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0915 CRAIGVILLE BEACH ROAD
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Y � "F .,,�� I f �'D( a !!���6 V r• �h 11 !a i�,r ib,' r r)W{ii. lr�7Si':I. n - 'y a,.� t° �i�; I �• 3 ? ;. <$ (Y �XI % .� � ' Y 31,j�p- / (ram p f DIY 4y4ir t4� v , ' rr 1 � •.t ' ( s�l�'1 �•1a i�'. y� :� � ')i III .,. 9 1 1`1VV) Wo klI CBA Snack Bar featuring Four Seas I'ce Cream rville MA 02632 915 .Craigville Beach Rd, Cente �, f • ��� �su�rae�uvmeuxa_���•*�•� , azsasat�srtssr.:n�xar�a t�+Vv.C'LP.R�i`Ff�!S�SRSRY'.�6u M1Tiil2�fl C37 mix Izzam .,PAFipJBw^CW0.;PT.fl� fil^�k�.00P�Y86miRommitb'iT �4.4.'H6'32@ �'^SeSI:@Sfi� }y�Gi541 f �•-••�^a3AY.Cfi�16:�ilk • �gm :r+' �.:a � •u ^,l�l,£v � -�t�k�u,vYs itF`��r,�C 't�`.13�i��d�a�,�.ezm � i • .!� �1 }, Sl � tit'Ii rreea �t� ri5F k 4mz-szs: axw � �� � t i`kR�+g�ia�x� ��'ia¢r J f i5 .# y� •�' tl,# 'lal cr�r�c^c^eAaca� e,� ems _ '#~. � �'1'# v1��+.rj °Yai.f'iY:i'�>�'•., �t�4 v� k�J�'r��+!#Itx#^�,"�I�.-i � �ncgw h®r •am��as'.r� . ... -. .,.. ._. ..�, � �._".. .,�� 9 �u�S `�"�'��1'i���w ��N�n���r�� t4'l,<�l�s3+x�ali �e Ame�t6�.�.� .. .4. ��'d �Y'k'SfLVC�;:%��m��iR•"•7�1 Id�YU1�14�I1��rm3i�issmS3��S13P&�','6 nrxieeSRs�Z3a.•`•'-^"•-"••��&T�S+T ` t .L:�3P.1°IafdS�d^ � ^.83,L"P1M1569 uIIE^'99 d3SLl .�_ .nR. smes� cnmm.+ammr_snmbn • • • / • • Town of Barnstable Geographic Information System 226161 226153 0 #29 #,7 226004CND 2�6008D01 M 4 226163.a 226160CMD 226005 . #�6 4'00 226067 #966 _ III �l 226t AND 226166 # , 4 226166 h 9 Aft �. 226171 2# Z t4 236,73 C RAIGL 226167 �! #10 206013 k ® ,L�FBeQCy RO r#884� �6189 14 #997 ® 072 M 4Q y 228 225001 #^915 225030 22SOM OA #879 225031 #865 #873 225004 ��•'lam #861 _ - 22SODS #857 0 64 Feet DISCLAIMERS:TKs map is for plamdn9 pwP only. Map:225 Parcek 001 a — h 5 runt adequate Wr legal Selected Parcel boundary deteiminabon or mgrdamry hmrPmudoa Enla gamznts beyond a sate of Owo r CHRISTIAN CAMP MEETING Total Assessed Value:5L9,9800 1'=1oD'may rwt meet estabrshed map a=nwy standards The pwwJ lines an Mb map Co-Owner. se - Acreage:245 apes Abutters are only rdpWc repremaMm of Asseskesta parcels hu They am not e properly boundaries anddo nut represema==terelownstdp,tophysicalfeawresar the map Locallon:915CRAIGVILLE BEACH ROAD Buffer such as Wilding loesoons 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O�a� Parcel Application # L1, "A Health Division Date Issued Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis feroject Street?Address. ? , q�57 Ctrs'/9(�l) �B Owe__' i" �� /y/ ,�/1 �ASC Y&,s Telephone"'_;:� 12 .5 ,DS 8 Z.50 Permit Request-_ "-4_0 GL.. (Q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Pro's e t Va uation�- ^ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family.(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new. Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ` CM I Telepho e,Number A� Address,.., M 5 �1" *Ve License# Home Improvement Contractor# � aC�y bcDvu f1m �`t7L�� : �� Email'"' C.a Worker's Compensation # 01?ltt) 'Ajt-3&C0 � ALL CONSTRUCTION DEB RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE—'"'�r� F7 . FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. 7® TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �r „.` .� Map C Parcel l U i Application # ,l ) �•� / 1,��� Health Division Date Issued Conservation Division Application (Fe"e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board y Historic - OKH _ Preservation/Hyannis Project Street Address -57 Craf vo Aewch /2 Dwd Village tic� rG/�C� MA Owner , lr / !'1 / \�1 PAWress Telephone U� 75- l2 .S 610S 78 Y PermiVRequest C � r ..'` an,-L b y r G--4 Dr( I/.C. Square feet: 1 st floor: existing ®p�;opo 2nd floor: existing proposed Total new Zoning District Floo Plain Groundwater Overlay Project Valuation Construction Type - Lot Size rar��a IJf fed: Yes ❑ o0 f yes, attach supporting documentation. . Dwelling Type:•Single Family ❑ Two Family 0 . .a Multi-Family (# units) Age of;Existing.Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Basement Type`-' O'Full '-'0 Crawl ❑Walkout, ❑ Other `N Basement Finished Area(sq.ft-) Basement Unfinished Area(sq.ft) Number of Bath ;. Full: existing_ new Half: existing new NumbBo1 d er Ting —new e Total Roo rPl ooun ( ,tjiVcllodin 'Etat �`s)*isting - new First Floor Room Count Heat Type and Fuel:Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air;,�/L�00 ❑`N`o 194paces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing U new size._Pool: ❑'existing ❑ new size _ Barn: ❑ existing ❑ new size} MP r f i Attached g®rag�. 3 sting ❑ new size _Shed: ❑existing ❑ new size _ Other: f Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _ r Commercial ❑Yes ❑ No If yes, site plan review# r Current Use Proposed Use APPLICANT INFORMATION (BUILDER,OR HOMEOWNER) Name am��4 Telephone Number r� 9sl�c� � -. Address �. License# Home Improvement Contractor# )0 ovV C7t.,:J(� i1 Email -�(-�d� r I c of a Worker's Compensation # 00W60 D tJ(o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t. f t FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: / FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �" Town of Barnstable Regulatory Services Richard V.Scaly Director. Building Division. , Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mans Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I — ,as Owner of the subject property hereby authorize / � Aft to'act on my bebal f in all matters relative to work authorized by this building permit application for. 9 l 5 Cra I JV01 Arad Pood (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: Signatur of Signature of Applicant �resr.�e� C°CM 4 Print Name Print Name i' Date QYORMS:OWNERPERIMSIONPOOIS Town of Barnstable a Regulatory Services ooF Richard V.Scali,Director Building Division t Paul Roma,Building Commissioner 6yg. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 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: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. - DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum 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 against the unlicensed person as it would with a licensed Supervisor._ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.do 06/20/16 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and.get the Business Certificate that is required by law. Oet y p ' � � ' DATE: �- "7 ( Fill in please: APPLICANTS./- YOUR NAME S: ar BUSINESS FOUR rjE ADDRESS: 3 e_-> TELEPHONE # Home Telephone Number - - NAMS OF`COk�PORATION rj NAME OF NEW BUSINESS y- TYP OF BUSINESS ( '. IS THIS A,HOME'OCCU.PATI N YES NO -� ADDRESS OF BUSINESS. MAP/PARCEL NUMBER (Assessing] 5' v` `lam � 3 When starting a new business there are several things you must do in order to be A comp i ncce with t'he rule 'and regulatiorRbr£he Town of Barnstable. This form is intended to assist you in obtaining the information you may need._ You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'P OFFICE This individual has �ejfp d of any er equirements that pertain to this type of business. ,. AA thori ed ig a ure** CO M ENT 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel LID Application # 3 y Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (o�3j113 Historic - OKH _ Preservation/Hyannis. Project Street Address IRC>> Village is 1_ Owner tp otick ES S Address - 1),1!R L.; L g Telephone Permit Request �� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type- � Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing, new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ k Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: o A -' C w C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -e o N 't1 Commercial ❑Yes ❑ No If yes, site plan review# _ Current Use - - - _'Pro used Use - NO � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name al/�% .) ��"'IJ��� v'PSiC%lephone Number 1� �� "` L Address ° , °-hl0 i-;flj il C ) License # CS C 3 Home Improvement Contractor# k 7 13 6 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `�''- �!' �' _ DATE � � t ' FOR OFFICIAL USE ONLY APPLICATION# c T DATE,ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER � S ; r L DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING ' 1.3 DATE CLOSED OUT .lf��.... �� ASSOCIATION PLAN NO. Leparanom oJlnausiraat 2-cctaenrr Office of Investigations 600 Washington Street Boston,MA 02111 r - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plmnbers A.Pplicant Information -Please Print Le 'bl Name(Business/OrgamzatiDwlac ividual):. Address: AT City/State/Zip: _C) 1 d Phone.#: �' y 3,- A =r Are you an employer? Check the appropriate box: - e of ectrehire ro. am a general contractor and I p j ( q 1.VI am a employer with 4 ❑ I. g 6. ❑.New consiractian employees(full and/or part time).* have hired the stib 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 ' 78. []Demolition working forme iu any capacity: employees and have workers' • 'co tn�rn-anre:�' 9. ❑Building addition. .. No workers camp.insurance. �'required] 5. ❑ We are a corporation ID.'and its ❑Electrical re Peras or additions '3.❑ T am a homeowner doing all-work officers have exercised their 11.0 Plumbing repairs or additions :• . . myself [No workers' comp. - right of exemption per MGL 12.M Roof repairs mnce require nal d.]t c: 152, §1(4), a we have no employees.NO workers' 13.[1;Other camp.insurance required-] *Any applicant That checks box#1 must also f J1 out the section below.s-howing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then him outside contractors must submit a new affidavit indicating such. #Contactors that check this box must attached on additional sheet showing the name of the sub-contractors.and state whether or not those entities have employees_ If the subcontractors have croployecs,they must proyidt their wodmrs'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: I�YY)t%1/CAA, i� 1r /C� �/�✓j �_ c) Policy#or Self ins,L ic.# �qqpf^1 Expiration Date : 63 Job Site Address: �%/ti o^ a�s f,�F�/Y= r City/Slate/Zip: iD.� t� 1`'`.rd ll 111 l� 4= 6 3 - 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 cart4Q under thepaitts-andpenddes ofperjury thgt the information provided above is true and correct Si atare_ '' Date: C f PhonE# l J Official use only. Do not write in this area,to he completed by city or town officiaL 'City,or Town: ` Permitucense# Issuing.Authority(circle one): 1r Board of Health 2,Building Department 3. City/Town Clerk 4.8 Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: - Phone#: . i CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNM) T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICArl TE HOLDR46S 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 WANED,subject to he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: D F M INS AGCY INC PHONE FAX 668 MAIN ST (A/C,No,Ext): A/C,No): FALMOUTH,.MA 02541 EMAIL ADDRESS: 29k7X INSURER(S)AFFORDING CO GE NAIC III INSURED INSURER A: AMERICAN ZURICH INS CUNNINGHAM CONSTRUCTION INC INSURER B: INSURER C: 3.14 QUAKER MEETING HOUSE ROAD INSURER D:INSURER E: EAST SANDWICH,MA 02537 INSURER F: COVERAGES CERTIFICATE.NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN 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 THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERON IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMMDIYYYY) (MMMMYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR. DAMAGE TO RENTED $ EMISES(Ea occurrence) ED EXP(Arty one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: RSONAL&ADV INJURY $ ENERAL AGGREGATE $ POLICY PROJECT❑LOC ODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Perperson) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-0729C44A-12 08/192012 08/19/2013 LIMITS ANY PROPERITOR/PARTNER/EXECUTNE NIA OFFICER/MEMBER EXCLUDED? Y E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 V yes,desrrihe under DESCRIPTION OF OPERATIONS below _ EL DISEASE-POLICY LIMIT .$ 500,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/RESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. JOB LOCATION:433 FOX RUN CERTIFICATE HOLDER CANCELLATION TOWN OF EASTHAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 2500 STATE HWY BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. EASTHAM MA 02642 AUTHORIZED REPR TA Y•_.—, r` ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 198F 2010 ACO W CORPORATION. A)I rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TWL&PWIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE OLDER. IRIS 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 he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: D F M INS AGCY INC PHONE FAX 668 MAIN ST (A/C,No,Ext): A/C,No): FALMOUTH,MA 02541 E-MAIL ADDRESS: 29X7X INSURER(S)AFFORDING CO GE NAIC# INSURED INSURER A: AMERICAN ZURICH INSUR CUNNINGHAM CONSTRUCTION INC INSURER B: INSURER C: 314 QUAKER MEETING HOUSE ROAD INSURER D. EAST SANDWICH,MA 02537 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTOVEMBEEN 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 CLAM. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDOWYYYY) (MMOD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE Is COMMERCIAL GENERAL LIABILITY CLAIMS MADE r7 OCCUR. DAMAGE TO RENTED $ EMISES(Ea occurrence) ED EXP(Arty one person) $ rGEN'L AGGREGATE LIMIT APPLIES PER: RSONAL&ADV INJURY $ ENERALAGGREGATE $ POLICY PROJECT LOC ODUCTS-COMP/OP AGG Is AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ , SCHEDULE AUTOS (Perperson) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR r7 OCCUR EACH OCCURRENCE Is EXCESS LIAB CLAIMS-MADE AGGREGATE Is DEDUCTIBLE Is RETENTION $ Is A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-0729C44A-12 08/19/2012 08/19/2013 LIMITS ANY PROPERITOR/PARTNER/FXECUTNE N/A OFFICERIMEMBER E XCLUDED7 E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 Byes,describe under DESCRIPTION of OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. JOB LOCATION:433 FOX RUN CERTIFICATE HOLDER CANCELLATION TOWN OF EASTHAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 2500 STATE HWY BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR TA�/E �. EASTHAM,MA 02642 Tom`. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. K „ Q. PROPOSAL PROPOSAL NO. SHEET NO. DATE PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: � �, '% NAME' (.. . f AD¢¢D••R,,ESS v 1 T 7 01l / 1/,4L ;'tom .J�Jf (A/d S C ©1�j�'� � ��(�' ®� j r ADDRESS. / n CI {STATE - l C'' A IG3 ��/ - f ���.ai ! CITY,STA E ' akT eP PG4RTSf':e i , PHONE N/O/:—� � % ARCHITECT q��} C�� � r �7�}1r�InrC:��I�, �i We hereby propose to furnish the materials and perform the labor necessary for the completion of An'o'Ly 5-truL�1,0 �`� 1�c, ioate ��^ Yr! �r} ��,7`?�� rs7{i ra _ ,n L.c V u AA s� r 6/o 70 r f. V f ly All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specVf cations submitted for above work a completed in a substantial workmanlike manner for the sum of: s /_ f� � 1�eo d ou ! � r��T/G'nl/� Dollars with payments to be as follows Any alterationor deviation 9om'above specifications involving extra costs -Respectfully submitted '_ /s 1/�. '.�%'.'• will be executed only upon written order,and will become an extra charge 1 - over and above the estimate. All agreements.contingent upon strikes, accidents,or delays beyond our control. Per Note-This proposal may be withdrawn by us if not accepted within days. . ACCEPTANCE OF PROPOSAL f The above pricesi specifications and conditions are satisfactory and are hereby accepted You re u n e to t .work as s e fie ayments will f be made as:outlined.above , DATE SIGNATUR 6&i4 9450' ,. � ..� �,.,�.'_ :.., :n'.a-.'.=u 'i�c.�ta.:i a.�"c+t7`.'�,q. - 'eb9Cfi•2' ,�rilN..".` ... ",�,. >e...t•r fa.m.s. L. �-]ON t�.a�a-Fa=3.c�:.;iw'c.- ....FL �,. ent Pubic day. sachse.ts '�Regu tions and Staff Mascd of gu'Id�n9 eri:;sor action SuP �- 8°a stc C -0342g0 t L;ce .,. A CT ' R Nl 314 Q Wl Exp;tiatio 4 `J mm�ss%on . P�'� e ��� p� �gg � YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 7-gll 3 Fill in please: APPLICANTS YOUR NAME/S: 'j- WA- BUSINESS YOUR HOME ADDRESS: /7 TELEPHONE # Home Telephone Number -D0 ;z , Sz 9'7 NAME OF CORPORATION: NAME OF NEW BUSINESS 0-6 mil-5ArAr_-K fAi3,_ TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO V ADDRESS OF BUSINESS qPV --- p 471 Kb &J'r MAP/PARCEL NUMBER Z2;2-S� ©4 t (Assessing) When starting.a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFFICE This indivi al h s n-infor e f y mit requi ,ments that pertain to this type of business. =ad COMMENT Signatu 2. BOARD OF HEALTH This individual ha_ ben in r d f�t�he it requirements that pertain to this type of business. '} A thori d Sig atur ** z COMMENTS: 3. CONSUMER AFFAIRS [LICENSIN9 AUTHORITY) This individual has b e infoyfn'ed, the licensing requirements that pertain to this type of business. �horizecl atuM;I COMMENTS: � I /`C �� J T� V TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes Parc Application # 01 ,0 Health Division Date Issued �C�L 17 Conservation Division )L - ilUv�I �b��1 Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Q9 1/2-6112 Historic - OKH _ Preservation / Hyannis Project Street Address l`c�� ����� �/�� 46-t-_'gc°"Y Re,- VillageG='c'� � Ownere Address Telephone Permit Request �Z'•frT�'^z P� l'�'.e�d ��TiO� � � ��,c�r�g L r7ao�— fy Square feet: 1 st floor: existin-;.