0 Flumbingrepairs or additions myself[No workers'comp_ rim of exemption per MGL 12.0 Roofrepairs insurance required-]i - c.152,§I(4k and we have no employees_[No workers' 13.0 Other coup inmxamm required-] 'pinya"liicaa2ffistchecksboxRmastalso fill outthesectionbelawshuuingthe¢workers''compensation policy iaf mmuou- F omeowners who submit dais af5dmif iuBcatm_q they axe doig all waat sm then bi a outside contxactars mnst submit a new affidavit indicating sacIL ICannxctoesthzt checkthis boa must attached m additinnal shed stowing thenmne of the sub-cantrsctars sad state whethet or not those entities hale employees.Xtbesub-cafllmctocshaoe employees,they=xstpmvide their warken'tamp.policy number. lam an stnpio}�trr float is protztiirrg�vorkets't onfperesrrtr'an insrirartce for rrx}*earpTny�ees Below is the policy and job site in fonnadors InsTmaace Company Name Pfllicy or Self-ins.Lic_:ff: FbxpirationDate_ Job Site Addre= City/Statel : Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.15 can lead to the imposition of criminal penalties of a fine up to$1,500:00 andFor one-yam imprison—wit as well as civil penakies,in the form of a STOP WORK ORDER-and a fsme of up to$250-00 a day against the violator. Be adtdsed that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insurance coverage elation. { I do tiered y comfy n thepains andpenaWes of perjury fhatthe irrformadwj protirted abm e isbw and carrect `Siffiature_ Ilate -� Otto v .> Official um only. Do not xwrke in this area,try be completed by dtfflL nylonie m a,,�rciaL City or Town: Permense,4 Issuing?intherity(tmrle'one): 1.Board of Health 3.Building Department 3.Citylrown Clerk. 4.Electrical Inspector rr.Plumbing Inspector 6.Other Contact Person: Phone#: aform ation and lastructioAs h assar_-3_r<Tsetfs General Laws chapter 152 requires all employers to provide workers'compensation for their employees. p -to this state,an err pkyee is defined as."_.everypersonin the service of another under any contract ofhire, express or implied,real or writ " An ernpfvyer is defined as"an individual,partnership,assoczation,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint ,and mclad ng the legal representatives of a deceased employer,or the receiver or trustee of an individual,parbamsbip,association or other legal entity,employing employees. However the, e of the - owner of a dwelling horse having not more than tin-ee aparhzie�s and who resides therein,or the occupant . do z g house of another who employs persons to do mamtezimm,cons rac ion or repair work on such dwelling house be,deemed to be as employer." or on the grounds or burldmg appurEena�thereto shall not because of such employment �P Y MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buRdings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the co,i nn cmwealdi nor any of its political subdivisions shall enter into any contract for the prance of public work until.acceptable evidence of compliance with the insurance._ reju ent s of this chapter have been pr Mt!d to the contracting auiiioitY." Applicants , Please fill out the workers'compensation affidavit completely,by checIdag boxes apply to your situation and,if necessary,supply sub-contactor(s)nan e*), address(m)and phone mmber(s) along with their certiftcate(s)of h crn-ance. Limited Liability Companies(LLC)or Limited Liability Partnerships g U)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. D e advised that this affidayh may be submitted to the Depa-Ltment of Industrial Accidents for confirmation of n,cm-ance coverage. Also he sure to sign and dafe the affidavit. Thu affidavit should be retom(-,d to the city or town that the application for the permit or license is being requested,not the Department of TnrTn.ch-ial Accidentss. Should you have any questions regrading the law or ifyou.are required to obtam a workers' compensation policy,please call the Department at the number Iisted below. Self-insured companies should enter their s elf-m sr�n ce license number on the appmpnate line. City or Town Officials t Please be sure that the affidavit is complete and printed.lei y- 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 conr<act you regarding the applicant. Please be sure to fill in the penitllicease number which wM be used as a reference number. In addition,an applicant that must submit multiple perm Hcrose applit ations in any given year,need only submit one affidavit indicating current policy infomation.(if necessary)and under"Job Site Admiress"the applicant should write"all locations in (city or town)_"A copy of the.affidavit Brat has been officially sipped or marked bythe 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 affidavitur st be.filled out each, year.-Where a home owner or citizen is obtaining a license or putt not related to any business or commercial ventase (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit Tie Office of Investigations would hie to thank you-Mi .advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Departments address,telephone aad fax M=bm-. Tht ammmWealtir of Mks chmem , Degaztamt of l iid trial Acrid ants , 6Q��ashingtan � - Boston,MA 02111 Tf,-L 4 617-727-4-900 cxt 4€6 w 1-9 MA gAFF Fax 9 617` 27 7749 Revised 4-24-07 w ma.4 gpvfdia AWC Guide to Wood Construction in High Wind Areas:I10 mph Wind Zone Massachusetts Checklist for Compliance('780 CIVCR 5301.2.1.1)' Q Check 1.1 SCOPE Compliance WindSpeed(3-sec,gust).................................................................. ..............................:..................110 mph — WindExposure Category................................................................................................................................B 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................ stories 5 2 stories Roof Pitch (Fig 2 ............:..... — MeanRoof Height ..............................................................(Fig 2)................................................. ft 5 33' BuildingWidth,W..............................................................(Fig 3 BuildingLength,L .............................................................I(Fig 3)................................................._It 5 80, _ Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................: 5 3:1 _ Nominal Height of Tallest OpeningZ ...................................(Fig 4)................................................ 5 618, _ 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)........................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete:......................................... ........................................................................:.......:....... _ ConcreteMasonry..................................:................................. ...........................................................:.... 2.2 ANCHORAGE TO FOUNDATION'' 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative In concrete only Bolt Spacing—general..........................................(Table 4)............................................... in. _ Bolt Spacing from end joint of plate ............................