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0042 WOODBURY AVENUE
��I L AJ 005"K��) �v►2 -Commonwealth of Massachusetts Sheet Metal Permit o ' Map Parcel � � 7 ' Date: - .. Permit a 1 D cac ESS PER Pe Estimated Job Cost: $ 6 em App, nut Fee: $ A Rpp I. Plans Submitted: YES NO` w 20��n-s Reviewed: YES NO N OF g Business License�# �O / NU C # A ' nse Business Information: Property Owner/Job Location Information: Name: ��/ , Name: P�✓t i5 v y Street: �� �� Z.g rI' Street: L Ci %'Town: City/Town: Telephone: PC9 7 !` Telephone: ` 5-b U / Z ?0 Photo I.D. required/Copy of Photo I.D. attached: YES 1/ NO staff Initial S-1/ - estricted.license i J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10;000 sq. ft./2-stories or less Residential: 1-2 family V - Multi-family Condo/Townhouses Other Commercial. Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft. 'over 10,000 sq.ft. Number of Stories. Sheet metal work to be completed: New Work: Renovation. HVAC v/ Metal Watershed Roofing. Kitchen Exhaust System Metal.Chimney/Vents Air Balancing' Provide detailed description of work to be done: J4-1 el .- A r i INSURANCE COVERAGE: y, I have a current liability insurance policy or its equivalent which meats the requirements of M.G.L Ch.112 Yes No ❑ I If you have checked YZI indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee toes not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement: Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box 1 hereby certify that all of the details andinformation f have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations.performed under the permit issued for this,application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES &" NO Progress Inspections Date Comments Final Inspection Date Comments l Type of License: 3y 0 Master tale ❑Master-Restricted l �1tylTown ❑Joumeyperson . Signature of Li see 'ermit# ❑Joumeyperson-Restricted ber:VckatWWw.mas5,20y1dj2I =ee$ . i nspector Signature of Permit Approval g:. c .. � t ' . . � .. } � .. ,. � M ♦ � 4 . P � '( �. f �. s I i _ .. ._ _ ... '.. s __ ` .. �4 � ... e 3+•.. /.. l a .__- :_ ,i. dRl. 7, r ;�_ ° �-���- - � � . . v - ��. � ° s ����' s� �� � °� � � � � � � �,i_ } . 4. � .�. � � " � :. � � � �§ � � # Y � svx � x �.' � � a � z �.q � �, 7: r� r + saaxseABLE + ' bus& Town of Barnstable Regulatory Services ` Richard V.Scali,Interim Director Building Division Thomas Perry,CBO {,Buildin''Cominissioner .200 Main Street, Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-190-6230 Pro a Own rt p er Must `. Complete' dfi&,S1gn This Section_' , 3 ` If Using A Builder I, b 2i'Ak�"'S /7/ G(��>t , as Owner,of the subject pxopetty hereby authorize Mok-e6 l'rG1 o act ' n xny behalf, in all matters relative to work authorized by this building permit application for: , (Address of Job)' Signa net r Date /J'�j�l�wr�S (�C�I Print Name+ If Property Owner is applying for.permit;,please complete the Homeowners License Exemption.Form on the J reverse side. t .., TAKEVIN Muilding Changes\EXPRESS PER..MMEXPRESS.doc > Revised 061313 a ACO® FDATE(MM/DD/YYYY) CERTIFlOATE OF LIABILITY INSlRANCE /17/20.14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH7S'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 REPRESENTATIVE OR PROD U NG INStRER S AUTHORIZED AND THE CERTIFICATE HOLDER. O+ ORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the Policy(les)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain Policies may requiree an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PRODUCER NAME: Crystal Iebister C.L. HOLLIS INSURANCE PHONE (508)29:5-9500 FAx 140 Marion Rd tsoalz9s-9e9a E ,crystal@insurehollis.com INSU S AFFORDING COVERAGEqXa0443 NAIC 0 Wareham MA 02571 INSURERA:Trap$ ortation Insuranc INSURED 0494 INSURERB:Continental Casual Co JAMES DIEDE DRT HEATING AIR CONDITIONING DBA INsuRERc:TWn C Fire Insuranc PO BOX 666 9459 INSURER D: INSURER E: BUZZARDS BAY MA 02532 INSURERF: COVERAGES CERTIFICATE NUMBER:CL14915.01862 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFMUMMY, POLICY EXPO GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISESEa.occurrence $ 300,000 A CLAIMS-MADE FxJ OCCUR 9017719112 /12/2014 /12/2015 MED EXP(Any one person) $ 10,000 t PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO PRODUCTS-COMP/OP AGG $ 2,OOO,000 COC $ AUTOMOBILE LIABILITY COMBINED IN - - X ANY AUTO nt 1. 0.00 000 B BODILY INJURY(Per Person) $ AUTOS AUTOS SSCOEDULED 016640007 /4/2014 /4/2015 BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTONONS EO POP ld DAMAGE Per aobi TY $ i Uninsured motorist BI Split limit $ lU0 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE .AGGREGATE $ DED RETENTION$ I . C WORKERS COMPENSATION WC STATU= OTH- $ AND EMPLOYERS'UASILITY YIN X ANY PROPRIETOR/PARTNER/EXECUTIVE 5OO OOO OFFICER/MEMBER EXCLUDED? Y NIA E.L.EACH ACCIDENT $ (Mandatory in NH) BWECTX6573 /13/2014 /13/2015 E.L.DISEASE-EA EMPLOYE $It yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 560,000 F 1 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is regWmd). I i • l CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i TOWN OF BARNSTABLE. ACCORDANCE WITH THE POLICY PROVISIONS. BARNSTABLE, MA AUTHORIZED REPRESENTATIVE WORD 25.(2010105) 01988-2010 ACORD COR"kA-110N. Al rights reserved. NS025(201005).01 The ACORD name and logo are registered marks.of ACORD j •-- . . ... .... .... o The Carn_trm nneah*o�f'Massachuseto Department a,f'h dasttd Acddemts - - ice r�,f rmwstk fians 600 WayhLmgton Street $asfar%,MA 12HI wn-nurlasmgal'Adia . W—art-ers' Compensatl"€anLisurance davit:Bmlders/Contra:ctors/El ch-iciansMumbers Applicant Information Please Print Lepiblv Name •on&&vidnal): C ty/Stat&Zip: 4Ci A A6 02 5:; one fire y an employer?Check.file appropriate bay: T of ect :r 1_ I am a eanployer with f0 4- ❑ I ate a geA the sub-,c for and I 6 consf. oa employees{full arkd/or part-time)* have hires the sins conhactors. 2_❑ I am a sole proprietor or partner- listen on the allached sheet: 7-.[9'Remodeling and hat e no Tie sab-omtractors have S_ Demalitioa shzg employees ❑ •. w fvr me in any c c-z employees and have workers' offg Y a 9_ ❑Building addition l--o workers' corky-insurance comp-iUMU+arrfi�- . 5_❑ We are a corporation and its 1{�❑Electrical repairs or additions I officers bwm exercised their 1 L. Plambin airs or additions 3_❑ lam a hgmaou*ner doing all tvorf �' ❑ ��P , Myself [No worbum'CCMF_, right of exemption per MGL 12..0 Roof repair inmtrnsnce required,I F c-152, §1(4} and we ham no employees LNo worms' 1 _❑Other comp_inSQL2 rrquiretj.I *Any snpfbomt that checks boa fl umst also fOl oil the section below shaw-firg thdr wae'kexs'mmgwn iaa poUry infiannxtitm 1 I$ameo wners wr&s;f=t this of idavff inmcxdzK they are 3nmg all rrox$and Bien han onside contracmm nm mch- =Caatnctors il>.at check this box must s=dmd sa additj nsI sheet showiad tlse m a lire s and statE whether acnat thaw enmities have amphuees• Ifthe m*-con=cwm have employees,they must pnuuzde uieir worleEs'comp-policy number I am arz.emipZoyer that isprmidirtg workrers'copTansafion irmwaacs for my entp&y cem Belau is thegaHgi and job sits igformatiram- ` Insurance CompanyN=e: Icy or Self it2s 7 7/7 1 1 L Expiration Date: Job Sita Address: 2 !NeO/�C r� I y�f CiWStafelzip: Attach a ropy of the vmrkers'compensation policy declaration page(showing thii policy-number and ezpsation date). Failure to secure co-w-tsage as required ruder Section:25A of MGL c. M can lead to the imposition of criminal penalties of a fine up to$1,500.0a and/or me-yearimprivonment,as well as city penalfies in.the form of a STOP WORK ORDER-and a fine ofup.to$250_0.0 a day api-Vst the violator- Be advised that a copy of this statement may be fnrwarde d to the Office of Irr m4ptions of the D/A invmmce coverage:verificadon- I dri{tere ,c erti the paitrs ctnrT panaTtiss n ary that the inn,,fbnmoffan pral2dsd,btwe is hug and correct r-- Signature: Bate: . ` c/ 6j at use on£y. Div not wribr in th&area,to ha completed by doz nr town nfficiaL A Cite or Town: PamiftUcense# hmuini Authority(drde one): L Saaazd of HezIth 2.Buffdiq;Ilepartment I CitWTcvvm Qerk 4.Eledncal Inspector 5.Pl mbb g l'necter 6.Other Con tact Persan. Phone#_ 6 Information and Instructions 'k Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"._.every person in the service of another under any contract of hire, express or implied, oral or written." An employer is ctefned 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 Iegal representatives of a deceased employer,-or the receiver or trustee of an individual,partatrship,association or other legal entity,employing employees. Howe-ver 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 repay 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 Iocal 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 alay applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance v lull the insurance requirements of this chapter have been presented to the contracting authority_" Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,U necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with tbeu ceri 1ric aft e-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(L LP)vy-nd no employes other than the members or partners,are not required to carry workers' compensation ini�tranGe_ If an LLC or LIT does have employees, a policy is required. Be advised that this affidavit may be submitted to the Depaf t, ent of`lndusa ial Accidents for confirmation of insu=ce coverage. Also be sure to sign and date the auldav:t '112e a idavit 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 ob t aLa a workers' compensation policy,please can the Department at the number listed below. Self-in-marred companies should enter their self-msuraace license number oa the appropriate lore. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space al-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 permitllicense number which will be used as a reference number. In addition, an.applicant that must submit multiple pennit/license applications in any given year.need only submit one alffidavit indicating current policy information (ifnecessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses_ A new affidavit must be filled out each year_Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax number_ nt,commww an of Massachus-ett, Degarimont of Ilidustial Accidents ' Q-ffice Of kyestigatiom, 600 Wasbingtou gt� Bos'tou-IAA G21 I I Tel,9-617 727-49-QG W 406 or I-&TT-I ASSAFE Revised 4-24-07 Fax A 617-727-7-749 w .mass-govldia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel y ' Application #a hJ { �v 1�uss Health Division Date Issued 7— [¢— l F Conservation Division Application Fe . J" Planning Dept. Permit Fee �,� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Yw2 u r y a(/R Village _ _/- Y0.✓1 P14S Owner 0.wr*S At 40 G" Address SA kvtg Telephone 570 8 -6B S 97(9-0 Permit Request decL EkA f oot4% cue e 3 9 A Z-7 Square feet: 1 st floor: existing proposed 610 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !,000 iConstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family l� 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 ® `3 o Basement Finished Area (sq.ft.) Basement Unfinished Area O Number of Baths: Full: existing new Half: existing O@w Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor R om Cour�ft � rn Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other 0 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name &Z�CtvE #'r 10C-1 Telephone Number Address -I kt&C9oC 4"_,V Y a -vLe License # .a Home Improvement Contractor# I� Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ARPLICATION# DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE 3 OWNER DATE OF INSPECTION: FOUNDATION. w FRAME INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE;.CLOSED OUT A ASSO^O 1ON PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents- iOffice of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information AA ,, Please Print Legibly t U / Name(Business/Organization/Individual): &L W "I-S �r C A i Address: �v2 I u r X 0, City/State/Zip: K u h vti S &4� 02601 Phone#: 50 F-685-97c9 Q Are you an employer. Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' comp.inctrrance# 9. ❑Building addition [No workers' comp.insurance p• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.El Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site - information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for i4araace coverage verification. I do hereby c er a pains nalties of perjury that the information provided above is true and coll ect Signafore: Date: Phone#: SC) '� �S— 92 7 O Official use only. Do not write in'this area,,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:' Phone#: 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()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MAS8AFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable Regulatory Services - oFZi ro�� Richard V.Scali,Interim Director Building Division a.u_MMAXr.r_, Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 D MDR A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION - Please Print DATE:. I , JOB.LOCATION: `f,I�,2 l��p c?dy GQ' 422e 12 number street village "HOMEOWNER": b 2i<A k,43 /0 G _gO-9--6 as 9 70?