�(O// proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation/7S., DCC Construction Type GL6 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes %dNo On Old King's Highway: ❑Yes Qlo Basement Type: ❑ Full 216rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) <n> Basement Unfinished Area (sq.ft) /- � ��.4-77XI Number of Baths: Full: existing new alf: existing new,. , Number of Bedrooms: existing —new , s Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 2(No Fireplaces: Existing New Existing wood/coal stove: C)Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑1 w j ?ze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) = Name S' J `� �t��aR Telephone Number Address/ License # 6?41ref 6-1Z 1,19Jl- Odc�,sL Home Improvement Contractor# l70 '/ 7/ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , SIGNATURE / DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE " OWNER DATE OF INSPECTION: FOUNDATION 4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Town of Barnstable c Regulatory Services EA MASS. LE Thomas F. Geller, Director .� Miss. g . a u..."�� Building Division Thomas perry, CBO, Building Commissioner 200 Main Street, Hyanais,MA 62601 " www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ' PLAN REVIEW Owner: Map/Parcel: �.$ O� Project Address XU4 Builder: t)"W=O SAUIC-t EACH /66 w The following items .were boted on reviewing: W4AKT iS 1E LE-Vx m,,3 o F rLoo2 A-0b PROx`LrAa7--r - T� W Hm �s CoDEn��4l,Y,aszs F 1,�o►ek, �i-c.> ✓' Reviewed bY: Dater 2-48/l �Torms:Plnrvw r The Corrunonweakh of hlassach usetts • a t �;� � � .peparlmertf o�'Inefusk-�a1�4cci:dents' ` � • �� Of ke of frrvesfigalzons 600 FFasIzjjVon 5`freef , Boston, h�4.0ZIII 'f r WWW- tass.go di'a Workers' Compensation hL� rance A Iavit- gTriIaers/Con{Z-aefors/ Iecfriciar�s/PI�m bets A-PPECHnt IRformafio]T Please Print Le }•�SIIle(Btesincss/Drgmiiz�at�/fndrvi�vaI)' � f'J�' . � � kddress: 163 . Crty/�iate/Zip: ��ir?�'+�1ifC(�' Phone#: Are YOU an employer? Check the appropriate box: L❑ ram a employer vith 4. TYPa of project(required): general cpnttactbr arid I employees(fuII 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-coatrsetata have E. []Demolition working for•me in any capacity. workers' comp. insurance. [No workers cam , insurance 5. 9. ❑Building addition p ❑we stir a corporation and its required.] officers have exercised their I O-❑Ele6frical repairs or additions 3, ❑ I am a homeowner doing a!I work right of exemption per MGL I LEI Plumbing repairs or additions myself, [No workers' comp, c. 152, §1(4), and we have n o insurance required.] t employees, [No workers.' I2.❑Roofm Iairs • comp.ffimu ice required.] I30 Other 44-7 eW*7?G/vs *Any gaplicant that checi3 box#I Must also S 1 out the station be ww shoring thoir worjcers'compaustion policy infurnsetron t tiomrawncrs who submit this afnd'vit-indiestiag they are doing all work and thm hits outride cantractnrs mast submit n ncFy aftrdavit iadirsting such Carrtnemrs thet check this box mast attaebcd an additiaaal shrstsbowing die name of the sib-contracfnrs and their workers'comp,policy information I ernr ern etrrpdoyer Thai is praviZttg workers'egtnpensaizon insrcrmzce far my emp[oyeec Befaw it th e poficy urcd job site infornt�zorc Insurance Company Name: Policy#or Self-ins. Lin, 00 g • aj Ezpiraiian Date: � ��5'�/� Job Site Address: 7/S ��'`tl�tf/e ms+►Clj' iQp/� —, City/Siate/Zip: �CicU T�s�L,/C�, /�j- O�lo,� Attach a Capy of the workers' comperrsadon pr?Iicy declaration page(showing the POI icy somber and ezpiratian daEe), fine up to$I,SOO.Do and/or Failure to secure coverage as required under Section 25A of1,�IGL c. 152 can lead to the imposition of criminal penalties of a one-year uuprisanrnent as well as civil penalties in the form ofa'STDP of tip to 5250.00 a day against th FfORK ORDER and a foie Iuvestiga a c violatDr. Be advised that a copy of this statement may be forwarded to the Office of ns of the DIA for insurance coverage verification, f do hereby fy under the pa4mr and pt =Lya_s of perjAuy Lhzr the informatzorr provided aboNe is 6zce and correct ' 3i Darn: Z.R Z2 480�✓ 'hone#. '-7 ? �- y�?- � C• ciC ase an4.;Do rwf rurrfe GTt tftGs m ea,to be cotrial!Pd by city or tarn DffCi2[ City or T`owu: Per m'ctlLicease Issuing Agtbor ity(circle one): 1. Board of Health Z. Building Department 3. City/Town Clerk 4.Ele:ctrical Irispector 5,P}umbra I i. Dtber g nspector Towt of Barnstable F F Regulatory eryices �� Tbvmas R: Mier,Du e�tor B� g Division ' Tam Ferri,$¢ii�ng Co�missio-�er • 200 Mzia Str=o ffym=L�Mk 0260I office: 508-962-403 B Fax: 509-79a-6230 L Prop erty Ove-rzer MUS t amplet;✓ and Sign This. Section If Using ABLdJder 2S the sv4C=.groP=tYI • hereby authorize �•.4v1.� ��-c,�' •• to act on M7 6eEia�f, m as ors mLtiye to work arVtho&,Ed b- 2PPECaHoa for. 94 � .�/ U��� eel GIG. (Add tss of job) of Omer • PrrIIt 2�Fa r-,-P • If Pm c - • r Oimcris applyxag forperMitplease coma fete.-±C Honzeo ers Ilicense Egemnpt7on FD= on t ie rcvcm�e side. ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT Project Name: Crai ville Beach Association Project Title: Alterations to the Craigville Beach Bathhouse Project Location: 915 Craiqville Beach Road Centerville MA Scope of Project: Complete interior renovation of the central portion (3611 sq.ft.) of the existing 21,825 sq ft bathhouse building and related decking replacement Architect: Brown Lindquist Fenuccio & Raber Architects, Inc. In accordance with section 107.6 of the Massachusetts State Building Code (MSBC): 1,. Richard P. Fenuccio registration number 7789 Being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning the architectural plans for the above mentioned work and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the MSBC, all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I shall perform the.necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in section 107.6. l. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in Chapter 17. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of work and to determine, in general, if the work.is being performed in a manner consistent with the construction documents. � F R 11 submit monthly reports to the Building Inspector. Upon completion of the work, I shall Qp� E ',a final report as to the satisfactory completion and readiness of the project for occupancy. 0 1 , a a No. 7789 -' p YARMOUTHPORT, --- yyyp MA re Date q�Th OF U K : Subscribed and sworn to before me this day of . "X"(Ml op Notary Public, „ Notary 'It n Expires Alyson Konl<ol Commompalit=of Massaouseits ` 'Comntisshi Expires on ttr.1 ,ini 7 ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT Project Name: Craiqville Beach Association Project Title: Alterations to the Craiqville Beach Bathhouse Project Location: 915 Craiqville Beach Road. Centerville, MA Scope of Project: Complete interior renovation of the central portion (3611 sq.ft.) of the existing 21,825 sq. ft. bathhouse building, and related decking replacement. Architect: Brown Lindquist Fenuccio & Raber Architects, Inc. In accordance with section 107.6 of the Massachusetts State Building Code (MSBC): 1, Richard P. Fenuccio registration number 7789 Being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning the architectural plans for the above mentioned work and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the MSBC, all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in section 107.6. . 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in Chapter 17. . 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I shall submit monthly reports to the Building Inspector. Upon completion of the work, I shall it a final report as to the satisfactory completion and readiness of the project for occupancy. Q" QpUL FFj� a No. 7§igp , Date p� YARMOUTrit-;:.;. J <Th of P. abed and sworn to before-me this day of �Ceryt bGY" Notary Public Mv C ission Expires Notary Public Alyson Konk..ol Commonwealth of Massackse,13 VMY Commisrion t xpi r.o �aa� 1( 9plti .GRANITE STATE INSURANCE COMPANY 0024435-00° WC 009-94-1819 13102 --------------------------------------------- 013-66-o811-lo PE CAPE COD CONSTRUCTION SERVICES INC C H A R T 15 163 TERN LA `%NTERVILLE, MA 02632-0000 A Chartis company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 175 Water Street New York, NY 10038 I.D# MA UI#7 •' ' "'' EASTERN INSURANCE GROUP LLC WORKERS COMPENSATION AND EMPLOYERS 233 W CENTRAL ST LIABILITY POLICY INFORMATION PAGE NATI CK, MA 0176o-3133 INSURED IS PREVIOUS POLICY NUMBER CORPORATION RENEWAL 00 4181 OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's mailing address FROM 08/25/1 1 TO 08/25/1 2 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: 100,000 each accident Bodily Injury by Accident $ Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT - WC200306A D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE - WC990612 ITEM 4 The premium for this policy will'be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Estimated Classifications Code Number Total Remuneration $100 OF Re- Premium Annual 3 Year muneration �Annual 3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE - WC7754 -TAXES/ASSESSMENTS/SURCHARGES $172 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $338 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED ANNUAL PREMIUM $3,27 5 If indicated below, interim adjustments of premium shall be made: Semi-Annually ❑ Quarterly El Monthly DEPOSIT PREMIUM r '08/11 ASSIGNED RISK 66 ,Ye Date Issuing Office Authorized Representative WC 00 00 OIA 39967 (Rev'd 04/08) L GRANITE STATE INSURANCE COMPANY 0024435-00 WC 009-94-1819 13102 _ ---------------------- 013-66-0811-10 CAPE COD CONSTRUCTION SERVICES INC C H A R T I S 163 TERN LA -NTERVILLE, MA 02632-0000 A Chartis company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 175 Water Street New York, NY 10036 I.D# MA UI#o I -I . •..• EASTERN INSURANCE GROUP =LLC WORKERS COMPENSATION AND EMPLOYERS 233 W CENTRAL ST LIABILITY POLICY INFORMATION PAGE. NATI CK, MA 01760-3133 INSURED IS PREVIOUS POLICY NUMBER CORPORATION RENEWAL 00 4181 OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address FROM 08/25/11 To 08/25/12 REM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident$_ 100,000 each accident Bodily Injury by Disease $ 500.000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT - WC200306A D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE - WC990612 REM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Estimated Classifications Code Number Total Remuneration $100 OF Re- Premium ® Annual 3 Year muneration Annual ❑3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $172 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $3 8 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED ANNUAL PREMIUM $3 27 If indicated below.interim adjustments of premium shall be made: ,E] Semi-Annually Quarterly Monthly DEPOSIT PREMIUM - r "�8 11 ASSIGNED 66 .._ Date Issuing Office Authorized Representative WC 00 00 OtA 39967(Rev'd 04/08) P Sub Contractor W-9 and Certificate of Insurance . .. 1 1"su ik:ets�o�n ii`reA .Ex IrationDaYs? ,Polk ynum sr 'WB. gym'10 er,:f.,# Ace Arborculture General Liability 4/19/2012 1265616 X 04-319-4573 Phone: Automobile Liability 1 0/112 0 1 2 IOMMMM9021 025-48-7944 - Fax: Worker's Compensation 12/29/2011 WC 004-47-6237 _ All Cape Garage Door Co.,Inc General Liability 10/7/2012 MPK 3861 X Phone: 508-398-2757 Worker's Compensation 6/1/2012 WCC500258601 .Fax: 508-428-1184 - Belanger,Steven General Liability 6/14/2012 CBP8685991 020-60-4983 Phone: 508-428-1389 Worker's Compensation 2/412012 WC8746778 Fax: 508-420-3568 Automobile Liability 6/14/2012 1 BA8681992 Black Lab Alarm General Liability 9/21/2012 R0105542 Workers Compensation 2/19/2012 26WEND470401 Automobile Liability 2/4/2012 91022576 Umbrella Liability 4/28/2012 1300003367 Brennick Building System LLC General Liability 2/25/2012 CB4E1820 - Workers Compensation 1/1/2012 701586301 Phone: 508-775-5111 Automobile Liability 4/1/2012 T39797 - - Fax: 508-896-7997 Umbrella Liability 10/5/2012 5,16592 Brian Bolton Workers Compensation 2/23/2012 UB-0171N847 - - Phone: 508-776-3466 General.Liability 2/18/2012 NPP1265104 Fax: 508-362-4129 X - Brothers Enterprises General Liability 4/11/2012 BHO 53349462 X .- 26-4538431 Automobile Liability 3/5/2012 MCA 7015051 - Workers Compensation 5/2/2012 WCC 500824301 Buckmiller Roofing Worker's Compensation 5/1/2012 7PJUB-743OA7 : General Liability 5/15/2012 CP46859505 Builder Services Group,Inc.-Cape Cod Closets General Liability 6/3 012 0 1 2 MWZY5552510 r d/b/a:Quality Insulation&Bldg Prod Workers Compensation- 6/30/2012 WLR C46135623 - Automobile Liability 6/30/2012 MWTB 1839810 Cape Cod Concrete Cutting General Liability 1/28/2012 ZAGLB9100500 Workers Compensation 1/28/2012 ZAWC19150500 Automobile Liability 1/28/2012 ZAWC19190200 Cape Cod Custom Floors,Inc General Liability 12/13/2011 BOP8566651 - -- Phone: 508-778-1965 Workers Compensation 5/25/2012 08WECKL1007 Fax: 508-778-5575 Umbrella 1 211 3/2 0 1 1 CU8569751 Colony Insulation General Liability _ 8/18/2012 8500028928 - Automobile Liability 8/18/2012 49692400002 - Workers Compensation 8/18/2012 TWC 3233572 Creswell Construction Co.,Inc General Liability 5/19/2012 CB 8E7050 ... Workers Compensation 4/19/2012 WC1-31S-342421-029 . Demello Concrete Floor Co.,Inc General Liability 9/4/2012 CBP8734652 Automobile 10/21/2011 BA8542853 Workers Compensation 3/11/2012 WC8748398 EW Drew Inc General Liability 8/28/2012 - 16606135M38A - - Workers Compensation 8/28/2012 U83096L05809 Automobile Liability 8/26/2012 BA0286C72709SEL Fuller Electric Company,Inc. General Liability 9/22/2012 MPO80356 04-228-2361 , Phone: 508-775-0030 Workers Compensation 9/22/2012 WCO80356 X - Fax: 508-775-6977 Automobile Liability 9/22/2012 M9O80356 Gardner Concrete Forms Inc. General Liability 4/4/2012 1680346CC154 X 861141815 Phone: 508-759-5630 Automobile Liability 4/4/2012 06343132-2 Fax: 508-759-5091 Workers Compensation 5/1/2012 TWC3238811 - Gregoire,Francis General Liability 4/1/2012 BLW 52484287 X 043458812 DBA: F G Masonry Workers Compensation 4/l/2012 XWO 52484287 Hickey Construction Company,Inc. Workers Compensation 1/13/2012 TWC3231453 X 042913741 - Phone: 508-771-4128 General Liability 4/9/2012 168015958907- ' Automobile Liability 4/9/2012 BA19441305A - Kevin McBride Plumbing&Heating Inc x 20-477-1754 Phone: 508-778-4556 General Liability 12/18/2012 R0644392A - Fax 508-778-2549 Workers Compensation 11/19/2012 76 WEG FX7947 L&M Glass General Liability 5/1/2012 CCP9721358 Automobile Liability 5/1/2012 BA9721858 Workers Compensation 5/1/2012 WC8658525 •' LaFleur LLC Automobile Liability 7/1/2012 BAP 8613796 X 013466674 General Liability 7/1/2012 CLP7924573 - Workers Compensation 7/9/2012 WC7924574 Lambros,George - General Liability 1/10/2012 C8834784 Mass Fire Protection Systems General Liability - 5/30/2012 72LPS012683 Automobile 5/30/2012 BA8675922 Workers Compensation 5/30/2012 WCC500591701 Miguel Tatara Nato General Liability 3/14/2012 BP00008250 X 017-90-0816 Phone: 508-360-8365 Workers Compensation 5/8/2012 UB-4221P798 Northern Seaicoating&Paving Inc. General Liability 10/1/2012 CLA019849413 X 042742821 Phone: 508-398-9474 Automobile Liability. 10/1/2012 MAA019849512. Fax: 508-394-0955 Workers Com ensation 4/1/2012 NOWC 109484 Paul J.Cazeault&Sons Roofing Inc. General Liability 4/30/2012 FMMA 0027012 Phone: 508-428-1177 Workers Compensation 8/10/2012 WC003603096 Fax: 508-420-4555 Robert B.Our Company General Liability - 12/1/2012 CPA130142819 Automobile Liability 12/1/2012 MMA130144019 Workers Compensation 1/1/2012 WCA031676711 Rusty's Inc General Liability 2/5/2012 - 8500041993 ' Phone: 508-775-1303 Worker's Compensation 1/15/2012 9114470110 Fax: 508-771-9310 Automobile Liability 2/5/2012 8672400003 - Steven Cappellucci General Liability 11/30/2012' CLP7944623 Automobile Liability 1 012 8/2 0 1 2 BAP8458349 Workers Compensation 12/8/2012 WC8624990 - Confidential _ 12/8/2011 - - - Page 1 XFINITY Connect Page 1 of 1 XFINITY Connect Davidsauro@comcast.ne +Font Size- eDEP Submittal Confirmation for DEP Transaction ID: 436728 From:eDEPConfirmation@massmail.state.ma.us Wed, Dec 07,2011 07:20 PM Subject:eDEP Submittal Confirmation for DEP Transaction ID:436728 To:davidsauro@comcast.net Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection.Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message,this email address will not receive messages. For assistance with eDEP Online Filing,please email the EEA Help Desk at maiIto:helpdesk.eea@massmail.state.ma.us or call 617-626-1111. MassDEP is interested in how we can serve you better.To help us make improvements to eDEP,please take a minute to complete our eDEP Online Filing Survey at htti)://www.mass.gov/dep/service/compliance/edepsurv.htm. To contact MassDEP Programs, please see http://mass.aov/deD/about/contacts.htm. DEP Transaction ID:436728 Date and Time Submitted: 12/07/2011 02:20:14 Form Name:AQ 06-Construction/Demolition Notification Payment Information DEP code: 61293 Date: 12/7/2011 2:18:23 PM Amount($): 35 Payment Detail: SAURO DAVID--AccountType-- AccountNumber****1004 ConfirmationNumber: Contractor Contractor Number Name Address Supervisor Project Monitor Lab EMAIL ID OF THE USER:davidsauro@comcast.net http://sz0048.wc.mail.comoast.net/zimbra/h/printmessage?id=424260&xim=1 12/7/2011 TWB ASSOCIATES, INC. BUILDING CONSULTANTS 130 LIBERTY STREET UNIT 3B BROCKTON,MA 02301 CONSTRUCTION CONTROL AFFIDAVIT PHONE(508)5 FAX (508)580-0418 80-5649 twbasso@aol.com PROJECT TITLE: Craigville Beach Association NAME OF BUILDING: 915 Craigville Beach Rd SCOPE OF PROJECT: Renovations PROJECT NUMBER: 11-1162 In accordance with Section 116.0 of the Massachusetts State Building Code, I Allan R. Morris, Massachusetts Registration No. 13505 , being a registered professional engineer, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations, and specifications concerning the: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL_ Plumbing XX FIRE PROTECTION ELECTRICAL_XX_OTHER (specify) for the above mentioned project and that, to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices, and all applicable for the proposed project. I further certify that I, or a designated representative, shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Allan R. Morris P. E. 13505 Date • OF MAss eO�� ALLAN ROBET �"JORRIS ® NO. 13505 e'90FF S ► SSIONALEN �� Chris Lawler: 508-886-8154: Jeff Boure & CS& P: Wed: 5:30 Wednesday: November 30th: Weather: Every Day My Work Attracts Magnificent People and Opportunities Into My Life "Ask and You Shall Receive" "Seek and You Shall Find" Appointments: Mon: Cathy: OLV Corey Check: 508-775-5744 & Meeting room for CCA1 Orleans: (Repairs) ����" S1ie.�'Ce ' �eoff Smith: Thanks! Paula: 508-240-2290 Joe:Pro Fence: 508-326-4030 Garraghans: (914-388-3143) 508-367-4983: George: Frame & Roof shingle. Nolans: 774-836-5774:American Excavation Steve Creswell �- 508-364-9778:Miquel:Nolan Update 508-778-0723:Drew: Chris Nolans:Dimmers, recessed, basement? 1508-280-8453: Wayne: Tile 508-771-3225:David Bourque:Air Tech & Harveys SA: Photo with Dan and I with Sherrie for PR! CBA:Proposal 508-367-5085: Steve Hubbard-Proposal e i,_ SS Jack Pendergast: Follow-up: Next Day: Matt Clark: Updates Leo Fine: Build outs , Laptopforkidz.org (Donate old lap-top) Nick and Kate: CCA CC�� Buckmiller: Bouvier & Jill's r ,Massachusetts- Departrnent of Public Safety Board of Buildimi Regulations' and Standards Construction Supervisor License License: CS 72866 DAVID A SAURO 163 TERN LANE i CENTERVILLE, MA 02632 j i Expiration: 5/6/2013 Commissioner Tr#: 14635 p� 07. t°an>rnzoouoea/�i o�✓�aaatrceivaed'a -\ Office of Consumer Affairs&Buusiness Regulation s HOME IMPROVEMENT CONTRACTOR Registration: P1,70471 Type: Expiration: nt0Yi Y2013 Private Corporation:, tx -=-_ CA C.OD CON 'IZ141SRVICES,INC. 3 I r ; DAVID AURO 1.63 TERN LANE CENTE VILLE, MA 026, ',„ r - _w-y- Undersecretary. al. J. e k Contact: Lauren Lounsbury FOR IMMEDIATE RELEASE Tel: 508-778-0897 November 30, 2011 Email: laurencccs@comcast.net Not all work is outsourced:OA local Contractor assists in the opening of a National Retail Outlet �i�o Win zi', when w h-e re Cape Cod 6onstruction Services Inc., Vocal, Centerville based business, is proud to have assisted Warwick Construction, Inc, a National General Contractor based out of Houston Texas, in opening the first Sports Authority on Cape Cod. The Sports Authority has replaced the old Filene's Basement in the Cape Town Plaza in Hyannis MA. "It was an interesting challenge as we co-ordianted the delivery of product from oversees with having the store ready for the fit-out," said David Sauro, President of Cape Cod Construction Services. "The container of product was delayed in getting to Newport but our local contractor was still able to complete all his work so that the store opened as scheduled." Go to Cape Cod Construction Services or Gaastra Sportsear Internation at FaceBook to view photos of the store. Cape Cod Construction Services Inc. is a family owned business with over thirty years of experience in the construction industry specializing in all phases of construction from permitting to final completion. Go to www.capecodconstructionservices for additional information. If you'd like more information about this topic, or to schedule an interview with David Sauro, please call Lauren Lounsbury at 508-778-0897 or email Lauren at laurencccs@comcast.net. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS _ .,..._ License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Reg ion 10 Park Plaza-Suite 5170 Boston,MA 02116 t} Not valid without signature .s, i CAPE COD CONSTRUCTION LETTER OF TRANSMITTAL SEP ll'CES INC. 163 TERNLANE DATE.- CENTER VILLE, MA 02 632 AY N7YON. U 4-2 a,4 - (508 778-0897 WE ARE SENDING YOU_Attached _Shop drawings _Prints _Plans _Samples ,Specifications Copy of letter _Change order . �'cil'i�_S DATE NO; D SCRIl'TION // g // &1�A9 THESE ARE TRANSMITTED as checked below- _For review and comment _For approval _Approved as submitted _FOR BIDS DUE `For your use _Approved ashoted REMARKS: _As requested _Returned of corrections Please return prints after use W COPY TO: SIGNED- IF ENCLOSURES ARE NOT e c Mtn Mn V71 Tt1T�J AT/1TTT iY•TS l 'd [Egg 'ON sa) rA) aguoi �ongsuoopopd ) WdtiE :� 11H '61 '3 a0 Massachusetts Department of Environmental Protection ,e Ll Bureau of Resource Protection -Wetlands WPA Form 2 -- Determination of Applicability I Will. I Massachusetts Wetlands Protection Act M_G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code. DA- 11089 M � � A. General Information Important: When filling out From: forms on the Barnstable ---- .. ........:.:. computer,use ._-.-------�------.......................--•-----:_.:.:-----------------...,,..,.,.....:.:.._...---------_.....,�.:..,,,,.... ..........------------ ..............--• only the tab Conservation Commission key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Christian Camp Mestin Associaton Christian Camp Meeting Association return key, _.,,.--— ---....... _...._.-. ---...._... Name Name 915 Craigville Beach Road 39 Prosy? Avenue Mailing Address Mailing Address Centerville MA 02632 Centerville MA 02632 city lTown State Zip Code City/Town Stale Zip Code 1. Title and Date (or Revised Date if applicable)of Final Plans and Other Documents: Proposed Septic System U grade __;.,__,....._._:,...........r......__..;.._:;..:........._.. 10/3/2011 w_...._._,....... Title - - Date Bath House Renovations 10/3/2011 Ti ll@ Da1F ..... ...,.._,.._:..:_._,.. ...... .........._.... ........... ------ Ti tie Date 2. Date Request Filed: October 5, 2011 B. Determination Pursuant to the authority of-M.G.L.c. 131, §40 and§237-1 to§237-14 Town of Barnstable Code, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable). n Septic system up.qrade; bath house renovations ----------- _ Project location: - 915 Craigville Beach Road Centerville et Address ----- .................,.............. ..:...........-......_.....:....---------- Village ........ ... ...............---.._..... - Street Address °Ylla®e 225 001 ----_........ - ------ --------.,.....,..................... ----------- ----------..:...--------...............................----....---------- Assessors Map Number Assessors Parcel Number wparonQ doc Request for Deparumrial Action Fee Transmilivl Fofm.r6.10AM Pape 1 of 2 �` Z d 1�99 'oN saoiAJ ;Suoijonalsuopopdpo Wd�E ti IIOZ 61 .oaa Massachusetts Department of Environmental Protection a Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 67 ' -�� and § 237-1 to § 237-14 Town of Barnstable Code DA- 11089 B. Determination (cont.) � The following Determinations)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination " Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e.,Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to.protection under the Act_ Removing,failing,dredging,or altering of the area requires the firing of a Notice of Intent ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b.The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. F ❑ 3.The work described on referenced plan(s)and documents)is within an area subject to protection Under the Act and will remove,fill, dredge,or after that area.Therefore, said work requires the filing of a Notice of Intent._ s I �] 4.The work described on referenced plan(s)and docurrient(s)is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore,said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5.The area and/or work described on referenced plan(s)and documents)is subject to review and approval by: Barnstable ---- ----..�...... _..;__.. __ _...•.....�..--------...:..-- --._w_.�---- ____...,.._....,...--.:..... ........_....... . Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: 6 237-1 to§237-14 Town of Barnstable Code Chapter 237•,___ ` Narne Ordlnanoe or Bylaw citation , wp3form2 doc Re0u954 for Depwwwd2l Anion Fee Tnnsd flat FWM•rev W6104 ' Page 2 of.2 ``: l 1 �99 '0�l saalnaaSuoi )ona )suo�po�atl>?� W�tiF .� 1 [H '6f '0;0 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands *� WPA Form 2 Determination of Applicability m Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 a�aa and § 237-1 to 5 237-14 Town of 6amstable Code DA- 11089 B. Determination (cont.) ❑ 6.The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent Is filed for-the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request,the applicant must consider the following altematives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): �] Alternatives limited to the lot on which the project is located. [j Alternatives limited to the.lot on which the project is located,the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives.limited to the original parcel on which the project is located, the subdivided parcels,any adjacent parcels,and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state_ ' Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability,work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department.Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding-Determinations are listed at the end of this document. ❑ 1_The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ® 2.The work described in the Request is within an area subject tc protection under the Act, but will. not remove, fill, dredge, or alter that area.Therefore,said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore,said work does not require the filing of a Notice of Intent, subject to the following conditions(if any).. Excess excavated material shall be removed from the site and ap rP opriate disposed of. ❑ 4.The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone).Therefore,said work does not require the filing of a Notice'of Intent, unless and until said work alters an Area subject to protection under the Act_ vvp9form2.doc-Request ror Oepartm¢ntgi Action Fee Transco w Form-rev.tolsm Page 3 of 2 i b ,a �Qq 'ON sao1naaSuo1 )ona ;suo3po3;de3 WdSE :ti l H '6l 'Ia4 Massachusetts Department of Environmental Protection -� Bureau of Resource Protection -Wetlands o� WPA Form 2 — Determination of Applicability I DAUSTal't Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 11089 B. Determination (cunt.) ^^-- ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption,as specified In the Act and the regulations, no Notice of Intent is required, Exempt Actrviry(site appllgDle slatuatory/regulatory proA5ions) (] 6.The area and/or work described in the Request is not subject to review and approval by: Barnstable Name or Munippelity —�.............,�.._..,._...___.._..,...-----,-.,.,.., Pursuant to a municipal wetlands ordinance or bylaw, 237-14 Town of Barnstable Code -„ -----_ Chapter 237 _ Name �,..� — - Ordinance or Bylaw Citation . C. Authorization ...�.---- .. ---_._..,...._.— _ �.........�_ ------- This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on by certified mail, return receipt requested on • . __M.y...2 ---- b.a Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan).This Determination does not relieve the applicant from complying with all other applicable federal,state,or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of.the Barnstable Conservation Commission.A copy must be sent to the appropriate DEP Regional Office(see http://www.mass-gov/dep/about/region.findyodr.htm)and the property owner(if different from the applicant). Signature Date V4Wffm2.d0a•Repuesf for Departmental Adlon Fee'rranenedel Farm-rev.104WN f ge 4 of 2 I`,, c •J Icoo 'Ohl sa0InaaSU0113nAJSMJP0J;dP.J IN q ti 1 <07. 'hl '0a0 r Massachusetts Department of Environmental Protection l , s-�- Bureau of Resource Protection -Wetlands WPA Form 2 - Determination-of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131,•§40 and § 237-1 to§ 237-14 Town of Barnstable Code DA 11089 D. Appeals -� The applicant, owner,any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such lend is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see http://www.mass•cioy/dep/about/region.findyour.htm)to issue a Superseding Determination of Applicability,The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for - 1 Departmental Action Fee Transmittal Form)as provided in 310 CMR 10,03(7)within ten business days from the date of issuance of this Determination.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservatlon Commission and to the applicant if he/she is not the appellant.The request shall state clearly and concisely the objections to the Determination which is being appealed.To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection.act or regulations,the Department of Environmental Protection has no appellate jurisdiction. w+P8f0rm2.doc•Requasl for DenrPnenrel ACdort FOS Trenenrinal Form•rev;iomu Paue 6 of 2 L N 9 ' d 1�99 oN saainaaSuoiIongsuo3po�adP3 WdSE ti IIOZ 6l '114 a P _C apoe Cod- - Services 163 tern lane% centerville, ma • 02632 • telephone 8, fax (508) 778-0897 SUBMITTAL COVER PAGE January 23, 2012 To: Jeffrey Lauzon Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Property: Craigville Beach Association uM;. 915 Craigville Beach Road Centerville, MA 02632 Description: Elevation Certificate Should you have any questions; please do not hesitate to contact me at 774-487-2206.or at davidcccs@comcast.net. Thank you, David Sauro Cape Cod Construction Services, Inc E w aD � a Lr U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. m., SECTION A-PROPERTY INFORMATION For Insurance Corrpany.Use Al. Building Owner's Name Christian Camp Meeting Association Policy Number, A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. C,ompanyNAIC Number 915 Craigville Beach Road City Centerville State MA ZIP Code 02632 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Barnstable Assessor's Map 225, Parcel 1 (Land Court Certificate#2986) A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)Non-Residential A5. Latitude/Longitude: Lat.41.64 N Long.-70.34 W Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A . sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3. State Town of Barnstable Panel No.250001 Barnstable MA B4. Map/Panel Number B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone 250001 0008 D Date Effective/Revised Date Zone(s) AO,use base flood depth) July 2, 1992 A13 •10.6 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes . ® No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) y Cl- Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. G, C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized FEMA RM 18 Vertical Datum NGVD 29 Conversion/Comments Chiseled square on east end of concrete curb:EL.=7.19'NGVD 29 Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 10.6 ®feet ❑ meters(Puerto Rico only)- b) Top of the next higher floor 1 l.3 ®feet ❑ meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 14.6 ®feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.0 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) ®feet ❑'meters(Puerto Rico only) - h) Lowest adjacent grade at lowest elevation of deck or stairs, including 6.9 ®feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information on this Certificate represents my best efforts to interpret the data available.) �H understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.❑ spy OF It ASSq� , Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ' ®.Yes ❑ No JOHN 1. Certifier's Name John L.Churchill Jr., P.E., P.L.S. License Number 41807 - CHURCHILL JR. No.48066 Title President Company Name JC Engineering, Inc. - '9 GiS Address 2854 Cranberry Hi hway City East Wareham State MA ZIP Code 02538 si Signature Date Jan. 18,2012 Telephone 508-273-0377 ��irh FEMA F rm 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions �IMPOR"FANT: In these spaces, copy the corresponding information from Sectiomk' For Insurance Company Use; Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.'Route and Box No. Po icy Number ,; 915 Craigville Beach Road `City Centerville State MA ZIP Code 02632 : " WC,o'mpany NAIC Number SECTION D-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,'(2)insurance agent/company;and(3)building owner. Comments Bottom of one electric panel located inside the rear center of the building(i.e.Bottom EL.