(Fig 5)..................................... in.5 6"—12" Bolt Embedment—concrete.........................................(Fig 5)..............................................:.. in.;,-,7" Bolt Embedment—masonry.........................................(Fig 5)............................................ ; in.a 15" _ PlateWasher..............................:................................(Fig 5)...............................................Z 3"x 3"x'/," 3.1 FLOORS Floor framing member spans checked .....................°.........(per 780 CMR Chapter 55).................................... _ Maximum Floor Opening Dimension..............I....................(Fig 6)............................ It s 12'or U2 or W/2 _ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Maximum Floor Joist Setbacks — Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... - ft 5 d Maximum Cantilevered Floor Joists — — Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft 5 d Floor Bracing at Endwalls...:.............. ......(Fig9 _ _— Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)..........:.............. _ Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)....................... in. _ Floor Sheathing Fastening..................................................(Table 2).._d nails at—in edge/_in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)........................:.:`ft 5 10, Non-Loadbearing walls............................................... (Fig 10 and Table 5)........................ ft 5 20' — Wall Stud Spacing ........................................................(Fig 10 and Table 5)..................._in.- 24"o.c. _ WallStory Offsets ........................................................(Figs 7$8)............................................ ft 5 d 42 EXTERIOR WALLSg Wood Studs Loadbearing walls........................................................(Table 5)..............................2x -_It in. _ Non-Loadbearing walls...........:....................................(Table 5)..............................2x_--It_in. Gable End Wall Bracing' — Full Height Endwall Studs..................... ...(Fig 10 WSP Attic Floor.Length......................:.........:..............I(Fig 11).............:......... _ft' Gypsum Ceiling Length(if WSP not used)...................(Fig 11)........................I.......I...........—ft z 0.gW 2 x 4 Continuous Lateral Brace C 6 ft.o.c...(Fig 1 1)............................................................ — Double Top Plate -- Splice Length ....................:...................................(Fig 13 and Table 6)..................................... ft Splice Connection(no.of 16d common nails)..............(Table 6)........................ ...............................� 1 AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)t Loadbearin9 Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)............................................ Non-Loadbearing Wall Connections —' Lateral(no.of endnaled 16d common nails)...............(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ......I.................................................(Table 9).................................. ft in.s 11' Sill Plate Spans ........................................................(Table 9)..................................—ft in.511' Full Height Studs (no.of studs — a Non-Load Bearing Wail Openings(record largest opening but check all openings for compliance to Table 9 HeaderSpans.............................................................(Table 9)..................................—ft—in.512' SillPlate Spans...........................................................(Table 9)..................................—ft in.5 12" Full Height Studs(no.of studs)....................................(Table 9).....................................I........ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... 5 6'8" _ SheathingType..............................................(note 4)...................................................... _ Edge Nail Spacing........................................ (fable 10 or note 4 if less)........................_in. _ Field Nail Spacing..........................................(Table 10).................................................—in. _ Shear Connection(no.of 16d common nails)(Table 10).............. _ Percent-Full-Height Sheathing.......................(fable 10).................................................... % _ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).............. ... Maximum Building Dimension,L -- Nominal Height of Tallest Opening2......................................................................... 5 6'8" _ SheathingType..............................................(note 4)...................................................... _ Edge Nall Spacing.........................................(Table 11 or note 4 If less)........................—in. _ Field Nail Spacing..........................................(Table 11)................................................. In. _ Shear Connection(no.of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing.......................(Table 11)....................... o Wall Cladding _— 5%Additional Sheathing for Wail with Opening>6'8"(Design Concepts)..................... - Ratedfor Wind Speed?.....................:........................................ ................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(Far Rafters use AWC Span Tool,see BBRS Website) _ Roof Overhang ...................................................(Figure 19).............. ft:5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Wails — Proprietary Connectors Uplift................................................(Table 12)............................................U=—plf — Lateral.............................................(Table 12)....................I..........I.............L= plf Shear...............................................(Table 12)............................................S=_plf — Ridge Strap Connections,If collar ties not used per page 21.....(Table 13)..............................T--7 plf _— Gable Rake Outlooker.........................................(Figure 20).............. ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls — Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. _ Lateral(no.of 16d common nails)...(Table 14)...............................4...._L= lb. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59)............ .. _ RoofSheathing Thickness..............................................................:.......................... in.2 7116"WSP Roof Sheathing Fastening...........................................(Table 2)..................................... — Notes: —.................... - - 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist Is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-grade. r - AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 C17R 5301Z.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. fl. All horizontal joints shall occur over and be nailed to framing. iri. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacingat double top p plates,band joists,and girders staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment • �I I AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts ss chusetts Checklist for Compliance(7so CMR 5301.2.1.1)i —WEN THIS EDGE RESTS ON FfULk DW VSE8d MAU AT 6'ojm / If u 14 1 11 11 1 11 n 11 U Ir 1 u 11 li 11 11 1 11 11 6 1 11 1� K 1 1i I ti I Q 11 a 1 ri 11 1 u°� it ii I QQp N 11 41 11 1 w i� ii og 1 1 IL 1 11 11 Q 1 Q II 11 1 _V H f 11 rl J fl 11 1 i ME.SPAM4mmEL Y� See Delall on Next Page Vertical and Horizontal Nailing for Panel attachment r ofr Town of Barnstable Regulatory Service E StI SlINLTIRrP f asap�► Birhard V.SmlI Ihmetor `romrmrp,$mZdmg Conmssioner 200 Main Street,Hyads,MA 02601 WWW tDWn.Tbarastable�na us Office: 509-862-4038 Fa= 508-790-6230 PropeAy Owner Must Complete and Sign This Section- If Using ABuilder as Owner of the subject property by to act on myb9aA in all malts relative to work axffioEzed bytbis bml.ding permit application for (A.ddmss of Job) -Tool fencds and alarms are the responsib&7of th.e applicant Pools are not to be filed or ufrlized before fence is installed and all final ' inspections are pedo=aed and accepted... Signature of Owaer Sign==of AppTi = Per Name Pant Name Dare Q:Fa�ms:o oors - . : . Town of Bamstable . Regulatory Services Richard V.Smr6 Director , ° $MZdaig Division t = Tam Petry,$us7dmg Commissioner 200 Mafia gFmads�MA 02501 WW WAD wn-b-rnssbMn---us Office: 508-9624038 Fay 508-790-6230 - $0nC90wN=LU3=EXEhnq3DN . PTrJM pL"-rut DAB: MB r ocAsi ,� g 1 V ll O2(�Z . nnm�bcr sfxsst VMW sow. I=,pha=ig p CURRENT GADDRESS:--)0 DMZ s� zip CO& The c r=t exemption for-h meownerf was emended to iaclpia owner-occgpied dw-Ujn s of six emits or less and in aIlow hnmsownras to.engage an inrrvidml for hire who does not possess a license;provided thatt'hc owner ads as s=-w5 sor. Dj Eb NEI ON OF HOMEGYMM P=on(s)who ov=a parcel of land on which helshe resides ar misnds to reside.,on ere which th is,or is intruded to be,a one cm-two- famay dwelling. welling aftmh bd or detached siraetores accessory to such use and/or farm stuct nTa. A person who constxncts mom thaw ane ha=in atwc>-yearpmdod shall notbe madd=r lAhmmwwnem Such".ameawnee.sball submitto the Building Official on afnrm arcoptable to the Bnr7dmg Official,th&helshe be MMonsble for all sachwalicP=ffinned uaderthe bmZdbz Rgw CScrstian 109.L 1) The tmdeg%gned`houaeown="also =rmponsfflky for compliance wBh•the State Building Code and olhm applicable codes, bylaws roles amdreg.mbtirms — The Mldgne -homamwnce comes ilathelshe understands fhc'Town ofBamstable BmIjEng Departmrntndnimum mspec 7M pmcedmes andfaatbelsbe wM comply wAk said Pmcednzes a adrNIair=cois. Si ofHom Approval ofBm7fmgOt5cid Note_ 'Three-h mily dwahW conWn�mg 35,000 cubic bzt.ar ln=WMbe rega!:e3to canapIy wifhtbe StareBm7dbg Coda - Section I27.0 Conshra n.C'antml. HDMMWrt S rox The Code states that aAny homeowner pabrmiag work for Which a b—T permit is required shall be eXempt from the provisions of this secfinn(Section 109_I.1-Liceasnng of condrartion Supervisors);provided that if fe homeowner engages a person(;)for lure to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this erempiim are UUaware fkat they are z==mg fke responsibi0ies of a supervisor (see Appendnc Q.Rules&Regulations for Tic kg ConsEmcfioa Supetvbors,Seciinn 215) TI is lack of zwzreaess o$ra results in serious problems,pardcubrlywhen dm homeaw=huts m Tiemse person.;- In this case,am Board cannot pm=cd against the nnHcensed person.as if would with a Hcensed Supervisor_ The homeowner acting as Super visor is uW= onsible. - - unities as art of�.e To easise t3tat the homeowner is tally aware of hislhcr respoasr'bi7rh�es,many comet req�e, p that the homeowner that underst mds Ihe,responsiil]i�ltles of a Smpervisor. On fine hmtpage n, rrrFrf9 perms(aPP�o rase t amend and ado t such a form/cer na for use m to You P of this issue is a form cnrreu�y used by,several was. may your commnmitp. i� Ravised 06U 13 . YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: Z Fill in please: APPLICANT'S YOUR NAME/S: D w 'LJ7'cl� BUSINESS YOUR HOME ADDRESS: 4 I T G.e I ELEPH NE # Home'Telephone Number NAME OF CORPORATION- . NAME OF NEW BUSINESS r� css�or� w< ra v i!! TYPE OF BUSINESS t�0O�Sg" 1,lC j 0 IS THIS A HOME OCCUPATION?_ YES NOS j _ — ADDRESS OF BUSINESS 3"Z -S1'rCa. �L��?f L'uv,�zi"✓�jf MAP/PARCEL NUMBER -1 (Assessing) When starting a new business there are several things you mu t d n or err to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the info ation you-may need. You MUST GO T0.200 Main St. - (corner of Yarmouth Rd. & Main Street] to make sure you have.the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER`S OFFICE This individ al h e inf"or&6pe,r it requirements that.pertain to this type of business. COE ut riz d Signatu COMMENTS: : 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* -COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION b� Map a Parcel f? `�E ,U SAE�a-STaBLE Permit# 7/y Health Division ��z Il-6w n Date Issu d Conservation Division f �— � 12 JA _8 Fee Tax Collector % (7/� /� ,� _ o✓° �' `� Treasurer �5 42_,1C —_. DIVi 1ON ��$EPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 I Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TO1WJ RECU AT'.0 Historic-OKH Preservation/Hyannis Project Street Address 4.6.2 S�-j�-A wiR kV M L '1�oAJ Village Game u,LLe MA; 02632 Owner o eT- �Tep 'f /7'l��TL� Address Telephone rrO&' '7°r&' 9i Permit Request /d7 K /S Co Fh 19X I�5" . ir- -64"t" k;_13PAI 1-�TeAnwl)Zg�bxodc-)Z T&I-0 :`747% Square feed st floor: existing 10-TI proposed 21(b 2nd floor: existing V3?_ proposed 9/46 Total ne Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Yp i��S.. ltlD o Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) I Age of Existing Structure ���-- Historic House: Cl Yes Wft On Old King's Highway: ❑Yes ©Io S Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 4? new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing '- new First Floor Room Count Heat Type and Fuel: WGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:existing ❑new size1�X� Pool: Cl existing ❑new size Barn:❑existing ❑new size Attached garage:Cl 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 G" Pam ' BUILDER INFORMATION jcLdName �`�--r vl Telephone Number S Address �3if.tl License# J5-00-5-/ Home Improvement Contractor# ® � Worker's Compensation# WC Xa- 1/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /l 8/�1 :2-. FOR OFFICIAL USE ONLY L, PERM!T NO. { DATE ISSUED P f MAP/PARCEL NO. ADDRESS VILLAGE / OWNER- DATE OF INSPECTION: FOUNDATION 1 FRAME r INSULATION i •� i f f FIREPLACE y ELECTRICAL: ROUGH F. rl FINAL 03 f S Mr PLUMBING: ROUGH ya M FINAL GAS: ROUGH = : FINAL ~ > FINAL BUILDING �a I � CT`It s¢3E . DATE'CLOSED OUT _�'. ��+ f ASSOCIATION PLAN NO. c� r r" • _ The Commonwealm ofMassacnusecw V — ; Department of Industrial Accidents -� 600 Washington Street s; Boston,Mass. 02111 ` Workers' Com ensation Insurance AffidavitVON FORM I ��� `name: ©�ot° r a ! 