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0141 BAY LANE
//�,.. � �[�r � ,. .a' c ,;, r r � � c R �rF � `.h ,. � rrt[; .. �.k. .. fi 5 f: y a o a Q .. 1 II 7 i u 1 ° .. �i '. a o 4 y � � � ,. .. - ,.. 6 ,. c 1v I� .. � ..� �, o , _ _ - � i ,_ . - t ,� �� ,�3 . . . . _ , � _ o� . . .� . . _ ; . � � : _ s . . � . . � , . . _ � _ � . ' � � .. �- a R .:. .: - � _. .. - ,' �_ , ' � _ _ .. 4� �. _ .. .- _ e - � n .. � .. - -. 3, '_� _ _ �. .� .. k .:s. ,., ,. _ ... .. �. .. - r. .. - �-. ,. -_ = __ u -. -. _ _ .' i <. r a k � � ., . _ ., _ , F ' - s � .. ` .; ,.. s u - ,,; .; „ , _ - x � .. � . ... n� e� Y� .. -. �. I ,,. - i <. -= _ , -. � _ }, -. �- - ` � �.:,. x.� .. .. .. .� :'. " � .:. is � ,t � - .. _ .. .: �` � � .� y µ. ... _ i - � b G4- � ` �-��' �' V ...� „ y r �, r - . - _ _ _ n R . . : ; x , ,; � . . � . k _ : z x r _ _ .. p ,. u r c l f '-. u } - � ... o v ;: - .. n 0 :. .. �.. r � • '� . .. - .. .. .' .. � �r v e 5'�f '- • :: �S - _ �, . :. 4. .. _ -n .. . .. ... .. _. .. �... ... ,. ,. � - � � - �' TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map Parce , `Application#: 826D 7LI5�`5 Health Division Date Issued Conservation Division Application Fee ®� Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ��1�l�ti4AM— Village aC fjAe-�2_U�4 E Owner Q_1 Address—so 1 TelephonePermit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 14Qa:2d Construction Type pam e: Lot Size IR _110 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure <a(AIO Historic House: ❑Yes C(No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑Crawl ❑Walkout Other 3 of ca oJo_ Basement Finished Area(sq.ft.) ol✓tq Basement Unfinished Area(sq.ft) N 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 4No Fireplaces: Existing New Existing wood/coal stove: ❑Yes -dNO Detached garage:❑existing d new sized Pool:❑existing ❑new size Barn:❑existing ❑new size: Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: _j _ C>31, W Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ -:_ - - rCommercial ❑.Yes _No-. If-yes,site.plan review# Current Use Proposed Use BUILDER INFORMATION Name �' r�rruu,5 �V �, c,e Telephone Number �OS" 6�iI- -Rif Address ay..") ccjj,�, License# Oqd gn r oe MQ, Home Improvement Contractor# Lt%l 44' Worker's Compensation# 9P,0_ eve4• ALL CONSTRUC 0 ESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ,. CATION# DA E ISSUED MAP/PARCEL NO. hADDRESS. VILLAGE OWNER `DATE OF INSPECTION: FOUNDATION (bp1l11074j'K- sdr►ola) B�q�oT,l _ FRAME k U Is INSULATION ; g c) FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH a FINAL FINAL BUILDING DATE CLOSED OUT ! ASSOCIATION PLAN NO. :e ell _ Town of Barnstable p �`04 ! has �t"E r "� Regulatory Services w Richard V. Scali,Dire, gr , ' 13.41=IX ' Building Divisioni 'OTFp .1a�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA0b01 — �- ° www.town.barnstable.ma:us 1;4.=... Office: 508-862-4038 Fax: 508-790-6230 PERMIT# a2O FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less q( Bow C LO,JAM), Location of sh address) Village a�' Property owner's name Telephone number Size of Shed Map/Parcel# Signa re Date Hyannis Main Street Waterfront Historic District? h� Old King's Highway Historic District Commission jurisdiction? it)0 If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 • x Certified Plot Plan • , Location �LWilcox . 141 ` Bay Lane SURVEYING • ENGINEERING �, ` Centerville, NA,,' • prepared for HOME PLANNING&DESIGN Susan Ganz 3 GIDD1A11 HILL ROAD P.O. BOX 439 Sole. 1" = 50' � RyA SO.ORLEANS,\1ASSACHLISf'1'•1'S 02662 i TEL:S08.255.8312 FAX:508240.2306 a Oate- November'6, 2007, t } eNL2 1 ' a _ .. ''+' t . ,,, 0 �• `fir s. ' LOT -48 Floundatum T O-F=10.63 �15. 10 z• %C ' L=44.25' `, . . . Reference., y ..4ssr's flap 186 _ �'. � w 4 • _ Parcel 7 •' . Lr C.P. 9403F LOT A9 I certify that the foundation shown hereon zs looted as it exists on the_ground and that as so located it complies with the minimum property line setback requirements of the. Town.. of Barrrstdble . . t ! LMLE SS pr ofessio, �a Surveyor bate.• Job No. 9829 -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 Le 'bl Name(Business/Organization/Individual):. C4� Address• ` City/State/Zip: YY.X�n N,Q- _=2 Phone.#: 43�' 4 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 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2. I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P t3'• t 9. Building addition [No workers' comp.insurance comp.insurance. 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.❑ 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. 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:�1 0(Do 1 P — 1 ii � Policy#or Self-ins.Lic.#: C,f e(� <> V CQ — "Q 7 Expiration Date: f Job Site Address: City/State/Zip: cL0. c i1r Attach a copy of the workers' co ensation 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 da against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi atio of D for insurance coverage verification. I do hereby e n he pains-and penalties of perjury that the information provided above is true and correct Signature: Date: � 3 Phone#• & - �a Official use only. Do not write in this area,fb 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#: __ I 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 bean 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 in r nce 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-conti actor(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 Deparimeirt 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 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 Weshingtoi Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia ' JNO�RECU�Tt�N ns tC TRd ij bUPSR '!OR 192 ; �� y�y { a tl'�•QO y 1� � � THM �t� SPEN +f I! /1:' x' _ae>+�,vw• s�. aa 'Y�r'taxser S.i ?utf e k � ... l».,E.... ' oarrist j ai 1 < r _ , r C., a fir. ` - - `A7 5 y•'y lei - ' ,_ 1 :R � .,. .ii. 9_ .. ivit� ...%V.'A. -. i J }.•�.t�3 en.A.t _Sin ��P..,"Yr ��.. �... £ ] � �.. c.. . -:f . y•.1 It =':t - � 4-!„ N T .n ,.f S.G_fir,�:.�_ �A_ CERTIFICATE OF LIABILITY INSURANCE 07/11/2007 PRODUCER ( 08)9A5;-0393 FAX (508)945-4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpki n Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 697 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC# INSURED Thomas C. Spence INSURERA: National Grange Mutual Ins Co 14788 245 County Rd INSURERB: Travelers Ind. Co of IL-ARWC 13579 Bourne, MA 02532 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRiBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS'AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATE(MM/DDIYYI LIMITS GENERAL LIABILITY MPS17584 06/14/2007 06/14/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500,000 PRFMjqF A EPCLAIMS MADE M OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY 7 PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO LL OTHER THAN EA ACC $ , AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE . AGGREGATE $ $ DEDUCTIBLE $ Z RETENTION $ $ WORKERS COMPENSATION AND 6KUB-5180C07-9-07 05/27/2007 05/27/2008 WCSTATULIMIT- OTH- EMPLOYERS'LIABILITY TOR FIR B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LiMit'l$ 500,000 Z OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS , F CERTIFICATE HOLDER CANCELLATION SHOULD ANY 0 T E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION D E EREOF,THE ISSUIN(o INSURER WILL ENDEAVOR TO MAIL 10 DAYS RI EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE O M L SUCH NOTICE SHALL IMPOSE NO OBLIGATION O IABILITY 200 Main Street OF ANY KIND PO THE INSURER,ITS AGENTS OR R RESENTATIVES. Hyannis, MA 02601 AUTHORIZED MNT TIVE _- ACORD 25(2001/08) ©ACORD CORP R TION 1988 . I °fTME'° Town-of Barnstable „ a ulato ervices R S RMN Thomas F.Geiler,Director MASS. $ ' 1e.19. `` Building Division ��lED MP'�a 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: C0 Q�A .✓e 3 C'n-2 C pmgI4 , Estimated Cost ,Address of Work: �`F e e Owner's Name: 2 4� rznA Go iA) 7 + Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied ❑Owne=.pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: g -® Date Contractor e Registration No. OR Date . Owner's Name Q&0=:homeaf day ti y I BOA ETM Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\F13O1 BC CALL -9-C*sign Report-US 1 span No cantilevers 0/12 slope Wednesday, September 05, 2007 10:03 Build 91 %4 } File Name: T Spence_Garza.BCC Job Name:_: /rdanz Description: F1301 Address: 141 Bay Lane Specifier: City, State,Zip: Centerville, MA Designer: Joe Madera Customer: Tom Spence Company: Shepley Wood Products Code reports: ESR-1040 Misc: 10-00-00 �' BO,3-1/2" B1,3-1/2" LL 3225 Ibs LL 3225 Ibs DL 2048 Ibs DL 2048 Ibs SL 1430 Ibs SL 1430 Ibs Total Horizontal Product Length=10-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 10-00-00 , 40 10 01-00-00 2 Unf. Lin. (plf) Left 00-00-00 10-00-00 605 388 286 n/a Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 15257 ft-Ibs 62.4% 115% 2 1 -Internal be verified by anyone who would rely on End Shear 4986 lbs 54.9% 115% 2 1 -Left output as evidence of suitability for Total Load Defl. U447(0.256") 53.7% 2 1 particular application.Output here based Live Load Defl. U644(0.178") 55.9% 2 1 on building code-accepted design Max Defl. 0.256" 25.6% 2 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 9.6 n/a 0 1 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x M Value Support Member Material or ask questions,please call BO Post 3-1/2"x 3-1/2" 6703 Ibs n/a 73.0% Unspecified (888)234-0056 before installation. 61 Post 3-1/2"x 3-1/2" 6703 Ibs n/a 73.0% Unspecified BC CALCO, BC FRAMER®,AJS-, ALLJOIST®, BC RIM BOARD-, BCI®, Cautions BOISE GLULAMTM SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing BO analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria. I Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram a c a minimum=2" c=7-7/8" I ' i b minimum= 3" d = 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 BOISE, Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\171302 BC CALL&9.•5_,h*sign Report-US 2 spans No cantilevers I 0/12,slope Monday, September 10, 2007 09:42 Build 91 File Name: T Spence GanzVERSION2.BCC Job Name: Ganz Description: BEAM TO—REPLACE STEEL Address: 141 Bay Lane Specifier: City State,Zip: Centerville, MA Designer: Joe Madera Customer: Tom Spence Company: Shepley Wood Products Code reports: ESR-1040 Misc: VERSION 2 N WT 11-00-00 Ak 11-00-00 BO B1 B2 LL 4235 Ibs LL 12100 Ibs LL 4235 Ibs DL 2032 Ibs DL 6772 Ibs DL 2032 Ibs SL 1877 Ibs SL 6256 Ibs SL 1877 Ibs Total of Horizontal Design Spans=22-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Standard Load Unf.Area(psf) Left 00-00-00 22-00-00 40 10 11-00-00 2 Unf. Lin. (plf) Left 00-00-00 22-00-00 60 n/a 3 Unf.Area(psf) Left 00-00-00 22-00-00 40 10 11-00-00 4 Unf.Area(psf) Left 00-00-00 22-00-00 15 35 12-00-00 5 Unf.Area(psf) Left 00-00-00 22-00-00 15 35 01-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 18144 ft-Ibs 49.4% 115% 13 1 -Internal be verified by anyone who would rely on Neg. Moment -27641 ft-Ibs 75.3% 115% 2 1 - Right output as evidence of suitability for End Shear 6202 Ibs 45.5% 115% 13 1 -Left particular application.Output here based Cont. Shear 10489 Ibs 77.0% 115% 2 1 -Right on building code-accepted design Total Load Defl. U582(0.227") 41.2% 13 1 properties and analysis methods. Installation of BOISE engineered wood Live Load Defl. L/730(0.181") 49.3% 13 1 products must be in accordance with Total Neg. Defl. -0.031" 6.3% 14 2 current Installation Guide and applicable Max Defl. 0.227" 22.7% 13 1 building codes.To obtain Installation Guide Span/Depth 11.1 n/a 0 1 or ask questions,please call (888)234-0056 before installation. Notes BC CALCO, BC FRAMER®,AJS-, Design meets Code minimum(U240)Total load deflection criteria. ALLJOIST®,BC RIM BOARD-,BCI®, Design meets Code minimum(U360) Live load deflection criteria. BOISE GLULAM- SIMPLE FRMING Design meets arbitrary 1" Maximum load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM g ry( ) PLUS®,VERSA-RIM®, Minimum bearing length for BO is 2-1/8". VERSA-STRAND®,VERSA-STUD®are Minimum bearing length for B1 is 6-3/8". trademarks of Boise Wood Products, Minimum bearing length for B2 is 2-1/8". L.L.C. Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+ 1/2 intermediate bearing Connection Diagram ttb d a o o77 c e ° ° ° a minimum=2" c=6-7/8" b minimum= 3" d= 12" e minimum=3" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 r - � f BOISE' Single 11-7/8" BCI® 9Os-2.0 SP Joist1JO1 BC CALL*Sir*sign Report-US 1 span I No cantilevers 0/12 slope Wednesday, September 05, 2007 10:03 Build 91 12"OCS Repetitive Glued&nailed construction File Name: T Spence_Garza.BCC Job Name: Ganz Description: J01 Address: 141 Bay Lane Specifier: City State,Zip: Centerville, MA Designer: Joe Madera Customer: Tom Spence Company: Shepley Wood Products Code reports: ESR-1336 Misc: 4 3 2 44, EJ 22-00-00 BO,2-1/2" B1 LL 606 Ibs LL 464 Ibs DL 388 Ibs DL 152 Ibs SL 287 Ibs SL 43 Ibs Total Horizontal Product Length=22-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 22-00-00 40 10 12" 2 Conc. Lin. (plf) Left 03-00-00 03-00-00 190 95 12" 3 Conc. Lin. (plf) Left 03-00-00 03-00-00 165 330 12" 4 Conc. Lin. (plf) Left 03-00-00 03-00-00 60 12" Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 3738 ft-Ibs 39.1% 100% 1 1 - Internal be verified by anyone who would rely on End Reaction 1270 Ibs 67.8% 115% 2 1 - Left output as evidence of suitability for Total Load Defl. U465(0.562") 51.6% 2 1 particular application.Output here based Live Load Defl. U628 (0.416") 57.3% 2 1 on building code-accepted design Max Defl. 0.562" 56.2% 2 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 22.0 n/a 0 1 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 Wall/Plate 2-1/2"x 3-1/2" 1281 Ibs n/a n/a Unspecified (888)234-0056 before installation. B1 Hanger Load 2"x 3-1/2" 659 Ibs 41.3% n/a ITT411.88 BC CALCO, BC FRAMER®,AJSTM', ALLJOISTO,BC RIM BOARDTM, BCI@, Cautions BOISE GLULAMTM SIMPLE FRAMING SYSTEM®,VERSA-LAM@,VERSA-RIM Header for the hanger ITT411.88 at B1 is a Single 3-1/2"x 11-7/8"VERSA-LAM@ 2.0 3100 PLUS®,VERSA-RIM@, DF. VERSA-STRAND@,VERSA-STUD®are Hanger ITT411.88 requires 2 10d face nails,4 10d TF nails,2 10d x 1-1/2"joist nails. trademarks of Boise Wood Products, L.L.C. Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Hanger Manufacturer: Simpson Strong-Tie, Inc. Composite El value based on 23/32"thick sheathing glued and nailed to joist. Page 1 of 1 f BOISE- Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor BeamT1301 BC CAL000—9..5 Design Report-US 1 span No cantilevers 0/12 slope Wednesday, September 05, 2007 10:09 Build 91 File Name: T Spence_GanzVERSION2.BCC Job Name: Ganz Description: FB01 Address: 141 Bay Lane Specifier: City, State,Zip: Centerville, MA Designer: Joe Madera Customer: Tom Spence Company: Shepley Wood Products Code reports: ESR-1040 Misc: VERSION 2 i X, W .: 10-00-00 BO,3-1/2" B1,3-1/2" LL 3225 Ibs LL 3225 Ibs DL 2048 Ibs DL 2048 Ibs SL 1430 Ibs SL 1430 Ibs Total Horizontal Product Length=10-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 10-00-00 40 10 01-00-00 2 Unf. Lin. (plf) Left 00-00-00 10-00-00 605 388 286 n/a Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 15257 ft-Ibs 62.4% 115% 2 1 - Internal be verified by anyone who would rely on End Shear 4986 Ibs 54.9% 115% 2 1 -Left output as evidence of suitability for Total Load Defl. U447 (0.256") 53.7% 2 1 particular application.Output here based Live Load Defl. U644(0.178") 55.9% 2 1 on building code-accepted design Max Defl. 0.256" 25.6% 2 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 9.6 n/a 0 1 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 3-1/2" 6703 Ibs n/a 73.0% Unspecified (888)234-0056 before installation. B1 Post 3-1/2"x 3-1/2" 6703 Ibs n/a 73.0% Unspecified BC CALCO, BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARD-,BCI®, Cautions BOISE GLULAMTM SIMPLE FRAMING Column at Bearing BO analyzed for bearing only,column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIMPLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. VERSA-STRANDS,VERSA-STUD®are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b d a c a minimum=2" c=7-7/8" b minimum= 3" d = 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 I BO��E- Single 11-7/8" BCI® 90s-2.0 SP JoistW02 BC CALL 9; *sign Report-US 1 span I No cantilevers 1 0/12 slope Wednesday, September 05, 2007 10:03 Build 91 16"OCS Repetitive I Glued&nailed construction File Name: T Spence_Garza.BCC Job Name: Ganz Description: J02 Address: 141 Bay Lane Specifier: City, State,Zip: Centerville, MA Designer: Joe Madera Customer: Tom Spence Company: Shepley Wood Products Code reports: ESR-1336 Misc: ug 22-00-00 BO,2-1/2" B1,2-1/2" LL 587 Ibs LL 587 Ibs DL 147 Ibs DL 147 Ibs Total Horizontal Product Length=22-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 22-00-00 40 10 16" Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 3935 ft-Ibs 41.2% 100% 1 1 - Internal be verified by anyone who would rely on End Reaction 719 Ibs 44.2% 100% 1 1 -Right output as evidence of suitability for Total Load Defl. U529(0.493") 45.3% 1 1 particular application.Output here based Live Load Defl. U662(0.394") 54.4% 1 1 on building code-accepted design Max Defl. 0.493" 49.3% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 22.0 n/a 0 1 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 Wall/Plate 2-1/2"x 3-1/2" 733 Ibs n/a n/a Unspecified (888)234-0056 before installation. B1 Wall/Plate 2-1/2"x 3-1/2" 733 lbs n/a n/a Unspecified BC CALCS,BC FRAMERO,AJSTM, ALLJOISTO,BC RIM BOARD-,BCIO, Notes BOISE GLULAMT"" SIMPLE FRAMING SYSTEMS,VERSA-LAM&,VERSA-RIM Design meets Code minimum(U240)Total load deflection criteria. PLUS&,VERSA-RIM&, Design meets Code minimum(U360) Live load deflection criteria. VERSA-STRAND&,VERSA-STUD&are Design meets arbitrary(1") Maximum load deflection criteria. trademarks of Boise Wood Products, Composite El value based on 23/32"thick sheathing glued and nailed to joist. L.L.C. Page 1 of 1 0S/06/2007 09:08 5084324976 PAGE 02 d Town of Barnstable ss" Reg Atory Services Geiler,Director Badin.g Division. Tom?trry, lading Commissioner 200 Main$trect, Hyannis,MA 02601 vmw.towa,b arnstable.ma•us Officc: SOB-gF2-4038 Fax: 50.8-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Z, sv S ekl1 L3' , as Owner of the subject property . F nY h�rebyaurhorize wc� to act on my behalf,it all ratters relative to work authorized by this Molding permit application for: Ala �� I ( dress of ob) a 60-0 '. S e Date print Narse 4FORtv!S:O+�ivTtP1;RMISSION 09/06/2007 09:08 5084324976 PAGE 02 . � . Tow of Barnstable. Regulatory Services a ye Thom m IT.Geiser,I?frector , Building Division Building Commissiouer 200 Mein$treat, Hyannis,VA 02601 Wvm.town,b arusf able,ma.us . Fax: SOB-790-6230 Officc: 5�6-862-4Q3S Property Owner Must Complete and Sign This Section if Using A Builder as Owner of the subj ect property htrebyauthorize dMID J ewc.11 to act on.m)r behalf, in an matters rejative to work authorized bythis biZding permit app4atioza.for, . dxess of job 4- to•O S' tore o e . Date P nt Marne 4:FO RM 5:OWNF .R P ERM IS S ION ., =TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map t s(e Parcel ;Application#e1)X `O 0 Z Health Division Date Issued ` U4 Conservation Division Application Fee Tax Collector - Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board1 Historic-OKH Preservation/Hyannis Project Street Address S-al o Village C t A e,z 0 Al e, a Owner v ` — Address a M Telephone `l SG- � V - Permit Request J i,V 10C�oAA 0Q a12�qe — a.A F�()_ rnS Square feet: 1st floor:existing 8$Q_proposed 5amt, 2nd floor:existing GQa�- proposed _Total new QOyJ Zoning District Flood Plain Groundwater Overlay Project Valuation �C7� Construction Type Woo8 TczM a Lot Size 191, 3 )l Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family CyJ Two Family ❑ Multi-Family(#units) Age of Existing Structure Neu Historic House: ❑Yes 4No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _hi Number of Baths: Full:existing new t Half:existing i new Number of Bedrooms: existing_ newer_ Total Room Count(not including baths):existing new First Floor Room Count 0 Heat Type and Fuel: �Gas ❑Oil ❑Electric ❑Other Central Air: I Yes ❑No Fireplaces: Existing ® New�'Z Existing wood/coal stove: ❑Yes �No Detached garage:5b existing 4 new size tq-xxLPool:❑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 w_ BUILDER INFORMATION Q r ice C7 Ce,t I Name_ __64MUA Q e hh e.- Telephone Number Address C,o')�A I �k License# Q40 R 19 c Qx)e _ Mal Home Improvement Contractor# 1 L 1(4G Q ��Z Worker's Compensation# See c&al. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO.1f+1,�ESQV �Mh - SIGNATURE DATE :t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t AP/PARCEL N0. ADDRESS; VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION FRAME INSULATION a- e;,— ?f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING S U9 DATE CLOSED OUT ASSOCIATION PLAN NO. 3 " i r I �Vy The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wlvw.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please Print LeLyibly Nagle(Business/Organizationadividual): 6 P • f P/ ..Address: City/State/Zip AS Phone.#: SOS -Ll,;I•qq-7 Are you an employer?Check the appropriate bog: :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 employee$ and have workers' 'working for me in any capacity. $. 9. ❑Building addition• . [No workers' comp,insurance comp,insurance. 5. [] We are a corporation and its 10.0 Electrical repairs or additions required.] ' have exercised their Plumbin re airs or additions '3.❑ I am a homeowner doing ill-work . officersv 11.❑ g rev airs co . right bf exemption per MGL 12. Roof r myself.[No workers' mp ❑ _ ePairs c. and we have no insurance.required.]t 152' §14� )' . 13.❑ Other. • employees.[No workers' 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 ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site I information. Insurance Company Name: 1 VULU QA&L-1 — Policy#or Self-ins.Lic.#: a k uh-s kEddo'o1• Qr-O-4- Expiration Date:__ oe Jab Site Address: Z U City/State/Zip:__MG 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 tip 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 Office of Investi atio of or insuran a covers a verification. I do hereby e i un r e pains and penalties of perjury that the information provided above is true and correct. Si afore: Date: - l _ Phone# `.S®�l ?J D� W U Offccial 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#: o °ViKEr, ti Town of Barnstable Regulatory Services BAMSTABerg" - Thomas F.Geiler,Director MASS 161 9 ` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: I S,I;A !M-V� %J e*r� rm 2tpoP ; Estimated Cost AddressofWork: O 4 &4 L. C a!An ulflQ Owner's Name: sc>> rJ ha.l 21 Date of Application: ' - - o I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law nJob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED: CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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 N e Registration No. - OR Date Owner's Name Qlonns-homeaffidav i Ni Town of Barnstable Building Dept. 200 Main Street, Hyannis Mass. 02601 To Whom It May Concern: The purpose of the proposed room over our garage is to be an office and overflow bed room when we have family and guests visiting during the summer and holidays. Cordially, Brian and Susan Ganz ('o' 1 .��/� 1U 1 �1,Lt111�1t+(EF� M 1 � l 1 "f �✓ f•YlMo� `V ... 1 h F(tl Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate ProjectTitle: Ganz Residence Report Date: 12/03/07 Data filename:C:\Program Files\Check\REScheck\Customer File\Spence,Tom\Ganz.rck Energy Code: Massachusetts Energy Code Location: Centerville(Barnstable), Massachusetts Construction Type: 1 or 2 Family, Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 8% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 141 Bay Lane Tom Spence Centerville,MA Cedarwood Homes 245 County Rd Bourne,MA 02532 e e • e •e Ceiling 1:Flat Ceiling or Scissor Truss: 625 30.0 0.0 22 Ceiling 2:Cathedral Ceiling(no attic): (134 30.0 0.0 5 Wall 1:Wood Frame,16"o.c.: 963 13.0 0.0 73 Window 1:Wood Frame:Double Pane with Low-E: 22 0.340 7 Window 2:Vinyl Frame:Double Pane with Low-E: 34 0.330 11 Door 1:Glass: 20 0.310 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 706 19.0 0.0 33 Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Company Name Date Project Notes: Prepared by:Summit Insulation Co.,Inc. P.O.Box 1337 Harwich,MA 02645 Ganz Residence Page 1 of 4. REScheck Software Version 3.7.3 Inspection Checklist Date: 12/03/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: j Doors: ❑ Door 1:Glass,U-factor:0.310 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Air Leakage:, ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have,been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Ganz Residence Page 2 of 4 Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud i bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape maybe omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310.and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. 1 - Ganz Residence Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 ' 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Rangeff) 2"Runouts 1"and Less 1.25"to 2.0" 2.5'to 4" Heating Systems Low Pressurefremperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5. 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) i k Ganz Residence Page 4 of 4 r ��M CERTIFICATE OF LIABILITY INSURANCE 12/03/200' pR( cER„, 508)945-039 FAX (508)945-4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC# INSURED Thomas C. Spence wsURERA: National Grange Mutual Ins Co 14788 245 County Rd INSURERB: The Commerce Ins. Co. 34754 Bourne, MA 02532 wsURERC: Travelers•Ind. Co of IL-ARWC 13579 INSURER D: INSURER E: OVERAGES I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MMIDDM) GENERAL LIABILITY MPS17584 06/14/2007 06/14/2008 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ S00,000 ranne)CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10,Q00 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 FGWLALCGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ICY PRO LOC JECT AUTOMOBILE LIABILITY T69732 07/16/2007 07/16/2008 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ B X`. SCHEDULED AUTOS 20,000 X HIRED AUTOS BODILY INJURY (Per accident) $ X- NON-OWNED AUTOS 40,000j PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE ' AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 6KUB-5180C07-9-07 05/27/2007 05/27/2008 WCSTATtLIMJ OTH- CRY LIABILITY E.L.EACH ACCIDENT $ 100,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER'EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describ fide SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ S00,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS arpentry CERTIFICATE HOLDER EL T N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE TQ.MAI L;SU,C.H.MOTICE SHA L IMPOSE OBLIGATION OR LIABILITY 200 Main St OF ANY KIND PO THE INSURER,IT ENTS OR RESENTATIVES. Hyannis, .MA 02601 AUTHORIZED PR NT IVE Alan R. ACORD 25(2001/08) CORD CORPORATION 198 . a� 7/J0977/IIZOOdtI/EQAUIG� ✓l/_LQgO�GfL"Cl6P.