=14.6')and the other located inside the snack bar part of the building(i.e. Bottom EL.=16.6')shown as the closest view of the building in the attached."rear view"building photograph. The entire building and decks are set on cinder b ck illars elevating all floor ab ve existing grade due to shifting sands of the property located on the beach. Signature Date 01-18-12 Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) .For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A, B, + and C. For Items E1-E4, use natural grade, if available. Check the measurement used'.-In Puerto Rico only,enter meters. El. Provide elevation information forthe following and check the appropriate boxes to show whether the elevation is above orbelow.the{highest adjacent grade(HAG)and,the lowest adjacent grade(LAG). . a)Top of bottom floor(including basement,crawlspace„or enclosure)is A T ❑feet ❑ meters ❑ above or El below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is.` ❑feet ❑meters ❑ above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A items 8 and/or.9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ` ❑feet ❑meters ❑ above or ❑ below the HAG. E3. Attached garage(top of slab)is ❑,feet ❑ meters ❑above or ❑ below the HAG E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑ above or❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information-in.Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address .City State ZIP.Code Signature -Date Telephone Comments Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the.community's floodplain management ordinance can complete Sections A', B,C(or E), and G of this,Elevation Certificate. Complete the applicable item(s)and sign below.' Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6.•Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement a G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters(PR),Datum G9. ,BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10. Community's design flood elevation ❑feet El,meters(PR),Datum Local Official's Name Title Community Name " Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 81-31, Mar 09 Replaces all previous editions L e Building Photographs ' See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 915 Craigville Beach Road City Centerville State MA ZIP Code 02632 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. Front View Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 915 Craigville Beach Road City Centerville State MA ZIP Code 02632 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Rear View € pfa jr,tea :', r `���'� '�„� y�';, z�s�.�� � � -_fie�v a � ',,��g �' 'E �z;: r(a�f� ¢.{r � ��,,• �'x� -:,£a"�, � -¢+. _ € i � �iY � a.;. s- -�. ' ���`� € € ,.,' ..,.� eE € €' € .a,r'� t dZRS`t e tt���r#� _�� tsi s•; d ids 1' ,�„' �.,. '• M�, y+' BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. Summary/Conclusions for Written Code Report: The Code Review was based on The International Building Code 2009 and the International Existing Building Code 2009. The State of MA has adopted the International Existing Building Code 2009 with modifications in lieu of Chapter 34 of the International Building Code 2009. Egress Capacity: The proposed egress capacity exceeds the requirements for both the International Existing Building Code 2009, the International Building Code 2009, and the Massachusetts Amendments. Fire Resistive Construction: All new/altered elements will comply with the International Building Code 2009 and Massachusetts amendments — Tables 601, 602 and 715.4. Interior Environment: All new/altered interior finishes will comply with the International Building Code 2009 and Massachusetts amendments — Section 803, Table 803.9, and Section 804. . Energy Conservation: All new/altered elements will comply with the International Building Code 2009, International Energy Conservation Code, and Massachusetts amendments as required. Note: The building is not a conditioned building. It is unheated, and is not air conditioned. Ventilation has been provided per code in areas required. Per the International Existing Building Code 2009 and Massachusetts Amendments: • Work on existing buildings is determined by the level of alterations as described in IEBC 2009 Chapter 4 Classification of Work. The Scope of, work is considered Level 2 — Alterations. =' • The existing building currently is considered an A-3 use, it will remain an A-3 use, therefore Change of Occupancy issues will not apply for+the -� existin -, a No. 7789 YARNOUTHPORT, MA OF MA`'SP I 203 WILLOW STREET,SUITE A PH 508-362-8382 YARMOUTHPORT,MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 I Craigville Beach Association, Centerville,'MA' "�. January 11, 2012 Code Review Building Code Summa :Massachusetts Building Code—780 CMR � Massachusetts Amendments to the International Building C 09 Basic/Commercial Eighth Edition �EaEo Project: Craigville Beach Association t a No. 7789 ; \0 RMOUTHPORT, MA Location: 915 Craigville Beach Road Centerville, MA Z014 General Building Information: ' Existing two story building. Regulations and Standards: ' Use and Occupancy: ' Construction Type. 5B =Combustible Unprotected' Table 601 Use Group A-3: Assembly Section 303.1' General Building Limitations(Chapter 5 A-3 Assembly Construction Type 5B: :Table 503 , ' . -.f. Area Limitation: 6,000 sf ` A-3 Assembly Construction-Type 5B: •Table 503 Height Limitation: 1 Stories, 40 feet Allowable Area Allowable`area •' 6,000 sf increases: Table 503 +` Total Adjusted e 6,894 sf Assembly A-3 AllowableArea (per floor ,� • . Actual Proposed Area, Actual Proposed ,: ' .Main Bldg 1st Fir ` 5,479 gsf iArea- * "'''r° - " Main Bldg 2"d 8 g Fir J 24sf . . Total Main Bldg—_ 6,727-gsf-- _ . Separate Stor.-Outbuildings ..q. (10 @ 261 gsf each) Total 2,610 gsf Allowable Height Allowable Height Table _ �1 Story;40 feet Increases (None), 503' ' Assembly A-3 f 'Actual Proposed,Height,, Actual Proposed ,' r" w 2.stories Height ; +/ `37'-0 Height 4 f • ' v A .. • ' 1 - i Craigville Beach Association, Centerville, MA January 11,2012 Code Review i CONSTRUCTION CLASSIFICATION: ` 602.1 General: Buildings and structures erected or to be erected, altered or extended in height or area shall be classified in one of the five construction types defined in sections 602.2 through 602.5. The building elements shall have-a fire resistance rating not less than that specified in Table 601 and exterior walls shall. have a fire resistance rating not less than that specified in Table 602., Where ` required to have a fire resistance rating by Table 601; building elements shall comply with the applicable provisions of Section 703.2. The protection of openings, ducts, and air transfer openings in building elements shall not be .. ' required unless required by other provisions of this code. 602.1.1 Minimum requirements. A building or portion thereof shall not be required to conform to the details of.a type"of construction higher than that type which meets.the minimum requirement based on occupancy even though certain features of such building actually conform to-a higher. ` type of construction.-', z Type 5B Construction (Combustible/Unprotected):; e 602.5: Type V construction is that type of construction in which the structural elements, exterior walls, and interior walls are of any;materials permitted by this, " code. Table 601: Fire Resistance Rating Requirements for Building Elements hours for Type 5B Construction:_ Building Element Rating (Hours) - - 0 Hour Primary Structural Frame-,(See Section 202) (note g: Not less than the fire resistance rating as referenced in Section 704.10 Bearing Walls Exterior - 0 our (note#: Not less than the fire resistance rating`"based on.'fire separation distance-see table 602). (note g: Not less than the fire resistance rating as referenced in Section 704.10) u n Ile Interior _ 0 Hour Nonbearing walls and partitions -Exterior R See Table 602 Nonbearing yalls and partitions.,— Interior.' 0 Hour Craigville Beach Association, Centerville, MA -January 11, 2012 Code Review r ' (note e: Not less than the fire-resistance rating required by other sectionsx of this code - Floor construction and secondary members= 0 Hourt See Section 202 r Roof Construction and secondary members ° . 0 Hour. See Section 202 Table 602: Fire Resistance Rating Requirements (66urs) for Exterior Walls based.on Fire Separation Distance for Type 5B Construction/ Use Group A: ` Fire Separation Distance X,(Feet) Type 5B Construction ' ' A ' Assembly X < 5' ;* 1 hour (See Section 706.11 for party walls) - 5' _<X< 10' 1 hour. r 10' <_X < 30 0 dour X> 301 0 hour(( "Note a: Load-bearing exterior walls shall also comply with the fire resistance rating requirements of Table 601. " Note e: The fire-resistance rating of an exterior wall is determined based ~ upon the fire separation distance of the exterior wall and the story. , in which the wall is located. _ 704.10 Exterior Structural Members. Load bearing structural members_ ¢ located within the exterior walls or on the outside of a building or structure J shall be provided with the highest fire-resistance rating as determined in , accordance with the,following: _Asrequired by.-Table 60.1..for the_type of uildin.g element .., _ ". ` ;based on the'type of construction of the building;:' 2. As required by Table 601 for exterior bearing walls based on , ..the.type"of construction;'and ` x 3. `As required by Table 602 for exterior walls based on`the fire separation distance. y • f' Fire Separation Distance Definition (Section 702): The,d_istance in feet measured from the building face to one of the following:r ' 1.. The closest interior lot line - .;Ili - 2. To the centerline of Ihe street, an alley,` or a public way; or Craigville Beach Association, Centerville, MA January 11, 2012 Code Review 3. To an imaginary line between two buildings on theprope.rty. The distance shall be measured at right angles from the face of the wall. .Section 803 Wall and Ceiling Finishes: 803.1 General. Interior wall,and ceiling finisli materials shall be classified for fire'-• performance and smoke development in accordance with Section 803.4.1 or 803.1.2, except as shown in Sections 803.2 through 803.13. Materials tested in accordance with Section 803.1.2 shall not be required to be tested in accordance with Section 803.1.1. ' . t Table 803.9. Interior Wall and Ceiling Finish Requirements by Occupancy: Use Group NonS rinklered Buildin Exit Enclosures' -Corridors Rooms and ; and Exit - Enclosed ; Passages*,** Spaces' A-3 A A : C *Class C"interior finish materials shall be permitted for wainscoting or paneling of not more than R 1,000 square feet of applied surface area in the grade lobby where applied directly,to a noncombustible base or over furring:strips applied to a noncombustible base and fireblocked as - a required by Section 803.11.-1. **In exit enclosures of buildings less than three stories above grade plan of other than Use Group ~: 1-3, Class B interior finish for nonsprinklere_d buildings and Class C interior finish for sprinklered - buildings shall be permitted, ***Requirements for rooms and enclosed spaces.shall be based upon spaces enclosed by partitions. Where a fire-resistance rating is required for structural elements, the enclosing partitions shall extend from floor to the ceiling. Partitions that do not comply with this shall be considered enclosing spaces and the rooms or spaces on both sides shall be considered one. In determining the applicable requirements for rooms and enclosed spaces, the specific occupancy thereof shall be the governing factor regardless of the group classification of the building or ' structure. Section 804 Interior Floor Finish: " w 804.1 General. Interior floor finish and floor covering material,shall comply with Sections 804.2 through 804.4 1 Exception: Floor,finishes and coverings of a traditional type, such as --- ---- — — -wood,-Vinyl,linoleum-or terrazzo,and-resilient floor covering materials-that - _ �— are not comprised of fibers. 804.2 Classification. Interior floor finish.and floor-covering materials required by ,• Section 804.4.1 to be of Class.l or.II materials shall be classified;in accordance 'with NFPA-253. The classification referred to.herein corresponds to,the classification determined by NFPA 253 as follows: Class I, 0.45rwatts/cm2 or , greater; Class 11 0.22 watts/cm, or greater'- Craigville Beach Association, Centerville, MA :January 11, 2012, y Code Review - Table 1004.1.1 .Maximum Floor Area Allowances per Occu ant;,; 4 Main Bldg 1st Flr Space Area Max.Area/Occ, Number.Occ. E.W.Stair. E.W. Door . Lifeguard Storage Rm 109 100 K 2 Family Unisex Rm 86 100 1 Women's Room 323 T .100 4 , Members Storage 243 300 1 Janitor Supply 30 R : 300 1 Office -191 100 2 ` First Aid/Lifeguard 288 100 '3 , Men's Room 281 --100 3 _ Total 1551 17 N/A 14 Note: Each of,the new/renovated spaces have direct egress.to the exterior boardwalk through an exterior door- i i Craigville Beach Association, Centerville, MA �;'` January 11,.2012 Code Review Chapter 34— Existing Structures: 3401.1 Scope. Chapter 34 of the International Building_ Code 2009 (IBC 2009) is deleted in its entirety. The Alteration, repair, addition, and change of occupancy of existing buildings shall be controlled by the provisions of the International` Existing Building Code 2009 (IBEC 2009) and its appendices, and as modified with Massachusetts Amendments as follows 101.4 Applicability. This code shall apply to the repair, alteration, change of occupancy, addition and relocation of all existing buildings, regardless of occupancy, subject to the criteria of Sections.101.4.1 and 101.4.2. 101.4.2 Buildings previously occupied.'The.legal occupancy of any building existing on the date of the adoption of this code shall be permitted to continue without change, except as is specifically covered in this code, the,International Fire Code, or the International Property Maintenance Code or as is deemed is necessary by the code official for the general safety and welfare of the occupants k and the public. • 101.5 Compliance methods. The repair, alteration, change of occupancy, addition or relocation of all existing buildings shall comply with one of the methods listed in Sections 101.5.1 through 101.5.3,as selected by the applicant. Application of a method shall be the solebasis for assessing the compliance of work performed under a single permit unless otherwise approved by the code official. Sections 101.5.1 through 101.5.3 shall not be applied in combination with, each other.Where this code'requires consideration of the seismic-force-resisting system of an existing building subject to repair,'alteration, change of occupancy, addition or relocation of existing buildings, the seismic evaluation and design shall be based on Section.101.5.4 regardless of which compliance method.is used. t Exception: Subject to the approval of the code official, alterations complying with the laws in existence'at,the time the building or the affected portion of the building was built shall be considered in compliance with the provisions of this code unless the- building'is un.ergoing more , than a limited structural alteration as defined in Section 807.4.3. New structural members added as part of the alteration shall comply with the International Building Code.:Alterations of existing buildings in flood hazard areas shall comply with'Section 601.3. t . .101.5.0 Compliance Alternatives. Except for Structural Work, where compliance with the provisions'of the code for new construction, required by this r code, is impractical because of construction difficulties or regulatory,conflicts, compliance alternatives may be accepted by the building official.. Examples of compliance alternatives and archaic construction systems can be found at the Craigville Beach Association, Centerville, MA' +F January-11, 2012 , Code Review - FAQ link at www.mass.gov/dps. The building yofficial.may`accept'these r compliance alternatives, archaic construction systems, or others proposed. if the-' * compliance alternative involves fire protection systems the building official shall r consult with the fire official. 101.5.4.0 Investigation and Evaluation. For any'proposed'work regulated by this code and subject to subsection 107.6,of the International Building Code 2009 . with Massachusetts Amendments (780 CMR 107.6) {107.6 add resses.Controlled Construction and Registered Professional Design Services—,required) as a condition of issuance of a building permit the building owner,shall.cause the existing building (or portion thereof) to be investigated and evaluated in accordance with the provisions of this code. This-may include, but not be limited to: evaluation of design gravity loads, lateral load capacity, egress capacity;-fire ' z protection systems, fire resistive construction, interior environment, hazardous., materials, and energy conservation: The investigation and evaluation shall be.in . x sufficient detail to ascertain the effects of the proposed work on the work'area under consideration and the entire building or structure and its foundatioh'if. tF impacted by the proposed work. The results of the investigation and evaluation, ` along with any proposed compliance alternatives, shall be submitted-to the building official in written report form. " 101.5.4.1 Compliance with IBC level seismic forces. Where compliance with the seismic design provisions of the International'Building Code is required,-the, procedures shall be in accordance with one of the following ' 1. International Building Code 2009 with Massachusetts Amendments using`' 100% of the prescribed forces. For existing buildings with seismic force , . 