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0037 BENT TREE DRIVE
42-Le 1*1* e Town of Barnstable Building t Post This Card So�.That it is Visible From the Street=Approved Plans Must be Retained oirJob and this Card Must be Kept PA10WABM � • ' Posted Until Final,Inspection Has Been Made-,",. m 1 I ll 1.ey�m�¢ t6�q. ♦� : �-. Whereva Certificate of Occupancy is Required;such Buildingshalf Not be Occupied until'a_Final Inspection has been made.` !` s - ..f Permit No. 348-3992 Applicant Name: LEFTER, LOUIS A&VIRGINIA M Approvals Date Issued: 12/26/2018 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 06/26/2019 Foundation: Location: .37 BENT TREE DRIVE,CENTERVILLE Map/Lot: 168-045-001 Zoning District: RC Sheathing: Owner on Record: LEFTER, LOUIS A&VIRGINIA IVI j ,Contractor Narriei"< Framing: 1 • Address: P Q.BOX O Contractor License: 2 NORTON, MA 02766 Est Project Cost:. $25,000.00 Chimney: k. Permit Fee: $ 177.50 Description: Remodel existing basement bath and laund- 1room and utility . .. Insulation: room. replace kitchen and interior/exterior doors/appliances. Living Fee Paid: S 177.50 room had been converted from ara a/puttin ara e.back. 1 g 9 g g g ` Final: t+ under) Date 12/26/2018 2J i .Project Review Req::.MUST PROVIDE FIRE SEPERATION IN GARAGE Plumbing/Gas Rough Plumbing: -� Building Official r Final Plumbing: Rough Gas: Final.'Gas: $ permit 3 . This permit shall be deemed abandoned and invalid..unless the work authorized by this is commenced withins onths after ix m issuance. All work authorized by this permit shall conform to the approved application and the' co nructlon documents`for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures shall bein co.inpliancewith the local zoning by-11 laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be rpaintained open for public inspection for the entire duration of the Service: work until the completion of the same. _ Rough: The Certificate of Occupancy will"not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ` - Final: 1.Foundation or Footing ;' _ . . Low Voltage Rough:. 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue linin is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5..Pr1orto Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). i 3 q I,,) 14� Application Number... .................................................. OPermit ...........Other Fee........................ %6 3 96. Total Fee Paid.^ ........................ .................................... ...... I3 ,J3 Lou 1 DING HOT. TO" 0 ARNST"LE Permit Approval by • BUIELDING P DEC 18 - /� HE�............ ......................parcel......0..1�..........11........... FOWN OF BARNST Nim, APPLICATION Section 1 —Owner's Information and Project Location Project Address S-) b� IV-kk paiQF— Village Owners Name 31 Owners Legal Address City State nilvss Zip bZ-7161._ Owners Cell# W-1- S34- ZAIS E-mail C-464 J%T(Vt(�C-SPW-4VA-Qt pi Section 2 Use of Structure Use Group., F-1. Commercial Structure over 35,000 cubic feet ❑ Commercial Striictire.under 35,060 cubic feet M--'Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate E] Accessory Structure ❑ Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System F-1 Addition ❑ Retaining wall ❑ Solar 2Renovation ❑ Pool El Insulation Other-Specify tv,a fi-x 1.,,r Section 4 - Work Description 04vo,42k of L W,l, t Iry t a0� 04--T W(6 1W C�AM eVMK6 QVPAk e, CIC C1 mWV-PZ) Aex rwm, Last updated. 11/15/2018 t Application Number.................................................... Section 5—Detail Cost of Proposed Construction IS,OZ'60 Square Footage of Project 0,100 Age of Structure 33 C%iA8 S-� Dig Safe Number t-1 # Of Bedrooms Existing 3 Total#Of Bedrooms (proposed) 3 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design _ Section 6—Project Specifics firing ❑ Oil Tank Storage ❑ Smoke Detectors D/Plumbing Gas ❑ Fire Suppression 11�/Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply - Zpublic. : , ❑ Private.- . Sewage Disposal ❑ Municipal IJ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility I am using a crane ❑ Yes E No Section 7—Flood Zone Flood Zone Designation N Within or adjacent to a wetland, coastal bank? Yes ❑ No I=� Section 8—Zoning Information Zoning District Proposed Use � Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard_ Required Proposed • Rear Yard Required • Proposed Side-Yard' Required Proposed Y.Has this property had relief from the Zoning Board in the past? '❑ NO'Yes .a Last updated. 11/15/2018 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibly Name(B ess/Organization/Individual): (z, '�i; (1 P 8C SQYV Address: Z-1 kt�L glfiu� 12ca'�o I /State/ ip: Phone#: (o l ,.�3 y: Z°l 7 j Ar_e-you-ai employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6: New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition c [No workers' comp.insurance comp.insurance.:,, 10. Electrical repairs�] 5. ❑ We are a corporation and its ❑ ep ' or additions v Liam a homeowner doing all work oficers have exercised their 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152,§1(4),and we have no employees. [No workers' 13.El Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sbeet 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. E I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration'date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c #nder the ans and penahles of perjury that the information provided above it true and correct _ i afore: 0 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,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." ,4 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 tapperate a,business or to construct build ngs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate 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 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 future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 ` Dgmtrient of Industrial Accidents'' '' • ' Me of 1,nvest igadow 600 Washington Street Briton,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 www.mam.gov/dia ----- ------- - ------- ApplicationNumber............... ..........:.............. Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license.