-Q name p home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi eownei"c es that he/she understands the Town of Barnstable Building Department minimum inspection proc' es an a ements d that he/she will comply with said procedures and requirements. Signatur omeowner Appioval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness.often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFUMWORNB\building permit farms\EXPRESS.doC . �TFiE T Town of Barnstable Regulatory Services MASS �, Richard V.Scali,Interim Director i6g9. �e 619. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Seciiori If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Natne Print Name Date . , mw f t ; eii- f ✓ ' f} f r. LOA t F ..,....� t - + ..- �..,,.„;n�._. � �.—.+t..•_-��i s..-t. _. _ _.+r-. t -•'^.-'^.'t`._`.—.yy."ow.-..�._ _. _ , '_'_._'t"-_..^�l 1 , f r t , t C a ' e T co i 4 a • - �� a .e_ ,. - _. — • w _. . .. E , o y y Y O z O i . ER EO -SIC ca g ® Q -- a � all A N ' ® ® r V Z Q z � AA L1' o �t g -tA q S _ � 0 � o �� E j e LON, i _ MIA. �wo yob� rya ;7 �' 1 t• r �.. _ <- -•p.+..- _ _ ' ` y ..t...{,...:. �.. ,-saa..,,•,;rt, ....�: � ,., - A. .,,- ,..,..,,.�•y±R.f>.._-"4- -. „ Yea 16 co cef 6 l f s • { a r jy i wir -......p.. .«. .'� -a ..�•-.......�.,,..�.i - is ...-�_ _ -„�.,c�,.._,..r,,,.�,,.,a...wwh...a..�_,._..�....,,x..�j,..,,e.„,...},.�..„„�-�- 'L..,. .s _..-.p.-.., ��.� ._..�,.,......t,.,�-, g _. � '� r - - - t t3� I N _ . . _ _ _ p 3 � s zz- - , 77 } # —(Vi Pi r ! 1 4, 11 k 1 �, _ �r r32 p p, EX. GARAGE Proposed o deck 38�3, EX. DWELLING r� PROPOSED , P12o 90 S6'1 0 ADDITION 1Q'x14' p� D M iD w � MBLU 307-0 42 WOODBUR Y AVE BARNSTABLE, MA SEPTIC FROM ASSUILT ON FILE AT THE TOWN HEALTH DEPARTMENT r CER l IFIED PLOT PLAN d ARLOU RESIDENCE AVE I CERTIFY THAT THE IMPROVEMENTS SHOWN of IN 42 RNSTABWOODBURY MA � Ass BARNSTABLE, MA HAVE BEEN LOCATED BY A FIELD SURVEY. 9c ROBE yJ' DATE: MAR. 6, 2014 JOB * S072 y�KFc `� SCALE:1 u=30� DWG. CPP w No. 35418 H / .,''d .0 ^ �� - --- EASTBOUND —.,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Application # Health Division Date Issued Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village hfl/Q ti�14'r Owner rr' �"LiGI i� S C. �° Address Telephone � b t9- —6 8—S 9-7O q -- R .j d Al c� B I v;R 0ty-- aA / P_er-r-nit Re_ uest�_ .P - S-2c�v� �-I �,cl CY�d d� /e V49 A � o v/ 3 'IlkeP/ ce _r1e eL a-_5-1 Square feet: 1 st floor: existing proposed 2nd floor: exis#ing proposed/WoTotal new. Zoning District Flood Plain Groundwater Overlay Pr-oject=Valuation ®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 (�19 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout Other f a rh',; Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) -3 3 n Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing f new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes kNo Fireplaces: Existing 9/0 New Existing wood/coal stove: ❑Yes No Detached garage:,Vexisting ❑ 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 ❑ o Commercial ❑Yes ❑ No If yes, site'plan review# Current Use Proposed UseD R; APPLICANT INFORMATION ;= (BUILDER OICHOMEOWNER),... �h ;-- Name-�--- �' /Gt rti,,� /(/1''Gp�( Telephon N mber_`~w � C��j CA-ddr_ess_. �_!-k "OO r lac�'e License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEB SULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DA E �7 - FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' .,)�FGUNDATJ:ONi7vFJ�► t-"IL FRAME INSULATION i G .. o , .° .. -Z s r �Own— FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL GAS: _ ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT } ASSOCIATION PLAN NO. 1 - - i The.Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): lJ2 j Cr Address: � ��l', � �' ( Gi 2=Q City/State/Zip: L" •� S` Phone#: Are you an employer?eheck the appropriate bog:- Type of project(required): 1.❑ I am a employer with ' 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g; ❑Demolition workingfor me in an capacity., employees and have workers' Y # 9. ❑Building addition [No workers'. comp. insurance comp.inct,rance. required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 1 L Plumbing repairs or additions 3. I am a homeowner doing all work ❑ g P ' \myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t, c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and 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'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for mi suran a coverage verification. I do hereby certify n E-pai s of perjury that the information provided above is true and correct Si afore: Date: v2 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 dwellin house P g or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have. employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or 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 Iegibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. - Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-817-MASSL F Fay#617-727-7749. Revised 4-24-07 VVNW—mass.gov/dia I r .aY Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOM OWNER LICENSE ExF.A=ON (J Please Print DATE: l dOB-LOCATION:- � w00�VG( V y &Ve 1 mmmber StreA t, village uHOMEOwrI>R�---` l}2C�VviS �i"�c., Sy����J`9.7� • named home phone# work phone CURRENT MAa iNG ADDRESS: city/town state up code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow v homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFI=ON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,i 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 requireme es that he/she will comply with said procedures and requirements. SignattuE_of-Homeowner %d' Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or Iarger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.1S) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The Homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form certification for use in your community. C:\Users\decoUDc\AppData\LocaRMicrosoft\w'wdows\Temporary Internet Files\ContmtOudook\QRE6ZUBN\E}PRF-SS.doc Revised 053012 Town of Barnstable o� Regulatory Services - MASS Thomas F.Geiler,Director i639• ,�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnsta6le.ma.us Office: 508-862-403 8 ti Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the s ect property hereby authorize Z o act on my beh4 in all matters relative to work a orized by this building p t (Address o ob) Pool fences and alarms are e responsi ' 'ty of the applicant. Pools are not to be filled or utilized efore fence is ins ed and all final inspections are performed d accepted. Signature of Owner ' Signature of Applicant Print Name Print Name Date QFoxMs:owrm ERMESIorrnooLs 6/2012 I I LP Op p O LP EX. OGARAGE 0 O TANK 3823, EX DWELLING PROPOSED p ADDITION 10'x14' MBLU 307-073 42 WOODBURY AVE BARNSTABLE, MA 14 . SEPTIC FROM ASBUILT a 3 ON FILE AT THE TOWN HEALTH DEPARTMENT CERTIFIED PLOT PLAN ARLOU RESIDENCE 1 CERTIFY THAT THE IMPROVEMENTS SHOWN OF M 42 WOODBURY AVE HAVE BEEN LOCATED BY A FIELD SURVEY. ��P Ass9c BARNSTABLE, MA o� yG DATE: MAR. 6, 2014 DRAWN: RBS ROBB JOB #: SO72 c SYKES SCALE.1"=30' DWG. CPP No. 35418 EASTBOUND LAND SURVEYING, INC. P.0. BOX 442 ROB SYKES, P.LS. DATE FORESTDALE, MA 02644 A FirC Gicide to Wood C0r1str41ct:611 in H4g z WndAreas:110.7 ph ff-Irrd Zone Massachusetts'Checklist for Compliance�rao`c IR53ol).Ll)' t - .. ": Ly 1.Chcck 1.1 SCOPE Compliantx Wind Speed(3-sec-gust)----... _ 110 mph Wind Exposure.Category.-___—. _..:__ _.._._B 'Wind Exposure Category..... ........Engineering Required For Entire Prpject _.....................................0 12 APPLICABUIIY. Number of Stories(a roof which exceeds B in 12 slope shall be considered a story)_ stories <-2 stories Roof Pilch ,-(Fig 2) - � �.s 1212 Mean Roof Height_ _c —(Fig 2)- -.... ft 5'33' Building Widfh,W (Fig 3)-- ft <a0l. Building Length,L _ (Fig 3). _ _. ft <BD' Building Aspect Ratio(L 41) ....... (Fig 4)_ <3:1 Nominal Height of Tallest OpenrngZ- 4)...__ __. 1.3 FRAMING CONNECTIONS - General comprtance with framing cnnnectioris.-.._ :.--.(fable 2) - 2-1 FOUNDATION. Foundafion Walks meeting requirements of 780 CMR 54o4 i Concrelz..................................................... ConcridtE Masonry ........ -----.._. _._---- 22 ANCHORAGE TO FOUNDATION" 5/8'Anchor Bolts imbedded or.516 Propnetary Mechanical Anchors as an alternative in concrete onl ti Bolt Spacing-general................ (Table 4).......... in. Bolt Spaang from end(oint of plate in < _12". Bolt Embedment concrete FFlg 5)..._ in.>T' •V Bolt Embedment masonry (Flg 15)----- t in >_15' ' Pfaff Washer.. .- -- -- (Fig 5) _._._�:._ _ - - - '-3`x 3'x'/•' 3.1 FLOORS Floor•framing member spans'check ed -_ (per T80 CMR Chapter 55) Maximum Floor Opening Dimension_._.._ ---_,,-._ �..:___.Fig 6)..... .......:..._ Full Height Wall Studs at Floor Openings less than 2 from Exterior Wail(Fig 6) -r.. Maximum Floor Joist Setbacks Supporting Loadbearing WatrS DiShearwalf---_--!.(Fig T)...._ ----.. _............-.----•�(f�ft <d Maximum Cantilevered Floor Joists —/ Suppor&ng Lnadbearing Walls or SheanYaU ft c d V Flop Bracing at Endwalls -_._(1 tg 9)...._ _.+ _. ._ Floor Sheathing Type -. __ _(per T8D CMR Chapter 55)._.:_. Floor Sheathing Thickness _:_ er 790 CMR V .._ _.__ ._..(P� Chapter 55 __._._---.__._.... FloarSheathingFastening ..._ ...._ _ =.(Table 2): d na0s at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls. .: _ _(Fig 10 and Table 5) - 9 ft s 10 V Non-Loadbearing walls _ (Fig 10 and Table 5) _ 77��-•ft's 2D Wall Stud Spacing _ �(Flg 1D and Table 5): i24`D.C. Wall Story Onsets : . _._ _.__(Figs 7 8�8)_ .:: ... :._._ U ft s d Jy 42 OCTERIOR•WALLS2 Wood Studs Loadbearfagvrags_ ft.L16in. V 1 Non-Loadbearingwatls .(1-able�)...__ _$Lin. * Gable End.Wall Bracing. — Full.Heigh Endwrall Studs MP•Affic Floor Length._ .__ _(Fg11) - _ _ _. / ftzW/3 Gypsum Ceiling Length(if WSP not used}__..�__.. (Fg 11) ft>_0.9W _. and 2 x 4 GOntinuous Lataral Brace @ 6 fL o.c.-Fig 11)_...... .......� ...:_ .__...�._ _ or 1 x 3 ceiling furring strips @ 16'spacing min-with 2 x 4 blocking @ 4 ft spacing in end joist'6 truss bays Double T.00 Plats AFVC Isuide to Wood Constructian in High Ffind areas: 110 triple Krnd Zotie Massachusetts Checklist for ConigLiaIlee(790 CiF4R5301.2.1.1)f Loadbearing Wall Connections r /� Lateral(na:of 16d common nails)-.-------(Tables 7) --------------.,._. -...-.__-_.. Non--I--oadbearing Wall Connections Drat(no.of 16d common nails)_-._:._---_.-.-.. ,(Table B)-_- .- ^---•--• Load Bearing Wall Openings(record largest opening but check all openings for compliance °Tabi 9) Header Spans -_ _. ....._-�_-_._. ._.__.(Table 9)__.:..._:-----___._._�.:(9 ft oin._<11' Siff Plate Spans -_____._.-.(Table 9) •,- -- ft c9 in._<11' Ful Height Studs (no.ofstuds)_-..-----.••.--.—...(Table 9) :-_ -._.-..----- ----=---- �/ ND>z d Bearing Wall Openings(record largest opening but check all openings for compliance Table 9) Header 9)-------------- _-__. 3 ft_in.s 12' Sid Plate Spans.-:. ,�ft 6 in-512' - Full Height Suds(no.of studs)...--_•-----.— »_...(Table 9) ._:- .__--_. ---.----•------,--•-• Exterior Wall Sheathing_ to Resist Uplift and Shear Simuftaneousfy4: , Minimum Building Dimension,W Nominal Height of rallesf Opening - l7 <5 g� Sheathing Type._:._...:.:___...-__-._...._._._(note 4)_.................. __.. Edge Nail Spacing---------- ___.(Table 10 or.note 4 tf less) ..-- in. Feld Nail 5 acin ,..._-_... ----. able 10 ..._..... -•- in. Shear Connection(no.of 16d common nails)(Table 1 D) _-. __- _. ----• Percent Full-Height Sheathing..-.-_ ..._.(Table 1 t)) --------- ----- -- --.. R. 5%Additional Sheathing for Wall with Opening>B (Design Concepts) -_-------------- Maximum Building Dimension,L p Nominal Height of Tallest OpeningZ ... O<6'B' Sheathing Type .___.__ _..___(note 4) — -- a Edge Nail Sparing ----------- -----.�_.--�__.(fable 11 or note 4 tf less) able 1 i __ -- Z.in. Feld Nail Spacing.._.___.._._........... .._. ) Shear Connection(no.of 15d common nails)(Table 11)...................... ..-_----_-.-----• Percent Fulf-Height Sheathing.-,--.-(Table 11)---....... ___------------.--_._�__y _°! — 5%Additional Sheathing for Wall wrlh'Open'ing>SW_(Design Concepts)__._._....:.:.. AL Waft Cladding Ratedfor Wind Speed?-_-------------------- _...._...-__-.............................. 5.1 ROOFS• - D/` Roof framing member spans checked?...................(For Rafters use AWC Span Tool,see BBRS Websrie) !G Roof Overhang .......................................