4 resisting systems found in Table 1,01.5.4.11.0, the values of R, Qd, and Cd from this table shall be used in the analysis., For seismic force resisting, k systems not found in Table 101.5.4.1.0, the values,of R, 00, and Cd used ` for analysis in accordance with Chapter 16 of the International Building ` Code 2009 with Massachusetts Amendments, (780 CMR 16.00),shali be those specified for structural systems classified as "Ordinary" in accordance with Table 12.2-1 of ASCE 7, unless it can be demoristrated` that the structural system satisfied the proportioning and'detailing ' requirements for systems classified as "Intermediate";or"Special". 102.1 General. Where there is ka conflict between a general requirement and a, r specific requirement, the specific requirement shall be applicable. Where in,any specific case different sections of this code specify different materials, methods of construction or other requirements, themost restrictive-shall govern. 102.2 Other Laws and"Specialty.Codes. The provisions of this code shall not be deemed to nullify any provisions of1ocal, state, or federal law, or y ' regulations'pursuant to specialty codes-listed in:section 101.4 of the,lnternational . Building Code 2009 with,Massachusetts:Amendments (780 CMR.101,4) .. ,. -Via. .. ..�`'` •,- _ •. '�. - � xe"` �• I� Craigville Beach Association,.Centerville, MA - ;, January}1^1, 2012 Code Review 102.2.1 Fire Protection Systems. Notwithstanding other provisions of this code, the requirements of this section are applicable in existing buildings: In case of conflict, between regulations of,780 CMR, the more restrictive requirement applies. 102.2.1.1 Major Alterations. When existing buildings or portions thereof undergo additions or alterations, M.G.L. c.-148 § 26G (Automatic sprinkler, systems required for buildings and.structures totaling more than 7,5.00 gross square feet) may apply with respect to automatic sprinkler requirements. The requirements of this statute are enforces by the fire official., Applicability of 5 ` these requirements can be found at the Department of Fire Services web site www.mass.gov/dfs. Note: The work involved in the renovations is not a major alteration; the work area does not exceed 50% of the building area. The building area does not exceed 7,500 for the Main Building. Therefore, it does not require installation of a sprinkler system.per M.G.L..c..148 § 26G. 102.2.2 Existing Hazardous Conditions:This section shall apply-to all existing buildings 102.2.2.1 Existing Non Conforming Means of Egress. The following conditions shall be corrected in all existing buildings- 1 Less than the number of means of egress serving every space and/or story, required by Chapter,10 of the Intemational Building Code 2009 with ' Massachusetts Amendments (780 CMR 10.00); 2. Any required means of egress component which is not of sufficient width. to provide.adequate exit capacity in accordance with section 1005.1 of the Intemational Building Code 2009 with Massachusetts Amendments (780 , CMR 1005.1); 3. Any means of egress which is not so arranged as to provide safe and accordance with Chapter 10 of the Intemational Building Code-2009 with Massachusetts Amendments(780 CMR"10.00), oi'. 4. Where the occupant load,of an existing Group A-2 Nightclub use is 50 or greater, the main entrance/exit door shall be a minimum 72 inches (nominal) width. This main entrance/exit door shall consist of a pair of side-hinged swinging type.doors without a center mullion and shall be equipped with panic hardware(see Chapter 10 of the International Building Code 2009 with Massachusetts Amendments (780„CMR 1.0.00). As an'alternative, or where construction, regulations or other conditions. exist which would,preclude the installation of said main.-entrance/exit door ' and,associated exit'access, the owner shall cause the existing means of 'Craigville Beach Association, Centerville, MA'. ': T ;'January 11; 2012 Code Review _ , egress system to be evaluated by a registered'design professional. Such evaluation shall determine whether the existing means of egress is sufficient to accommodate the occupant load or whether the existing means of egress requires improvement to accommodate safely the occupant load. If the existing means of egress is insufficient to' accommodate the occupant load, such inadequate means of egress will; as a minimum, be deemed in violation of,this code. Calculation • ' ` methodologies based on alternative approaches to life safety may be utilized in order to effect said egress evaluation. If not.corrected, the building official shall cite each deficiency in writing as a violation. Said , . citation shall order the abatement of.the non conformance and:shall include such a time element as.the building official deems necessary for.' the protection of the occupants thereof, or'as otherwise provided for by statute. 301.1 Scope.The provisions of this chapter shall control the alteration; repair, addition and change of occupancy of,existing structures, including historic,a_nd . moved structures as referenced in Section 101.5.1.: . SECTION 303 ALTERATIONS ` 303.1 General. Except as provided by Section�301.2 or this section,' alterations to any building or structure shall comply with the,requirements.of the.International Building Code for new construction. Alterations shall be such that the.existing building or structure is no less conforming to the provisions of the International Building Code than the existing building or structure was prior to the alteration: -`• Exceptions: - h 1;. An existing stairway shall,,not be required to.complywith the requirements.of Section.1009 of the International Building Code where the existing space-and construction does not allow a reduction in pitch or i slope. 2. Handrails otherwise required to-comply with Section 1009.12 of the. q International Building Code shall not be required to comply with the requirements of Section1012:6 of the'Interrmational Building Code- regarding full extension of the handrails where.such extensions would be hazardous due to plan configuration. - i - 303.6 Means of egress capacity factors. -For means of egress capacity refer ' to section 102.2.2.1. s• , Chapter 4- Classification.of Work r . SECTION 401 GENERAL. r r - 401:1,Scope.`The provisions of this chapter,shall be used,in conjunction with ' ` Craigville Beach Association,Centerville; MA January 11, 2012 Code Review r Chapters 5 through 12 and shall apply to the a/teration,'repair, addition and change of occupancy of existing structures, including historic and moved structures, as referenced in Section .101.5.2. The work performed on.an existing building shall be classified in accordance with this chapter. - f 401.2 Work area. The work area, as defined in Chapter 2,'shall be identified on the construction documents. 401.3 Occupancy and use. When determining the appropriate application of the ' referenced sections of this code, the occupancy and use of a building shall be determined in accordance with Chapter 3 of the Intemational_Building Code:- SECTION 402 REPAIRS 402.1 Scope. Repairs, as defined in Chapter 2, include the patching or _ restoration or replacement of damaged materials, elements, equipment or fixtures for the purpose of maintaining such components in good or sound + ' condition with respect to existing loads or performance requirements: 402.2 Application. Repairs shall comply with the provisions of Chapter 5. , 402.3 Related work. Work on nondamaged components that is necessary for the required repair of damaged components shall be considered part of the repair and shall not be subject to the provisions of Chapter 6, 7- 8, 9.or 10. ♦ g. SECTION 403 ALTERATION-LEVEL 1 403.1 Scope. Level 1 alterations include the removal and replacement or the covering of existing materials, elements, equipment; or fixtures using new materials, elements, equipment,. or fixtures that serve the same purpose. 403.2 Application. Level 1 alterations shall comply with the provisions of . Chapter 6. < SECTION 404 ALTERATION-LEVEL:2 404.1 Scope. Level 2 alterations.include the reconfiguration of space, the addition or elimination of any door or window, the reconfiguration or extension of . any system, or the installation of,any additional equipment. , W 404.2•Application. Level 2 alterations shall comply with the provisions of Chapter 6'for Level 1 alterations as well as the provisions of Chapter 7. Y• Note: The work at the Craigville Beach Association..Building is considered a Level 2 Alteration due to the nature of the 8 renovations. The area of renovations 20% of the Craigville Beach Association, Centerville, MA -: January 11;*2012 _ F. Code Review r existing building area; and therefore'not considered a Level 3 Alteration. CHAPTER 6 -ALTERATIONS - LEVEL 1 SECTION 601 GENERAL 601.1 Scope. Level 1 alterations as described.in Section 403 shall comply with the requirements of this chapter. Level 1 alterations to historic buildings shall comply with this chapter, except as modified in Chapter 11. 601.2 Conformance. An existing building or°portion thereof shall not be altered ` such that the building becomes less 'safe than its'existing"condition. Exception: Where the current level of safety or sanitation is proposed to be r reduced, the portion altered shall conform tor the requirements of the Intemational t Building Code. , 601.3 Flood hazard areas. In flood hazard areas,,alterations that constitute - F substantial improvement shall require that the building comply with Section 1612 of the Intemational Building,Code. J SECTION 602 BUILDING ELEMENTS ANID'MATERIALS 602.1 Interior finishes. All-newly installed interior wall and ceiling'finishes shall comply with Chapter 8 of the Intemational Building Code. ' . , 602.2 Interior floor finish. New interior floor-finish,•'including new carpeting used; as an interior floor finish material, shall comply.with Section.804 of the .; Intemational Building Code;, 602.3 Interior trim. All newly installed interior trim_ materials shall comply with Section 806 of the IntemationalyBuilding;Code. - _602.4 Materials and methods. All new work shall comply with materials and methods requirements in`the Intemational Building Code,Intemational Energy. Conservation Code, Intemational Mechanical Code;and . ema Jonal Plumbing - Code, as applicable,-that specify.material standards, detail of°installation and connection,.joints; penetrations,-and continuity of any element, component, or F system in the building. SECTION 603 fIRE PROTECTION - 603.1 General.Alterations shall be done in a manner.that maintains the level of fire protection provided:_ f' tt +' ♦ . • - Craigville Beach Association,,Centerville,:MA January-11, 2012 Code Review , 603.2 Major Alterations. In addition to the. requirement in section-603 automatic sprinkler systems may be,required in buildings undergoing major renovations per 102.2.2.1. SECTION 604 MEANS OF EGRESS_ 604.1 General.Alterations shall be done,in a.manner that maintains the,level of - protection provided for the means of egress,and in accordance with section 102.2.2.1. A SECTION 605 ACCESSIBILITY - 605.1 General: Accessibility requirements shall be in accordance with-521 CMR. Elevator and platform lift.installation requirements are per 524 CMR. SECTION 607 ENERGY CONSERVATION ' 607.1 Minimum requirements. Level 1 alterations to existing buildings or structures are permitted without requiring the entire building or structure to comply with the energy requirements of the.Intemational Energy Conservation Code or International Residential Code. The-alterations shall conform;to the energy requirements of the International Eergy Conservation Code or r, International Residential Code as they relate to new construction only'+„ CHAPTER 7 -ALTERATIONS - LEVEL.2 SECTION 701 GENERAL 701.1 Scope. Level 2 alterations as described in Section 404 shall comply with the requirements of this chapter: Exception: Buildings in which`the reconfiguration is exclusively the result of compliance with the accessibility requirements of 521 MR.:° r 701:2 Alteration Level 1 compliance: In.addition to the requirements of this -" �-chapter;all work sliall'comply:with-tlie iequiieiiments of-Chapter 6` , 701.3 Compliance. All new construction elements, components, systems, and spaces shall comply with the requirements of the International Building Code. Exceptions: 1. Windows may be•added with_ ouf requiring compliance,with the light and F ventilation requirements of the International Building Code. 4 2. Newly installed electrical equipment shall comply with the requirements of Section 708. Craigville Beach Association, Centerville, MA January.11, 2012- Code Review 3. The length of dead-end corridors inYnewly•constructed'spaces shall only be required to comply with the provisions of Section 7056: 4. The minimum ceiling height of the newly created habitable and { occupiable spaces and corridors shall be 7 feet (2134 mm) SECTION 702 SPECIAL USE AND OCCUPANCY, 702.1 General.Alteration of buildings c'lassified'as-special use and occupancy as described in the International Building Code shall comply with.the requirements ' of Section 701.1 and the scoping.provisions of Chapter.1 where applicable., SECTION 703 BUILDING ELEMENTS AND MATERIALS 703.1 Scope.The requirements of this section are limited to work areas,in which y Level 2 alterations are being performed, and shall apply beyond'the work area where specified. A '703.2 Vertical openings. Existing vertical openings shall comply with the, provisions of Sections 703.2:1, 703.2.2, and 703.2.3. 703.3 Smoke barriers. Smoke barriers in Group I-2 occupancies:shall be installed where required by Sections 703.3.1 and 703.3:2. 703.4 Interior finish. The interior finish of walls and ceilings in exits and corridors in any work area shall comply with the requirements of the Intemational Building Code." Exception: Existing interior finish materials that do not comply with the interior`° . finish requirements of the Intemational Building Code shall be permitted to be treated with an approved fire-retardant coating in accordance with the ' manufacturer's instructions to;achieve:the required rating. 703.5 Guards. The requirements of Sections'703.6.1 and703.5.2 shall.apply in all work areas: SECTION 704 FIRE PROTECTION ., 704.1 Scope. The requirements`of this section shall be limited to-work'areas in " which Level-2 alterations are being performed; and where specified they shall apply throughout the floor on,which the work areas are located-or otherwise beyond the work area. . t f _ ^ 704.1.1.Corridor ratings. Where an approved automatic sprinkler system T is installedathroughout the story, the required fire-resistance rating for any 41 corridor Iodated on the.story shall be permitted to. be reduced in a accordance with the Intemational Building Code. In orderao be considered'"} Craigville Beach Association, Centerville, MA January'1,1, 2012 Code Review for a corridor rating reduction, such system shall provide coverage for the stairwell landings serving the floor and the intermediate landings immediately below. 704.1.2 Major Alterations. In addition to the requirement in section 704, the automatic sprinkler systems maybe required in buildings undergoing. _ major alterations per section 102:2.1.1. 704.4 Fire alarm and detection.An approved fire alarm system shall be installed in accordance with Sections 704.4.1 through 704.4:3. Where automatic sprinkler protection is provided in accordance,with'Section 704.2 and is connected to the building fire alarm system, automatic heat detection shall not be required. An approved automatic fire detection system shall be installed in accordance with the provisions of this code and.NFPA 72. Devices, combinations of devices, appliances, and equipment shall be approved. The automatic fire detectors shall x be smoke detectors, except_ that an approved alternative type of detector shall be installed in spaces such as boiler rooms, where products of combustion are present during normal operation in sufficient quantity to actuate a smoke,; detector. ;. Section 711 Energy Conservations 711.1 Minimum Requirements. Level 2 alterations to existing buildings or structures are permitted without requiring the entire building or structure to comply with the energy requirements of the International Energy Conservation - Code or International Residential Code. The"alterations.shall conform to the energy requirements of the International Energy Conservation Code or' International Residential Code as they relate to new,construction only. Note: The building is not a conditioned building. It is unheated, and is not air conditioned. Ventilation has been provided per code in areas required. xs" ♦ Craigville Beach Association, Centerville, NIA January 11, 2012 F Code Review ti , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .y Map ?