` Signature Date a Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip = Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date f Section 11 Home Owners License Exemption Home Owners Name: C Hla'�'Ta Telephone Number Cell or Work Number (d I gay-z I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re . ed b 780 CMR and the Town of Barnstable. Signature Date �PLICANT SIGNAT __ Signature Date I z�'S 110 Print Name is i��61'1�,iC oc-S4Y`� Telephone Number. E-mail permit to: `�c.s°'�' ® c �'�"�tt�{a�sos�ItZ E,comer Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review if required) ❑c � q ) Fire Department ❑ Conservation I For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I, C Vtt o t,,ah&x, -tY_.MS r k , 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: Tf_,A- Awl , (Address of job) UPAI Signature of Owner date Print Name r d i • T 1 - Vs - .. t •. a a . Last updated: 11/15/2018 Innovative Comfort Solutions Duct Sealing Data Form AND/OR Measured Airflow Data Form complete customer info required below Customer Name Chris Olson Street and Number 37 Bent Tree City/State Centerville, Ma. Customer Phone # Contractor/Tech Name Keith Eaton contractor email eaton.comfortsolutions(&-gmail.com Duct Sealing Data Measured Airflow Data Pre Test rnrie Flow Piate Data Date of pre-test 1. Normal Supply Pressure (pa) CFM/25 Leakage 2. TrueFlow Test Supply Pressure (pa) SP supply 13. TrueFlow Plate Number 14 SP return 4. True Plate Pressure (pa) Post Test 5. TrueFlow Plate Measured A/F (cfm) Date of post test 6/20/2019 6. Correction Factor(from Chart) - CFM/25 Leakage 7. Corrected A/F [95 x 061 (cfm) SP supply n/a 8. System Size in Tons [97/4001 SP return n/a Not Wire Anemometer Data Total CFM Leakage Reduction n/a Measured A/F (chn) Total sq' 1844 Location of test point in duct system Dact Blaster Pressure Matching Allowable leakage 74 CFM Measured A/F (cfm) Actual leakage 54 CFM Bower Curves and Static Pressures Pass/Fail Pass Measured A/F (cfm) --T must suomit DEM tan curve for AHU or urnace and record S/P in columns on left -- J Town of Barnstable Building , s Post This Card So That it is Visible.From the Street-Approved Plans Must be Retained on Job and.this Card Must be Kept "�' p Posted Until'Final hs'peetion Has'Been'Made. Permit039 `+8' , 4 Where;a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. �a Permit No. B-18-4026 Applicant Name: BRUCE E HANNEY Approvals Date Issued: 12/14/2018 Current Use: Structure Expiration Date: 06 14 2019 Foundation: Ex Permit Type: Building--Sheet Metal-Residential P� / / Location: 37 BENT TREE DRIVE,CENTERVILLE Map/Lot: 168-045-001 Zoning District: RC Sheathing: Owner on Record: .LEFTER, LOUIS A&VIRGINIA M i Contractor Name:`1,BRUCE E HANNEY Framing: 1 Address: P O BOX O Contractor License: 4216 2 NORTON , MA 02766 'Est-Project Cost: $0.00 Chimney: Description: Install HVAC for First and 2nd Floor with Bathroom:Fans and Dryer Permit Fee: $85.00 s( Insulation: Project Review Re ti Fee Paid: $85.00 J q di Final: '. Date. 12/14/2018 �,. Plumbing/Gas Rough Plumbing: BuildingOfficial Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withinssix-months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open four{public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire officials are provided on this"permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or footing E Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Commonwealth of Massachusetts Sheet Metal Permit Map Parcel ALP Date: / / � 0 712018 Permit# Ld r Estimated Job Cost: $ /7ALAi ci bA STABLE Permit Fee: $ I VvbtU Plans Submitted: YES NO Plans Reviewed: YES NO Business License# yob / Applicant License# Business Information: Property Owner/Job Location Information: l�V 6 e �—�A 74 14 `e Name:y ' Name: / �7 f ,� S o Street: V 14 L-L V S 1 Street: 7 a3 t' City/Town.: () `e City/Town: Telephone: S' ��2 0j(3 Telepho Photo I.D. required/Copy of Photo I.D. attached: YE _ Sbff Initial J-1/ - -unie tr ed license J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family�uiti_family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents ' Air Balancing Provide detailed description of work to be done: "d a kid F' kv 0 R L".) 11�6T Poou/t C` INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes[3-90 ❑ If you have checked)LU, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity [j Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waiyes this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box(],I 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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Prowess Inspections Date Comments Final Inspection Date Comments Type of License: By ❑Master Title El Master-Restricted Cityrrown ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restri.cted Z/ t License Number: Fee$ A Check at www.mass.gov/dpl Email: 0 Inspector Signature of Permit Approval �e�rrrt�r€ent er�'Ir�Ir�sb�ia�Acrride� face 00gatixns IF 600 Wa&bagton Street - .Bakston,MA 02111 MVMMassgVV1d i Winrke& ,l:ampensafecmlum=sm Affidavit Btdlder-dCuntmctnrsMecbicusfflbmbers 'kantInfarmafiDu Me'aseP Address` f __V A `> Are you au emplager?checkthe appropriate bay ' Type flf gra'ect trequirecl}: 4- ❑I an a general caatoctar and I L ElLma fallaadforpart-timed*employer 1�e hired the suer-cwtMCtom employees 2_ a sale prnprie#os ar parEaer- listed on tlxe attached sheet - °. These sob-cortimct=hafie g-,Q Demnlifion ship and bane sia eerarplofizes �ploy�aadhace worms' _ waiting forme in any sty- 1 9. ❑Building addition s ' INo vupdm comp.inSurance COfIIpp_%nc�rtr�� i0-j]MecEfical repairs cr addit'ons 1. 3_ [] Wearea=sparationandits ° 3_❑ I ama Fuameowner doatg all war;r ofacers leave e��ed t�ir 1L❑Ph=biagrepaim or gdiSticns right of esc g per MGL. 12_0 Roofr qxim myself INC)we 1 e gip- §1{¢ aadwe havM no' r ❑ ?then employees_[No was' Camp-iasmmme mquhed] •�.uy app€,�fr�ac r3edcs'6m�1 t�also fino�t3re s�cliaabeToars�g��Cex�'�Qe�aapnS�pi�r�rni. # nmeowaeswh4suhogtc iss�fida�u`m Vim `=sg a aA&mbEmou�e[outoa �ttsn�mitanema�ua.-teemdi sack fCoahscincsi�.dcbec,k bmc must ItadudsaaAAjg—astreetshavdngthenmneaf6sesu e=dtiesbscp- ¢n�3oyees.Ifthesn�r•caat�sbsvee�pIaS�tbeYz���°ti'zde•�eir u�la3s'•tnmp-PaTi�'setm�bri. _ IT am an eutpiaysr i7iatis prat urg tvarkers,campemn ian fnmraace for uzy wnpk°vwe% $eToly is file paNry andic site Insurance Company Name: 'Pa-fieg 4 ar Self-icS Ii ,A v b 7 0 o2 S �{ Fxpim ionDater Job 3 `7cayrsta�r�: �— Attach 2 copy of the worhere co1Mpensati0ag01icy-daclara4ion page(showing the paRcY amber and empiration date). Fare to seeuse<coverage as s�quireclunder Se-cE bn 25A o€MQ.c-1�can lead to tfie imposition.of criminal pemhies of a flue up to$ OD 04 a=Vor one-•year impfisonme�as�Il as dvil.penal�s m tiie fasm of s STOP DORY DRDce of a e of up to t]_t)EI a clay against tine violziur_ Be ad-used that a copy-of'this zbaeamd maybe for7mded.fa the Office of , Imsestcgaham oftale DIA for insma +-e c0vem9e erifrr oa Ta£a Iieretry cerfffly under t#s pains anti pars s:f174u-tY 61d111e in,far=afiw1P,n r- 01MIC rs bass and Ewrect�/ Sivsaata-e- t� z'ui uss an£y D-a jtrrt wriko Sri tf3 area,f0 U t.VmPI ed BY citp artol"a, X'a2 City ar Town; PeraikMicense:9- -kU&0,rrtY mcleOne : 1 33oard of MmIth Z-BuffZmg Department I CityHo n clerk 4 EfectricA Impertor S.Phrmbiita motor - 6.Other co�+ct P'ersaa: Y"hane#- ' 6 ►/_ `.: .