•..........:(Figure 19)---.•-•_-_.D ft<_smaller of 2'or L13 Truss or Rafter Connections at Lmdbearing Walls Proprietary Connectors A-� Uplift......................_.. (fable 12)•-....- -....... ....._-...... plf V Lateral----------------------------------------(fable 12)........................ ...............-• L- pff Shear.-..........................—•----•-gable 12)....... i= plf. Ridge Strap Connections,if collar ties not used per page 21'...(Table s 13).._..-:---_•--:-.-__.-----T---- plf _ Gable Rake Oudooker-...............:._..•.._...___--._.(Figure 20).._.........:_ft smaller of 2'or L/2 Truss or Rafter Connections at•Non-Loadbearing Wails Proprietary Connectors Uplift_---.--_._..-_-_._-•----•----__...(Table 14) ----___ 11=lb. � _ Lateral(no.of 16d common nails)_.(Table 14).......................................L lb. - Roof Sheathing Type ::_---._........r.....-...__.___..(per TBD CUR Chapters 56 gad 59)......_...., ) Roof Sheathing Thickness................_----- —_.-_------------- ....--,.-----_-_--•- in._t116'WSPG Roof Sheathing Fastening.--.._:..--------------_._....__.(fable 2)_........_.... �__--�-. �___.__.. Aes: This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requim-menu of T&D CMR-5301.-1.1 Item 1.If the che0dist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. A Gage Straps per Fgure;11 c Uplift Straps per.Fgure 14 d AO Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure lab Exception:Opening heights of up to a ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. The bottom srli plate in exterior walls shall be a minimum 2 in nominal thickness pressure treated#2-grade. I r 7-7 AWC Guide to Wood Corrstraction fl a;g'fi Wind Areirs.'II0 rrzph ff',trd Zo;iz Massa chusetfs Check-list for Compliance(7130 CFiR53o1 2-1_1)1, 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Mail Spacing requirements b. Wood Structural Panels shag be minimum thickness of 7/16'and be installed as follows. L Panels shall be-installed With strength axis parallel to studs 1 All habmntal joints shall occur ovef and be nailed to framing. UL- On single story construction,panels sW be attached to bottom plates and top member-of the double top prate iv: On two story construction,upper panels shag be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be,made to band joist and lower attachment made to lowest plate at first floor framing: v. Hor!zDntW nail sparing at'double top plates,band joists,and girders shag be a double row of ad staggered at 3 inches on center per figures below Vertical and Horanntal*Naitrng for_Panel Attachment 5. Glaiing protect ,a)new house or horizontal addition-required if project Is i mile or closer to shore(generally,south of WE- 28 or north of Pt--6) b)vertical addition—not required unless there is extensive renovation to the first floor c)replacement windows—needs energy conservation r ompitance only(chap 93}- 6.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B may be obtained from the American Wood Counal (AWC)website VAJENTMEDGEREM ON • 'RT'�z 1 ti n., It • m i't li z ' I l ,. JII o. .1.. tt 1 FRAhirl'iC1�S � •'I li G 1 11 ii Lia9 N CI 1 Y s air I t tl � aair STAGGEFED lira�Ac�r }` N4LPA7F8-IH Patre_ rartEI-MCME i noumFukLmc;EwocnG oErm- See I)EAd on Next Page r Vertical and HoftrAal Nailing Detail ^ T' • for Panel Attachment Verfir�t trod}iaiimnial NaiCrng - for.Panel Attachment ' Bblse cas6de Double 1 L-3%4" x 9-1/2" VERSA-LAM® 2.0 31 WSP Floor BeamT1302 Dry 1 span i No'cantilevers 0/12 slope Thursday, March 27, 2014 BC CAL-CO Design Report- US Build 2627. File Nam e: ��Belcap'e_42 Woodbury Job Name: Description:RIGHT SIDE Address: 42 Wo'odtiury Avenue ` Specifier: J Madera Gity,rState; Zip` Hyannis, MA Designer:, a + C'ustom'er: 5elca0e Company: `Shepley Wood.Products Code reports: ESR-1040 ; `Misc: ' I• I v V, .�qlssk,S,'. r4 y 11-00-00 BO ., B1 Total Horizorital Product`Lengtfi- 11-00-00 Reaction Summary (Down./Uplift) (Ibs) Bearing .. Live. .. Dead a:' Snow'.: Wind Roof'Live 50, 3-1/2" 2,640,/0 713/'0;,.. 151, 3-1:%2" 2;640/0 a, 713/.0' 4 ' c Live Dead Snow Wind` Roof Live Trib. Load Summary_ Tag Descripfion Load,Type ' +.Y_ Ref..$tart ,..;,, End 100% .:F 90% 115% ,•_1t 0% -125%,. . 1 Standard'Load Unf. Area (Ib/ft"2) '; L 00-00-00'L T1-00-00 40' 10, �.; 12-00-00 `Disclosure Goritrols.Summa y'., _ _.Value %Allowable Duration Case L"ocation Completeness and accuracy of input must Pos. Moment 8,468 ft-Ibs ' 60:7% 100% 1 05-06-00- be verified by anyone who would rely on End Shear 2,693 Ibs 42.6% 100% 1 01-01-0o, output as evidence of suitability foe Total Load Defl. U374',(0,33'9") '64, 0 � � n/a 1 p -; 05=06-00 particular application.Output here based on building code-accepted design,' Live Load Defl.� LA74(0.267-) -',;W,75.9% n/a` 2° .' .':05=06-0'0 properties and analysis methods. Max Defl. 0:339" "' x'33.9% n/a - - Installation of BOISE engine,ered.wood 1 05 06'00 Span/Depth- 13.3` t h/a`, ., n/a 0 00-00-00 products must 6e in accordance with current Installation Guide aridiapplicable x ° ° '. ` building codes:To obtain Installation Guide /°/o°Allow Allow , Y =' o"r ask questions',please call Bearing.Supports D'im,(L x W) : , 'Value ,.,Support., Member Material 4 (800)232-0788 before installation.\MnBC BO Post, 3-1/2"x 3-1/2.1 3,353 Ibs n/a 36.5% Unspecified CALCO,BC FRAMERO,AJSTM 81 Post 3-1/2"x 3-1/2" 3;353 Ibs: '" n/a 36.5% Unspecified ALLJOISTO,BC RIM BOARDT" BCIO, BOISE GLULAMT"',SIMPLE FRAMING VERSA`LAM® VERS Notes fi_+ _ A-RIM . SYSTEMi�, - ?..,`_ i PLUSO VERSA RIMO,. Design meets Code minimum-(LU24'0)Total lda deflection criteria._ VERSA-STRANDO,VERSA-STUDO are Design meets Gode minimum (U360)`Liveload:'deflecfion criteria. f trademarks of Boise Cascade Wood , Design meets arbitrary(1")iM'aximum total load deflection criteria. Products L.L.C:' Calculations assume Member is Fully Braced Design based on Dry Service C'ond.tlon° Deflections less than 1f8"Were ignored in the results •, ,. Fa'stener'Manufacturer :TrussLok(tm) a 4 c 4. 4 v _ Y 'fix t f sz Pagel1 of Boise Cascade R fi'° Double 1=3/4" x 9-1/2" VERSA-LAMO 2.0 3100 SO - Floor Beam1FB02 £ Dry 1 'span No cantilevers 0/12 'slope ``' Thursday, March 27, 2014 BC CALL®Desidn.Report.-.US Build 2627' n - i' ', . File Name: Belcape_42 Woodbury Job Name: ," t Description: RIGHT SIDE Address: 42 Wdodbury Avenue Specifier: J Madera City, State, Zip: Hya'n'riis; MA t Designer r , . _ Customer` Belcape Company: Shepley Wood Products Code reports ESR=1;040 Misc: r . Connection Diagram ; 4 A a minimum =2" c'=5=112" : b`minimurn =4r e minimum All TrussLok,screwsmay-be installed from°one side of.multiple`plyVERSA-LAM beams W All TrussLok`screws may be in dstalle from one side of`m'ultiplyV&sa-Lam beams. Member has no side loads. Connectors are-`FMTSL83 k. •_ , Syr ,. u x • 5 } Yam. r 1 #�i � � ,, aye•� p k. T t^ ��TM. �,� : r ` r � � 's*y ` r,•F ,ITS `� w# � i 4" +t a- �- of _f f {n } 4 k ! S - �� x r lb j •'N .3�fi-i' ^i.^. "�,»"x �.y, "uw'�7 "{ry, r x ,s ti t, a _ s Page 2 of 2 t� r ®Bolsacescad. Quadruple 1-3/4" x 7-1/4" VERSA-LAM®2.0 3100 SP Floor Beam�FB02 Dry 1 span No cantilevers)0/12 slope Friday,August 09,2013 BC CALC@ Design Report-US Build 2377 File Name: Belcape_42 Woodbury Job Name: Description:RIGHT SIDE Address: 42 Woodbury Avenue Specifier: J Madera City,State,Zip:Hyannis,MA Designer: Customer: Belcape Company: Shepley Wood Products Code reports: ESR-1040 Misc: 10-06-00 BO B1 Total Horizontal Product Length 10-06-00 Reaction Summary(Dow_n/Uplift) (ms). Bearing .Live• Dead Snow Wind Roof Live BO,3-1/2" 2,520/.0, 707/0. B1,3-1/2" 2,52010 707./0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 900% 115% 1600% 1251% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 10-06-00 40 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Disclosure Pos. Moment 7,748 ft-Ibs 46.2% 100% 1 05-03-00 Completeness and accuracy of input must End Shear 2,676 Ibs 27.8% 100% 1 00-10-12 be verified by anyone who would rely on Total Load Defl. U381 (0.316") 63% n/a 1 05-03-00 output as evidence of suitability for Live Load Defl. U488 0. .8% n/a 2 05-03-00 particular application.Output here based 247" ( ) 73 / on building code-accepted design Max Defl. 0.316" 31.6% n/a 1 05-03-00 properties and analysis methods. Span/Depth 16.6 n/a n/a 0 00-00-00 Installation of BOISE engineered.wood products must be in accordance with. current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation_ Guide Bearing Supports Dim.(L x W) . Value Support Member Material or ask questions,please call BO Post 3-1/2"x 7" 3,227 lbs n/a 17.6% Unspecified (800)232-0788 before installation. B1 Post 3-112"x 7" 3,227 Ibs n/a. 17.6% Unspecified BC CALCO,BC FRAMER@,AJS-, ALLJOISTO,BC RIM BOARD—,BCI®, Notes BOISE GLULAM-,SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, Design meets Code minimum(U360)Live load deflection criteria. VERSA-STRAND®,VERSA-STUD®are Design meets arbitrary(1")Maximum total load deflection criteria. trademarks of Boise Cascade wood Calculations assume Member is Fully Braced. Products L.L.C. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 ®Boise Cascade Quadruple 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 Dry 1 span I No cantilevers 1 0/12 slope Friday,August 09,2013 BC CALCO Design Report-US Build 2377 File Name: Belcape_42 Woodbury Job Name: Description:RIGHT SIDE Address: 42 Woodbury Avenue Specifier: J Madera City,State,Zip: Hyannis,MA Designer: Customer: Belcape Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based c on building code-accepted design properties and analysis methods. • • • Installation of BOISE engineered wood products must be in accordance with e current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=3-1/4" (800)232-0788 before installation. b minimum=4" d=24" e minimum=1" BC CALCO,BC FRAMER@,AJSw, ALLJOISTO,BC RIM BOARD-,BCI@, Beams 7 inches wide will be assumed to be either top-loaded only,or equally loaded from BOISE GLULAMTM SIMPLE FRAMING each side. SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. VERSA-STRAND@,VERSA-STUD@ are All TrussLok screws may be installed from one side of multiply Versa-Lam beams. trademarks of Boise Cascade wood Member has no side loads. Products L.L.C. Connectors are: FMTSL634 Page 2 of 2 YOU WISH TO OPEN A BUSINESS? _ For Your In Business certificates (cost$30.00 for 4. years). A business certificate ONLY REGISTERS you mush do by M.G.L.-it does not give you permission to ope.rate.) Business Certificates are available at the Town Clerk's NAOME in town (which Main Street, Hyannis, MA 02601 (Town"Hall) f ff�ce, 1K FL., 367 rktx CUR gpI � Fill in please: nv,E- - m 3v APPLICANT'S YOUR NAME: iti" f>1��01�f ��GO�rGL . BUSINESS 02 YOUR HOME ADDRESS, Z9 Gr ve) � �j� M" TELEPHONE # Home Telephone Number 50 -- N NAME OF NEVI!-BUS"INE3's ---- - IS THIS A HOME OCCUPAT(ON?__YES TYPE'O BIJ CT E5• - -- ADDRESS*OF'BU'SINEbs MAPjP CEL NUMBER �� 7 F When tasting a new business there are several things you must,do in order to'be i " ompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you m obtaining the information you v y need: You MUST GO TO 200 ain 5t, (corner of Yarmouth Rd. & Main Street to make sure you'have the appropriate permits and li nses.required to legally op ate your usiness in this town: ). 1 ,BUILDING GOMMIS510NER'S OFFICE ' ' .This i informed-of any permit re �uireme^ that pertain to,this type of business. Authprized Signature* COMMENTS: R 2. BOARD OF'HEALTH This individual has been informed of t permit requirements that±pertain to this type of business.'.. [[ ' I Authorized Sign ure** COMMENTSr R, 3: :CONSUMER AFFAIRS[ ENSING AUTHORITY) This individual ha een informed of the licensing requirements that pertain to this type of business. Authorized Sig-natur�e.*" COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map 6 � Parcel �7Z -; 4 Application# acjo7o`t (ill Health Division Date Issued a3 Conservation Division Application Fee Tax Collector Permit Fee S Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis r-Project=Street Address—off er c1 �!.c r 0, V dillage==--) t7 V0. PI vr4•f;' Owner_D.Z i S ftr1(o(.� Address ,,_,Telephone_So 9 6 8 S—17 Z 0 . Permit,Request� 00 k yl 1 � Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay �CP-roject-valuation_. l ,do o • ©`' Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 'F 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 s Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coajstove: Llc-�es ❑No 1 N Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 e&sting ❑rye v si e 9 Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: o cc Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ rM Commercial�0 Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION / �7 `Dame i o-� i S A�1(o � Telephone Numb ��� 6�� Address o2 (x-n 0 License# A 02 6 L9 , Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7 02-0 O l s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. " ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME I< INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL w • PLUMBING: ROUGH FINAL I r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a� { 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 Lep-ibly N=e'(Business/Organization/Individual):. D 2/(A IDS A' (/O Q •�Adeir-ess;—� o� � �o o .,6u �`�/ � y City/S.tate/Zip t i/a"I� .,10 0.2-dO/ Phone.