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Kacd a:..n, {:...}.;{•.,aK:k:ii ii;]x.}:::�:i'+.::i:�:e:-::...::'...;:,:�:�:::•:•:::>::,�..;:�: ... ........... ........... ................. .......................... ..n..:h. t ... .... .. nh•.°�. .4w.i:.... 4b•:?a::::k':{t;}:{;:;:;r,.,-n,;!::.:.;{:::.. ...................... ..................................... .....................:..::::rove nv:rvv:x .. ..v..: .....i...... }v:... h4:i{{{'::i..a}%?•:{..• ..'+sxa.:. ..:; ........... Fapme to secure coveme sa regnieed under Section 13A o[MQ.1S2 naiead to the impoaitlm o[aiarioal Qms ides ors fin up to 514CA00 And/or one yam,imprisonment as well as civa Peueld"in the[ono of ' P WORE ORDER sad a tine o[5100.00 a day ntaiast me. I the a Dopy o[this statement may orwardsd to the Once of of ew Dufor eovaate . •� �&e*0 mo4px provided above is tw andconeet 1 do hereby eatify the P ° P � / /(jam Date r" Ov signature ` ( / # 9 � C Print name CrVtc, �I phone oiliciai use only do not write in this area to be completed by city or town ofAchd city or town: - parmit/ltewe ❑Lkce lint Bo- 0seleetmen's Office ❑checi,if immediate response is required Q$edth Department contact person• p1'one i!' ❑Other (�evuaa 9195 PIA) e Information and Instructions Provide workers' compensation for their Massachusetts General Laws chapter 152 section 25 requires all employersto person in the service of another under any contract employees. As quoted from the"law",an employee is defined as every of hire. express or implied, oral or written. An emplover is defined as an individual partnership,association,corporation or other legal entity, or any two or more of the 1 representatives of a deceased employer, or the receiver or the foregoing engaged in a joint enterprise,and including employ employees. However the owner of a trustee of an individual,partnership,association or other legal entity, or the occupant of the dwelling house of dwelling house having not more than three apartments and who resides therein, house or an the grounds or another who employs persons to do maintenance,constriction or 1epair work on,such dwelling building appurtenant thereto shall not because of such employment be deemed to be an employer. 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal MGL chapter applicant who has of a license or permit to operate a business or to construct buildings in the commonwealth any nap not produced acceptable evidence of compliance with the insurance coverage refired' political subdivisions shall enter into any contract ttract for the performance of public work until commonwealth nor any of its acceptable evidence of compliance with the insuuaace zegairements of this have been presented to the contracting authority. IWOM Applicants Please fill in the workers' on affidavit may'by 8 the.baz that applies to Your srtn?�0n and address and phone numbers along with a cxstific�te'of insurance as all affidavits may be supplying company names, a f c,�e• Also be sure to sign and submitted to the Department of Industrial Accidents for application, the permit or license is affidavit The affidavit date the davit should be returned to the city or date app• the law"or if you Should you Have nay questions g being requested.,not the Departm of Industrial Accidents• er listed below. are required to obtain a wodwrs'compensation policy,please caR the Department at the numb City or Towns _ _....._, Tho Department has provided a space at the bottom of the Please be sure that the affidavit is complete and printed legibly. the applicant. pie affidavit for you to fill out in the event the Office of Iavestig�iwhas�ca�act you regarding fiber. The affidavits may be re�m�t" be sure to fill in the peimiducense numbei which will be used as a reference the Department by mail or FAX unless other airang�have been made. The Office of Investigatio ns 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 Once of Invesmadons 600 Washington street Boston,AI& 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext 406,409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE 0 New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET F. NEW LIVING SPACE x.0031= square feet x$96/sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE gq square feet x$64/sq.foot= �4 D(7 e x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftj >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000'sf- 1500 sf 100.0q >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STANDALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 p (plus above if applicable) 6 permit Fee projcost SME r The Town of Barnstable • anxivsTeec.e. >� g Regulatory Services �p i639' Thomas F. Geiler, Director, lE0 MP'f Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. ,� T Date , Q L 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. Estimated Cos Type of Work: 4st � Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied - ( Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT �DER HAVE 142A.. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date CoIOR r Name Contractor No. . Date Owner's Name q:forms:Affidav:rev-070601 of t�rok, The Town of Barnstable BARNsrABLE, Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner_ 200 Main Street,Hyannis MA 02601 . Office: 508-862-4038 Fax: 508-790-6230 ----- - _---------_------ - HOMEOWNER LICENSE EXEMPTION Please Print DATE. D e—o n_ JOB LOCATION: tI 5� S�/unc�herd, ���U( ��7L, � �(`Vt,Olt number // street I� G / village / "HOMEOWNER": �8`D�f1 /�(tIGVIC(�( (�,08-) ! O I7 0 5ZG 6bo -9,C)9 name home phone# work phone# CURRENT MAILING ADDRESS: ale- rt l !, 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 Departmen mnium inspection p cedures and requirements and that he/she will comply with said procedur and require nts.� Sigrialure of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this,exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15)'This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part"of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN UNREGISTERED LAND - a NUMBER: 84466 DEED BOOK: 2616 PAGE:284 ' ;ITTORNEy. BARON & HINES, P.C. PLAN BOOK: 204 PAGE:67 LOT(S)• ` LENDER NORWEST MORTGAGE. INC. / PLAN NUMBER: OF OWNER. RUTH ANN MULDOWNEY REGISTERED, LAND APPLICANT: ROBERT MITCHELL & TRACEY MITCHELL REGISTRATION BOOK: PAGE: DATE:_08/1.8/95 • SCE: 1"=40' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(S): FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL. 0005C DATED: 08/19/85 MAP: BLOCK: PARCEL: MORTGAGE- INSPECTION PLAN 452 STRAWBERRY HILL ROAD, BARNSTABLE, MA 1 N/F CROSBY 211.25' 0 0 N/F PERRY o SHED , p1�, 1 0No o � d0� rn 1 STORY 2 STORY D ELONG Dw LLIyG' _ N0 4 8� N0.4 2 100.55' , 115.41' STRAWBERRY HILL ROAD THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. DES LAURIERS & ASSOCIATES !NC. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED 40' 0 40' 80' DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED 130 WEST STREET, WALPOLE, MA 02081 ON THIS LOT EXCEPT AS SHOWN. TEL.:(800)287-8800 FAX.:(508)668-4512 +z L�L:HIiOiv T;iE 0��� �. Rl:a cur,ks�' n�;ES. `NOT:FALL 'WITHIN N� � A SPECIAL FLOOD HAZARD ZONE. ;. . : 'HE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER ,`'" WAS IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN _ w� EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL �'< . +4d 1c7J41 +� SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, °t NHL tAr.OSV SECTION 7. GENERAL NOTES: (1) The declarations made above are on the. basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. w. ter, r - . EXHIBIT A r The land in Barnstable (Hyannis) , Barnstable County," Massachusetts + together with the buildings thereon,, bounded and described a's follows : NORTHERLY by land now or formerly of Leslie A. Perry, as' shown on a plan of land hereinafter mentioned, ninety, and 02/100 ( 90 . 02 ) feet; w. EASTERLY by land now or formerly. of Evelyn & Sumner Crosby 'as shown on said 'plan two hundred eleven, and 25/100 (211 .25) feet; SOUTHERLY by other land now or formerly of Evelyn and Sumner Crosby and by Parcel .1 as shown on said plan, eighty-two and 00/100 ( 82 ,00 ) feet; and WESTERLY by Strawberry Hill Road as shown on' said plan, two hundred fifteen and 96/100 (215 . 96 ), feet. The above described premises are shown. as land of' Rebecca Goldberg and Parcel 21 on a plan entitled "Plan of Land in Hyannis,: Barnstable, Mass. as. surveyed for Rebecca 'Goldberg Scale 1 on 30 �. ft. October '4 , 1963 ' ' Nelson , Bearse-Richard Law, Surveyor Centerville, Mass. " , duly filed with Barnstable County Registry of Deeds in Plan Book 204 , - Page 67. F For Mortgagor's Title see Deed recorded herewith:' , PROPERTY ADDRESS: 452 STRAWBERRY HILL ROAD ' HYANNIS', MASSACHUSETTS. 02601`' ., MAScheck COMPLIANCE REPORT Massachusetts Energy Code I -'Permit # I MAScheck Software Version 2.01 Release 3 I I 1 I I Checked by/Date I TITLE: Mitchell Addition CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 12-21-2001 DATE OF PLANS: Dec.20.2001 PROJECT INFORMATION: t Robert & .Tracey Mitchell. 452 SW Strawberry Hill Road Centerville, Mass. 02632 COMPANY INFORMATION: Steve LeBaron Construction 54 Trowbridge Path W.Yarmouth, Mass. 02673 COMPLIANCE: Passes Maximum UA = 197 Your Home = 169 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 563 30.0 0.0 20 WALLS: Wood Frame, 16" O.C. 1072 13.0 3.0 76 GLAZING: Windows or Doors 36 0.320 12 GLAZING: Windows or Doors 30 0.230 7 GLAZING: Windows or Doors 18 0.290 5 GLAZING: Skylights 25 0.490 12 FLOORS: Over Unconditioned Space 780 19.0 0.0 37 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is 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 1310, and J4.4. Builder/Designel_ AUX- C� ®JrS 0 Date SMO E DETECTORS O.K. cso k* BARNSTABLE BUILDING DEPT. g'3" pa gl�. r N Existing N, Nenfer Hodraom.yl,�fy % I \\\� laLra Rota Trim O tE'H^a 16'9' >QYQ✓MMMM"�'��"'' W r4°b pl Existing House 3'e' r r rie"Haa 16•a.ornfas j' g ii! rz 8'e' 1` rR oar vEl1I ♦ O Existing Dining 41 d &q m . Ir � /�Noun♦61r*Haar aEg11�ar1 as wera.etier B Y '�.w av 0.!D e�aaE llIX.e g ^� d 1A 2a1E O� Foundation/Floor Frame g•♦• ��' a r a rs 0a "181�'^r'01 � �� Front --age 9Ye' 4 re — G s A. � I..'d,I '�y. ,a A O rvaear Frame E6eu �4U,.. .I Existing House L aaa.f L t+"sxvawcaom,e.r New Bedroomgy.. U7. FL — _ I ®II 9TEVSff X L.BARON 'I —— — — Builder/Designer . Eslsttng Second Floor .o ♦y' —_— r�^�-- -608-994-8140 "TeoeeRmc - I14 I �I I I I I ra fig Ire' 0 2 b i 3, �srorao aa*w r- Existing Side View a 8 6 ~ fills � I Ilia-A�l II I� s a..n'�aar*a i r�..aar*e a she'' 3V —�L—I,_--I'--�---I------- 20 _ ei^ s'z" A eras.Howe DRAAINC TYPE isle" 3�/g Y" PM1 Eal.ae*was/aaMOHar. vr' ® FRAIfE LAYOUT . Ist ym SI 37e' . SHEET NUORR, Frame Elevation SMOKE DETECTORS OX BARNSTABLE BUILDING DEPT. _ �I 31'T' N r' FM Ip ,a f D East q ® ®®® I N p 11\WII IT/l/II A91 A3f Aaf � p W I �f AQ b u.�•• � Bs.• chi R''N T1 Front Edevat2an isle• yy d m � E: Z U O O � F O U 4 V ® STEVEN M.LeBARON Builder/Designer 1-50B-99d—B14 4a trsoxeamoc vats w.xe.me�w.ue.azava g g s'z• u'v' 3 ® &bei arts^ g idsv�— u Rear Elevation, o/a^=r scnce DRAWING TYPE: Elevations SHEET NUMBER: THE , The Town of Barnstable Department of Health, Safety and Environmental Services • Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building CommissiOrt.' Home Occupation Registration 4*34� Date: Name: I�.� et e�G k e �l Phone !#: -�7 7Y- 5 l Address: y. S S f-CAA Y l We village: fGr yt �/. - L ,, 4PM `� Type of Business: Map/Lot: L`{r/O 5 j INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,,subject to the provisions of Section 4-1.4 of the Zoning ordinance.provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,looted within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of olIensiye noise.%ibration,smoke,dust or other particular matter.odors,electrical disturbance,heat.glare.hunudity or other objectionable effects. • There is no storage or use of toxic or hazardous materials.or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shag be displayed indicating the Customary Home Occupation. • ffthe Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling twit. I,the undersigned, read as agree with the bove restrictions for my home occupation I am registering : � Date: Applicant Homeoc.doc Assessor's Office(1st floor) Map 2�� Parcel 0 ermit# 13 c2 Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) ate Issued Board of Health(3rd floor)(8:15 -9:30,/1:00-4:45) Fee Engineering Dept. (3rd floor) House# r 1NE �y.�/� � SEMC ST ST QS �ST 19 DE EIM;J©N��11' CODE/gyp TOWN OF BARNSTABLE Tom REGULAno is Building Permit Application Project S ee Add ss J`wZ S�r`,,,,�e rr Village �&m ter yr Owner -0 j, ,r� f/��G�/ /� rc lle&L Address -7 Telephone / 7 e" Permit Request (A C�V_d 4./'pis Q (�W-v 6cz r ) o?;V X,70 w r First Floor /2AO M6e square feet Second Floors �° �' square feet Estimated Project Cost $ � d Zoning District Flood Plain Water Protection Lot Size 2, 4:iC/--t Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �1 Proposed Use Construction Type fit/C4 t{ Commercial Residential Dwelling Type: Single Family v 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 He T pe and Fuel Central Air Fireplaces Garage: etached Other Detached Structures: Pool Attached Barn None Sheds Other n Builder Information Name 1�e�4 /M6 Telephone Number 5q Address / ✓C Z �l�r r �� �o�`G��.Q. License# 006 y a,.� 5-00`C-1 C_7 .y`i.� v4L� ® Z(,��/ Home Improvement Contractor# //®0 1 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING F M THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��' Z 7 I'f BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r ' FOR OFFICIAL USE ONLY PERMIT NO. �` ( • �/- a DATE ISSUED ! MAP/PARCEL NO. ADDRESS VILLAGE ; ~_ OWNER _ DATE OF INSPECTION: FOUNDATION _ ��f A a.t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: V, (;UGH FINAL" ! } co03 GAS: '. GIB FINAL _ y FINAL BUILDIN AM Go DATE CLOSED O ASSOCIATION PLA114i Thc• Commonwealth of Atassachusetts �Department of Industrial Accidents `t =Mil �;�' 600 Fiasltinl;totr Street Boston.Mass. 02111 `- Workers' Compensation Insurance ARdavit q*) SLR 0/ gyram a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers' compensation for my employees working on this job. . comMm•nnme4 address: ciri•• nhone N, insurance Co. Rolicy d ❑ 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 coVol cy d �^az::�:. _���-•;sr�*m±*-••---ems company name• - ' address: eih• nhone#: IOtUrinee rn nnllf4#� :Attach additional-sheetifrieeessa •-: �: •ram :�t��^*+"r� ' *.:-`:, :'*t►'' '."