■a/.--a - ■:■•i� �.O1 - I .if/■/ ■•wF H ml •• •- ••oin' .at.1■ lal to 1 wa■l■ • •a. •a:nl to go a, r_lall. .10 Y•Im Y • /n�• -•w ■ww■■ /1 i■- ■ :■/•al w 11■[i ..1 ' r•11■■:r • But —u. w.... . ■■■u -• •■-• .1 -•nuw■ ' ■ %�II I •1 .- ■.■w. : .lo 1.[• a1.: ... 1•w..■t■■ ...K•Mr.3119.011.•1 ■• _1■•■ •1 ■as ii -_ .itl•f• aI :It• ••• •1 a/•. - • n- 1• --•u• �+■_�%•�• u : ■ul anlw u•� .n. n. a nu• n- -_ - u w,wnr■•:. • _ •. :_ �■ wiuu ••r a u •r. • ■ • • :n t1■ •n_ •.■ al.o.aalo eti 1.eru•1 u •is ;.Islas wnlo •• u• wuu t• :•• r is •••■�+ • ■• - 1 n• ■.1 l••n- t• u a n.0 ut w .0:■ to wu■, .■1■ ••a• •/.- i■:� :lu u u ■ rmuc■n ■ u' •• -1n- ■.■ - • .u.1a •1• won •• 1w;wat a/ .■ u. nuw■.n« •n�■ / ■•■ n ■•n ••■•, m n / ■- " Iw_ ■•■w- • oil or J •n■• al a of 1 u• .n■■. rat.m u u u a.1 ■. ■w / ■ ■ .l auu ••u au ■ ■wau►• ■■ • u .un ••w ■.m•■� • ■ ruw, n r -• r�r ■ _1 r_ ■Yu -. . -1 lI ■• ■ i■ ti I .0 a -■ -' ■ ■ a• - . ■- u1 H /a" -n 11 Yu. / u ■. ■ er ■ +• . u u ■. - r.moos ■ - n • -■ . a • v_ 1 - r l ■ _ .m a ■t 1 �t -a r / -• 1-.. . 11■ ■ ■. ••It■ u- a. . 1 - . •- _ -a . l �■ ■■1•.■. 1 ►/ ■.1.1a Y_.:.. will•w as .•n1a■e[Im••w:In ■• .rt• • Ia, ■. 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Building Commissioner fD MICA 200 Main street,Hyannis,MA 02601 www.town.barastable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder 1 ,as Owner of the subject property _ I, hereby authorizer (d ��i .v "ta act on my behalf; in all matters relatiye to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date 5 Q7FoxMs:0WNmPiRMIssl0rrP00l s Rev:08/16/17 r Town of Barnstable Building Department Services Brian Florence,CBO o� Building Commissioner . n..�. . 200 Main Street, Hyannis,MA 02601 MAM www.town.barnstable.maus 039. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number strEet. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: c4hDwn- state up code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as g�pervisor. DE INITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form_ acceptable to the Building®facial,il�si he/she shall be responsible for all such wor's performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minims inspection procedures and-requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official. -— Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often . results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed againstthe unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFII.ES\FORMS\building permit fimu\EXPRESS.doc 08/16/17 Pro ect Summary Job: wrightsoft® '7 Date: Jul 30,2018 Enure House By: For. Chris Olson 37 Bent Tree,Centerville,Ma Notes: Weather Barnstable Muni-Boa(Centerville HarborAnd Lewis,MA,US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 81 OF Inside dlo 70 OF Inside db 70 OF Design TD 56 OF Design TD 11 OF Daily range L Relative humidity 50 % Moisture difference 44 grAb Heating Summary Sensible Cooling Equipment Load Sizing Structure 24734 Btuh Structure 16844 Btuh Ducts 3563 Btuh Ducts 2248 Btuh Central vent(0 dm) 0 Btuh Central vent(0 dm) 0 Btuh (none) (none) Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 28297 Btuh Use manufacturer's data n Rate/swingg multiplier 0.86 Infiltration Equipment sensible load 16419 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 2476 Btuh Ducts 391 Btuh Central vent(0 cfm) 0 Btuh Heating Cooling (none) Area(ft2) 1655 1655 Equipment latent load 2867 Btuh Volume(ft3) 14895 14895 Airchangesthour 0.38 0.20 Equipment Total Load(Sen+Lat) 19287 Btuh Equiv.AVF(dm) 94 50 Req.total capacity at 0.85 SHR 1.6 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual airflow 800 cfm Actual airflow 800 dm Air flow factor 0.028 dm/Btuh Airflow factor 0.042 dm/Btuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.87 Bolditliic values have been manually overridden Calculations approved byACCAto meet all requirements of Manual J 8th Ed. wrightsoft® 201 8-Deo-06 06:20:20 Right-SUMDUiversal 2018 18.0.27 RSU11474 Page 1 / . ...neDnve\Doa mrts\WngtboftWAC\berttree.ry> CaIc=MJ8 FrortDoorfaoes:N N 2nd floor Sup Riser 6107 cfm 4�34 cfm 7„ 5 11 ,, Room1 Room9 6„ Roo 7 10 cfm 108 cfm 611 511 711 Room11 Roo 10 Room8 1 cfm 55 cfm 135 cfm Job#: saia i:55 Performed Ibr: PaW2 Chris Olson R0Sute0LFivasd 2018 37 BentTree 1fln27RSU11474 Cer>le-rville,Ma 37180aD(B0821M ...15\1Milt9dt HVAGlbattreanp N S1 eet 1 H6 Xs Rorml TRoi2p,2 El din 811 Room4 166 cfm Room5 LL- Job#: Scale:1:55 Performed for: pcwl Chris Olson RfOWt&Lkivemi 2D1e 37 BentTree laQ27RS11 W4 CenL-rville,Ma Ml8DaD(BM21:M ts\V0 Jisat WAQbetbmrLp gVCOMMONWEALTH'OF MASSACHQiiE ' Y .; BQABQ OF s SHEET METAL WORKERS ISSUES..-THE FOLLOWING LICENSE£ F 1 a i MASTER-UNRESTRICTED BRUCE E HANNEY La 14 VALLEY ST r :�La ASSO.NET,.,MA 02702 1312 4216 09/28/2020 539410 J =_� -4`Ay��' .• =R 72 8l��+��n���')��r�� i�sa��r-1 E� *III• 02048 6K1.�� 'it ''L�61 ha '16$EX A. " j'jv1 I tl{ - _ f 6bbtOfl812016 e0�1 A,Va i I I { i i + i j i . F } r Town of Barnstable *'Permit Expires 6 months rom issue date Regulatory Services Fee �� TARN STABLE, Thomas F. Geiler, Director � atwsa 1639. Building Division Prfn rna't°' Tom Perry CBO, Building Commissioner( 200 Main Street,Hyannis, MA 02601 I www.town.barnstab1c.ma.us Office: 508-862-4038 Fax: 5087790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONUS' Not Valid without Red X-Press Imprint Map/parcel Number �� Property Address 7 &1,1 7R i-, i) [lesidential Value of Work 1\4inirrium fee of$25.00 for work under $6000.00 Owner's Name& Address La u 1 5 L E F I e1C Contractor's Name f.et;yes? TelephoneNumber5p y 51— Home Improvement Contractor License# (if applicable)_ _ ❑Workman's Compensation Insurance X-Ir""RESS PERMIT Check one: ❑ I am a sole proprietor AUG 1 9 2008 I am the Homeowner I have Worker's Compensation Insurance ' ` TOWN OF BARNSTABLE, Insurance Company Name ' ,Ntc �6 �P� (� iJ 0� A) Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ) ntRe-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/doors/sliders. U-Value (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. A copy of the Home Improvement Contractors License is required. SIGNATURE: 0ANVI'F1LESTORMMuildine permit forms�EXPRESS.doc The Comrnorcwcalth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street, Bostam, MA 02111 www_mass.gov/dia Workers' Compensation Insurance Affidavit: Bi Uc ers/Contractors/Electricians/Plumbers AmpUcant.Information L Please Print Le "bl Name (Busincsslorkauiza;onllndividuo): Address: '� e av i2 P e a City/StatdZip:_e,If/ ,Vt e o l f 3 2 Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer�ztlt 4- ❑ I am a general contractor and l 6. ❑New construction . employees (full and/or park timL).