Loading...
HomeMy WebLinkAbout0015 SYDNEY DRIVE y y �f x r 4' i� i i i' YOU WISH TO.OPEN A BUSINESS? For Your Information: Business certificates (cost$40.DO 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:-S j -2P16 Fill in please: + _:':;''r�^•;:"r,:i�}+gl��.�F;�;;w�" `I APPLICANT'S YOUR NAME/S; ' 4•s�14(rT.i��:� ul �. 71, BUSINESS YOUR HOME ADDRESS: t t. I ' "9"' 11,a ly5' � TELEPHONE # Home Telephone Number Y'' aF„au.. :r••;r ryi•'4� 5SN or EIN -7/0 / O NAME OF CORPORATION:- NAME OF-NEW BUSINESS e,44 0 7E� IN CO TYPE OF BUSINESS r IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS, � C'- ft/1/it/r° MAP/PARCEL NUMBER � (Assessing) ' When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 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 SID ER'S OFFIC 4 This individu I ha e i for` e 01 a y pe mit equirements that pertain to this type of busirMUST COMPLY WITH HOME OCCUPATION (YL� RULES AND REGULATIONS. FAILURE TO Auth d ignature* COMPLY MAY RESULT IN FINES. MMENT r . 2. BOARD OF H LTH. 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- Authorized business.' Authorized Signature** COMMENTS: i own of barnstable �- Regulatory Services OF THE Tp� Richard V. Scali;Director AAM Building Division v� MAS S. ,��' Tom Perry,Building Commissioner ' ''rEn r�+at a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5 8-790-6230 Approved:, . Fee: Permit#: HOME OCCUPATION REGISTRATION Date: f���®h' Phone#: Address:_ •Name of Business': Type of Business:_ CZL�,2?�/�(1 �Ce Map/Lot a V INTENT. It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation • within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual.alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is -no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or Hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such'use shall be met on the same lot containing the Customary Home ' Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than.one van br one pickup 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 lofcontaming the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. e If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. - • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read an with the above restrictions for my home occupation I am registering. Applicane _ _ Date: J1 -2e16 Homeoc,doc Rev.108113 ci SENDER: I also wish to receive the :a ■Complete items 1 and/or 2 for additional services. following Services(for an y ■Complete items 3,4a,and 4b. N o Print your name and address on the reverse of this form so that we can return this extra fee): i card to you. ry ■Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address •2 y permit. 2.❑ Restricted Delivery N � ■Write"Return Receipt Requested'on the mailpiece below the article number. ry r ■The Return Receipt will show to whom the article was delivered and the date COnSUIt postmaster for fee. delivered. P a 0 3.Article Addressed to: 4a.Article Number HA o, 4b.Service Type 3 + Li, El Registered Certified w / [I Express Mail El insured c o #T 4 n/�1�/ j� DZ&O/ Return Receipt for Merchandise ❑ COD F IV 7.Date of Delivery o z "L I 0� 0 m 5. Re7 ' ed By: (Prin71/61-// e) , 8.Addressee's A re s(Only if requested Y W �r C, �,,'� r a and fee is paid) W L ¢ 6.Signature: dressee or Agent) ~ 0, X ( ; i ) I / 11 III 1 H. H I i 'r y, PS Form 81 1,,Decembe6994 f I 102595-98-13-0229 Domestic Return Receipt ® First-Class Mail UNITED STATES POSTAL SERVICE;�,��c �PastageFees-laid USFS'.—, __ Permit Nd^G iD, ^ 0 Print your n Me?abilressl and ZIP Code in this box'® ''"'- v . TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS,MA 02601 02. 1111111sIsItill till tt 11111111 tills t II:7 111111111 It 11111111111 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_" Parcel T Per # Health Division Date IssL4eAI Z 1 Conservation Division Fee Tax Collector Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address S Village ` � w Owner dress 02 Telephone ® d Permit Request ._„A L ti t.'fi`v 1 Square�ee 1st Moor: existing' proposed 2nd floor: existing proposed Total new Valuation: Zoning District Flood Plain Groundwater Overlay Constrt`ction pe -" Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑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 t Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O 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 INFORMATION Namet,&B�ILDER/ Telephone Number Address ot License# 7D �`+CIIIXJV� Home Improvement Contractor# 1� DIVA Worker's Compensation# ALL CONSTRUCTION DEBRIS RE ULTING F OM THIS ROJ CT WILL BE TAKEN TO w r SIGNATURE DATE ` l P Q . FOR OFFICIAL USE ONLY P&MIT NO. ` DATE ISSUED MAP/PARCEL NO. _ µ ADDRESS ;VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE 4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL" FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' r rt� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' ..�' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunibers Applicant Information Please Print Le 'bl Name (Busme s/or ationadividual): o AwlIVIC ? s ganiz Address: City/StatelZip: ::�� � �9 ®� Phone#: �� 66 3 Are yo an employer?Checkth 'appropriate box:. Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction * have hired the sub-contractors employees(full and/or part time). ' 7. ❑ Remodeling 2.❑ I am a sole proprietor or parEner- listed on the attached sheet t ship and have no employees These sub-contractors have S. ❑ Demolition Working for mein any capacity. workers' comp.insurance. g• ❑ Building addition o workers' comp.insurance 5. ❑ we are a corporation and its 2eq��) officers have exercised their 10.❑ Blectrical repairs or.additions 3.❑ I am a homeowner d6jAg all work right of exemption per MGL ll.❑ Plnnabmg repairs or_additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs t employees. [No workers' insurance required.] 13:7 Other comp.insurance required.] "Any applicant thatchecks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submitthis affidavit indicating they are doing all work and then hire outside contactors must submit anew affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp:,policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site. information. c� Insurance-Company Name: Policy#or Self-ins.Lic.#: �0I- W 6 - Expiration Date:' Job Site Address: t City/State/Zip: �� ®� 1 Attach a copy of the workers' compensation policy declaration page(showing the policy nu rand 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$1,50Q . an or one-year impnsomnent, as well as•civil penalties in the form of a STOP'WORK ORDER and a fine of up to$250.0 a day a aiust the violator. Be advised that a copy of this statement may lie forwarded to.the Office of . Investigatio of th D for insurance coverage verification. I do hereby c un the pains and penafties of perjury that the information provided abo is a and correct. Signature: Date:'. Phone# �P2 Official use only. Do not write in this area,to be completed by city.or fawn official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Inform ation and Instructions usetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Massaeh erson in.the servide of another under any contract o€hire, Pursuant.to this statute, an employee is defined as"...every p express or implied,oral or written." ' « ,association,earporatj or other legal entity,or any two or more An employer is defined aS=_an mdivi4.UA..paMeq�P • • Io er,or the in a joint enterprise, and including the legal representatives of a deceased emp Y of the foregoing•engagedIe a1 entity, employing employees• HoweYer;tbe- or other tY, emP or trustee of an individual,partnership,association g the occupant of the receiver _ fbr owner of a dwelling hous a having g not more Persons to do maintenance,,construction woi k-on�dwelling house dwelling house of another employs ant thereto shall because of such employment be deemed to be an employer." or on the grounds or building appurten MGL chapter 152,§25 C(6)also states that"every state or local licensing uildgin shallcy he c mmolnwtealth four any ce r Tenewal of a license or pew to operate a business or to constructg produced acceptable evidence-of compliance with the insurance coverage required." t P hall o has no subdivisions s a plicant wh Pr , mmonwealth nor any of its�political su .. P the co either chapter• 152, §25C(�states N insurance Additionally,MGL . into contract for the performance of public work.until acceptable.'evidence of compliance with the enter �Y ter have been presented to the contracting authority. 1equirements of this chapter . Applicants , . , '' . • . letel b checking the boxes that apply to your situation and,if. out the workers compensation affidavit comp Y� Y of Please fill ne numbers alon with their certificate(s). e s address es and pho ( ) g necessary,supply sub-contracwr(s)za>z ( ), ( ) C or Limited Liability Partnerships(L•LP)with no employees other than.the insurance. Limited Liability Companies(LL ) insurance. does have members orpartners, are not required to carry workers' compensation the LC f Industrial employees, a policy is required. Be advised that this affidavit may be sub Department Accidents for confirmation of insurance coverangn or�theso be sure ermit or licensetnis being requestedd date the ,�not the Depit. The artment of should. or town that the application f P to the c a w be returned nY uestions re ar the law or if you are required to obtain. orlcm Industrial Accidents. Should you have any q g ants should enter their compensationpolicy,please call the Department at the number listed below.. Self-insured comp self-insurance license number on the appropriate lime. City or Town Officials ` davit is complete and printed legl'bly. The Department has provided a space at the bottom the affidavit mP sure that applicant Please be s regarding the app P Office of Investi attons has to contact you g g e Offi g of the affidavit for you to fill out in the event the a reference number. In addition, an applicant• ' 'cease number which will be used as . in the permit/license Please be sure to fill P submit one affidavit indicating current that must Submit multiple pernmt/hcense applications in any given year,need only policy information(if necessary)and under"Job Site l Address" �k�bshould city or locationsam rovided to in (City the or tA�)"A copy of the-affidavit that has been office y tamp out each are applicant as proof that-a valid affidavit is-on file for:ease or e�tit notrelated to any es. Anew buusiin business fidavit or commerst be cial venture yew.Where a home owner or citizen is obtainingtsm'd person is NOT required to complete this affidavit. • e. a do license or permit to bum leaves etc.) p . The office of investigations would like to thank you in advance for your cooperation and should you have any questions, please do nothesitate to give us a call. The Department's address,telephone and.fax number. The Commonwealth of Massachusetts . - : I�eparhnent of Industrial.Accidents : . .. office of Investigations 600-Washingfon-S eet� . Boston,MA 02.111 - Tel. #617727-4900 ext_ 406 or•1-877-MASSAFE • ' Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia f DePMltncnl of litsmic safvo 13tiutrd of Building 1 U"I'iations and�i.tntlar d ___ Ca*rstr`u<:tot��u�erv"tsar LtC�!1S� lic0Rsea CS 84916 a NIALCJ HOPKINS 60X 231 Sq YARMOUTH,-MA 02664 Expi;aticin; 4/212013 T-r#: 14504- Office ofonsume'r`fairs�c Bnc& egma on, Ltc4nse:or registration'Val*d for iodivtdul use only HOME IMPROVEMENT CONTRACTOR before the expiration dafe..If found return to e `Registratio1.n 164773: Type; Office of Consumer Affair s and Business Regulattot� i M Expi ration: 11/20/2012 �&AS, P..rivate Corporation 10 Park Plaza-Suite 5176 s N1;4'f:.�.HokINSI BUILbERS IN,. Boston,N1A Q2 :6 NIALL HOPKINS I •, 4 ' 24 G FRUEAN AVE SOUTH YARMOUTH;:MA 02664 _r' .......... Undersecretary Not val withotitsignature I { ACO/I�D® CERTIFICATE DATE(MMIDD/YYYY) C RTIFICATE OF LIABILITY INSURANCE 09/09/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mark Sylvia Insurance Agency NAME` PHONE 771 Main Street AIc No Ext: 508 428 0440 Nc No:508 420-9227 ADDRESS:mark marks iviainsurance.com �StefVllle,MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Farm Family Casualty Insurance Niall Hopkins Builders,Inc. INSURER B: 118 Lakefield Road INSURER c: PO BOX 231 INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP ADDL SUER LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY 200IL6275 10/30/2010 10/30/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES TO a occurrence) $ 100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY JECT PRO LOC $ A AUTOMOBILE LIABILITY 2001 C53575A 6/25/2011 6/25/2012 COMBINED SINGLE LIMIT ALL OWNED SCHEDULED Ea accident $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 AUTOS X AUTOS BODILY INJURY(Per accident) $ 1,000,000 HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 2001 W6459 9/8/2011. 9/8/2012 WC STA iu- X oTH- AND EMPLOYERS'LIABILITY Y/NTOR EEL ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory In NH)and E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry,Electrical CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - /'VVlw �^ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ACCM0CERTIFICATE DATE(MM/DDNYYY) OF LIABILITY INSURANCE 09/09/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mark Sylvia Insurance Agency NAME: PHONE 771 Main Street A/C No, o E:t: 508 428-0440 Alt No:508 420-9227 E-MAIL ADDRESS:mark marks Iviainsurance.com �SteNllle,MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Farm Family Casualty Insurance Niall Hopkins Builders,Inc. INSURER B: 118 Lakefield Road INSURER C: PO BOX 231 INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY� POLICY LIMITS A GENERAL LIABILITY 2001 L6275 10/30/2010 10/30/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY IYAMAGE TO-RENTED PREMISES Ea occurrence) $ 100,000 CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $ 5,000 - PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO LOC $ A AUTOMOBILE LIABILITY 2001 C53575A 6/25/2011 6/25/2012 COMBINED SINGLE LIMIT Ea accdent ANY AUTO BODILY INJURY(Per person) $ 1,000,000 ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ 1,000,000 HIREDAUTOS NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ 1,000,000 AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 2001 W6459 9/8/2011 9/8/2012 WC STA_LIMTU- X OTH- AND EMPLOYERS'LIABILITY Y I N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH)and E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Carpentry,Electrical CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD b' � , j OWNER AUTHORIZATION FOR I, (Owner's Name) owner of the property located at if (Property Address) ( perty Address) hereby authorize -' 1 (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit.and to perform work on my property. Owner's Signature Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� i -Application 4c><U Health Division Date Issued �J t Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis V 4 Project S et Add S Sress 4�'� /V� Village .�J�_ ArA)A3=S � Owner- - ��` Address � � fly �- G Telephone -.»o MCI) Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain_ Groundwater Overlay Project Valuation a�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ 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 ❑ 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 ❑ C, Commercial ❑Yes ❑ No If yes, site plan review # ` Current Use Proposed Use 11i , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name d 6J 6A Telephone Number Address � � �,S ��'�-� License # MA Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. l ADDRESS VILLAGE r OWNER s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ;Y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0 )4 11' t DATE CLOSED OUT _ ASSOCIATION PLAN NO. t i t The Commonwealth of Massachusetts Department of Industrial Accidents 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 Lefsibly Name (Business/Organization/Individual): LeU`� • Address: l T�A`-Az y '�. City/State/Zip:��'-(C—V\ k I\kA Phone #: b0 06 Are you an employer? Check the appropriate box:' Type of project(required): I.❑ I am a employer with _4: E] I am a general contractor and I * have hired the sub-contractors,- 16. 0 New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- :listed on the attached sheet. 7. [] Remodeling These sub-contractors have r` ship and have no employees 8.1 0 Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance.t 9. ❑ Building addition required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3 1 am a homeowner doing all work officers have exercised their I LEJ Plumbing repairs or additions myself.. o workers com' right of exemption per MGL y p 12.0 Roof repairs insurance required.] t c. 152, §1(4)i and we have no employees. [No workers', 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workcrs'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. lContractors 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 workcrs'comp.policy number. l am an employer that is providing workers'compensation insurance for my employees. Below is the policyand job site information Insurance Company Name: Policy#or Self-ins. Lic. #:. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensatiefl policy declaration page(showing,the policy number and expiration date). Failure to secure coverage as required underSection 25A of MGL c: 152 can lead to the imposition of criminal penalties of a fine up to S 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 S250.00 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 coverag�yerification. I do hereby certify under thepains an enalties ofperjury that the information provided above is true and correct. Signature: Da Z Phone#: a EOther only. Do not write in this area, to be completed hy,city or town official n; Permit/License#. hority(circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector son: Phone#: f Information and Instructions. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall e of public work until acceptable evidence of compliance with the insurance enter,into any contract for the performanc requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),address(es) and phone.number(s) along with their certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation.of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the'city or town that the application for the'pemUt or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/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(iftibcessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the.affdavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do'rtot hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Telr-0.617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www,mass.gov/dia Town of Barnstab-le �ViE>fy- `' � Regulatory Services Thomas F.'Geiler, Director "fit t6s¢ Building Division ��� �k 16 Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.t6wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION > Please Print DATE: rig d�U.� J_0 3 L CATION; number IL V street !^ jVillage j: .HOMIEOWNER" name home phone# work phone# CURRENT T MA—fLING ADDRESS: MA city/town state zip code The current exemption for"bomeowners"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 t�e 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 others applicable codes,bylaws,rules and regulations_ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with-said procedures and uirem nt5. Signature of H66eowner-4" Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTTON 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 Supervisori,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as.it would with a licensed Supervisor..The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt of tip tp� f f f BARNSTA.ELF- MASS. Town of Barnstable PtED��k Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 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 Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dccollik\AppData\Local\Microsofr\Windows\Temporary fnLrmet Fi1es\ContenL0ud0oklDDV87AAZ\EXPRESS.doc Revised 072110 r " ? TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 7 t 4 Map < ` Parcel vlJ Permit# 7 7 Health Division 1-4001451 Date IssuedW- 0 Conservation Division Z 03 Application Fee Tax Collector cl Permit Fee SEPTIC SYS Treasurer LNST,AUE INCOMPLIANCE Planning Dept. WKTMS EwRONmENTAL.CODE AN-0 Date Definitive Plan Approved by Planning Board YOWN REGUL9TIONS Historic-OKH Preservation/Hyannis 4-di i a) ae(_ dij�d Project Street Address 15 i5t*IDNt�/ ]>w vE Village _4 4 1J1) S Owner ]D�an®p-om- L�vErQ • Address Is S�lDNE,/ 17�,VE Telephone DELL _6,9D25—3 P 0_Q 0(0 GO LA-7 OfL1<- Permit Request nLTr OF _=ZCQND E&CnZ QF' 0<X2SE C 1xnk-9J0►Z L, -.0et4 C9L-/) 1 41 Square feet: 1st floor: existing IUm proposed 1100 2nd floor: existing !)75 proposed 925 Total new Zoning District Flood Plain Wopr Groundwater Overlay Project Valuation 33105 m 0 Construction Type I\DDoI.y'rrt_ . !Lot Size 15, S�' "�'� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. ~'bwelling Type: Single Family A Two Family ❑ Multi-Family(#units) .4Age of Existing Structure T 12-W CD 5121)M J Historic House: ❑Yes No On Old King's Highway: O Yes ❑ No Basement Type: �Q Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 1 2•c-i _ Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing Ll new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: 4 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing 0 new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use `/ BUILDER INFORMATION Name KICI� PVM h �L-72JZ fZ, Telephone Number 7 7`7 2 y`' —a yOg Address License# IX G f@a&M AWL Home Improvement Contractor# /IDa�a 4LZ&1 Mmy ® Z Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 3 FOR OFFICIAL USE ONLY A PERMIT NO. DATE ISSUED MAP/PARCEL NO. y3 ADDRESS r, VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME A f,4 M A`/�/6 3 Q AL INSULATION wsv FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH, _; FINAL GAS: ROUGH FINAL' FINAL BUILDING cr I f? ' DATE CLOSED OUT � r ASSOCIATION PLAN NO: i J _ The Commonwealth of Massachusetts — Department of Industrial Accidents Office aflayestigatiaas 600 Washington Street --} Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name 'Q 1C t� A 1C-aR&I �lft location: re. ci hone# ❑ I am a homeowner performing all Work myself ❑ I am a sole r rietor and have no one workiz in ca achy er rovidin Workers' compensation for my employees working on this job. aman era 1 g .:..:::.::.....:.:::.::::::::}:;.:::}:.}::..vy........4:..........r:::4..;,:•;.....:..:::::..}..... .::::.::}.:.. ...::::....:S•r::5?'i:•i;i:i t:>i�:'::t::tit$;$... am .coo n .... ..................:..:....::....:......:.::•• ..}.:.�::.v .;n. .......... .......... ................. ............... :..........:......r.. ..,..................::::::::::r.v:• .................?v:.,•:r.4::•Y:iv:•.v{::::•:., 't•:4;:,v.}v.,$}•:::-.. ...}. .....,.. ....... ...n...... ........v. r........ ........•;...n....•.......r........v,v:nv:::::::::::•. -:.:•.v:•.v::.v:::::.:�v::.::•'= ?:4:4v}}•n:,:•:{.1 4}vr+:{=v$:•. e .......................................r.. ....r.............. ...:.................. ................t.............:.w:::•............. .... .. ..... ::•:v;w;.vf•:?......................:. .........tt..:.. •W. •::•.f..:.{'}%•i.:4i;Q:;:•${:?i::i ...n....:.• ........... .. ................. t.. .............. ...::w:.v:::.v::::::w:::::.......n...... v::•}hv......., v..v:.,, w..:. �• 4•r..:.vx fn:•%v. ..L.. ...... .. ......... ........ ...... ............ .............:,..::::.... ...........:••...,.n.......•••::•:...................rv.v:4'•}:4}:4:•}:+.w: ;}}'•: r ..n:::...r............v.:.....r.n...nv...:..:•:.:•............t...::4.............:....:::•v::•.:::......v.t........w.:v...r..........;.r.•:..:.n...................:•.:::• :.........,...r.. •}:4.v:r. {•f}}h:=v...••t;y,,,n•••:.t•.,...v:w:.v••:•,,?::v:•r. t.;.;.. ....r...:....:•w;n:t,.:...n.......:.... r.t•.vv.•.....t.•.v•::,v:::::...........::•:x•:::.v.v:h:•.:... ....... ...... ..... .:.+.,.{,v:•::.v::,• .::}............. .....................{...:: v: n...•:::.;... 4i.b>$>.<r:}•`,;:•:4$}:Y}}:$4vty ..:r. ......::••.r:tvn....r... .:�{•:r•n:.•r.r.....v:...}:`.{v:::.•.,,.........w::::r:::....,, w::•i}}}::L}:.v:•::,....:..... .... r.. � is r.:•:w.v:::v.•}+h.....t r.r.::::...... .....:....... .............t{:{4:•:4:{4}•.}:;:...... e ?vat:;..::::.. .; ��... .. ..... ................::.v.v...::::::.i:•:•:......n.., ..:.v:�.r•.::ivt?}}{}:}}}Yvt:;v{v.:.4..{•{,......,:., :i;;ii•' ,{4•ir'f'v r..r., r..... ....,..... ........ ..............................:.::.....:::::?:?.}:•}:{:::.:.....rr........:.x:;F:._:r.•..:::: r....:,t:•:}:}.:$}T•::•:;•:;•t:;:h•••:{h x•.w.:.•r:;..:•i:.{::::. . ..... ...... ........:.. ....:..... .........................:::•:}::::::•:::...:.....4:•:::::::r::•.r:...:.r... .,•}r:_.:::..............}••:•:?<•}:::::........ ..,...,•.;.;•r};rt•.:•.}ref}�}}, ..:;:...... ......:v::•.:•..... .......::•::w:: .... .....:•::.•.}'•:4Y•_.w.•.w.,n..v.v� v:lr{.::•x�9:v}:•:{ .... .... ...:.. ...........n.......••::::::f:�}i•:-:v.',...::•:.:�.v:4:•ix4:•::x::::::.,..:.v.::.v. - �}:r4:•}:•::•:•:;.....n......r.,...;, :..,.:. .....4:...r...........v?....t...........:...v.:4................:v.v.:.................•v:........... ..... fw:::.;^.?..}•.;::. ^.•:lt•^`•`:Yr'r:h;r)}v:::^}':::. .... ..,........:::.,.............:. •.....r.......... ......::.................:..: ...:,;.....,.:-......::::�:::::.�:::•::.:..... . hone .:::::::::::.,.:.;:...;,,:::'•}•,..... ,::..}:,:•• .. ....... ..................... :..: v..:..:.::.4;};}:.�.}}:•}:•}:•:;4:w:::x•:rr:::•...................i..:::•w:ri.::•.;.;:4i}.w..;r...v::::.•x!•, >}}.:l .. ... ... ::............:.......•:.vn..,.................•v:::.. ... ......n...•:x............... :.x.•...: t.n... •v:nxr .ny.,r,rry`}?��;}:`}:::YC;}}.}: . ... ......... ............ .............. ..r....... .....�......:::::::.............:•::::}:•}}:•�::::v:nv.v::}::4:?•}:•i.:.....4n:•n•:•.:.v:::::{:. :;•}Y;:;4nw:4Y::{:•::4ti!•: ........... ............. ....,........,., .n.......r.........::••:w::,:......., ................. .•:w:•rr.::::v;•w;.}..v::...w.:n;...:•r.:•.:�:::::.. t.::}.;w::.y:v.,}, :•}}::•:::.i:•}:•}:•}}>:•:•:}::::?•Y:.>:;•::•:•}Y{;•}:•:;•:::4}:•}::�:•::.::::•:•:•......::}::...:•.�•.�.�:...........::.:::••:::::.:,,..�:......r.:..::..}..::•;•:::•:.}•{t{•: ! .!iK•y?::•'R;�}:;::;S::S::{<•:4:t:;•}::{�}}:•}:t•}}:}:}:•:!•::r:•:.,...r........ .........,., ..... ,, . I am a sole groprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have p Orkers CO ensation ollces; +;N�� !:sN OwiII W mP :::.::::.:.,•.:::::::•::•.::::.:;??e:•}:4}>:4:;:}t r. 5::::ittS>:>:$•}:{??•x.x}:4'•x:::}"{:.. the foll g. .:..� ......... .....t.... ........ .......... ......... ..:..::•::• .... t.r..t:4•:4::.:•.r...v....r:i:.:::r:::•r:::::=.•y};.}..;.::vx,v:r!:v:Yt':.'=;}'%n::}y} ..r .... ...... ..... .......... ....:......::4:?4h:::.:......v:::4Y}:y;:::::..,...w::r v:•:.:...,.. nv.,;.;:4n$ .... ............. ............... ............... ................ ..............:.......r....::{:;.}Y;::{•}.::.:v:::::•.............. ...:•::•:4:•i}:}}....... ........v::�v:}:?{}}:4:•}'}:v;, .:::•.:C•.,rr{.:9{}.•:,;,.it,::n.;x:•}: ..n..... ....... .... .. ............. ...............................;....................:n•r:r..............v:...., ,.•mn:v..::::. n,;:.rx{•L4}': ^:;:,:•,vhn,• r.,-_r4.,,•:r{.:;. ..{... ........... ................ ... .::. ..................... ..xv:.v::::...::...:}:{i•}.'.`}tw.•• .. ...}}:t•:.,•.vx....w:::}::::.v.:.v. ........v. ........... ........... ..... .............n......:.........r........ ..v;.:•:. r::k„v'^"•..,v.t:}}::•v.Q`.•k:.:.}: .....w• ............:. .....:...... ::..: r.... �•:. ::::n.::.v:.v::::.....:•:•::::::•......:::..........w.vt{w::::.::::.v::.y}::.:�:v:•}::i::::. r......r::::::y::::::::::.v:•?:....t•.,=?:•:?•..:a..,..: .... ... .. .. ..��]yy.pry,... .... ..... ....... .. i R1 W 1 Y C } h 4 3 me �na c} anV 4 �mD rs'CLI •t xt ..s 4 t, J f .i^r. 't�$Yi':Y:'r'•}:'•t:ry}Y:t:v::•i•}•:$}••::vk�:'r} }. •::•::y�'::` 4... v Ir..f:••r.. Y=t:t•:;.;•.};:;:`•}:•}}}:}::::•.::�:,.$<?;::r,.•}{}:;•••57:$:?;}:.... :2:,,t !.............. ..r ... 5. 4 ...... .. r.r ... .... j �....... .....:......r .. .. ,. ..:..::.... .. f t -- S 't } $"'4w 4 Ss 4 r`4 yy ilk /V S ,fi M. 0MC— :?�;�S;ii::: :�??, 1•}::�:::•. h ......... . . . xu;•:}r:v•a•:r;:•::,:4rY>;{:.:t•}.':,.jx$a;$}:{+}:�S"ft}t:•;;;.;:{4:aY4:•'•"':;ir;�'$',2<�7Y}. .............:....... ..................................... : ..r:.....,r.............::::••.........,.,.:.}.}::}:.rt•}:.,•rt....:•r.:•:'•}>:•... „. .........r. t$; t:2+:G r:,. ..:........ ............ .........:................... ..n..........:{..:....,.n.... ......r .y.r........... ............. ...x......r.. r{ .fix,....:..... .kf.�.: v:'F.•'`ri: ........................... ... ,:........... ? .:..:....:........t..:.t...:.....,....n.. ....:...... .r...:... ....,........ ..r .. ..... r.:: Y.... ...}.. .... . •4..} },`,•`,<: .}:4r. .. ...........::::.........:...:•.:..::.:............:i•:•................r.}....:...............,....a:•r.,:......:....t.....:.f.:• _.... .r.::•.t r.:... f..:!:•r.....4....f f ...... r..:........ .......... .. ...... ...t..... : ..... .......:..... ...................... .... .. ...... ....r...r..:.{.t.........:....: :.r. ...,... ... r,::k :r•;`:i%',:•< f{::`4i{' ::::2t W f•:,•`..,...v:}r:•x•::r.v::r:::.=•:r.•,{.r.,v "•:::.;. .v. ....;.,.;,;4....• t,}w• v.v:: r•r.4:;r.,..:..::,::x:}::.. ., t{: ..v y.}.,�y.,.�,,�.��... n..;....;. .. .f :•:x::F.:• r ..{..;.: .,.?}{) .. .« :.. �.}{.}xr:x.:� '•v. :�•.•.:}:$ oiler!•#:?{<?.% ........ ...........�::.:.::..............:::::•:.:.:..::..........,.::...::•::::...r..:.:::::•:•::..Y.....�:•:::...........r .::r=•::.,•..:.•::r•r::::5?:SS}::•:54:;::};;}:;:::}«;:::f:5.;:;}r...,:.v...}:.G::-::.• ..•F.•::.:v::.vn•.:..•n. .::h•:r.k:•\..r.r. h•,7 .}vv.• ..................:•.v•:•:::::v::::::•i}Y:v.v:::.v•.v::.v:::4:•t:w::::::::v:::::{:.....n.•• ,. nr4::::::.$;:.;.,..r.....;• n....F.r.:•.v:: :•::::•. ........ ......r ..... .. .......: .................:.,:••:•.:..... ... ..:..:.. ... }..... ..r...... r.....Yi+.::ti}y:;}}�,{::. x:}r,s.,�'`4:�. -:::::. ...................... .........x... r.....0......n,•:•.r..................:.....r................ ..... :.:.v:•'.•:...v•r.. ......$:•:r{:{•:}:•:....S.r ..`tt:::...: r?'L: ..r..... ........... .....:..r.. ............... n........r..... ..................... ...r...:::::::::::•.. ..r..::::.:....•;..}../.....r... ..h:•.•:•:.{rw:v:}:..v.:....:. .}.}r t `i$}i:{ .4e....r....:..:::...........:::•....... ....:.:::r.r........:.....:::::.:....................::.r...........,..........r•:•:............. ..:•:..r.....r.......}:•:....,..............:..{.;,... 4:••.,.:4}}..t..esR..r:YS....... ..... ..r. ......... :....n.. :.r. .............. .......................::v:•.v.v::vw::::::•.::...:::v.v:::::+.::....;..:.v:w:::::•:}:.........:... ^. by::::•r}}:?�:i4:•}:^.?}�;}iv,`:�r 'r.:nw:::..•f•..... ..r.} .....:::.....::.:.:v:•.:::::.:-::v:v4}}};{•:?ti•:•iy::�•:.v9:�?{•i:?�4}%{{•'fi..}:.v::::.v:}:.v.:v:::::::..:v.......... n..�.........::::•.:v:•:•v......... rp .....:...vrvh........v......... ...............�................ y,� ......... .....................::::.vrv:v::v::::.;.v:.:Y.}:?{•}:{.:}'C}}}:{:;:4}'}•;}:•:4:!•;$==•:4v::'=?•}iw:{:4$$'::$:l$$Y:::'?;+�;vxf::+}{i!::}i:$::$:}:j p $n:�$hiei... :;•:3::::;;,hr.::x;:}:}:.{:F.:r::;r.:t$:4?'}f}ti}}:•r:::•:^::If.;;F�.,..'J,.•n:}:.;...v,.;.•.}v::.v:: •YULU ...................... ......::::::::::::.v:::nv.v::::::nv.v:::::::''vv:{;{•}}:•}:•}}::^5:4::.}';;'•:4::r...... n..... / .. ............... ...............................................:v.vv::::•:nv.v... .......:......::}::...:.:::{r:{{:$:...;;. .t..::.}:::•, .•.fit:.,Z};• ....... ..... ........... ............. .......... ........... ....:....... ...}:.}.... ...;n}:.,.....:.... :}:.•.}..r}{•:::rxt,+v:...:::}•.r::•:;:{•$•.S4}X;,4 :.5... ............. :...........:...... ..... ....i....... ..................:.:•.v:::.v?v.:4::x.....:::...v....•:=.•.v v:x:::::...4:•..SJ'r.ti?4!:{:4.:1^: ........ ...... ...... ........ ..............................................:....:•:::::........n::.:::::.v:r:,....:.;:.Y:.:.r:....._.: .:::v::,v:::: .r....r{}.•:i:$Y:::•$x:?:?Fi,:.::.{O$!,}r?:....... .......:;.::::.. .. .... .::.:}`}}:•}::?•;{:ti•`.•;:v::?:•::v.:t:v:::::,v,..v.:.v:•i'.v::•}:•:4:?•:{•}::i::::'{vi:?�$$:::::•:::::{v:;:=:is?•}:.:�:•};;::.:.}.::.:::.::.v'r:}:•}::.:v::•,.......::{ ..:.r..,.. r::.�. �`.:......!...:.: v:::.::•.v:::•:v.v;:::.4•:;w::::::.v::::::•{.:::.:,:.:J:<:•::•.•:. ... .......:.. ::L^i:{.::•ii} ..... ..........:..�...:.....:::.w::>:::x:::.-:.::vi w:::•}:•}}:p}:i::-.•::�f4Y•}ixJ::{::i:tv,:ti'+;:;:,S;C:n: ...........r. .. ......:.. .. .. ..... ..... ........... ........r............. t.....r..•::R?;.:???::{;a::.,^•=i:::ot}s,r'•:}:}"y::: :y,{4.v.:::: ............ r.......... .........:.r... ................ .....�........n.. ....:,v::::::.v:.....•:::::.:•n•::y..•:.:•v.vt?ii:v`:•:J::v......, r:{r. N ..... ...:............ ,...................:....................::::::::::::::::.v:::.:....•:::::::::::x:,..... :.:•................•:v:::x..x :............ n............ .........r...................v:,{..n.....:;.:}x:::t v.v:::::.:::::•:4}:•v::;::::.vx*.•}•:.?::???•$:•:,.'�'•}ti:{>:^i••};}Y;::?'rr:vr},. .. ............ ....... ......:.. .........r.. ...::•:.v::.v:::r:::.v:..........•:..v........ .... y{� �?{4:w:::r.:w;.;.. v..,........... .,.....:x.:n:.r....4:.Y:y}?'?'•.v:�:t$'r:i: .. ............................ :r::.trx.::::.}••:n•::::::}:n '4:::•Y.'"rur:r.:;t:.:} ........... ................................::::r::::.��:.�:::.}}}}}.:.::::....:::::ram-::•:........,...;....,•:•:r.{,•:::::::::::::::::rr:.>.•:•:::.}•r::::. ....r....... ...v....:...... r...n....• .... .....:.v v:.:v::•.v•:•::.::.:... .:.n•.:.}}::.};r.;::•.:tvv'•:•}.'r•\.rri4•:{4:v':v`r•{.;:i�:;}'': ......... ............ ............. ........x• ...........f..... ................r..............v....•::::•.....:..:::.t..........rt:4Y•$h+.vx.. .•:<. ••...,..}.}'}4:•.v:::.`{•: .:.......................... ..........: ......................... ............t........ :::::.......... ...... r,t:r:..}}'.•}:` }:.}}}::.r::�•::r}••}x••...... ,4,••:..�:f:,•,.,:rJ'3:,,;: .....r. ......... ........... ............... ......:...... ...:...v....}........:v}:::::::::v:::•:;..•....• v.•:•:::•_'•::.v::•:by;n; ... .. n. ..... n...................::.................r....... $..r.:•::};..r......r.�;:.h..;:+.....•...... ::.•y4•+i}:$..v;{?:?{•;'. ... ......r.. ....v....... ............ .........:... .............v.. .,...:r........... ............ ..... .. ••:.;4}};{•}:•...nv:::4::4}}:•:vY•}}`i;.,.::.?:'•}}ix4:4:}}y.} Jyt:f{{•4}r�:$$:`4}${'?�:} ..:.:.... ........ t.r....x:..: ............ ..................:•.. ....:r.....:....... ...........;.}:... r.:.::.v;•.., f .....w•• .4:}1v:f...;:.;.::... ...........n::::r:....v....:r.:..fn........,.v:•................::....................}.:n......r.....:.._....r............ •v:::-.}}:4::}::v w::.;.:v.v} i21]Q'YAtYCe:CQ�i':�:5:<?•>:•::::•.{.,{•;.}:•:::...•:.:::.:•,:::::•::..:.:.�.:::.:::}:??•::?•x?.:u.:;:a:-:{•}}}:.:?{.}}::;::}:•:;•>;•r}:•}:;.}}:{.}:?•::.,}}:-:•:4}::::: coverage regidred raider Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sae up to S1,5t)0.00 and/or BaiZm a to secureimrl~osunent as weII a!dvII penalties in the form of a SI OP WORK ORDER and a fine of S100.00 a day agahntme.I understand that a oae yam, copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I des hereby certify under the pains and penalties of pei jury the the information provided above is&uP and correct Date / Z'0 -2 signature Print name tut Phone# 7 y' Z yy_— 6 z O 6_ ofgdal use only do not write in this area to be completed by city or torn official dry or town: peradt/license# ❑Building Department ❑Licensing Board response is required ❑Selectmews Office ❑chrckifimmediaternpo q ❑Health Department contact person: phone#; _ Other Ur=Viud 9/93 PJN 35515, \ 4 � Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compe nsation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neithert P performance o f public w r the erfo til commonwealth nor any of its political subdivisions shall enter into any contract for p acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants a ation affidavit completely,by checking the box that applies to your situation and Please fill in the workers' compens corn as names, address and phone numbers along with a certificate of insurance as all affidavits maybe supplying P y submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ti date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents.` Should you have any questions regarding the 'law" or if you are required to obtain a workers' compensation policy,please can the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space b Pottome f the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the pe�rtllicense number which will be used as a reference number. The affidavits may be retarned'to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents DInce of fnvesugauans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 r °FIRE,° Town of Barnstable ti Regulatory Services ' snaxsz BLE, ' Thomas F.Geiler,Director 9 MA.98. g �pIE1639 MA.Sa`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: nmlsb4 Orr Z"'V F41"L �1m. Estimated Cost q m_aa. 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 Muilding 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 11VIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name I . , M CAR AppendQ J 'able J&Llb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Hated with Fossil Fuels MAXIMUM MINIMUM Glaring Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U.value= R-value' R-value' R-value° wall Paimew Equipment Efficicncy' Package I R-value° R value' 5701 to 6500 Hating Degree Days° Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 1 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 8S AFUE X 18% 0.32 38 13 25 N/A. NIA Normal Y 18% 0.42 38 19 25 NIA N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a F . 780 CMR Appendix J Footnotes to Table J5.2.1b: ' GIazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example, 3 fl of decorative glass may be excluded from a building design with 300 ft'of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation, plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value y in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 JAN-29-2003 01:44P FROM: TO:i5087900808 P:1/1 FROM :rKY, CARPET a-EAN96 FM m. :15083254815 Jan. 23 20M W:27PM Pi mew (f,e%((tk) A4#c PO-1 Uo�.ii r: •�.. E .tit To ce i RiR11utDA PiiC�Fa7 •,. r`, 40048 . t ' " &VY 41 .,-%dool S rLe sr 61,1 , 's - 3�9.4Pis- ell�,?Ioxvlj A Tvo rr)r k). JAN-29-2003 WED 12:58PM ID:Dr. LeUeen PHC PAGE:1 y ' t RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 vf Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE %77_ square feet x$64/sq. foot= (p 0 012.15. x.0031= ��•as plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE 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 $150.00 (plus above if applicable) 3$ g $ Permit Fe projcost •_�,• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . . to Map Parcel Permit# 6 7 3 / Date Issued o 3 Health Division / ' "{ ` `` T ® t 'i ' -� -1�`���� Conservation Division 1 Application Fee �n � Tax Collector , , z >�� Permit Fee r' . Treasurera� SEPTIC SYSTEM MUST EE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 6 ENVIRONMENTAL CODE ANL Historic-OKH Preservation/Hyannis T0VJ11 RECJULP Tina 1S Project Street Address vdhv Village Owner TT Address UAJ Telephone D Permit Request S V F EZX Square feet: 1st floor: existing �U proposed 2nd floor: existing proposed/ Total new Zoning District Flood Plain N/ Groundwater Overlay Project Valuation /1 Construction Type k& "--C Lot Size �(� Grandfathered: �'es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ��X mily ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes aooVo Basement Type: ull ❑Crawl ❑Walkout ❑Other 22 Basement Finished Area(sq.ft.) 0 n Basement Unfinished Area(sq.ft) Zo?U� Number of Baths: Full: existing O( 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: C9'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ZNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Zo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size / Shed:❑existing ❑new size Other: Zoning Board of Appeals ' ation ❑ Appeal# Recorded❑ Commercial �oq&r�mw Yes o If es,site Ian review# Y P Current Use Proposed Use Name bA ��/ BUILDER INFORMATION Co Telephone Number Address �� License# �� VANA00; M 6 C Home Improvement Contractor# Worker's Compensation# RX ALL CONSTRUCTIO DEBRIS R U TI FROM THIS PROJECT WILL BE TAKEN TO f SIGNATURE DATE oZW d ?j i } FOR OFFICIAL USE ONLY " PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. i ADDRESS = VILLAGE OWNERr DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ! ELECTRICAL: ROUGH > FINAL PLUMBING: ROUGH ; a i ;w.^ ' FINAL GAS: ROUGH'% -Z: FINAL FINAL BUILDING 'DATE CLOSED OUT ; ASSOCIATION PLAN NO. i. r jla,66w, Ada ,;License: CONSTRUCTION SUPERVISOR Numbeifc'S 082931 B'irt a(74� 1967 6 Tr.no: 82931 +: i Re§at 4 I -M NTH ' 6CANDELWO:ODf WEST YARMOUT oAtC Administrator i I I 1 ~ _ The Commonwealth of Massachusetts Department of Industrial Accidents . _ Office oflayesrigatioas 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance ATTdavit -------------- location: hone# �j ci ❑ I am homeowner performing all work myself. ❑ I a sole r rietor and have no one worktu in ca acitp rovidin orkers w en for mry mployees working on this job. %{',{_:;i ..ii..;, •v { .,..yi.{ ?,;: an em 1 er g compensation e . ... ::v: .....:.......•.r,,;.;•tt:.;, :..,....rr. .-....... r..r........ ,.......r..... ............. .....:.........:::.�.v::..................v:•r:::?:::. ,4"'•+.::w>},;7ir;!•::4:;v:.,yi :..t.;::,... ....r..... ........... ......nr... .r.r........ .................:..: .. ..:::.::.-:.v:{N.•\•.w:r-..:•.::::.}:}::::?.}:{•}:!4:•Y}:•:............n..nn.:I.?.}:::??n:4;S:•}:::�.:..v t4f.••n{:;}•i.•:. ....... .............. ............... nr.,......• ..........r.... ..........:..........+.. t..........r..... ......�..Y................::..nv:.'.{•}'{•:w:w.v•::.v.:v::v:w::::•• :...4]::}:.v:•:fi:?{:tt•}};Ltir..:nS^r ...,.:...:...............v:... ..J.....v.x..:::.............:..:v:...n.......,...n v::........................::::::•. ........nr....r....r..,,,};.v;t.n...nv:+:?:v:v.. ..n...... ..r...... .,.......... ..,..... ....... ..::......:.:::::::::!4:i{•75�:+.v:.v::::::::•v4}7:4Y{:::::..,.. v.v:.::l is{:;::{}:???: %h::::::nv+4:t4:•:v:•:::.:::::<{{::?w::::•:::::::......:•.........;:..r:::::::::....:...........}}:;}•{.:?:::7:iv;r::::::;:::{::::::::.........;..:.v.......,..v.....r...;:.:.:n:•i;4;y::;v:::v:.v: .... ..... .:..... .eon ....r:4;7:}Y:•};•::;>}}:: .................... ..::..:::::...........:v:;:.v:::•.::::.:.n.......:••;:.v::::::...•..:•.+.w:::::fn•......,,.:•+:•:r.:w:.v.w::d:nv.r...t..:Y:•::4+ii:•::•:•'•:{•:r'•%!4{•.;r•'a•''':'i fv:}:.:•:•}. w ... .. .............. .......... t....... ..v..... ..•:::•::.....v.::....•:•:v.w:•.•nn..n:.t.,•:::•w.v:::v{::..;..... :,.:..�. :.r},•vr�• ....r... ...... ...x....r.. ........ ..v...... ..:•.....}.w:}:::;;... •.,..%:{4:•}'{4}v;::...n:ln.. :.L:•{(}5•:.. '•i:}::':;:;�:i t;:::>.j .................n.:......n...• :.......t...:.......... ....-................ .r.:........n...•:•:•::v:::.::........••w::::v;.....-..... :v.v:.•.?i•:.,v:n:+'t, r. :•{}a}+:•}:•: .... .............. .......:.... ... ....n.....r.r ................ -..............................;;.... ?tv w::.....nv...;..:w;;... v..}•{.;•.4.aL}'S:•:>'+,tf•'v�•- '•'4+' : .......r. ........... ............... .n...........• ................... .....:n:.:::::...v.......:••..?.....n........•vv:nr.•....,......... :.... .::•v;,,r.;}n..v:x::.,:.v•.tr:r•:,v..,i•.}.:}... fS{'•'??G<:if'S4i:;: r.4.•n..r.............::............y:v.{.i•...............::...........--r.....:::....:......,..........x.... r.{.:•.v:•.:..r.. ... :..x..... ..,-.r. .. .......:. ................. ....... .... ........x......• .......::::::v•,::v::!h:•%rra:n•.; ..r.v}::%4:•}::v.v;::v t4}.•: ::Yi'•%:a::t f tv,xn:..r-r.....r......r.;.}..-...r..f..{ ....:.:..r......y.......::n....n....:.......•.w:r.:.n....r.,. 5....:• .. r ..... .{.t.........t...: .:........... ................. ..-.{•:::.......t•:.••::>::::::;;...••:.......,•••::Y.nr::::,; r..:},ti ..f•:;•Y:•:.;!}:;•:.. {v 1.....n.w:.................::.... ..r....%........:•::•. ............rv..:.....,...........••:•:.v••::::....-................. ......::{:n:r:::.v::xk...........4•:{:nv:;:.v,;v:•i:•5::::•x:::v:nv:::::...::.;.. ,.., ..:::• ..::`:::t4:;;.;...rr•••v:•v:r••.}:4:nrF::. .•.v,:1:4:•}:4:::::{ ?{OY.!4:•n7n:•. ..... ... .............:... .. � ..........::::.iA:+:::::•:::v:x..vnj'??+•}}}}YvYa.,•....;::..w.};:4:M•}}}:t;}:;':i^y+%Y+:t{{{;.v,:.. �� ............... .:v.:::::::n•.,r:.v;.;..... -nit{+.•+-:{:i:i4:i.`{: �� .. .. ........ ...... ...........:•::::.:...::..:................. ,...' ..r.}}:?}{:4Y:4;:4:{•:n•:A.vl:.;:•:•}:?•}4�+'$::};'r,•••L;{{n}+:ia::?:•:;r tinrr�{. �k#.:,.,•,f•:S•.::::v'r' .r ...r.... n..r.... ......... ......... ............... .. ...:n:v.:.:v::::y.rr ttv.•x:v:n{•.w::;{..;:ii%;:;:?. :vf}%:� titi7v>i,: n• ............. ...r..:..... t. ...Y.n r.....F... ................ .......v.............. .,........... .x ..v. ... ... .x::i{::•:::..>.;•}Y:?;:;%?Y:'::+{-::,{r{.:n}:.:'•.{{}•.•}i;>,i:;: ..v............n.•::•..:................:vx,....... .........:}:...............:..t...-.. ..........v:::...t...:.........:::::::::.v:::x{{v:.t..r:..n..t:•-i;:::rti+:..}...:.. ' ..]..:.W ..v.n.....n..... .n..., ................. v.v::::::r ..:LL L�•;n.....n::}7:n•}:'•: :..: •:{L{vy+ :•}k�•i+:a:•:? ...v.... ....:....... ....v......... ...t............ .............. .:.... ... ....:::.:v::..... .: .:.... }.,;.n•v;;......•Y.R.:f••:�':}::.::Y}:;Y:Q.;}•{} :{•\•:,•:?�:i�t.•in}i;. J...,. ........ ............ ........ ........ ....r.�{..}::::::.�:.�::::::::•r.:,.}...:.:.:a,..;,.:..;..::..:.....:.....:....:,;r hone•#.:::}:.::.......::�:}:!{:.::r.:?.:.}.::::.. �::r:.->.<;. .... .....:•:::::...t.........::::........t..:..::::......:•:......::•:::::::..... tl ........... :. ..:..<:•:::.r:::.:�:::•::•.;•:.4:•::•:•:::•:;r.•:.:?;•}:}:•:.:::{:•:;{•::::...:::::rr:.>+}:i;:;?;;:•:<;:L%•}:•:>:::::;.<:•.•}r}.!4.•3:•}Y.?::}3;•;•%:�:•:.yy�s:}}<:;::: .;i4::x::•. ••.t:•n.::.:..:}r: ,{.Yrw•.vx;::x.....r•�f,.}.:v:rn•:•h..w.:::::•i: ...... .....t.. .t.:...... ........ ......................... .:........}:n.:}}}Y•i:•:.v:}v.:vv':k{?ti•}+'•t t.::::::•v:.ii:Y,tt,. .........r.. ........ .......'tnr.......• ......:.... .........n,.:.v:::........-.:w::.v:....................-........ .....::::Y'Y.t:iY'•:t:•.....•;;;},...:::....r..t....r....:{...:.•r.4Y:!r:}:t•}•?}:•4•:•::.:.:, ...... ,.......... ............r ................ .............. ............ .............::w:.....,..... ...........,. ..:v:.•.t............,...::,.::::::}}:::::::.:.:v:,N,.;:;:}}{:i}}:�::}.. ���'ti i tip:i:i�i i�i$:i .....n... ....... .r.. ............... ............. ....................::.:.v:::xn........... ....-...... ........ .. : ; .?•:r::::.::::•::.:v:::::?:..:::.•:•::.t•:::}r:::::::::.v.}.::::C.::i�iS}Yf}::%:.v]:??]::::{r.•::.•. ...v....r:n.•..... ...... Y..!v•::..:.....:::::.:v::,v.:::.....v::::•:::::•.v:......•::...........:.•:v,v::.n..•w::::::;.v:........,; ... ...:•:v:::::::::.v.v:::4:.+.•.....:.-...................n..,.. �111U3'`3.. ::Cfff`':i:;7•!:•:;:;:::i:•:ii::{:::}::;.:;�::t?a;!.;::.;.::.:•.... ........... ... I am a sole proprietor, general contractor, homeowner(circle one) and have lured the contractors listed below who have o olice {,;:��.,<.•;•. }�•„}t: ;;�;J�•�;.J.�.:,:::.. the followin g wo :•::::.:::::::::.::r::xrr.r:•:.:.,•r:...r:•::.r::Jr:.. .,•:.t:r:..::•:r:.r:.:{:.•....r .c:;..?•.%:;: h:.:t••. •:.,<...::»:« ...... ........... :.�::.:.::.: ::.........:..:::.... .:::... ::r...;.:................:. .... . .5... .. ...... ................. ... ..... ............ ... ... ..... ..... •.�::..:::.:;:4}:�:::::::.•...............}r.•: r..r...,...?•:•}:??•7:'.•::i:�ii>:.•. ..a: rcv,•'tif} r. �.......{..r v ...........:::4:•n4:vr::rii.::.t..n:;4:. anv na ..... :...:.....:. �m .... -� ... ...:.::..........:.v..v:::•:w:::::}:7]}!:.:}}7:{•5.:....:::•Y:n}:?La:4:•:•}7SS;'.:Y:w::::}}.v::.:v:i:4:} ........ .. .... .... ......:... •: ..................:•::....n:..............:•.. '?v::{47%4::v.Y'i;:%•::•i:•��{rbi::n+:+.} -•YWC,•, .. ........ ..... .. .. ...r. ..........,.. ..v......r..... .v.... :•::..::::.v.:.. x.., n.},:•:{r:}i:• 4.•...t:> ?r}l;:d:?;}7: .,....:.... ........... .. r .. .... ... -:.. ........,. ............. ............r.!•...v:::::..... .v,R......v:::v..�(.v%::.,.r.,•.t!{:.;.%::::•{}n M1:::•{}:::.?^.:i{(.;r t 1•. .+V: .... ..:% ......... ..... ... .... .•..::'............ ...::::... .............. ..:.:::::::::::5:::::::::.....{, .... :::•:. u•{a;{:.::.::•}•v:J.•nv•,•}:;•.}•}.'1•'rYi•}•�i.+ Y>Si'::;:�;:�iiC}{ .. ..r..,... r...n... .<?• .n..- .... ..... ::::::.......... .........:?:t•}Y::4Y:{4;{::{.: nw:.vv:Y :..r. .....r....... ........ ...... ....-..............t:•;}:4:•i:v: ......vn:v:.vt•i'4:::v;......,.. 4:•Y'tr:•}}:•i:•:{!•:n;}:4,r\. :.::,.r..r-- r ...::::...........:..:::r.t.:... r.