�1F4 r. _ ,. '`BOARD�OF�BUILDU��REGULA4TIONS � ± CONSTRUCTION SUPERVeIS®'R NumberrCS O40822 I Expo l20Q.9 Tr no; $3b6 0 Re THOMAS,C a 245 COUNTY RD y BOURNE, MR 02:53� 3 Commi'"iener J1 .0 COUNTY ' �lze T�mrr�/n0oz[�eaGuc 0�� ���f•. _ ;t�i19iE;�4t�lti�t�i'4:G�ITR�mR: . 3= Ye1F 't6g 12/03//2'0G7 1E: 26 1781:'978792 GALAXY TIRE 8 WHEEL PAGE 01I01 03.51 5M'4?749 5 PAGE 91 Town of Barnstable Regulatory Services o ; T�ft'F,�REy�'a. f3B�.�+�CS .ibfl31'9 9 Prc►pe ,v "nier Must mple-7, and Sign.This Section Jl Using A BID'Ider as Ca r Of the Subject prop ' w act®t '•behiaN ratters �c'a .rn � rt�ut�ia ,ed by th' biu W pew it at�pl atifl�afox ` .I .•, ca^ue rr _ Data V I CONCERNED TAXPAYERS OF BAY LANE, CENTERVILLE February 25,2008 Town of Barnstable Building Inspector Building Division 200 Main Street Hyannis,MA 02601 Re: 141 Bay Lane,Centerville Dear Sir: c We are all Barnstable taxpayers and we all live on Bay Lane in Centerville. We are writing to express our grave concern with the apparent building and zoning violations at 141 Bay Lane in Centerville. Over the past few months,a large new house has been built at 141 Bay Lane. This new house sits between the Bumps River and Bay Lane. The lot on which the new house sits already has one large house on it-a big house built in 1983 with 5 bedrooms and 4 baths. The lot at 141 Bay Lane is only .62 of an acre. But Barnstable has two acre zoning! How can a second home be built on a lot of barely 6/101's of an acre,a lot where there already was one large 5 bedroom,4 bath home and where there were there were no grandfathered buildings? The new owner of 141 Bay Lane,one Susan J. Ganz of Lincoln Massachusetts,applied last year to build a"detached garage". That is what the notice sent to the abutters said-"detached garage ... with a connection to the existing septic system...". The notice did not describe or even mention a two story building with substantial living space on the second floor. We as neighbors,don't especially like new buildings,but we all felt the new owner could reasonably want a garage. So we didn't object. But Ms. Ganz did not build just a garage. She built a two story,two bedroom carriage house,that has heat, electricity,hot and cold running water,an additional bathroom and a multi room apartment on the second floor. Ms. Ganz's new house is approximately 30 x 42 feet. It has 15 windows,nine of which are on the second floor. It has a large outside staircase running from the second floor to the grknd. Ms. Ganz has written to the Barnstable Building Dept.that the second floor of this rAl house is to be used as an"office" and as an extra"overflow"bedroom. But the new buildifig canno be "7" permitted to be living space., The notice describing the project was defective and the Barnstable zor+ti;g. code prohibits building anew house on less than 2 acres. This new building cannot be use.,is as an apartment or as permanent living space. Your office seemed to share these concerns wheI notation - no kitchen"was added to the file. Yet,since the electricity and running water have alreaeen installed,it would be easy for someone to plug in a microwave and refrigerator and createtchen.�V e �-+-i ask that you prevent this and deny a certificate of occupancy for any second floor living spin this building. Town of Barnstable Building Division February 25,2008 Page 2 of 2 We pay thousands of dollars in taxes and we rely on the government of the Town to uphold the building statutes and the zoning code that protect Barnstable and the Cape. We note that this new two story"garage' is larger than man existing homes on Cape Cod. There was no g g g Y g p grandfathered building on this spot. We estimate the finished second floor alone,at between 1100 and 1200 square feet. The purpose of this letter is to ask your department to take action here. We hope that no certificate of occupancy or other authorization will issue until lawful notice has been given. We also submit this letter to create a record of what has gone on. We don't want to be faced with a situation in the future when someone takes up residence in,or rents out the second floor of this new building as an under the table apartment for winter or summer occupancy. There is no legal apartment in this building and a violation this egregious needs to be addressed. We ask that you enforce the building restrictions of the Town as they apply to this large new building. Thank you. Very truly yours, Jim A Nggy Beech 140 Bay Lane &SBay Lane V�;� ,.-sow► l�r � Ellen Burkhardt Kathleen Kennedy 146 Bay Lane 157 Bay Lane cc: Town of Barnstable, Zoning Board of Appeals Town of Barnstable *Permit# c2 �1� Expires 6 months from issue date Regulatory Services Fee 0?05� 400 X-PRESS PERMIT Thomas F.Geiler,Director ��� Building Division S E P 2 Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.bsmstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Man Map/parcel Number l ( Pcj-z e Property Address 1 v le- Ma A Residential Value of Work X 0 o0o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address abam 01Y.ejo 7, t CC W, � I fj C'a 1N MCt © \ I �� Contractor's Name rn n _ ,pit r Telephone Numbers QS41:2-qq 76 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I_have Worker's Compensation Insurance Insurance Company Name Qr.0 U 4�JR Workman's Comp.Policy# , i� 0 A -6 190 co —9 O Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [� Re-roof(stripping old shingles) All construction debris will be taken to 0 1_on ❑Re-roof(not stripping. Going over existing layers of roof) F ] Re-side [�] Replacement Windows/doors/sliders. U-Value (maxirnuni.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: tper Owner must sign Property Owner Letter of Permission. of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 re The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia davit: Builders/Contractors/Electricians/Plumbers Workersr Compensation Insnrnce. Applicant Information Please Print Le gib Name(Business/Organization/Individual): . Address City/State/Zip: `l.tc: (31332 Phone.#: (jog)41SI ggZC Are you an employer? Check the appropriate bog: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired the sttb-con ractors 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' Pac $. 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work ❑ • g eP 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 A must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must pravide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.thepolicy and job site information. Insurance Company Name `2,CA v£.(on Policy#or Self-ins.Lic.#: ra, IBC (A a I (R)CO'} Ct-O-1 Expiration Date: Job Site Address: N t - ram u 1, v - NJ 41) � �Io I l)c CitylState/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 faf - b or insurance coverage verification. I do hereby ce u er 'ns-and penalties of perjury that the information provided above is true and correct: Si afore: Date: - 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, constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean 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 foz the performance of public work until acceptable evidence of compliance with the inScurlance 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(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 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 DTartment of Industrial Accidents Office of Investigations 600 Washington Street Gaston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax## 617-727-7749 Revised 11-22-06 www.mass.gov/dia I Thomas C. Spence 245 County Rd. Bourne Mass. 02532 Ma.Lic. 040822 Susan Ganz 80 Trapelo Rd. Lincoln Ma. 01773 Dear Susan: Enclosed you will fmd the specifications for the renovation of your house at 141 Bay Ln.. In Centerville Ma. The cost of the work as per these spec's is211,650.00. As this is a design-build project there will be changes in the scope of work as well as the cost. As the project evolves, we will work to keep the costs, as close to the construction budget. I am looking forward to working with you toward the completion of this project. �S ' Thomas C. Spence . ✓�ie�"toarnmxoouu `gra✓l���r, �` �sTr �tivsuF€ ">� ,� �1 �g r z :TH :BO'tNI(v 11, d232 r v s di - S •J �2 f, �'1e1 sw p� /,ply♦ ���b�R �::a f 19 f.,A P-.2 7 '- �Qlwt�tS�nCL��t s 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Maps Parcel Application# Health Division ,Zr, �rmp �� -1416k "^� "'✓ S Conservation Division Permit# q �y Tax Collector &V1 K. Date Issued —8 IpTIC SYSTEM MUST BE Y Treasurer INSTALLED IN COMPLIANCE Application Fee ' WITH TITLE 5 Planning Dept. ENVIRO!",fENTAA. C_—E AND Permit Fee 4307.5� Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address H l u �ce,&W-1 Village 1._� �/-� Q_2 cat�1Cf Owner �[��Sct,►✓ �cl oV �_l Address 80 I�c2,e�P.��, �h(�1 - L.lecl Mr— Telephone �f `'��� OGgq Permit Request OC9 yAe) 2 j r torn. g4edom c$ 1A)Ohr(1191US 1% 0 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total ne Zoning District Flood Plain Groundwater Overlay Project Valuation �Sd�� Construction Type -.� Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family CI Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Q No On Old King's Highway: ❑_-Yes ;�No Basement Type: ❑ Full ®Crawl C(Walkout ❑Other ►J -V 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 q new) First Floor Room Count 1*3 Heat Type and Fuel: C Gas ❑Oil ❑Electric ❑Other entr I Air: ❑No Fireplaces: Exi tin N w C aExisting e Existing wood/coal stove. ❑Yes ONo Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing 0 new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ACl _ Telephone Number �� Address n7l License# lbuu .A�y_ I ' L� _ Home Improvement Contractor# I t a t 4G ., r Worker's Compensation# _O1 1 A see v sl ALL CONSTRU I N S R ULTING FROM THIS PROJECT WILL BETAKEN TO COLV0550—% In NATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED' l MAP/PARCEL NO. 1 r _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ef` � INSULATION icy. '�3'�0,� � s FIREPLACE:` r � rr ELECTRICAL: ROUGH�C FINAL m PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL FINAL BUILDING a S E 0 i f , 4 i _ DATE CLOSED OUT } ASSOCIATION PLAN NO. r °FIRE� Town of Barnstable � ti Regulatory Services B I'E Thomas F.Geiler,Director Building Division 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: Ume;T ak ±C,,0 ' Estimated Cost 75 000 Address of Work: Owner's Name: v Date of Application: 3-30-QG I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Jqb Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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 agen f e owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fomns:homeaffidav r G l °Fj► Tom, Town of Barnstable ti Regulatory Services snxtMABLE, XU& Thomas F.Geller,Director �, m� , . .... .. :T. .. .. .,.. . 4.:.,_ .r.. ATED 9. °, Buildi ng Division. z Tom Perry, Building Commissioner _ 200 Main Street, Iiyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - - _ Fax: 508-790-6230 Property Owner Must - Complete and Sign This Section If Using ABuilder I, VV ,as Owner of the subject property - hereby authorize to act on my behalf. -- - __ in all matters relative to work authorized by this building permit application for. - - --- P/L-e1 .(Addiiss of Job) - - Signature of Owner - Date V's 0,yj aey Z-�, Print Name Q TORMS:O W NERPERMIS SION JOUO!SSIW WOO f dW '3N2i(108 i 0tI 11Nf100917Z 30N3dS 0 St/WOHl 0'L669 :du A LOQ�L 9Zldl�aaad_ � , Z96 61fe;8y . ZZ80ti0 bOSIA�GdnS NOiiomJISN0 :asue �. SNoavino3m ONIa-uns:O a21b'08 "nOJt ,>ttlnegniatus Lacense or re y :+4 t R:. y 4 " A-- `_ €Who bef,.e g strataon.�a id for � �- i the eTi1iration date,. If found vadul-use oplY F 7 Board_of Buald n return to: one 9Regulations and r ' Ashburtab Place Standards l i' _ ostwi,Ma 62 ]3171 A __ Not valid t ' = wa_bout si ure A ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: -'Fo� SPtnc¢- IC-ejo,,woocl Site Address: �� 0 E- Applicant Address: — City/Town: C.E-4Txz�'"tLIJ-� ) IA, 7-45 Cp"+j Te-d Use Group: �t.t~►'h2 , MA. Dz532- Date of Application: Applicant Phone: Applicant Signature: Compliance Path (check one): SvS '" C—A -a-- Prescriptive Package (Limited to I- or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1 b): Heating Degree Days(HDD,,3 from Table 15.2.1 a: (For items d. through i., fill in all values that apply from Table J5.2.l b:) a. Gross Wall Area sq.ft f Wall R-Yalue R- b. Glazing Area` sq.ft. g. Floor R-value R- c. Glazing%(LOO.x b_a) % h. Basement wall R- d. Glazing U-value U- L. Slab Perimeter R- . e. Ceiling R-value R- . j. Heating AFUE Component Performance: "Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 Zone 13 Zone 14 Attach Trade-Off Worksheet from Appendix J, [and NYAC Trade-Off Worksheet, if applicablef MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area 1 o5'lp sq.ft. b..Glazing Area' O sq.ft. -c.Glazing%(100 x b=a) 0_%. A:DDITIGN with Glazing (c.) up to 40% may use 780 CMR Table J 1.1.2.3.1 below: K- IMUNI U-value MINIMUM R-Values Fenestration Ceiling Wall Floor Basement Wall Slab Perimeter,Depth . 