* have hired the shlrcantractors Z❑ I am a'sole proprietor or putner- listrd on the attached sheet 7. ❑Rmnodeling ship and have m employees These sub confiactors have g, Demolition employees and have workers' wat3cing for me in any capa�ty. 9. ❑Building addition [No workers' wz s, ri.T„ „r_e comp.iustuance.i S. C1 We arc a corporation and its 10.0�Eimtrical repairs or additic �fie4�cd-] officers have exercised their 1 L[]Plumbing repairs or addittr 3.LJ I am a homeowner doing all work ` myself [No workers" comp. right of exemption per MGL 12 A Roof repairs incrtranCe r l � c. 152, §1(4), and we have na . . I employees. [No workers' 13.❑Otlrcr comp.insurance required_] "Any applicant that rlv=l s box#1 must also fill out the t=6on blow Sbowing their Policy infrnlmtirnt t Harnenwncrs who subuIIt this affidavit indcating they are doing all work and then hire outside contra rs must submit a new af5davttindiraf>ng such tContractnrs that chmic this box must attached an additional chcct showing the name of the sub-centraLtrn-s and stain whetbcr or not those cntifics have m-nploycrs. If the sub-conhw-b)rrs have employa:s,they must provi&thck v or7 IIz'camp.policy nianba. I ant an employer that is providing workers'compexsa-iorz insurance for my emptoyeM $'eloiv is rite policy and job site ' information. . . , kmaarcc Company Name: Policy#or Sclf--ins.Lic.#: Expiration.Date: Job Site Addmss:�Z rae NT `�2?� LJP ✓d City/StafclZip: R Ve L(-� 2�3Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dati Failure to sccure coverage as reguaed under Section 25A of MGL c. 152 can lead to the imposition of Minna penalties of fnc tip to$1,500.00 and/or one-year imprisonment, as wcIl as civil penalties in the form of a STOP WORK ORDER and a of up to$250.00 a day against tho.violatnr. Bo advised that a copy of this sta znmrrit may be forwarded to the Office of Tnvesti Lions of the DIA for insurance coverer c verification. I do hereby c under the p -and penalties of perjury rhal the information provided above rs true and correct Si c: r Date: Phone#: O fzcial use only. Do not write in this area, tb be computed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1..Board of Health Z.Building Departm en.t 3. CitY/Town Clerk 4.Electrical Inspector S.PInmbing Inspector • 6. Other If , �oFYKer y Town of Barnstable f f Regulatory Services vawRNSTAB E'� Thomas F. Geiler, Director $'rF0.59.va`� Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ff Using A Builder Z !�U t S , 2 �� , as Owner of the subject property hereby authorize to act on my behalf, in altmatters relative to work authorized by this building permit application for (Address of Job) . Signature of Own Date Print Name If Property Owner is applying for permit complete the Homeoamers License Exemption Form on th:e reve_ rse si� Town of Barnstable ��aF YHe Regulatory Services H Thomas F.Geiler,Director t HARNSTABL.E, MASIZa Building Division i634• �� �rfD 1��k Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 R'wsv.to�'n.b err nstabt e.ma:us Office: 508-862-4038 Fax: 508-790-6230 ---- HOMEOWNER LICENSE EXEMPTION Please Print ATE: 7 /y Q JOB LOCATION: SZ (b N7 �2 -e� yA> �N�VC<� number street villagge "HOMEOWNER": ���/ t S Le_ 4(L I �b name home phone# work phone# URRENT MAILING ADDRESS:91 gPn_?r__�w Ce444 v Li-o ,tith o 26 3 f- city/town state zip code The current.exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEMUION OF HOMEO VNER Persons) who owns a parcel of land on which he/she resides or infends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A two-year period shall not be considered a homeowner. Such person who constructs imore than one home in a "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building?perirst. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department miniminspection o edures and requirements and that he/she will comply with said procedures and jrt(qjuir2Vnts. Sign c of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. 140AIEDYMERIS EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such work,that such Homcowncr shall act as supervisor." Many homeowners who use this exemption sic unaware that they are assuming the responsibilidcs is a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons_ In this case,our Board cannot proceed against the unlicensed person as it would Hrith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the msponnbilitics of a Supervisor. On the Izst page of this issue is a form currently used by scvcral towns. You may care t amend and adopt such a form/certification for use in your community. YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates (cost $30.00 for 4 years.) A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.I.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form,to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. � , # Fill in please: Date: APPLICANT'S NAME:-::Sqzn � e^ d YOUR HOME ADDRESS: BUSINESS TELEPHONE # HOME TELELPHONE #: .. NAME OF CORPORATION: NAME OF NEW BUSINESS I � I ,► ,(2C a O TYPE OF BUSINESS )'n M IS THIS A HOME.00CUPATION7. YES ADDRESS OF BUSINESS cS`eG' )(i ( r' Vt �e MCN MAP/PARCEL NUMBER _ o -0'45iAssessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of,Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING C MISS NER'S OFFICE MUST COMPLY WITH HOME OCCUPATIOI This indi dual a eer n r d f a y permit requirements that pertain to this type of businessRULES AND F�EGUI.ArIONFAILURE TO thou d Sign re** COMMENTS 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Town of Barnstable -t►+e Regulatory Services oF �qY ti Thomas F.Geiler,Director Building Division fAxrrsTABI.E, `` v HAM g, Tom Perry,Building Commissioner 16 39�;.t►,e 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee: Permit#: HOME OCCUPATION REGISTRATION Date: 2 3 I C17' r i ( I,� / Name: I �� W j 1�� t' ,�A1 C�� Phone#:����C2X5 o� Address �d" n rllage:�@��ei1 V ' f1G Name of Business: Type of Business: �� �Q"� 1 ®d� Map/Lot: INT TNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . • There is no-storage-or use of toxic or-hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • . .There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up-t uek-not to•exceed•one ton-capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit . I,the under ' ed,have read an agree th the above restrictions for my home occupation I am registering. Applicant Date: ,/© MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 JK ?? BAITS rABL:E . (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 2009 APR "l 3 PM 4: 24 4/10/2009 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Se .3B— "'-I 1510N BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 Re: Insured: LOUIS AND VIRGINIA LEFTER Property Address: 37 BENT TREE DR,CENTERVILLE,MA. 02653 Policy Number: 1032902 Type Loss: Fire(including Fire caused by Lightning Date of Loss: 04/08/2009 Claim Number: 262594 Claim has been made involving loss,damage or destruction of the above captioned propert;which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 ' Town of Barnstable Building . Post This Card So That�t rs.'VisibletFrom the Street A„`yrovedPlansMust be f2etacned on'Job and'uthis Card Must be Kept" ` * MItN$T'ABI:4 • v�.