•. ........ ..:• .. %............. .r...r::::.{•:•.v:v::.v...;; x......r' :r::•tirY?•::?::.:.., .{.. .:F:?•..........v:•.•.:........v{• .. ... ..;� .......n•.v:::::v:::v::•?•::::....:•....•.v....... i•}}:{iii,....::::.':Y•: r.? ...y.::.v.:..t.....n:f.:... r.. ...:.a..., }:: ,•:::::::........4..:.4::}.{•::::: ••v: ..v.......M1.,:.+:;!{t,.•.:v::7i:::::v �... .. ... �•!;•i::+7;ti•}...• .. 'fi:•S} ::J:.•:.:? :•. .v..;:•:.••:v::::...... .. ... ............v::....v v:..;.• }•Y�{�'v'+fij uiiti}iii:?:ii:is ?.r.. r.}-:•n.:t:..:sir,. :?: .: r.. .::. r,:�.;y:+$>:::::' '.:;•:?{•::::•: y.}.:: ;:.i• }' •...t-:.i:iYi:i};: :�ii:r. hOilt:�.•:::..+. r.1,::?r :{•+:{t4:ity. J. ...::}:}. :. •. :::.vv:...:..... .. ... .y {isN$if{:•'i}-'•�t+r7v-42,N{-•, ............... .. ... ... .. .. .. :: •. .....::•.:nt..r....,...-.........:+.r;........r.......::. ..r..t...::••..., .,: :',.y,. ;}iy:} rr.C}t a: • ............. ... .....r• .. .. ... r.. n .. .. ...: :.... ... .tx::.rw:::::w:v.....v..:.:::�•:::::::::::•..-.:K•: l.••.:: •:44Y.. ... .... ....... .:...t............r...........n.•:•.n..{•:•::.:vnr•:^:.vf:.x•. :' r.. •$:• .•}Y •:rt r.�ii} r.}ur::w:::::nv::.:v::nv.:.•:•;; •:.•: •....:vv.::• .. .. r. ..:. .. ......:.:.v.......r........................... ... 'k�`-'iih..t�'. r.. .....r... .. .t ... .. ....:.:. ..... ....... .............:::::....:::....:::::.}}:•�tt•:n•;•::•:::::n .. •..:•}::?• n?:;::::,•: 5:•.•:¢:{}f{.vk ^C{f n:n. ...t•r.•.r .:..a•:::;:::•>•...:•........ �nn:i:�'.: '�f'�' •t�.y r.•:i{9:%;•a•:::rv:?�:;}•.;{•}:•}}}•.;::}: <...S.r. .........n: ... v.- .. ..:v.v v: �t,r S::i f' r.;.;;;....:::.: ::Yn•:v:::;};{:.:.;�.}.::.: :•:::j::Y ..Y.....\ ..h-..:...... •:.{;:4r;::%o%r<i.'ii{i•:}>S•:::•:::•; ::::k::::i ::k.:::.•.,:{YS:�:r:rrY:'^,•:_io3i<:::i?:: .......... ........:.::::::::::.:.,.v;-:::.-..:...}i+S}}i 4:7}'47S}:}�i:4i:?]::j}i::{+Ci:L:$:'i,<�S:ririit:v}::iv}:v}x...r:.4::•S.:v}:?::tn::::ryF:{:: .........................:�::::.:............::::•:::::•..........::::::r-:::::::::•::•..:.:.:::.,•:�-::::..:....:r.�.•:.:•..:.:.)::::...:::•.:ft•....:.•:•::::}::::,•,.::..,{....r.:tr..-,,..t ••:::E?:...tY:s.^.;;:} •4.:f..:::.:Y:.::•:. .................:::.v::-:......n,v:;:::•::•:.•:.,.?v.vrr::::v::.v::...•i..::::}.v:r:.:.:......;t...v:::..tn.,...+ ....n::•.....vn:v::.:...•v?•}:.{•r:.!v}.v:.:rh r..i.:....:::.: ..r....v:v::.r:..xv.:. ............ ............. .........: .-....:....... r ............... ......i........ -....v.v:::::n..,... ....... ........... t.........r.:f w.v.,x•....t..frr.`,{..•:••.}•..... A:•.::.{>:ti:n'}v{•;\.Y::•i 4.7:{Yr:i�iii: .r. ...:::.::......... ....v............... ......v:::::::r,•::nv:�v:,..:.{.::rvw:•.v:.v::..x::::w::•5:�:::::v:.:Ttr:,. -:.}.!�\re Y4:n;7{},Y.,...; r. ... .r. :... ...............:..:::rvY:::::vv::•:::::::.x...... .{•. :.:•v,:4l.v:x:..+:•:•................r:.xAy,.}:Y??•%r{:};.y.;;.M.v•:Y{:']<{1,.}:•L`•Y:l:.`„4fi .,,rih;::yi::: ::•..A.r:�•:::::::...,.v::::..v,..rv. .^nvv:::::r......:::.:v::::::::.:::......v.:v::::::::...... y.v::•:nv:::,v.,;....r:::.v:.:..:..;}w.w:::,:.•......... .n...i ;...;{........:::r.v:.:v:...•:•v,v:::::fn r::.....:::::v:}n.................:•r:.......:::v::Yv,v.•}:•S}:?47:•7.-v•%w:.v::.: r:::v.::...:... ......:;.,..........................,..n.... ; r}. - ..... .....r..r.v::::::.}::!:•Y::La:47Y.•.a:!::.:vr:w::::?•:.��v:.::•:::•.:.:..........}::::::•........ we ..... r.vv::•:YYi t?4}}:}:•}:{4::;'•:::::?.xt.........•w::.v::::.};::::•}•:'n..f•; 'vn:•'if.;.::.•::.:ii an.aateiei. .............. ......::........::::.v:::v:::::r?•:{?L:.v.:....•v:::v:v.... ........ �.:7:•:•+{{:,v.Y:::.•rr...;..:...t•..:.} $},.}, :.t::.-{ .� .................. .....::..............r.........::v:..........t....vn+..........::t..,...n....-Q::w:.;r::a7:•r.......:::+-{•:i}:ti+i:.4:•••,a}•x:iYirr::+{?4::•Ki J:}7...,.tti�}{Y.t)>4:7v}:v:,!?v:ii.'{• ....................•::•.::v:::.............v•.v.v:.:.......•:•::::::v:;}:::•............•:•.v:::....:.....;?.r:::.............:.•...r....v...:.}....:•:::?•,:•:r::::;v::•v:•.v:?.:.. ..r.•.vx :.} ... ,aw'-0+ .................v.:...n.... J::::n•..;.....r....:x::.v:::::.:........\:::::::..................-n......: n.......v...4;:::}::w:.:..v:r::::.•.; .r.....r. �vv:.vr.... Y-:+:r {{•... •... ........ .................. ......................n........ ..................::...............-.........:•............. ...:..,.rr: ,:..�;:va;•?:.{}}}Yin:?:.:.•.:...: r::ir?•.•V ..... .. : -,.. .... .i ........ ..n•.v:'Y:?4:v:.v.v:.,'y:::{x:.v::::r.•:xi:i•�•:.;,.•::::n••}Y7:?:ttv'{:::;:?vr}r,<}:!.::t,rn4., r ....... ..r... ..r..... ......-.n.. ....... .....�.........::..... .:.?4}:.;...:... vr.:•.::t•::.:::•.:t:•:::•;}Y}:•Y:ni:Y•;Y:t•:,.•• ...4•Y}x•;yn u•:rY•::i�{:}:!:�i:S!;.� .. ....r. .... ...... ............ ....... ........................:..,......... .....r.::.?:.::;:.}•%•}::.;;.}}}:•Y:•:n:;:{:i:ii�i;•}:•}:•:}:.::•}:•:•:{.�..;{.::,:Y::Y:::::fi:•:.r{:::Sr•�.:J:.......t. ........ ..........:.......,::................::...............::.:.:................:::::.......... .:...... .-........ ......-.... ...........................:x:....-.. t:??till{'}4:{^::::•.?•;:r..:w::v':Y:•}}:4};.• ••.v...•-.... {•Y:{•:,......t ::::::.}}:?tv:x7::}}:a7:•:•;:}}:}::?tii2::`t':r:�•:.v::.....:.r,:w:•}:::}::..v::. rri:; .. n......v. .... a7•f•r:•:n•vv x„{i•::{Y}7'•}ii:•::: .......... : n:i: .� ....... ..............:•.vw::....n: :v:::..}•{:.}:..t:.:n:.:•v:i}YY:•} .......,•:+.•.v::.......::!•::n•w:::n.t........... ..::}:•7'•}:4:{4i}y:ti4}:{{{.•{•}'••{•'}iii Y::•t.:;:;:>nnwr.-, ............. .....�.... .....r............ t..... ......t....... .+........r...:::...:.v:::•:.f.:v+:::.{••::::••v::r;;:•}j.::. ..;.,.;.;:••: :h•a.: #:. :r.4::•. ............ .....n.. ..r......r...... ........-.. ............ ..................-.. -........v.....•;••.t:v.v.:..n....}:v:n•:r...... ..::•:r:{v'•::::::::.w::::•:7}r..v.....;;..,{r.Y•:•Y:4.. is} t...t. .... .. r..... ...v... ..r....... ............ ........ ..... ...........r:•.w:;;.... ...v::. ............t.n..n.;;.,r .;..... :t{n.•.•.0.ti{::L}7'r N•:\•i .. .r.....,.... t.n....... ......... ....r......... ............ r,............n.. r.t. ..:v.., ....... ,x:q; ..v!vr., r....... .n.. .. r.... r..r... .... .. ........r....:...::.:........ .%vv.::.v:.? ....r.•;:::::.v::x' �.....}. ::}Yr,v ir. i l:v .r.r. ..rr......n.....r.x.,.f....r:n.,r... .....................v:: ..t:w:.rn....n........ .... n..:. ..:......J..... .....r...f.r.. ....r...............n.-...............:.......,........n....•,.: ..v;.-•.... nv....•:•..., .:...:. ...:.:,{.}::.,.......::::::v::.y.. • n}y:n ........vi}fr•S::ti vY:i .....n..• h.;,•v:}:.......v:.v:x::...,.:•;v::.v:n:v:}:•i:::Y;:•::+.?Sa:•:a:.};•::.}}:!;•.v%*}:t4}}:•}:iii:?4}ii}•:::•• .... Faitare to secure coverage as regm1 ed under Section M of MGL 152 can lead to the imposntion of ertmirW penalfln of a Sne np to 51,500.00 and/or r one ye,imprisonment as well as dvil penalties in the form of a STOP WORK ORDER and a Sae of 3100.00 a day against me.I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and a ofped at the information provided above is true and correct. Date Signature phone# Print name official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department OLicensing Board response is required ❑Selectmen's Office ❑checkif immediate r'e spo _ ❑Health Department contact person: phone#; Other (m "d 9/95 PJA) f Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any contract of hire, expr ess 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 ina 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 oovner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the of its olitical subdivisions shall enter into any contract for the performance of public work until th nor an p commonweal Y acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants ` Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplyingcorn any names,address.and phone numbers along with a certificate of insurance as all affidavits maybe P submitted to the Department of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and (y_ date the affidavit. , the affidavit should be returned to the city or town that the application for the pemut or license is being requ ested, not the Department of Industrial Accidents. Should you have.any'questions regarding the 'law'or if you are requ d to obtain a workers' compensation policy,please cO the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate.to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 f °TIME,° Town of Barnstable ti Regulatory Services saxxsTas , ' Thomas F.Geiler,Director Mass. 16119..�A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date -" AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. �q Type of Work: V(J�U► a� / w` Estimated Cost Address of Work: Owner's Name: Vii(J vt/ Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work e ded by law Jo nder$1,000 wilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PE 0 ALING WITH UNREGISTERED CONTRACTORS FOR LICABLE 0 IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE I TION P OG OR GUARANTY FUND UNDER MGL c.142A. QT, ALTIES OF PERJURY I hereby apply f a s of the er: Date V Con actor Name Registration No. OR Date Owner's Name r,. ti Ft r Town of Barnstable Regulatory Services * anxxsznaie. v MASS. Thomas F.Geiler,Director �ArE1639. A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize I � 5 �� � to act on my behalf, in all matters relative to work authorized by ' g permit application for(address of job) �l Signature of Owner Date Pn'-ETNarne QTORMS:O WNERPERMISSION EAG _w 1 37 t Z-or y� V 2. �GtJrt�t4-T/ar•/.. Sfj'ou.�,.�....GcN�ciS �2- T MES C. c a MCORE in / E Pla.33253 c E . TOWN CLERK °F THE BAUTABLE. MASS, snw+arAe,.e. � 1� MAR 27 11 1' 56 Town of Barnstable Zoning Board of Appeals Notice of Withdrawal Appeal 2001-69 - Molinare Variance'- Section 3-1.1(5), Bulk Regulations, Minimum Lot Area Summary: Withdrawn Without Prejudice Petitioner: Carm' Mane Molinare Property Address: 3 and 5 ydney Dr.,Hyannis,MA Assessor's Map/Parcel: Map 2 9,Parcel s 004 and 152 Zoning: Residential B&Wellhead Protection Overlay Districts Relief Requested &Background The issue in Appeal 2001-069 is that of a merger of adjoining undersized lots held in the same ownership. MGL Chapter 40A, Section 6 directs that undersized lots held in common ownership are protected for a period of 5 years from the date that the zoning change occurs that rendered the lot non-conforming. An individual would have five years to either build on each lot or transfer one of them out of common ownership to protect the buildability of the lot(s). The twist in this instance is that the lots were in separate ownership at the time of the zoning change and did not come under common ownership until after the change of zoning. A review of Section 4-4.2 Nonconforming lots might suggest that the undersized lot may still be grandfathered-as a separate buildable lot under the separate lot exemption provision (Section 4-4.2(1)). However, in March of 2001, Massachusetts Appeals Court ruled that separate undersized lots merge together when transferred into the same ownership'. Perston v. Board of Appeals of Hull, 51 Mass.App.Ct. 236, 744 N.E.2d 1126 The two lots at issue are addressed 3 and 15 Sydney Dr.,Hyannis, MA. They are 15,830 sq.ft. and 15,970 sq.ft.in area.-3 Sydney Drive was developed in 1972 with a two-story, 2,000 sq.ft. single family,dwelling with an attached garage. 15 Sydney Drive is vacant. The applicant Carmine&Marie Molinare own . them. According to information submitted, a division of land recorded in Plan Book 183,page 21, created the lots in 1964. At that time the area was zoned Residential B requiring 10,000 sq.ft,lots. The Residential B Zoning District remained at 10,000 sq.ft. minimum lot area until 1985 when it was changed to require a minimum lot area of 1-acre (Article 1, approved February 28, 1985). At the time of the zoning change,the lots were not in common ownership. John Stephen Walsh Jr: held 3 Sydney Drive, and 15 Sydney Drive was in the name of Rondi Kacherian. In 1988, Rondi Kacherian- Sintiris conveyed 15 Sydney Drive to William G. Sintiris and Rondi Kacherian-Sintiris, creating the common ownership of two adjoining undersized lots. According to the above referenced Massachusetts .Appeals case these two lots are one for the purposes of zoning. 1 ,A f Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 19,2001. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 20, 2001 and continued to September 19,2001,November 28, 2001,February 20,2002 and to March 13,2002. At the March 13, 2002 continuance, Chairman Jansson read a February 22,2002, letter from Attorney Edward W. Kirk to the Board requesting a withdrawal of the appeal without prejudice. Motion: At the hearing of March 13, 2002,a motion was duly made and seconded to grant Appeal 2001-069 a withdrawal' without prejudice. The vote was as follows: AYE: Daniel M. Creedon,Gail Nightingale,Jeremy Gilmore,Randolph Childs and Ron S.Jansson NAY: None Ordered: Appeal 2001-069 has been withdrawn without prejudice. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision. Ron S.J on, hairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the oce of the Clerk. Signed and sealed this =day of der sins and penalties of perjury. . Q . Linda Hutchenrider,Town Clerk 2 6-2E-202 11 :28AM FROM P. 1 Jun-25702 `ONS From-TOWN ATTORNEY1 OFFICE 5098624T2a T-402 P-03/04 F-460 Tower of Bamotabte Legal 0epalrtment-Town Attorneys►Office T'T� 357 Main Street, Hyannis MA 02601-3907 Inttar-Office Memorsndum Robert D. Smith, Town Attorney Office. 508-862-4620 Ruth J,Weil, 1 St Assistant Town Attorney Fax, 508-862.4724 T, Davld Naughton, Assistant Town Attomey Claire Griffen, ParategaULegal Assistant Claudette Bookbinder,Legal Cleric Date: June 2+4, 2002 To: Ron Jansson, Esq., Chair, Zoning Board of Appeals To: Arthur Traczyk, Principal Planner, Pia Di 'Sion From: Robert D. Smith,Town Attorney Subject: ZBA Appeal 02002-53�—MolinaTe- Request for Opinion of Sec.4-4.2(2) Common Lot Protection Legal Ref.#2002-0138 . This memo is in response to the May 22, 2002 memorandum forwarded to me from Art Traczyk with respect to the Molinare zoning appeal(a copy of which is attached for your convenience). - I hove looked at the question raised by the above memo and I have come to the conclusion that, in wivilext, the term"vested" in the Common Lot Proteubon provisions (section 4-4.2 (2)), together with the "(ejxcept as otherwise,provided herein"language of the merged tot section(4-4.2(5)), that the Molinares' vacant lot is presently buildable as a"grandfathered"lot. ! would be happy to answer further speck questions in this regard should you have any. RDS:cg Atchrmt. taool�,�stvac��a�t ,. f i 1 Town of Barnstable F'114 tio� Regulatory Services Thomas F.Geiler,Director BARNSTABLE, 9 MASS. . $ Building Division 1639. �plF0 MAC A` Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 " - t Fax: 508-790-6230 Office: 508-862-403 8 Zell y/3 � � a2 PERMIT# FEE: $ �`S• � � 7 — SHED REGISTRATION 120 square feet or less 4 3,(\MS ^A Location of shed(address) Village. o:nR A , Property owner's name Telephone number ( a x �a Size of Shed Map/Parcel# c� (<i Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN rrns-shedre Q fo g Ri V:121901 i +. �..v� a•�.cc� �c.oavcoocu V411-LLR%'r, CLI,q t_;I_I HAUL Uz r j 4�7- 1 y , __ ..�..�___ ...�.._...._.._.� t4 l r o t4 I \ { i Le-• .r ?"G.fj- < i fju ,./ 71 ,re►µ!"'-.�d,� ----- —� --- •---._._. JAMES i TOWN OF BARN96BLE BUILDING PERMIT RN � PARCEL ID 289 004 GEOBASE ID 19351 y ADDRESS 15 SYDNEY DRIVE PHONE HYANNIS ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT ' DISTRICT HY ,II PERMIT 67329 DESCRIPTION 14 X 22 DECK I PERMIT TYPE BADDD TITLE BUILDING PERMIT ADD DECK I�I CONTRACTORS: TIM WILLIAMS/WILLIAMS BUILDING CO. Department of ARCHITECTS: Regulatory Services TOTAL FEES: $55,00 BOND CONSTRUCTION COSTS $1,000.00 ENE 434 RESID ADD/ALT/CONV 1 PRIVATE * BARNSTABLE, MAS& z6;q. BUILDING D ISION t BY U DATE `ISSUED 03/05/2003 EXPIRATION DATE { f TOWN OF BARNHTABLE BUILDII T'PE RT tPARGEL'`ID. 2_E b 004 GEOBASE ID 1935i''.; ''ADDRESS 15 SYDNEY DRIVE , N.. PHONE HYANNIS SIP f _LOT _� A ;_ _ BLOCK LOT SIZE i DBA. DEVELOPMENT DISTRICT HY PERMIT 67329 ; :. DESCRIPTION 14 X 22 DECK PERMIT 'TYPE BADDD ..__ TITLE BUILDING PERMIT ADD DECK CONTRACTORS. TIM WIL,LIAMSNILLIAMS p BUILDING CO. Department of ARCHITECTS,: Regulatory Services TOTAL FEES5:a.04.po . BOW 4 , 0va CONSTRICTION COSTS $1,00 .00 434 RESID ADD/ALT/CONV 1 PRIVATE > ®� * BAMSTABLE, 1 ♦� D MP 39. BUILDING D ISION y BY DATE ISSUED 03�05r2{ 03 ExPIRA'k'I1t� DATE C/ -� THIS PERMIT CONVEYS NO RIGHT.TO OCCUPY.ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN= CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTIOWSTREET OR , ALLEY GRADES AS WELL AS DEPTH AND LOCATION.OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM,.THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 'MINIMUM OF FOURCALL INSPECTIONS REQUIRED ? FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1:FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR' 2. PRIOR TO COVERING STRUCTURAL MEMBERS" HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- . ELECTRICAL,PLUMBING AND MECH- ' (READY TO LATH). PANCY IS REQUIRED,SUCH:BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY: anI.-STJi Q01 Oyl&011 M _BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL f. WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. . NOTED ABOVE. TION. t BUILDING PERMIT r RUN DATE 04/11/03 TIME 13:35:32 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 289 004 GEOBASE ID 19351 ADDRESS 15 SYDNEY DRIVE PHONE HYANNIS ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT. HY PERMIT 68386 DESCRIPTION SIN. FAM. 2 ND. FL. FINISH PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY I ..CONTRACTORS;_.- __._ . _.._._ _ _ _ ._ _._.Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND .00 CONSTRUCTION COSTS $.00 q► 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE I * snw'vsrnBLE, MASS. 0%6 �I BUILD )G D I ION ( i BY DATE ISSUED 04/25/2003 EXPIRATION DATE 3 TOWN OF BARNSTABLE I BUILDING PERMIT PARCEL ID 289 004 VGEOBASE ID 19351 ADDRESS 15 SYDNEY DRIVE ' PHONE : HYANNIS ZIP - LOT 2 BLOCK LOT 'SIZE. DBA DEVELOPMENT DISTRICT HY PERMIT 88778 DESCRIPTION FINISH OUT OF 2ND FLOOR OF .HOUSE ALL INTERI PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY i CONTRACTORS: PERRY, RI CHARD Depgti-A Of ARCHITECTS: Regulitory, Services II TOTAL FEES:- $238.98 l BOND $-OO �pFa CONSTRUCTION COSTS $33,000-00u �. 434 RESID ADD/ALT/CONV 1 PRIVATE a. i tr $U , m- yi§,�Apw DATE ISSUED 02/04/2003 EXPIRATION DATE I THIS PERMIT CONVEYS NO RIGHT TO.OCCUPY ANY STREET,.ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN! N CROACHMENTS OPUBLIC.PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,.MUST BE APPROVED BY THE JURISDICTION.STREET OR j ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR.ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE j 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR f 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). ANICAL INSTALLATIONS. 3.INSULATION: OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. i. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 P I Y 2 2G� " � 2 � �^'S0c3 o 1 D✓ 9 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT / 2 BOARD OF HEALTH (os OTHER: SITE PLAN REVIEW APPROVAL s WORK SHALL T PROCE D NTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS FmA/A THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX . CARD CAN BE ARRANGED FOR BY RInI Ic GTACFc nF nnNRTRuc- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTI FICA TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 289 004 GEOBASE ID 19351 ADDRESS 15 SYDNEY DRIVE PHONE HYANNIS ZIP - 1 I LOT 2 BLOCK LOT SIZE j DBA DEVELOPMENT DISTRICT HY PERMIT 68365 DESCRIPTION SIN. FAM. HOME 2/BED PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS,:-, _ _ _ Department of ARCHITECTS: Regulatory Servicesr TOTAL FEES: BOND $.00 pF CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE sni'vsrasr.E, MAW _ t639. BUILDING DIVVION BY DATE ISSUED 04/25/2003 EXPIRATION DATE 3 s TOWN OF BARNSTABLE 1 BUILDING PERMIT PARCEL ID 289 004 -'" GEOBASE ID 19351 ADDRESS 15 SYDNEY DRIVE PHONE HYANNIS ZIP .. - LOT 2 BLOCK LOT SIZE DBA . DEVELOPMENT . DISTRICT HY PERMIT 63153 DESCRIPTION NEW 2 BEDROOM HOME PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: TIM WILLIAMS/WILLIAMS BUILDING CO. ARCHITECTS: D�e�'par tmen�� of Regutafory Services TOTAL FEES: $416.64 = " BOND $-00 CONSTRUCTION COSTS $118,272-00 101 SINGLE FAM HOME DETACHED 1 PRIVATE , id39= -Eon A I BU DIN IS BY DATE ISSUED 08/20/2002 EXPIRATION DATE i j THIS PERMIT CONVEYS NO RIGHT TO,OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACIiMENTS ON PUBLIC.PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,.MUST'BE APPROVED.BY THE JURISDICTION..STREET OR ALLEYGRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 4 MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION j 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR f 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. f a 4 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS k 1 � ��d �'/ to 0 2 1 If✓d � ���" 1 ° hc 9�0-3 � � e 2 2 2 ,�ika� 3 1 y� ING IN ECTION APPROVALS ENGINEERING DEPARTMENT F/n� l/as ' _3 V 2 ZDo( � BOARD F HEALT OTHER: SITE PLAN REVIEW APPROVAL i WORK SHAL OT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECT R HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY E VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. WP O 11 i ' i 71 MASS.MASS. V Tolvil o F,13,1 rils I a b I Zoning; Boni-d of Appeal Decision and Notice �'lolinarc AI►ped 2002 — 52 - Variance- Section 3-I.I(5) ilnllc Regiihilif► is, Minimum Lot. Area Summa"': Granted will) Conditions , I'ctilioncr: ('arnIiIIC c- M:IIIC.Mnlinarc Property Address: 15 Sydnc_y I)Iivc. Ilyannis. M/\ Assessol"'S Map/Parcel: Map 299, I',nccl 152 - Zoning: Residential B and(irncnxllvnicr I'rcllcclirur Ovcrlay I)isflicls Iklcl<Rronnc & Rcvic�t�: '1'hc• issue hcFcm: Ihc N)ald is Ihal of a nicl-gul (&adjoining 1110crsi•r.ccl Iols In Id ill Ih( s:1111c owlwrship. '1'hc sl.lhicc.1 undersized lot is 15 Sydney I)rivc, I i.varrc,, (\I;\. It apparc•ndq was rlcrl,ccl will) Ihc neighhorirt, undcl-sized lol. 3 Sydncy I)r. 'I 11q, arc 1 5,8 30 s(I.(I. and 15,970 scl.11. in area. 3 Sydney Drive was dcv(•lopcd in 1972 AMP Iwo-sloi:y,2j9W sd.11. sulg,lc-[alllily dwelling, wilh all allachcd garat!c. /\ division of Lind recorded in flan Boole 1 33, pay 2I, crusIA Ihc Iols in 1961 At Ilml Om Ow a(ca was zoli('d Residcnlial 13 rcduiring 10,000 s<1.(t. lots. 'lllc Residential B zoning I)istcict remained.al I0,000 sci.W miniml.rin lot area until 1985 when it was changed 1O require I minimum 16t arca of-1-acre (Arlicic. 1, 1pprovcd I'chruary 28, 19(15). Tllc.• Iwo Iclls came into bmilm )ri owncrship alid ccinlrol il1 ally of 1988 and remained tinder comrrlon cmin:ol and ownership until l'chruary 19, 2(1(12 when the npplicanl Cnrn)ire & i\laric Molinarc translcrrcd 3 Sydncy Drive into scpaiatc ow►ucrship. Procedural & I le-m-ing Summary: 'Phis appeal was hIc(I at 111c '1.'own (:IcIVs ( )f(fi(c and at Ihc OIlicc of Ihc zoniut, hoard ol' r\ppcals oil I'chruary 22 M12. An cxl:ension of hinu For luddhT the hearhT and I'nr filing, of I'llccic•cision was c•xcCIIIcd hclwccn Ihc applicant.and Ihc I'.oarcl. A public; In-aiing, beforc illc honing hoard of /\piwals was dl,jly advcrliscd and noiices serf to all almllcrs in acenr lancc. will) N4(il,Chaplcr dtl/\. III(' lmariiig was olwllcd Mai 15, 2 OI and conlinucd In Ante 26, 21102 al which lii1wIllc hOard Found Io l,rant Ihc vnriarlc.c. Board i\'lcIIII)CIS dc•.e dint, Ibis nppraj were (,ail Nwhtint'alc, Richard I- lioy, Ralph (:Opclancl; 1c•.l-cim, Gilmorc and Ron S. )ansson. r\mmicy I""ward \\/. Kirk represented lllc petitioner. /\I Ihc; 1cnlc 26, 2002 conliuuancc, Mr. Kirk addressed Ihc variance rcclucsl. I Ic• nolcd Illal Ills lot al isscic.is a vac.an( uIldcrsizccl Iot addressed as 15 Syhwy Drive. 1'hc lot was in confirm) (mmi hip with a tu'ig,Wanny cic•vclol)cd undcrsizcdIO(:, 3 Sydncy I)rivc. In accordance with (;hapfcr 10/\, Scclion G, Ihc: Iwo undcisizccl 1cils would have nua;t,ed info one ('Or zoning, purposes. 