0.39 R-37 R-13 R-19 R- 00 R-10,4 (t ❑ "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form" from 780 C:MR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied.. Date of Approval/Denial: Reason(s) for Denial: (provide.additional details as needed.on back side) 'Glazing Area may be either Rough Opening or Unit dimensions. BHRs 06/12/99 a4 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: —IFOO." S�e+h�- �Ce a+-u�b�d Site Address: 01 iA OE Applicant Address: r °"'e- City/Town: G6-0 'eX4 t k-I '+"1� 7-45 Co"+j Use Group: lo�&ryte, MA. oZ532- Date of Application: Applicant Phone: Applicant Signature: Compliance Path (check one): Fbv- Prescriptive Package (Limited to 1- or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1 b): Heating Degree Days(HDD,3 from Table 15.2.1 a: (For items d. through i., fill in all values that apply from Table J5.2.lb:) a. Gross Wall Area sq.ft f Wall R-value R- b. Glazing Area sq.ft. g. Floor R-value R- C.- Glazing%(1.00.x b . 'a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- . e. Ceiling R-value R- . j. Heating AFUE Component Performance: "Manual Trade-Ofi" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) n Zone 12 F1 Zone 13 Zone 14 Attach Trade-Off Worksheet from Appendix J, [and MAC Trade-Off FYorksheet, if applicable]' C] MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Fl. Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area 1 o5'(v sq.ft. b..Glazing Area' I0 I sq.ft. c.Glazing%(100 x b:a) (0 ADDITION with Glazing % (c.) up to 401/6 may use 780 CMR Table J 1.1.2.3.1 below: r AxlhjUjvt U-value MINIMUM R-Values Fenestration Ceiling Will Floor Basement Wall Slab Perimeter,Depth . 039 R-37 R-13 R-19 R-10 R-10,4 ft "SUNROOM" addition (greater than 40% glaiing-to-wall and ceiling gross area) Attach"Consumer Information Form" from 780 CMR Appendix B. Official's Naive: Official's Signature: Application Approved Q Denied.. Date of Approval/Denial: Reason(s) for Denial: (provide.additional details as needed on back side) 'Glazing Area may be either Rough Opening or Unit dimensions. BBRS 06/12M b 2....9 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix f (effective 3/1/98) Applicant Name: �i"� �ptne¢- &ector"*J Site Address: �41 S,� L,40E7 Applicant Address: City/Town: CE.-4'"4t�.E 7-4S' Co"+j 7 Use Group: OtA.rN2, PA- DZ332 Date of Application: Applicant Phone: Applicant Signature: Compliance Path (check one): � '' SUS�'`, 6`P,t� - Prescriptive Package (Limited to I- or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table 15.2.1 b): Heating Degree Days(HDD65) from Table J5.2.1 a: (For items d. through i., fill in all values that apply from Table J5.2.1 b:) a. Gross Wall Area sq.ft f Wall R-value R- b. Glazing Area` sq.ft. g. Floor R-value R- c.- Glazing%(LQ0.x b_a) % h. Basement wall R- d. Glazing U-value U- i.- Slab Perimeter R- e. CeilingR-value R- . Heating AFUE J• g Component Performance: "Manual Trade-OfP' (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 Cj Zone 13 E) Zone 14 Attach Trade-Off`Vorksheet from Appendix J, (and tIVAC Trade-Off JVorksheet, if applicable)' MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area 05'(0 sq.ft. b..Glazing Area' O sq.ft. -c.Glazing%(100 x b=a) �_%. ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: M ximuM U-value MINIMUM R-values Fenestration Ceiling Wall Floor Basement Will Slab Perimeter.Depth . 039 R-37 R43 R-19 R-10 R-10,4 ft "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form" from 780 CMR Appendix B. 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Date: l3�U'0��7 -Permit# ®� Building Location: zed /1/il e Owners Name: d/1 Z Type of Occupancy: Commercial, Educational 0Industrial El Institutional El Residential New: Alteration:[Ul"Renovation:1 Replacement: Plans Submitted: Yes 0 No v FIXTURES z z N 0 ca x F- W -� fU W W ra z N = N y m z w z -ta- to O Z H O m rn m a H aa y N a x ❑ j ❑ Q Lu rW ❑ Q z a: O Q w z �- a Y x = 0 0 ~ 3 x °z a LL a Y a x W w W w v F- O v� F- v > > O O O z z rn F- . E- x a a y W � a 0 t 0 x a a a a SUB BSMT. l BASEMENT N 1 FLOOR �-- 2 No FLOOR I ;e 3 FLOOR 41HFLOOR 5m FLOOR 6 FLOOR v 7 FLOOR BT H FLOOR Check One Only Certificate# Installing Company Name:'Pn� --��— Corporation Address:( A� � Y � �YCity/Town # State:4FM y, a ii° Partnership Business Tel: �„ � g�3�„�l�pr Fax I •- � rm�� .— T - _ i /Company ; 5 Name of Licensed Plumber:;_ INSURANCE COVERAGE: i have a current liability insurance policy or its substantial equivalent which meets the requirements of.MGL.Ch. 142 Yes; 7No: j If you have checked Yes,please 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 does not have the insurance coverage required by Chapter 142 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 1-hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my . Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent,provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. . r _ By.,..,„�..` Type of License: Title: Plumber Signature of Licensed mber _�... Master �' License Number: Ci lrown,� a�..k,.<,._.w.. _ —_` Journeyman y APPROVED OFFICE U.SE ONLY 1 y • 1.3-0��. M. I � , i I � ( Vi —11 [[ A 11AwN By J 'U - OAT OVtD[Y enll wlNe nUM[[A dhA r FF Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program W052799 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Joshua Kouri Name of Applicant 141 Bay Lane Bumps River Barnstable Project street address Waterway (Centerville) Description of use or change in use: To construct and maintain a timber boardwalk/pier and two outhaul posts in Bumps River for recreational boating purposes. Structure is 4'wide by 70' long and mooring posts are 6"x 6"and public access stairs have been provided To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." f2 /1-3 0 PrintedMrde of Municip I fficial Da FJ JCS S i natu o Municipal Official Title Cityrrown CH91App.doc-Rev.10/02 Page 6 of 17 i SULLIVAN ENGINEERING INC. 7 PARKER ROAD/P O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E. Mass Registration No. 29733 psullpe@aol.com phone 508-428-3344 fax 508-428-3115 July 9, 2004 Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Waterways License Permit Application Kouri/141 Bay Lane, Centerville Dear Building Commissioner, Please find enclosed a Municipal Zoning Certificate along with the Department of Environmental Protection Waterways License application and plan. We have received an Order of Conditions from the Conservation Commission, file number SE3-3832. Would you please review and sign the Municipal Zoning Certificate and return it to me in the enclosed self addressed stamped envelope. Thank you for your assistance in this matter. If you have any questions, please contact the office. Very truly yours, Peter Sullivan, P. E. Sullivan Engineering Inc. rn Enclosures Members of American Society of Civil Engineers, Boston Society of Civil Engineers _ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program TWOsmra No: Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: Jo_shua'Kouri Name E-mail Address 144..Bay.Lane Mailing Address Note:Please refer K - to the"Instructions" Cenfeniille MA 02632 City/Town State Zip Code 508=776-5306 �'��+ Telephone Number Fax Number 2. Authorized Agent(if any): Peter Sullivan P E/Sullivan En gingering Inc: psullpe@aoi com Name E-mail Address 7 Pake_;Road/P_66oz 66b Mailing Address Osterville MA `02655 City/Town State Zip Code 508-428-3344 508-428-3115 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): Owner Name(if different from applicant) Map 186 Parcel`007 41 38'21" 70 21'46" Tax Assessor's Map and Parcel Numbers Latitude 141 Bay Lane,.Barrista6ii(Cente4vilfe) MA 02632 Street Address and City/Town State Zip Code 2. Registered Land ® Yes ❑ No 3. Name of the water.body where the project site is located: Bumps River 4. Description of the water body in which the project site is located (check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑Area of Critical Environmental Concern ® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary ❑ Great Pond ❑ Uncertain ❑ Uncertain CH91App.doc-Rev. 10/02 Page 2 of 17 I ' t7 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Waterways Regulation Program Transmittalw� No__ _ Chapter 91 Waterways License Application - 310 CMR 9.00 i Simplified,Water-Dependent,Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed.Use/Activity description on pg.2 of the 'Instructions" To construct and maintain a timber boardwalk/pier and outhaul posts in Bmps River to access navigable waters for recreational boating. The proposed structure is 4'wide and overall 70 feet long ,and public access stairs are provided. There are two 6"x 6"mooring posts proposed. 6. Is the project a pre-1984 existing structure AND less than 600 square feet? ❑ Yes ®No 7. Is the project a post-1984 existing or new structure, less than 300 square feet AND water dependent? ® Yes ❑ No 8. What is the estimated total cost of proposed work(including materials& labor)? $20,000.00 9. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner of land that shares a common bounds with the project site as well boundary P 1 , as the owner of land that lies within 50' across a waterbody from the project. Karen Hill 51 Cove Road Centerville MA 02632 Name Address Kathleen L. Kennedy 103 Pierce Raod, Watertown, MA 02472 Name Address . Cynthia Reynolds 161 Bay Lane, Certerville, MA 02632 Name Address D. Project Plans 1. 1 have attached plans for my project in accordance with the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B (Simplified License plan) ❑ Appendix C(Permit plan) 2. Other State and Local Approvals/Certifications ❑ 401 Water Quality Certificate Date of Issuance ❑ Wetlands SE3-3832 File Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate . Date ❑ 21 E Waste Site Cleanup RTN Number CH91App.doc-Rev. 10/02 Page 3 of 17 r Massachusetts Department of Environmental Protection ��-- Bureau of Resource Protection - Waterways Regulation Program W052799 Transmittal No. Chapter 91 Waterways License Application -31.0 CMR 9.00 Simplified,Water-Dependent, Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page. All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." Applicant's signature Date Property Owner's signature(if different than applicant) Date Agent's signature(if applicable) Date APPLICANTS FILING A SIMPLIFIED APPLICATION STOP HERE CH91App.doc•Rev. 10/02 Page 4 of 17 i t t i rl ut cf, z� crz I _ � to-a__. __. _ 6 -- ® - - � 6 a' 6 '� i Listing Detail - Single Family Page 1 of 3 Luting Detail - Single Family Item 9 of 80 View Listing# << Previous Next>> Back to List (9) 20510513 Go *In Cart Total in Listing Cart:7 Add to Listing Cart Listing# DOM Listing Price St# Address BD Town Village&ZIP Yr Status Type Listing Office BA(FH) Lot Sz Sq Ft Tax ID 20510513 15 $1,895,000 141 Bay Ln 1 5 Barn Centerville 02632 1984 Active(09/15/05) Single Family Sotheby's International Realty 6(6 0) 0.620ac 4200 000000 Printer Friendk Version s l� U�°� A hidden waterfront treasure!This extensively renovated home is perfect for family,friends,and seamless entertaining.With three floors of tasteful y and comfortable living area;five bedrooms,six baths,hi gh ceilings,french doors,sliders throughout-there is room for all!There is a mahogany deck that sits across the entire waterside of the home and soaks up southern and ' h western exposures,providing spectacular sunsets in all seasons.The open kitchen features top of the line 8 ft.Showplace cabinets,stainless steel Viking appliances,20 ft.cathedral ceilings,and a large granite island.Additionally,,there-is=a-large:in=law— =apartment_iith p e_entrance,separate laundry and kitchenette!Owner/Broker. Paper and A coffee anyone? i M; of 12 See Additional Pictures Show Attached Documents See Map Listing Price Selling Price Address Listing# $1,895,000 141 Bay Ln, Centerville 02632 20510513 Agent Joshua Kouri•M (ID:U1400)Primary:508-775-0900 Office Sotheby's International Realty(ID:SOTH1)Phone:508-775-0900, FAX:508-775-9222 Property Type Single Family Property Subtype(s) Single Family Status Active(09/15/05) DOM 15 Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 3% Yes Listing Type Excl.Right to Sell Owner Name Kouri County Barnstable Tax ID 000000 Beds 5 Baths (FH) 6(6 0) Structure(approx sq ft) 4200 Sq Ft Source Agent Estimated Lot Sq Ft(approx) 27007 Lot Acres(approx) 0.620 Lot Size Source (Agent Estimated) Year Built 1984 Publish To Internet Yes Listing Date 09/15/05 All Office Remarks Permitted 70 ft.pier.Non permitted float,Seller will remove or leave at buyers request.Assessment not reflective of renovations. Directions To Property South Main to Bay Ln. Listing Page Commission-Other call for facilitator compensation Showing Instructions Appointment Req.,Call Listing