#: SC)( "6�fT 9°7t"Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I . employees(full and/or part-time).* have hired the stab-contractors 6. El New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet,' 7. ❑Remodeling' These sub-contractors have ' ship and have no employees S. ❑Demolition working for me in any capacity. employees and have workers' ` $. 9. �Building addition [No workers' comp.insurance comp.insurance. required] 5. [] We are a corporation and its' 10.0 Electrical repairs or additions I am ahomeowner doing all work officers have exercised their 11.E Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,•§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] . "Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ' xContractors 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 providt;their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below islhe policy and job site ' information. hnsurance Company Name: Policy#or Self-ins.Lic.#: Expiration•Date: Job Site Address:— City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure_to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MA4br insurance coverage verification. I do hereby ce un r th 'ns-and penalties of perjury that the information provided above is true and correct Simatitre:- Date: Phone#• Official use only. Do not write in this area,to be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector, 5.Plumbing Inspector 6.Other r Contact Person: Phone#: Information and Instructions r �, Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the i seance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or 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 lind. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure_to fill in the permit/license number which will be used as a reference member. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related fo 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 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 Washingtori Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax## 617-727-7749 Revised 11-22-06 www.rnass.goY/dia f �d YHE,°y� Town-of Barnstable yP °� Regulatory Services saxrisr Thomas F.Geiler,Director y MAM `b 1eI Building Division ''lED MP'�h b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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:_ j.2 A--A, 1!;-O, d C-X_a to Estimated Cost 00cog. A.ddress-of_Work'oc tt oo N n.i /� �1' ?-6 d n owner,s-Name:, �2 i e.vt,,S r v. �.- Date—Date of Application_, o�--cUA 7 . �I.hereby certfy`tlia�-t:'�1 '.. Registrati"o`n is not required for the following reason(s): []Work excluded by law ❑lob Under$1,000 []Building not owner-occupied• bPbwner:pulling own pew�t� Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 2/'u Date l�—�Owner-'s=N-ame Q�oixnthomeafndav . r �F'THE Tqk, Town of Barnstable Regulatory Services snxxsrnec.e, : Thomas F.Geiler,Director 94'Ar 1 A.�� Building Division Fn�r Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print FJOB LocA._TION—a_9.' l.bt-)oo//Sc e Y y yYa 14 ktt�r number street village `<HOMEOV✓NER�`: YJZ*/ 0.f/t.��S �r L,,_ S®F 64?J— 7 7 2-0 name q�7 home phone# work phone# �CURRENT;MAILING ADDRESS: O '7 U,0 0 Q//U 0,2 city/town state zip,code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned`.`homeowner"certifies that he/she understands the Town of Bamstable.Building Department. minimum ins o procedures and requirements and that he/she will comply with said procedures and require nts. Approval of Building Official , Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawareness 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 Appraisals Plus,Inc. SKETCH ADDENDUM File No. HY703009 Case No. Borrower Adou Property Address 29 Woodbury Ave. City Barnstable County Barnstable State MA Zip Code 02601 Lender/Client American Home Mortgage Address 2 Oak Street,Mashpee,MA 02649 Note;Not to scale 30 10 Den Bedroom la 14' Bedroom 19 3, Bath 3Y V�l Mchen Bath Family Room Dining 24' 14' 1l7 Bedroom Living Room 30 ClickFORMS Appraisal Software 800-622-8727 Page 4 of 11 •� 1' . : .- - ,. - ..v , _ •... 'Y! ! .Vag t'R,� .. .... TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel '� G' Application#; G� �✓ ''`�`� '1 / Health Division Date Issued. 0 -1 Conservation Division ` Application-Fee Tax Collector Permit Fee �Do Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address j q o-ooalke r 1l 6 VI.V-. Village u ki 0-11C Owner 1�2�' ��-r S /gr /oL, Address? Je Telephone ® 5 6 9, 7 d Permit Request oetp- o 'CAI � -/ ✓-a l/ -erY-e 0©vim fle iq xu-e-e S�Q.�//,o ff Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay �_P-roject.Valuation 7i S-U® 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 1 co � Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existingj:O new, size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: i _--Zoning:Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use l BUILDER INFORMATION Name.--b2t`oTelephone'Nu e 0 d _ r VAddress- ����/S� y �-e ...License-#— Home,Improvement;Contractor# Worker's Compensation# t!ALI--CONSTRUCTIQN.q.EBRIS,RESU TINE°FROM`THIS PROJECT WILL BE-TAKEN TO SIGNATURE'` DATE' -/� f/ r i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 3� 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. I•k �r i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 , www.mass,gov/dia Workers' Compensation Insurance.Affidavit;, Applicant Information Please Print Le 'bl Name(Business/Organization/Individual):. ��/t to ltiir S' L .Address: City/State/Zip: a k►-"is (AID- 02,t�0/ Phone.#: •S-0eT 6 94- 'y> Z(0 Are you an employer? Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. [] I am'a general contractor and T employees(full and/orpart;time).* have hired the sub*contractors 6. New construction . 2.❑ I am asole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. $• 9. [�Building addition requiredk 5. We are a corporation and its 10.0 Electrical repairs or additions ,/ officers have exercised their 11. Plumbing repairs or additions '3.I� I am a homeowner doing all work ❑ g P � , myselL [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c, 152, §1(4), and we have no employees. [No workers' .•13.0 Other comp. insurance required.] . *Amy that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors tbat check this box must attached sn 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 providb their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for.my employees Below is the policy and jvb site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach: a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),• Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA fo tuance coverage verification. ed, pains andpenaiIdherebyceltes of perjury that the information provided a ove 'r true and correct Sitmature: Date: 1V 0 7 Phone#: Official use only. Do not write in this area,'to he completed by city or town official City or Town: Permit/License# Issuing.Authority(circle one): 1.Board of Health 2.Building Departriaent-3. City/Town Clerk 4.Electrical Inspector S.PIumbing Inspector 6. Other Contact Person: Phone#: �oFVETo Town of Barnstable Regulatory Services BARNSTABM MAM Thomas F.Geiler,Director 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. FType of�Woik ��l r��" Estimated Cost (: Address of Work: f7- 11-4 Owner's Name: l/2 Date of Application:— Z,07 I hereby certify that: Registration is not required for the following reason(s); FlWork excluded by law ❑Job Under$1,000 ❑Building not owner occupied Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. ' 10114110 OR ate ry0wnei's Name Q:fomnslomeaffidav ITanit,t3:z.lII(eoertiaae� ' pmaiptive packages for 06 and Two-F=HY Residential SaildiagsHeatsd i►itlt'Foss>?F'aels 4 SUM MMIMUM. Glazing. Glazing Ceiling Wall Floor Ea=cal Slab Hea*VCooling Arm' U-value' R-value' ' R-value R-Yalue' �VaII periraedu Egwpsnent Ftpiamc� Pae'.mge R-valuct R-valucr 5701 to 6500 Heating Ilegrzr Days' ' 12°/. 0.40 33 13 19 10 6 NarrasI R 12% 032 30 19 -. 19 10 6 1;lorrnsl g 12% 0.50 3E 13 19 10 6 35- FUE T 13% 036 33 I3 25 N/A NIA. Normal U 15% 0.46 3g 19 19 10 6 - Normal y 15% 0.44 31 13 25 NIA 1H/A13 AFUE Rl 15% am 30 19 19 10 6 115 AFUE �[ 19% 032 33 13 25 NIA NIA Normal y 18•!,. 0,42 3S 19 25 NIA N/A� Namzal Z 11% 0.47 31. 13 19 10 6 90 AFUE AA 13/. 030 30 14 7t TO 6 9a AFUR 1. ADDRES S OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: , D 3, SQUARE FOOTAGE OF ALL GLAZING: 8 4. %GLAZING AREA(#3 DIVIDED BY 42): 5. SELECT PACKAGE(Q_AA-see chart above): NOTE: OTFIDRMORE INVOLVED NSTHODS OF DE'IERM ING ENERGY REQUIREMENTS ARE AVAILABLE. AM.US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-880303a . r �oFTHE►O�r• Town of Barnstable Regulatory Services BARNBTABM : Thomas F.Geiler,Director MAQQ p i6S9• A��� Building Division lE0 AAA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 --- - -------_------_ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: iC/q//�u `�/ CJ (�-{ 4 a e'"I'?r/'s number // street village "HOMEOWNER": 42/[Al�iiS t"Cl�fiC ,O,3 G�7�.� 9Ool—Q name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The.undersigned"homeowner"assumes responsibility for:compliance with the State Building Code and other applicable codes; bylaws,rules and regulations. The undersigned"homeowner"c . es that he/she understands the Town of Barnstable.Building Department. minimum ins ion procedures and requirements and that he/she will comply with said procedures and require ig re o omeowner ' Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible., To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Appraisals Plus.tnc. SKETCH ADDENDUM File No. HY703009 Case No. Borrower Adou Property Address---=-Z9AVoodbucxi9xe_ City Barnstable County Barnstable State MA Zip Code . 02601 Lender/Client American Home Mortgage Address 2 Oak Street,Mashpee,MA 02649 Note;Not to scale 30 ` 19 Den Bedroom 1d Bedroom jg .. 33 Bath 30' 16ichen Family Roam Den Bath Dirrng 24 1d Bedroom Uvirg Room 30 fF31 ClickFORMS Appraisal Software 800-622-8727 Page 4 of 11 , 1 . Remodeling kitchen 2 . Remodeling 2 bathrooms f 3 . Create 4 by 3 opening in wall between living room & kitchen 4 . Change 2 single windows to one mullion unit in living room 5 . Remove & replace sheetrock in entire first floor 6 . Insulate all exterior walls 7 . Create 2 closets : -one in bathroom, one in den ? V (f Appraisals Plus,Inc. SKETCH ADDENDUM File No. HY703009 Case No: Borrower Adou Property-Address=-;29-igooitbu"eL City Barnstable County Barnstable State MA Zip Code 02601 Lender/Client American Home Mortgage Address 2 Oak Street,Mashpee,MA 02649 Note:Not to scale /V 30, 19 Den Bedroom 1V 14' Bedroom ^ 19 33 Bath W IGtchen Family Room Den Bath Dining 24 14' 10 Bedroom living Room ClickFORMS Appraisal Software 800-622-8727 Page 4 of 11 , f _ fug 1 . Remodeling kitchen 2 . Remodeling 2 bathrooms 3 . Create 4' ' by 3 `opening in wall between living room & kitchen 4 . Change 2 single windows to one mullion unit in living room 5 . Remove & replace sheetrock in - entire first floor 6 . Insulate all exterior walls - 7 . Create 2 closets : one .in bathroom, one in den e� p 1HE rpk ti Town of Barnstable Regulatory Services BARNsresr.E. Thomas F.Geiler,Director Building Division Tom Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Buildin Permit Procedure for Residential Addition Or Remodel Or Dock Determine map and parcel number and enter it on application. ❑ Historic District Commission, 200 Main Street, approval required prior.to construction/demolition for any properties located in a Historic District: Old•Kings Highway Historic District(north of the Mid Cape Highway) .. Hyannis Main Street Waterfront Historic District(See map for boundaries) Historic Preservation(if applicable). ❑�'C]D relief al Permit or Van cc is required for Project): y A deciocumentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date ❑__,__Approvals from the following departments are required and can be obtained at 200 Main St.: �z,P,.