3 Sydrey I)rivc• was sold and Iramfurrc.d irlo !,cl)alalc ownership Icavint, the vacant lrlulcrstz.c.cl lot. Nil. hill; noted Ihat Ihc• lot has I)CCII IaNCd as ,I scliaralc huilc.lal)Ic I'll aril Ilia witholll Ihc variance. a financial haldship wollld he plac:cd on Ihc• applicanl. (\lr htrh I a\'r t1W Iu:+io y r of Ihc. owncrshil) of tltc: It no(iu l n a }t 1hI the lcrl,cI \vs c:ulsccl )y a l`.)ti8 n:liu;uu.:int� of the bonu oti 3 �yclncy I)riv, when the b:uih rrc�ucstccl both lots bC I)I:tc_c:�l ou the uu,nl;al;c. Itt Junc (,I,,U1)1, the' :tl,I,ltc_;uit soul;ht the ol,tiuou of Ilic then I3L111ditii;( .ollulusslonct :ts to the builclabilit)' of the vac:anl lot, 15 Sydney Orivc. ISasecl upoii th;u luticr (hc :tl)I)licani bcllcval lie 0 Mid S;I►c the (lcvclol)ccl lot scl,:u:uc born Ilic vac;utt lot_ '1•Itc clt:vclol,ccl lot was Ir;utsFcirccl into scl)at,u.c owticlsluO III I"cbruary ol.?OO2. A\!lien au ollci was recclvec► For the v ilc:;inr lot, an o1)iutou of the biiiictabtlity of OIL: lot \v;t soul ht :unl in ):uni;ny of 20O2. Ili(: Ili-, liiiilcliu,;(.t,nunlssu,ric:r rulccl Ih:u the vac;uii uucicrst ccl lot wits not bullcl:iblc. �Ir. hirh st;nccl Ih;u tilts Ich Ilic ;t1,.1>lic:aul, ( ::trntinc :lull NI:uic' N'lotin:trc in a very CORIOLIS position aricl + rrcatccl the uniclucuc;s tltal rl(ccl:; Ibis IoI ;unl [lot ibc zorititlt clistricl. Mr. hirh uolc(l that tbc: litcr:il cnForc:clncut of the I,rovlsions of the Zouini,( )nliH'1Incc wocllcl tuvolvc. ul"S Lllti;tl Iirl:uicial haalslitl) :uul the I;r;uil-of the v;u:i;uux wool! out n:1)resciit a substantial cicirimcur to Ibc1)uhlic �oocl nor stil)st;uitially Jrrol�atc Iroin the uuc:nl of Ilic'l.oninl; Orclivaucc. •I•he vole was :is Follows: <;itil Niglttin ;tic, ICicliarcl I.. Iioy JCICI]iy G IIIIorc ;ii)cl.IZou S. 1ansson NAY: I�:tll,h (:o1)clancl, Fiuclings oC Fact: • \i the lu:triu , of 1t.uu: 'G, ?UO2, the 13o:u'ci u)acic the I'olluwiitl, tinclinl s of I;Icc I. ;\I)I)cal '2002-52) i IIml oF(,arnlinc & M;n'ic (\loliuitrc scckiiit� a Vari;ulcc to Section 3-I.I(5) Bull ItcL;ulaliuns f\li�iiuiurn l.ot .\rca Ctccluiru ICHIS for All tuicicrslzccl lot IO be coIISIcicvul I:,ctilclal.)Ic uucicr o 5Syclncy A,scssor's /hp 2�);;is 'AiVCls 00 , y t iiniii;. T )n,)crty is shown on I)rive, I ly:uiiii", (\Ir\. Ina Pesicicntial 13 l.onins I)isnicl. I ?. \ literal ciiForc:cutcnt of the l)ruvisiuns oC the 'Zortini, Onlin;ujcc vvoulcl IIiVoIVC Substantial Iruclshil), IIItSIilL IIII or olhcr\visc to the I)ctttiolicr. _ In;iy bc' i"I'Miluld \vilhout substanli;tl ciclriincnt io the 1)ublic I oocl and \vtthunl tuillilyitil,or stibs( tniially cicrogaving Iron) Ilic: miclit. or Isurl)osc oI Ihc. %. M M' Urcliu;utcc. I. lw IoI b;is bcCII asscssccl aucl la�ccl ;is a builcl;tblc lot Auld the :II)1)lic::utt hats ')cell I)ayin rliosc raxcS. 5. I'be subjc t lot I:; abotu: rite saute airs its )bosc in the BLit;hborlloocl, Iiur,;l. eel \vhich arc cicvclui)ecl. Decision: Is:tsccl on the linclinl ;; of Fac i, it Inolioli \v:rS duly in;tcic aucl scci,nciccl Iu I tali the alil)c;tl.\vi(It [tic bill VIII0 ouclitton: Ocvclo iiiicitr of 111c lot shall be withuuc variance oI wimicr From Ally otlici al)l)Ilcablc rc;ulauons of %oninl„ ( : > ; c o . o( lipltli rccliurcnunts. otisc'VIII o Thc void: \a tS ill, Iollows ;,ill Night-ins;;ilc, Rich,Ircl I.., lioy, jcreluy ;incl Tort S. )ab sell NAY: fZa11)li ('o1)clru,cl, I Ordered: \!ari.utcc `_'llU'' S? i; ;t,intcd wi[Il Concliiiolls. This ciccision utust be rccoiciccl at the Itcgisuy of l)crdi (or it to be in cffcS. 'I be redid maboriicd by lids dcc:isioit nutsi be cXcrusccl Itt one yc;u. \l�lxals of this dcc_istou, it auy, shall be rtlsulc lrtusu;iut. [o NIC;I, (.maid -lll�\, -CCllon 17, wit_biit t\vcuty Ap clays altc'.r the date of the lilini;c,l (his rleetsion. !\ coley ol*whtelj ttutst bC ILICCI in the ofltce of the I•owtt — — (:h;urttt;ttt Oatc �lgnccl I\,otl - I, I,incLt I lutcaicuricicr, laerh of ihe'L'u�un ul 13anIsiablc, 19:nns[ablc County, f\iassachuse[ts, hcrcby c.crttly that tweruy ('_0) clay; bavc clahsccl since nc, '/...o 6"g 13o;tnl of Apputls lilecl tltts dccishm and that uo ai�l�c;tl of th(. ciccisiowhas bc-C,t IiI(:J in ill: oflicc of rlu:•I'c,wn lacrl: ! C, uudc�the ties art hcl�llhics of pcipry. �_ — L SiI!,nccl :uul ,calcd [ht,l 1 cLty ol� - I.InLltl I Iruchcnridcr..,'l.'o\uit I � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map Parcel �� ¢�'� _ . Permit# to Health Division D5 6111410.7 - �pkz.� c .2001-4 S7 Date Issued 0 Conservation Division f_ >. �!.S0✓ 1114A9-NA vL Fee �f Tax Collector o z rl' �/�i��� D�� � a� %LS6` 00 Treasurer J/ SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning-Board ;�, ev ENVIRONMENTAL CODE AND o v a L !- c,,, (2 4OWN REGULATIO�JS Historic-OKH Preservati n yannis Project Street Address �yoAUr V D2/t/i_: Village /�'41VIy/S Owner � h1/N MA&z&,m 1 Address T/AQ Telephone JD� 7 I-- S-6 32- Y�11/ lS Permit Request di!/ '-sz, C S Square feet: 1st floor: existing 0 proposed /Z3Z2�nd floor: existing _(�Q proposed Total new 4Z- Z- Valuation b2l Zoning District -Flood Plain /yy Groundwater Overlay PV 0 Construction Type Mom Arc Lot Size Grandfathered: kYes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2 Two Family ❑ Multi-Family(#units) Age of Existing Structure_ N ,4 Historic House: ❑Yes 4kNo On Old King's Highway: ❑Yes 6d"No Basement Type: ®,Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /Z1Z Number of Baths: Full: existing © new Half: existing (7-7 new c Number of Bedrooms: existing 6 new Z- Total Room Count(not including baths): existing O new `7 First Floor Room Count �a c5 Heat Type and Fuel: &Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Uk.No Fireplaces: Existing New ,V Existing wood/coalit,ve: ❑Xes, �Wi No o Detached garage:❑existing ❑new size — Pool: ❑existing ❑new size Barn:❑exisfiig ❑new size— Attached garage: ❑existing J(new size Shed:❑existing ❑new size Other: //V &AYel1°A17- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes plo If yes, site plan review# -Current Use A.41W ��� -- Proposed Use BUIILDER INFORMATION Name ZV/61_14W 1 70 • Telephone Number Address Re AA c} License# CS Do'. 7e �D(Z DR-E7 /'/!�. Home Improvement Contractor# Worker's Compensation# � -- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS OJECT WILL BETAKEN TO „,4n*N71(f SIGNATURE E FOR OFFICIAL USE ONLY �IZERMIT.NO. DATE ISSUED M�,,P/PARCEL NO. ADDRESS VILLAGE. t OWNER DATE OF INSPECTION: FOUNDATION t { FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH) =+ FINAL GAS: ROUGH: FINAL FINAL BUILDING '." M r ,ram C) DATE CLOSED OUT , r+ { . .+i6 ri ASSOCIATION PLAN NO a `� - t i i i net �� .77 i � 3 Z,0T r { f Low � /6 r i Thy& s ... .. .. .. ........ - ... . "" ,� r av�All sue. OF SS�r9f �jC� H r Z I`g e JAMES 3G -----...._ c. MOORE Z7, Lam- P 3 P�oF t�tqy� Town of Barnstable o„ Regulatory Services ELAMSMLE, : Thomas F.Geiler,Director i639• ,�� Building Division �ATED MA'S A Peter F.DiMaiteo. Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: .508-862-4038 Fax: 508-790-6230 January 25,2002 Carmine and Marie Molinare 22 Floodtide Ln. Hyannis,MA 02601 Re: 15 Sydney Dr.,Hyannis Map 289 Parcel 004 Dear Mr. &Mrs.Molinare: In reviewing the documentation for the lot that you wish to erect a house on at 15 Sydney Dr.,Hyannis,I regret that I must determine that the lot is unbuildable from a zoning standpoint. I did review what Attorney Kirk stated in his letter of June 7,2001 quoting from the Town of Barnstable zoning by-law section 4-4.2 under the common lot protection,that protection"shall become vested upon the sale or transfer of the lot so protected into ownership separate from that of adjoining lots or the building thereon of a residence." This lot was never afforded this protection. The Bulk Regulations as of 1985 was increased to one acre. I agree that,at that time,these lots were held in separate ownership. In 1986 Sintiris obtained ownership of the lot, . 3 Sydney Dr.,with the residence on it and later in 1988 obtained the lot in question, 15 Sydney Dr. At this point these lots would be merged because in Section 5 of the Zoning Ordinance,"Lawfully non-conforming lots that are adjoined and held in common ownership or under the control of the same owner shall be treated so as to conform so far as possible with the minimum area requirement.of the zoning district in which they are located." Even if you argue the point that once these lots were under common ownership that you could possibly have a 5 year protection window to build under Section 4-4.2 Common Lot Protection,this would have expired in 1993. What you need to do is appeal to the Zoning Board for relief.. We understand that you do have an appeal before them and have continued this a few times. You really need to have the Board hear this case. If we can be of further assistance feel free to call this office and we wish you well in your endeavors. Sincerely, Tom Perry Local Inspector aw:tp CERTIFIED MAIL #7001 1940 0003 9647 2935 , Planning Division-Staff Report Suggested Conditions: If the Board should find to grant a variance it may wish to couside rt ffe ow condition: ' �.���.•,. Development of the lot shall be without variance or r ff9m•any other appliFkle regulations of Zoning,lgiggh,, Conservation and Building Copies: Petitioner/Applicant P ! W Attachments: k J` �, �r� r r , (� l� `_ •_ � , i Too .�► �` 44 it s b 4000 S�tAV yam-- �'�'�� - l�A �,F y�. (�o�l ��N- �Y�n►-� o►� Ces e VkA� IN r<r ALs-j 0*� efayrdr- �Pp* VA'-'jAWr-r. VOISM" S 3 Gomm-onwealth_-of Massachus-etts Board of Building Regulations and Standards Manufactured Buildings Program LABEL,REQUEST FORM This Section for State Use Only Date Received Label Numbers Issued: Fee-Received $ OCR, CaC� l - ( 1 00 Check Number ,, j Date Issued: 4 O a: Issued by: This Section to be Completed by Manufacturer-PLEASE PRINT OR TYPE SECTION.I-.MANUFACTURER INFORMATION BBRS\DPS I.D. # Maraifacturer Name - MC# Streets Zl City/State/Zip AU . 2 Manufacturer-Telephone Number: 07 FFax Number: (267) \K59 yyy(o Manufacturer-Plant Inspector. INa(l� a Third Party Agency TPIA# Number of Labels Total Amount Attached $ — Manufacturer's Serial Manufacturer's Model Number I IUM 2 Designation SECTION 2-LOCATION F O BUILDING . Street City/State/Zip AA _ a- 01 SECTION 3- BUILDER/DEAL R/CERTIFIED INSTALLER INFORMATION Builder/Dealer ' ( � Street - --- arc City/State/Zip Certified Installer $Q Licensed Construction License Number: Supervisor Expiration Date: This form shall be completed by the manufacturer when requesting manufactured building labels. All information shall be clearly indicated. Incomplete forms will be returned to the manufacturer unprocessed. This request shall be forwarded to the State Board.of Building Regulations and Standards-CERC- Building, Paul A.Dever. School=1380 Bay�Street,Taunton,MA 02780 Bbrs\Forms2\mfgLabe1Request June 15,2001 y Affidavit of Substantial Financial Interest of�/l/!/&Z.8 , 4—O/AEG' �4, , on oath depose and state as follows: 1. 1 am an applicant for a building permit for the property located at Map Offl' , Parcel —. The address of the property is /s SYaNOY Le ilE 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from tod.ay's date, which is Z IF— d Z , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above-- Name Address 4. Within the last twelve months, from today's date, which is — r-02. , I have had a 1%° or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted fl building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted \ building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this R° day of J4,42_, 2002— 20 2001-0050/affin Q/LOTTERY/AFFIDAVIT I ��CA►�O�R INSUMNM ❑The Hanover Insurance Company Massachusetts Bay Insurance Company Worcester, MA 01605 Bond No. BLN 1691291 LICENSE OR PERMIT BOND KNOW ALL MEN BY THESE PRESENTS,that we,Williams Building Co Of PO Box 272 Yarmouthport,MA 02675 as Principal, and The Hanover Insurance Company (A New Hampshire Corporation) Massachusetts Bay Insurance Company (A New Hampshire Corporation) as Surety, are held and firmly bound unto The Town of BARNSTABL.E as Obligee, in the penal.sum of One Thousand------($1,000.00) Dollars, good and lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, and our heirs, executors, administrators, jointly and severally, firmly by these presents. WHEREAS the said Principal has applied to said Obligee for a license to or permit to open, occupy, cross by vehicles and obstruct a certain portion of a public sidewalk, berm, curbing, street or way at the location of 4 Sydney Drive, Hyannis, MA 02601 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if Principal shall faithfully observe and honestly comply with the provisions of all Laws or Ordinances of Obligee regulating the business for which license is issued, then this obligation shall be void; otherwise to be and remain in full force and virtue. PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for the full period of the license, and renewals thereof, issued to the principal above named, or until ten days after receipt by the Obligee of a written notice signed by such Surety, or its authorized agent, stating that the liability of such Surety is thereby terminated and canceled; and provided further, that nothing herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of such termination. Signed,sealed and dated the 15th day of January , 2002. rl116LA Principal (seal) By ❑MASS HUSETTS BAY INSURANCE COMPANY NOVER INSU NCE COMPANY j By Y V Form W-0761(3/95) os` ° � c� Attomey--in-Fact •'O This Power of Attorney may not be used to execute any bond with an inception date after 1 Oil512001 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire do hereby constitute and appoint -Kathleen F.Silvia- of Centerville,MA and is a true and lawful Attorneys)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed,at any place within the United States,or, if the following line be filled in,only within the area therein designated any and all bonds, recognizances, undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: -Any such obligations in the United States, not to exceed Two Hundred Fifty Thousand and No/100($250,000)Dollars in any single instance- And said companies hereby ratify and confirm all and whatsoever said Attomeys)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President, in conjunction with any Assistant Vice President, be and they are hereby authorized and empowered to appoint Attomeys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company. Any such writings so executed by such Attomeys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982- Massachusetts Bayinsurance Company) REOF,THE HANOVER INSURANCE COMPANY AND MASSACHUSETTS BAY INSURANCE COMPANY have caused th p d with their respective corporate seals,duly attested by a Vice President and an Assistant Vice President,this 15th day T E R INS URANCE COMPANY MASSA BAY I U NY (dam 1) 19 g Y II ysG , eaI) ice President A n rn Jf&istant Vice President >� Assrsta t Vice P t 0 THE CO LTH OF MASSACHUSETTS ) d) �® COUNTY OF WORCESTER ) ss. tn6, b On this 15th day of October, 1998,.before me came the above named Vice President and Assistant Vice Preside elan surance Company and M"wrh gtts Bay Insurance Company, to me personally known to be the individuals and officers herein, and admowledg!,*t t*se ed to the preceding instrument are the corporate seals of The Hanover Insurance Company and Massachusetts Bay Insur �Ci pan y., �ly,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrumeA thd*authority am fDQon of said Corporations. � 0, . �� Q �OTAR y do . • ea — Notary Public •'% PU Bt ,G � My Commission Expires November 26,2004 I,the und�i s � •� ��esident of The Hanover Insurance Company and Massachusetts Bay Insurance Company,hereby certify that the above a rue and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said P p 4&ll ey are still in force and effect! This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company and Massachusetts Bay Insurance Company. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and executed by the President or any Vice President in conjunction with any Assistant Vice President of the Company,shall be binding on the Company to the same extent as K all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 -The Hanover Insurance Company; Adopted April 14, 1982- Massachusetts Bay Insurance Company) GIVEN under my hand and the seals of said Companies,at Worcester, Massachusetts,this day of 19 ----THEAHANOVER INSURANCE COMPANY --- M ACHUSETTS BAY INSURANCE COMPANY Assistan ice President Assis nt Vice Presiders TOWN OF BARNSTABLE BU `DING PERMIT APPLICATION Map / Parcel 0 Lr c 'G'"' Permit# Health Division —( U I Date Issued Conservation Division 2-0 0 L DWI ; Fee _ C %,�1 Tax Collector -� � e - Treasurer '7 v SEPTIC SYSTEM MUST BE Planning Dept. r'\ INSTPUED IFaI COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board L J' &_ ,� EPPl1 � t��rF NTA.1 C +n 8 Historic-OKH 40se ation/Hy na nis "' d '��a ti�; �3���� f Project Street Address !� S XJk 'e Village I �/��S, Owner C41�' t q MaElE_ Mot. JNA � F— Address 3 SyalAl el DR. JlYhh 1A 15o - 0,2 / Telephone ✓� f� g ^ 77 Permit Request Z 01�. / .n e IR to `- CO/U,SR- UC 7' i Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation '_J I -�? 40 Zoning District Flood Plain k O Groundwater Overlay Construction Type 5-1113 Lot Size • :5 4 ACRe Grandfathered: )(Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �/19�/ Historic House: ❑Yes J�No On Old King's Highway: ❑Yes &(No Basement Type: *Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) x 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 c� Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Wo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing (4new size Shed:❑existing ❑new size Other• Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ OCT 2 2001 Commercial ❑Yes 4b6 If yes, site plan review# B /� Current Use Proposed Use �- BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T` 7 SIGNATURE _ DATE L i FOR OFFICIAL USE ONLY , r , PERMIT NO. -_ t DATE ISSUED to a MAP/PARCEL NO. ej" t ADDRESS - ` VILLAGE OWNER' t - ="� ; �' ? - `' '��• X ;<f DATE OF INSPECTION: '1 FOUNDATION' FRAME INSULATION FIREPLACE pry ELECTRICAL: ROUGH FINAL, PLUMBING: ROUGH P FINAL — ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . _ 7 • r TOWN OF BARNSTABLE BUhLDING PERMIT APPLICATION Map Parcel Permit# Health Division .:-, _ 266 - _S IC14 3 jiQ) Date Issued Conservation Division Fee f01 . 1 Tax Collector t j If Treasurer '7/a (,J'�',) Planning Dept. ff/ Date Definitive Plan Approved by Planning Board / Historic 0KH Preservation/Hyannis y -, t ! 1 Project Street Address /T 5 YJAI eJ D A Village f YETZ�Xll 5, Owner CA'ftNV_ •.4 MO Rl�_ MD 1. I M E� Address 5 sych e'y DX*. l,►YhAI1/)S:MA• tlVo / Telephone -,; 70 K 7-7 9 3 a l Permit Request Z C4 Q P C'g Mct- 0 5 R 41C t a F Square feet: l st floor: existing proposed 2nd floor: existing proposed Total'new0 v ,,Valuation I- �/� a 40 Zoning District Flood Plain (5, Groundwater Overlay-) _ Coflistruction�Type Lot Size u•3 4 R c R P Grandfathered:kt Y rYe,`s£-ICI No.If yes, attach supporting documentation.~ Dwelling Type: Single Family �11' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes' ,0 No On Old King's Highway: ❑-Yes 0°No Basement Type: O-Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) t (wt e Basement Unfinished Area(sq.ft) rS'% Number of Baths: Full existing v new ;21 Half:existing new C_J 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 0,No Fireplaces: Existing - New Existing wood/coal stove: ❑Yes ❑ No Detached garage:O existing ❑new size , Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage: ❑existing �O new size . Shed:0 existing ❑new size Other:/j !' "- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O'No - If yes, site•plan review# /,5 r-� , -_ Current Use Proposed Use %r; r y BUILDER INFORMATION Name Telephone Number Address 7 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7' SIGNATURE /,�= G.�'� P` � ,-�,,� DATE" - o FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED - MAP/PARCEL NO.. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` The Common wealt t o assachusays Department of Industrial Accidents. ako ,e _�•= ,�=� � 01lICr DflQYCS1l881fOdS - 600 Washington Street ✓/ 4� Boston,Mass. 02111 a' Workers' Com ensation Insurance Affidavit name: Cr(.. location- city rhone# 0 I am a homeowner Pcd g*Wo mysei£ t ❑ I am a sole oroorietor no o e wmidne in arty cpaciiv ❑ I am an employer provi_ _ 'oom�pensation for my eatQloyew working on this job. e.ORO:.,. _. ..,.::,:,.:.:.:..:.::............:.................... .. ............. ..:�:::.,.:.::.v.;Se:;•:: Tv.:..v.v,:i ti.;{:v}:>::•......,.f h. J:v.v:•v:•.......::::.:::.�:;v:J:•.v.'::w:.v:::::::v.�::.�::::.�n:4:•i:4Y.�:•i:�i:�. . ..:v:.�:::::.::::i�'vi:::`.''i'iii::::..}::;-::::lees':::.• .... ....:..... .......:N:-:,.{r .......................v.....�::::.v:.w:••:•: ....... ..... ...:: ......:....nw:.Jiv::.:;-;..};::;n:i;•::{:•>}i:JS:N<i"?:44+:•ii:iJS::vi:tiv{+tiL'•} ::v:,.i:•.•.:•ii.J{}:;Srrr:yi:.}:{•x{iJJx4:;•:J:-:•i::•::.v .}:ti;;::;<%'^. .... ... ..... ....::::::•••:•: ....yv..{{.�J}ti:S{vr;•x•::Yti::i:::ti+ '':....:;...;.... .:: :.::;{..}:::;,{...; .......,:v}:{.\vS•S}t.{#:v:nr:.X,v.J ri:ti:"+•j{:}':{.:;:•x•S::{::•r:J .:..:::.{•:::ti:•:•iv::;::•.:'^' .............. inatn-strce to. I am a sole Proprietor,general contractor, homeowner tarcie one)and have hired the cowactors listed b:low wi have the fall workers easation olives tnvmg � P w� +r'x1 t.. vv\,.. •.''{t:i:;.•{:;r:ti:; :::i;`::}�:;#�;: :';::,;,;:y:'i'-'; �;?':i?:iiS�: ��:>:i::> ''�:.:%.....�.......:. ... .. .::.... ..r:• •.:w.:r:;,.....:.:........nn•:4,::.KK ...... .:•.:v'J:Jr}i:•......w.r:•:;•.....;x:.i:}>}ii:;•}iiTii:}ii`:;{{�?i:;•_;?;>}?.:�._?:?. .......:•v,::{.;.::.n}i:�:{:.:..::}'-:i::4}i:;:..'.�::::.:.:::.::��.::::{.,:,y{.v:•.;4"{{i.M:A .......r.......... ...X.{v.:•?!^.l.. .X.. ...... .... .......... ....... .. ...................• v:xvfMti=..::.:C{JS}Sr::{:n'r'^?'-i'•.�:'::::n..r:;S::�:.:�.�:::::. .......................:......... '::':Jiii:$Jii:i::{v}":iir;::�:ryi:{}:i.S:{c•>::i:}::i>i"..:::.:y-;';:•i':i>::y<::::>::i"ri i:i;�:�i:i:: .. .... ... m:Av:::::.. :::,:•.v,w ...... .:..:.: .... ........ .. .... ... ........... ...... ....:......:,....:....v.,;..............T..n..... �-r-•;}.-..h ha:N•S, xarrx}4:witiij;:;:;r:;v"'{,w.�}>S'•:�yv:::C;tij<;(isY:i:iii` vi::iji::i :::::w::.v:::::.- .::• •:.:• ::.v:.::•:.::: - :::::.v::::::••.:ire'•..:: ..K•.v::::::r:.vw.:v}.:.\$.LWCL•::•.::v:.,v.:.•:JOK;J:{i:�':�-.•.xvtiJ.{ti.}:.:......u;P.}:.:. i•eer:{{:4>>:.:iCee:•S:•ry�::::.,•:,,,...... :•};:•Y.;-e:•::: ..........:.•r. ,4•.,•n:;;.}:{:. ...: ..,X;JY,rXr.......4.,,;,... ;x. .. ......::{............ .... ................. .. ......... ...:.......:ri4.Y""..`...?x..b........ •,!cot: ... .. ....X.. .�:.. ,:nri•:;: :;.:.%•::�::+�%i•K• :::;.:...'�"5:!`.i� ,�;:: ::rr.�.,:•:..............., .... .. :.. ,•,....,• : r.....,. via'r.'?4rM,.•.•`.`Mr{ra,•'' ,wv"'k" r.?`.?44 '??:?... ..;. ...•-:r.. ....:n::v::::::vx:{•}}e ..::v:•::+{.,. .v:- w.:.:•:y••: •.w::..{JX76Y:,vw{-.-0mr „� .,::vi ....... .... .. .. .. ............................... .... .'... "£' ... .. ...#�.. ,.{:.}..2�i.Yxx%:i!MiiCst:�e`.:.;+r.{ct..!.�r.�!<S�,J'6sip•w..:%:.�.......:•>:�.:.;.:.;... .... .......:.......... .::. .. .... .... ,....:^• .. :... .>S.a•.• .,:,:..:.. .........x;•rxy-r:... r: aj:^.{;ee::ee:::•:;::r:ao-::>:;2�:- • -::.,::.::�:•.,••.,X4.�:: - ... .. ...^ ,...•:.L.,c>?:k;.rY.rx: f '.3 ..:•xw..};e';i?......•... { ............:. ...:..•.};.::• :: .:: ....... -r.?�Yte?".T�.4` ,.... ...{:.£:2b.":'....,:..2aL..k..:.k:.,,t.i: :: ;r.:#a'c2r5::•::{'t;:`•:>-'::;;:;;::::;::::::i .i ::Jx :iv�:ti.{v:J :•r mXy:... '•y :sfi{i�{:�::��:yt#:;:L�::i�?': ' .�4 vx• :v}ti.}5:4:;4ev:S•:8e:ri;;ry:::..........vv.:v. v •-: .:..:}.}:{Dies:;;;;•::;;::•:arti:'......:........�••xi>:J:%;{;•e:..;.;,}er:•:::Jr:•.::�.'.. ..... .... ..;.».:.:.,.... •!�!.:! Y.aY •stx::r.•• 7•Y.•. •. a ..:::::•.... ... ..::.,.,.,..:•:::.,:•}r::••:•rx:�:.;.,•.{,:•.......J.,...9 - �: aie:::;''`Y.'e::::;•ees•:::•:;•ee'e:;•x;::;::J;.;•::•{.y......,,•:,:•:.::::. t,•}.,M1L:v :,;:r,,+r....:::�,::•:::::•::. ... , Ln _. :.... ........ . ......... .......... ..... ...... ...:.....:::::.��:.:: :: ..::�:::�:::::•:�:•.v.; .,:.....�'+ •r:e vX»r .,:x••>r:.:{•:;.x,+:J�?;:{•;:;• '{.--•.e•.:•:::.ex�:•e:•:J;e'•:{•::•:>';ce:er:}:::•::::•.�:.�. ................... ....r.... . .: ....,•:::•:•::.�'::::.:•x;;•ee:•r:J'•:•:Jx{{::.ire.,:. ........ ..: ...::^� .'�...::: .,.. .......... ...:.......... ....-.......... ... .. ::•... ... :•.:...... .... ......{:....,.?• {•::•.�. { ,{;}}ex.,}e:-e:•ee:•e:•re::;x{:y eex;•r:•x;;•;r:t•:}•;:•e:•ee::•ee:•e;:ae;.-:�:; W. :L'QinOHRY'Z1STnG"::...:•:;;;;>:;::::�. .. :.•: :... .. •X.. •.J ......................................................�,:.;••:r::;•:•:;<•:;::;:;>::.:.;;.:.;.,�;..�. ... ........... ........ ............. � ........ n..S.... ........i: ;.:}.;:.:y}};n;..:.::..,n.n.n•:r4•{".:i::}::;•'r}Y:!�:::`:ii'::'i}i:iv:i.tii::7•"Xi{;`;'�;`-;`:i:::: .... ... ... .