Office,Pet(See Remarks) General Page Zoning Residential http://ccimis.rapmis.com/scripts/mgrqispi.dll 9/30/2005 i I Listing Detail - Single Family Page 2 of 3 e School District Barnstable Year Built Desc. Actual,Renovated Total Rooms 12 Total Levels 3.0 Basement Baths 0.0 Level 1 Baths 2.0 Level 2 Baths 2.0 Level 3 Baths 2.0 Basement Yes Basement Description Finished,Interior Access,Walk Out Foundation Block,Concrete,Poured,Slab Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Cleared,View Association No Annual Assoc.Fee 0 Assoc.Fee Year 0 Garage No #of Cars 0 Parking Description Shell Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Attached,First Floor Waterfront Yes Waterfront Desc. River,Salt Water View Yes Water View Desc. Nantucket Sound,Ocean,River Convenient To Conservation Area,Medical Facility,Public Tennis,School Miles to Beach .1 -.3 Water Access Beach,Deep Water Access,Public,Ramp,River Beach Description Ocean,River Beach Ownership Public Street Description Paved,Public Interior Page Fireplace Yes Number of Fireplaces 1 Master Bedroom OxO Level:First Floor Bedroom#2 OxO Level:Second Floor Bedroom#3 OxO Level:Second Floor Bedroom#4 OxO Level:Third Floor Laundry Room OxO Level:First Floor Living/Dining Combo Yes Kitchen/Dining Combo Yes Other Room 1 OxO Level:First Floor Other Room 1 Type Home Office Other Room 2 OxO Level:First Floor Other Room 2 Type In-Law Apartment Floors Tile,Wall to Wall Carpet,Wood Exterior Style Contemporary Pool No Dock Yes Dock Description Private Exterior Features Outdoor Shower,Deck,Exterior Lighting,Prof.Landscaping,Insulated Doors,Insulated Windows, Undergroud Sprklr,Yard ` Roof Description Asphalt Siding Description Shingle Mechanical Heating/Cooling 3+Zone Heat,AC Central,Natural Gas,Hot Air Water/Sewer/Utility Private Sewerage,Cable,Private Water,Gas,High Speed Internet,Town Water,Underground Util's Hot Water/Water Heat Electric Legal/Tax Annual Tax 8392 Tax Year 2005 Land Assessments 718300 Improvement Asmt 410200 Other Assessments 30400 Total Assessments 1158900 Annual Betterment 0.00 Unpaid Betterment 0.00 http://ccimis.rapmis.com/scripts/mgrgispi.dll 9/30/2005 r Listing Detail - Single Family Page 3 of 3 , r To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 186 Title Reference-Page 007 Land Court Cert# 00 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Not In Flood Zone Copy the following hyperlink text and paste it into a Web browser to access a public view of this listing. Hyperlink to"Public View" Copy Link to Clipboard Preview Link http://ccimis.rapm Is.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSLogin&ARGUMENT=Oh3ygMC6wraungOXWUhD" Property History Reports Exports Emma I Item 9 of 80 View Listing# « Previous Next» Back to List (9) 20510513 y Gon *In Cart Total in Listing Cart:7 Add to Listing Cart Generated:0/30105 12:05pm Session Timeout in:56 minutes Agents'Offices i Reload Page MLS Listing Detail(3)v258.3 f Information has not been verified,is not guaranteed,and is subject to change.Copyright 2005 Cape Cod&Islands n, a tol Multiple Listing Service,Inc.All rights reserved Copyright©2005 Rapattoni Corporation.All rights reserved. http://ccimis.rapmis.com/scripts/mgrqispi.dll 9/30/2005 i Assessor's map and lot number ............................................ OF THE TD Sewage Permit numbed ....��a2-�.... SEPTIC SYSTEM u'`�,`"Qe� �♦� ..................... �. INSTALLED IN CONA ' 't BAHBSTADLEIIAGIL House 'number .......... /........................................................ WITH TITLE ;� 90 039.. .. ENMONMENTAL COL D pMpYa\0m TOWN OF B AR N S TA� ' �, �`LAI T®'APPO , L a� I D ARNSTABLE CONSERVATION BUILDING INSPECTOR COMMISSION r APPLICATION FOR PERMIT TO .........2.c...-2....:.. �.. .... ....................................................... ..... TYPE OF CONSTRUCTION ........ % ...... -............................................................ .............. J ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applies for a permit according to the-followiing information: Location ....... / .. ... .... ........!6."�`...1.` ! z: ..` ��XC.t.. C_C!� �Z ........................................ Proposed Use ... ....... ............... ........... ...............................................................I......................... Ile ZoningDistrict .... ......................................................................Fire District ................................................r.............................. 1..f1.. Zn y.. JA ?/G l 6J�211 Name of Owner ............................... Address ............................................................................ Name of Builder �� ......Address ? ..... ............................ �.. ......... .. . ..... 1..../.. . ..... .. Name of Architect ....... ..: /f...... -( ................Address ............................................... Number of Rooms ....... !......: ................................................Foundation .... .........: .. ........................ :G: . Exierior ....el-dA ... r:d'e:.. ........ .:..: �f2.... ...............Roofing ........�` .................. ..................... Floors ....., /.... 'Y .�r'�' `:.�� �(Interi ` ...................... Z ' :�............................................. J � ... - _..Heati,n x� �vsy,; 4..........::....... ?:.... 9.__.� .. .. /f _... ...... ...Plumbing ......................... • 9 / Fireplace ......... ..h........................................ .. ...........Approximate Cost .......1..(1 , ..CIa�............. y Definitive Plan Approved by Planning Board ________________________________19________. Area '�3.v .................. Diagram of Lot and Building with Dimensions Fee ,, cc SUBJECT TO APPROVAL OF BOARD OF HEALTH ��✓ rt J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. sName. ..... ........!.t....L. ".... ............(Z. ............................ r _ k S CHARLES 2376.4... -fci;4--�Ile & 1/2 S+-ory No ................. Permit ....................I......... • S*il'lgl-'-,t Family Dwelling ................1-?............................................................ "'Lot A-8 141 Bay Lane Location "'Lot ,Centerville . ........................s...................................................... 3 � Charles Brown '-Owner ........n......................................................... Type '6f Construction Frame .......................................... ........................................................:............ Plot ......................... Lot ................................ h January 19, Permit Granted ........................................19 Date of Inspection ................................. ..19 Date Completed 19 7 if PERMIT REFUSED .................................. 19 .................. . ...................... ........................................................... .. .. ............................................................................... fs .. .................................. .......................................... Approved ................................................ 19 • ................;e............... ....................................... ..... .... .. ............. -Wa, ~ 7 A— MAI TOWN OF BARNSTABLE BUILDING . INSPECTOR | TO THE INSPECTOR OF BUILDINGS: The undersigned/ applies for o permit according to the following information: Location ....... ...... . --.����!�._..----------.. Proposed Use ........ .---------------------________.. Zoning District ------..---..:----.-------..Five District -----------____. ,________. � Name ofOwner /. ..................................A66rex ..4 --.. .---_____.. | ' Nome of ^Builder -----�A66n�s /// ................................... ^ ` ` Nome of Architect .............. -----�A66reo .' —�����=--_,—______ Number of Rooms �� ����������/ ` Exierior —. '.' �� ' "' .________._ Floors . .................................................... —Heating � /V����� -----------' --..Rum6ng ............. .' —. ,____________ 1 | ~ 4 / Fireplace '--- -----.-------------Approximate Coo --. + __,__,,_____. ^ � � l}afnhYe Plan Approved by Planning Board 19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee _______________ SUBJECT TO APPROVAL OF BOARD OF HEALTH � � � ` / ' IN, . ic I her6by agree to � - ` conform to all the Rules and Regulations of the Town of Barnstable regarding the above ^ . Name f��.'..�.����.�� .---..-----' �� � BRObVIN , CHARLES A=186-7 ` No ...2,.3764 One & ll2 Story .............. Permit for ...................... ............. 1 Sinr,le Famil Dwellin ` Lot A-8 141 Ba Lane Lo\catiorr r..................................... v.. ...................... 1 ' ...............Centervill. . . . .e.......:....._.................... .... .. ....... .... .. Owner C.harles. . ...Brown. . ..................- ............ ....... .... .. .. .. ....... . Type of Construction ...Frame Plot ........ ................. . Lot .......... .................... Permit Gr nted Jakary. ...19 19 82 ... ..... ..... Date of Ir spection .... ..................... .........19 Date Conpleted 19 PERMIT REFUSED .................. ............... ................ ..... 19 .?.~ ....................... ....? ............... .............. ........ ........ ................. ...............r..................... ....................... ................ .......7 ...- .�,� ,. .:..................... a Approved .................. ................. .......... 19 ........3..................... r TOWN OF BARNSTABLE ----------_- �, Permit No. ----------____-- ` Building Inspector Cash »xuc �0MAI OCCUPANCY PERMIT Bond ------------ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19...... ................................................................................................................_ Building Inspector TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Via. .. Map Parcel PA I t4q TABLE Permit# 3 �9 217 Health Division i " t�1a� — Date Issued ,/ Conservation Division S , . �� %I VO 1 : '' � �t�'� � / Application Fee Tax Collector _ 16/ ` 'J Permit Fee `� 3, 3 U Treasurer . _ r. �'VijiS1_0N_ SEPTIC SYSTEM MUST BE , Planning Dept. INSTALLED IN COMPLIANC WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis {. • TOWN REGULATIONS Project Street Address I Village 2 16 Owner oS-H'y L/2 Address /y/ y cep-l� Telephone 0g - -7 Permit Request Co /11 S 4 'x ?d ` _b i t G KY 2tDc,e - S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District' Flood Plain Groundwater Overlay Project Valuation / c)06, do Construction Type T. gx5�/t 66 ) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family `O Two Family ❑ Multi-Family(#units) Age of Existing Structure `� Historic House: ❑Yes ❑No On Old King's Highway: 0 Yes ❑No Basement Type: ❑ Full ❑Crawl '%Q Walkout ❑Other Basement Finished Area(sq.ft.) `X Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing .,new Number of Bedrooms: existing new- , Total Room Count(not including baths):existing new. First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan.review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number S-0 2 5 4F O Y 1 -] Address 3S3 CaA-4,0��E SIb F �-� License# C 0(a �o 0 ri--14- Home Improvement Contractor# l y o a `7 Worker's Compensation# % C � ALL CONSTRUCTION DEBRIS RESULTING F M THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE SJ oJ� FOR OFFICIAL USE ONLY P PERMIT NO. � I DATE'ISSUED i MAP/PARCEL NO. � ADDRESS VILLAGE 1 OWNER DATE OF INSPECTION: } FOUNDATION . FRAME INSULATION ' ` FIREPLACE 'j ELECTRICAL:+ ROUGH FINAL m PLUMBING: ROUGH FINAL cr 1--- d O GAS: ROUGhI -,„ A; FINAL FINAL BUILDING �` S 1 10 DATE CLOSED OUT m S ASSOCIATION PLAN NO. m f ' The Commonwealth of Massachusetts Department of Industrial Accidents a' Office of Investigations `3 i 600 Washington Street, e Floor Boston, Mass. 02111 Workers Compensation Insurance Affidavit Building/Plumbin /Electrical Contractors one.:,,>1' � � name: �-)a FF`N I l )Ar e S G tJ address: �_�►�y�'�/ /L�. city f-A� 7��•1 �-L:__ state: M zip:OZb f� phone# work site location(full address): I L(1 A-V. LP1—)` C-e tj Te—20i L J—C, �-1 ❑ omeowner performing all work myself. Project Type: ❑New Construction[]Remodel am a sole proprietor and have no one working in any capacity. ❑Building Addition ���t-�w��'s�-.:.`-¢�.�;. -�'':;u�:.. �•`x :�w.o.�i�xC4 .:�'.a .-c�: P.. .L.., i. _t ':'.G -:1=�,^.^1_F — ❑ 1 am an employer providing workers' compensation for my employees working on this job. company name- address: city: phone#• F insurance co. DOUCY# mom.. - _ - - _ .:, ... .. ..w.a•` .__ IlY.iL.lis�./+'E pax,'�.-,.�: ' sole p�roprrtetoPgeneral contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: -Il X. city: ��� ' J (5 Z& ` L-1 hone#• insurance co. �� � 7 olic # company name: F address: city: Phone#: insurance co. policy# '^ _ �:'-Ci.°.'i' p_•N�'.7�"ers d-xj�a' �e1 _ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is trues and correct c Signature �Date Z d Print name Phone'# -U t,� official use only do not write in this area to be completed by city or town official city or town: - permittlicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ". Health Department contact person: phone#; ❑Other (remcd Sept.2003) _ . ti Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged,in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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. NO Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .� The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`b Floor Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 727-4900 ext. 406 Town of Barnstable ° Regulatory Services ' l Thomas F.GeUer,Director , • Building Division - Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME WROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires that the"reconstruction,alterations,renovation,repair,modernization,conversion,. r improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied our dwelling units or to structures which are adj¢ to but not more than f g at least one b building containing . such residence or building be done by registered contractors,with certain exceptions,along with other requirements. —� C.tL Estimated Cost 3 O cad' Type of Work �'�' Address of Work: y I OvinerIsName: a A Date of Application:T I hereby certify that: Registration is not required for the following reason(s): []Work excluded bylaw []7ob Under$1,000 `[Building not owner-occupied + []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OP.GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner, v v � Registration No. Date Contractor Name OR Owner's Name Date Q..fonms:homeaffidav Barnstable � ofTMeT� Town of � • ti 0 Regulatory Services snxrrsrnsu�, r Thomas F.Geller,Director buss. �* 9�b 'b39' •� Building Division Tomperry, Building Commissioner 200 Main Street, $yamis,MA 02601 www.town.barustable;ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder . ' as Owner of the'subject property Y rJ .to act on mybehalf, hereby authonze: �-t-� in all matters relative to work authorized by this building permit application for; (Address of Job) S' ature o er Date ` Print Name -...... rn.r�xn.7v�vC�A,iTCCTCIN , -- p ✓tie T�ar�vnwnu ealC�i n�iflnucu�uaeCCa BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 067659 Birthdate: 12/20/1960 Expires: 12/20/2005 Tr.no: 12628 Restricted: 00 JOHN A HANSON x 353 CARRIAGE RD E FALMOUTH, MA 02536 AYdministrator , t rliejel Board or Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 130009 Expiration: .12/13/2005 Type: Individual John Hanson John Hanson 353 Carriageshop Rd. East Falmouth,MA 02536 � Administrator ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 04/13/2054 PRODUCER (508) 586-2973 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McCormick & Sons Insurance Agency, Inc. . .,ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,3 .x .`k HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 800 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Avon MA 02322- pINSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:COMMERCIAL GENERAL UNION CAPE MARINE CONTRACTING INSURER B: P. 0. BOX 297 INSURER C: INSURER D: FORESTDALE MA 02644- 1 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L " POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ CLAIMS MADE OCCUR NBJH50751 �09/01/2004 09/01/2005 MEDEXP(Any oneperson) $ 1 5,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,0,00,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS / / / / BODILY INJURY NON-OWNEDAUTOS (Per accident) $ PROPERTY DAMAGE $ 41 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE / / / / $ RETENTION $ $ WORKERS COMPENSATION AND SOLE PROPRITOR / / / / TORY LIMITS OER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? / / /• / E.L.DISEASE-EA EMPLOYEE$ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT JOSHUA KOURI FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 141 BAY LANE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CENTERVILLE MA 02632- ACORD 25(2001/08) _ ©ACORD CORPORATION 1988 INS025(0108).05 ELECTRONIC LASER FORMS,INC.-(8'00)327-0545 Page 1 of 2 Doc 997 Y 928 04-01-2001 2:36 } BARNSTABLE LAND COURT REGISTRY , ,t I � p (9 pttI#h of Kassa lusle s I; No. I' I0204 11buYtts, Joshua Kouri of -- Barnstable -- in the County of -- Barnstable -- and Commonwealth aforesaid, has applied to the Department of Environmental Protection for license to -- construct and maintain a timber boardwalk / pier and two (2)outhaul posts -- v and has submitted plans of the same; and whereas due notice of said application, and of 4he v g ` . , has been given, as required by law, to the -- Town Council -- of the Town of--Barnstable. -- NOW, said Department, having heard all parties desiring to be heard, and having fully considered said V application,hereby, subject to the approval of the Governor, authorizes and licenses the said -- Joshua Kouri --, subject to the provisions of the ninety-first chapter of the General Laws, and of all laws which are or may be in force applicable thereto, to -- construct and maintain a timber boardwalk pier and two (2)outhaul posts -- in and over the waters of the -- Bumps River -- in the -- Town -- of-- Barnstable -- and in accordance with the locations shown and details indicated on the accompanying DEP License Plan tio. 10204 (2 sheets). n PRINTED ON PE YCL°D PAPER License No. 10204 Page 2 The structures hereby authorized shall be limited to the following uses: noncommercial docking and boating access to navigable waters. This license will expire thirty (30) years from the date of license issuance. By written request of the licensee for an amendment, the Department may grant a renewal for the term of years not to exceed that authorized in the original license. Sn _cial Waterways Conditions- In partial compensation for private use of structures on Commonwealth tidelands,which interferes with the rights of the public to use such lands,the Licensee shall allow the public to pass on foot,for any purpose and from dawn to dusk, within the area of the subject property lying seaward of the high water mark. This condition shall not be construed to prevent the Licensee from taking reasonable measures to discourage unlawful activities by users of the area intended for public passage, including but not limited to trespassing on the adjacent private area(s) and deposit of refuse of any kind or nature in the water or on the shore. Further,the exercise by the public of free on- foot passage in accordance with this condition shall be considered a permitted use to which the limited liability provisions of M.G.L.c.21,s.17c shall apply. In accordance with any license condition, easement, or other public right of lateral passage that exists on the subject property lying between the high and low water marks, the Licensee shall allow the public in the exercise of such rights to pass freely over and around all structures within such intertidal area. Accordingly, the Licensee shall place and maintain, in good repair, a public access sign on both the northerly and southerly sides of the pier authorized herein, adjacent to the mean high water shoreline. Said signs, provided by the Department, shall be posted upon completion of construction. Nothing in this condition shall be construed as preventing the Licensee from excluding the public from portions of said structure(s) or property not intended for lateral passage. All work authorized herein shall be completed within five (5) years of the date of license issuance. Said construction period may be extended by the Department for one or more one year periods without public notice, provided that the Applicant submits to the Department, thirty (30) days prior to the expiration of said construction period, a written request to extend the period and provides an adequate justification for said extension. No dredging(including but not limited to effects of prop wash)is permitted herein. No motorized vessels shall be used or berthed at the pier. No vessel shall be berthed or operated at the pier such that at any time less than one foot of water resides between the bottom of the vessel and the substrate. The Licensee shall request, in writing, that the Department issue a Certificate of Compliance in accordance with 310 CMR 9.19 within sixty (60) days of completion of the licensed project. The request shall be accompanied by a certification by a registered professional engineer licensed in the Commonwealth that the project was completed in accordance with the License. Please see page 3 for additional conditions to this license. Duplicate of said plan, number 10204 is on file in the office of said Department, and original of said plan accompanies this License, and is to be referred to as a part hereof. e License No. 10204 Page 3 STANDARD WATFRWAYS T iC'FNSF C ONDITTON. 1. Acceptance of this Waterways License shall constitute an agreement by the Licensee to conform with all terms and conditions stated herein. 2. This License is granted upon the express condition that any and all other applicable authorizations necessitated due to the provisions hereof shall be secured by the Licensee pitim to the commencement of any activity or use authorized pursuant to this License. 3. Any change in use or any substantial structural alteration of any structure or fill authorized herein shall require the issuance by the Department of a new Waterways License in accordance with the provisions and procedures established in Chapter 91 of the Massachusetts General Laws. Any unauthorized substantial change in use or unauthorized substantial structural alteration of any structure or fill authorized herein shall render this Waterways License void. 4. This Waterways License shall be revocable by the Department for noncompliance with the terms and conditions set forth herein. This license may be revoked after the Department has given written notice of the alleged noncompliance to the Licensee and those persons who have filed a written request for such notice with the Department and afforded them a reasonable opportunity to correct said noncompliance. Failure to correct said noncompliance after the issuance of a written notice by the Department shall render this Waterways License void and the Commonwealth may proceed to remove or cause removal of any structure or fill authorized herein at the expense of the Licensee, its successors and assigns as an unauthorized and unlawful structure and/or fill. 5. The structures and/or fill authorized herein shall be maintained in good repair and in accordance with the terms and conditions stated herein and the details indicated on the accompanying license plans. . i 6. Nothing in this Waterways License shall be construed as authorizing encroachment in, on or over property not owned or controlled by the Licensee,except with the written consent of the owner or owners thereof. 7. This Waterways License is granted subject to all applicable Federal, State, County, and Municipal laws, ordinances and regulations including but not limited to a valid final Order of Conditions issued pursuant to the Wetlands Protection Act, G.L. Chapter 131,s.40. y 8. This Waterways License is granted upon the express condition that the use of the structures and/or fill authorized hereby 1 ' shall be in strict conformance with all applicable requirements and authorizations of the DEP, Division of Water Pollution's x Control. 9. This License authorizes structure(s)and/or fill on: -X-Private Tidelands. In accordance with the public easement that exists by law on private tidelands,the licensee shall allow the public to use and to pass freely upon the area of the subject property lying between the high and low water marks,for the purposes of fishing,fowling,navigation,and the natural derivatives thereof. X Commonwealth Tidelands. The Licensee shall not restrict the public's right to use and to pass freely, for any lawful purpose,upon lands'lying seaward of the low water mark. Said lands are held in trust by the Commonwealth for the benefit of the public. _a Great Pond of the Commonwealth. The Licensee shall not restrict the public's right to use and to.pass freely upon lands lying seaward of the high water mark for any lawful purpose. Navigable River or Stream. The Licensee shall not restrict the public's right to use and to pass freely, for any lawful purpose,in the waterway. 10. No restriction on the exercise of these public rights shall be imposed unless otherwise expressly provided in this license. Unless otherwise expressly provided by this license,the licensee shall not limit the hours of availability of any areas of the subject property designated for public passage, nor place any gates, fences, or other structures on such areas in a manner that would impede or discourage the free flow of pedestrian movement thereon. License No. 10204 Page 4 The amount of tide-water displaced by the work hereby authorized has been ascertained by said Department, and compensation thereof has been made by the said -- Joshua Kouri -- by paying into the treasury of the Commonwealth -- two dollars and zero cents ($2.00) -- for each cubic yard so displaced, being the amount hereby assessed by said Department(0.0 cu. yd. =$0.00). Nothing in this License shall be so construed as to impair the legal rights of any person. This License shall be void unless the same and the accompanying plan are recorded within 60 days from the date hereof,in the Registry of Deeds for the County of Barnstable. IN WITNESS WHEREAS, said Department of Environmental Protection have hereunto set their hands this 22nd day of March in the year two thousand five. Program Chief -2�Z�r.' � l Department of Environmental Protection Commissioner —�� C.J THE COMMONWEALTH OF MASSACHUSETTS This license is approved in consideration of the payment into the treasury of the Commonwealth by the said--Joshua Kouri of the further sum of-- four hundred five dollars and zero cents ($405.00) -- the amount determined by the Governor as a just and equitable charge for rights and privileges hereby granted in the land of the Commonwealth. BOSTON, Approved by the Governor. Governor /` ' Doe:833,989 06--04—eW, 12:27 Massachusetts Department of Env nber Bureau of Resource Protection -Wetla.,,,� BARNSTABLE LAND DIRT REGISTRY �A WPA Form 5 -- Order of Conditions SE3-3832 SS- �9.