[�I_iealth Depa'�rtment_�(8.00�9 3U AM:&,3.30� 4 30"TM7_{as�of March 2°d, 2005} T 30 AM'&3.344.30 PM)"' onservation Departmenf'"(8:00�9•_-_.; - �, . ❑rax Collector {can be obtained from Building Department} easurer (can be obtained from Building Department) [Permit must contain complete owner information, full description of project, correct square footage of project,valuation of project(must agree with Total Cost from Project Worksheet), building detail for Assessor's Office, complete builders information,including signature and date of application. ❑ 5 sets of reduced house plans measuring,11"x 17",scaled 1/4"= V &fully dimensionalized . are required. Plans must include a foundation,'cross section, framing schedule, insulation detail & floor plan showing location of smoke detectors (located with a Red 'S'.) ****** IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING DATA MUST BE PROVIDED****** ❑ lot plan or mortgage survey required for any addition. Home Improvement Contractor's Affidavit Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes.out the permit, subcontractors hired must supply this. Copy of Insurance Compliance Certificate must be on file. Energy Compliance Form CLIOU oupwvlsors lcense &Home Improvement CoPtrat.,fuls ' Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project., roper wner Letter of Permission. A NON-REFUNDABLE Application Fee must be paid upon receipt of application number. All checks should be*madeout to the PTnqtq ble • eed Home Improvement License,no plot plan required ❑ PIERS AND DOCKS:Need Construction Su er License AND Home Improvement License. OWNER. crane mus complete the forms issued by the Aeronautics ' Commission Q:forms/b1dgpermit(R_adda1t 101106 Town of Barn table Permit# Re ulatO E-Pires 6 months front issue date Thomas F. Geil �CrY1CeS Fee er,Director Building Division Tom Perry, CBO, Building Commissioner (� 200 Main Street,Hyannis,MA 02601 ice: 508-862-403 8 `_-- www.town.barnstable.ma.us .. EXPRESS FERMI 'APPLICATION _- Fax: 508-790-6230 Not Ya1id without RESIDENTIAL ®ONLYd X Press Im , nt rcel Number 07 07 i Address "t Wood &kQ-r AV-e,V t k e f dential Value of Work , O(>D p Minimum fee of$25.00 for work under$600 0.00 ;Name&Address 9 Ikrotorl Ce/Z V :or's Name Telephone Number .6�5 y� � nprovement Contractor License#(if applicable) :tt�'S�p�`raiser'�Lict;nse-#(�appiieablej man's Compensation Insurance Check one: _ ' ❑ Iama sole proprietor -PRESS PERMIT. I am the Homeowner ❑ I have Worker's Compensation Insurance APR ® 5 2007 Co o:)anyName TOWN OF BARNSTABLE is Gimp.Policy# Insurance Compliance Certificate must be on file. :quest(check box) ] Re-roof(stripping old shingles) All construction debris will be taken to _ ]Re-roof(not stripping, Going over existing layers of roof) " ] Re-side a"R eplacement Windows/doors/sliders. U-Value - (maximum.44) Where required: Issuance of this permit does not exempt compliance with other town de g f partmentre ulations,i.e,Historic Cons ation,ete,,, "Note: Pro e Owner must sign Property Owner.Letter of Permission. A co of I e Home Improvement Contractors License is required. 1RE: ntrg the commonweaun oJMassachusetts Department of Industrial Accidents Office of Investigations ' e 600 Washington Street Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Iaasurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeilaiy Name(Business/Orgauization/Individual): t".)Z:1-AjVT- 3 Address: J01 V,.4 od r� u V� City/State/Zip: ti S 0Z6'0 Phone:#: — S T?6LO Are you an employer? Check the'appropriate boa: -Type of project(required):_ . 1.❑ I am a employer with 4. I am a general contractor and I * have hired the sub-contractors 6. El New construction . employees (full and/or part time). . 2.0 I am a'sole proprietor or partner- listed on the-aitached sheet. 7. ❑Remodeling These sub-contractors have ship and hive no employees 8. []Demolition working for me in•any capacity. employees and have workers' 9...❑Building addition [No workers' comp,insurance comp,msurance.t l f equired.]' ` S. We are a corporation and its 10.0 Electrical repairs or additions ®= home_o_wner doing=all work officers have exercised their 1 LEI Plumbing repairs or additions " right of exemption per-exercised. myself."[No=workers'LLcomp. p p 12.Q Roof repairs § insurance required. t c. 152, 1(4), and we have no ] . ❑ ' employees. [No workers' 13: Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affida-vit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees: if the sub-contractors have employees,they must provide their workers'comp.polidynumber. I am an employer that is providing•workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self ins.Lic,#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as iequired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Off,ce of Investigations of the DIA for ' u=ance coverage verification. I do hereby certify per e p ns-and penalties of perjury that the information provided above is tr a anti,correct S e�`_ DatP: (�y D.S 0? Phone#: O� 68 a-& V Official use only,. Do not write in this area, tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): �{ :1..Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions �x 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 zeaeiVe nr=tee•of an in ddual 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 producedtacceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for:the performance of public work until•acceptable evidence.of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s), address(u)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other.than the ' members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.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-Ent. City or Town Officials. Please.be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy-information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A copy of the affidavit that has.been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo 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 not hesitate to give us a call. The Department's address,telephone-and fax number;- e Commouwi�a%of Massacbuwtts Departmtet of Industrial Aooi*-nts Office of Invostigat oas 6G0'WKhin&to6 Street Boston,MA 0.2111 Tel.#617-7"27-4904 ext 4.0£or 1-977-MASSAFE Revised 11-22-06 Fax#617-727-7?49 www.mass.govIdia Town of Barnstable �pF THE tp� Regulatory Services BARNSTABLE, Thomas F.Geiler,.Director MASS. 039• p,� Building Division rfD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ,ry Please Print DATE: �'7 .0S qq.r0�7 n / // JOB LOCATION: o9 �7 �dd� Q �C y 14 y� ?� Y o,b4/1 /r,.S' number street illage q�j HOMEOWNER": PZL fit Ally L—O c.� S�� C7 1 �FpZ name home phone# work phone# CURRENT MAILING ADDRESS: 0.r - city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as suvervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department m inspe n procedures and requirements and that he/she will comply with said procedures and equirements= , Signatu of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction-Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully.aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt f OFiME 1py, Town of Barnstable Regulatory Services Mass. g Thomas F. Geiler, Director �ATED 39n. 6.O Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 April 25, 2007 Arlou Dzianis 29 Woodbury Avenue Hyannis, MA 02601 , Re: Illegal Apartment: 29 Woodbury Avenue, MA 02601 ` Map: 307 Parcel: 073 Our records indicate that your house at the above-referenced location is currently being) used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Lin a Edson Amnesty Zoning Enforcement Officer Building Department gforms:zoning3 MASSACHUSETTS STATE EXCISE TAX QUITCLAIM DEED BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 03 28-2007 & 1.2:3Spm 29 Woodbury Avenue CtlA.: 1061 Doc4r: 17966 Hyannis,MA 02601 Fee: $820.90 Cons: $239►900,00 WELLS FARGO BANK, N.A., AS TRUSTEE, having an address of c/o Litton Loan Servicing, LP,4828 Loop Central Drive,Houston, TX 77081 N For consideration of TWO HUNDRED THIRTY-NINE THOUSAND NINE HUNDRED AND 00/100 DOLLARS ($239,900.00)paid, ii BARP-113TABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Grants to DZIANIS ARLOU, of 130 Sea Street,Hyannis,MA 02601q: C)3-28--2�07 3 12'39pm C:tlt: 1061 Doj_Y: 17966 =ec: 5-7.20 Cone: ff?39r�+i3ii,�li) With Quitclaim Covenants, That part of the Town and County of Barnstable, Massachusetts, known as Hyannis, and comprising Parcel B as shown and delineated on a plan entitled"Plan of Land in Hyannis, Barnstable, Mass., as surveyed for James H. and Sara E. Doherty, August 4, 1950, Bearse & Kellogg, Civil Engineers,"which said plan is duly filed in the Registry of Deeds for Barnstable County, and said parcel is more particularly bounded and described as follows: Beginning at the northwesterly corner of the granted premises at a cement bound adjoining land of Alfred A. Dumont and land of Louis V. Arenovski; Thence running South 75" 30' East by a fence and land of said Arenovski,one hundred thirty- two (132) feet to another concrete bound adjoining land of William J. Flinn; Thence turning and running South 12° 27' 30"West by land of said Flinn, one hundred thirty- two (132) feet to a stake for a corner located on the easterly sideline of a thirty(30) foot Private Way; Thence turning and running North 75' 21' 40" West by the northerly end of said Private Way and by other land of James H. Doherty et ux, one hundred forty-seven and 48/100 (147.48)feet to a stake for a corner adjoining land of said Dumont; and Thence turning and running North 19° 11' East by land of said Dumont, one hundred thirty two (132)feet to the first-mentioned bound and the point of beginning; said parcel containing an area of 18,450 square feet of land,be the same more or less. There is granted as an appurtenance to the above-described parcel an easement of way, in common with others now or hereafter entitled to use the same in, over and upon the thirty (30) foot Private Way leading from the above-granted premises to Woodbury Avenue, so-called,and thence to Sea Street, a public highway, for free ingress and egress to and from the granted parcel and said public highway. {00110308.DOC} ' � Cp�� � z �� ' � _ � _ _ 1 ,�,-'� �� v. Town of Barnstable Regulatory Services �OF THE Tp� 1% Thomas F.Geiler,Director , Building Division JJ.4 • &MWSTABM • t v nrnss. Tom Perry,Building Commissioner039. ' or fo p�pl A 200 Main Street, Hyannis,MA 02601 ` P 1� C , www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508�-7 Approved: Fee: -C?s Permit#: 0?60(0�y10-9ry HOME OCCUPATION REGISTRATION Date:Y /c�i_ Name: 1 JCf,iiA C )f--feA 0 (2w Phone ()tC7� Address: r9ci W00 1 , VI CuIQ Village: Ck-M---;taYp1,P Name of Business: a fY-NOY)�- =O-AN1 Type of Business: T�- X Q-{0 i C e 5 map/Lot: �36 / 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. 4`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 is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • 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. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. S T, Applicant: .� C Date 2-F1U0 Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Fill in p ase: �ti: APPLICANT'S YOUR NAME: f(a(D c�r& BUSINESS R; YOUR HOME R DRESS: na-Cool TELEPHONE Tel hone Number Home .: NAME OF(•II=W BUSINESS TYPE:OF BUSINESS i � IS THls �, HOIuw uI�AXtan� Yes v e e I. �u..b. :ro: : . MOREC7►F�US��I�SS a 'C L NUM�I�� E 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. -(corner of Ya mouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSI R'S O E This individual has bee med of an ermit requirements that pertain to this type of business: Authorized Signature" COMMENTS: 2. BOARD OF HEALTH This individual has be n infoTed 9f the permit requirements that pertain to this type of business. Authorized Signature""` 9 COMMENTS: * 4 AZ MA-+-ei-i�r r�aw s 4o`� �"O (_,)�(n C-d412 !►l drL'Ve LA?� 3. CONSUMER AFAIRS (LICENSI G AUTHORITY) This individual has $n informed o fthe'ficensing requirements tha Pertain tothis.type of, iness. �'Aut rized Si nit re* ( ✓� G�, /� i COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. *'"SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. �; 15 � a�a9l✓ I oF� Townrof Barnstable Regulatory Services MAM Thomas F.Geiler,Director 1639. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAmn.barnstable.ma.us Office: 508-8624024 Fax: 508-790-6230 December 14, 2604 Mr.Nathaniel Tobey 29 Woodbury Avenue Hyannis,MA. 02601 Re: Illegal Apartment—29 Woodbury Avenue Hyannis,MA. 02601 Map: 307 Parcel: 073 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home. • Apply to the Amnesty Program. • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you wish to take. Sincere - L' a Edson Amnesty Officer: A Building Department ,t gfonns:zoning3 Town of Barnstable BAMSfABLE• ; Regulatory Services v MASS. • i639 1� AlF1639 Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry DATE: 8/24/04 RE: 29 Woodbury Avenue, Hyannis Yesterday an appraiser asked if the apartment at this address is legal or illegal. We told him the property is a single family with no legal apartment. Do you think any follow-up is necessary to see if there is an apartment at this address? oFI►Er Town of Barnstable BARN srnBLE, Regulatory Services y Mnss. � ArFDMP�p Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry DATE: 8/24/04 RE: 29 Woodbury Avenue, Hyannis Yesterday an appraiser asked if the apartment at this address is legal or illegal. We told him the property is a single family with no legal apartment. Do you think any follow-up is necessary to see if there is an apartment at this address? oFt Town of Barnstable Regulatory Services , 9snxivSTABMMAMg` Thomas F.Geiler,Director `bATEp;,,o�a�e Building Division 3 l Thomas Perry,Building Commissioner t 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 December 14, 2004 Mr. Nathaniel Tobey 29 Woodbury Avenue Hyannis, MA. 02601 Re: Illegal Apartment—29 Woodbury Avenue Hyannis,MA. 02601 Map: 307 Parcel: 073 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must,contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home. Apply to the Amnesty Program. • Prove that this is a legal two-family home. a. Please contact this office immediately to tell us what direction you wish to take. Sincerely, s. { Linda Edson Amnesty Officer Building Department a gfonns:zoning3 • s , Bk 17882 P0348 0127964 11-03-2003 $ 02:07P Qg CLAIMDEED I, NANCY L. JOHNSON; •being ..unmarried; of Hyannis, MA,_ for consideration paid in the amount of THREE HUNDRED THIRTY-NINE THOUSAND AND THREE HUNDRED & 00/100 ($339,300.00) DOLLARS grant tO NATHANIEL J. TOBEY; •individually, of- 77 Tobey Way, West Hyannisport, MA 02672 WITH QUITCLAIM COVENANTS _<,4 that part of the Town and County of Barnstable,Massachusetts,known as Hyannis,and comprising Parcel B as shown and delineated on a plan entitled"Plan of Land in Hyannis Barnstable,Mass.,as surveyed for James H. and Sara E.Doherty,August 4, 1950,Bearse &Kellogg,Civil Engineers,",which said plan is duly filed in the Registry of Deeds for Barnstable County, and said parcel is more particularly bounded and described as L" follows: Z Beginning at the northwesterly comer of the granted premises at a cement bound } adjoining land of Alfred A. Dumont and land of Louis V.Arenovski; thence running South 75°30'East by a fence and land of said Arenovski,one hundred o thirty-two(132) feet to another concrete bound adjoining land of William J.Flinn; 3 N thence turning and running South 12' 27'30"West by land of said Flinn,one hundred thirty-two(132) feet to a stake for a comer located on the easterly sideline of a thirty(30) foot Private Way; thence turnign and running North 75121'40"West by the northerly end of said Private Way and by other land of James H.Doherty et.ux,one hundred forty-seven and 48/100 (147.48)feet to a stake for a corner adjoining land of said Dumont; and thence turning and running North 19' 1 P East by land of said Dumont,one hndred thirty two (132)feet to the first-mentioned bound and the point of beginning; said parcel. containing an area of 18,450 square feet of land,be the same more or less. There is granted as an appurtenance tothe above-described parcel an easement of way,in common with others now or hereafter entitled to use the same in,over and upon the thirty (30) foot Private Way leading from the above-granted premises to Woodbury Avenue, so-called, and thence to Sea Street, a public highway, for free ingress and egress to and from the granted parcel and said public highway. Subject to and together with all rights, easements, restrictions and reservations of record insofar as the same are in force and effect. C� Town of Barnstable of tKE ram, Regulatory Services Thomas F.Geiler,Director Building Division IARNSTABLE. MASS. g Tom Perry,Building Commissioner 9 i6g . ♦0 ArF A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: /1&3 y HOME OCCUPATION REGISTRATION Date: 5% 36- 0 y Name: /fie .S4,PWQ�� Phone#: 5 d'f--7 Address: aq Gtkod h ucce X y'- Village: NameofBusiness: Scot S[CIe ResideftiL i1 CpU�r AQC � Type of Business: O&nn mC4 t i4Q Map/Lot: 3 D`7 073 t 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 is no commercial vehicles related to the Customary Home Occupation,other than one van or one . pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • 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 and agree with the above restrictions for my home occupation I am registering. Applicant: 4-1— 5tDate: `-3 0. 0 y Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: ad Fill in please: APPLICANT'S YOUR NAME: BUSINESS YOUR HOME ADDRESS: as Wadd 6j2r J� :� v►1 o B-fo a t Telephone Number. Home TELEPHONE - - 3 NAME OF NEW BUSINESS 5eA TYPE OF BUSINESS IS THIS A HOME OCCUPATION?__-_____YES NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS 5 - -776- MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to 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. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COM SSION R'S OFF This individual ha a nfor ed of a y r qui meets that pertain to this type of business. ut on Signature** COMMENTS: 2. BOARD OF HEALTH This individual has r e t permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS.(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. PURR A PRO VAL FORA BUSINESS VTIFIGArf Q/V4.Y a, Barnstable Assessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results `. 29 WOODURY AVENUE Owner: JOHNSON, NANCY L Property Sketch Legend Map/Parcel/Parcel Extension 307 /073/ Mailing Address JOHNSON, NANCY L ''' P 0 BOX 342 HYANNIS, MA.02601 2004 Assessed Values: Appraised Value Assessed Value Building Value: $84,700 $84,700 Extra Features: $2,300 $2,300 Outbuildings: $5,100 $5,100 Land Value: $ 119,200 $ 119,200 Interactive Property Map: ap requires Plug in: Totals:$211,300 $21,1,300 1 have visited the maps before E Show Me The Map ' April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: BEATY,SCOTT D 12/15/1995 9975/005 $90,000 DOHERTY, CHARLES&ELIZABETH 1986/172 $0 JOHNSON, NANCY L 11/15/2001 14448/161 $ 154,000 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,396.69 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Town Tax Hyannis FD Tax $428.94 C.O.M.M. 1.10 , t Cotuit 1.52 r -'Land Bank Tax $41.90 Hyannis 2.03 West Barnstable 1.36 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 4/30/2004 Barnstable Assessing Search Results Page 2 of 2 Total: $ 1,867.53 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.42 Year Built 1948 Appraised Value $ 119,200 Living Area 1182 Assessed Value $ 119,200 Replacement Cost$ 110,017 Depreciation 23 Building Value 84,700 Construction Details Style Cape Cod Interior Floors Hardwood Model Residential Interior Walls DrywallWall Brd/Wood Grade Average Heat Fuel Oil Stories 1.3 Stories Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 7 Rooms r Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,300 $2,300 FGR2 Garage-Avg 280 $5,100 $5,100 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tobO2/Depts/AdministrativeServices/Finance/A§ses'sing/.:. 4/30/2004 RESIDENTIAL. PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY- STREET Woodbury Ave. Hyannis H LAND 3 07 73 - -- - --- - 73 BLDGS. OWNER TOTAL Gq LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: "Parcel Bit BLDGS. • - � TOTAL y?L�e- �3� �3--- LAND - ' Doherty, Charles„ F. &..Elizabeth -A. 1-3-7tr 1086 172 (f}�1,00 --- — BLDGS. 1.1 l7>Gfjf VIE 1�( rf I VEr /N /f{��°1.� "'/ , T � S, PQA"i ^ LAND TOTAL -- low - BLDGS. ^ TOTAL LAND BLDGS. TOTAL _ LAND -- BLDGS. TOTAL LAND BLDGS. ^ TOTAL LAND INTERIOR INSPECTED: . ;. BLDGS ^ TOTAL DATE: ,;�/ ,r/ 1% y C ^�V'/_ rd� t- y7-.,L,'ri v - � c HLANDACREAGE COMPUTATIONS LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE HOUSE LOT Y O'�O LAND ?CLEARED FRONT 0) BLDGS. REAR -- ------ - — TOTAL WOODS&SPROUT FRONT — -- -- LAND REAR -------- BLDGS. WASTE FRONT ------ - TOTAL REAR -- -- — LAND BLDGS. 01 -------— — ^ TOTAL ! _ __ LAND _ iF BLDGS. — — -- — --- ORS TOTAL LOT COMPUTATIONS _ _ LAND FACTORS FRONT DEPTH STREET PRICE DEPTH ryo FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE -� HILLY ^- —� TOWN SEWER LAND, # ' ROUGH - ---_ TOWN WATER BLDGS. HIGH GRAVEL RD. - TOTAL - ------ ------- 10`^r --------- - DIRT RD. LAND; .: NO RD. rn BLDGS. FUUNDATION B5MT. Jk ATTIC: G j pF'; -- Cone.Walls Fin. Bsmt.Area Bath Room Base i 31.-DG. COST Cone. Blk.Walls Bsmt. Rec. Room / St. Shower Bath Bsmt. Cone. Slab Bsmt.Garage St. Shower Ext. -tJRCH. ,4'i= _ Walls ___ _____-____ PURCH. PRICE . Brick Walls Attic FI. &Stairs Toilet Room Roof REEN'i Stone Walls Fin.Attic Two Fixt. Bath -- - ----------. - j -- Floors Piers INTERIOR FINISH Lavatory Extra --- ----------------- Bsmt. F '1' 2 3 Sink --- -------- --- s/ Plaster Water Clo. Extra Attic -------- _-_ EXTERIOR 'WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt.Fin. Single Siding Plasterboard Int. Fir. - lAf� Shingles TILING �( -- ---- --- � . Conc. Blk. G F P Bath FI. Heat Face Brk.On Int. Layout Bath FI.&Wains. Auto Ht. Unit Veneer Int. Cond. �' Bath FI. &Walls Fireplace Com. Brk.On HEATING Toilet Rm. FI. -- Plumbing �- t'' G i � Solid Com. Brk. Hot Air Toilet Rm.FI. &Wains. Tiling Steam Toilet Rm. Fl.&Walls Blanket Ins. �- Hot Water C r St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS . . . . . . . . . . . . . . . . Asph_Shingle_ - � Pipeless Furn. S. F. Wood Shingle No Heat S. F. Asbs. Shingle Oil Burner S. F. Slate Coal Stoker S. F. Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric -- Gable ,% Flat S. F. ---- - 1 2 3 4 5 6 7 1 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Hip Mansard FIREPLACES S. F. Pier Found. Floor` -r•- / Gambrel Fireplace Stack _ - Wall Found. J 0. H. Door t LISTED FLOORS Fireplace Sgle. Sdg. Roll Roofing Conc. Ny LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. -- DATE Pine Shingle Walls Plumbing Hardwood ROOMS - ---- _ Cement Bik. Electric Asph.Tile Bsmt. 1st ^ TOTAL -i - ---Brick -- Int. Finish PRICED Single 2nd 3rd FACTOR-, i ' • REPLACEMENT ---------- i_ , T' c cJ _`.- �. r°::)�• ! -f ,� - �a OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOO. COND. REPLr VAL.. Phy.Dep. _ PHYS. VALUE Funct.Dep. ACTUAL VAL. / 7 ; / J 10 -- — -- ------ --— ;d G o TOTAL ROPER T AD JP.ESS j I ZONING I DISTRICT CODE SIP-DISTS. DATE PRINTED STATE I PCR NRNn PARCEL IDENTIFICATION NUMBER ...� i CLASS, 0029 WOOD9URY AVENUE 07 RE 40O 07HY 07/09/95 1011 00 61AC IR307_ 073. -37AA� AN-1/OT.IER FEATURES_D_ESCRIPrIO^: ADJUSTMENT FACTORS T —'-' L aBy�,e .TDmeo;on .. Y UNIT I ADJ'D.UNIT +l N.F ATV Cu ADLE� e /ICD.I FFoep,n,ncres—� .,'YR SPEC.CLASS ADJ. I CONE).I PE PRICE PRICE I "".•�..'^„'tTS VALUE rw,en �..—.. ,n BLDii.SIT 1 X .47_L =10,1 11/.9 ?G o �ol�.n �N � BLAND 1 2LsRDu rao e=aa��rry ur i I I I .;,I 42 24300 48LDIGi5i-iAHU-1 l b4.UDU �71 �� 09 P. II #OTHER FEATURE i 109UU LUST J YUIUu IB 1 95 T-C U X j I C= I1001 I 7000.Od 700n,Od. 1 OL 7000 3 ffPL WCOr L'RY AVE L �K>SE'+. o360u IFIREPLACE U X C- 100� 3?00.0 310D.00i 1000 i 31D0 U AIRR 1869 002 �*•'� ? !)crGAz c ?S X 201 1941 C= 351 19.31 6.75 28U i900 F µ14•,A r i I a1SE -- LJ I I I 1 I I 1A P P PA I12_I) If A i I P '1J 1 I I IA q- ;r A I --_ -.... ... l wu�T>• canuE r j l I I I jLAigi� �G4oUti T j I I I pi i�1;t L:y;JJn tyS I i i L. I I I I I i i.:--m' a'i•:7t"i j i I E ;1aAi.. .vlitil% I I EI r DATE S ytr i- I i I i i Ia 1,4�—ate Pnonn,l �. _v -. J ITCT As - JL';JL I i RLIu DINT:PERUIT L. L •i Pv—n v ' I I I I I Num , I Dale Type A—,.-! ry At i 1I:CCME SE � Sr-FJLDS FEATURES! BLD-ADJSI UNITS j I I i. I i 24800 I ( I 1900, 10100 I I L -- Cons,. To,al aase gale npl �+ !B III Age OCsv CND Loc n R.G Rapt Cost New �Atl Rap, Value Sto,'ies He, 0I R-- Rma.®-Iae I P Fi.. /� Units 1,nits ale A P 1 I �DaPr� Contl, I I ' 9 I 01 ODD 100 100 58.65 58.65 48 80 14 87 90 77 83053 64000 1 .3 7 4 2.0 7.0 escnp,.o Rate Square Feel Feel.Cos, MKT.INDEX: 1-O D IMP.-BY/DATE: ML 4/88 SCALE: 1/0 U.65 ELEMENTS CODE CONSTRJCTION DETAIL i 8AS 100 58.65 I 720 42228DWELLING CNST GP:DO ' T FSF 90 52.79 462 24389 *---14---* N STYLE 04 APE COD 0.0 T 81. 3. 15 8.80 720 6336 ! FSf ESTGN AQJMT- _00 ------------------0=0 XTER.WALL:S 11 iii 066 SHINGLES 0.0 •) ! 19 L AT/A U TYPE 09 IL-HOT'WATER ---0.0 TER.FINISH 07 RYWALLfPANEL' O.0 r N! ! NTER.LAYOUT 12 VER.%NORMAL 0.0 33 ! NfiER.DUALTV 02 AME AS EXTERN 0.0 4 ! *--------' LOOK STRUCT DZ D JOIST%BEAM 0.0 W ! ! B13 ! E LOaR CDVER-- UT ARD96OO---------n.0 L E Tp,alAreas Ae = 720 Baee= 1182 ! 14 ! ODT--Tp C YpPE---- _GT T A9LE=ASPH SH---�-�0 BUILDING DIMENSIONS ! ! LE I NCTR AL d1 VCR AGE_ D.O BAS W30 N24 FSf N19 W14 S33 E14 ! 24 BASE 24 0UDATI6N- - -(J2 'JNCAETE' 8L_0_fK 9V.yl N14 .. BAS E30 S24 .. B13 N24 *---14---* -------------- ---• ---.. .:--------- - -- I W30 5.24. E30 .. ! ! - --1`1EI-GN90RH�_FE 6'1-AC NYANNT.T- ------ L LAND TOTAL MARKET ! ! PARCEL 24800 90700 ' *--------30--------X AREA 2848 VARIANCE +0 +3084 STANDARD 25 / -wpm MAP INFOOM • i GRANT & REAL LEE ESTATE, INC. 724 MAIN ST HYANNIS,MA 02601 NAPLES, FLORIDA (508)790-0099 FAX#(508)790-0092 January 2, 1995 Town of Barnstable ATTENTION: BUILDING DEPT. - GLORIA 367 Main Street Hyannis, MA 02601 Dear Gloria, Please be informed that the new owner of 29 Woodbury Avenue, Hyannis has been informed that there cannot be an apartment with a stove unless he goes through the Town for a variance hearing. 