•.::v:•.: :.:- .:.... .....v.rwr.... •p:.xxv:.tt:'rie.}:•w.vr.+!�!!?h!?4�!J?:•':X.'i{{:v:{{{i� �tv[#:,v:»v:tiaw'r•NC'v::+'w{+x .,..:::.... ........:n:.. ...... .: '{i;S' ... .... ..:. ....... ... .......:.:�:................... ..,-....4•..J.sc�ue• e:{;:;e'•;e::�:;::..,"•r••:;;�'�••>e:�:::;•e:;;:�>::•:er::. ��::::;1;;:.:�;{:">:.""�'.".: , :....... :,. :.,J,•... ... .::.:.�... ....:::.�::::•. ,•.,;.}:;ri::::t;•ei::?N;c:i:'::;:r;:;;::;:::r::::::::::: r ii:L3:�ti#�v};:ji'r'v:ie'^':;•4v.................w::nv:::::.�......o.....m.........n.....,..�:a:..::.•.�.cv..e:c•e..e.v:%.�..•..:..:...:.:.:..:.::..::........:....v.;:.;: ;:.;:.y.;�:.}.:..:�:.:.:.::e.e:.e::::i: : ' .:`.::.:•.::.•::�e:e.::.:..:::.v:..•.;:.•:..�:.::.::.::.::.::.�:�.�.v:;:;:<:.:>::e w>;.::;v;::•::c:•.:e;::v.:v•:^•:.`:'!::•:er:.•::.Jr.:;;..+:}::• ::n::i:•.:J�:>:.w:r.,w:.^};5,:;:•:;.; {...}..,....:.....;.J.:;•:.Mv.•.::•:.x.•.•:..v.•or.v.::{.:.::.$.r::::?:C::{^w.CYw�Gr,k.v.t.i.i.:..v:•..:•.:•..e.}..•.T.i.i.i.i..i.i..,i.,:>:'.is.i.i.:{.:.:ti.l...:es..:..S....'v•.;.?..i.sw i.i.i.w?..ii.....ti...:::.ti..:.�..:...:i.....e..:.4..j.i ..i..j..:..i.:.Y.... +..<....:.. ..�..::..:..�. .i..:;}..;::J..;i. ..`..: : : :. e::;::;;::.i::.�. ;•'};x ••: ::::::;:;;.; :�.rvx. ,:, w ............................ - Fsam a to seer coverage so required tinder Seedon lU of MQ.1S2 em lead to tbetmposdm of a al p—m—of a fins ap to S13o0.00 smd/or ono years'imptisonmmt as wen as dvil penalties in the fain of a STOP WORK ORDER and a fte of S100.00 a day spimrt mt. I tmdtrumd that a copy of this stattmmt may be forwarded to the oince of Investigntiow of the DXA for tsnenge waffic adm r do hareby cutify under the pauu and penalties of pet7ury that the inform ion provided above is tear mud correct Dates ' ------- PrintnaM A1,1GA4 lam# 77 011 AMWI oflICW use only do not write in this area to be completed by city or town oindal L or town: pernsiMeense 0 • ❑Building Deparaneat OLkansing Board heckifInunedlste response is required 0sciecanen's Me-e❑Health DepartnIent act person: phone#1 � ❑Other Utvuw 9195 P1Ai 1 1 i i 1 i • •1.1 r ./1 :I / � •.1.1/L• . •11 1• 1 - . •. . •.... .•. •1.1• • 1 of � � • - • • • • �1• !I: ' �• 11 • 111 wrl �1 • .11 r 11 • to - 1 J: • w•1Y.1• w. • • r..: _• �11.1• • �1 • / �« • • • • /•• •1 • s/-s • I• •N .le •IJ • • /1./ •K 7lrl•1 • w/ol• • N • �1•IU • 1..t • • �/ /• • •• 1 w • w11 • 1• / 11 • 1 folio 11 0 Iq4 s •11 111 - -oo •1 •to wsm .11 • flit I Ir • 1 •a • •• •�/ • /• .11.1• • • •11 a• • • Io -Ilsllws .11 • «sl• • I MI sll •) • .1• •1/. •Is I r 1 I Ir 1 • • oil of •/ •o••• •1 • • 1 • • • • •w•.111 •N a• /P if III 1 • of-.-1 • 1 Nr wI11• • ' 1/w11 • •_w•1 _• • • .11 wo11• • w • • �1 - M• •II • Y.IIti 1/ .1 -1 •:1 1 1 1 1 ' 1 / : I 1 1 1 / 1 / 1 Y' 1 1 / 1 1 • I I 1 1 1 :1 1 1 Y 1 1 1 a l 1 1 • I Y 1 / 1 1 J. 1 1 / 11111 1 1 1 1 1 ' • • .�•: 1 1 1 1 : / • 1 1 • MTJ • 1 1 1 Y 1 1 IIII : 1 1 rl 11 I 1 1 ' - • ( • • •11• •Ir I •w11/_I •••Ile•le • 1 e /of •11 • IB- •• 1• s•% 1 • •1 '1 •Is / I w111-/ IIII• .11 «•I/ls •1 r •.I • /1/ •11 • I 1 • '••1/- loose •y, • •w•« •r •1•I•olo •U « • Ul •I 11 1•►:11 « _. III w111_III. •t //1 «• .•• Iw I ._w• . w.w/l _. 1• /o «slrl• •U e jjjjjjjjjjj������jjjj/j��jjjjj���jj��jjjjjjj/���jjjjjjjjjjjj���/�j�jj�jj��j�j�jj��jjj�j�jj� seyr •. ., 11 er •••1/.�w•. •••IIII•w• Y-1• •I• . •• • • ' 1 •'•loll• -l1 1 • MI_ ..11 • doij• •B; 11 .1 .IB • .•. 1• • 11 YIBO Y.Is •II .Is e •^• 11 •Ir/1♦•11 I✓•Is1 • •1 w• .II • • 1 ■117 111111 •tiA •111• 111 «�/ .•• ✓•1/ •r 11 •1 •11. I - /• • . 1• 11 Y. •••1 • �• • r / •.1 Bu-•11 at 1 sll yo•/ w . w11►. 1•i ••111 r1•IIY.1■ •II •1 Is IIY•1• « «• '-1 •. 1 / 11 al '1 JI 1 / 1 r 1 ••/• • • 1 1 • 1 • 1 1.11.1 �• /• 11 MI �'/ •1 1• •' 1 •1 .1 rl .1• • ✓.1• •11 1.1 1 •w•s111 •r �•1 M ._• 1 1 11 , •✓.1 Bo1 wsl •1 11 sll `Is•Y. «M •.+II•. 11 • 1 a • • 1 1 •11 •i 1 r• •11 1 •I • 11 �• 1• • • •'.sll •1/.•ws. «•11.1•-sk-..11 •II • • • w. I 1• 1 -/•%• •..-•II .1 B/ IIIIoo •w I_• - ����jj////jjj��jjjjjj� /j��jjj////jjjjjj���j/j���j/�jjjjjjjjjj��j�jj��� jj • • • •1 -I� of • ' 1 «Blois• .•/ _II • •1.1111_• �'J • 11 1 • - Ioo�••1 • • • •_• • .1 /1 • • Basis• • .• • • • :il • 11 11 /s w11 /1 , •• •' • 1s -. ■ '/:l•is,IL. 1 a• Ys1IIY. N ' • 1 w•Y.1flossof!* /1 BIB 1 ..:111 1 V • Il /• r w•r111 ws V •1.1.1 •./ ' 11 l I • 1 ��• -/Iw w• « IIII•s .-• 1 : ••to k. • IB. 11 Y. 1 w■•••1_• •, sow w• a 11 - •t Ill • ••w -a fir.0 Lwn w11•. I •_�.• 11 r. . of • 1 • V: • •H • l • e• -11 • 1/ • • .Is « • -101 w«oj• •�1 •1• •1• .11• 1 • • • / •1/ • 1 w • •1• •• •• •. •e•"of ••1 ... •1•I• ./r • r.✓ 11 In •w 1 1 11 11 1 1 as 1 A 1 • . �11 1 • Is Me a 1 w • ( I I 1 1 1 1 11 ' Mot-• I I _J 1 1 1 1 I � FEE VALUE WORKSHEET LIVING SPACE (2000 sq ft or greater) square feet x$115/sq.foot (less than 2000 sq ft) square feet x$96/sq. foot (affordable housing) square feet x$57/sq.foot= (40B or low income) GARAGE(UNFINISHED) 3 square 3feet x$25/sq.foot= �� PORCH square feet x$20/sq.foot= DECK square feet x$15/sq.foot= ALTERATIONS/RENOV ATIONS' OF EXISTING SPACE . . . . . cost= Total Project Fee Value a Office Use Only Permit Fee proicost FR 7$0 CMR Appendix J M Table J&LIb(continued) Prescriptive Packages for One and Two-Family Raideudai Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor I Basement Slab Headng/Cooling Area'(%) U-value= R-value' R-value R value° Wall Perimeter Equipment Efficiency' Page R-value' R value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 3 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 1 0.46 1 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A MA 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 5% 0.50 30 19 19 10 6 90 AFUE i. ADDRESS OF PROPERTY: J 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: lw 3. SQUARE FOOTAGE OF ALL GLAZING: , t 4. %GLAZING AREA(#3 DIVIDED BY#2): l� 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table AIM ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. T) a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mctt the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d,-scribed in Note b. 7 The R-value requirements are for unheated,slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed'the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.l a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in'accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains.glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Town of Barnstable • t AMffrnsLL - �� 1659 Regulatory Services ATFO MA1 a Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: !J ��U/I/�it1 TJ� h�/��'S�ee � number Est/rest village/ / ..HOMEOWNER": ����'//i//C� /`!//�il/� 7 6A "�`�7��, name G' home phone# work phone# 17 CURRENT MAILING ADDRESS: ( city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements G Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a personts)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:FORM S:EXEMPTN f Aug 13 02 09: 11a FAIR INS `RGENCY 15087901677 P. 1 ACORD- CERTIFICATE OF LIABILITY INSURANCE r/w2200 PRODUCER (508)775-3131 FAX (308)790-1677 THIS CERTIFICATE IS ISSUED AS A MATTER OF BWORMATION The Fair Insurance Agency. Inc RIGHTS UPON THE CERTIFICATE ONLY R THIS GE�RTISFIcgTE DOES NOT AMEND,EXTEND OR P.O. Box 430 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 619 Hain St. Centerville, NIA 02632 INSURERS AFFORDING COVERAGE INSURED Williams Building Company Inc INSURER One Beacon , PO BOX 272 INSURER 0: SCOttS&I B Yarmouthport, MA 0267S INSURERC: INHIJNFR o .� INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED E lY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE UMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. 12 TYPE OK INSURANCE 001 ICY NIIIIQRFR P FF Y I ON LIMITS W GENERAL LIABILITY EACH OCCURRENCE_, $ 11000,0001 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE n one fire S rl AIMc MAnF 0 Mr'UR CLS0867031 07/27/2DO2 07/27/2003 ME()EXP cAny one erson $ SAW B PERSONAL 4,ADV INJURY $ 1.000-0001 GENERAL AGGREGATE $ 2,000,000 GrNI AGrREGATE I IMIT APPL TES PEF PRODUCTS_COMP/OP AGO S 2,000.000 POLICY P El LOC AUTOMOBILE LIABILITY COMBINED SINGLE UMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) 3 HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S IPer accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER TNAN EAACC $ M AUTO ONLY: AG.G S EXCESS LIABILITY EACH OCCORRENCEy $ „ OCCUR u CLAIMS MADE AGGREGATE S _ $ UeOUCTIOLF. $ RETENTION $ $ WORKERS COMPENSATION AND XS513 05/25/2002 OS/z5/2003 T EMPLOYERS'LIABILITYC LIMBS. __ E.L.EACHACCIDENT S _ 500,00 A _ . E.L DISEASE-EA EMPLOY E$ 100,000 _._.. - E.L.DISEASE-POLICY LI $ 500.000 OTHER VTQCOCC OF OPER ATION ura Ce 71ONSNEMCLESIEXCLUSIONS ADDED BY ENDORSEWNT/SPECIAL PROVISIONS CERTIFICATE 14OLDER ADDITIONAL INSURED•INSURER LETIT'.F CANCELLATION SHOULD ANY OF 171E ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUINF COMPANY WIIENDEAVOR TO"L 15 DAYS=I TTEN NOTICE TO THE aRTIFICATE HOLDER NAMED TO THE LEFT, TM OF BAIN16YAgLE BUT FAILURE TO MAIL 51101 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 50UTfI STR667 OF ANY KIND UPON TIE COMPANY ITS AGMT5 ORREPRESENTATIVES. HUMS, NIA 02601 AUTHORIZE 7 VTIVE ACORD 26S(7197) ®ACORO CC)RPORA7fON 198Q ' RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 ��' Alterations/Renovations $25.00 Building Permit Amendment $25.00 z FEE VALUE WORKSHEET j NEW LIVING SPACE _!23T/ s feet x$96/s .foot= x.0031= ���• �� � q plus from below(if applicable) J ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= �" x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE 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 (plus above if applicable) Permit Fee — projcost TabJ@J3 2b( Pr aeripttve Psehsges for Una and Two-Family ti�daadal BmddhW t' =Wd w*Foad Fade MAXIMUM IYlOriIZHUM (ftaang Glaaag Ceil+a8 Wall Floor R_ MAD COoL°6 At (%) U.vatuc It valid it vaiuo' R.vabtad Wall Perim etrrap4nnectFina=cy, Pack= I I I R.vaioat & 9701 to 6500 Heath De¢ee now Q 12:'. 0.40 38 13 19 10 6 Normal R 120.1. 1 032 30 19 19 10 6 Normal S 12"• 0.50 38 13 19 10 6 95AFUE T IS% 0.35 38 13 25 WA WA Normal U 15% 0.46 38 19 19 10 6 Normal V IS'/. 0." 38 13 25 WA WA 83AFUE W 15% 0.52 1 30 19 19 10 6 8S AFUE X 18% 0.32 38 13. 2S WA WA Nomai Y 18% 1 0.42 38 19 25 WA WA Normai t 11% 0.42 38 13 19 10 6 90 AFUE AA 18'/. 0.50 301 19 19 G 6 90AFUE 1. ADDRESS OF PROPERTY: .5YhNtEY 0,fJ y� y141VAIIs 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLA23NG: t�6� 4. %GLAZING AREA(#3 DIVIDED BY#2): 1l�• �� S. SELECT PACKAGE(Q—AA-see chart above): _NOTE: OTHER'MORE INVOLVED METHODS OF DEI lM[`1ING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-1980303a Footnotes to Table J5.2.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doorv: skylights. and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example.3 ft'of decorative glass may be excluded from a building design with 300 fl of glaring area- After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior wails without compression. R 30 insulation may be substituted for R-=8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing.must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-b insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).FIoors over outside air must meet the ceiling requirements. '71:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must roc_: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br-dments must be included .with the other glazing. Basement doors must meet the door U-value requirement d_scribed in Note b. The R-value requirements are for unheated'slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J52.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Ina SUBDIVISION OF BLOCKS 4,SFE AT*WH/L7.0-WILL GLEN' HYA►JNIS,MASS. PROAERry OF MILES e, ,EUZASETH FROST SYDNEY Scale:finch-50 r,,e March 3, /964- ED. KELLOGG - C/V/L. ENG'R ' OSTERv/LLB • • 1 OcK 7 BLOCK // Btoc�r B , 4a So•w 08 °.tip 8Locm 12 ^w �s9.aB fl WHIP - o- w�t� saw py .,l ~~WNE'E. 57-.37• o',v b 4'a Q J :VD•47.30•E= 17-91 ti 9 C 00° y6 82.06. /0o.00 80.27 ?9 /of,oO N7'3-5, E� O(jq - ,A : �' •� B . fA 4 /oSOo A 6 S a .4 40 to 99.35 ti /•S _ ��•Sa•So oso e- RivE ea S pN O,ti i 1 N { 5 i r , 6%14 n 80 loeoo o~ oN, 2 0 o 11770 lOa70 "� a o ff og 0 10520 oLLN 2 13270 m BLOCK 5 ` N 0 7940 2 iasoo P�LOCI�.G oti 15970 m rn u rs z55a.., 'uS.00 �.u. s izt9fo o' BLOCK4'm �: ! a 4, .° ./ �� h U b4 57•36'Zo-w •/osa E `r ` %' 97.30 1 i [n { 3 ni /2320 n}�. 3/0.93 S A BLOCK 6 o t v 8 13010 = o 9760 g _ F = 0 ti/o os e0- m '� 05 ",v 11550 �,» .. .. �8 53 /ao 00 99.64 11540 `ti as _g�2'�°4° a -s 3•44'io••w g:oy Jl Oi _S fe wer� W.Storms of ut. p0- 13d2o - LA Ai�. 9415 a ludo° FROS"r Ni2�j0 0 4� o 2 /58E0 c � pm yO,48 1.4 i1,5° e R.i379.2d � - •���� E Z8L.OcAe 3 L "'� m rn bo`y4 I ` Harry 1. p`f Sy/resfer (A (n 2 o a . j APPROVAL NOT R£OWRM The Commonwealth of Massachusetts -Department of Industrial Accidents �t '-= ` — OfIICC OIIDYCS11�81/0DS - - 600 Washington Street s, Boston,Mass. .02111 —' Workers' Com ensation Insurance Affidavit ¢ne: cation tv 1. �/ hone# ] I am a homeowner erforming all work myself. ] I am a sole vpnetor and have no one woikin m* ca acity ] I am an employer providing workers' compensation for my employees working on this job. lID[1817Y�ABm •"ii:it:::?j:?::IJ;:;Y;:!�i:; ':r i';;yi ;:;;J;}$i:%::5:':i:<`:i::Yi iiiiiii:i4J;.y: {:ii::'?::ij�:':isi'�iii::i::}:-`i?:i::`ih{:tij;.;.i{u...si':isj;:;iii:;:` >isi'vi::i:}:';:�ii::::+:if:::':';i.'?::.......i i......v::$i.?::C:Y:i:::SY:.:•.:�?i :Xi:!!'�Y.'•::i:i::?i:� i:j�:t .................... i3tirarEe�� M. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who ave the following workers' compensation polices: ..............................................::. ..:...:.... om as ::name>>:>':::::::�•�.t..:..#....�� ::,:. . .:: -x:� .# ....,... ........ . }'. '<':'f`'?���'_�.�>+'-•.�`�•' `'#����'�r� � `« � '��f%� �l'�`'���� ` `�� ��'? �5'�'�%''`�� Y�' �� �y'`��t ��������'������� '����3� 'z`''�1r ~;'''�� '` � . : i••- ......::....:.. .........:. .....::::.. l#v: .......... .��.�.'�tz��..#...... ..,,...:. :..,.::.:.,..:.......,:...>:.,;.:;.:.;.::.:.:. .. . .:....:�ohone#......... .... .. :. �`i':ter............-....... . . mnaarrce.c�::::.......'k.�:.........�.'�`�.•'. . ....:..:..:.....:.:..:.......................::..............-..................:.... ohc�.#....:..........................�: ....:.:...:.-.......:::..�.:.:..::.:.::::::.:;:..�:::::::: OWN ................. ................ .... diI%e - �t:r 5:�::> jy: :':s ; ' : :::: 2 :: :5 :;ti :: ..... �a: ::t s y::r_............... ::- •:::JJJrJJ:.: :;:::;::<:>.>::>::>::.::;::.>J;:J J:.;:;-::.;:-:;:.J:-:;;.J:J:;;.JJ>;:•;:::<::::;;;:<:::>::: :•::.:•:•.:-::::....:...hone. tam to secure coverage as required umder section 2sk of MGL 152 can lead to the bnposidon of criminal penalties of Sue up to S1;S00.00 and/or r:years'imprisonment as well as dY2 penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me..I understand that a ipy of this statement may be forwarded to the OMce of Investigation of the DIA for coverage verification do hereby certify unde!th7paMms that the information provided above is tr. � d correct igoatnre _ Pate dint name f en U i l 11�� 3 Phone# Sd�s- 3 6 2.-t;Y_6 --------------------------- official use only do not write in this area to be completed by city or town official city or town: peradt/license# OBuilding Department ❑Licensing Board ❑checkif immediate response is required ❑selectmen's Office OHealth Department contact person: phone*; -- ❑Other (mind 9195 PIS Information and 'Instructions ssachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their )lovees. As quoted from the "law", an employee is defined as every person in the service of another under any contract are, express or implied, oral or written. employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or ,tee of an individual, partnership, association or other legal entity, employing-employees. However the owner of a -111ing house having not more than three apartments and who resides therein; or the occupant of the dwelling house of rther who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or Iding appurtenant thereto shall not because of such employment be deemed to bean employer. IL chapter 152 section 25 also states that every state or local licensing agency shall withhold the,issuance or renewal i license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has :produced acceptable evidence of compliance with the insurance coverage required. Additionally,.neither the =onwealth nor.any of its political subdivisions shall enter into any contract for the performance of public work until ;eptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting hority. iplicants ;ase fill in the workers' compensation affidavit completely,by checking the box that applies:to your situation and �plying.company names, address and phone numbers along-with a.certificate of insuance'as all affidavits may be )mitted to the Depariment•:of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and. f:e the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is ng requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law"or if you required to obtain a- workers' compensation policy,.please call the Department at the number listed below. mse be-sure that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the idavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please sure to fill in the pejniit/lieense number which will be used as a reference number. The affidavits may be returiiR to Department by mail or FAX unless"other`airangebients have-beenmade: Le Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. 2se do not hesitate to give us a call. ie Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749. phone#: (617) 727-4900 eat. 406, 409..or.. 375. je ."C/IO'I77/IIt49Zl!/COGIiL O�✓�Gdb1CZCJt[66P. ,6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 075670 Birthd 5/1966 Expires: 10/25/2003 Tr.no: 75670 R o• 00 TIMOTHY C WILLIAMS 153 CENTRE ST' � ° YARMOUTHPORT, MA.02675 Administrator , a I EDWARD W. KIRK ATTORNEY AT LAW WIANNO PLACE 901 MAIN STREET P.O. BOX 393 OSTERVILLE.MASSACHUSETTS 02655-0393 FACSIMILE (508)428-4800 (508)428-4111 Carmine Molinare January 12, 2002 22 Floodtide Lane Hyannis, Mass. 02601 Dear Carmine: Enclosed please find: 1. Copy of my letter to the Building Dept. dated June 7,2001 .re_Lot 2. 2. Copy of affirmative response dated June 18;2001. 3. Copy of deed to you and Marie. 4. Copy of recorded plan showing Lots 1 and 2. Ve truly yours, dward EWK/se w/encl. i EDWARD W. KIRK ATTORNEY Al-LAW WIANNO PLACE 901 MAIN STREET P. O. BOX 393 - OSTERVILLE.MASSACHUSETTS 02655-0393 FACSIMILE (500)420-4000 - - (SOB)428-4111 131,111ding Department June 7, 20.01 Barnstable Town Hall 367 Main Street Hyannis, Mass. 02630 Re: Request for Determination Assessor's Map 289.Lot4 Sydney Drive; Hyannis Res. B Dear Ladies and Gentlemen: I represent Carmine and Marie Molinare, husband -and wife, who are the owners of Lois I and 2 at Sydney Drive in 1-Iyannis. The lots are shown as subdivision lots 1 and 2 on the original subdivision plan recorded at flan Book 183 Page 21 , a copy of which is enclosed. These subdivision lots 1 and 2 are also shown on assessor's map 289 as lots 152 (1) and 4 (2) respectively. I am asking the Building Commissioner's determination as to whether subdivision lot 2 (assessor's lot 4) is a buildable lot wilder the provisions of Barnstable zoning ordinance section 4-4. 1 and 4-4. 2. Sr1In111ar cy �t Factual llistc�r 1 . I'he lots were created by Subdivision plan In 1064 at wlllch tillle the area requirements for the RB district was 10,000 s.f. 1 ach lot had in excess of 15,000 s.f. and in excess of 50 feet of frontage. 2. These two lots went into separate ownership in 1972. 3. A single family residence was constructed on subdivision Lot l (assessors lot 152) was constructed in 1972. 4. Town wide zoning changed to one acre in 19185 at which time the lots remained in separate ownership. No subsequent zoning changes have increased the area requirement for this district. 5. In 1988, the owner of lot l On. which the house was located, acgLlired the adjacent lot 2. 'hhe current owner, Molinare, acquired both Lot 1 and Lot 2.1n 1990. 6. All other lots in the areal haVe 11OLISeS Oil them or are eligible for a bLlllding pern-ilt. lllidlllg Conliflissioner l ne 7, 2001 page two Su mill ary of Leal Position The Barnstable Zoning Ordinance contains the 1 ollowing provisions: 4-4.1 In tent: It is the intent of this section (i) to Protect t ro ert r legally created noncon or•ming p p ) rghts of owners of pi-eexistin 4-4.2 Nonconformin Lots: I 1) Separate Lot Exemption: Essentially, this section states. that if a lot has 5 conformed to zoning when legally created, an increase e .'o f area; SO feet of frontage, woulcl otherwise render the lot noncom �l in r e area requirement which a lot which is in separate ownership mpl e time ith respect ect to a change. shall not apply to lawfully nonconforming. g range. i.e. the lot is Contiguous Lots I and 2 were each in separate built on Lot I in 1972. Therefore, at the time f nel-ship in 1972, and a house was acre, the increase did "not apply" to either lot I or lot 2crea both area 11, 1985 to one nonconforming. c th lots were lawfully 2) Con,,non Lui 1'rotectiolr: With respect to contiguous lots which are not in separate zoning change which would otherwise render those ownership at the time of a Barnstable zoning ordinance provides that if two (and not more thannonc the contiguous lots in common ownership have 7500 s.f: ofarea, 75 feet of fr an three) such legally created by plan wliich conformed to zoning outage, were conformed to zoning the local zoning require►1,en�as ofrJai" lots were created; and lots would remain builclable for a period of up to five 5 e�nary. 1 , 1976, then such change, even while they remained in common 5y al.s following the zoning .ownership. The ordinance goes on to say that "the proteclior� afforded b this hec•ome veste<! upon the sale or transfer' of the lot so y paragraph shall sc�paratefi'•orn that vf'acl oining lots or• the builcling thereoi1v of . ft-e into ownership SrdenCL i Building Commissioner June 7,2001 ' page three Under the "vesting" language, the temporary (Give year) protection given to contiguous undersized lots in cornnnon ownership at the time of the zoning change now becomes permanent, and places those loriner commonly owned lots in the same category as lots which were already in separate ownership prior at the time of the zoning change. The specifically expressed "intent" of the ordinance and the specific use Of the words "shall become vested" demonstrate that the protection, once obtained Linder either section I) or.2) is permanently vested and not subject to retroactive forfeiture simply because both lots (one with a house On it and one remaining vacant) may happen to be subsequently acquired by the same owner, as happened in this case. The application of the principle of"merger" as referred to in section 5 only applies to those commonly owned nonconforming lots which do not meet the criteria otherwise provided herein". i.e. in sections I & 2 above. The Appeals Court has recently held that two vacant lots which were once rendered legally nonconforming under the provisions of G.L. c. 40A section 6 lost their protection-when they subsequently were returned to common ownership, with the lots still vacant. Preston v. Bd: of Appeals of Hull 51 Mass. App. Ct. 236 March 2001). Because of the significance of the decision, the Appeals_ Court has allowed a petition for rehearing in that case and regardless of the result, the matter will probably bedecided by the.Supreme Judicial Court. Regardless of the final result in that case, the critical facts are clearly.distinguishable from the facts in this case. In Preston the case was being decided strictly on the basis of G.L. c. 40A section 6 and neither of the lots had ever been built upon. In the matter of Molinare the lots were sold and a residence was constructed on Lot 1 . Thes e are two separate events each Of wlnrch, under the specific terms Of tine Barnstable ordinance are sufficient to vest the protection provided for in the language of the ordinance with respect to Lot I . G.I-,. c. 40A section 6 contain_ s no language with respect to the construction of a residence, vesting, or intent. The placement of. Lot I into separate ownership fi-on, an adjoining lot, and the, construction ofa residence on Lot I, clearly vests protection for Lot 1 . I In dealing with the landowner's Motion for Reconsideration in the matter of CrOuthamel v. Town oFBarnstable Superior Court No..96-151 the court affirmed the correctness of the landowner's proposition that: "an owner of two adjoining , norrconfornning lots can vest available zoning protection in one lot. by the sale'or j transfer ofthe adjoining lot". It matters not which lot is sold and which lot is retained.arned. rhhe critical element is the separation of ownership. I . I j Building Commissioner June 7, 2001 Page four At least with respect to the fact of a transfer into separate ownership,' if protection.' vested for Lot 1 , protection vested at the same time for Lot 2. This occurred in 1972 and at the same time a house was constructed on Lot 1.,, a further event of"vesting" of protection for Lot 1 . The town continues to assess the two lots separately. The Molinares have continued to receive two tax bills and have taken no steps to combine or create one tat from the two lots which they own. For all of the foregoing reasons, the Molinares request that the Building Commissioner recognize Lot 2 to be a buildable lot under section 4-4 of the Barnstable zoning ordinance. 