�.•� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP TFD MA'f and Town of Barnstable Ordinances Article XXVII A. General n orma ion - important: From: When filling out forms on Barnstable the computer, Conservation Commission use only the tab key to This issuance if for(check one): move your cursor-do ® Order of Conditibns not use the return key. ❑ Amended Order of Conditions To: Applicant: Property Owner(if different from applicant): Charles J. Brown Name Name 141 Bay Lane Mailing Address Mailing Address Centerville MA 02632 City(Town State Zip Code City/Town State Zip Code 1. Project Location: 141 Bay Lane Centerville Street Address City/Town 186 007 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for: Barnstable County /� v , /B, k Page 20579 Certificate(if registered land) 3. Dates: May 2, 2001 May 22, 2001 P 1� q nn l Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other Documents (attach additional plan references as needed): Site Plan April 23, 2001 Title Date Title Date Title li Date �i 5. Final Plans and Documents Signed and Stamped by: Peter Sullivan, PE 6. Total Fee: $210.00 E- (from Appendix B:Wetland Fee Transmittal Form) wpaform5.doc•rev.5/24/01 page 1 of 7 l { tom, Massachusetts Department of Environmental Protection •pay' _ DEP File Number. Bureau of Resource Protection -Wetlands �,,y��H�: WPA Form 5 -- Order of Conditions SE3-3832 9`b 6'¢ .•�A Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP QED MA'S and Town of Barnstable Ordinances Article XXVII B. Findings Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing;this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: Public Water Supply [Land Containing Shellfish D 'Prevention of Pollution Private Water Supply D-IFisheries Protection of Wildlife Habitat Groundwater Supply Storm Damage Preveniion [Flood Control Furthermore;this Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: [2-1the following conditions which are necessary, in accordance with the performance standards set forth in the wetlands regulations, to protect those interests checked above. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations to protect those interests checked above. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect these interests, and a final Order of Conditions is issued. the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c), General Conditions (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke.or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying.with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. wpa/orm5.doc•rev.524/01 Page 2 of 7 BIKE, Massachusetts Department of Environmental Protection • ti• Bureau of Resource Protection -Wetlands DEP File Number. . &UMSfABLE . WPA Form 5 - Order of Conditions SE3 3832 v MASS.� Provided by DEP A 1659.a Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 rfD MAy and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years,from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MA DEP"] "File Number SE3-3832 " 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition#12 above shall require the applicant to inqu ire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. WP8f0rrn5.doc•rev.524/01 Page 3 of 7 Massachusetts Department of Environmental Protection of Gy DEP File Number. P� yo Bureau of Resource Protection -Wetlands WPA Form 5 - Order of Conditions SE3-3832 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP reo►u•'r and Town of Barnstable Ordinances Article XXVII Findings (cont.) 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. Special Conditions(use additional paper, if necessary): see attached Findings as to municipal bylaw or ordinance Furthermore, the Barnstable hereby finds(check one that applies): Conservation Commission [] that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Municipal Ordinance or Bylaw Citation Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. hat the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically: Article 27 of Town Ordinances Municipal Ordinance or Bylaw Citation The Commission orders that all work shall be performed in accordance with the said additional conditions and with the Notice of Intent referenced above..To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. Wpatorm5.doc-rev.5124101 Page 4 of 7 u � SE3-3832 Brown Approved Plan=April 23,2001 Site Plan by Peter Sullivan,PE Findings: 1. The pier was proposed as a`dinghy dock',a pier for non-motorized craft only. Special Conditions of Approval 2. Within one month of receipt of this Order of Conditions and prior to the,commencement of any work approved herein, General Condition number 8(preceding page)shall be complied with. 3. No creosote treated materials shall be used. 4. Deck plank spacing shall be at least one inch. 5. The pier is herein permitted as a`dinghy dock' only, one for which motorcraft use shall be prohibited. Motorcraft shall not berth at or otherwise use the pier. This prohibition shall continue over time. 6. No boat shall be berthed and operated at this pier (and its floats) such that at any time less than one foot of water resides between the bottom of the boat (or engine in drive position)and the substrate. 7. Any desired pier lighting shall receive prior approval of the Conservation Commission. 8. At the completion of work, or by the expiration of the present permit, the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a registered professional engineer, architect, landscape architect or land surveyor, a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation', if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. 9. The Natural Resources Dept. shall be notified at least 21 working days prior to the start of work at the site,to inspect the ares for shellfish. If deemed necessary by the Shellfish Constable, shellfish shall be removed from the work area to a suitable site and/or replanted at the locus following construction. The foregoing measures for shellfish protection shall ensue at the expense of the applicant. 10. The applicant shall obtain a building permit for the proposed pier from the Town Building Commissioner. a`°FT , ti Massachusetts Department of Environmental Protection DEP File Number, Bureau of Resource Protection -Wetlands • > .SrABU. • WPA Form 5 - Order of Conditions MAM a, 9`b•, .�0� Massachusetts Wetlands Protection Act M.G.L. c. 131, s40 Provided by DEP ED MA J and Town of Barnstable Ordinances Article XXVII B. Findings (cost.) Additional conditions relating to municipal ordinance or bylaw: see attached This Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions#4, from the date of issuance. Date This Order must be signed by a majority of the Conservation Commission. The Order must be mailed by certified mail (return receipt requested)or hand delivered to the applicant.A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office(see Appendix A) and the property owner(if different from a plicant). Signatures: Ai. 141 On 1 Of Day Month and Year before me personally appeared y ( IQ(- r4 N t Iq to me known to be the person de cribed in and who executed the foregoing instrument and acknowledged that he/she,,execyfR,the samQasis/her free act and deed. Notary Public My Commission Expires This Order is issued to the applicant as follows: ❑ by hand delivery on © by certified mail, return receipt requested,on June 1, 2001 N/palorm5.dcc•rev.4/1o/Q1 Page 5 of 7 Massachusetts Department of Environmental Protection P�o� q'ti Bureau of Resource Protection -Wetlands DEP File"ember. WPA Form 5 - Order of Conditions SE3-3832 NLASS. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP lE0 MA'S s and Town of Barnstable Ordinances Article XXVII C. ppea s The applicant, the owner, any person aggrieved by.this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and a completed Appendix E. Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations(310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. D. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on Page 7 of Form 5 shall be submitted to the Conservation Commission listed below. Barnstable Conservation Commission wpaform5.doc-rev.524/01 Page 6 of 7 r Town of Barnstable *Permit# 10_0 2 3 2 Expires 6 months fro e date -X-PRESSF Regulatory Services Fee Thomas F.Geller,Director NOV 7 Building Division jo OF BAF3� A �: Tom Perry,CBO, Building Commissioner �� 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1� ®O t i L � e /4, Property Address Residential Value of Work_4c Minimum fee of$25.00 for work under$6000.00 ,4_1� Owner's Name&Address--------------------- � 1 Contractor's Name��� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Worlanan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(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 Replacement Windows. U-Value_ P—(maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. 710V ement C tractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 r _ � +Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111• www-massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunibers Applicant Information Please Print Legibly !Name (Business/organization/b&vidual): /` �— l�`g y, P Address: l' nil. IIA41 City/State/Zip: ii t M Pho 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 8. ❑ Demolition worlang for mein any capacity. workers' comp. insurance. g. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑ Electrical repairs or.additions 3. I am a homeowner doing all work right of exemption per MGL 1.1.❑ Plumbing repairs or additions myself:[No workers' comp. C. 152,§1(4), and we have no 12.0 Roof repairs insurance required,]t 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 hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance-Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiratton date). Failure to.secure coverage as required under Section 25A of MGL c. 15.2 can lead to the imposition of ciriminal penalties of a fine up to$1,500,.00,and/or one-year imprisonment, as well as.civil penalties in Elie 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 for insurance coverage verification. I do hereby certify under t F/ s and p a 'es of perjury that the information ormation provided above is true and correct. Si ature:. Date:` Phone#: Official use only. Do not write in this area,to be completed by city.or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other IL-Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires'all employers to provide workers' compensation for their employees. mp 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 yi�nal,.:P"ersl}rp,.association,forporation.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., e owner of a dwelling house having not more apartments than three and who resides therein,or.the occupant of the J. dwelling house of another who employs persons to do maintenance, construction or repair woik•on such dwelling house appurtenant thereto shall not because of such employment be deemed to be an employer." or on the grounds or building 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 perfomaance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants ation affidavit completely,by checking the boxes that apply to your situation and,i Please fill out the workers' comppens f.necessary,supply sub-contractors)name(s), address(es)and phone numbers) 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 you have any questions regarding the law or if you.are required to obtain a workers' Industrial Accidents. Should at the number listed below.. Self-insured companies should enter their compensation policy,please call the Department self-insurance license number on the appropriate line.j City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bom 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 permittlicense 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;fatare permits.or-hcenses..Anew affidavit n ust 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 like to thank you in advance for your cooperation and should you have any questions, The Office of Investigations would please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . - Llepartment of Industdal.Accidents Office 9..f hVestiga#ons ,. 600-Washington Spreet� . Boston,MA 02111 `Tel.#617-727-4900 ext 406 or•1-877-MASSAFE .. Fax#617-7274749 Revised 5-26705 yv-yyw,mass.gov/dia i ....... .:l". .z-rya ...._.:. .. .. .. - .. r .. 