9 9 If there are any questions please do not hesitate to give me a call , Sincerely, .Richard Saccone Broker/Manager Rs/cmv PROPERTY MANAGEMENT RESIDENTIAL&COMMERCIAL RENTALS �© 7 O 173 VERTISING CALL(508)394-1900-CAPEMOD PORTFOLIO 23 Y� � t r 1MIiM i�A}Mtl61 HYANNIS CENTERVILLE-LAKE WEQUAQUET Walk to sandy town beach from this 2 Luxury home with an association dock on the lake bedroom, l bath Cape located on .23 acres. Great vacation get away,investment home 3000 square feet of living area with cathedral ceilings.Four bedrooms,4.5 baths,swimming or primary residence. pool and central air.Pefect home for family who likes to entertain $89,900. ; 3 $325,000. ; F �. 0 WEST YARMOUTH HYANNIS-PINEBROOK _ �° '�-HYANNIS Walk to salt water beach from this 4 BR,2 Spacious Townhouse in well maintained, Main house has 3 BRs, LR, eat-in kitchen full bath Cape on.16 acres.LR with fpice., sought after complex.Convenient to all,yet w/finished basement&garage. Situated on , DR,kitchen&2 BRs,full bath on 1st level very private. Brick patio. and recent . .42 acres.'This property offers complete &hdwd.floors.2nd level is carpeted&has improvements make this unit a pleasure to "privacy & close proximity to the beach.' 3 BRs and full bath.Oil FHW heat,large all show! r ,i`° a�' Lovely.in-law apt:included in the building` enclosed glass porch.Many extras! a �X t w • . Convenient to downtown as well as the $142,900. $68,900. i:::;`ax} ocean,this property is offered at $99,900. 2g WEST HYANNISPORT HYANNIS . ' ' -;"SOUTH YARMOUTH Short drive or walk to Craigville Beach This 2 bedroom 1.5 bath 1st floor condo.is Well-maintained duplex South of Route 28. from this 3 bedroom, 1 bath ranch located located across from the High `School at Each side has 2 bedrooms, 1 bath, kitchen on.25 acres.Fireplace in living room,eat-in Green Brier. Large living room with bow and living room.One side has fireplace.Gas kitchen,hardwood floors,full basement. window, modern kitchen with dining area. heat.Short walk to Windmill Beach. Only $89,900. $47,500. REDUCED $10319M }} o Pr*#-r,'�'A- New 4 ffi 1 ; 3 9 Y i Home of REALTY 1 CAPE COD " ; 6 K t t 1 Ckty`•. : t ay,.4, ."'•P,."- � N 5' Ei..��tt��((y�;�j f V! � -�. 'S -f. f;�)_.� a'\�9 C•E���sJT1�J�1'jy �Kt +;:. l Cape Cod A3ssb. iate,s a(508) 394-3200 (800) 221 7373 77 ,?/. a r4���« �nsr '9 itkt •�"`.�{.,t�ih ,�.t:.�t ' SALES RENTALS DIRECTIONS:-FROMROUTE�6,TAKE EXIT$ TV,.RN Ge e + t; ,,295 WHITE'S PATH SOUTH ONTO STATION AVE., `, ? h��;F, erg HAS AT FIRST TRAFFIC LIGHT-TURN LEFT.. ';Via' WE ARE APPROXIMATELY 2 MILES ON RIGHT. ,. SO. YA MOUTH, MA` ON THE CORNER OF DUPONT'AVENUE t 02664 O Y' N THE ROAD TO CUFFS �, � : f t:<. x, <. ,. t� , " ; .. " SANDWICH. a8e e I t E. Sandwich Condo - 2/3 Quma; y �. bedrooms;"11/2 baths, 1st floor laundry, open"bright ` floor plan, 3rd floor lok. full' basement. Mile to t ocean beach =$86,900 wI� lib ` REALTY 6A $84,900 j i'; ,MA'O 3. � � 8 8.4408 4rN�ry: PAGE.29 , . -� `,t, ,t�( f r� 'We know wha i �,ca,Y;t°x„Cw: r - Town of Barnstable Building Department ComplainVInquiry Report Dale: �-2 _e� Rec'd by: Assessor's No.: Complaint Name: Location Address: o? O 6 O M/P Originator Naive: Street: 1;— G 0 O t/Village: J�c�o�s✓ay /-r State: Telephone: D/E Complaint Description: -J / Az/ V C-, e-Z2 Inquiry 0 Description: For Office Use Only Inspector's Action/Comments Date: ,��7— _ �J� Inspector. i l7V Follow-up -�� 6vwj e�17W-�. ) Action Additional Info. Attached Copy Distribution White-Department Me Yellow-Inspector Pink-Inspector(Return to Office Manager) Town of Barnstable. , Building Department ComplainVlnquiry Report Date:J � 9 �J Rec'd by: Assessor's No.: Complaint Name: 4EX Location Address: c.251 M/P Originator Name: Street: Village: State: Zip: Telephone D/E. o 2F�7 Complaint ir2 � Description: Inquiry 0 Description: - For Office Use Only Inspector's Action/Comments Date: Inspector: Follow-up Action Additional Info. Attaclied Copy Distribution: VlUiv-Department File Yellow-Inspector Pink-Inspector(Retum to Office Manager) , 04/07/95 15:45 V50879017215760 COI ELECTRIC 2001 -- _. -- ...—,ovi,4lornu COht ELEGTRIC FROM:SYSTEiM CONTROL Tdr 50679011"72151,62 APR 5, 1995 1E:2.4PM 11280 P.21 in tzsa raElm ryl e, - m 0- t , -I t. J ;0 c' Om - -- L---j'jfy. �• F-4 �> lM ;n �1 I ;I�� � tr°I �i IYt - • — I UNITED STATES POSTAL SERVICE �+ OFFICIAL BUSINESS I I SENDER INSTRUCTIONS Print your name,address and ZIP Code in the space below. Y • Complete items 1,2,3,and 4 on the reverse. U.S.MAIL • Attach to front of article if space ®� permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. RETURN Print Sender's name, address, and ZIP Code in the space below. TO Mr. Joseph D.. DaLuz, Building Commissioner TOWN OF BARNSTABLE 367 Main Street Hyannis, MA 02601 OSENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO" Spate on the reverse side. Failure to do this will prevent this card ,jom being returned to you.The return recei t fee will provide you the name of the erson delivered to and the date of delivery. For additional tees the ollowing services are available. Consult postmaster for fees and check box(es)for additional service(s) requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery s', (Extra charge) (Extra charge) 3. Article Addressed to: 4. Article Number P 017 014 352 Mr. Charles F. Doherty Type of Service: 24 HIghview Drive ❑ Registered ❑ Insured Hingham, MA 02043 ❑ Certified ❑ COD g , _ Return Receipt ❑ Express�!lad ❑ for Merchandise Always ob atsignature of addressee or agent and DATE DELIVERED. 5,= Signature — Addressee 8. Addressee's Address (ONLY if X � _ requested and fee paid) 6.1 Signat& — Agent X 7. Date of Delivery PS Form 3811, Apr. 1989 .u.s.G.P.o.15ae-23e-ale DOMESTIC RETURN RECEIPT RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Serulr• Charles F. Doherty Stre14nU'lloghview Drive P.o. State rd ZIP Code Ring am, MA. 02043 Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Ln Return Receipt showing to whom, M Date,and Address of Delivery d TOTAL Postage and Fees S 0 Postmark or Date A E LL a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) a 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED - adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. t 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. It return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. U.S.G.RO.1987-197-722 4 — A=307`-073 JOSEPH D. DALuz .� 790-6227 Bui/ding•Commitrioier - >-- -•-^--- T "-"- tELEPHONEOC'MAXYO . �4}QQCXXdCJX TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 November 7, 1990 Mr. Charles F. Doherty 24 Highview Drive Hingham, MA 02043 Re: A=307-073 29 Woodbury Avenue, Hyannis Dear Mr. Doherty: This office is in receipt of a written complaint re the two family use of your dwelling located at 29 Woodbury Avenue, Hyannis. Please contact this office immediately re the above matter. Peace, Jo�Ae�?h D. Da uz Building Commissioner JDD/gr cc: Town Manager .` Certified mail: P 017 .014 352 R.R.R. n• ! f r _ ` � P y 1. ' z ..y tiF �'`'k ' 'x -. � .µ "'.F � ,. � y . �f. �„ •�' i r � � �" vt;;� �' L 4 +r ya .ter `� r ,vy'r �• r . 'v°•'''[ . y e t a•M .(7� - �a���/// •. � �./y� •� /F:./v� f.... r•'�/ a. i_ '£ >// r� �,/ p�P/r"`� t •F- `rf 'Ar •�+ h,yVl :�..- V OO,.'./ ) ./✓ V .I — ` }j? ;J�' •� i�. 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'N,:.n �" ,s �,t.. `. ,.`'C 1. • i ' rYr sYh.^ Y "` ' r '.} ,...`, , r,:. `rfs 1� " ... ;j 1 % i ,t, ,- > Styy 4 � ^'. ..,. r 4 d ;, sr t r i [ '-[R307 073. ] • LOC1002,9 WOODBURY AVENUIP CTY107 TDSJ 400 HY KEY] 217660 ----MAILING ADDRESS------- PCA11011 PCS]00 YR100 PARENT] 0 DOHERTY, CHARLES F MAP] AREA161AC 1V1345996 MTG10000 ELIZABETH DOHERTY SPI] SP21 SP33 24 HIGHVIEW DR UT11 UT21 .42 SQ FT] 1182 HINGHAM MA 02043 AYB11948 EYB11980 OBS] CONST] 0000 LAND 46100 IMP 79400 OTHER 5200 ----LEGAL DESCRIPTION---- TRUE MKT 130700 REA CLASSIFIED #LAND 1 46 ,100 ASD LND 46100 ASD IMP 79400 ASD OTH 5200 #BLDG(S)-CARD-1 1 79 ,400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 5,200 TAX EXEMPT #PL WOODBURY AVE RESIDENT'L 130700 130700 130700 #RR 1869 0027 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE100/00 PRICE] ORB11986/172 AFDJ LAST ACTIVITY105/22/86 PCR)Y �� �, 4 f f' , � .� � � . �- � � � jse h D. gaLuz • �lephone: 790-6227 ButI in'� Commissioner _ T®WN @F BARNNTARK.. SUUMNO .DEPARTMENT . TOWN OFFICE BUILDING HYANNIS, MASS. 02601 November 23, 1-990 TO: Joe DaLuz, Building Commissioner FROM: Richard= Bearse, Inspector / RE: Holmes compliance'=29� Woodbury Avenue ', _ I made an`-inspection with=D. -Seccone, agent for Grant • & Lee Real Estate,` of the property located at 29 Woodbury: Avenue, Hyannis on November 21 ,-__ 1990. Inspection- of the house gave no- evidence of an apartment as defined by either Town of Barnstable Zoning' Ordinances or Massachusetts. State Building Code. In the rear- portion of the house,- there was a refrigerator and single bowl sink, however no stove therefore, no kitchen. , _ - I advised- the real estate agent of the Zoning _ . Ordinances ' -permitted uses_ in- this zone. enclosures-(3). SECTION 7 DEFINITIONS In the interpretation of this ordinance , the following words and terms are ` to be used and interpreted as defined herein unless the context otherwise requ i res 0-pa"f merit Unit : That portion of the floor area of a multi -family dwelling' d_e-sA-aned--f-o r---o-a-c-u- anc bya--s i-n I e--f am illy and--e a-i n'iYn you a ty kvi-t`ch-en':� Boathouse: A building used solely for the storage of boats and related equipment . Building Height : The vertical distance from the ground level to the plate. Dwelling, Single-Family : A detached residential building designed for and occupied by a single family. r Dwelling, Two-Family: A detached residential building designed for and ' ..g occupied by two families. Family Apartment : A living unit , complete with kitchen and bath to supply . a year-round residence for a family member . Family Member : Any person who., is related by "blood or marriage. ; " Intensification of Use: Any new construction , reconstruction , alteration , 4 remodeling, repair , enlargement , change in use, increase in capacity , ,or addition of service resulting in greater off-street parking demand . t Lot : A single area of land in one ownership defined by metes and bounds or`• boundary lines , no portion of which is bisected by a street . 9 Lot Coverage: The term 'Max . Lot Coverage as % of Lot Area . ' where used as ;> a column heading in Bulk Regulations , shall mean the maximum lot coverage R by structures as a percent of lot area . 20 r Lot Width: The width of any lot shall be measured wholly within the lot '-at �r. the building setback line along a straight line parallel to a line connecting the intersection of the front boundary with the lot side lines , except that an owner ofland may establish his own setback line at' a distance greater than that required and the lot width may be determined- at the setback line so established . rz F Retail : The term "retail" shall not be construed to include "restaurant . " Setback: The distance between a street line and the front building line of ' a principal building or structure, projected to the side. lines of the lot . . Where a lot abuts on more than one street , front yard setbacks shall apply from a I I streets . 4 86 780 CMR: STATE BOARD OF-BUILDING REGULATIONS AND STANDARDS Annunciator: A unit containing two (2) or more identified targets or indicator lamps in each target, or lamp, indicating the circuit, condition or location to be annunciated. rApartment:A"Dwelling unit'`as_defined in this code. Approval: When used in Article 18 for manufactured buildings or building components, approved by the State Building Code Commission. Approved: Approved by the Commission, the building official. or other authority having jurisdiction. , Approved material, equipment and methods: Approved by the Commission or by an agency approved by the Commission. Approved plastic: See Section 1900.2.1. Approved rules: Those rules approved by the State Building Code'Commission unless otherwise specified. Appurtenant structure: A device or structure attached to the exterior or erected on the roof of a building designed to support service equipment or used in connection therewith, or for advertising or display purposes, or other similar uses. Architectural terra cotta: Plain oz ornamental hard-burned plastic clay units, larger in size than brick, with glazed or unglazed ceramic finish. Area (building): The area included within surrounding exterior walls (or exterior walls and fire walls) exclusive of vent shafts and courts. Areas of the building not provided with surrounding walls shall be included in the building area if included within the horizontal projection of the roof or floor above. . Area Factor (AF): A multiplying factor which adjusts the base unit power density (UPD) for spaces of various sizes to account for the impact of room configuration on lighting power utilization. Areaway (form of construction): An uncovered subsurface space adjacent to a building. Ashlar facing: Facing of solid rectangular units larger in size than brick of burned clay or shale, natural or cast stone, with sawed, dressed and squared beds and mortar joints. Ashlar masonry: Masonry composed of bonded, rectangular units, larger-in size than brick, with sawed, dressed or squared beds and mortar joints. Atrium: An open space between two or more floors which is protected by equipment and/or enclosed by construction as required by Section 437.2, and which does not necessarily meet the requirements for a covered shaft with respect to. enclosure. 