• . Failure to sceure Bove-rage 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 une Mrs'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a fapY of this statement ma%•be forwarded to the Once of Investigations of the D1A for coverage verification I do herebt•certif tad r the pain anaCpenalt' of peilmy that the infon wlion provided above is true and sand <Sanature l/ e r4 .. i�G'h�L/ Phoneir Tint name O - cial use only do not write in this area to be completed by city or town official city or town: permitilicense# nBuilding Department (3Lieetuiag Baard ' check if immediate response is required OSeleetmen's Office (3Halth Department contact person: phone#!; nOther (Mmsed 3.19S P)A) The Town of Barnstable NAM1e� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyam is MA 02601 Ralph Crosser Office: 508-790.6n7 Building Commission F= 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT'APPLICATION MGL c. 142A requires that the"reconstruction,alterations,'renovation,repair,modernization,°Dnvem_°n, improvement,.remo%-4 demolition, or construction of an addition to any pm-cds which adjacent building containing at least one but not more than four dwelling units or to strucduesalong with other to such residence or building be done by registered contractors,with certain c=ptions, g T of Work: � �� 61 ype G Address of Work: l Oaner.Name: ' Date of Permit Application: 96 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby gi<'en that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING DTO NOT HAVE ACCESS TO THE FOR APPLICABLE HOME IMPROVEMENTWORK 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 ' Owner's name UNREGISTERED LAND FILE NUMBER: 84466 DEED BOOK: 2616 PAGE:284 ATTORNEY. BARON_& HINES, P.C. PLAN BOOK: 204 PAGE:67 LOT(s)- LENDER; NORWEST MORTGAGE, INC. PLAN NUMBER: OF FOWNER_ RUTH ANN MULDOWNEY REGISTERED LAND APPLICANT: ROBERT MITCHELL & TRACEY MITCHELL I REGISTRATION HOOK: PAGE: DATE: 08/18/95 SCALE: 1 =40' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(s): FLOOD MAP.COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL. 0005C DATED: 08/19/85 MAP: ZT� > PARCEL— MORTGAGE INSPECTION PLAN 452 STRAWBERRY HILL ROAD, BARNSTABLE, MA N/F CROSBY i 211.25' 0 0 N/F PERRY O SN D 000 o \�rn 1 1 STORY ° 2 STORY 1) ECONG W LLIN0.4 2 NO. 448� ° 100.550 115.41' STRAWBERRY HILL ROAD THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. DES LAURIERS & ASSOCIATES INC. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED 40' 0 40' BO' DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED 130 WEST STREET, WALPOLE. MA 02081 ON THIS LOT EXCEPT AS SHOWN. 'TEL.:(800)287-8800 FAX.:(508)668-4512 THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN EA�ZH OF A SPECIAL FLOOD HAZARD ZONE. THE LOCATION OF THE DWELLING.AS SHOWN HEREON EITHER �'� WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL %`' t4O tr7t3a1 SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. EXHIBIT A The land in Barnstable (Hyannis) , Barnstable County, Massachusetts, together with the buildings thereon, bounded and described as follows : NORTHERLY by land now or formerly of Leslie A. Perry as shown on a plan of land hereinafter mentioned, ninety and 02/100 ( 90 . 02 ) feet; EASTERLY by land now or formerly of Evelyn & Sumner Crosby as . shown on said plan two hundred eleven and 25/100 (211 .25) feet; SOUTHERLY by other land now or formerly of Evelyn and Sumner Crosby and by Parcel 1 as shown on said plan, eighty-two and 00/100 ( 82 . 0-0 ) feet; and WESTERLY by Strawberry Hill Road as shown on said plan, two hundred fifteen and 96/100 (215 . 96 ) feet. The above described premises are shown as .land of Rebecca Goldberg and Parcel 2 on a plan entitled "Plan of Land in Hyannis, Barnstable, Mass . as surveyed for Rebecca Goldberg Scale 1 on 30 ft. October 4, 1963 . Nelson Bearse-Richard Law, Surveyor _ Centerville, Mass. " , duly filed with Barnstable County Registry of Deeds in Plan Book 204 , Page 67 . For Mortgagor's Title see Deed recorded herewith. PROPERTY ADDRESS: = 452 STRAWBERRY HILL ROAD HYANNIS, MASSACHUSETTSJ02601 Assessor's Office 1st floor Ma ��� Lot Permit# .Conservation Office 4th floor �- --� 7 - f' Date Issued Board of Health Ord floor .R -` Engineering Dept. Ord floor House# Planning Dept. 1st floor/School Admin.Bldg.): NrA�, r MAW .. Definitive Plan Approved by Planning Board 19 163a S�P��� UST BE (Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) INSTALS COMPLIANCE FrALCODE AND TOWN OF BARNSTABLEITLE 5 - Building Permit Application Project Street Address `7 5 2- s�'r //!W Village &-n pti'' VI f �¢' Fire District Os/ Owner v"KA-no. 111w1WAr7-,c-qAddress 36, Telephone Permit Request: -p D Lu l t GX/ e, C O // z- /C 4a 6e .57" q el S.S-t 'S Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type / Existing Information Dwelling Type: Single FFaamicly Two family /Multi-family p Age of structure /P/ ✓/° /'S- Basement 'CM41 b ' (f�e S y l'"xta e- Historic House /V O Finished Old Kings Highway Unfinished Number of Baths No. of Bedrooms ..� Total Room Count(not including baths) First Floor Heat-Type and Fuel GW Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ra�'-_r �fi� � Telephone number 77e- S %/ 9 Address /s�+'��Cf G CLr•� License# 5�010 S/ f e r v 11 e ,. - 0 26rs Home Improvement Contractor# �� 0`0 Worker's Com nation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /JZt/-/?J4 Project Cost Fee 5052,0E SIGNATURE DATE �i — f 7 9f BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 3'2/22/95 ,_-L 40 248.059 ADDRESS 452 Strawberry Hill Road VILLAGE Centerville Ruth Ann Muldowney OWNER DATE OF INSPECTION: FOUNDATION FRAME n ' n � INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: + ce : r DATE CLOSED OUT: _ c ASSOCIATE PLAN NO. i 7 g a i to ',5'„y"q o .. k°K •_ r.w OCt 'C:apa, 4 Pt sb N. o ra-ilo r c, COMMONWEALTH "r' DEPARTMENT OF PUBLIC SAFETY OF ``ONE ASHBOR?bN 0L"ACE ' T MASSACHUSETTS BOSTON,MA 02108 } 'L.I C N SE EXPIRATION DATE �!. �4►`y• `; 't T CO : STRt S PERVISOR .9 Ali: 0 3/Q S/1 96 1 it FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO::;: RESTRICTIONS ( ?! THEFT, PUT RIGHT THUMB NONE G 2/2 8/1 99 4 050051 PRINT IN APPROPRIATE- ,SOX ON LICENSE. j F O! E R T E M I T C H E L L �, 33 SUNSET' LANE ° 1 V BLASTI G 0PER'Z0R,S SS a 444-44-3556 ()STERVILLE N 02655 ,,;',. ST°fAI LUDE PHOTO. PHOTO(BII STING DER ONLY) FEE• FEB • , 1 �}I]• n NO7 b AUD UNTIL SIGNED BY LICENSEE AND OFFICIALLY 1 U • `ii 9 r 994 HEIGHT: I� STAI APED-OR-SIGNATURE OF THE COMMISSIONER j DOB: C 1' 03/0.a,/1 94+ THIS DOCUMI')r MUST RE i CARRIEDONTI'PERSONOF SIGNATUHE'OF LICENSEE THE HOLDER WHEN EN- <� } 3 OTHERS-RIGHT THUMB PRINT GAGED IN 7HISOCCUPATION. ER P �� T.M. The Saw Horse Is The Professionals Choice, Because They're Built To Last. 1 . 