-g Parcel- Application # �` Health Division 62 S. -�' Date Issued 3 tft Conservation Division Gv1 `- s l 11 ',.Application Fee Planning Dept: Permit Fee Date Definitive Plan Approved by Planning Board C Historic - OKH _ Preservation/ Hyannis Project Street Address C4 2 2 IWI &_Q V. �2� Village av Owner r Address Ropu2it�lJe. ( Ct31 Telephone Permit Request 70 /ell i�*x_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total'new-r Zoning District Flood Plain Groundwater Overlay Project Valuation ODD Construction Type {� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family'. .❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: A existing —new Total Room Count (not including baths):.existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �f �•�UGe�G� Telephone Number 7_7 - 78 Address ?Tdr!�a I-alie— License # O.an+aro',IL miq eA(ozg� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i DATE 4)J I i S' z FOR OFFICIAL USE ONLY 4" APPLICATION# ri I# DATE ISSUED x MAP/PARCEL NO. s ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION a FRAME FIREPLACE ELECTRICAL: ROUGH FINAL — ;.f PLUMBING: ROUGH FINAL rj GAS: ROUGH 't FINAL .5,FINAL B.UILDINGri.- 'b s J ` F DATE CLOSED OUT - ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts t Department of Industrial Accidents ffi 4. Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 4 City/State/Zip:�/�J �.`,�f��p Phone#: �O�'�7� ✓ 3 �� 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 ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. i ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for.me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. 0 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 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs. insurance required.] t employees. [No workers' 13.0 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 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. 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 a 152 can lead to the imposition of criminal penalties of a fine up to$1,560.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ifj nder th pains d penalties of perjury that the information provided above is true and correct Si ature: Date: ' 4. Phone#: ���` _ 36 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 21 Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Town of Barnstable Regulatory Services Thomas F.Geiler,Director �`rfn J6 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 s Property Owner Must Complete and Sign This Section If Using A Builder alM t°.S 6eo CC&4 as 0,wner of the subject ro e J P p rty hereby authorize 4,12. A rOvI4 to act on my behalf, in all matters relative to work authorized by this.building permit application for , Cray VI (Addre s of Job) Signature of Owner Date Gov�s C� LO Priat Narm If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. L �-� Ab 9/lf)' G- q, � Oa,*-O,r Ae- as f -v -. Lo D r _ �, 52 arrhxon ` rs&Business Regulation G office of Consumer Aff s►1 CONTMCTOR R SEMEN g MP I E� HOM r# 27 1924 Registration 55149�.. 2 T Exp�rati „ Type i I ALBERT ROY Ba � i •. ALBERT BROWt�h• — 34 F{pRpT10 LANE —= Undersecretary . CENTERVILLE,MA j - . v License or f. before t registration.valid I Office of a e rpiration date. for I dividul;use i i 10,park P°nsuMer Affairs If found retu ft,t0 pniy Rosto laze Suite g . andIBusiuess' ' n,11TA 0 176 Regulatio 21'16 n . I i Not va id,w h0u j -� ) signature I . -' Massachusetts-Del)artment of Puhlic Safer Board of Buildin,, Reagulations and Standards Construction Supervisor License License: CS 65525 Restricted to: 00 ah, ALBERT R BROWN, r•.34 HORATIO LN . W CENTERVILLE, MA 02632 Expiration:. 2/12/2012 Giemmissfuner Tr#: 14881 U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Z5 Parcel Application # 061013Q6 Health Division r� Q f Date Issued 3 1,-)_4 t i k Conservation Division '� 6 Application Fee Planning Dept. 61. t�" Permit Fee Date Definitive Plan Approved by Planning Board �. Historic - OKH kfx _ Preservation/Hyannis P7 ' Project Street Address Village Z 07 k1l ae Owner Address Telephone Permit Request LutC-� ' n/ c � B� �✓�T/ S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation QOv Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove;:) ❑Y�e-'s ❑ No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: J:existing ❑!.newer.=....size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: .3 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# J Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Numbers Address-LIT License # S CQ�1 (o.Q lyr Ap_ Home Improvement Contractor# 4 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOP-�'L 0 SIGNATURE DATE s Y FOR OFFICIAL USE ONLY APPLICATION# r . DATE ISSUED ti MAP/PARCEL NO. i x ADDRESS VILLAGE ?t OWNER 'r DATE OF INSPECTION: S • FOUNDATION a _ r` FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t , DATE CLOSED,OUT ` ASSOCIATION PLAN NO. , r r. 1 f The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations a fit '600 Washington Street "l Boston, MA "02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (B usi ness/Organ izati on/l n div i dual):_ Address: 24 u ' ( t 0 City/State/Zip� Ls2- V i C' Phone #: °� ?� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet. $ ? ❑Remodeling x ship and have no employees These sub-contractors have 8. Demolition working for"me in any capacity. workers' comp,. insurance. 9. 0 Building addition [No workers' comp, insurance 5. El We are a corporation and its . officers have exercised their 10,0 Electrical repairs or additions required.] , 3.❑ I am a homeowner doing all work, right of exemption per MGL; I I.❑ 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' 13.0 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 subcontractors 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 Dater 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$1,560.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification.. - I do hereby certi y er the ains d penalties of perjury"that the information provided above is true and correct Si attire: 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): r 1. Board of Health 2: Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Y r w zHErati Town of Barnstable Regulatory Services l t aAxxsrABLF y MAB9. Thomas F.Geiler,Director Ei6yq. Building-Diyision Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.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 hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Ad s-of Job) ) Y-A, Signature Df Owner 'Tames . l Print Name If Property Owner is applying for permit pleas e complete.the Homeowners License.Exemption Form.on.the reverse side. O:FORMS:O WNERPERM1,"16V Hof srte ray Town of Barnstable o Regulatory Services Thomas F. Geiler,Director 16, Building Division Tom Perry,Building Commissioner 200 Maui.Street, Hyannis, MA 02601 Rrww.t o wn.b arnsta b l e.ma.us Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number Vstreet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS:- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more.than one home in a two-year period shall not be considered a homeowner. Such "hameowner"shall submif"fo the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department mi1=urn insptsC n procedures and requirements and that he/she will comply with said procedures and quirements. offs/ Signature of omeowncr 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 p=Tnit is required shall be exempt from the provisions of this section.(Section ID9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homcowncrs 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 bften results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The horimcowner 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 thathdshe understands the responsibilities of a Superyisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your corrununity. Q:forms:homccxcmpt A License or registration valid for indivdul use only before the expiration date. Y Office of Consu 1f found return y - 10 Par mer Affairs and to: k.Plaza-Suite 5170 Business.Regulation Boston,MA 02116 Not va id w-hout si gnature Ofli�� e of Consumer HOME IIVIPR VE Affairs&Business Re Reg►stratio ,. MENTCONT►�q O gula4ron - __��1.65149 CT R Exprratro� tt 1 TYpe 8/20i2 1 ALBERT ROY g�� v �3'; T` rr# 192427 i Al6ERT ROW-',,, � ' It 34 HORATIO'LAfS � 11 CENTERVILLE,Mq�02 � ^ z Undersecr ' eta - ry � X:- Mas x" s.Cc hri� _ ttts - Boa Dcp,rr•tmcnt ol•Publ r d of Bui is S,rfct Id ,f Co 1°� Rc�ulat►ons and Construct* Su Standards License: cs Pervisor License 65525 Restricted to: 00 ALBERT R BROWN 34 HORATIO LN CENTERVILLE, MA 02632 s= ('ummissiuner Expiration; 2/12/2012 Tr#: '14881 t I I f I I II 1 I i I ► f I� 10 i TT Li IFF ! '72 _Tf I u� Z i ._ � . I_ I I � I I i ► � ^^IIi}} I I t -i(t_ r -11IF 1 I I , ►_-71 ; _ ► ; _ 1 _ i ( �� { - , I i+ I 1 i i �-- I , { •- -i--# ..-F---+—-{ z --I-�- � � f --1---�f'—= i f'--z-- I 1 ' I TT E__�-t ��-` - �'_t � , F I--'�--! i i I j--��--[ E-•T-TF'T--T-�-I f I Imo,- I��; +� 1. f I r + t , I � i , � I ! , ( 1 • I --G --I--^ -'--'+---+--t _"'—..I—�—`-�-+_.-t—r---r � --i --+- --+--i---�---r—+--«--"-^-� 1 ---j-----•,--�- a 1 � r --T -� F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_, Map Parcel,- � ' / ",'Application # Health Division S Date Issued Conservation Division�� Application Fee Planning:Dept. l r. 'Permit Fee' `'�(Y Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address `1��� �2!9 ky e—LB' Village 6/lLL7r Owner le-4&- SSmL Address Telephone 2—w S - Permit Request C e- 2 &44 G J1C d� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: L]Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :,0 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing 1 new.::- Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor FNom Co6flt C � Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other - Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal store: LX=Yes ❑ No Detached garage: ❑ existing Ll new size—Pool: ❑existing ❑ new size _ Barn: ❑ xisting ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan=review#- --- Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 30C q Telephone Numbed Address 1 3 �'^��`� °' License # 6 S 60521 L e f to: f Ic 0) 3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE ^' DATE ,4f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER P s } DATE OF INSPECTION: -} FOUNDATION ' FRAME INSULATION FIREPLACE ` ELECTRICAL: • ROUGH J—FINAL PLUMBING:, ROUGH FINAL L GAS: ROUGH FINAL t t FINAL BUILDING 7 ' v o ' DATE CLOSED OUT - ASSOCIATION PLAN NO. I - i ..i The Commonwealth oflMlassachusetts " Department oflndustrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 sY °�. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please.Print Legibly Name(Business/Organization/Individual): 1�3 0c, o v✓C 0 440M C Address: J 3 City/State/Zip: /Je �. 09 phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I�Fd6. ❑New construction ployees(full and/or part-.time)'.* have hired the sub-contractors .2.RI am a sole proprietor or partner-' listed on the attached sheet. T. �, emodeling ship and have no employees These sub-contractors have 8. '❑ Demolition workingfor me in an capacity. employees and have workers' y p t3'• � 9. ❑Building addition [No workers'"comp. insurance comp. insurance. 10. Electrical re airs 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.❑Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 may be forwarded to the"Office of Investigations of the DIA for insurance coverage verification. I do hereby Bert unde he pain nd penalties of perjury that the'information provided apofe is true and correct Signature: 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#: r 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for 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-con6actor(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 maybe 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 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617427-7749 Revised 11-22-06 www.mass.gov/dia � Toti Town of Barnstable Regulatory Services • SARNSTABM NAM Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, !J/LC=t j—e7ZGl.�5�7r1 , as Owner of the subject.property hereby authorize �� �� UJ"l�,°r--�� to act on m behalf, y y in all matters relative to work authorized by this building permit application for: -9/ss x al C,Zz- AW*4 (Addriss of Job) sue - 4 16!7 Signature of Owder Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable ti��yo,va THE Tp�y� Regulatory Services RAR,ST" Thomas F. Geiler,Director MASS. 059. .`0g A Building Division Tom Perry,Building Commissioner 200 Mairi.Street,__Hyannis,MA„0.2601 Rlvw.to wn.b arnsta b l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village 11140MEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not ossess a license provided that the owner acts as P . . � supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department minimum 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 parson(s)for hire to do such wofk,that such Homeowner shall act as supervisor." Many homeowners who use this exemption an 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 awa=ess bften results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homcowncr certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a fom✓ccrtification for use in your community. Q:forms:homeexempt eo f ts's'lcht' , • �I ��c/ •se tts. • Co e4i Oc Re, 4 icestr'`ted 4se• cs rvct/hn�� o fp 0SFAtiS4per�,so ,yn/ CF�T C/<�FR AO�� 4'�en et`'"Ut a 1 R� O Z <<F Mq 02 63 FxAirat_ _ . T J j sV?0>> • 4>> vs ©rsdC,in - een c. 4, i r. �IQ? ry q)(4 .zx 63/K. I s T/ D4T7nig'-� - _ JOSEPH Djr—,Q, Luz TELEPHONES 775.1120 &ild4g'Commis ontr EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE, BUILDING HYANNIS, MASS. 02601 July 28, 1982 Mr. Wesley Schrum Christian-Camp-Meeting-Association Beach �•915 Craigville Beach Road- Centerville, -_MA-------02632 Dear Mr. Schrum: , Thank you for your time in discussing a recent complaint concerning the snack bar at the Craigville Beach Association, I.realize that C.B.A. has been in existence since. 1944 and that- it is a private club.. A limited food concession has been provided for. the members. It now appears that this service has been expanded- to- serve the, public _with access. from the street. Originally the only access to the snack bar was from the beach. It is my opinion that-the non-conforming status has been expanded. The economic factor, although very .real today, does not permit such expansion with respect to zoning. If you would like to continue this expanded use for another season I suggest that you file with the Board of Appeals for permission to expand- an existing non-conforming use. This office will not approve the expanded use for another season without the approval of the Board of Appeals. The Board.of Appeals office is in the .Town Office Building and should you have any further questions please contact this . office. Peace, do7eph D. Luz Building Commissioner JDD/gr cc: Board of Appeals Planning Board I i TNE TOXIN OF BARNSTABLE Z BAIMIT = b 9 .� PLANNING BOARD Ito MpT►• July 19, 1982 Mr. Joseph D. DaLuz Building Commissioner Town of Barnstable 367 Main Street Hyannis, Mass. 02601 Dear Joe: Members of the Planning Board have recently noted what appears to be the opening to the public of the Craigville Beach Association snack bar. It is our understanding that the snack bar operated by the Craigville Beach Association is solely for the use of its members and guests, not the general public. As such, the Planning Board voted, at its meeting of July .12, to request a letter be sent to you asking you to investigate the situation and render an opinion as to whether the use of the snack bar is in with the allowed uses of the zoning district in which the Craigville Beach Association is located. We would appreciate hearing from you at your earliest con- vanience. Sincerely yours, Qq + Robert G. Brown, Chairman Barnstable- Planning Board RGB:bl • I HA839TA8L = TOWN OF BARNSTABLE Z . PLANNING BOARD August 3, 1982 Mr. Joseph J. DaLuz Building Commissioner Town of Barnstable 367 Main Street Hyannis, Mass. 02601 Re: Craigville Beach Association Snack Bar Craigville Beach Dear Joe: The Planning Board is in, receipt .of your letter of July 28, 1982, regarding the above. In your letter you state that in your opinion, this is a change of a non-conforming use.. This is in direct violation of Section G-B of the Town Zoning By-laws, which states "Any change of a non-conforming use, shall be allowed only by special permit of the Board of Appeals." Under no circumstances should the use be allowed to continue even through this season, as indicated in your letter. An order to cease and desist should be issued immediately. Very sincerely, Robert G. Brown, Chairman Barnstable Planning Board RGB:bl cc: Town Counsel Board of Selectmen Board of Appeals S- Map Parcel 4d/ ermit# S . Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) 5 F ' Vate Issued 3 9 Board of Health 3rd floor 8:15 -9:30/1:00-4:45 y®—�y -� / Fee �7 a ` eD C �..� Engineering Dept. (3rd floor) House# J 4ED c SEPTIINSTALMCE 19 TOWN OF BARNSTAB TT REGULATIONS N® f s Building Permit Applic.ti c Project Street Address Village (2e ` ?C Owner 'W Address Telephone x Permit Request Q.� 'First Floor square feet Second Floor square feet Estimated Project Cost $ 12 �) Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial ii= Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms y Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces a Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information ; __<ame � ( ui vl..y_� Telephone Number Address License# Home Improvement Contractor# °Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4,vd fic SIGNATURE DATE _ /,y BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY +. ? - PERMIT NO. + DkE ISSUED MiP/PARCEL-NO. '= + I ADDRESS _ VILLAGE OWNER . ` � ( { i � , ' •- - III DATE OF INSPECTION: w FOUNDATION + P FRAME' r ` INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL e5 ri PLUMBING:, M,01 UGH FINAL GAS: igqui,., •: FINAL FINAL BUILDING} i ` /• y 4 Gal � MrA - ' ! P } ! { 1 DATE CLOSED OUT ASSOCIATION PLAN O. ART/N /LLWORK t � Cis', - r^�� Qdality Building Products Since 191-7 ; r o Wp( - O - (1)uauty- w,"°" 983 PAGE BLVD. 'SPRINGFIELD, MASS. dersen .i . 4. el2/-1! ' U LL Z ��C4 e 4� DATE: JOB: P'I V K C Tt02 O 00 t s f. z } I I S { } S _ 4 {{ w; - ANDEI�S @ PiRMA-SolE,,DO WINDOWS.&PATIO SDOORSIFOR COMMERCIAL&INST: TIONAL YSE , The Coninionwealt/t of Massachusetts _�.tyj, Department of Industrial Accidents a exceOfIRY IZI/oos 600 H itshitrrton Street' .� Boston,Alas. 0 111 Workers' Compensation Insurance.Aflidavit Applicant mtormatiom-••-. "• _ _ _� Plestse PRiIVT'le i�ly�,,,;__,� ��"�; - c./ 1-7 0 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity x 1 am an emplover providing workers' compensation for my employees working on this job. come name- address: -- city: phone#• insur•tnce co �licL# ,, ,.... r.. ..,'w,,... .... �. •far.r,......i,N�•r+�R<{!JQ^ �'!� _ -e,�•, _ -•±e..,._ -- ---'w - ._�'.o,:.. 1 am a sole proprietor, general contractor,or homeowner(circle one)andhave hired the contractors listed below who have the following workers' compensation polices: company n•tne• address: cih.. phone#: - tnsurnnce copolicy# I.�r s.�._ _�-_ -•" _:_ „cn'✓-�t�:.'.ayes-�•;..�„rn,,,,f,.,,�;se;p+�. t•�;�.s,�o�a�F�^��4TM_�-: _� _ '""}•-r c6mpam•name: address: City: phone#• insur•tnce co nolicv# - :Afiach additional'sheet if neets-sa �7.: r ;; "'ar�:��:• :•* •• I Failure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. J do erehr certify under the pains mid penalties of peduq•that the information pmrided above is true and correct Date St_naturc � �J , Print �name I fp P-?-IJ /Phone# 27 official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Dcparteient Licensing Board,: check if immediate response is required ❑selectmen's Office Dlicaath Department contact person• phone#; nOther M.n��+w�-.•err-..-•-w.�� (remed 3,95 PJA) 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 emplm�ee is defined as every person in the service of another under any P . contract of hire, express or implied, oral or written. An entphtyer is defined as an individual• partnership, association. corporation or other legal entity, or am,two or more of the fore=oin 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 1.52 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 commom+•calth for any applicant who has not produced acceptable evidence of compliance with the in 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. .awl„r..�Y,+..�..�Rw......._..�•+.�n •�'.,�. •Yl_.{.may y '' '' ��i.{Ar �R':s n�•.t,'�..w-�. , ;,-�;'.u:•� f.Si:. a .{Ya.:r•'�' .O' li ,ti:ia `.: � �. :ni.!+`;l. .�,� (` - _ {`•. '��� '.\T• .... -. :>� •.,r• tic,. y.7:, a:...:= .a. .. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names. address and phone numbers 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 for regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. �...w�•sw+� +U►7"77 .n.. ,r.,,,.7•ew r�77 .,3::! 5 - '!Tl {1� r. N It'`,rl.'.Sai'!fS�li: .S•�+'e!' y+!.71Y, .«it. ♦ .. .. 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 partment by mail or FAX unless other arrangements have been made. Tlie Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 y Property Location: 915 CRAIGVILLE BEACH ROAD MAP ID: 225/001/// Vision ID: 15536 Other ID: Bldg#: 1 Card 1 of 1 Print Date:06/20/2000 OWPIVURK ,# , �• s! 07 .. Description Code Appraised value Assessed Value 15 CRAIGVILLE BEACH RD COMMERC. 3830 34,600 34,600 801 ENTERVILLE,MA 02632 E DATA-Barnstable, z 4AL VA1 ccoun an e. ax Dist. 300 Land Ct# er.Prop. #sR VISION Life Estate DL 1 Notes: DL 2 GIS ID: o ayn4,5uu 954,8011 v .. r' r. Codel :4ssessedValue Yr. Code Assessed Value fr. o e ssesse a ue > > 200 2000 3830 34,6001999 3830 34,6001998 3830 34,600 Total. ota: Total. " This signature a-cenowledges a visit Ya ata Collector or Assessor Year ype eserip ton mount code Description Num er Amount Comm. nt. Appraised Bldg.Value(Card) 34,600 Appraised XF(B)Value(Bldg) . 0 Appraised OB(L)Value(Bldg) 0 °° Appraised a 1� �� App ised Land Value(Bldg) 920,200 •: .Y 4 Special Land Value Total Appraised Card Value 954,800 Total Appraised Parcel Value 954,800 Valuation Method: Cost/Market Valuation NetTotal AppraisedParcel Value 954,800 :. y h. € Permit Issue Date lype Description Amount Insp.Date o Como ate omp. Comments Date urpose esu t w: use Code Description ZoneFrontage Depth Units Unit Price L Pdclor S.I. C.Pactor Nbhd. Adj. Notes- 13peclia ricing A dj. Unit rice Land Value o es: 1 3830 BEACHES RC 3 0.45 AC 32,200.00 1.00 E 1.00 35WA 4.50 PCL(.45,U31)Notes:31 3RES 144,900.00 65,200 o tal Caraan rats arce o a an rea: 2.45 ACI920,200 Property Location: 915 CRAIGVILLE BEACH ROAD MAP ID: 225/001/// Vision ID:15536 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 06/20/2000 ement Ca. Ch. Description commercia ata \ emen s Style/ ype 77 Clubs/Lodges Alement Cd. Ch. Description Model 94 Commercial Heat Grade OD Below Avg Frame Type 2 WOOD FRAME Stories 1 1 Story Baths/Plumbing 2 AVERAGE ccupancy 00Ceiling/Wall 0 NONE ooms/Prtns 2 AVERAGE Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height 10 Roof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp UBIL't HOME �, Interior Wall 1 1 Minimum ZLlement Code Description tdctor Interior Floor I 2 inimum/Plywd omp ex 2 Floor Adj Unit Location eating Fuel 1 one eating Type 1 None Number of Units C Type 1 None Number of Levels /o Ownership edrooms 0 Zero Bedrooms athrooms Zero Bathrms 0 0 Full Unadj.Base Kate 45.00 otal Rooms 1 1 Room Size Adj.Factor 0.92975 Grade(Q)Index 0.48 Bath Type Adj.Base Rate 20.08 Kitchen Style Bldg.Value New 104,878 Year Built 1930 ff.Year Built 1955 rml Physcl Dep 42 uncnl Obslnc con Obslnc 25 pecl.Cond.Code pecl Cond% Code Description Nr,e,taEe verall%Cond. 33 luu eprec.Bldg Value 34,600 o e Description Llff Units Unit Price Yr. Dp ., t VoCnd Apr. Value Go de Description LiVingArea Ciross Area Eff Area Unit Cost undeprec. value Fi—REFFoor 93,051 WDK Wood Deck 0 5,886 589 2.01 11,827 t. ross iv ease Area g a; IU4,878 ' r s RESIDENTIAL PROPERTY ,MAP NO. LOT NO:, & 86 Cranberry Lane `: t FIRE DISTRICT SUMMARY ' STREET ' i 910 Craigville Beach Rd. " Craigvi.l.le LAND [�p.� 226. . 182 C-0 7 BLDGS. yC7O OWNER TOTAL LAND RECORD OF TRANSFER DATE` BK PG I.R.S. REMARKS: ! Lots 11/12 BLDGS. — 0� ;Christian Ca= Meeting Association 212 48 `' ^ TOTAL � pp [AND r A L 0I BLDGS. /R t r .TOTAL s LAND sl # BLDGS. TOTAL r a LAND - i O) BLDGS f TOTAL LAND t f. 3 I . BLDGS. f r TOTAL F LAND BLDGS. Ol ^ TOTAL LAN D INTERIOR INSPECTED: BLDGS. _._ • ^ TOTAL_' DATE: LAND ACREAGE COMPUTATIONS al BLDGS. LAND TYPE # OF ACRES !'PRICE TOTAL DEPR. VALUE TOTAL LAND .EARED FRONT _ ZS 3 30 O BLDGS. REAR TOTAL 'OODS&SPROUT FRONT a v LAND REAR � BLDGS. ASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS ^ TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND (0 ROUGH TOWN WATER � BLDGS. HIGH GRAVEL RD. ^ TOTAL LOW DIRT RD. LAND __ SWAMPY NO RD. rn BLDGS, FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST Walls Fin. Bsmt.Area Bath Room Base BLDG. COST Vik.Walls Bsmt.Rec.Room St. Shower Bath Bsmt. PORCH. DATE Slab BUM.Garage i" St.Shower Est. ••l Walls _ � PORCH.PRICE. .. Walls Attic FI. &Stairs Toilet Room Roof RENT Wells Fin.Attie Two Fist.Bath Floors INTERIOR FINISH Lavatory Extra F 1' 2 3 Sink % r/r Plaster Water Clo. Extra Attie t •TERIOR WALLS Knotty Pine Water Only e Siding Plywood No Plumbing Bsmt.Fin. Siding Plasterboard Int.Fin. Shingles TILING Blk. G F P Bath FI. Heat r A.On Int.Layout I V I Bath Fl.&Wains. Auto Ht.Unit {' i Veneer Int.Cond. Bath FI.&Walls Fireplace Brk.On HEATING Toilet Rm.FI. r Plumbing ;. i It } Com.Brk. Hot Air ° f I Toilet Rm.FI.&Wains: x I Tiling 3; it r . Steam ' ., : Toilet Rm.FI.&Wella t l t et ins Hot Water ` f St.Shower.` ` Total no. Air Cond. Tub Area i Floor Fur Xlil ROOFING _ tr COMPUTATIONS �.. l. �ti ll' �� •1 ! "• t 1 t .: i p �� ji�� Shingle Pipeless Furn. . S.F. w }! 1 q • l I= i i t .S.F .. No Heat F. Shingle Shingle' Oil Burner S.F.' ' „` Yl-� i�• I � 1. ! i{ � } 1 rl: !' t t �- r i �}F� i try. Coal Stoker, S•F. i , Gas S.F. OUTBUILDINGS ROOF TYPE Electric Flat S.F. , 1 2 3 4 5 67 B 9 10 1 2 3141516 7 8 9 10 ,MEASURED Mansard FIREPLACES S.F. Pier Found. Floor rel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing LIGHTING Dble.Sdg. Shingle Roof No Elect. DATE Shingle Walls Plumbing ood ROOMS Cement Blk. Electric Tile Bsmt. 1st TOTAL Brick Int. Finish PRICED a 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. G. i t TOTAL COMMERCIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 915 Craigville Beach Rd. Centerville SUMMARY r LAND 225 y 1 C_O �� BLDGS. S7 /DO OWNER TOTAL ?S3 `/OD LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: - BLDGS. Christian Camp Meeting Assoc. B Beach house TOTAL LAND 2 ac BLDGS. (y'9 Tay 1 ';uo� h'►IQ.. Vp fi.E'ii/Oc.�TN /�rJ.` i��`� TOTAL LAND 01 BLDGS. TOTAL _,�J� LAND J/ -• BLDGS. TOTAL i LAND Iti l ;i 1 BLDGS. TOTAL LAND BLDGS. TOTAL LAND '?INTERIOR INSPECTED: BLDGS. TOTAL DATE: HLANDACREAGE COMPUTATIONS LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE HOUSE LOT LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL PEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL LRICK ETE WALLS LATH & PLASIER BATH RM. R. & WAINS. S. F. T BILK. WALLS COMPO. BOARD TOILET RM. FL. & WAINS. S. F. ° WALLS ACOUSTICAL BATH ROOM FLR S. F. WALLS / TOILET ROOM FLR: S. F. INTERIOR FINISH S..F. BASEMENT AREA LATH & PLASTER MISCELLANEOUS S. F. 3/, I FULL DRYWALL FIREPROOF CONSTR. S. F. EXTERIOR WALLS WALLBOARD MILL CONSTRUCTION S. F. OLID COM. BRICK UNFIN. INT. FIRE RESISTING OM. BR. ON C. B. STEEL FRAME ACE BR. ON COM. BR. PARTITIONS STEEL BEAMS & COLS. ACE BR. ON C. B. LATH AND PLASTER TIMBER BEAMS & COLS. ACE BR. VEN. DRYWALL STEEL TRUSSES EMENA�CINDER BLK BRICK EIN. C. BILK. SPRINKLER SYST. UT STONE FACING B PASSENGER ELEV. �TOE OR T. C. TRIM HEATING FREIGHT ELEV. CO ON STEAM INCINERATOR MW OR SHINGLE HOT WATER FIREPLACES ARTY WALLS HOT AIR CHIMNEYS LATE GLASS FRONT GAS OIL BURNER STEEL FRAME SASH ROOFING COAL STOKER WOOD FRAME SASH e REPLACEMENT VALUE IOMPOSITION OR T. & G. NO HEATING ` RENTAL CAPITALIZATION LOCATION METAL AIR COND.-REFRIG. LAND GOOD FAIR POOR WOOD DECK svd� AIR COND.—WATER VACANCY 'LISTER DATE AETAL DECK HEATING WIRING WATER FLOORS FLEXLUME OR EQUAL / ELECTRICITY OCCUPANCY DETAIL & INCOME B 1ST 2N 3RD PIPE CONDUIT JANITOR ;ONCRETE MANAGEMENT ARTH PLUMBING !INE BATH ROOMS TOTAL FLAT EXPENSES IARDWOOD TOILET ROOMS Z. INGLE FL. WATER CLOSET EXTRA GROSS ANNUAL INCOME 1SPH. TILE LAVATORY EXTRA LESS FLAT EXPENSES TERRAZZO SINK EXTRA BALANCE FOR CAP. VOOD JOIST URINALS / CAP. RATE ;TEEL JOIST NO PLUMBING REFLECTED CAP. VALUE - MIN. CONC. OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOO. CONO. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. 9 F yr5'r /rt � s ' 7 `J•' Jre�'•10 3� 3c:5 l 3 rjc� _ L95' SO TOTAL 1 =s Y.; PRUPERI Y STREET CAR® z r r 'z L LOCATION MAP BLOCK PARCEL .oll, NO. OF CDS CD FOLLOWS OWNER OF RECORD OWNER OF RECORD /5 rUi BUILDING 'DIAGRAM 7 '•isme • : ,• • • • �,., • ` t �pf.�/'f�•�.�5� • • • • • i • f��dC/SE ' /JFG/L� • •�• ��6L'.t:• `"Q-z`--rsc+=—aiC�L • .11-6/ au : • : . _ �r9TN �/;SLS/ fit 3G" : • . �!S GLo zL is 2y hell, Zw• • • Arr46/¢ • • • S�i Is 36 S / /7S G ke.. 8 n is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNITED APPRAISAL CO., EAST HARTFORD. CONN ,W k: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION N Map o�'S Parcel O:�, Permit# L�✓ Health Division _ �TJABLE. Date Issued"A OCT Conservation Division f t 2: j Application Fee Tax Collector Permit Fee Treasurer, z `Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Addr Village Owner '�//�%�� �� Address �St�/ � I,, Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type r Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new - Total Room Count(not including baths):existing _ new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �� /z»�i� e� �� Telephone Number �© Address �3s� r��� { r,�/1, / ?i7. License# %/1 6 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE o DATE «' FOR OFFICIAL USE ONLY `s PERMIT NO. a DATE ISSUED ' I � MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 F GAS: ROUGH ,, ;FINAL FINAL BUILDING 4 DATE CLOSED'OUT fr ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial,Accidents Wes OMMY09M - 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit-General Busineises Ell Own POP address /�A o c3 state: f= 2an' �v ' yhone# e i ` work site location full address: ' am a sole pro prietor and have no one Business Type: RestaurantBarBating Establishment working e any capacity. ❑Once[] Sales(including Real Estate,Autos etc,) I am an em loyer with ein to ees full& art time. ❑Other O/f/M/M /ees worlds on thusjob. / / I am an employer providing workers' compensation for my emp y g . }•.- ''•' comp V • - ••:,..- ,�.•:,, :..• •• hone#• •' , fnstiiance.cb:•:'.;: c'.. : ;.. .. .%'//. :FRI..11P ///// / th �] I am a sole proprietor and have hired e independent contractois listed below who have the following workers' compensation polices: coiaran name: <. aaaress: '�'' ••�' city:. ;..r,..., . t: olicv:# a: insurance co. WIN nddressi i: one# cily � - M' :,. :.• fristirencP no.: r'• //� % % ////•/ O_ /•. .// Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal of a fine up to S1,500.00 and/or one years'imprisonment as well w civil penalties in the form of a STOP WORK ORDER and a fine of 510Q.00 a day against me: I nnderatand.that P copy of thiZli2temenl forward th ffic Invr�tigations of the DlAfor coverage verification. I do herehe , nd pe irect es 0f perJury that the information provided above is true and�r Date /r6 Signature Phone# Print namg. e _ !official use only do not write in this area to be completed by city or town official permit/lfcense# ❑Building Department city or town; ❑Licensing Board ❑Selectmen's Office ❑check if immediate response is required ❑$ealthDepartment , G: phone#; ❑Other contact person: (revised SepL 2003) l_ r , Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers'compensation for their As quoted from the"law", an employee isdefined as every pe rson in the service of another under any contract employees q 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 ' , association or other legal entity, employing employees. However the owner of a trustee of an individual, partnership 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 on 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. NVE ME MM, 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•"lave'or if you are required to obtain a workers' compensation policy,please call the Department at the number Estedbelow. City or Towns e Please be sure.that the affidavit is complete and printed legibly. The Department bas 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.maybe 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. 1/001 The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents WIN of IMS11gaugns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 v �,► ,�,ti Town of Barnstable Regulatory Services snxiv ASIX. Thomas F.Geller,Director Muss. 9`b'°re039.,p � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable..ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 1 m`� T T�`� i to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) 7L M' I� C� Sign a of Owne Date Print Name 6 RPERMISSION Q:FORMS:OWNE YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 1 3 of of Fill in please: r APPLICANT'S YOUR NAME: 8WVsrh4,VC#Mj' A11E- T/1l/��¢5 BUSINESS YO HOME ADDRESS: 34 �s/� - SbB 77.i•/�roS «v� 2 " TELEPHONE # Home Telephone Number -7-7 S—i a-CoV EW B x ,..s,.^ rN S.x,5 ' :n,... _ ✓.. � .. l`_ .—;- ,. R 8 A...;'e';.. e. ...a,.. ,...... . ,... l� ® � l�,Y.�•.... .. ?.:. �..u. .�ffr,2.",:a f`=4''•. �{>QS,'., a .. .,;IS A HOM , .� .i.,,.. rv� _, r. ."SYiAY.. ^' .?... p } ;;'"0..,. T..... n 1.' ... '.i 'S^5 .wL 1 .*. , v. H .Y;: 'V ..'Q^.•- Y"w., S.. x, r.,.=r,„..a :. f ,«, a�.. Haig .