1 have attached to this letter copies of various plans, schedules, deeds, and other material in support of the request and I would like to request an opportunity to discuss the matter with the building commissioner at a convenient date and time. Very truly yours, " E.dward W. Kirk I_;W K/se w/encl. ' As oFTHE r Town of Barnstable Regulatory Services + BARNSCABLE, MASS. g Thomas F.Geiler,Director �A t639. TfoMAt° Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 18,2001 Edward W. Kirk 901 Main Street Osterville,MA 02655-0393 Re: Determination of Buildability at Assessor's Map/parcel 289/152 and 289/004 Q and 15 Sydney Drive,Hyannis,MA) Dear Attorney Kirk: Please be advised that it is neither the function nor duty of the Building Division to issue letters of buildability or to advise private property owners prior to application for a construction permit. For purposes of land sales, mortgage financing,estate planning,etc., the zoning ordinance and records on file at the Registry of Deeds must speak for themselves and through your profession. Therefore gill I can say is,that if what you have addressed to me is indeed proven to be correct by records submitted at the time of application fora permit for construction,then under today's zoning ordinances,it permit could issue. Please feel free to contact me if you have further.duestioils. Sincerely, Elbert C. Ulshoeffer,Jr. Building Commissioner /km cc: Robert.Smith,Town Attorney Q010618A A,-lciover Savincls Bank, a corporation duly established under file laws of the Ca1ercxlwealtII of Massadiusetts, and havirxi its usual place of lu5ilx2ss at 61 Main Street, Andover, Massadiusetts 01810 for consideration paid, of One Ilulxlred Tell lbousarxl and 00/100 Dollars (grants with (AUITCLAlM_COVEIWIIS r to Carmine Molirore and Marie Molinare, 1luston:l and Wife, as Tenants by the Dltirety, of 198 LAKEVIEW DRIVE, TOMKIVS COVE, NY 10986 the following described premises: For description see EI>Jlibit "A" attached hereto and made a part hereof. For title reference see Foreclosure Deed from Andover Savings Bank.recorded at the Barnstable County keglstry of Deeds on April 30, 1990 at Book 7iY Y Page /7L :1WS kEG :l t 1. r F A;n TA[it.[ In JAX Ia_a a o o 15:4. EXCISE TA): Property Address: lot 'l 6 2, 4 Sydney Drive, Hyannis, ,Mass Dtecuted under seal this 17th day of December 19 90 9y, Robert A. Henderson. Executive Vice President CU1t1-VWFAI:1II of MnssnCIIUSL is ;. Barnstable SSI. Uecembe.r_-I) 19 0 'Il n personally appeaCed the above-reamed Robert A. Henderson. "Executive Vice President and ackna-leckled the foregoi.nq instnmlent to be the free act and deer) of. the Ar)dover Savings Bank. Before me, t '•' vrcpar eU Dy: �.. jq. the 1o.. otlice of . J•j Michel E. lo-Wrd ■ot any ➢.1111c - iL Andover, 1u 011110 my commission -pires: L / - t:. Return to: Carmine Molinare and �rl Marie Molinare l r a soy 7, 37 E 2L0 EX11 cUlT "A" PARCEL I I I II A certain parcel of land on the Southerly side of Sydney i is Drive in the Town of Barnstable, County of Barnstable, ' Massachusetts, more particularly shown on a plan entitled' x III "Subdivision of Blocks 4, 5, . & 6 at 'whip-O-Will Glen' , Hyannis, Massachusetts, property of Miles and Elizabeth Frost Sydney, Scale 1"=50' March ], 1964. Ed Kellogg - Civil Eng'r. Osterville", and designated on said plan as LOT 1 of Block 6, which plan is recorded with Barnstable County Registry of Deeds I'll in Book 18), Page 21. ' i PARCEL II 1 A certain parcel of land on the Southerly side of Sydney ' Drive in the Town of Barnstable, County of Barnstable, Massachusetts, more particularly shown on a plan entitled "Subdivision of Blocks 4, 5, & 6 at 'Whip-O-Whill Glen", Hyannis, I Massachusetts, property of Miles and Elizabeth Frost Sydney, I Scale 1"=50" March ], 1964. Ed Kellogg-Civil Eng'r. Osterville", and designated on said plan As LOT 2 of Block 6, which plan is I I recorded with Barnstable County Registry of Deeds in Book 183, Page 21. � I I � { I _ a i I ,II hE�ur,�l.il DEC 17 90 1 " II .i,,�NSTAE3LE COUNTY �li:(�ISTFiY OF DEEDS l r; It (;OPY,AI l•ES f I. I •i(AlN F.MLAUE,_REQISTER ,.:r :" . .,,.,,.. ..; ,... ..-.rd;`7m•14Vw+�`Mibl�.*.r.9sMrs... f Town of Barnstable Zoning Board of Appeals Hearing Summary for August 7, 2002 Whalen Granted with Condition Appeal 2002 97 Edward Whalen-Section 3-1.1(3)(D)Family Apartment Special Permit-The applicant seeks to add a family apartment of 480 sq.ft. to an existing dwelling. Assessor's Map 272, Parcel 183, 533 Lincoln Rood Ext., Hyannis, MA, Residential B Zoning District Molinare Withdrawn Without Prejudice Appeal 2002—53 Opened May 15,2002,continued to June 26,2002&August 07,2002 August 05,2002 Letter from Attorney Edward W. Kirk received that requested a Withdrawal Without Prejudice Members Assigned: Gail Nightingale, Richard L. Boy, Ralph Copeland,Thomas A. DeRiemer, Ron S.Jansson Carmine&Marie Molinare filed an appeal of the Building Commissioner's January 25, 2002, determination that an undersized lot is not buildable as-of-right under zoning. The applicant is seeking to have the decision of the Building Commissioner overruled and a building permit issued for the construction of a single family resident on the subject lot. Assessor's Map 289, Parcel 004, 15 Sydney Drive, Hyannis, MA, Residential B Zoning District Ames Granted with Conditions Appeal 2002—98 Kevin and Mary Ames -Section 3-1.1(3)(D) Family Apartment Special Permit-The applicants seek to add a family apartment of 576 sq.ft.to an existing dwelling. Assessor's Map 013, Parcel 050,9 Oriole Lane, Marstons Mills, MA, Residential F Zoning District Scott Continued to September 04,2002 @ 7:10 PM Appeal 2002—99 Continued for Old King's Highway Historic District Certificate of Appropriateness and plan clarification. Anna R.Scott-Section 3-1.1(3)(D)Family Apartment Special Permit-The applicant seeks to add a family apartment of 576 sq.ft.to an existing dwelling. Assessor's Map 297, Parcel 038, 312 Carriage Lane, Barnstable, MA, Residential F-1 Zoning District Liles Continued to August 21,2002 @ 7:15 PM Appeal 2002—100 Continued for comparison with other neighborhood homes and calculation of amount of exposed basement area. Dagmar K. Liles-Special Permit in accordance with Section 4-4.3 Nonconforming Buildings and MGL Chapter 40A, Section 6,to allow for the demolition of a single-family dwelling on a non-conforming lot and construction of a new single-family dwelling in conformance with required setbacks on the undersized lot. In the alternative to complete demolition the applicant has also requested partial demolition and expansion as an option. Assessor's Map 006, Parcel 006,40 Clamshell Point Lane, Cotuit, MA Residential F Zoning District Driscoll Granted With Conditions Appeal 2002—101 Ellen M. Driscoll-Variance to Section 3-1.1(5) Bulk Regulations Minimum Lot Area of 1-acre to permit an undersized lot of 0.24- acres to be buildable under zoning. Assessor's Map 248, Parcel 091, 6 Carla Road, Hyannis, MA, Residential B Zoning District Gluck Continued to September 04, 2002 @ 9:00 PM Appeal 2002—102 Continued for clarity of house plans,distance to neighboring structure and illustration of proposed new dwelling. Clifford D. &Lisa Gluck-Special Permit in accordance with Section 4-4.3 Nonconforming Buildings and MGL Chapter 40A, Section 6,to allow for the demolition of a single-family dwelling on a non-conforming lot and construction of a new single-family dwelling on the undersized lot. The proposed new dwelling will conform to the required setbacks for the district except that setback on the southwesterly side where a non-conforming 8-foot setback exists and the applicant seeks to maintain that setback. In the alternative to complete demolition the applicant has also requested partial demolition and expansion as an option. Assessor's Map 326, Parcel 084,20 Bay Shore Road, Hyannis, MA, Residential B Zoning District The Election of Officers Chairman Daniel M. Creedon Vice Chairman Gail Nightingale Clerk Ralph Copeland 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS REPAIR,ALTERATION,ADDITION AND CHANGE OF USE OF EXISTING BUILDINGS 3404.8 Means of egress lighting: Means of egress .3404.15Institutional Use Groups:Notwithstanding lighting shall be provided in accordance with the provisions of 780 CMR 3404,Institutional Use 780 CMR 1024.0. Groups shall comply with the provisions of 780 CMR 3400.3,item 7. 3404.9 Height and Area limitations: The height and area requirements of 780 CMR 5 shall apply to 3404.16 Residential Use Groups:Notwithstanding existing buildings when such existing buildings are the provisions of 780 CMR 3404,Residential Use modified by addition and/or change in use. Groups shall comply with the provisions of Modifications to the height and area requirements as 780 CMR 3400.3,item 8. provided in 780 CMR 504.0 and 506.0 are permitted. 3404.17 Fire hazard to adjacent buildings: Any. proposed change in the use or occupancy of an 3404.10 Existing Fire and party walls: No further existing building which has the effect of increasing compliance is required with 780 CMR 707.0.The the fire hazard to adjacent buildings shall comply height above the roof of existing fire, party and with the requirements of Table 705.2 for exterior exterior walls need not comply with 780 CMR wall fire resistance rating requirements, or with 3404.0 approved compliance alternatives., 3404.11 Fire Protection Systems: Fire Protection 3404.18 Accessibility for Persons with Systems: Design, installation and maintenance of Disabilities: Accessibility requirements shall be in. fire protection systems 'shall be provided in accordance with 521 CMR as listed in Appendix A. accordance with 780 CMR 3404.3 an&780 CMR 3404.12 as applicable. 3404.19 Energy Conservation: Energy conservation requirements shall be in accordance 3404.12 Fire protection systems are required for with 780 CMR 3407.0.. the following cases: 1. Additions where required by 780 CMR 9.0 for 780 CMR 3405.0 REQUIREMENT FOR the specific use group. CHANGE IN USE GROUPTO TWO OR 2. For existing buildings and additions to existing MORE HAZ4RD INDICES GREATER buildings, where required by 780 CMR 9 .or 3405.1 General: When the existing use group is where required by 780 CMR 506 to satisfy height changed to anew use group of two or more hazard and area requirements. indices higher (as provided in Table 3403), the 3. Existing buildings,or portions thereof which existingbuilding shall conform to the requirements are substantially altered, or substantially renovated, and where otherwise required by of the code for new construction,except as provided 780 Cl��9.0 for the specific use group: in 780 CMR 3408 or as otherwise allowed in. . 780 CMR 3407.0. Note: Notwithstanding the provisions of 780 CMR 3404.12, automatic Fire Suppression 3405.2 Accessibility for Persons with Disabilities: systems are required in municipalities which have Accessibility requirements shall be in accordance adopted the provisions of MGL c148§26G,H or with 521 CMR as isted Appendix A. . I(See Official Interpretation Number 45-96 listed in Appendix B). 780 CMR 3406.0 COMPLIANCE ALTERNATIVES 3404.13 Enclosure of stairways: Open stairways 3406.1 General: Where compliance with the are prohibited 'except in one-7 and .two-family dwellings or unless otherwise permitted , by Provisions of the code for new construction,required. 780 CMR 10. There shall be no minimum by 780 CMR 34, is impractical because of fireresistance rating required for an existin construction difficulties or, regulatory conflicts, enclosure of a stairway.; Partitions or other new compliance alternatives may be accepted by the construction which is added in order to fully and building official. solidly enclose a stairway shall provide a minimum Ek : pies of compliance alternatives which have fireresistance rating of one hour. All doors in the been used are provided in Appendix F. The enclosure shall be self-closing and tight-fitting with building official may accept these compliance approved hardware. All doors in those portions of alternatives or others proposed. the stairway which are fireresistance rated shall comply to the applicable provisions of 780 CMR 9. 3406.2 Documentation: In accordance with 780 CMR 3402.1.5,the building official shall ensure 3404.14 Assembly Use Groups: Notwithstanding. that the .BBRS is provided with information the provisions of 780 CMR 3404, Assembly Use regarding compliance alternatives accepted or Groups shall comply with the provisions. of rejected by the building official. 780 CMR 3400.3,item 6. 12/12/97 (Effective 8/28/97). 780 CMR-Sixth Edition 449 • • TOWN CLERK BARNSTABLE, MASS, pp ME Tq�,_ _ 14 . ZAMMVLI� . 7 MA89.' Town of Barnstable Zoning Board of Appeals Decision and Notice Molinare Appeal 2002—52 -Variance-- Section 3-1.1(5)Bulk Regulations,Minimum Lot Area Summary: Granted with Conditions Petitio ner: Carmine&Marie Molinare — Property Address: 15 Sydney Drive,Hyannis,MA Assessor's Map/Parcel: Map 289,Parcel 152 - Zoning: Residential B and Groundwater Protection Overlay Districts Background&Review: The issue before the Board is that of a merger of adjoining undersized lots held in the same ownership. The subject undersized lot is 15 Sydney Drive,Hyannis,MA. It apparently was merged with the neighboring undersized lot 3 Sydney Dr. They are 15,830 sq.ft. and 15,970 sq.ft.in area. 3 Sydney Drive was developed in 1972 with a two-story,2,000 sq.ft. single-family dwelling with an attached garage. A division of land recorded in Plan Book 183,page 21,created the lots in 1964. At that time the area was . zoned Residential B requiring 10,000 sq.ft.lots. The Residential B Zoning District remained:t 10,000 sq.ft. minimum lot area until 1985 when it was changed to req uire qutre a minimum lot area of 1-acre (Article 1, approved February 28, 1985). The two lots came into common ownership and control in July of 1988 and remained under common control and ownership until February 19,2002 when the applicant Carmine& Marie Molinare transferred 3 Sydney Drive into separate ownership. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on February 22,2002. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened May 15,2002,and continued to June 26,2002 at which time the Board found to grant the variance. Board Members deciding this appeal were Gail Nightingale,Richard L. Boy,Ralph Copeland,Jeremy Gilmore and Ron S.Jansson. Attorney Edward W. Kirk represented the petitioner. At the June 26,-2002 continuance,Mr. Kirk addressed the variance request. He noted that the lot at issue is a vacant undersized lot addressed as 15 Sydney Drive. The lot was in common ownership with a neighboring developed undersized lot,3 Sydney. Drive. In accordance with MGL Chapter 40A, Section 6,the two undersized lots.would have merged into one for zoning purposes. 3 Sydney Drive was sold and transferred into separate ownership leaving the vacant undersized lot. Mr.Kirk noted that the lot has been taxed as a separate buildable lot and that without the variance,a financial hardship would be placed on the applicant. Mr. Kirk gave the history of the ownership of the lots,noting that the merger was caused by a 1988 refinancing of the home on 3 Sydney Drive when the bank requested both lots be placed on the mortgage. In June of 2001,the applicant sought the opinion of the then Building Commissioner as to the buildability of the vacant lot, 15 Sydney Drive. Based upon that letter the applicant believed he could sale the. developed lot separate from the vacant lot. The developed lot was transferred into separate ownership in February of 2002. When an offer was received for the vacant lot, an opinion of the buildability of the lot was sought and in January of 2002 the then Building Commissioner ruled that the vacant undersized lot was not buildable. Mr. Kirk stated that this left the applicant, Carmine and Marie Molinare in a very tenuous position and created the uniqueness that effects this lot and not the zoningr. rk noted t the literal enforcement of the provisions of the Zoning Ordinance wuld involve substantial financial hardship and the grant of the variance would not represent a substantial detriment to the public good not substantially derogate from the intent of the Zoning Ordinance. The vote was as follows: AYE: Gail Nightingale,Richard L.Boy,Jeremy Gilmore and.Ron S.Jansson NAY: Ralph Copeland, Findings of Fact: At the hearing of June 26.,2002,the Board made the following findings of fact: 1. Appeal 2002-52 is that of Carmine&Marie Molinare seeking a Variance to Section 3-1.1(5) Bulk Regulations,Minimum Lot Area Requirements for an undersized lot to be considered buildable under zoning. The property is shown on Assess`or's Map 289,as Parcels 004, commonly addressed 15 Sydney Drive,Hyannis,MA. In a Residential B Zoning District. . 2. A literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise to the petitioner. 3. This relief may be granted without substantial detriment to the public good and without n ullifyin substantially derogating from the intent or purpose of the Zoning Ordinance. g or 4. The lot has been assessed and taxed as a buildable lot and the applicant has been paying those taxes. 5. The subject lot is about the same size as those in the neighborhood,most of which are developed. Decision: Based on the findings of'fact, a motion was duly made and seconded to grant the appeal with the following g Development of the lot shall be without variance or waiver from any other applicable regulations of Zoning,Conservation and Building,and shall conform to all Board of Health requirements. The vote was as follows: AYE: Gail Nightingale,Richard L. Boy,Jeremy Gilmore and Ron S.Jans son NAY: Ralph Copeland, 2 i Ordered: Variance 2002-52 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. -=s 7 cA Ron S. , Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Z.Signed and sealed this, day of , M unde the nains and penalties of perjury. �G Linda Hutehenrider,Town Clerk 3 °Ft Town of Barnstable Regulatory Services AM.MJ9. g� Thomas F.Geiler,Director �Ep 11,yt a Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 18,2001 Edward W.Kirk 901 Main Street Osterville,MA 02655-0393 Re: Determination of Buildability at Assessor's Map/parcel 289/152 and 289/004 (3 and 15 Sydney Drive,Hyannis,MA) Dear Attorney Kirk: Please be advised that it is neither the function nor duty of the Building Division to issue letters of buildability or to advise private property owners prior to application for a construction permit. For purposes of land sales,mortgage financing,estate planning,etc.,the zoning ordinance and records on file at the Registry of Deeds must speak for themselves and through your profession. Therefore all I can say is,that if what you have addressed to me is indeed proven to be correct by records submitted at the time of application for a permit for construction,then under today's zoning ordinances,a permit could issue. Please feel free to contact me if you have further questions. Sincerely, Elbert C.Ulshoeffer,Jr. Building Commissioner /km cc: Robert Smith,Town Attorney Q010618A 12 514EAT14ING TIE 2. ems- im m _ - --- oa ®_ --_ _ 41-111 tW 1, 41-6n - i t 13'-11Y2", 7 112" F.R.G. { T.R.ARNOLD&ASSOCIATES,INC. 1Y2 1 " is p. P.O.BaX aosa Elkhart;IN 46515 M GRADE I Commonwealth of Massachusetts 41-1 11 11 .Accredited Evaluation and /4 O q 13/411XI1 /4°LVL W/I/4"PLY SHIM/2XI2 Inspection Agency - - - - This document is certified as being In conformance W with Massachusetts State 83�6, • ... r Codes and the National Electrical Code Approved By r n Date Oct.16.2001 Approval of this document do es not authorize or approve e any ommislon or deviation from the requirements of applicable State Laws. NOTE:-ANY & ALL Material shipped loose for..the site completion of the manufactured product is ULTIMATELY the SOLE RESPONSIBILITY OF THE BUILDER LISTED BELOW to install'and finish. Cash® STAIR ��TAS New NEW ENGLAND HOMES INC. WAYM "PRG DATE 09-12-01 8593 . 270 OCEAN ROAD C DATE 10/11/01• rn lend . Kv. . . � clll�a�,�ago � Cape Homes © M0 SCAB 1�4t1=1'-0" William s/Spec C V C 0- \/ E R SHEET � DaDNJg4G30C�� DaQ" ' 80X 9000 RTE. 121 BARNSTABLE BUILDING DEPT, P.O.OXFORD, 00 RT. 4270 D. BUILDING.INFORMATION: F. EXTERIOR ENVELOPE THERMAL PERFORMANCE INFORMATION A. MANUFACTURER INFORMATION: TEL: (207) 539-8883 MAILING ADDRESS: P.O. BOX 9000 BUILDER: WILLIAMS BUILDING CO. FAX' (207) 539-4446 - OXFORD, ME. 04270 ELEMENT CODE.REQUIREMENT ACTUALS MANUFACTURING PLANT ADDRESS: RTE 121 OXFORD, BUILDER'S ADDRESS: P.O. BOX 272 DWG NO.: WALL .08 .05 KIM 2423 ME. 04270 CITY, STATE, ZIP: YARMOUTHPORT, MA. 02675 EXPIRATION DATE OF CURRENT CERTIFICATION: APRIL 30th, 2003 f FLOOR .05 .05+ LAYER NAME: RHODE ISLAND BUILDER'S LIC. # MANUFACTURER STATE CER1IFICA110N NUMBER: MAINE: MF70000112 15 SYDNEY DRIVE ROOF/CEILING .033 .026 COVER SHEET PROJECT LOCATION: HYANNIS, MA. 02601 NEW HAMPSHIRE: M9308019 DOORS - .6 .40 STYLE: MODEL DESIGNATION: 28'X46' CUSTOM CAPE WINDOWS .87 .33 28'x46' VERMONT: 50171 USE GROUP: R-4 CONSTRUCTION CLASSIFICATION: 5-13 CUSTOM FOUDATIONS .10 N/A CAPE CONNECTICUT: N/A AREA:, 1ST FLOOR: 1288 2ND FLOOR: 966 3RD FLOOR: N/A RHODE ISLAND: Y9588 VOLUME OF'ENCLOSED SPACE: 17,549 CUBIC FEET DEALER: MASSACHUSETTS: MCS#137 HEIGHT ABOVE SILL: 24'-4" STORIES: 1 1/2 G. LOCATIONS Of INFORMATION LABELS: WILLIAMS BUILDING CO UNFINISHED 2ND FLOOR CUSTOMER: B. THIRD PARTY INSPECTION AGENCY INFORMATION: DATA PLATE: ONE PER DWELLING (SEE FLOOR PLAN) Q LEVEEN DESIGN OCCUPANCY LOAD: STATE LABEL:, ONE PER MODULE (SEE FLOOR PLAN) . 3RD PARTY INSPECTION AGENCY:, T.R. ARNOLD & ASSOCIATES, INC. (MA, N.H., CN, R.I.) DATE: 1ST FLOORVA 2ND FLOOR:N/A 3RD FLOOR:N/A 11-5-02 3RD tPARTY INSPECTION AGENCY AUTHORIZATION: AA. #03 TRA LABEL: ONE PER MODULE (SEE FLOOR PLAN)" SPECIAL SYSTEMS: FIRE ALARM TYPE: SMOKE DETECTORS U.L. 217-77 (ME, VT) DRAWN BY: AGENCY AUTHORIZATION EXPIRATION DATE: APRIL 30th, 2003 t FIRUSUPPRESSION SYSTEM:N/A SHERRY . H. AIIIC VtNTILAl10N: KEISER INDUSTRIES CERTIFIES THAT THIS DOCCUMENT CONFORMS WITH THE WHEN FLOOR,AREA EXCEEDS 1200 S.F.' REQUIRED: (1) SO. FT. PER (300) SQ. FT. OF CEILING AREA. CHECKED BY: SYSTEMS APPROVALS AND SPECIFICATIONS APPROVED BY T.R.A. AND IS IN (OTHER) COMPLIANCE WITH THE FOLLOWING STATE CODES: ME, NH, VT, RI,9CT. SAP (2) U.L. 217-77 SMOKE.DETECTORS,ARE REQ'D. (RHODE ISLAND ONLY) ACTUAL: •1288 SQ. FT. CEILING AREA CODES: C. INDEX OF INFORMATION: - , ' 4.29 SO. FT. VENTILATION REQUIRED DESIGN LIVE LOADS: WALLS: 21PSF ROOF: 40 PSF 1ST FLOOR: 40 PSF 3.96 SQ. FT. PROVIDED AT EAVES. (6.2 SQ IN.'PER LIN. FT.) MA. STATE BUILDING TOTAL NUMBER.OF SHEETS IN EACH SET: 2ND FLOOR: 30 PSF(CAPE / COLONIAL) N/A (RANCH) .75 SQ. FT. PROVIDED AT GABLE ENDS (54 SO. IN.•PER-END) CODE EDITION 6 3RD FLOOR: N/A CORRIDORS: .N/A N/A SQ. FT. PROVIVED AT RIDGE. (18 SQ. IN.-PER LIN. FT.) DWG PG DESCRIPTION DWG. DATE REV. DATE STAIRS: 100 PSF(CAPE / COLONIALS) N/A (RANCH) REVISIONS 1 COVER SHEET 11-5-02 WIND HORIZONTAL: 90 MPH TOTAL: 4.71 SQ. FT. PROVIDED, DATE ITEM 2 1ST FLOOR PLAN 11-4-02 INTERIOR WALLS: 5 PSF ' 2A 2ND FLOOR PLAN 11-5-02 SEISMIC HAZARD EXPOSURE GROUP #1 3 ELEVATION PLAN 11-5-02 SPECIAL USE PROVISIONS: NOT TO BE BUILT WITHIN FIRE UNIT LIMITS T.R.ARNOLD 4 FOUNDATION PLAN 11-5-02 MUST BE LOCATED 6' FROM LOT LINE P.O.&ASSOCIATES,INC. P. Box 1081 4A FOUNDATION STAIR PLAN 11-5-02 E.