5/27/88 (Effective 7/1/88) 780 CMR - 41 • g • 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS One-family dwelling: A building containing one (1) dwelling unit with not more than three(3) lodgers or boarders. Two-family dwelling: A building containing two (2) dwelling units with not more than three (3) lodgers or boarders per family. jDwelling unit: A single unit providing"complete, independent-living-facilities-for one:(1) or,more persons including permanent provisions for living, sleeping, eating, cooking, and sanitation. �- Dwelling Unit, Congregate: A building or portion thereof, owned by a municipal authority or an agency or department of the Commonwealth, housing no more than six not necessarily related residents all over the age of 55, with separate sleeping accommodations for each resident and in which living spaces, cooking and sanitary facilities are shared outside the sleeping accommodation, shall be considered a single dwelling unit. Where individual residents' rooms contain a sink, refrigerator and cook-top, and residents have individual or shared sanitary facilities, each individual resident room shall be considered a dwelling unit. For purposes of the State Building Code, Congregate Dwelling Units shall be considered multi-family dwellings (112) when not designed as attached or detached one- or two-family dwellings (113) or (114). Congregate housing shall not be considered as boarding, lodging, dormitory, hotel,motel or institutional use. Economizer, Air: A ducting arrangement and automatic control system that allows a cooling supply_ to supply outside air to reduce or eliminate the need for mechanical refrigeration during mild ar cold weather. Efficiency, overall system: For a designated time period, the ratio of useful energy at the point of use to the thermal energy input expressed in per cent. Egress: See "Means of egress." Elevator: See Elevator and Escalator Regulations (524 CMR 3.00 through 11.00); Elevator, Dumbwaiter, Escalator and Moving Walk Regulations (524 CMR 15.00 through 33.00). Elevator lobby: That portion of a floor, platform or alcove immediately adjacent to the elevator shaft opening, used to receive and discharge passengers or freight, or used as a waiting area. Energy: The capacity for doing work. Energy takes a number of forms which may be transformed from one into another, such as thermal (heat), mechanical (motion),. electrical, and chemical. In customary units, energy is measured in kilowatt-hours (kwh) or British thermal units (Btu). Energy efficiency ratio (EER): The ratio of net cooling capacity in Btu/h to total rate of electric input in watts under designated operating conditions. Erection: The construction of a building or structure or a specific part thereof. 5/27/88 (Effective 7/1/88) 780 CMR- 53 A=307-073 JOSEPH D. DALUZ i 790-6227 BuilYing'ConglYWssiontr TELEPHONEtX2MXX°B0 �['XXdDK TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 November 7, 1990 Mr. Charles F. Doherty 24 Highview Drive Hingham, MA 02043 Re: A=307-073 29 Woodbury Avenue, Hyannis Dear Mr. Doherty: This office is in receipt of a written complaint re the two family ' use of your dwelling located at 29 Woodbury Avenue, Hyannis. Please contact this office immediately re the above matter. Peace,. • f JoJ'e�h D. Da uz B ilding Commissioner JDD/gr cc: Town Manager Certified mail: P 017 014 352 R.R.R. PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT General Notes Ll EILI ❑ ❑ ❑ SOUTH ELEVATION NORTH ELEVATION Scale.1/4=12' � Scale:1/4"=12" CARBON MONOXIDE ALARMS OKE DEJECTORS REVIEWED ` MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE BARNSTABLE BUILDING DEPT. DATE b '� FIRE DEPARTMENT DATE Q BOTH SIGNATURES ARE REQUIRED FOR PEAVITIMG 4 ,a > No. 'Revision/Issue DateEIE] El E! Quahtq jW 00jwA5 L, Inc.E3 El El El 13 El 2 Woodburq ave. ® Hganni5,, MA . 02601 EAST N ELEVATION 4 WEST ELEVATIO APPION ° 3 Sale:1/4"='12" Scale:1/4"=12" 061011200 s<.. �L. VKION5 iona0lid IVNouvo la3 NS3ao.LnV NV AB 03D(1a02ld PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT General Notes 1`iu1�Toow. l I 24 9 30' 0.��V�O 1 -4211 2-42 L 30' I 9' 9" 7' 101, 13' V'I ® O 2-3a - 11 v N oo 7'-I I2 1 �os�r aAMzooM �' 7117,916 l B P 0 10, 2 �2 ® II aua p%posr aN rap 24' 24' I 24' OF FOUNWAWN W&L kX9 p5f.pOSf p051EW uN1 FWAIN O 0 ® . �11 ,f, R M T2' (� 19'"IOZu non 2' g ' ) i N\ �'Q�'� 0`r Revision/Issue Date 11 w` �t Q ® II''S- 6 7R M 10' ® NMA WIrION V7 p-d f� V 2-25 1 u�ss 10'-I p II n..u.—.a Md- 8 MIN 8 nesic�n b�<r�—:,6-6 16 „ 2'-6a 5'"�" Qual itq WooclwA5 I 30' 1 ® ® 44' ® ® 1nC, A'.l«t a .ne Ma.em 1 FIRSTFLOOR PLAN Z SECOND FLOOR PLAN 42 Woodburq ave, Scale:1/9"=12" - Scale:1/4"=12" Hganni5 , MA 02601 P17WIilON on. 08/01/2013A2 Sc.b FLOOi2 FLAN5 ionaONd-MouvonOEI NS3ao.Lnv Nv AB mona0ZJd PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT 14' General Notes r_ _____________________________________________ _ ------------------------------------- 1 , I , I I I 24' I , I I I ' i i I CE7A251171NG 6"EXPO5a 44, I I I I = 1 3OXI/A"59AI,PLATE WADER . I I 2X6 Pi SILL PLATE ° 1/2"511,1,SEAL WATERPROOF IN ACCOPPANCE W/ 980CMR 8"N OCK FOLINPATION WALL W/ 8"SiL.P+VCNOE 60LW @28" IN511 AS IN ACC0WANCE W1 O.C.&I'-0"FROM COPWF5 980CMR 1 i PROVIDE#6 VERTICAL@ IZ"O.C. _ I 5-1/2"CONCFM FI1,1.1�17 I I L&I-Y COLUMN C W.) �X15VN6 FOUNDATION 1011001100" o ` CONCT�FTC. 12 �q <1z'xzo;FrG FA[WATION VIZAN 113L,GRID W/ #41E13A2 i -8 < I @ 9"EACH WAY(1W.) - --- --- --- I I I 24 1 , • I Fcundatla,l7etads I i i �Nn No. Revision/Issue Dote r .• , --------------------------------- I EXISnNG 5TAR5 1 NEW POUNI)ATION 1 ' I F—Name°M Md- 4"CONIC,%A13 W/ 6X6X6 I Wl LDEI W1F M�SN OV�t?6 MIL, I _ ; PpQVIPE 20"X241I bey iqn bu VAPOp 13A piEt?Om4"MIN ACCE55 TO CMX5PACE /� 10' 1 I COMpACTEI Gt?AVFL 1 _ I Qual I'�. WooJwork5 1 20"WX12"DP CONIC, �— I 1 1 I nC I FOOTING W/ (5) #5 TWOS XI6 FOUND, HOOT STL,PWAP VENTS C TYPJ i O I o,,�, 42 Wooclburq ave. ------------------ Hganni5 , MA 14' 02601 8" BLOCK FOUNDATON WALL W/ "'ra` s- 5/8" 5TL ANCHOF\DOL5 @28" O.C, Ann1nON - Al Z & I'-011 FpOMCOPN�pS 1 FOUNDATION PLAN Al OS/OI/2013 Pt?OVIDE #6 VEp11CAL@ 12" O.C. Scale:3/8"=1z" °" FOUNPA1101\1 PLAN i3n(3021d IVNOLLwona3 n3cimm NV A9 03onCIONd PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT i HDR. Nt7R. H71;, FIX, ' I NQTE: General Notes I,UPPEI;5TOPY WA15TUD5 LOCATFD OVVC LOMP,STONY WALL 51UD5 2,MAX,FXTEpIOi,WALL HEICK 6-O" Hn 1 3.U�DOUBLE TOP PLATE,MINIMUM 5PLICF LFNGHT 6' U51NCA 16 N0,16P COMMON NAL5. 4 5'TO 9' WALL OPENING PLQUIF; 5 5 FULL HEIGHT 5TU125 EACH 511E FLOOD AND FOOF BLOCKING SHALL BE PPC)APFI AT PANEL EDGES FEPPFNDICULAP,TO'00P,FpAMING MEM9P,5 IN THE FIF5T TWO JO15T SPACES AND SHALL BE A MAXIMUM OF 4'-O" O.C. 6.ALL LVL WWfFS CONNECTED IN ACCORDANCE WITH MANUFACTUpFS SPECS, (2)2X12KInGE Tl e _ 5/8'I'VW00175fATIN6 Hpp NOTES: p ALL HFAl2Ep5 TO BE(5) 2X8 W/ 1/2"PLYWOOD FILLEp ' k. PO5T5 SUPPOPTING ENGimr LUMBEp TO BE 4X4 P5L P051-5 HOP, r I i ALL Qkl?D I;S,BEAM AND J01515HALL U5E FpAMING CONNECTOpS MANUFACTUpFI BY 51MP50N Jl= STfZONG-ll F,INC,(Op FQUIVALFNT) -------- - —— -- N17K, HP7 1 ROOF FRAMING PLAN —_ Scale:1/4"=12" i I II l 1 I ; Ili i I it _- -.- i l i i I I � I I -...-- 1 � I , I 1 I 1 I E45TIN6 20 J0155 — PO515 — MOWj I No. Revision/Issue Date DE OW c a>1.�sx�.25°Dui" 1 I f besi�n b�{ ,{I tv e I'M OF W&L UNMMA1H Qual itq WooJwork5 --Galva�¢ed zlripzon/oKt h3-aers¢each plst(typ)----, zi ors io t4F Inc. I MI7 6EANi f0 SIPPOKf ExI511NG.XA51 � 1 I I —_ - L 42 WooJburq ave. Nqanni5 , MA 3 9"PI.YW007 GI.LEI7 8 NAILEIJ --- HIV. -_ J 02601 �; 1 .LI 3/a° rwoonG tin s Nov " ._ ----------------------------------------------------- tea, s -- - - ---------------------------------------------------- _- . -------'- Second floor framing rPnma Z Scale:1/4"-12" 0810112010 s.me 2 First floor framing FLAMING PLAN AI 1 Scale:1/4"=12" lonOONd lVNOIlVOna3 NS3001nV NV AB 03wa011d PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT General Notes GIN M NALING 5CHMLM NOTE; COMMON NAlL5 Apt TO B�VLACN2 ONLY BY 6UN5 OF THE 5AMF PIAM�tP,ANP LENGTH(OP,BIGG�I?> Not: 1. UFffF 5TOPY WALL 5TU125 LOCAt[2 OV�F 0MP,5TOPY WALL 5TU125 � MAX. EXtOOp W&L HFIGHT 8'-O" � G 'JOINT 2, M'-JOINT: NUMBER OF NAIL SPACING -- U5F 1200LF TOP f LAID. MINIMUM 5r LICF LI-NGNT 6' U51NG 16 N0.16P COMMON NALL5, COMMON NAILS,' 4, 5'TO 9' WALL 01`�NIN6 I;�QUIP1�5 3 FULL HEIGHT 5TUP5 FACH 51nF, FLOOr� FRAMING :- a � " ���� 5� �LOOC?ANb I?00�BLOCKING SHALL �E f'f OVIb�I AT f'AN�L�f7G�5 f'�f?f'�NI7ICULAP TO FI, F`PAMING JOIST TO SILL.TOP PLATE OR GIRDER (TOE-NAILED) 4 - fad _ PER JOIST ` M�MBf1?5 IN THE FIP5T TWO JOIST 5PAC�5 ANP SHALL BF A MAXIMUM OF q'-0'I O.C. BLOCKING TO JOIST (Toe-NAILED) z- Sd EACH END 6,Al LVI, M( MB�P5 CONN�Ctl? IN ACCOR)ANIa WITH MANUFACTUp�5 5nG, ,BLOCKING TO SILL OR TOP PLATE(TOE-NAILED) 3 - lid EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER (FACE-NAILED) 3 lid IL' O.C. JOIST,ON LEDGER TO BEAM (TOE- NAILED) 3 - 8d PER JOIST BAND JOtSTTO JOIST (END"'-NAILED).^ 3 - IGdr (^ PER JOIST NOT�S; BAND�JOtST TO SELL OR TOP PLATE'(TOE-NAILED) w e� 2 - ILd t" y',PER FOOT n ALL HFAbFt?5 TO Bf C�� 2X8 W1 1�2� pLYWOOn F LL�p Al F05T5 5UPPOFfIN6 FNGIN�E P LJMB�P TO BF 4X4 `5L P05T5 FLOOR'SHEATHING .. x. 3/4' PLYWOOD 8 d i'E06SA2" FIELD ALL 6IPn�P5,P�AM ANP J015T 5HALL U5F FPAMING CONN�CTOP5 MANUFACTUPTn BY 51MP50N n 511?ONCI-11 INC, COP FQUIVALFNT> ,. WALL FRAniNG * a.�.. A ,1-�s.ec . . r ,.:,2z..s,� . wa`, WALL PLATE TO'.JOIST (ENO NAILED) l- fLd AT JOIST$ WALL PLATE•TO'RIM JOIST(FACE-NAILED) lid 4' O/C #r' STUD TO,PLATE (END=NAILED) 2 - lid AT STUDS STUD'TO STUD+(FACE-NAILED). 2 - lid 24' O/C HEADER`TO.HEAOER(FACE-NAILED). lid K' O/C ALONG EDGES ,WALL SHEATHING SHEATHINGTOPT SILL - - " ~' 10 d- 3' O.C. SHEATHING TO WALL STUD M 8 d G' EDGE/12' FIELD y ROOF FRAMING- . . No. Revision/Issue Date BLOCKING'TO,RAFTER (TOE NAILED), *.t - 8d c #^ EACH^ENO RIM HOARD JO''RAFTER^(END NAILED) 2 - lid a EACH END COLLAR.-TIE TOiRAFTER'(FACE-NAILED) 1 -ILd EACH.END beSl�n by 6-'l0d Qual ity Woodwork5 ROOF SHEATHING ` Inc. RAFTERS - • v l« Hame om ea,e.. WINDOW 5CHMI F RS AND•TRUSSES K' O/C` 8 d G" EDGE/G'.FIELD 5YM MANUFAGUU P, p,O,51ZE 6I A55 51Z� TM �- +- 42 Woodbury ave. Hogrve-y V( x r el&- WJc 3KVY Hyanni5 , MA 02601 AnnmaN aeu 08/01/2013 swig GN�m NOT�5 / 5CH�21U 1�5 J-O(1a021d 1VNou.vona3 NS3aoinV NV AS 03onUO 1d PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT 4 General Notes elev, 22'-11'' C 2) 2X12 I?IbG� 12 A5PH&f 5HINGI,1�5 5/ 811 C12X FbYW00n 5HWIN6 2XI0 f,A�1Fp5 @ 16" O,C, I�5X5�5 CObbAt? 1"I�5 51MP50N N2,5A NUPpICAN� VE5 @ Al EACH 51n� 0� 1�p5 -I' I� ,,yam i _ — _ —_ I I 1. — -- �I op of f lat,0S �l �� ��. ,I�� �� �� :� )t �l JL�����;" I� � :{ It ):, 1( 1 �t 1l )l l� 1l �� ) �i �l. )� �l �� �l 2XI2 C�VN6 J015T @16" 1/ 2'' GYP5UM PI,A5TF, I2'' PATT IN5ULA11ON P-38 2X6 51"U125 @ 1611 O.C. 3/ 5TAPPIN6 6'' 13Aff IN51JI-KION 1/ 21' 6YP5UM PLA5TPP 1/ 2'' PLYW0012 5HWI N6 1'ryi 8 30# F�U1 VIFICAI, INT�PI0P W&I- OL op of 5ubfloor I/ 2" 6YP5UM P�A5TP, WHIT C�bAp SNINGb�S _.I elev, 8 4 2X-4 W&bS @ 1611 O,C, 4. fop of plates elev, T 1/ 2" 6YP51M Pl A5TP, -7 I/ 4" W Fb00P J015r 8" 13Aff INN51,1I,A1/0N 7 ' OL Top of 5ubfloor 3/ 411 T&G PLYWO012 61,U�12 & NALFn elev, O'-8" Top of Foundation with 2x6 Pr plate30- ' elev, 0' 0' I I Q I CONC, 5bAC3 W/ 6X6X6 No. Revision/Issue Date A l 8" �UOCK FOUNPA110N WAI,I, W/ i MbnNn Wit? M�SN OVl�pl 6 MIL. nesir�n bn 5/8" 5t, ANCHOP, 1301,T5 @28" O,C, 1 VAPOR �3MPH, OV�P, 4" MIN �XI51ING �OUNJAI ION Qualitn Woodworks COMPACIP CRAM # PpOVIn� 6 V�P1'ICAL@ 1211 OL, Inc, I 130f1"OM 0r FOOTING ', �XPAN5101\1 JOIN17\ �j-N m - -•a -42 Woodburn ave. elev, -5'-I I/ 2" -- 20' WX12'' nP, CONC, Nnannis , MA P0011NC, W/ (5) #5 02601 NOP\IZ, 5t, P, PAP 2 A171 MON SECTION PLAN �' AI 08/01/20DAA 1 �o. Scale: 5/8"=12" 5�C110N PLAN ionaOHd IVNouvona3 AS3aoinV NV AS a3onaObd