-k: :`-3y .,'�,s:s s F .; - >:i, -�, p' - �.,, a7 _ 6 Po�stgd�Untwl�Final Inspection Has Been Matle �°;� a ' � `° �����.�� � °� r � °" ' � � � � ° Wi Permit . Permit No. B-18-2136 Applicant Name: christopher olson Approvals Date Issued: 07/05/2018 Current Use: _ Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/05/2019 Foundation: Location: 37 BENT TREE DRIVE,CENTERVILLE Map/Lot 168-045 001 Zoning District: RC Sheathing: Owner on Record: LEFTER, LOUIS A&VIRGINIA M Contractor Name`.. Framing: 1 Address: P O BOX O Contractor License: 2 NORTON, MA 02766 Est. Project Cost: $ 10,000.00 Chimney: Description: re-side replace windows and doors ; Permit Fee: $51.00 .Fee Paid: $51.00' Insulation: Project Review Req: .� Dater- 7/5/2018 Final: F' s Plumbing/Gas 41 , Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six-months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application,and the'sapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streettor road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the 8uildmg and Fire Officials a`re provided on this permit. Service: r � Minimum of Five Call Inspections Required for All Construction Work: " s < R 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Finals "Persons co trac ' g with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT w � �Sr�r,' Application number ......1..SJQQ ........................... HIM P I . .� Date Issued................................................................. s , Building Inspectors Initials.............................. ....... C/)Map/Parcel......4.V1. ,.....�J. ....v................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: 31 ly-E�- De�k Phone Number C , Cl is IfiaS� -f oL S6`'J - .Email Address: C.04-s 0 a 0 c N� �psiLeCSaU��'�Cell Phone Number lAl1—�3 y 2 S Project cost $ ©) '' Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize S Cc5►�5'�2 -1 bY� to make application for a build' g permit in accordance with 780 CMR f I 1 - Owner Si /:!Jt ature: Date: -7 TYPE OF WORK 0 Siding U Windows (no header change)# ❑ Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to WIN- CONTRACTOR'S INFORMATION Contractor's name t Home Improvement Contractors Registration(if applicable) # SS 212 (attach copy) Construction Supervisor's License# C S S (attach copy) Email of Contractor S Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ ' *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: 3� TI.-St ���' / C t�cl Telephone Number Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature_ �6,v \ Date -71311 $ r APPLICANT'S SIGNATURE Signature Date LC349 All permit applications are subject to a building official's approval prior to issuance. 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 Legibly Name(Business/Organization/Individual): C �S —� ` 37 (!>at0\ IY,��- (?—VS7-W Address, City/State/Zip: �U� r Phone#: Are you an employer?Check the appropriatV_�t Typeof project(required): 1.[11 am a employer with a general contractor and I . employees(full and/or"part-time).* 6. ❑New cons have hired the sub-contractors - truction 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 tY• $ 9. ❑Building addition [No workers' comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.El Other comp:insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number k; I am an employer that is providing workers'compensation insurance for my employees.-Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde4hepazns and enaldes of perjury that the information provided above is true and correct. date _'� 3 f$. Phone#: B 3q " 2 q-1 S 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 `: k 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 y owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152; §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth rior any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please full out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia CERTIFICATE OF LIABILITY INSURANCE 2018 os/28r2o18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers and Gray Processing ROGERS&GRAY INSURANCE AGENCY INC PHONE 508 398-7980 FPc No: EOD ess mall@ro ersgra .com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC tl SOUTH DENNIS MA 02660 INSURERA: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURED ' - INSURER a JkB PROPERTY MANAGEMENT INSURERC: INSURER D: 13 SLEEPY HOLLOW LN INSURER E SANDWICH MA 02563 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 285812 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUER PO DDY EFF POLICY EXP LIMITS POLICYNUMBER COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F—IOCCUR AMA RENTED - PREMISES Ea occumencalS MED EXP Any oneperson) $ N/A PERSONAL&ADV INJURY .S GEN'L AGGREGATE LIMIT APPLIES PER: - - GENERAL AGGREGATE S POLICY ECT LOC - PRODUCTS-COMP/OP AGG S OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ e accident ANY AUTO - - BODILY INJURY(Per person) S ALL OWNED SCHEDULED - AUTOS AUTOS N/A BODILY INJURY(Per accident) S HIRED AUTOS NON-OAUTOSWNED - PROPERTY DAMAGE $ Per aced nt S UMBRELLA LIAB Jd OCCUR -- EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE N/A _ - AGGREGATE $ - OED RETENTIONS $ WORKERS COMPENSATION - - _ Y l N - AND EMPLOYERS'LIABILITY X STATUTE ERH ANYPROPRIETORIPARTNERIEXECUTIVE A OFFICER/MEMBEREXCLUDED? NIA NIA NIA 6ZZUB7H74425617 10/26/2017 10/26/2018 E.L.EACH ACCIDENT S 1,000,000 (Mandatory E:LDISEASE-EAEMPLOYEE $ 1,000,000 If yes, under � �' DESCRdesuibeDa under IPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101;Additional Remarks Schedule,maybe attached It more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search toot at www.mass.gov/lwd/workers-compensation/investigations/: Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Ma5hpi3@ ACCORDANCE WITH THE POLICY PROVISIONS. 