` HEATING SYSTEM INFORMATION: Elkhart,IN 46515 5 1ST FLR ELECTRICAL PLAN 11-5-02 Commonwealth of Massachusetts 6 1ST FLR HEAT PLAN 11-5-02 SYSTEM TYPE: HYDRONIC BASEBOARD ELECTRIC BASEBOARD, FORCED HOT AIR Accredited Evaluation and 7 CONSTRUCTION DATA & REFERENCE SHEET 11-5-02 - RADIANT HEAT Inspection Agency 8 CROSS SECTION 11-5-02 FUEL: ELECTRIC, NATURAL, LPG, OIL OTHER THAN ELECTRIC HEAT-MASONRY This document�s certified as berg in conformance 9 PLUMBING 11-5-02 with Massachusetts state CHIMNEY/VENTING SYSTEM TYPE: CHIMNEY BY BUILDER PER STATE &`LOCAL codes and the National SCALE: BUILDING CODE OR AN APPROVED EQUAL. El ` -cal ° e Approved!:� N0SCALE BASEMENT: IF HOT WATER BOILER AND/OR WATER HEATER ARE INSTALLED IN BASEMENT, DateN V 02 Approval of this document does not authorize or approve' J SHEET NO. FOUNDATION WALLS MUST INSTALLED PER an ommision or deviation from the requirements of, THEN EITHER BASEMENT FOUND BE Y STATE & LOCAL BUILDING CODE, OR THE BELOW THE FLOOR WATER LINES applicable state taws. MUST BE INSULATED PER STATE & LOCAL BUILDING CODE. 1 INDUSTRIES INC. P.O.BOX 9000 RM 121 OD MIM.ME 04270 y—Oa ISLE: (207)W61-13M 1 `6 FAX (207AW-4448 2,1`4 6-2, 6'-On 9'-211 5-6 3/4' 14'-4' laoacour ON KITM Sow 91 4' 3'-1' DWG NO. DEMM KIM 2423 9' CITADEL SLIDER W/STRUCTURAL HEADER OVER PAR C2436-2CSMNT PAR C2436-2CSMNT ------ GOTO VIEW. SPEAKER► •• �(� ' VI3018 WI530 � •• ��- -�, _ 1 � x ------------- t �_- SUBMTL KYJ84 ---- ' 'O Z W SPENCER w (9eLw�ay O O ; VI; -- --- - ------- ---- - ; i� o ---------------- t LAU DRY I M area= 134.8Q7 ft . IF3-34 D.W. TK-io se36 I �O a ¢ � DATE: �, 11-4-02 KITCHEN '--- WARDROBE 1 DINING ROOM C M Maxm+c �, WALK-IN ' ' Cn OMIT FLOOR t m 5/0-B.F. , t Y Y Y Area= 178.285 sq ft S636 __ 824 --�------------- 824 l� i 24 WIL z 0o OMIT FLOOR B1K24 ; ; BTK24 � � I o� � Q O I I O Ma BATH 1 --I--- - ---- 91 BATH 2 t TILEo _ Q P.B. TILE N; oCE �Uww t` PREP ONLY ate_ O FOR PADDLE FAN 2/6-INT --- 2/6-IN T 'ter2U,4r pp ao one I ti ks pug Cow -----------------DROPPED HFI+D----------------- 5/0 CASED -� ER spEwr� -------- ------E------------------ ' 14 IQ N 11-2 3/4 I I o 11'—W DRAWN BY. EIOI(w p c w/2�wAr swtai �r--II ZI I N-1-> M _ SHERRY M FOR RITINE TRACK LOW lJ 0 I o m I I ® Ares 262.34 sq ft , Area= 287.08 sq ft SPENKER W& 1 BEDROOM `� CHECKED BY. LIVING ROOM �On D= 3'-r CARPET I. OMIT FLOOR OPEN N REVISIONS EiooR � TO ABOVE TO 2nd. CAD DATE ITEM NPN(NFR= N FLOORFHM Q =l OAK TREADS a P gl PREP ONLY REP ONLY FOR PADDLE FAN -- --------- FOR PADDLE FAN — COLING TRANSITION o�aER DUD t NOTE: WIRE FOR (7) SPEAKER LOCATIONS. NO BOX NEEDED. 16GA WIRE STAPLED TO STUD AND STU OUT OF w Z ' ~ �C I ' W DRYWALL IA.F.F. (COIL 3' WIRE EACH LOCATION) TRAaK N ; o � Uw we , c� TV $3 I S-0'x6'-8' T�INC. PAR3666SH PAR3666SH ARCH LITE PAR3666SH PAR3666SH P.O. °°I,46515 r /y ommonwealth of Massachusetts /� 8'—>�" ��—�—r 1 1 >e 3'-1 1/c 1�� 4 Accredited Evaluation and SCALE: -4 I 7t 5 s Inspection Agency 1/4"-1'-0" 26'-2" 1! —5 1/2 T is document is certified as being in conformance Y with Massachusetts State A —0 - Codes and the National 46 E teat a SHEET NO. Approved By . Date N V 2JO2 y npwo.at a mrs ooc­aces r.m amnorize or approve a y omm,s,00 o de.iation from the requirements of applicaf,lc state Laws. . INDUSTRIES INC. P.O.BOX WW RM 121 0*1=.IE 04XM ME (207)539—NO 461_0. FAX (2"m39-44M 14'-4' �--5'-4° 5-5 1/2" --� 5,_4A 15-61�2" r-0' r—a' 2t—s° �'-8° E— DWG N0. PAR3666-2SH PAR3037SH PAR3037SH PAR3666-2SH KIM 2423 —TV] GOTO VIEW: 2ndFLR . 00O RPOCL 22°x30' MIN. SIZE ATTIC ACCESS lu6 a TO BE FRAMED ON SITE BY OTHERS o DATE: 1 , I BATH 2 11-5-02 El O I FLOOR TRUSSES N w15 VB24 VD15 WATER pro Z PREP ONLY WATER --- CLOSET #2 l� 1 O 1 IL —J FOR PADDLE FAN CLOSET 1 I dd° I 05 ' N Q „—;------- --� BEDROOM 2 0 ------LINEN y — 0 PH ---------- I I 000 ' N' W 2/6-INT _ OFFICE/CRAFT ROOM 4/0—B.P. N cr, o HALLHWAIK-IN PREP ONLY d- o PHONE M N FOR PADDLE FAN I 1 , N ,j O - � DRAWN BY: . SHERRY Q CHECKED BY: { WARDROBE PREP ONLY T6' CEILING LINE M FOR PADDLE FAN — — — — REVISIONS OPEN I I NEE wAll DATE ITEM TO BELOW 2001 �--ACCESS PANEL 8'-'A°DORMER DN. VIEW . 2001 8'-'A°DORMER o a ON. VIEW r_s, r§_ PROPOSED 2ND FLOOR �TW/SMGE 1�»>P . 0 � 1 (BY OTHERS) r-s,fir T.R.ARNOLD&ASSOCIATES,INC. - - - - - - — — — — — — — — — — — — — — — — - - -FD.SoxZDBI" - - - - - - - - - PAR3 -2SH Enchatt,IN 4"15 PARS 9-2SH - Commonwealth of Massachusetts f ti ' ° SCALE: 9-4 21f_4� Inspection Agency 9-4 Y This doclmlem is certified as being in conformance 1•/4"-1'—O» 46—O with Massachusetts State Codes and the National Ei � cal d e SHEET N0. Approved By Date N V k.Zd02 Approval of this document does not authorize m approve ///'/�//J any ommision or devfalion from do requi-enls of / /( ` applicable.State laws. L� T.R.ARNOI D&ASSOCIATES,ING CJ Y.O.Box1081 INDUSTRIES INC. Elkhart,IN 46515 P.O. BOX 9000 RTE. 121 Commonwealth of Massachusetts OXFORD. ME 04270 Accredited Evaluation and T Inspection Agency FA: (20�) s39-ess3 (207)539-4446 - * This down,ent is certified as being in conformance with Massachusetts state 2351 SELF—SEALING LOUVERED GABLE VENT codes and the National SHINGLES as SO.IN.ALIN.FT. Et wt o e y DWG: NO. Approved By, KIM 2423 MAIN VENT Date N V 02- TERMINATION� Appro�aiotwseo�wmmtaoasm«amw:eo appovc ® anyommisionord-iatian Mrequvemensut LAYER NAME: appla:amle Stale Laws. ELEV DATE: FFT-1 1-1-5-02 VCONT. VINYL SO FAT ® 0 6.2 SO.INCHES N.FOOT ® N as 110 . W LEFT END ELEVATION FRONT -ELEVATION 2350 SELF—SEALING . LOUVERED GABLE VENT SHINGLES , 49 SO.IN.ALIN.FT. DRAWN BY: MAIN VENT SHERRY 12 5 �IERMINATION ® —' CHECKED BY: REVISIONS a i ® DATE ITEM FM FROM muRc L FM LEH oa 010, FMFM wNn SIDING f169ED FLOOR RIGHT END ELEVATION REAR ELEVATION SCALE: NO SCALE SHEET NO. { - 5 0 ��OR THIS PLAN CAN BE USED FOR FINAL CONSTRUCTION. (11/ / 2) 6DX 9000 RTE 121 OXFORD,ME 04270 . NOTE:. REFER TO BUILDERS REFERANCE MANUAL FOR DETAILS AND SPECIFICATIONS. TELL (207)539-8663 46'-0" FAX- (207)539-4446 . - . - . - . - . - . - DWG NO. I - - - - - - - - - . - . - . - . - . - - - KIM2423 rFApprovedd LD&ASSOCIATES,I NG LAYER NAME: (Min.) 16"x10" (TYP. MASS) P.O.sox 1081 3000 PSI CONCRETE FOOTING c6ad,IN46515 FOUND BELOW FROST LINE ealth of Massachusetts dited Evaluation and i pection Agency DATE: is certified as being in conformance ith Massachusetts State 1 1—5—02 odes and the National 00 EI t 2yN V 02 3 1/2" CONCRETE FILLED documeM "aa�e ream of a"y"mmi,o"orde—tionfrom therequfrementsof 10" TYP. FOUNDATION applicable State taws. STEEL LALLY COLUMN WITH WALL THICKNESS 0 BEARING PLATES. . (TYP. MASS) L— 9-4 g-6 6-10 6-10 6-10 • 7-$ - - - - I- - - ..-1 I— — I- - - -I I- - _ _ _ _ _ —I- - -.— - - I— —1 4— + t- — — — — —r 0 - - — —I FLOOR GIRDER I I 2'-6"x2'-6"x1'-0" BEAM BUILT INTO i BASEMENT � STAIRWELL I 3000 PSI CONCRETE FOOTING DRAWN BY: MODULE FLOOR I (TYP. MASS) SYSTEM — — — APPROX. I SHERRY LOCATION. SEE SHEET CHECKED BY: I 4a WHEN CXD BUILDING CKD BASEMENT I - REVISIONS STAIRS — — NO FLOOR INSULATION IS REQUIRED DATE ITEM r� IN THE FIRST FLOOR OVER CONDITIONED rn BASEMENT SPACES. All FLOOR OR FOUNDATION o INSULATION REQUIRED PER CODE IS TO BE PROVIDED AND INSTALLED ON SITE BY OTHERS — . — . — . — . — -- -- — - — — . — — . — — — — . — • — . 46'-0" ,I NOTE: 1.) FOUNDATION DESIGN AS SHOWN ONLY SUGGESTIVE, ACTUAL 2.) FOUNDATION HAS BEEN APPROVED FOR SUPPORT PLACEMENT 3.) FIREPLACE C.C. TO BE SIZED FOUNDATION DESIGN SHALL BE BASED ON LOCAL SOIL CONDITIONS ONLY. TIE DOWN, VENTILATION, ACCESS, AND FOUNDATION DESIGN BY GENERAL CONTRACTOR. SCALE: AND IN ACCORDANCE WITH LOCAL REQUIREMENTS. SUBJECT TO LOCAL CODE OFFICIAL INSPECTION. 4.) 3000 PSF. SOIL BEARING CAPACITY. 1�4"=1'-0" 5.) CONCRETE COMPRESSIVE STRENGTH SHEET NO. 3000 PSI. CAPACITY. 4 INDUSTRIES INC. NATR' LS FIGURED FOP STRINGERS TELE, X07) 9-888f OXFORD. ME 04270 TFI F, (207)539-8883 T.R.ARNOLD&ASSOCIATES,INC. F"- (207)539-4446 STRINGERS 2x12 SPF W/2 P.O.BOX IN urt, 461 515 DWG NO. #I/2 Commonwealth of Massachusetts Accredited KIM 2423 TREADS x I2 SPredited Evaluation and � Inspection Agency 0 �j This document is certified as being in conformance O GOTO VIEW: 1/2 P L IY with Massachusetts State —1 FOUND Codes and the National El ct'cal �— o o e DATE: Approved ey _ 11-.5-02 TOTAL PISS IDl I/2" Date. N V 02 Approval of this document does not authorize or approve any ommision or deviation from the requirements of O Q + - applicable State laws. 12 RISERS z Q -13'-8°_ , » V 3=7 �= d- ` , 1 v I Q m 13/1s 2x10 FLOOR JOISTS r ` -' Q cry DRAWN BY: z SHERRY C/ CHECKED BY: FOUNDATION PRINT w FLOOR FRAMING o REVISIONS - 10 WALL- DATE- ITEM REFERENCE- ONLY SE _N 713/16°�—RI Q FOR TYP. BASEMENT STAIRS CXD TREAD o . - 1 1/4 NOSING °� �—RUN N , „ 4-5 SCALE: 7 3/4' 1/2n-1,-0„ SHEET NO. V 4 A INDUSTRIES INC. P.O.BOX 9000 RTF_ 121 .. - OXFORD.ME 04270 - • TEIE (207)539-8883 i C FAX: (207)539-4446 ' o DWG NO. Flo �12 #13 s 3 121 2 KIM 2423 2 4J/4 . 46' X °°max '° ; GOTO VIEW: __---- ELEC SP S , O o - ---- -------- - ;---wwc-N -- DATE: - _ � o.w. -- ----- ---- - , s CLOSE . � §o � �14 11 4 02 1 KITCHEN -- BATH 2 ------------------- El A—BOX B-60X ' DINING ROOM TO oza ` i f$ FLOORS ; 010-ONLY PADDLE FAN --- - _ ; WALLS $a ROOF C}, — _(kwwflEcru. BATH , � , T Dcc w im HOOK—UPS own -- ------=,------------------- -- ---------------- =--------- I=------ n ® W PANEL BOX "A-BOX" SP FK ll 3 Q l 41 Z W� t _ M U K RY ,' a atTESTING foR MW€1RAd(u9T DRAWN BY: T.F. \ CHECKED By:, n I W K w 1 asamh(Aim aN-1 is i Do=UWV4 N-1 Is PREP.ONLY _ i' \\t _ - BEDROOM 1 PREP ONLY - REVISIONS - 1 �IM 0-2 Is LIVING ROOI�OR PADDLE FAN _ '�\� `--+- ------------- FOR PADDLE FAN t c�t�ta N: Is 1 1/4'DEG . - ' . DATE- ITEM . s ,m,eWnc Ig _ o-: >e CONOIRTS �. ___ — t mmHg 1 _ i �Fg 91EIT 91WI &7 6 •�� �1 � i - . 1 an 1 aw(alo-t 10 • as 6-1 p FIVI S S 1 ' 0 6 Q-7 N All 5al61 1 . NEED TO AND �jj T.R."NOLD&ASSOCIATES_ ,INC. - WHAT MODEL �.{ "� P.O.Box 1081 STEAM GENERATOR Fadnut,IN 46515 WAS ORDERED Commonwealth of Massachusetts THEN ALL IN Accredited Evaluation and WIRE FOR (7) SPEAKER LOCATIONS.NO BOXES. Inspection Agency 016 GA. WIRE STAPLED TO STUD AND STUCK OUT OF This document is certified as being in conformance THIS INFO. with Massachusetts State SCALE: DRYWALL OT A.F.F. (STUB DOWN, COIL 3'IN BSMNT) codes and the National El c -cal o e Approved By SHEET'NO. . Date N V 02 Approval of Nis document does not authorize or appro n ve any ovnision or deviation from Ne requirements of applicable State Laws. c . IA 1/4" INDUSTRIES INC. P.O.BOX 9000 RTE. 121 OXFORD,ME 04270 ———— -- _-- M.E. (20-n 539-M%3 FAX: (207)539-4446 2 HYD B.B. I _� I I ``• �--- 1100 BTUH � � � 0 O -rE -------- - I DWG N0. KIM 2423 j D.W. iK70 KIpCSPACE H1R ; r' m ' DINING ROOM 5075 BTUH WALK-IN = KITCHEN WARDROBE GOTO VIEW: BATH 2 HEAT c to I ------ rn = W -------,------- , 1 ® I On DATE: 11-5-02 BATH 1 1 1 =m O ' I I 1 ------------- 00 I 1 1 **ALL DIMS ARE T ---_--- � B-BOX . FROM SHEETROCK* • I _ ---------------------------------------- _ f--- ----------------------- - --------- new W „ n IzI, A-BOX o Q m= BEDROOM. ° LIVING ROOM ------ I 3' N T.B.ARNOLD a AS:SOICIA172%INC DRAWN BY: I` 1650 BTUH 41/4° Y.O.BOIL 1D81 l SHERRY ' Emburt,IN"515 - T� Zfl d. Commonwealth of Massachusetts , 1 OPEN Accredited Evaluation and , FLOOR Inspection Agency _ CHECKED BY: TO ABOVE - This document is certified as Being in conformance 7'th Massachusetts State - , - Codes and dw Nafi—f m= 1 EI ctr'cal C6 P I - m , . L—————————————————— approveeay o , PREVISIONS r t , Date NOV k 2d02 �� I App­&� 1 DATE ITEM' I any ommision or devini°n Gom rM requiremems oI - . - I appl'raUle Sale Lays 1 1'-3 1/2° 7' HYD B.B. 8' HYD B.B. 3' HYD B.B. 3' HYD B.B. 3850 BTUH 4400 BTUH a 1650 BTUH 1650 BTUH o 2'-3 1/2' ' 1'-4 3/4' NOTES: NOTES: 1.) ALL H.W.B.B. PROVIDED BY MANUFACTURER ARE 4.) BOILER AND ALL HEAT LOOP CONNECTIONS AT The Model Energy Codes referenced by the State Building Codes require either; 1st floor insulation STUBBED THRU FLOOR TO BASEMENT. BASEMENT FURNISHED & INSTALLED ON—SITE 2.) TWO 3/4" TYPE "M" HARD COPPER PIPES BY OTHERS. be site installed, or foundation spaces be conditioned. F::� STUBBED FROM 2nd FLR. TO BASEMENT ARE 5.) TOTAL HEAT OUTPUT AS SHOWN = 36,000 BTU/HR. @ 1st FLOOR. This Heat Loss calculation has assumed that SCALE: PROVIDED & INSTALLED BY MANUFACTURER R-19 1st floor insulation is used, provided and 3.) ANY ADDITIONAL H.W.B.B. FOR EXPANDABLE 2nd installed by others. Without the floor insulation or 1�4"=1'-0" FLOORS, TO BE FURNISHED & INSTALLED ON—SITE equivalent foundation wall insulation and heat source the SHEET- NO. BY OTHERS. home will not heat properly per the Model Energy Code requirements per the home design. 6 FEEDER & NEUTRAL LOAD DOOR SCHEDULE PARADIGM WINDOW-SCHEDULE (STD.WINDOWS) INDUSTRIES INC. CODES NTH HEIGHT THK. TYPE MFGR. REMARK WINDOW CALL SIZE' UNIT SIZE ROUGH OPENING TYPE LIGHT FT. VENT .FT FT. P.O.sox M tzt LIGHTING AND SMALL APPLIANCE HOT WATER BASEBOARD 1 3'-11 6'-8' 1 3 4' INSLL CORE D MA TRU EXIEIRIOR PAR2631 26'X 3r SINGE HUNG 4.73 2.19 6.68 oxFOXFORD,, ME oa2�o 1.)LIGHTING. TOTAL BOOR AREA= 2254 X 3 6762 VA 2 r-8' 6'-8' 1 3 4' MSTR CORE THERYA 1RU EXTE1801t PAR3037 30'X 3r SINGLE HUNG 5.60 2.59 7.71 � (2m)539-SW 1.)SMALL APPLIANCE.- 6 CIRCUITS X 1225456 9000 YA 3 3'-0' 6'-8' 1 3 4' INSUL CORE TIHFRMA TRU EXT.SINGES PAR3666 35 1 r X 651 r 36'X 66' SINGLE KING 1129 6.42 16.50 FAX: (207)539-4446 1)LAUNDRY: 1 CIRCUIT X 1500= 15MVA 4 S-0' 6'-8' 1-3/4: INSUL CORE TfHERMA TRU EXT.DBL S PAR3 31 1 2'X 651 2' 32'X 66' SINGLE HUNG 11.61 5.63 14.66 5 3-0' 6'-8' 1 3 4' STEEL IOWA TRU FTREDOOR PAR3441 331 2'X 401 2' 34'X 41' 7.30 3.40 9.68 DWG NO. 1st 30DOVA 0100%= 3000 VA 6 1-87 6'-8' 1 3 4' STEEL 1HERMA TRU FIREDOOR PAR3636 351 r X 351 2' 36'X 36' SINGE HUNG 6.70 3.07 9.00 REMAINDER 0 35%= 4992 VA 7 3'-0' 6'-B' 1 3 8' HOLLOW CORE WOOD(NAIN PASSAGE PAR3449 34'X 49' SINGLE HUNG 8.95 4.24 1.56 KIM 2423 TOTAL= 7992 VA 8 2-8' 6'-I' 1 3 8' HOU OW CORE w000cRAIN PASSAGE PAR3672 35 11f X 71 1 HUNG 14.60 7.10 1 LINE A NEUTRAL LINE B 9 r-6' 6'-8' 1 3 8' HOLLOW CORE WOODGRAN PASSAGE C1832-2 35'X 35 1 35 1 r X 36' CASBIENT 6.12 5.98 9.00 LIGHTING AND SHALL APPLIANCE VAT 240=AMPERES= 33.3 33.3 33.3 10 1-1(' 6'-s' 1 3 8' HOLLOW CORE w000GRAIN PASSAGE PAR3652 351 2'X 51 1 2' 36'X 52' DBL SILO 4.37 13.00 LAYER NAME: HEATING AND COOLING 7.1 7.1 0 11 1'-4' 6'-8' 1 3 8' HOLLOW CORE WDOD(,RAIN PASSAGE PAR2637 1 'X 26'X 3r 3.92 L87 DATA 12 3'-0' 6'-8' 8 1 3 ' FLUSH SO WOOD" PASSAGE PAIM37 DBL HUNG 7.71 1)FURNACE BLOWER 0 0 -0 13 1-8' 6'-8'I 1 3 8' FLUSH W000(4tAI1 PASSAGE YM 35 Ilf X 651 36'X 66' 11.83 5.87 2)HEATING ELEMENT 0 -0- 0 14 2'-6' 6'-8'I 1 3 8' 1 FLUSH WOODGRAIN PASSAGE PAR3256 32'X 66- DBL LING 10.20 5.10 1 14. DATE: 3)AIR CONDITIONER 0 0 0 15 1'-10' 6'-8' 1 3 8' FLUSH SO WOODGRAM PASSAGE PAR3441 1 'X 34'X 41' DBL AIRING 6.32 -5-02 LARGEST FAN S -ADD 25X 0 2.4 2.4 16 1'-4' 6'-8' 1 3 8' FLUSH PEACNIREE INSUL GLASS P 351 2'X 35 1 r 36'X 3s' DOL HUNG 5.78 268 O 17 6'-O' 6'-8' 1 3 4' SLIDER PEACHTREE INSUL LASS DU HUNG 11.51 APPLIANCE LOADING 18 6'-0' 6'-8' 1 3 4' SLIDER PEACTIItffE I&L CORE PAR367 35 1 2'X 71 1 2' 36'X 72' DOT.HUNG C50, B.00 1)EXHAUST FAN 1_6 1_6 0 19 6-T C-8' 1 3 4' PAM SWNGER A-TRU OB INSIII..CORE EA36F 36'X 541 4' EXTENDED ARCH 9.8 -- 1368 20 6'4 6'-6' 1 3 4' SWINGER TLIERMA-TRU flI8 INSUL CORE A4824 X 7114, 48'X 24' AWNING 5.12 517 8.00 2)WATER HEATER 18_8 0 18_8 21 6'-0' 6'-8' 1 3 4' 1 SWINGER WOODGRAIN U-FOUR C3024 30'X 2e, CASEMENT 2.9 286 5.00 3)DISHWASHER 9_0 9_0 0 22 5'-0" 6-8' 1 3 8' 6 PANEL PINE WOOD(RAIN U-FOLD HR3015 30'X 15 114 ' 1 2 ROUND 1.41 - 3.175 �- 4)DISPOSAL 0 5_0 5.0 23 5-0' 6'-8' 1 3 8' 6 PAN MASONITE WOODGRNN amNOTEFETY SA QAZW.TO BE PROEM FOR WIDOWS INHAZARDOUS LOCHORS 1 1 1 4)MICROWAVE 0 6_0 6.0 24 54 6'-8' i 3 Ir 6 PANEL PINE WOOD(RNN sm NOTE WDOWS ARE NFRC RATED L�J TOTAL APPLIANCE-AMP X.75 WITH APPLIANCES 221 16.2 22.4 25 5-D' C-8' 1 3 8' 6 PAN MASONITE WOODGRAIN B I-FOLD THING DRYER 22,1 16.3 23.3 26 4'-0' 6'-8' 1 3 6 PAN!PINE WOODGR CLOTHING AIN EN-FOLD (f) CLOTH 33.3 16.3 33.3 27 4'-0' 6'-8' 1 3 8' 6 PAN MASONITE WOOD(RAIN U-FGD 28 4'-0' a-8' 1 3 8' 6 PANEL PINE WOOD(RAIN SLIDER SERVICE C(XHUUTINR AMPAgTY 29 4'-0' 6'=8' 1 3 8' 6 PAN MASONITE WOODGRAIN SLIDER Q (TOTAL)= 119.0 98.6 114.6 LIGHT & VENT SCHEDULE Q USING 14� AMP SERVICE ROOM FLOOR GLASS %OF ARTIF- VENT %OF ARTIF- AREA AREA FLOOR LIGHT AREA FLOOR VENT LIVING ROOM • 288 26.6 9.2 33.4 11.6 9R010 taT '� IN KITCHEN 178 7.8 4.4 240 W 3.8 2.1 160 CFM I UNIGM tTS,Fir IA 14-2 t5 DIMNG ROOM 135 34.3 25.4 .35.0 25.9 2 ON0U11;LTs11le(ADD) 1A 11 2 1s BREAKFAST XX XX XX XX XX 3 BATHU2AALLaW.LT51E[ 1A 14-2 15 BEDROOM #1 262 53.2 -20.3 25.6 1 9.8 4 OTafNAW LTS 1A 14-2 15 BEDROOM XX XX XX XX xX DRAWN BY: 5 mm R:C FLOOR PLAN SYMBOL LEGEND `- IA 12-2 A 6 U112EIk REC IA .12-2 A � BEDROOM 3 XX XX XX - XX 'XX - - - ..SHERRY 2 ea fffSV M 911101 120 9-2 15 BEDROOM L4 XX XX XX XX XX C.C. - CHIMNEY CHASE LOCATION. 2" MIN. CLEARANCE TO COMBUSTIBLES FOR 6 ffa 40 10-3 To BATH ---- 120 W 70 CFM CHIMNEY. FIRE STOPPING MUST BE INSTALLED ON SITE BY OTHERS SUBJECT CHECKED BY: 9 we 120 12-2 A BATH 12 120 W 70 CFM TO LOCAL CODE OFFICAL, HAVING JURISDICTION, INSPECTIONS. ' to RAIIa 240 8-3 40 BATH 13 120 W 70 CFAI 12 0611111M IA 12-2 A HALL XX XX XX XX XX C.- CLOSET WITH SHELF AND ROD -13 FUENTtRWE j A 12-2 1 29 DEN STUDY XX XX XX XX XX � .- REVISIONS 14 SM 9W 240 "' FOYER XX XX XX XX L. - LINEN CLOSET WITH (3) SHELVES n eATlta�(�) 120 12-2 A FAMILY ROOM XX XX XX XX XX S.W. - STAIRWELL DATE ITEM EXEMSE ROOM XX XX XX XX XX W.C. - WATER CLOSET - DEMAND LIMIT MAX. 1.6 GALLONS PER FLUSH(MASS.) Q- SMOKE DETECTOR LOCATION SYMBOL LEGEND 4- STATE AND TRA INSIGNIA LOCATIONS G- DATA PLATE LOCATION g DUPLEX REC£PTCLES ® RECESSED LIGHT C= PANEL BOX T.R.ARNOLD&ASSOCIATES,INC. It GROUND FAULT RECPTICLE HEAT/1FAN/LGHT n WIRE IN WALL OR PARTITION P.O.13ox 1081 BUILDER REFERANCE MANUAL PAGE INFORMATION GROUND FAULT PROTECTED REC. >-NK FLOURESCEN'T -`� WIRE IN CEILING OR FLOOR Elkhart'IN ass ' '-C, SWITCHED REHEPTCLE [D 70 CFM.FAN/UG1T COMBO EXT.EIOI. �� THREE WRE Commonwealth of Massachusetts SECTION 6 PAGE Accredited Evaluation and 4)E RANGE DRYER RECEPTICIE sO SINGLE POLE SWITCH HOME RUN TO PANEL BOX InspectionY Agency A. FOUNDATION 25 2 7 9 � wATERPRoaF c;Fl RECEPTaE B. RANCH- 28-30 S DOUBLE GANG$IWTCHE$ This document is certified as being in conformance B U.L APPROVED 5110KE DETECTOR ® DOUBLE GANG 3-WAY/SINGE SWITCH with Massachusetts State C. RAISED RANCH- 31-34 R°T° CoMPAC1A8lE PHOTO.ELEC.DETECTOR MASS O THREE WAY SWITCH Codes and the National D. CAPE (AND DORMERS)- 35-41 SCALE: &ttcc (MASS.) El ctr- at o e " ' " 9 RANGE HOOD 160 CFM.EXH.TO EXT. O FOUR war SWITCH E. GAMBREL (AND DORMERS)- 42-46 1 f 4 _1 -0 . By wAl1 MOUNTED INCANDESCENT LIGHT /® DOUBLE GANG 4-WAY/SINGE SWITCH Approved F. SALT-BOX (AND DORMERS)- 40-41, 47-50 Date G. EXPANDABLE COLONIAL- 51-54 SHEET NO. SURFACE MOUNTED INCANDESCENT LIGHT S/�/S TRIPLE GANG 3-WAY/SINGE/SINGE N V 02 Approval of this document does not authorize or approve H. 4-BOX COLONIAL- 51-54 © J(1NCT10N BOX FS FIE SAFETY SWITCH any ommision or deviation from the requirements of I OPTIONAL ROOF PITCHES- 55-59 Q THERMOSTAT N PHONE JACK applicable state Laws. J. ELECTRICAL- 60-63 7 . + PADDLE FAN 0 TELEVISION JACK K. PLUMBING- 64-71 REFERENCE KEISER INDUSTRIES INSTALLATION MANUAL FOR ALL ON—SITE CONNECTION DETAILS. INDUSTRIES INC. . • C� DROP ALL RIDGES FOR * P.O. BOX 9000 RTE 121 ,. CONTINUOS RIDGE BEAN CONTINUOS RIDGE VENTING OXFORD. ME 04270 (2)2A 12 OR BTR SPF I TELE: (207) 539-8883 FAX: (207)539-4446 T.R.ARNOLD&ASSOCIATES,INC. 2x4 SPF 02 OR BTR COLLAR TIES�°16"O.C. P.O.sox loss i DWG NO. Elkhart,IN 46515 Commonwealth of Massachusetts RE KIM 2423 2r2 LEDGER�2 OR BTR SPF _ Accredited Evaluation and 26 12 OR BTR SPF Inspection Agency 2x6 12 OR BTR SPF QQP I S4Ujh,F 7/16"0111 OR OPTIONAL GOTO VIEW: This document is certified as being in conformance 6� I RN lT 1+ R-38 MINIMUM INSULATION FURNISHED C/CO 1/2"PLYWOOD SHEATHING. SECTION with Massachusetts State Codes and the National MINIMUMRS199IINS AND INSTALLED BY OTHERS BAFFLENISHED AND El ct-cal o e INSTALLED BY OTHERS I ®16" DATE: •I Approved By cam RE _ 11-5-02 Date N V 02 12 i Approval of this document does not authorize or approve 10 TO 12�• 2X6 SPF M2 OR BTR COLLAR TIES P W O.C. - ' • - any ommision or deviation from the requirements of LE ER applicable Slate taws. • I 2x6 WALL OR ®STUD 1235 SELF SEALING ASPHALT SHINGLES ,�� I GRADE O OR BETTER OVER PLY-DRY UNDERLAYMENT �P 2r6 SPF 12 OR BTR SNOE TOP PLATE i ❑ PQOOP i R-KRAFT BACKED INSULATION U \ MINIMUM R-38 INSULATION FROM �O 2x4 STUDS-STUD GRADE OR DUERIOR WALL TO KNEEWALL .. S BTR SPF 0 16"O.0 w/SINGE I r ', O INSTALLED IN FACTORY �+� BOTTOM PLATE i (OPTIONAL) + l� MINIMUM R-19 INSOLATICIN i R-30 INSULATION INSTALLED FURNISHED AND INSTALLED R i ®NIS FACTORY BETWEEN KNEEWALIS Q TYP.OYHWANG 10 1/2' ON SITE BY OTHERS. 3 4"PLYWOOD DECKING i O ALUMNJM FASCU WTALLED a EAVES - j ^- OPL PEE FASCIA INSTALLED IF EAVES X10 F #2 ® 16"O.C. x10 SPf 2 016"O.C. V2•SHEETROCK METAL OR WOOD INSULATED 2d0 BOX FDA ITYPJ 1 1/8• JOIST HANGERS® NID SPAN BRIDGING 1 2•DRYWALL over SHIMS ALL CLEAR SPANS HEATHIM VINYL STING(WOOD OPTHINAIJ Vr PLY OD CIPTIONAL DRAWN BY: n R-19 KRAFT FACED 2X4 STUD GRADE MATEWALLS SHERRY 1/2•SHEETROCK _ INSULATION ®16'O.C. Vr COX PLYWOOD OR 7/18" 2zG STL�S FRAMED a if O.C.(TYPJ z osB WALL SFEATINH; MATEWALLS HAVE 3/8' ALL pDQpIR WALLS TO BE N9AATED•FACTLRI'KIH .s W/DBL TOP PLATES a WGLE BOTTOM CHECKED BY., COX SHEATHING R-19 FHROASS GATT IMATIOL PLATE a EXT WALLS e BOTTOM COURSE OF SIDING AND - STARTER STRIP SHIPPED LOOSE 3/4 TdG PLYWOOD _ `n AND INSTALLED ON SITE BY OTHERS. WO SPAN OFFSET BLOCK MOM& SUB-FLOOR !-AND INSTALLED ON SITE BY OTHERS REVISIONS yr s1fETRocK , PORTION BELOW LINE (4)2X10 CENTER ORDER FURNISHED AND INSTALLED DATE ITEM ON SITE BY OTHERS. • 2x8/10 SPF tl/2 JSTS @ 16"O.C. 2x6/10 SPF t1/2 JSTS a 16"O.C. (2)2xtD PERIMETER JOIST 12 SPF OR BTR. N AROR TREATED LL 8' 10" MASS TYP. IETAi DR MOOL(tO(8HC \-W HNIG91S TWA BY OTHM WALL THICKNESS 2 X 6 FIRE STOP FOR I/f MON BOLTS C-f O.0 LENGTH OF ORDER 4•CIR OLF OUTER FACE OF fN1 NSUTATED SILL SEAL BY OTHERS. ALSO TIM It T WISE . l NO FLOOR INSULATION IS REQUIRED GOFERS AND IBM It CF ' IN THE FIRST FLOOR OVER CONDITIONED _ Bm Cr KPAR S11 m3ffm Alta BASEMENT SPACES.• ALL FLOOR OR FOUNDATION ""_-31/r Olk SIR am (OR MU ALRR AX) IM INSULATION REWIREDCODE PER E IS TO BE PROVIDED, FUF19m ND NSMUED 8Y 0GMT6 II��I, �11 11 AND INSTALLED ON SITE BY OTHERS. OW-SHE 1111ERTOFDL10AI1011TAK II' IIII IIII . illl raL Tx 14 X r rf dMIIM111=1 , � � aNaFTE CGNOR FR001ING I I-IIII r-1—III Ilbl 9 S TRUST ll IIII—JI 111HII�II i�ON-91 ROW o�ilFRs a+sTE er m1E1zs II�IIG I TI=1 �10 MyyBBY WA d 4 HL POLYM ETf MMo CM IIIIIII— = I SCALE: DRAINAGE SOIL� '��` _ - REO.PER CODE ir-lilltl .: _ -lilt — _ TIT— — I Ii NOT TO SCALE 11 MIN-110111-IIII_III 111 111 111=111�II�III-111tI11— III III II IIII II III III II�� 1�111� III —,.,. 111L=—IIII�II� —IIII=IIII=1111111=IIII=IIII III��IIII- �111-IIII-1111111=III- IIII— k III-III COMPACTED FILL �=_qI _III IIWill— SHEET NO. I 1=1111111 �— =n' -111�LIII�1' TYP.DRAINAGE TILE 8 • INDUSTRIES INC. t P.O. BOX 9000 RTE. 121 OXFORD, ME 04270 t n TELE (207)539-8883 ABOVE 4 , 2-0 FAX: (207)539-4448 ROOF , RL----- VENT THRU ROOF DWG NO. 2° KS. VENT BELOW ROOF 1'-0" KIM 2423 , TO BE CONNECTED TO MAIN VENT BY BUILDER 2i"WASHER VENT LAYER NAME: - ----f---- -- TO BE CONNECTED 3„ 2" SHOWER VENT PLUMB CL TO PROPOSED 2nd FLOOR PLUMBING TO MAIN VENT BY BUILDER CONNECT 2° RE-VENT TO TO BE CONNECTED FURNISHED / INSTALLED ON SITE BY CL 3" MAIN VENT IN WALL TO MAIN VENT BY BUILDER GATE: OTHERS. -r ---- CL 11-5-02 CAP FOR FUTURE 2nd FLOOR PLUMBING CL TO MAIN IF NOT USED IMMEDIATELY. w Z DRAIN Z - > t_,>,� W f— CL "' Z > c� v' 1-1/2° LAV. VENT w — N a N TO BE CONNECTED o N CO TO MAIN VENT BY BUILDER CO WASHER LAV ' ` ��� �SHOWER J, I FL z cvr) Of CD CL CAP FOR FUTURE BASEMENT'FL KS o IQ- VENT IF NOT USED INMEDIATELY. &Ft.` �-� STOOL Q z D/W ,, L I FL \Q F STOOL , � J \ FL CO � COc DRAWN BY: \ — SHERRY ➢ LEGEND BOW -VENT CHECKED BY: ; IN BASE CABINET � CL= CEILING LINE, CO / . FL= FLOOR LINE REVISIONS \ ISLAND RL= ROOF LINE DATE ITEM \\ VTR= VENT THROUGH ROOF \\1 1 11 SINK D/W= DISHWASHER \ FL 4—BOX CAPES AND COLONIALS WITH RAFTER ROOFS LAV= LAVATORY FL . BT= BATH TUB * FV= 2" BASEMENT FUTURE VENT ALL PLUMBING BELOW FLOOR LINE OF 1st FLOOR TO BE SUPPLED/INSTALLED ON—SITE BY OTHERS. WB= WASHER BOX STAND PIPE T.R.ARNOLD&ASSOCUTES,INC- CONNECTION BETWEEN 1st. AND 2nd. FLOORS ON SHWR= SHOWER P.O.Box1081 WP= WHIRLPOOL TUB Eflduwt,IN 46515 4—BOX UNITS TO BE COMPLETED ON—SITE BY OTHERS. Commonwealth e ration a�deL� DWV VENT STACKS ARE TERMINATED IN THE 2nd BD= BIDET , Inspection Agency FLOOR CEILING JOISTS AT FACTORY. THE ONSITE CONTRACTOR KS= KITCHEN SINK SCALE: DASHED LINE PORTION TO BE This document is certified as being in conformance CO= CLEAN OUT NOT TO SCALE with Massachusetts State IS TO SUPPLY / INSTALL ALL ON—SITE VENTING AND FURNISHED INSTALLED ON Codes and the Rational PS— PEDESTAL SINK / El -calf a PLUMBING ABOVE THE COMPLETED 2nd FLOOR. — SITE BY OTHERS. AppDaedgy THIS INCLUDES'THE VENT THROUGH ROOF. WC= WATER CLOSET SHEET N0. Date Iv v �02 - Approval of this document does not authorize or appro ^ any ommision or deviation from the requirements of e WOP= WASHER OVERFLOW PAN applicable state taws. S.C.