4-5 II o \ - � I�Illnl •Biting Steel Jaws Lock On Standard 2 x Lumber. *Easy Set Up / Breakdown For Storage. ® *Super Duty w 14 Ga. Oft , ,� � �` Galvanized Construction. dL Sold By: ` P.O. Box 767,Mineola, NY 11501 Made in U.S.A. �u2s e.4 7 12- l2 pty ���e2 ,i PROPERTY ADDRESS I- I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I PCs I NBHD CLASS KEY NO. 0452 . STRAWBERRY-HILL` RO 07 IDENTIFICATION N RB 40G 07HYi 10/28/92'1011 00 SSOC R248 059.LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS r .`. 1 5.4193 Land By/Dale sae oimension vP UNIT ADJ'D.UNIT ACRES/UNITS VALUE Descepnon M UL D 0 WNE Yi R UT H>A N N MAP— -" p— CD. FF-De tb/Acres LOC./YR.SPEC.CLASS ADJ. COND. E PRICE PRICE _. #L A N D 1 3 2.3 0 0 10.18LD6.SIT'1 CARDS IN ACCOUNT —: X: :4 =10 167 44999.99 75149_99 - _43 32300 #BLDG(S,)—CARD-1 :1 37i700 01 Op • 02 A :AOTHEV FEATURE N BATHS 1 0 ' U X C= 100 - 3069.5 -3069_50. 1.00. -3100 8 NBLDG(SJ-CARD-2' 1 151F400 MARKET . '84100 D _ 100 -3069.50 ' 3069:50, 1 00 3100.8, JiPL 452'STRAYBERRY'aHICL `RD INCOME RS2 MSrSHEDF S: 10;X'i :10. '197 ;C 78 14. 05 . . '10_95 1100 :1100:f 4RR11546 0216' " SE D P-.PRAISEDVALUE D nA 86,500 A T U �'i `.PARCEL? SUMMARY A S . AND -32300 T f h j�I BLDGS 53100 M ll :0-IMPS ':1100 F ' E t OTAL> s' '86500 T ` DEED REFERENC -Type DATE - Aeeoetletl R I OR •Y E A R +V A L U E Book Pegs � Inst. Mo. vr.p Set-Price , 'AND 32300 T S' 2616/284' ° 00/00 BLDGS 54200-• U OTAL 86500 I t E BUILDING PERMIT `S - .. Number Date Type Amount LAND ` LAND-ADJ INC ME SE SP-BIDS FEATURES F.-.BLDfAOJS ._'UNITS.- • 32300, , Class Cott 1. Total Year Built Norm. Obsv. Re " Units. Units Base R le' Adj.Rate A Age Deer. 'rientl. CND. Loc. %R D. RePI Cost New Atlt-, el Val ry Staes Heigh ..Rooms Rnu Balbs s'Fis. PartywWl Fac. 01C= 000 ;_ 100 100/ 71_05= 71.05 '60:160_31163 95 ::58 '65030. 377D0.2 4_0 Description Rate Square Feet Repl.Cost - MKT.INDEX 1 00 :IMP.BY/DATE: / • SCALE: '•1/.01 •31 1. ELEMENTS CODE CONSTRUCTION DETAIL S BAS,,100.,71.05: 396 28136- GPs 820r 60. 2:63 . 396 16881 * ..1' - ,12r .-* —.-r 22 -- „� STYLE 06COLUNIAL ; 0:0 FSF :_ 90; 3:95- 216 : '1'3813 • • • R DESZ6N'A-6JMt -00 --- --,--- ---- 7 U � � • . • � ._ •_ EXTERYAIES `-01 D aF1FiCME -� D D • ! REATtAC->TTPE-.-04 ZL-- -- -- 0 T • • ! - I NTER 7 FTATI S H -0 0 - __ -�_0 U • • .. „. • ., INTFR:L-A�f00T: -01 --� --- --T�-a - R 18 '` 18 F BASE; 18' NTEff7QVNETY. -02 AITE AY---EXT-Eff7 '�:0 • _. • L p W• } • i:EFLiTQR C VER.- :-00 - - -D, ETota Areas Au Bess. '612 • f.'+ • to • ROIIFF"T1 PE-s - - - -- ---- - e -.r BUILDING.DIMENSIONS : t • 4 t • AS.,N18"E22"S18'W22'i: ;FSF W12 • • I�IfL 00 FCTR 0 FOIMIYATTQN x A - - N18':E12, S18' -- • f .t I FSf,a r • r -=- ---- --- --- - ------ ,. g + c L = 's�1a�-�s X r/ry.. s -22± r.. .f..�x ,�st# ;ldEIbHBOR 00 336C:7fYARNTS - - ' e r Z. :y.. i : f. 3+�,:r tY,.c ..'vn�. 'N..t' � .5 ^ I ..�yf. ; LAND° - `ITOTAL'` MARKET ;r x , t PARCEL, 32300, 86500 1 e L 6 ' ' �� ,AREAL: >r e•_ /.= I� 'k sa d a " "r �'1'-dt 'a '3 s.. ,j .L. "j ":„• a C. t a x;,,� x x F. •" 1' s; x«rt z AMC r. t 4 , 4 ^:S r 't,I R.•'S�.t •rcgytc'. i„ 'yp. rt,,;.. ,�.h 3. :.n .S. •.:t .S. }^ 4 ,,f l �. 1, 'i►1-576 •.a u+. ; > t _ e+ w * ,S NDA'RDae x t � �� a .'; _ iCr..-3 ✓i ., t= �"_5. i,: 9 > yt y�x•.. ..y. 25 N =I i y�"' T . i.,. .• A ....� f't �• "..''t{'ef'-.a ..f^ '..3.{^i+ Y:;:.,•L m1 F`. r;.,, :;rt,'} ? I.:A k f. Art ,ysrt,•` • 5 k + T.OP % ;. fi 06RAPHY...i,.LEVEL.r: 3TOP06RAP Yy:.. ,. .._7�" <fi°.n•7 , . ��< „�,:::,.y H. :4rs,,UTIL.2. 2ES;<z•2?"P. 9WATliR .:#y T r . : �f•t' t:�+.. f:: _ ,_ T.t,.; .e .a. .. N,,., ,U. ILITiES _ 4 ..6A$,,a,., a ,*:.,liTItI:TiES� 6 :S:EP,TItF ., : . P;EAT:URE3X:PAVEO�, a, .*:S e': <,t� , ..� .ra, �_ r ."r _ . . •,:. ,,. �, .- t . .oF..,. _ _ T.. F E A T t1R E ,.» s,• . . _ tt. r r z r, + a� - ,k ,• :,� ..., , , ST t,FEA URE. 3 Vic, rs � Y r as S y. �,,: - '�: • .,�,• -� .F�'g".r�_. ail. _. ..,> .:+ . .. ., ... �. v,. . *,*j'.1; F C"aa'&-t '3:Mf bl:l1ll� `` •..DYEl4. Ta,s ",' t• 1 a / .,a' °3.- ,s & s,r- T r+� `.;:,. ' r ,> * a RA;E I , H...,rs' fL'OC� ;�MI•,DOLE, r, t�LOCAZ�IOW� ����.1. ; r. ;3�.r•,,. , �'riw. .;•: ,,o>/"• �:�.Fu,�.�, t,,,,.s�� .•. .,, � _ ;j•. s., yr .N .:.R �:��..*:.rAMENITIES'�. :'�.."p�1°r'`�� a5b'* '",t �I .'ti 'h I� r k * ANLN`I:TIE.S `' nr. 'NU + .a wc- a.• c.. 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N 90 Z. .ZS/C, y • s2 Z��' ' ® �1s ZZ4 ,ZS �� Z%q ,r z .LSAX- .24W � ut fs WAY •.L4 3204 34 L -..�•!a _ Z-L'1 .► ,� . • . q Z�p • s � .'fir F 9 ' 0 0 - h \ Fseer .lL I Co 1 l /�C e �2 Assessor's map and lot number .............................. .......... � PyOF?M E SeAge Pgrmit number ........................................................ Z 33AUSTADLE, i House number ........................................................................ 9� Mae& c p t639. 00 TOWN OF BARNSTABLE BUILDING -INSPECTOR APPLICATION FOR PERMIT TO ....... ...........Z4......411,14 ..... TYPEOF CONSTRUCTION ........ ............................................................. ..... ............................................. .......... ........2..5 .......19 .�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........1.H r S Try ,kg.y,}..Y........ ProposedUse ..............�. ,,l r .......�Z v:'"`............................................................................ ..............I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ........... ..........Address ...�..y....J�z�I� f3v ' ... l..L!^.N:S..... i.A....... w. IM oY Name of Builder ...... 5............ ..............Address ` ehfe Nameof Architect ..................................................................Address .................................................................................... Number of Rooms f................................................Foundation ....�Gc� `� .. .. ,.. e..< < Exterior .......�e. .. :r.......SL�.!.h. .�.�.....................................Roofing ...........���.F.l?.�? . . ................................................. Floors .e. .. ................................................Interior ........... !'}!�`.z./ ................................................... Heating ..................................................................................Plumbing .................................................................................. J* Fireplace .................................................... ...........................Approximate Cost ................................................... .......... Definitive Plan Approved by Planning Board ----------------------_---------19________. Area ........ l..v...S, ...:............ c9 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name.. :.`.:.. 1. ..................................... Muldowney, Ruth Ann. No .... 229 +' Permit for add to dwelli 3.. .......... ......................... ......� t :.. ...................................................................... - I Location 44$..Strawberry..Hi11..Road { ^- ...Ryan?? s..................... ` Y Owner ..........Ruth Ann MuldowLley.......... i ......................... Type of Construction a�n ................................................................... '......... 