7 a t/C 7vr2AL. ta /%v �'�i e 2 '` 2F 3 C o114 r T ---- DEAD G _ SA(41 ix /-Iry - -- 71-4=� r- 0-1 1-- Z 4MA-4,0 = 2 40 r2 4d' Q u a ,_ s to X/cs's S nor �¢ 2x / 2's Li Ar L s 2 — 2 x 00 L:Lr _.. Tort sP� niCE Member ASCE FOR: CRAG R. SHORT, P.E. P o: eox 1044 r L'RAlG tiG LOCUS: Q: [- S47 -_. - �_AA.E� SOUTH DENNIS, MA 02660 / SHORT A TOWN: C SF 7—t!:-�,R Vl L. A- Professional Civil Engineer o Soil Evaluator Licensed Ca kruction Supervisor 0 Septic Inspector V Septic Site0 Piers 0 Structures 0 House Designs f•DATE. Z O 6 FILE. Office: (508) 398-8311 Fax: (508) 398-3063 .. �► SHEET / OF •3 rr� �iw 72 1-/C YV? �,c•1`1 NT /= o Tt 7'/, 7 AZ /V7.4.X.• A �3 4=;�V4 P4 /4T',-=' --- M d m stir i = r✓1 = (L -aG, = 2 d c 2;0 9 /7 W2 2. .fit-Jb�' -- 3 f Wem'ber ASCE FOR: CRAG R. SHORT, P.E. P.O, BQX 1044 w •� ��;� 94y. LOCUS: 141 L AA14 SOUTH DENNIS, MA 02660 SHORT Profess►onal Civil Engineer o Soil Evaluator CML TOWN: C��T�Jz 1r/L L E M A- Ucensed Construction Supervisor o Septic Inspector . ° Septic o Sit`e o Piers o Structures o House Designs ° ' 4 ` DATE: 23 B FILE Office: (508) 398-8311 Fax: (508) 398-3063 \ Z OF SHEET i PROJECT DESCRIPTION: Structural Beams 6"X10" COLLAR_ TIE 4'- 2" 0. C. /1D �_8 , /2X10" RAFTER EACH SIDE OF COLLAR TIE CROSS SECTION Member ASCE jz. TOM SPENCE a> . 141 BAY LANE sCRAIG SHORT .:41, CENTERVILLE, ' MASS. Professional Civil Engineer Soil Evaluator f -� Licensed Construction Supervisor • Septic Inspector �, 1/25/08 1-1058 eptic • Site • Piers • Structures • House Design a �'FF �lSTE�``G`��``� Agg Office, (508) 398-8311 Fax, (508) 398-306 J�/flfVAl ,_, smzT 3 OF 3 Lad C O //4 r. eS - 13 E/-4A14 1 2 i q I -- _ SSG /2. 4^4V Z = r.5' IVI 90 —` r. • J SP. for�:. 2X /2? =' � �. oaf' �«� %� `7 . �/cs� 2 - Z x i Z C®t arm :�: - ; .z../, 39.E 3 , � �-- �•G .:;= �--��r.:G-, c� ��_, � aa.3,, _�_ ... ......... TGNt SPEn/CE Y y. Member ASCE —_ FOR- OF �q� CBA�G R SHORT, P.E. ;�,a��" �` P 0. BOX 1044 GRAIL LOCUS: 141 B L A/ll.� SOUTH TENNIS, MA 02660 �( SHORT J; civll TOM. 7-tE:--RV1 L.L E r✓1 A-, Professional Civil Engineer U Soil Evaluator } ©" 2Qg3 Ucensed Construction Supervisor 0 Septic Inspector mp Septic C Ste U Piers O Structures 0 House Designs `� '!S ,� �,Yv DATE: 1 23 a B F1LE # /" /CSLP1C11m3 .. Office: (508) 398-8311 Fax: (508) 398-3063 SHEET OF •3 47,748 ' _=�- 1 -- L x/O o � Lr41? T�•� S = S_2__,'7 y dmoti1'h N7- i= 0 rz C o 4 z•gra Tit 7 Ai N4�'A-r C rA-r7' 57JZ v 10= j"o . r 25 (x } --- M drr,AE-ti/' i 7W2 2its Z _ ---- - A 3 B f J . 7-G All S P E.n/C,E n Member ASCE �S 5F}JV k"� FOR: CRAG R. SHORT, P.E. OF bass P.O. BOX 1044 LOCUS: 141 B L 4A1,-6' SOUTH DENNIS, MA 02660 CP.^IG SHORT TOWN: C is�T�)2 V1 L L E /✓)A-. Professional Civil Engineer o Soil Evaluator ' U1411- Licensed Cori§traction Supervisor o Septic Inspector m. Septic Site 0 Piers 0 Structures 0 House Designs Al DATE: Z3 O 8 FlLE Office: (508) 398-8311 Fox (508) 398-3063 Z ems' SHEET OF PROJECT DESCRIPTION: Structural Beams 6"X10" . COLLAR TIE 4' — 2" O. C. 10 '-8� " 2 2"X10 RAFTER EACH SIDE OF COLLAR TIE a CROSS SECTION . Member ASCE 4 (r TOM SPENCE J GRA ! 141 BAY LANE a IL s SliUST �% Professional Civil Engineer • Soil Evaluator `�' l iVIL � „ )YN* CENTERVILLE, MASS. 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BOX 1044 ;: CRAIG � d LOCUS: SOUTH DENNIS, MA 02660 �, SHORT CIVIL 0 '^j .1�/L-L Professional Civil Engineer 0 Soil Evaluator No. 274M Licensed Construction Supervisor 0 Septic Inspector n� � �.� <��® _ Septic Site Piers Structures House Designs rJ,r Gd$f; .�* � DATE: ZO �b7 FILE Office: (508) 398-8311 Fax: (508) 398-3063 j ,�2 / SHEET / OF / CONCERNED TAXPAYERS OF BAY LANE, CENTERVILLE February 25,2008 '' Town of Barnstable ca Building Inspector Building Division 200 Main Street Hyannis,MA 02601 Re: 141 Bay Lane, Centerville Dear Sir: We are all Barnstable taxpayers and we all live on Bay Lane in Centerville. We are writing to express our grave concern with the apparent building and zoning violations at 141 Bay Lane in Centerville. Over the past few months,a large new house has been built at 141 Bay Lane. This new house sits between the Bumps River and Bay Lane. The lot on which the new house sits already has one large house on it-a big house built in 1983 with 5 bedrooms and 4 baths. The lot at 141 Bay Lane is only .62 of an acre. But Barnstable has two acre zoning! How,can a second home be built on a lot of barely 6/101ns of an acre,a lot where there already was.one large 5 bedroom,4 bath home and where there were there were no grandfathered buildings? The new owner of 141 Bay Lane,one Susan J. Ganz of Lincoln Massachusetts, applied last year to build a "detached garage". That is what the notice sent to the abutters said-"detached garage ... with a connection to the existing septic system...". The notice did not describe or even mention a two story building with substantial living space on the second floor. We as neighbors,don't especially like new buildings,but we all felt the new owner could reasonably want a garage. So we didn't object. But Ms. Ganz did not build just a garage. She built a two story,two bedroom carriage house,that has heat, electricity,hot and cold running water, an additional bathroom and a multi room apartment on the second floor. Ms. Ganz's new house is approximately 30 x 42 feet. It has 15 windows,nine of which are on the second floor. It has a large outside staircase running from the second floor to the ground. Ms. Ganz has written to the Barnstable Building Dept.that the second floor of this new house is to be used as an"office" and as an extra"overflow"bedroom. But the new building cannot be permitted to be living space. The notice describing the project was defective and the Barnstable zoning code prohibits building a new house on less than 2 acres. This new building cannot be used as an apartment or as permanent living space. Your office seemed to share these concerns when the notation no kitchen"was added to the file. Yet,since the electricity and running water have already been installed,it would be easy for someone to plug in a microwave and refrigerator and create a kitchen. We ask that you prevent this and deny a certificate of occupancy for any second floor living space in this building. Town of Barnstable Building Division February 25,2008 Page 2 of 2 We pay thousands of dollars in taxes and we rely on the government of the Town to uphold the building statutes and the zoning code that protect Barnstable and the Cape. We note that this new two story"garage'is larger than many existing homes on Cape Cod. There was no grandfathered building on this spot. We estimate the finished second floor alone,at between 1100 and 1200 square feet. The purpose of this letter is to ask your department to take action here. We hope that no certificate of occupancy or other authorization will issue until lawful notice has been given. We also submit this letter to create a record of what has gone on. We don't want to be faced with a situation in the future when someone takes up residence in,or rents out the second floor of this new building as an under the table apartment for winter or summer occupancy. There is no legal apartment in this building and a violation this egregious needs to be addressed. We ask that you enforce the building restrictions of the Town as they apply to this large new building. Thank you. Very truly yours, Jim an e gy Beech 11S 6Z� 140 Bay Lane 4%Bay Lane 1Y� Ellen Burkhardt Ka een Kennedy 146 Bay Lane 157 Bay Lane cc: Town of Barnstable, Zoning Board of Appeals I Odo, Certified Plot Plan RyA Location ,r ar - 141 Bay Lane Centerville, ILIA SURVEYING • ENGINEERINGprepdd far HOME PLANNING&DESIGN ____!' � Susan Ganz 3 GIDDIAH HILL ROAD P.O. BOX 439 .Scale: 1'" = 50" SO.ORLEANS, MASSACHUSETTS 02662Mate.'. November 6" ,2007 & I TEL:508.255.8312 FAX: 508.240.2306 310.00 r • o ` '• LOT A8 28 307 S.F.- b 64 Ac.f Foundation /15. >O" T.O.F.=f0.63 L=44 25' � "2,Z0.00 � Reference.• ,l c Assr s Map 188 Phn el 7 L C.P. 9403F, LOT A8 I certify tlzat the foundation shown Hereon is located as it exists on the ground and that- as so located it complies with the minimum property line setback requirements of the Town of Barnstable DAVOO A. L20 YFTLE ss%o Pro B �Professional La ate.. !e ®�j Surveyor. Mob No. 9829 ' ii T TOWN OABARNSTABLE Building Department - Foundation Permit Date 10 /1( Jo- Permit # a06 705d78 Name :�-)P FNcE Location H ) g P, NE CEPOTF-Pv Insp. of Bldgs. a - .. .. ,., .. .• , H... +C _ .. :. -: ... t , 'lam .� Eye... .. - _.i.x � -. ,.. , .... .�: .. ,. ._ .. -d' -,_. .. �: :� ..,. ''`�^' t: .. -,. .. .,- .r.. ., .., _.. ., s_ ._1. �..: 1�.. 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SU HOM€pI.ANNING&DESt:GN - I - _ .. �i ��+'^yam ,}/ 1 ': ,% YLIOD,IAH HILL ROAO'.PO.BO%,949 - fi 1 k RLEANS MA 036G2 TEL 15'B317 6,1 ':Q/ aa { se.o tfN L C?(�^� Jl . ,, . . - -' Oqp :.. .. .. . ...... ._ .. - .. :.:.... _ -..-. ._ i. 1 _. ,a .. k 0t `j i:_ F .i SCUDDER BAY s4 y �pGJS c WZ� '4 4W LOCUS PLAN \NG W O SCALE=1:25,000 HYANNIS QUAD. W Z NOTES ID V V \NG b V FOR PROPERTY LINE INFORMATION 4 SEE LAND COURT CERTIFICATE ? \ 171531 AT THE BARNSTABLE COUNTY Z REGISTRY OF DEEDS. FOR PROPOSED BOARDWALK/PIER SEE SE3-3832. SOUNDINGS BASED ON MLW DATUM. ' N 0% a - 0Q ACCESS STAIRS . '��0�P • . P 'ON0. N PIER 18 1X1 OF • ,0%92� PROPOSED 6%6° ' MOORING POSTS cw RISE R OVERALL PLAN VIEW MPS E08 SCALE : 1 30' BU fUO�U 30 60 f t. PLAN ACCOMPANYING PETITION OF SHEET I of 2 ' JOSHUA KOURI 141 BAY LANE CENTERVILLE , MASS. FOR CONSTRUCTION a MAINTAINING A TIMBER BOARDWALK/ PIER a 0UTHAUL POSTS IN BUMPS RIVER JULY 112004 SULLIVAN ENGINEERING INC. OSTERVI LL E MASS. �y I LAWN AREA _ �q � ---------- - HTL 3.5 _ 1c k MHW 2.5 e SALT -� MARSH ACCESS k BEACH STAIRS Ox4 BEACH PROPOSED 4'x 70' BOARDWALK/PIER , MLW O.O 27' � PLAN VIEW N Cq��FR SCALE I"= 20' BUMPS RI V£R . M oR/o8rD s„ 4 fL 000 EB9 G p0 *eel J S ( 0 2 4 aft. 0 10 20 40f1. 9 BENTS (d 7�-_9°= 70' 2"x 4"HANDRAIL EL.75 EL.5.0 ONE SIDE ONLY LADDER _H.T._L._3._5_ STEPS AS - - - -- -- --- --- - -- --� MHW 2.5 REQUIRED • • M�W0.0 4'CLEAR MIN. SALT ACCESS'STAIR MARSH BOTH SIDES 28' FROM MLW SECTION A-A SCALE' I 20' OF 4-0" 2"x4"HANDRAIL. ONE SIDE ONLY Room p 2"x 8"DECKING,1/2" cmwt MIN. SPACING EL.VARIES a 2"x 8 W J 4' x 4"POSTS (@ U S A lT MARSH T-94'O.C. SHEET 2 of 2 SECTION B-B KOURI CENTERVILLE, MASS. SCALE 1 4' SULLIVAN ENGINEERING INC. OSTERVILLE,MASS. JULY 1 , 2004 ,I SCUDDER BAY s G;o 49 y A, ' 90��%. <4NE v S QJ O k, i LOCUS PLAN Z j W SCALE:1i25,000 HYANNIS QUAD. k4 Ovl��'�-�N Q V NOTE S FOR PROPERTY LINE INF' SEE LAND COURT CERTIFICATEORMATION 2 \ 171531 AT THE BARNSTABLE COUNTY 2 REGISTRY OF DEEDS. FOR PROPOSED BOARDWALK/PIER, SEE SE3-3832. SOUNDINGS BASED ON MLW DATUM. Olt" 5 Z. ' MARSH SALT 0%a ` ACCESS STAIRS J"e�pG PROPO ALA j?%ER BOWD cr . Ix _ MOORING POSTS ew RISER _ II Eg9 U OVERALL PLAN VIEW mP$ J SCALE : 1 30' B �L000 ry 0 30 60 f t. PLAN ACCOMPANYING PETITION OF SHEET I of 2 . JOSHUA KOURI 141 BAY LANE CENTERVILLE , MASS. FOR CONSTRUCTION a MAINTAINING A TIMBER BOARDWALK/ PIER a OUTHAUL ` POSTS IN BUMPS RIVER COPY _ JULY I ,2004 SULLIVAN ENGINEERING INC. OSTERVILLE MASS. LAWN AREA " � _ _--- ------- --- - HTL — Y � A • MHW 2.5 e SALT 4 MARSH 4, ACCESS_ !< ' STAIRS Ox4 BEACH BEACH • PROPOSED 4'x 70' 3 . BOARDWALK/PIER �� • MLW O.O PLAN VIEW ` •A C4D°fq SCALE I"= 20' BUMPS RIVER MOOR°SFo Qf1OOD EBBS Ncp°ST/�� 0 2 q sit. 0 10 20 40ft. 9 BENTS (a 7'-9" _ 70' 2"x 4"HANDRAIL EL.7.5 --- EL.5.0 ONE SIDE ONLY LADDER _H.T._L._3._5_ STEPS AS - - - -- - -- -- -- - --- - -- --� MHW2.5 REQUIRED M�W0.0 4'CLEAR MIN. SALT ACCESS'STAIR MARSH BOTH SIDES 28 FROM MLW SECTION A-A SCALE 1 20' OF 4-0° 2"x4"HANDRAIL ONE SIDE ONLY Cum' p 2 x 8 DECKING, I/2 MIN. SPACING EL.VARIES a 2%8 W 4"x 4"POSTS (a) SALT MARSH 7'-9"O.C. SHEET-2 of 2 SECTION B-B KOURI CENTERVILLE, MASS. SCALE 1 "= 4' SULLIVAN ENGINEERING INC. OSTERVILLE,MASS.. JULY 1 , 2004 REVISIONS NO. 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FND 2� ELEV.= 15.20' (M.S.L. DATUM) LOCU Rf1. EXISTING SEPTIC SYSTEM TO REMAIN (APPROXIMATE LOCATION PER INSPECTION REPORT) ■ CB Irv% t p---- -- -- 9`�'y�, REFERF•AVT• Rrc.� ` - Assr's. Afap 186 i C.B. Z 116.46' j� Phrrel T " EXISTING RELOCATED SHEu.P. \ L.C.P.# 9403F, Lot A8 TO N84047'50 E— o ' '' PROPOSED ADDITIONAL 7- MARK S.B. 173.62' DRIVEWA Y__(TYPco : GAS � � \` _r ----- T BANK 1 METER \ o ---- PROPOSE \ / \ ® LOT A8 f , \ ,\ t11L IN3 SEwFfZ G y `G v D 10.E ELECTRIC / F.p ,28, 307 S.F f ' �o \ �2 - /... �` ` ... PROI 6Q £{:E�'` METER EM G � 0 0. 54 AC. f ........:.. 'r" G ® / WA % 1 \ o EXISTIyB ►rAL V, 1 \\\�•9 T/BANK 2 t GAS - ` • ' FLAG. :`. `: . '.. `b \ T/BANK 3 l �' T BANK 4 �1 a EXISTNG O ROCK WALLCr �. --S86'36'30")F �k\4 >00 YEWR FLOOD ZONL' \\o Z01VE A>O FLEV _ » FT. j z Test hole location - -/0 - - L'xisting contour —10— Pmposed contour `------' L'xisting �- septic tank SITE PLAN SHO# 7jW PROPOSED CARACE .Distribution box --------� Exzsting Prepared for- SUSAN CANZ ............. Absorption system � Location: >-�f> BAY LAND', C,NTFRVILLE, J A ■ CB Concrete bound Ryder a&- Kilcox, Inc., P.E P.L.S. —G— Cas service-existing t. 3 Ciddialk Hill Rd. . . . P. 0. Box 439 Scale: f' = 20 ' —f L'lectric service-existing So. Orleans, AfA.,02662 L�nzwn b fCT' —W— A'ater service .f_-) Tel.�508) 255-8312 Late - Ha >O 2007 • ® A'ell location '� Fax (508) 240-2306 y ' Job No. 9�29