= SITE CONNECTION Third Party Stamped Plan Information Sheet • SturctureType• Cys C&u Job Number: . ''—ILV 2y23 Oa-Line Date: Builder Name; Address: P.O - '3o x g 7,) City, State Z1P: jj r m r i y Structure Width: Structure Length: O t t This plan conforms to the approved Keiser Industries,Inc, integrated building system(1BS) r t Signed: Date: • r T.R.ARNOLD&ASSOCIATES,INC. P.O.Boz 1081 Elkhart;IN 46515 Commonwealth of Massachusetts Accredited Evaluation and Inspection Agency This document is certified as'being in conformance with Massachusetts State ' Codes and the National EI ct cal o e Approved By Date. N V 02 (t -•i_ Approval of this document does not authorize or approve any ommision or deviation from the requirements of applicable State Laws. - x^ ' • t , Keiser Industries - Rt 121, PO Box 9000 Oxford, ME 04270 207-539.8883 207-539-4446 2423 Nov 05,2002 Total Btuh 31211 @ 92 Dtd Total Cfm= 1560.7 Total Gpm 3.1 Trunk=8 by 22 Total Radiation Feet=56.7 @ 180 F. Radiation output:550 Btu per Foot Room Number 1 2 3 4 ' Room Name DINING/KIT BATH 2 WARD. BATH 1 r Height 8. 8. 8. 8. Length 24.67 6.2 6. 9.16 Width 13.67 13.67 13.67 13.67 Exp Glass Area 90. 20. Exp Wall Length 38.3 6.2 6, 22.83 Sun Heat/SgFt Kilowatts Y People x 1000 R INFILTRATION 2182 1029 F CEILING 22 1410 22 354 22 343 22 524 A FLOOR 22 1410 22 354 22 343 22 524 C PARTITION T WALL 20 995 20 228 20 221 20 748 O GLASS 3 2760 3 613 R SUN LOAD S KW BTUH , BTUH 8758 937 907 3437 CFM 438 47 45 172 #6in DUCTS 4.9 .5 .5 1.9 Radiation Ft 15.9 1.7 1.6 6.2 Room Number 5 6 7 8 Room Name LIVING RM BED 1 0000000000 _ 0000000000 Height 8. . 8. Length 26.2 19.83 Width 13.67 13.67 Exp Glass Area 53. 66. Exp Wall Length 39.8 33.5 Sun Heat/SgFt <. Kilowatts People x 1000 R INFILTRATION 1674 3737 F CEILING 26 1267 26 959 A FLOOR 22 1498 22 1134 C PARTITION 12 552 12 552 T WALL 20 1221 20 929 0 GLASS 3 1625 3 2024 R SUN LOAD S KW BTU H BTUH 7838 9335 CFM -392 467 #6in DUCTS 4.4 5.2 Radiation Ft 14.3 17. T.R.ARNOLD&ASSOCIATES,INC. P.O.Box 1081 Elkhart,IN 46515 Commonwealth of Massachusetts Accredited Evaluation and Inspection Agency This document is certified as being in conformance with Massachusetts State Codes and the National El ct ical qoqe s ' r r Approved By Date N V 02 Approval of this document does not authorize or approve any ommision or deviation from the requirements of applicable State Laws. F • e J MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I' I I Checked by/Date I TITLE: KIM 2423 "LEVEEN" CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other - (Non-Electric Resistance) DATE: 11-5-2002 PROJECT INFORMATION: WILLIAMS BUILDING CO: P.O. BOX 272 YARMOUTHPORT, MA. . 02675 COMPANY INFORMATION: KEISER IND. P.O. BOX 9000 OXFORD, ME. 04270 COMPLIANCE: Passes Maximum UA = 337 Your Home = 327 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 920 38.0 0.0 28 WALLS: Wood Frame, 16" O.C. 1593 19.0 0.0 96 GLAZING: Windows or Doors 385 0.330 127 DOORS 38 0.400 15 FLOORS: Over Unconditioned Space 1288 19. 0 0.0 61 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 an J4 . 4 . Builder/Designer Date T.R.ARNOLD&ASSOCIATES,INC. P.O.Box 1081 `- Elkhart,IN 46515 Commonwealth of Massachusetts Accredited Evaluation and Inspection Agency This document is certified as being in conformance with Massachusetts State Codes and the National EI ct ical o e Approved By Date N V 02 Approval of this document does not authorize or approve any ommislon or deviation from the requirements of applicable State Laws. 248 CNIR: BOARD OF STATE EXAMWERS OF PLUMBERS AND GAS FITTERS 2.23: continued FIGURE 13c > N N� C A r� BOW VENT CONNECTING TO HORIZONTAL NOT TO SCALE 12/1/93 248 CMR- 145' T.R.ARNOLD&ASSOCIATES,INC. P.O.Box 1081 Elkhart,IN 46515 ' Commonwealth of Massachusetts Accredited Evaluation and Inspection Agency . This document is certified as being in conformance with Massachusetts State Codes and the National El ct ical o e APPro,ed By Date N V 02 Approval of this document does not authorize or approve any ommision or deviation from the requirements.of applicable State Laws. - i- ' _- � - !I v .t• k,. ? � � Y t �� F� f rf j r r. i . r { 3 , • f ,., .• .. ,... ., k :, ,fir.,„ .. ,: , .,n r 9� r�� ,.... --, .... 1.. ..,. ._.rlk.. daxi., .<. ... ,.r., .JF`•.r>r. ddd.,.. a ._.�.... r,. ,;. :': , .,: .. :: .t a_. -. kYSuxx ....t rY. _. •, !Ii .=e ,. ,. ,.. ., r ':: -., ,: :� [.. ....:. .. .. -..:.. _:_..... ::r ... >( f. _ f .. :.. -,:. -...1SY3.. 'try t� ..._: � }��.. ., .._, ... .:s_, ... ... _ .: .. ... .:...� -if. -- .. c." .I,d•. e .. -. -',a,l} ✓ .,. r. ._ ..t.. ,. .'+.<.t v.!,....kYy., a e ...� .. .. ... _. r ,.- a, a. } _.. .i--.. 'fs�e 'S-, `+Y1 i. •k« ..... .,:.:_ -- .. .. tc ! .. 4 _: Y 7•_ .. 4 .. .. : ._.. r , r.._- ,... r........... ... .. -.:. r, x afr..-.4 r• .. .. -: : , � , -.. „. } r .. , fa:.q;r ., t. r.... ,. t....;: .. .. 1'.. .#.t.:.,r>. r,►:#i .'%f':"7.> y .,._ TW , .... 4 .:.. „ :...f, �,_, .„ .e �j}�. '� .-y.,•+. '.f•x .1rx. .Nat'. , ..,,. .. .. :.:.... t.;., s... -C• -«, ..,.,. ,.. Az, .u. :. ..r.... c, ,:. Ho rm . .- .. . ...1 _. .. ^fi t a.., .., . .. ,,.,. 1. :,.,.< m, ,,: - 1.�.. ,. <. r z. 4 ,., ._i.. _.. :�- -.... _. -- ..5,. ..._.. -r'". ,e ,. 6 .. ✓n. .r ..»„ .:n._.-.Wn. M i ,:_ .... - .�.., ...t _. _... ... .a. ,. :_::a.. ', ,.: .... -,.. .. .. is _. •�'.. . e , p , ,,, r. >,. ar {� , .i :'#,;Y ':r ,srr _. 'iw _, r. ,. ... _. .... ... ,6..- a Y L-.a _ .._ , ,. .: ... ..,. .. ,_. _ a. .I. i ... .,.,_: =+ar. +r.• a- ::.. .. .P;L'1`q-.. n. ��._,,f,�� ,, _. .. t. _t,.: k'•x_.: - "e , fit « r Ys »o �u,� P Y. .:: a y�� , - .. t'a M P:. .. is I.. sr.., P r..,.:C.ag.. ,: _, .:..✓ ,.. . ... , � .. �f - 1 e�..t 1.�-• A , , _ F. �.. :. � r.,... -._. .. -. i!'>w:• ,,: ":a.. ::. ... .: .!•r t,♦ y ,� - -,M ... ,, :.-:., � E,L. f4, .. r. 'rL ,y : aMa,. 1:-.-. .. ££ .. a:o:.y f� , r.::l'vr> j� -� ., d�7 5 d. u _. t♦ .. , ty. ,�,Y, .h R ` M 4:. r „. v. ...... .: .I� _ ,�.. , ...... r -: , � .. 1 rJiFw _... .:',..... .Iw„ a• .'.. .. �. • < .. a.. .. .:;,. .. ', 1. ,F. t��•,1 ....� fit,. ,:.-. .,. ..., n .,k Y .,. ,, .. :. , ,..: ,.., .,4•,� ... < ,._ t-..lr. .i�.�:r. :i"l,. Y a... ... r.. d 5} ,. ::» :..,.., .. .,. .:.,: '« : 7$ , , t xd '.¢.F. ..:. , ,, w ,. d.:., 'r":43'f • ..,,,' ,, i ,. �' ..,. .u, ','S+,. >r., k nav $ •tl«.. ,,, ,,. ». ..v. t:.rir r t , .. t AJ J ,. t ,. t •.Sdt ,J1 ri ... ,. w,. _..,. ., a ..-:,„., r ,. , ,_4?.. -. .. ., ,�:x`: r-1..ab m , .. .... '�}#"i f: z ..-t. :. \. ,e f, `) [ i „- ,:,. .. ..._ :.. .. ,. Y.,# F_. C ♦... '. a. G.- ,. .1 ,. , ' .. _.: .. ..f , y,.y.. .,. «..r-w , f t... :.,r ,.t. .... .., .,., , ,,. ,,t .n .....�E, ,. .._x -_ e.tt, -„u. .. ..-..{�u� .. .. +✓ ,_. , ... , >-.:_ r.- ! ��) 3a.C.. fl ,.:»,,.�. s .fit.. .. .:,.., _ a,., & I:. y-"+•.'»R: ,..a w,j#. ,.}: .VJ,:. ,. ..=7^,r lit ,_. .r.,r y,•fi•{9 a ',...._.,r� , ,PS, «.,, �' p C''.. -. .rr♦,n�e` r ..{. �.. ... � ..:- t_...r .,.: -._... §Je', _ 4'{ Ya j Pam "`n .k-: . .. ..... ,,. t. .. -.,. .a , .,,.,yf ,.. r.i rt:� .,.,.•,w ^r ,. ..., .... _. .:..�` .., _.... A6,w. ,.,,..., ,.. ...,h✓c,. r._,if ... >f.., rr e t ..`F'� 'A` ,:Y. x... :�.., 4 �St c r.•. .u. y. .. -�':: ?G-a..,a.... t•�✓ _.. _.,. - ...,...a°Xi x. :•s:� , ._.. ,.. .... _•t _-.i.. _lsw.A�t.,,..:r .k.$5:,.,a''t, ._ ,...:: i' ti:`.a.. #�..«. ':4n..[w Via',,. , „•t _ ,Yxrr ,7 tt i y�'�.p.. -l+J�_ _ ,y..;..�.:. �. � r ,� ,a.• ,i. .Y.,xF i cw{. '�"7 �°7"•Y a .: .SS.. � � � � It�EISER • • _ �I - 1 rl• _ 1 '1'1: • tt — — DRAWN SHERRY� � 1 11' INDUSTRIES INC. .x> i' P.O.BOX WW RX 121 OXFDRD.IE 04270 24'4 -6f-2' 61 4 5'4 3/4• 14'-4' aroaca,T ON KITM sow'-91 4' 3'-1' 6'-1' DWG N0. 9' CITADEL SLIDER W/STRUCTURAL HEADER OVER PAR C2436-2CSMNT PAR C2436-2CSMNT OMMM KIM Z4Z3 Ma vm ------ OTO w153o f --; I Y G VIEW: VW8 _ .� r-------------- SUBMTL SPENhR MRE PC3684 O O ff3-34 D.W. ' TK-70 SB3s ' ; LAU DRY §°O 'n 'I' DATE: Ares 134.807 sq ft --- I— fr �, 11-4-02 1. KITCHEN I ig - DINING ROOM CROW► ,, OMIT�ooR I o � 5/0-B.F. � WARDROBE I x Y Y 5636 Area= 178.285 sq ft --------------------------- I » 1 t El - 824' I I B24 J$ t f g 218 WALL 00 OMIT FLOOR 8TK24 i i BTK24 z Z 1 I p O -I I Mb BATH, 1 N_t —� — --- -- ---- 2 BATH .2 I TILE '� o _ Q P.B. "' TILE w. ' �tx n+c PREP ONLY �- FOR PADDLE FAN -INT 2/G-TNT --- 2/6 �ts pp J r� Due =f L z i U) _ _ono :=a O z O�� \ o ' W N - _ PHOTO N �— J tc o> _ ElEC N 14 -----------------DROPPm HEADER---------------- 5/0 CASED SHERRY ----------------- ❑ �, sPF wc 1r-2 3 a' W ,� `� DRAWN BY: Exec a ac w/2 3—WAY sxrnpl zll i N—H �'� w.. `.: NO FOR FllNRE 7RAClc lxH1NG� CII O Q 1 1 ® Area= 262.34 sq ft $' Area= 287s38 sq ft s wll ~I m 1 , BEDROOM 1 CHECKED BY: LIVING ROOM CEmER ovEx aooR 3'-r CARPET I OMIT FLOOR i OPEN N REVISIONS 1=1 TO ABOVE CID �� PEnaRI TO 2nd. co DATE ITEM PHOIC Rm FLOOR a PHaHe OAK TREADS PREP ONLY a PREP ONLY - U�------------------ FOR PADDLE FAN FOR PADDLE FAN COOING TRANSrnON DUO oval NOTE WIRE FOR (7) SPEAKER LOCATIONS. NO BOX NEEDED. 16GA WIRE STAPLED TO STUD.AND STICK OUT OF -{} N DRYWALL 7' A.F.F. (COIL 3' WIRE EACH LOCATION) TM TT C1 I o ce zT J ll(411iNG i U N 3'-0'x6'-8' GATES,INC. PAR3666SH PAR3666SH ARCH LITE PAR3666SH PAR3666SH P.O.Box 461 }fit,IN 4ass 4 1 a F—a'-4' ommo elite h v luation and I E qCC -7 0 Accredited Evaluation and CALL: 2U,-2a .!— 1/�_5 1/2a Inspection Agency 1/4a=1 a—On 7 is document is certified as being in conformance . - - , a with Massachusetts State —O _ Codes and the Natio EI nal etr,al e e. SHEET NO. .. Approved By Date N(9V T02 '''///"""���JJJ _ Ap,.-I of fhrs d«omen(doe:—1—hod:e r 21".e / f w any omm smn of eeriafbnlc from the repo remems of /L . - a,,k. 5—laws INDUSTRIES I� .. P.O. BOX 9000 RTE. t OXFORD. ME 04270 TEIF: (207) 539-BBE 46 FAX: (207)5397444E 14'4° 5-4° 5'-5 1/2° 5'-4" 15-6 1/2" 7'-4" <2'-8' 2'-8' 2'-8' -�-2'-8' 8'-6112' 7'-0' - DWG NO. PAR3666-2SH PAR3037SH PAR3037SH PAR3666-2SH KIM2423 GOTO VIEW: -.__.l SHED WALL o SHED WALL w 22"00" MIN: SIZE ATTIC ACCESS (SEE SHEET P17) TUB� m (SEE SHEET P — T 2ndFLR W O O SMOKE DETECTORS _ N TO BE FRAMED ON SITE BY OTHERS 0 ®oK. W � DATE: W BATH 2 N 11/11/2C 1•,7 � r� �O ' I FL_ =, B�Ay1R� STAB`L�E UL ING DEPT. FLOOR TRUSSES N 2 � 0 ID w18 ve24wle WATER -- WN �Of z a PREP �-ll IL; SHED ROOF TER (CLOSET #2 SHED OOF_LL a Q _ ' ` T`' SEE SHEET P18) —� F_F P=.GDFE F=I! (SEE SHEET P18) CL SET #1 ; ' r ' RIGHT GABLE C/ �. r LINEN O t E WALL ------------ OFFICE/CRAFT ROOM LF 4/0-B0 o ��- _ N o N HALL a PFEP .l11 r�::f cal . W I r: Pft I(uj \ . r' LEFT GABLE _ END WALL BEDROOM 2 o TOP FLIPS Z TOP FLIPS w DRAWN BY: (SEE SHEET P14) o ( ) �„ � SP 3 ; SEE SHEET P14 = o WALK-INco ) cr_WARDROBE CHECKED BY -I a FFEF :I IL 1 I 6" CEILING LINE F_� '-'['[,LE F=II REVISIONS i �• - - - - - - - - - - .1 -• 1- - - - - - - - - . OPEN 6' KNEE WALL L-------------- I i 6' KNEE WALL x (SEE SHEET P15) ' ' TO BELOW ' (SEE SHEET P15 GATE ��� (0-5 A_4 4' KNEE WALL �--ACCESS PANEL A_1 `a (SEE SHEET P15) 8'-"A-DORMER" A-2 8'-"A-DORMER" W , (SEE P20) A-3 (SEE P20) N o r. PROPOSED - 2ND FLOOR L J v (BY OTHERS) PAR34 -2SH PAR34 9-2SH - - - - - I k 91-4» 27'-4" >< 9'-411 SCALE: 46'-0" . ����" Jr SHEET N0. � F, 9 8. 8� 7 iooa1 .8� �+-ssm c P 3 f.V. OVA JVUU RIL, ILI AC INDUSTRIES IN, . n P.O.BOX 9000 RM 121. 5'-6 3/4' 24-8 , .W 04Z70 6'-2n n � —d'448 9' CITADEL SLIDER W/STRUCTURAL HEADER OVER ELF- 14 4' 6-O 9f-2n Kwaxaur aal KfiC1�1 FOR sow-9 1 4'' PAR C2436-2CSMNT -1: s'-t• DWG N0. STAK9 WE iota PAR C2436-2CSMNT KIM 2423 . . . csft„ 0 I ` ------ , —1 ; F--Y --'--- ' - ------- - GOTO VIEW: Area- 134.807 sq ft ; SUBMTL �s �t D.W. �c-7o sees f LAU DRY DINING ROOM � KITCHEN --- 1 �� ; 'ltOiRfXlIG � , o ��a -�- DATE: : WALK-IN �' OMIT FLOC I m 1 , o, a, 3s Area= 178.285 sq 1 W 5/0-B.F. !r ; WARDROBE `x -4-02 CIO -------------- �� OMIT FLOOR 824 ; -----�- 4 BTK24 ' 1 31-da ' 1 BTK24 1 ' '--- -`---- ; o� P.B. -? -- BATH 2 BATH 1 �, z 1 � PREP ONLY ME ; a 1 TILE J J I M Q n FOR PADDLE F � ----' - �, O 1 AN ' 2/6-INTI co --- 1 2/6-INT 1 �rzn ¢ 1 — ------------ ' Q znioto I C� - 1 LUM 1 Sfl �c z ; z '^ rt" - -------- !C3 N v ---------- TO of 1 LLJ NO N �E'y , Z �- --4--/ -------- I —. — (^ 1 --------- EADER 1 J 1`r� �/l --H— 1 >c ^ ------ 1T-23/4' ----------- 5/0 CASED II0Z a III-w BOX W a-C VA 3-1AY SNTM zl!�w—1 y 7— US FOR RfTL6iE TRACK LKiMG ZI oo m , I I DRAWN BY: Area 287.638 sq ft STAM mRE I I Area-- 262N sq ft SHERRY LIVING ROOM BEDROOM`R BEDROOM 1 OMIT FLOOR I 3'r_ 1 CART OPEN CHECKED BY: ROOR �. TO ABOVE TO 2nd. CN Z i Fww FLOOR Co REVISIONS PREP ONLY CID DATE ITEM �I OAK 1R£ADS FOR PADDLE FAN, g l Due L--- PREP ONLY NOTE WIRE FOR (7) SPEAKER LOCATIONS. NO BOX NEEDED. COLING TRMSITI�I ------ FOR PADDLE FAN 16GA WIRE STAPLED TO STUD AND SUCK OUT OF Bun DRYWALL 7' A.F.F. (COIL 3' WIRE EACH LOCATION) z ' 1 I Cw TRAq( ' \ , N LOf19TG cv , O �g S3 U PAR3666SH PAR3666SH X-0'x6'-81 4'-4' ARCH LITE 10'-0' PAR3666SH PAR3666SH 'P.O.Boa 10 IES,nvG I 81 26'-2n '-4 I n 3-1 t/2' �� to'-o°— �l �,IN46 4-4' ommonwealth of Massachusetts' ' 11-5 112' Accredited Evaluation and SCALE. -O° Inspection Agency T is document is—ined as being to /4»= —0 pr onforman<e with M.1—huselts State< Codes and the National E,<I o e SHEET NO. Approved By Date N V 02 I/�1 Approval o!this tlocument does rwt autM1oriic or aPProve / any omm�swn a d¢viatan from the requirements of `/// applieablb State Laws. II r.V. OVA U000 RIL. ILI tom. 45' INDUBS leS IRM NS _ 24'_8n _O 1 n - - OXRM,ME 042�0 5'-6 3/4' 6-2 nMZ ( . 9' CITADEL SLIDER W/STRUCFAX TURAL HEADER OVER °p'0� N�+ c Far sow 91 4' PAR C2436-2CSMNT 6'1' DWG N0. W STAKM WW3018 W1530 PAR C2436-2CSMNT KIM 2423 I , , F3( — 7 1 I r------------ _ 1 1 _ I ; ,Y G OTO VIEW Area= 134.e07 ; ; 1 SUBMTI N o-� 34 D.W. Tx-70 S836 --, LA U DRY ; DINING ROOM ' , KITCHEN - �O; _ _ frr B«naNG a OMIT fZO� ' WALK-IN ' o N DATE: Area- 178285 sq ft I w 5/0-B.F. !r WARDROBE ; 2 2 �1-4-02 _ , , i i a' -------- __ i ----- OMIT FLOOR 824 -----------I B24 '� BTK24 I i BTK24 _ I 1 2 O P.B. BATH 2 .oa U , - BATH 1 �,., 1 = Q PREP ONLY n�E N I I , TILE FOR PADDLE FAN ----' ' Q CL Co al9lER 2/6-TNT co 2 6-TNT I— C� X-2 ' O _ O, - 1 a t g ' z Li ———— �.: ElEC co 1 Z I ---.— Am — ---___ F]FG CV u I Z + \ J ' N SPENCER ---------- i J ,..�tea- _ _DROPPED HEADER_—— - i —11-2 3/4' --- 5/0 CASED , 11 wTV BOX IN CLG p1/2 3-y/AY SMTpI II W 7 z WO MR i GUW TRACK Wf1PIG� �, _ I Ire I , I area= 287s ft � 0 m 38 sq FAKER ARE I I Area=- 26234 sq ft DRAWN BY. LIVING ROOM Cam t)VER ooaR SHERRY BEDROOM 1 oMtr FLooR CARPff CHECKED OPEN BY. �I TO ABOVE TO end. coREVISIONS CD Float FLOOR ID I pfm Co ' DATE I111U PREP ONLY l OAK TREADS: + Of FOR PADDLE FAN g' a o� F--------------- PREP ONLY NOTE WIRE FOR (7) SPEAKER LOCATIONS. NO BOX NEEDED. cauNG TRANSITION --- FOR PADDLE FAN 16GA WIRE STAPLED TO STUD AND SUCK OUT OF Dun DRYWALL 7' A.F.F. (COIL 3' WIRE EACH LOCATION) -( ' TRAM T I C/) 1V N O PAR3666SH 3'-O'x6'-8a ' 4'-4' � PAR3666SH ARCH LITE 10'-0'— I PAR3666SH' d d PAR3666SH T:Es,nvG 0-0 —'--i �-2•: '' P.O.Boa 1081 26'qC _4 I a —� 1/2' 10'-0' EWhart,IN46515 —2n 4'-4' ommonwealth of Massachusetts 11-5 112" Accredited Evaluation and SCALE. 46'-0 a Inspection Agency T is do<umenl is certified as being in onformance 114"--1'—0" with Massachusetts Slates. - Codes and the Nalianal - El clrcal o e SHEET NO... Approved By Dale N V 02 - Appoval of rnis Document ace "not amn on r aPPove ' " i msan w devi — any om pnlr m me requ of a - a➢Pr;ca01 c Sta e m law ECTOR ......... . P.O. BOX 9000 RTE, 121 Ix,• N INDUSTRIES W INC. P.O.BOX 9000 RM 121 OXFM,ME 04270 tr i;. lIIE -8883 . 14,_4, 5_4a 46-0 FAX ( A -+,,e r-o' 5-5 1/2' — ` 5'-4" 15'-6 1/2' r-4' r-8' r-s' PAR3666-2SH PAR3037SH .' ��� 8 61/2' r-� DWG N0. _.. PAR3037SH PAR3sss-2sH KIM 2423 ry COTO VIEW: 22'x3O' MIN. SIZE ATTIC ACCESS 05 pp� 2ndELR TO BE FRAMED ON SITE BY OTHERS 9R BATH 2 DATE: 11-5-02 1 - _ FLOOR TRUSSES o . ' Wi5 1924 YDi5 WATER N `0 PREP ONLY -----, - coz WATER �N O I CLOSET 12, TVQ FOR PADDLE FAN CLOSET 11 'PHor� LINEN BEDROOM 2 Q >z a 0 I ~ o 1' ____________ o OFFICE/CRAFT ROOM z/s-►NT m 1� Z � z v HALL , { Uj PREP ONLY FLOM N `�' Y . FOR PADDLE FANPw CV . ---------- C__4 . � 1 _ DRAWN BY: ' o SHERRY co WALK-IN m . CHECKED BY: _ WARDROBE PREP ONLY FOR PADDLE FAN - - - — — — — — — — — — 7'6" COUNG ONE �. I - — — — — — - - - - - ' —— — — REVISIONS 1 , ---------- — — — — — — OPEN NEE WALL DATE ITEM TO BELOW 2001 �—ACCESS PANEL 8'-"A"DORMER 2001 DN. VIEW 8'-'A'DORMER DN. VIEW o 7-6.1,2- PROPOSED 2 N Rp FLOOR 000 SEAT p/SWGE&WO)TZP 7-6 1/2' - — — — — — (BY OTHERS) T.R.ARNOLD&ASSOCIATES,INC. ' PAR3 -2SH - - - - - - - - - - - - - - -- - - rosax�osr - - - PAR3 9-2SH - - - = - - - Elkhart,IN 46515 Commonwealth of Massachusetts 9-4>, ALE: . " 2714' Inspection Agency 9'-4a SC L This document is certified as being in conformance 1//)h—- -p with Massachusetts State. Codes and the National - E�yy��U�,�o�e / 'r/ SHEET NO. Approved Byl/iP,�/L1A.V/��fY� T.O.F. AT EL. 24.5' SEPTIC PROFILE TEST HOLE LOGS , ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER WATERTIGHT To D.A. OJALA, SE . , (WATERTIGHT) � ENGINEER: 22..5 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE DONNA MIORANDI, RS 2% SLOPE REQUIRED OVER SYSTEM WITNESS. ' 20.4' RUN PIPE LEVEL 2 DOUBLE WASHED PEASTONE DATE: 11/5/99 I FRpS� .. 21.5' -' FOR FIRST 2' < 5 MIN/INCH PROPOSED 1500 2 PERC. RATE GALLON SEPTIC - bU, � t�f 19.25' _ TANK (H- 10 ) 19.0 ITEE 17.0' CLASS I SOILS P# 9593 y W FAST SYSTEM GAS � 17,83 ' / BAFFLE 18.4' o00o VR051 16.46''' _� NEr d 0 `�3.5' ® SIDES 5 o``� (22 SLOPE) 6" CRUSHED STONE OR MECHANICAL O 96' J° 0 ED 0 2' ® ENDS 6 COMPACTION. (15,221 [21) a� o r�oo 15.5' � a LOCUS DEPTH OF FLOW = 4 V ELEV. ( 33 % SLOPE) 0„ 19.5' 0„ 21.8' TEE SIZES: „ VE 3/4 TO 1 1/2 DOUBLE WASHED STO INLET DEPTH = 10 O 2" 2„ -0 OUTLET DEPTH = N/A r A LOCATION MAP NO SCALE FOUNDATION- 10' SEPTIC TANK 3' D' BOX 20' FACILILEACItY lING 7 4" 10 R 3/2 4" 1OYR 3/2 rJ'--8" BLOWER UNIT WITH H000 E LS E LS ASSESSORS MAP 289 - PARCEL 4 A SEE NOTE 1 CONC. COVERS To GRADE 5" 1 OYR 7/1 5" 1 OYR 7/1 ZONING DISTRICT: RB' 1. BLOWER TO BE REMOTED NO GREATER 1 1 2^ VENT PIPING B B YARD SETBACKS: THAN 100' FROM SYSTEM r ---- ----- I SEE NOTE 2 FRONT = 20' 2. OPERATIONS AND MAINTENANCE 20" CLEANOUT COVER LS LS AGREEMENT REQUIRED FOR LIFE OF I �� '� RISERS TH 1 @ 8.5' SIDE = 10' FAST SYSTEM �\ �; 12"x16" CLEANOUT COVERjj 1 OYR 5/6 17.17' 1 OYR 5/6 REAR - 10' i SINGLE HOME FAST 28" 1 1 4" AIR PIPING I I 11 I I I I 34" 1 9.Z' INSERT J I I I I I I I PLAN REF. - 183/21 1500 GALC C FLOOD ZONE: C SEPTIC TANK _.I- WP DISTRICT j. SHOREY MAN. INC. 4"scH ao PVC (TYP.) r 1 I OR EOUAL IN FROM HOUSE 3 PERC MED/COS MED/COS 3" MIN, ABOVE TREATED PERC I I .OUTLET 6"NHOLE WATER OUTLET - -- -- - I FAST uNrr o > I: 2.5Y 7/6 2.5Y 7/6 ' i I 24" 500 GAL. 1'WO GAL. f --- --- ..r_. -----J .. .. S DNEY DRIVE 38" ` 132" 8.5' 132" 10.8' EDGE OF GRAVEL ROAD A PLAN VIEW 76' NO GROUNDWATER FOUND NOTES: VIEW A-A 1` `� NOT ALLOWED APPROXIMATED FROM HYANNIS QUAD MICRO-FAST SYSTEM SEPTIC DESIGN: (GARBAGE DISPOSER IS _ 1 . DATUM IS c0 p. (110 AVAILABLE DESIGN FLOW: 3__ REDROOMS GPD) =- 330 GPD 2. MUNICIPAL WATER IS 330 / „ UTILITY .�IS(�� �� _... ., GPD DESIGN FLOW MI�,!II " Itw! f'IF�E PITCH TO BE 1 8 PER FOOT. POLE 3 08.77 �Qa GPD ( 2 ) - 660 ,., . ,• � � SEPTIC' TANK: 3�0 - 4-. U.�`�: r.�d�'i_.)/�,�Il�t..� rLt;-'HI:_" 'i-�r�EL,f-+,Si �Iv:I-S ;G...�t ,-�,-�.,r,�; �,- 5. PIPE_ JOINTS TO BE MADE WATERTIGHT. - 26- USE A 1500 GALLON SEPTIC TANK WITH F.A.S.T. SYSTEM 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING: ENVIRONMENTAL CODE TITLE V. N. ?. AA = 330/.75 444 7. WORK ONLY NOT E THIS PLAN IS FOR PROPOSED AND TO B \ USED FOR LOT LINE STAKING. 1 B0'., (11 + 1) (36 + 1 = 444 (OK) 8. PIPE . FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. TOTAL: 444 333 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT �. S.F. INSPECTION BY BOARD OFF HEALTH AND PERMISSION ❑BTAINED USE 4 FLO DIFFUSORS WITH 3.5' STONE AT SIDES FROM BOARD OF HEALTH: r " - - GAR - W AND 2 AT ENDS n , I DECK - i O 4 C PROP. 3 BR DWELL ; __ 2�•. LEGEND N` H1 SITE AND SEWAGE PLAN °p TF a 24.5' co LOT 1 100.0 PROPOSED SPOT ELEVATION OF n �D N I c v DRIVE \ /E � `t IVh I V 2' 104x0 EXISTING SPOT ELEVATION IN THE TOWN OF: : c 100 PROPOSED CONTOUR ( HYANNIS) BARNSTABLE ' 100 EXISTING CONTOUR C. M OLI N ARE PREPARED FOR: D i m � s i 20 0 20 40 60 Feet ' 1 H �^ BOARD OF HEALTH of D ' MA APPROVED DATE SCALE: 1" = 20' DATE: DECEMBER 20, 1999 TITLE 5 VARIANCE REQUIRED 15.214 � I): uTlurY �° N ry (UNDER 15.005 TRANSITION RULES): 0 POLE GU N / r ALLOW A 3 BR DWELLING ON LESS Ti:AN off 508-362-4541 WIRE N LOT 2 fax 508 362-9880 1 o AN ACRE (15,970 SF) 121.52' 15,970 SFf I ,�► •.,� - \ \ BARNSTABLE "330 REGULATION":' PAE'T down cape engineering, inn. 1H OF FNE�� ARNE VIII, SECTION 8 - TO ALLOW A 3 e_R �� Aga �y� A H. \ 11 BENCHMARK DWELLING ON 15,970 SF LOT CIVIL ENGINEERS IVI OJALA CONCRETE BOUND LOT 3 3"2 26,A woe LAND SURVEYORS -� o ELEV = 14.75' 99--335 939 main st. yarmouth, ma 02675 A JALA, P. ., .L.S. DA E T.O.F. AT EL. 24.5 SYSTEM PROFILE TEST HOLE LOGS ,, ` /F� ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO D.A. OJALA, SE "" ENGINEER: 2.5 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 29� SLOPE REQUIRED OVER SYSTEM t WITNESS: DONNA MIORANDI, RS _"` 20.0 RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE b DATE: 1 1/5/99 fRp`'j 21.5 _. .,._.,, .. .,fFOR FIRST 2' < 5 MIN/INCH PROPOSED 1500 PERC. RATE = �o i GALLON SEPTIC 19.0' ' TANK H 1 TEE ) 9593 1 19.25 ( - 0 ) 17.0 CLASS SOILS P# GAS 17.0' BAFFLE 17.17' oo Q © Q fRpSs `> S fp EY 4 16.46 3.5 ® SIDES SLOPE) �6" CRUSHED STONE OR MECHANICAL 80 0.96' C] (� [`-1 [] (� i; 3 ® ENDS c -10 4, COMPACTION. (15-221 [21) � I o 15.5 1 ELEV. Locus DEPTH OF FLOW - (�% SLOPE) 0" 19.5' p" � 21.8' 4 TEE SIZES: 3/4" TO 1 112 DOUBLE WASHED $T 0, E INLET DEPTH - 1O O 2„ 2,, 0 OUTLET DEPTH NSA A LOCATION -MAP No SCALE FOUNDATION- 10' SEPTIC TANK 9' D' BOX 4' LEACH NG 7' LS LS FACILI-`( 4" 1 OYR 3/2 4" 1 OYR 3 2 E LS E LS ASSESSORS MAP 289 PARCEL 4 5" 10YR 7/1 5" 10YR 7/1 ZONING DISTRICT: RB B Eby YARD SETBACKS: LS LS FRONT = 20' TH 1 ® 8.5° 10YR 3/6 10YR 5/6 SIDE = 10' 28' 1717 30" 19.3' REAR - 10 PLAN REF. - 183/21 i C FLOOD ZONE: C PERC I MED/COS PERG MED/t. OS WP DISTRICT 2.5Y 7/6 2.5Y 7/6 SYDNEY _ y DR/vE 132" a 8.5'_ 132 10.8' EDGE OF GRAVEL ROAD •' NO C ROJNDWATER FOUND N N SEPTIC . ,�L UN - ` :R I � �'WE DATUM IS D��1G;'• DISPt�7' ,F _ _ 11 G �, i,>,20 :w AVAILABLE - _ DESIGN FLC)W: 2_ BED`�OOMS (. -D, 1 `,i p 2. MUNICIPAL WATER IS UTILITY USE A 220 GPD DESIGN FLOW „ �� POLE 3. MINIMUM PIPE PITCH TO BE 1/8 PER FGOT, 08.77 SEPTIC TANK: 220 P 1 440 4. DESIGN LOADING FOR ALL PRECAST UNITS TO AAS 10 � G D ( 2 BE HO H•- 5. PIPE JOINTS TO BE MADE WATERTIGHT. 26- USE A 1520 GALLON SEPTIC TANK 6, CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. `tom _LEACHING: ENVIRONMENTAL CODE TITLE V. SIDES: 2(22 + 11) .96 (.74) = 46.8 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING. -_-J �• BOTTOM: 22 x 11 .74 179 , ( ) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. 18 20 22 TOTAL: 305 S.F. 225.9 GAD 9. COMPONENTS NOT TO BE BACKFILLED OR ,CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED - USE 2 FLO DIFFUSORS WITH 3.5, STONE AT SIDES r FROM BOARD OF HEALTH.l `-- _ -- -- CAR W AND 3' A' ENDS rT7 r 22. Fr1 �, *2 BEDROOM DEED RESTRICTION REQUIRED C ) cxcx if O PROP. 3 BR awEu. _ �r LEGEND �T� I�N� � �'LA cv TH 1 1 r -- LOT 1 100.0 PROPOSED SPOT ELEVATION 00 , •z4s• °F 4 SYDNEY DRIVE 22• 0 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: � Q 100 PROPOSED CONTOUR B A R i �1 ( HYANNIS) TA BCE " 100 - EXISTING CONTOUR PREPARED FOR: C MOLINARE H BOARD OF HEALTH 20 0 20 40 60 Feet MA APPROVED DATE DECEMBER 2p, 1999 SCALE: 1" - 20' DATE: _ i TITLE 5 VARIANCE REQUIRED 15.214 (1): UTILITY (UNDER 15.005 TRANSITION RULES): T( REV. 9/12/01 (3BR-2BR) POLE cu N N ' i ALLOW A 2 BR DWELLING ON LESS TH.<+'N off 508-362_454+ WIRE LOT 2 AN ACRE (15,970 SF) fax %8 %2-9880 I I , co Cb N 121, 15,970 SFt s \ S2 ~� BARN STABLE 0 REGULATION": PAR! C1�OW12 cape en�ineern inc. o� AN of Mq�> .._ B S BLE 33 REGUL 0 ,• � Mq�� a�,� VIIi, SECTION 8 - TO ALLOW A 2 BI< ARNE H s DWELLING ON 15,970 SF LOT CIVIL ENGINEERS ANt: '<:> ofALA BENCHMARK a ALA CONCRETE BOUND LOT 3 LANDSURVEYOS �OJH. o. 83 ELEV 14.75' TE'�`�� 939 main st. yarmouth, ma 6?675 _t99--3351.�i r JALA, NAB , " DATA'