16 Great Neck Road North AUTHORIZED REPRESENTATIVE Mashpee MA`02649 Daniel M.CI- Jey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101). The ACORD name and logo are registered marks of ACORD The Town of Barnstable a�rernaz.�. Department of Health Safety and Environmental Services Eo�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Village Property owner's ndme Telephone number 01 Size of Shed Map/Parcel# Signat6e Date Hyannis Main Street Waterfront Historic District? � Old King's Highway Historic District Commission jurisdiction? L- Conservation Commission(signature required) THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedmg i STANDARD LEGEND ' 1note not o symbols will appeal on a map GOLF COURSE FAIRWAY z 1 DECIDUOUS TREES EDGE Of BRUSH 4 / - 'v' ORCHARD OR NURSERY i MAP 168 CONIFEROUS TREES MAP 168 MARSH AREA L �Y' EDGE OF WATER DIRT ROAD 4 2 \-3 � _ DRIVEWAYS 7 W�11,KING LOT PAVED ROAD 88 - `t ! /�` DITCHES - ' l<- PATH/TRAIL t , / PROPERTYLINES MAP t/ 1 / ' 2>�—PARCEL NUMBER ��MOUSE NUMBER l y i 2 FOOT CONTOUR LINE 10 FOOT CONTOUR UNE SPOT ELEVATION --'. "._._........ -• ; ` : .. . STONEWALL i FENCE i 4 - ' RETMNING WALL MAP 168 i .y'_ - .. ' i ,-.Ta RAIL ROAD TRACKS STONE JETTY SWIMMING POOL 4 1 LPORCH/DECK � ' I 4�= eUIIDINGS/STRUCTURES t 3 DOCK/PIER/1FTTY j(('''��� t ASSESSOR'S MAP BOUNDARY '1 /1 a VALVE ® MANHOLES r /J 0 POST 0' FLAGPOLE cl SIGN m STORMDRAINS �� m POLE a TOWER LIGHT O ELEODO% MAP 168 SITE MAP , I 1 T.O.B. GRAPHIC INFORMATION SYSTEMS UNIT 2. SCALE' in feet # 72 a 20 4 1 INCH 4 0 FEET ' MAP 168 I IN _ — 34 - Vt # 33NS OF PROPEHE PARCEL LINES MERTY BOUNARIMHEY ME M07 TRUE REPRESENT AM3.3- PROPERLY BOUNDARIES.THEY ARF NOl iRUF l0(A110N5�mh B�]-91 1 VEGETATION AND TOPOGRAPHY DATA INTERPRETED FROM 19B9 AERIAL PHOTOS. PHOTOWHYAT P=600'.PLARIMETIOC DATA INTERPRE ID� FROM 1995---- - 1 AIR PHOTOS.PHOTOGRAPHY AT I•=A00.BOTH MAPPED AT]-IDO. 1 PAROl DAT40IBRl]EO FROM I-IW ENGINEERING ASSESSORS MAPS 1997. 4@MAPPED A71- PRINTED AT DIFFERENT'O IOV.MCUAA(YOF NAPS NT iSCALE MAY DECREASE. I e o� TOWN OF BARNSTABLE Permit No. __'''8489 Building Inspector Ltaaa Cash — — OCCUPANCY PERMIT Bond __ X Issued to Roger Smith Address rat �4, 3; Beat free 'rive, -vi lle Wiring Inspector '. Inspection date Plumbing Inspector,.'.' ` ` Inspection date - Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETI`S STATE BUILDING CODE. ...................................................... .................................................. . 19......_._ ..........................................._..................................................................... Building Inspector ��'.,�` '°•.w TOWN OF BARNST'ABLE BUILDING DEPARTMENT t sAUST : TOWN OFFICE BUILDING MI�t i6J9. � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department• �J DATE: ,J�•P r / �Yi An Occupancy Permit,has been issued for the building authorized by BuildingPermit #. c� ": ............................ .............................................»»».. .............» issued .to .... » » ... Zz ! »- -c I Please release, the performance bond. - R s- s ' Assessor's ma and lot number .....!'.IGit ` ® �"... . .. . SEPTIC ��5�'tl�i IiiI�ST I.3E p INSTALLED IN COMPLIANC Q�pF TeE to�f Sewage Permit number ........ .............. ,rJ—.<<�y. .�r WITH TITLE 5 f ENVIRONMENTAL CODE ASH9TADLE, House number .......�.3�......................... TOWN REGULATIONS 9 Maea 039. DNA TOWN O, hm; BARNSTABLE i P BUILDING INSPECTOR ` APPLICATION FOR PERMIT TO ...... .hn �. i1. 11.Lr�L........,lll.. ..LLI.✓.4.........................:...............:.. ` TYPE OF CONSTRUCTION ..... .Q..... .................................................................................... ............... fe Ap TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli w for a ep r t according to the following information: Location ..4.�. .. .3 .......�:e.??. .....T .....keer ? �v��........... �1.T� 2.v�..� LC ................................... ProposedUse' .... ?.��.R�.C?. -�r.....i ...... .......................................................................................................................... Zoning District ................Fire District Name of Owner gq.4 6)9........ .1?C.)iT1-! ....Address &01 CiSgiAC1-0/7 S� �L�iS�or' /y►q, ....................................................... . ............oy-y%v(p ~ Name of Builder QG.Rlq�! .�4� .... -?UIL E .S........Address �ST...6-r. ..0gvv14S...Mo.....ol,51.6 ....... Name of Architect ( S'S ({'t �.�.... T:. Address ..q1.�&k .. 1?E is a ' Number of Rooms ............... ...............................................Foundation � U. ........!nnoe.� rc.....X4.... Jl�p Exterior ......5.f. ...!.!! ..........................................Roofing ....A.. F� 1�l�T ........................ Floors (�ac....................................................................Interior ...'/.gX.IV-A.o... ....... ............................................. . .,.. Y j L GiyuF p�Ps CoR�P. Heating ............................. ...... ...............................................Plumbing ................................................. ..................:.....:.. Fireplace ..... �.5..................................................................Approximate Cost .....f%.0,.. .......................................... Definitive Plan Approved b Planning Board ________________________________19________. Area //�..... pP Y 9 .......... . �°................. Diagram of Lot and Building with Dimensions Fee 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH 14 Lot 3q c� N 791 V sly N�rS aq)(y b a3. J of (36Atr Tp15c= Del'lf OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the;above construction. Name ....... ........ ....... .....11..!"s ............... .�. Construction Supervisor's License .j.. �.c�................ SIMITH, ROGER 84 One Sto No .....2.....8....9... Permit for .....................Y............ Single -Family Dwelli ....................:..........:....................a&..................... LocatioA .....Lot...34, 3.7...Bent...Tree...D r;L.V.i�- .. . ...... . ...... . .... Centerville ........ .&.. .......;:.......................................................... Owner ....ilylikoger Smith Type of Construction .......Frame ................................... ............................... ............. ................................. Plot ............................. Lot ................................ October 4, 85 Permit,Granted .........................................19 Dale of Inspection ....................................119 Date'-(torn pl eted ................19P4 M rM M Cr ;y cif dc--Cf- d TOWN OF BARNSTAB � c,LERK >� ABLE. MASS. Zoning Board of Appeals 'Rq SEP 24 PM 3 24 Roder & Betty.9nith......................................