1, Plot ..................... .. Lot ............................. _ � f _ Permit Granted March 25.............19 81 ........................... I Y Date of Inspection ....................................19 Date Completed .......1./t..�...................19�'?� . 1 : .. J PERMIT REFUSED ... .................................. 19 ............................................................................... I L. .................. ....................................... - ................................................................................ Approved ................................... ............................................................................... . .Assessor's mop and lot number � .�/ ' — SevogeP?nni/ number ........................................................ | / House number -----------------------_ | � ������7�J ���� �� � �� �J�� �� � ��-� �� — ^ � �� �� �� |� � �]� BARNS TABLE ���� ���� BUILDING � 0N � N �� 0 �� INSPECTOR �� 00N0-0N � ��0� �� =~ � ���� � �� ~� APPLICATION FOR PERMIT TO -- ...... ..... ................................................ TYPE OF CONSTRUCTION ------------------------..//--_—.--------------. --../wA..0 /-.—.l .�........l"r./. TO THE INSPECTOR Of BUILDINGS: / The on6e,dgno6 hereby applies for o permit according to the following information: � Location ��< � �7����/!� � * 4/� � �� � �oco mn --_� . ---...~ . . .;.—.—. ---'--.'—�----.—...------.,._---------.—.—.--. Use i4r���i � �/��� ------.--.------'--------- ......................... ' '-r---- ------'' r--^'� ---^^^^—'' Zoning District .---.--.----.------------.Rne District ------.—.--~--.—..---------- Nomo of Owner ...........Iu... /.J ---.A66reo —. ..—.. ......—f7�z..-.. ./.. 6^��....... ' Nome of Builder —./J.���'�n.[��.��'A ---------�A66reo �/7/1—��` `/t" '—�~���—��'. � .� ' ' Name of Architect --------------------..A66rea -----------.----------------. Number of Rooms -----/---------------'Foun6ohon .....y����.��—��./������.�..................................... Ex|erio, --/~�� ���.i--. .. ------------RooGng ---'f7.%.?.�'�././----------------.— Floors ----'�....h.—..°T..---------------|nterior .............. ........... ---------_------_ Heating ----._----------_----------F1um6ing .--_--------------------_~—.. | If' /t"C'u . (, (I � Fireplace ..................................................................................ApproximateCox ..................................... Definitive Plan Approved by Planning Board lQ----. Area .......^7r7��_{~��`............ Diagram of Lot and Building with Dimensions Fee __.. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH - � � | ' [ - � | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regond..in0 the above � construction. ^ ' \ Nome�—..........—..... ............................................ / ' Muldowney, Ruth Ann A=248-59 No ..... 2944. Permit for ... IE .........................wS ........................................ Location .........dAB,5.trawberry..MI1.RQ4.d. .........................Hyamis........................................ Owner .........Ruth.Ann..Muld.Qm. ey................. Type of Construction jt...........fraMe.................... A ...................................... Plot ........................I Lot ............................ Permit Granted .....�41.25................19 81 Date of. Inspection ......... .........19 Date Complete' ........ ..........................19 PERMIT REFUSED ........................ ...................................... 19 �t�.............. ................. ......... . (. . . .................... ..................................................................... rA 6) q ............................................... ............. Approved Ob..................................... 19 ............................................................................... ............................................................................... Jf f tour, ac z LyaT<� #ej-ev S y�i1M(lp` 6' The Town of Barnstable l lAl(77ABLE : Inspection Department i670 367 Main Street, Hyannis, MA 02601 508-790-6227 t Joseph D.DaLuz Building Commissioner September p ber 18, 1991 Ms. Ruth A. Muldowney 36 Park Avenue Hyannis, MA 02601 A=248-059 Dear Ms. Muldowney: t Please contact this office regarding construction ' �activity on your property located at 475�2 Strawberry Hil-1� Roa-d;'`Hyannis. Yours truly, Richard R. Bearse� Building Inspector µ { LOCIT0452- STRANSERRY HILL RO CTYR7 ','DSJ 40() HY KEY] i.54193 A; A CLII -c"---)l 1 -16 ADDRESS------- IFFCA'1101 A.1 yr...700 PAREN 0 pgIrDOWNEY, RUTH ANN MAP A R E A',5 5D C JVj NTG'10000 36 PARK AVE .3 Pl .6,j VT 1 7 LIT 2 1 o -4 S :3y F T -..,jOg ,Y P,7.1 9i 6 0 31 -'-'] CO NSA H Y A NN.IS MA 02601 A YB 19 6,0 E k) -.'.7 0000 LAND 57400 ilMP 67600 OTHER j. DESCRIPTION---- TRUE it KIT L5900 REA CLASSIFIED #EAND 57',400 A13,11 LND 57400 ASD Pi P 6760 ASD cpo�) # G',(S C."i R A)—I 1 0 k) Da 5,C R.1"F T.10 N TAX YR' CURRENT EXEMPT TA?ASEE #OTHER FEATURE 1 900 TA A" E KE N F T 9-BLDC i i, () 125-900 ',(S, C A RD 2 1, 19 S 00 R E.5 If 11 B NT'L) 12-15900 #pr L 452 STRAUBERRY HILL RV OPEN SFAL E #Ff R 15-16, 0216 COMMERCIAL rNe'USTRI Rif EXEMPTIONS SALE10,01100 PRICE j ORB"266161'384 AF-07 LAST ACTIVITYJ081.24187 P C R j i, , )Iqlql Z4< of 1-7-7 Y- 59 ems- =.I - 'Adl P Li"EY 154793 R.249 059. A -F F R A A D I.P. T Al M U L D 0 P R U T H.- A NIN LAND BLD11FEATURES BUILDINGS NUMBER ZtJ/FL=.-Rr, V '"I '100 2 A.5 0'0- 8 4,1 f N 0 11 E A=-!0.11 F C S':=0 0 S.1, Z E= I t"!0 Iz" J.)UST-VAL 83,9..',)0 ----CONFARISONI TO CONTROL AREA 55DC -- ---ilAY NOT BE COMFARABa," ,-- NEILGHIDOPHOOD 155DC' HYANINIIS r"P CONTROr AREA TREND STANDARD CELI Ij" I'l .10] 10 Ir,A 117 D-7 Y P E 500',T L.A N 0-n E A N +()% 80445 1 P 1.P R 0 cV E D--ME A N --414% 25% '00 DE:PTH/ACRES TABLE 02" Lf-DCATION-AIIJ AFPLV.-rv'A.F--STAT - T' iz No r LNRJLAND LFT11.1"IFIADISISS/FFEAT STRiSTRUCTURE AP�RjAF�-PA--P:EP,5?)REt.;'Z",�iTS I?C COMTNAPI-i'ET INC lNCG-TIE i - l,fjNCTloN--r STRUCTURE-CARD A10-[0001 VATA-LI 1. J 7w 7 F248 059 F E R il I T {Fff ACT,FO-.lqfR.j'T CARDIMOO t,"EY 1 4 1 S-)3 000§0000 PERNIT-NO nO YR TYPE VALUE CY--BY MO YR %CMP NEN/DEN CONNENT -T f J I "i f i J, i L j i J I r L A. JT i L J f I f j L J 1. r f f J f J -i f a L L I a i f I L r i 1, i 1 J J f i f J J L L i r J J f J, f PROJECT p 11 NAME: �4 C�,yl PER1bIIT# ,r i U k3 PERMIT DATE: M/P: LARGE PLANS ARE FILED IN: BANKERS BOX Hy - ,3 ell FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archiveBANKERS B OX f -; _ _ axe • I i I I I I H-1-L SO u L4 Ck - - b l� PVTO - I I Dec C- I i-T-F-- I ±-L i I I i J�;1 / } i ti - n . } imp 11 AL dift EL • dAMim :" .. I 717", 'lot Li IT • - - t � C y , \ Al • pf jj _ ' � -�_•- _. _-_-- " '` - I •-_.._. w�.�r.....-. - __-`_ _. r rf_. _-...-_.. _.. - -_ .--_. . _:S ern..� � ` �� �-F "- �I N''� 1 i 1 I { �Ty ( = I={ III •. I � . 114 - T' G 14 - - r x ell T.C me I y - Y �: .F ' :fit• .. *�'o:' F L �A i Phi- 2A — `�,r(�'J1, ?S .. ` "J fv tA �3MIIRA • li ti e f . it l� �, y _ `. .• _".. I I fA,S.. .._ + „ J! 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