_._. Deed duly recorded in the ................................_....._............ Property Owner County Registry of Deeds in Book .............................. ....................,Sa.rie....................................................................................................... Page _......................I ...._......................................................Registry Petitioner District of the Land Court Certificate No. ......................... ........................ Book ........................ Page .................. Appeal No. .......1985-80 ................................... 19 IT P FACTS and DECISION Petitioner ...........Rog Witty.....Sm.l.tb....................._. ..........._.......... filed petition on ................................................ 19 , 34 Bent Tree Drive m the village requesting a variance-permit for premises at ............_. w. .. ......._............................................................... , age (Street) of ......_....ceatex.tiLle._........._................................ adjoining premises of _ ..W..._.... (see attached list) ................................. Locus under consideration: Barnstable Assessor's Map no. 168.......................................... lot no. .................._.34 Petition for Special Permit: ❑ Application for Variance: ❑ made under Sec. ......................J..........:.............................. of the Town of Barnstable Zoningby-laws and Sec. ........................................................................................................................ Chapter 40A., Mass. (,den. Laws for the purpose of ..._.....to...allow..a...lot...w1th...insuf-fieiewnt are a. reWiTemnts t©................. be considered a buildable lot ..............................................._......................_................................................................_............................_....................._......................................................................_.................... RC Locus is presently zoned in..._.................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was field at the Town Office Building, Hyannis, Mass., at ....__ __ 8 00_ P.M. __..._. 11—c].1,St.._15................................_ 1985 , upon said petition under zoning by-laws. Present at the hearing were the following members: Luke P. Ricbar L. Lally _ _ d . B�.X................._.._ Ronald....Janssen............._........_ ........__...._..........._...... _ _..._ ........... Chairman Gai..1...Na.�.hi�inS3.al a .....__........_ �3,�1;i..--._...._....___ _...._..._........._...._._._...... ..._....._._.._. At the conclusion of the hearing, the Board took said petition under advisement. A view of 'the locus was made by the Board. AppealNo...................1985-80...................................................... Page ........................ of .......... ......::.... On .....:..� temb.er 121 19 85............. The Board of Appeals found Mr. Smith presented his petition for variance relief to the Board - Lot 34 Bent Tree Drive, Centerville located in an RC zoning district, lacks the necessary area requiren-ents - said lot contains 17,500 square feet. The petitioners' also own Lot 35 contaiining a residence, which the petitioner rents out. This lot under considerstion in this petition is comparable in size to most of the other lots in the surrounding area, most of which have hones constructed on them. On August 16, 1985, the day after the hearing, the Board received a letter from the petitioners' stating that they would like to withdraw their application, since the Board has already heard the appeal, we cannot comply with their request; this must be voted upon. Ron Jansson made a motion to deny the petitioners' request to be allowed to withdraw at this time - seconded by Richard Boy. Luke Lally made a motion to deny the variance relief sought by the petitioner with prejudice - seconded by Helen Wirtanen. The Board voted unanimously to deny the petition for a variance on the basis that no variance conditions were presented. I. .................................................................................................................................. Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ........................ day of ........................................................................ 19 under the pains and penalties of perjury. Distribution PropertyOwner .......................................................................................................................................... Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector PublicInformation By ..........._.... ...........................'........... ........... ... .............. .Board of Appeals Cha' man c Assessor's map and lot number ....13 k.... ..� .`" . THE off♦ Sewage Permit rivrhber . �_ �'.`............................... ........... A" E i 3 B ST/1DL , House number ............. . .: ................:... ...................:............. op0 M6 9 00 3 �0 'Fp MO a TOWN' 'OF BARN STABLE . f BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. .... .... ......... ................ TYPE OFF CONSTRUCTION .. .. fl D. .. f�^ : :. ......... .... .... ................................... s ... ...... .... TO THE INSPECTOR OF BUILDINGS: } The undersigned hereby appliesofor a ,permit according to the following information: Location �, �;l P � ) d�G � 64 T�' ... ..; J..0 :. ............................ Ld........ ..`... .... ............ ... 2 i ProposedUse .... !.:i1 G C. .... ..... ......... ........................... ... .....................I. ....I......................... 11 Zoning District ......... ........Fire District ... ' �J Name of Owner F° ....Address "'O1 vt' �kiAC, 70/7 ST ............. .......... .: M f....?:................... ............ . ......................................................6 1 Name of Builder LsU�AAiV C 0....16t1,tL;��i�� 5.......Address (°�,jE.ss...�....5 F Cvity�GS. �11�t. �1516 / n .............................. Name of Architect GtS'� (�� ... / c)Y3� L ...�. � Address �,criIPc11ul�j ��J� ���,>> �0�/; ✓1��/.:...... Number of Rooms .................!.........................:........:.............Foundation ....................,.........� �1 A) �.......................................... Exterior Jh/l.!"�n......q.!.�!'.t/?.fix..........................................Roofing ...�.. �1 F�r � 1�7/? �rl�S .�' ........`'.1.............. .I. .................................. Floors ......................................................................................Interior ......................... .................................................•....... W t0Ch0�2!/c _ Heating ...............................................Plumbing ......................................................... ..................... " Fireplace .....Approximate Cost . �fr'1. ,:... .............. //mayDefinitive Plan Approved by Planning Board ________________________________19________. Area ...................0...F '........... t Diagram of Lot and Building with Dimensions Fee l�9 ��............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �Qo 1AA �\ /S R OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I.hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ' construction. ''ow ? Name . .... .... ..... ................................................. Construction Supervisor's License ............................... SMITH, ROGER No .................2 8 489 Permit f ...On............Sto r.y............. ... .. Single FJamil-Aw lling Y . .............................................................................. Location .......)�Qt...�A...3.7..Boat..Ire.e...Drive n 7 1 ling .......... .......... .................................. Owner .... ..................................... Type of Construction Frame .......................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....October...4, 19 85 Date of Inspection .....................................19 Date Completed ......................................19 I W • //o13 L = 98 34 R = 737, L o T 3 4� 73. 53 4.�•0/ ; 42•41 7 a^� N v. F �, h 2•p0 � ELF �, o w 0 0 fj /Z. /A/ U..p. 2 •D•�l V /Oo, oC5 • !SSUMEO L = r�S.� Co . .. � = ions• 29 � D,Q /�/� Z O N E : R C �N OF o C s .S�T'ZM C/<S FRA:NK I=A- )OIV T' 2©.• WHITING N No. 29869 �o LL _ Z't>/ �8 S iv �xiST.T ,.per /S 7-4 D.0 G.oG�Tio.� 0 9' — G T / 1.966 / O T d3� f�.SEO ,c'�.e , .Q�Y �� -ay.�.�os�. , CAPE CO® SURVEY CONSULTANTS �.�o�-�s�'�,;oG �.o.,,d �•��''��o•e 3261 MAIN 'ST./ROUTE 6A • BARNSTABLE VILLAGE, MA 02630 (617) 362-8133 LEACHING FIELD DETAIL CROSS SECTII NOT TO SCALE I ss.0 M(N 2%SLOPE \�m\ \\�,R\/1 COVER 1 {nsrccnw rant ro BE vnnnH as o+.x i 4^CAP MAY USE FILTER FABRIC IN PLACE OF T'ST � MAY USE FILTER FAB] ` 97.6 ' i ^: ^DOiJBL•FiWASIIED$TOP1E; � •� / - •i 97.1 25' ADI GROUNDWATER 92.1 I ' Cy( LT" FLOOR PLAN NOT TO SCALE ) FIRST FLOOR BATH KITCHEN �?>rF,° BEDROOM %='r{ I Uf i #i �i4Ta!„i Q ., ' LIVING .x BEDROOM BEDROOM STAIRS ROOM ,,. y - BASEMENT AN unmy �XI LAUNDRYROOM BATH ROOM UTILITY FAMILY I ' (L OOT� ROOM f .n� I NV GkiAr� p pdL` LIVING . i��"H6�Af O1 ROOM X � , BOUYANCY ALCULATION�` ` COMBO 1500 SEPTIC TANK/500 PUMP CHAMBER H-10 DOWNWARD FORCE WEIGHT 22,000 PNDS SOIL OVER TANK 12 X 6.5 X.75= 58.5 cf 58.5 Cf @ 110#/Cf=6,435 Ands Barnstable Bldg. Dept. TOTAL 22,000+6,435=28,435 pnds I UPWARD FORCE VOLUME DISPLACED �pprovedby:- f 11.66X6.17rc�,(-�i1�73)=Z5,2� l 25.2cl @ 62.4 WC1.1572 pis I Permit #; E �Y_- OC � DOWNWARD FORCE EXCEEDS UPWARD FORCE BY (�d• 1 !S, GF MASSA 0 it '� �,y��aa�,�• •.�.J,���o 4� I . 110. w#malls s83� 91i111111@���i, L A C. L I CERTIFY THAT THIS PLAN CONFORMS TO TITLE 5 AND BARNSTABLE B.O.H. REGULATIOrj i. (EXCLUDING WAIVERS SPECIFIED) i - y CNNN t 4 _ , C • f I j CROSS SEMI LEACHING FIELD DETAIL NOT TO SCALE j "o M[N 2%SLOPE i \ /\\/\\/\ ��\�'/��\��\�/ 9"COVER I 1 i"srecnw ra+r to ee vnnnH Y ar ague 4"CAP MAY USE FILTER FABRIC IN PLACE OF 2"STONE MAY USE FILTER FAB} j 97.6 ' n� n; jlglplWASHEUSTOPIL; / 9 1 / �— 25' ADI GROUNDWATER 92.1 tk i - J u'r FLOOR PLANk NOT TO SCALE . : • r !µ ,h i FIRST FLOOR . , i 1 I � tl t•, BATH KITCHEN BEDROOM NU LnnNG � * BEDROOM BEDROOM STAIRS ROOM b, �t BASEMENT Fbaf BATH ROOM LAUNDRY LD1�, Lt� UTILITY fN r"'�1} 1 ' fL00}'\I FAilll?1 ROOM FAMILY $ r �1 f-cm ROOM of; { Off& N GFlti►J� LIVING . NRypt ROOM (6A CAF V- L s \T I � f � . BOUYANCY CALCULATION `x COMBO 1500 SEPTIC TANK/500 PUMP CHAMBER H-10 A DOWNWARD FORCE WEIGHT 22,000 PNDS SOIL OVER TANK 12 X 6.5 X.75= 58.5 cf % 58.5 cf @ I I0#/cf=6,435 pnds TOTAL 22,000+6,435-28,435 pnds x a Barnstable Bldg. Dept. '` UPWARD FORCE VOLUME DISPLACED 11.66 X6.17(ctZ,I-gjl3)=-Z5.')-c1 Approved by: 2,5,2.cI @ 62.4#/c1=i572,MW Permit#: �� :— r-� Lf DOWNWARD FORCE EXCEEDS UPWARD FORCE BY (� 1 ®06®986111®OrOI �® �•,r,F MASsq 0,# CPZ ®os��FO��S�ff::RR::nn:�•°pp�����e� r 1p96�1 �D1�6e I L A C. L I CERTIFY THAT THIS PLAN CONFORMS TO TITLE 5 AND BARNSTABLE B.O.H. REGULATIO^ (EXCLUDING WAIVERS SPECIFIED) DEC 0 6 20�8 �OWN OF E3ARN Tt��Lt t 1 � - y r n s• �• .� =� }.3 - 4 +�� ♦ .� .� vet . A i LEACHING FIELD DETAIL CROSS S ALE j, NOT TO SCALE j 99 o NEN 2%SLOPE MIN.9"COVER nsrccnw ran-TO BE V"W1N Y OF GRADE s I 4"CAP + II TER FABI MAY USE FILTER FABRIC IN PLACE OF 2"'STONE MAY USE F �\ i 97.6 I g74" }}12"DOTJgLEWhS1fEDSTOPIE -2p AD7 GROUNDWATER, 92.1 Y1 �� FLOOR PLAN NOT TO SCALE FIRST FLOOR f; t' j eA1x RITCIiEN �; ': . FBFI')7ROOM zpmg IY IS PNN t�7, r_y t ' , LIVING BEDROOM BEDROOM STAIRS ROOM ' a L BASEMENT.. �XI Hnrci TMLITY �, M� ROOM (.. CiYI LAUNDRY ROOM 00 FATI IL�- FAMILY K OOT� ROOM fd N G GFfArlL£ LIVING Ft� ROOM ;. l (,FIX �I LCULATION BOUYANCY CA g COMBO 1500 SEPTIC TANK/500 PUMP CHAMBER H-10 DOWNWARD'FORCE WEIGHT 22,000PNDS SOIL OVER TANK 12 X 6.5 X.75= 58.5 cf 58.5 cf @ 110#/cf=6,435 pads TOTAL 22,000+6,435=28,435 Ands ' Barnstable Bidg. Dept. x FORCE DISPLACED UPWARD ME SPLACE i x s.1z/q2,1-�il;7e) Approved by: 11:66 s 25.2cf @ 62:4#/ct:)572.P� Pbrmit#: ,�_ o b DOWNWARD FORCE EXCEEDS UPWARD FORCE BY F MAS OA ti�J �. C,J e°° R"P pat*'' ►��♦G�'FJd I • L A C. L CERTIFY THAT THIS PLAN CONFORMS.TO TITLE 5 AND. BARNSTABLE. B.O:H. REGULATIOIj y (EXCLUDING WAIVERS SPECIFIED) 3 I { CROSS SECTII LEACHING FIELD DETAIL NOT TO SCALE 99.0 MIN 2%SLOPE /\// COVER NSPccra Paar TO BE"THIN a•ar GUM i 4"CAP ` j MAY USE FILTER FABI MAY USE FILTER FABRICIN E OF 2"STONE FLAC �\ i i 97.6 N N _ •6 25' - ADI GROUNDWATER 92.1 ' I FLOOR PLAN NOT TO SCALE l FIRST FLOOR r BATH RIT'CAEN BEDROOM rs 1 u 1 v � - LIVING ROOM BEDROOM BE STAIRS ,r 4 is �4 x 1{{ L - - BASEMENT y!, �X( BATH O M LAUNDRY UTILITY f h•CIL(�Ih G ROOM (L Icy OOT� ROOMY TIV. N 0 c. I LIVING y £t�a. NEP1 ROOM ti Cw�S I�N��Div► �{ �` " ;£l j � bs a NCY CALCULATIONI'M BOUYA . ,fr COMBO 1500 SEPTIC TANKI500 PUMP CHAMBER H,-10 DOWNWARD FORCE WEIGHT 22,000 PNDS SOIL OVER TANK 12 X 6.5 X.75= 58.5 cf Y �ar'nstable Bldg. Dept. 58.5 C1 @ 110#/ci=6,435 pnds TOTAL 22,000+6,435=28,435 Ands !, Approved by: UPWARD FORCE VOLUME DISPLACED Permit #:�=j — z5.2c1 @ 62.4#ict-1572 Pnas DOWNWARD FORCE EXCEEDS UPWARD FORCE BY. (� 1 j f, aym®A(j MA Sjq ke . � : fj3S o a Ala _ 10 L1 C 1 L A C. L I CERTIFY THAT THIS PLAN CONFORMS TO TITLE 5 AND BARNSTABLE B.O.H. REGULATIOIj ' (EXCLUDING WAIVERS SPECIFIED)