„ r .,... rt.. . _ e ounbn� ire E . ,r3. .R-. •: . g.,� n a � r'oual�fi�o�n , - a�ePp ADD.RES � TOM t _... ..._ m_ �. 1F�R ► �.NU MBa �� d '� When starting a new business there are several thins you must do inorder to be in compliance with the rules and regulations of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main-St. corner of Yar Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business inthis town. mouth 1. BUILDING COMMISSIONER'S OFFICE This individual has be inf rmed of a ermit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been ' .orme of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS PCENSING AUTHORITY) This individual ha n info -of the c g r uirements that pertain to this type of business. Authorized Signature COMMENTS: �,`., 200 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map Parcek 60 t Applicatioh # b5 Health`Division F;. Date Issued � Conservation,Division Application Fee Planning Dept. Permit Fee r Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis U C c5roject=Street Addre-s 0 &JA Village�' v Owner l Address J —Permit-Request mit-Reque�st — e Square feet: 1 st floor: existing proposed 2nd.floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project-Valuation��° 6,!!�6- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Co Ant Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: U Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existingl❑ riew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 07 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE D , ATE r � c t FOR OFFICIAL USE ONLY s APPLICATION# DATE ISSUED t - MAP/PARCEL NO. t • I ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL g FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. j The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,M-4 02111' wtvw.mass.gov/dia ' Workers Compensation lnsurance kffidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I,.ecFihh Name(Business/Organization/Individual): O(AD�1J� �'�A� •Address: 3 � 1�sr;��i� � rJ� . . . t City/State/Zip: yl. 3 honeA `JZ�"7 7( ` 3 -� - _ ky Are you an employer? Check the appropriate bog: :Type of pioject(required):. 1.❑ I am a employer with 4. [] I am a general contractor and I 6. ❑New construction . 3pavloyees (full and/or part-time),* • have hiredthe ached 2. I am a'sole proprietor or partner- listed on the'attached sheet 7. Remodeling ship andhave no employees These sub-contractors have g, Demolition working for me in any capacity. employees and have workers' 9, Building addition comp,inmrance,t comp,insurance . . [No workers o p,ins required.] 5. We are a corporation and its 10.0 Electdcalrepairs or additions 3.❑ I am a homeowner doing ill-work . officers have exercised their I I.[]Plumbing repairs or additions ' myself, [No workers' comp, right of exemption per MGL 12,D Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees, [Nb workers' 13.❑ Other comp,insu=ance'required.] *Any applicant that checks boi#1 must also fill o.ut the section below showing then workers'compensation policy information. t Homeownemwbo 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 anadditi.imal sheet showing the name of the Sub-contractors'and state whetber ornot those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site, information. Insurance Company Name: policy#or Self ins.Lic,#: Expiration Date: Jab Site Address: City/State/Zip: •Attach a copy of the workers' compensation policy.declaration gage'(showing the policy number and expiration date). Faiiure,to secure coverage as required under Section 25 A of MGL c. 152 can lead to the imposition of criminal penalties of a fne up to$1,500.00 and/or one-year mrpmonment, as well as civilpenalties in the form of a STOP WORK,ORDER and a fine of r to$250.00 a day against the violator. Be advised that a copy of this statemeritmaybe forwarded to the OfEce of Investisatiors of the t)LA for insurance coverage verification. ' I do hereby certifi der t pains arms, e alties of perjury fhat the inforrr�ation provided above is true and correct. SiEnattlre: Date: Phone T: �10— �J Ofi lcial use only. Do not wrife in this area, to,be completed by,city or town official City or Town. ' .Permit/f•icense IssuingAutho-ity(circle one): 1.Board of Eealth 2,Building Departrment 3. City/To Tra Clerk 4.Electrical Inspector 5.plumbing Inspector 6. Other Contact Person: Phone#: ZHE, Town of Barnstable �f Regulatory Services nARNSTA'BIXs '$ Thomas F.Geiler,Director �AlfD Mai A,� wilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office:.508-862-4038 Fax: 508-790-6230 Property CY rmer Trust Complete and Sign This Section If Using ABuilder as Owner of the subject property �WQJ -- J P P rY hereby authorize 2QW '—&Ow�l1 to act on my behalf, in all matters relative to.work authorized by this building permit application for: . (Address ; job) �l • ✓ �f � - off Si tore of owner Date g4t�" ,� [Ole Print Name Q:F ORN S:O WNERPERM IS S ION ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map vZo2S� Parcel Application#` Health Division f Date Issued Conservation Division Application Fee Tax Collector Permit Fee Treasurer IZs/o� Planning Dept. ' _ ? Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address l`J� Village J+ Owner Address 3 Telephone A -7 Permit Request r ACC D( Square feet: l st floor:existing proposed 2nd floor:existing proposed Toil new Zoning District Flood Plain Groundwater Overlay Project Valuation 7 Svc Construction Type `' — Lot Size Grandfathered: ❑Yes ❑No If yes, attach supportin C*ocumenTbon. u o � ., co Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) co M Age of Existing Structure r5- S Historic House: ❑Yes ❑ No On Old King's High ay: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size —Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal#' Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use " Proposed Use (� BUILDER INFORMATION Name �r `��'�r,� Telephone Number Address�4 6go±i-n License#_ C S to SS�.2 (n H Cam? G 3a Home Improvement Contractor# �w Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &u SIGNATURE DATE -- -03 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. t `- _ _ t ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: - FOUNDATION ` FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL y .3 PLUMBING: ROUGH ~',FINAL `? GAS: ROUGH FINAL 1 - FINAL BUILDING DATE CLOSED OUT A ASSOCIATION PLAN NO. i' �o��HEr Town of Barnstable Regulatory Services van AS e MASS. Thomas F.Geiler,Director JEo,,,ArA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section l If Using A Builder , , as Owner of the subject operty hereby authorize��4 to act on my behalf, in all matters relative to work authorized by this building permit application for: (AddrAs of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. r 4+t Town of Barnstable 1HE rgy� Regulatory Services r BARNSTABLE, Thomas F.Geiler,Director y MASS. 1639. A.� Building Division ren Mai Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code ;L The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s).who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 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 against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. f t 07, �atrN R �ofis'and Standards i Board of Building g i. 1 eivisor License �t �;. Construction Sup 1. F License: Cs 65525 �Ix Tr# 15459 Exp►�ration �212010, ` . I ��,I ALBERT R BROWNti �-G 34 HORATIO,LN _ Coininissioner MA-02632 CENTERVILLE - . _ f lb The Commonwealth of Massachusetts Department oflndustrial Accidents ^ Office of Investigations 600 Washington Street Boston,MA 02111, www.mass.gov/dia ' Workers}Compensation Insurhnce Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information nn __ Please Print Leiribly Name(Business/Organization/Individual): RpL/ 2cz)Us.(1 •I•�j t'R2._ � ,, . Address: City/State/Zip: 1 [Q Mfg on# Are.you an employer?Check the appropriate bog: ;Type of project(required):. 1, I am a employer with 4, ❑ Tam a general contractor and I 6 �New construction �loyeea(full and/or part time)•*• have hired the sub-contractors listed on the•attached sheet. 7. Remodeling 2.Lr 1 am a'sole proprietor or partner- shipand have no a to ees These sub-contractors have g, (]Demolition y employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers' comp.insurance comp.insurance t' 5. [] We are a corporation and its 10,❑Electrical repairs or additions required.) . officers have exercised their 11.[]Plumbing repairs or additions ' 3.❑ I am a homeowner doing ill-work . myself.[No workers'comp. right bf exemption per MGL . 12.[]Roof repairs insurance.re ed t c. 152, §1(4),and we have no j 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 a$davit indicating they are doing all work and then hire outside contractors mint submit a new affidavit indicating'such_ }Contractor's 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 providb their workers'comp.policy number. I ani an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. ' Insurance Company NaYne . Policy#or Self-ins.Lic.#: Expiration Date Y lab Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page'(sh0 .g the policy number and capitation 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 maybe forwarded to the.Office of' Investigations of the bIA for insurance coverage verification. -: I do hereby certify unqer thepsi s penalties of perjury that the information provided above is true and correct. Si afore: Date' Phone# � 5,(�� Offtcial use only. Do not write in this area, to be completed by city or town official " ri' City or Town:- (c permit/License# )<ssuing Authority(circle one): J Board of Health 2.BuildingDepartment 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Ft f -F-4 --j-- - �- - -j- - - -- - - - --I-�=-- - J I �_I LLL I I I � � JUL/11/2008/FRI 10: 55 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 002 FIRE DEPARTMENTS OF THE TOWN.OF BA RNSTABLE Fire Prevention Office - Hineldey Building 200 Main Street, Hyannis, MA 02601 (508) 862-4097 BUILDING CODE COMPLIANCE FORM Plans dated el?-lid. • -for the property located at_ 915 alsA known as 0_yWsn4,,J 0-4.,AP Af►veJ. have been reviewed ; y-. -of the LJ Barnstable- KC, OMM ❑ Cotuit Hyannis U Mst Bar.nst;able� ;,- Fire Department. THE CHART BELOW INDICATES THE STATUS OF THE REVIEW: TYPE OF CONSTRUCTION DOCUMENT N/A RECEIVED REVIEWED COMPLIES 1. Narrative Report '2, Firefighting & Rescue Access 3. Hydrant Location & Water Supply 4. Sprinkler Systems 5. Sprinkler Control Equipment 6. Standpipe Systems 7. Standpipe Valve Locations 8. Fire Department Connection 9. Fire Protectioe Signaling System 10, F.P.S.S. & Annunciator Location 11. Smoke Control/Exhaust 12, Smoke Control Equipment Location 13, Life Safety System Features 14. Fire Extinguishing Systems 15. F.E.S. Control Equipment Location 16.-Fire Protection Rooms 17, Fire Protection Equipment Signage 18. Alarm Transmission Method 19. Sequence of Operation Report 20, Acceptance Testing Criteria We believe this document to be complete and compliant for the issuance of a building..permit. We have completed the acceptance testing-for the occupancy permit and believe that within the scope of the building permit, the above issues are in compliance. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map Parcel N ,� Application # Health Division Date Issued - ``Application Fe X 4��, Conservation Division r Planning Dept: t: Permit Fee Date Definitive'Plan Approved by Planning Board Historic - OKH —Preservation / Hyannis Project Street Address _ _ / Z/ Village Le.77-c owner G�: l S !,'A Ga'.� i`1tc:�� 7F5 SoC. Address `� �to f c c i ✓�/( c�1 ivv, .'9A- Telephone Permit 96quest L _ Square feet: 1 st floor: existingQ proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. .-- Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's F 7ghway: :U Ye!E��❑ No �s Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing Vn" co Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor RoomCount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION " <;�n (BUILDER OR HOMEOWNER) Name S6 s @� 1 a'^' c S Telephone Number Address 3 O 1-�- r r t License# �U S�el r! a l r c f o ib lC /f : 0 e Home Improvement Contractor# 3 y Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 't �`� DATE 3 I) L / FOR OFFICIAL USE ONLY -APPLICATION# ^ DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Z 64 DATE CLOSED OUT a L ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations ' 600 Washington Street Boston,MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorOndividual):n Tt7 G O W C( S Address: City/State/Zip: L e"'tt T« ✓) 0 9 64hone#: 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 �ployees(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' [No workers' comp. insurance comp. insurance.$ 9. ❑ Building addition 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 I LEl 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 fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company.Name: Policy#or Self-ins.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 der a pains and penalties of perjury that the information provided abov is true and correct Signature: Date: Phone#: Uy 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#: �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 be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed 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 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia °f r Town of Barnstable Regulatory Services " a KASS. Thomas F.Geiler,Director ,r Huss. �, g,AT�BNw�A�m Building ]Division Tom Perry,Building Commissioner , 200 Main Street,Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 b y Property Owner Must ° Complete and Sign This Section - If Using A Builder - e e, aowner of the subject property « hereby authorize �Sv ©c�L_7L.S to act on my behalf, in all MUM relative to work authorized by this building permit application for (Address of job) , s ������:, ,• 3 / to/o-q ._ • Signature of Owner Date Print Name If Pro. erty Owner is applying for permit please complete the Homeowners License,Exemption Form on the reverse side. \ - - � �'T!e -�or,�rzoou�ea/r1 o�✓G�xoaacluaetta ' \+, ys oard of Building Regulations and Standards Construction Supervisor License ^ License CS 80579 " A irthdate 6/5/1965 1 'Expiration 6/5f2009 Tr# 15236 I -(Re----ri Retriction 00. JOSEPH W POWERS 130 FULLER RD CENTERVILLE,MA 02832 Commissioner Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division BMNSTAsLE, : Tom Perry,Building Commissioner 9 MASS. � 200 Main Street,Hyannis,MA 02601 4i1°rEo nn�►�°` Office: 508-862-403 8 Fax: 508-790-623 0 October 9, 2008 4 Albert Brown 34 Horatio Lane Centerville, MA 02632 RE:�915 Craigville Beach Rd., Centerville, Map: 225 Parcel: 001 Dear Mr. Brown: As you may recall, you were notified several weeks ago regarding deficiencies at the above referenced address. To date, the necessary modifications have not been made and the project remains in non compliance with 780 CMR. Deficiencies found included: 1) Inappropriate fasteners used to secure railings (obvious corrosion evident). 2) Stair risers greater than 7 inches with variation between adjacent risers greater than 3/16ths of an inch. 3) Handrails not returned to a wall or post and clear space of 1 '/z inch not maintained length of handrail. Failure to correct the above problems by November 9, 2008 will result in this office filing a complaint with the Building Board of Regulations and Standards. Thank you for your attention in this matter. I may be reached at (508) 862-4034 with any questions. Respectfully, WrLauzon Local Inspector Qzoning5 i 0000 BROWN LINDQUIST FENUCC1O & RABER ARCHITECTS, INC. 30 March�2012 Jeff Lauzon Barnstable Building Department 200 Main St. Hyannis, MA 02601 RE: Structural Replacement/Craigville Beach Association Bath House 015 Craigvile Beach Road, Centerville, MA :. Dear Mr. Lauzon, Although this area was not part of the original scope of work, it became apparent during construction that there was more deflection than acceptable in the beam supporting the second floor Game Room space. Upon further investigation, it was discovered that the existing 4x8 wood columns under this beam were not fully supported by the existing block pier footings below. The attached wet stamped sketch plan from our office was developed to resolve this existing structural issue. I trust this letter and sketch plan will provide the assurance that the Building Department requires. Sincerely Richard P. Fenuccio r=,��i 1 CC: Fran Lahey(CBA) John Allen(CBA) David Sauro (CCCS) Enc: , RPF/ak 30 Garch 2012 Justin Gardner AIA Slandardslb H:\_Current Projects\Commercial\Croigh1le Beach Association\Drawings\_Current DWgs_\Current_Craigville Beoch_SKs.d*g LIMIT OF WORK LINE r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WI I JI Ixf a I LINE OF DECK ABOVE— — — _ — — — — — — JI _ IZ Of lY U.COVERED DECK I O f SK7.1 K7.2� I L_ 03/ � I . I STAIRS STAIRS TO REMAIN EX.COVERED BOARDWA X I FIRST AID / I RM. MEMBER'S BEACH R STORAGE M. I I I EX.COVERED ENTRY i lu:An I -- ,,C��t�REQ ARC,y�r Qp,UL r 0 C', r a No. 7789 ;p YA UTHPORT, S MA GtJ 4 .5A �v DRAWING NO.: - TIRE: DATE ISSIED:. CRAIGVILLE BEACH ASSOCIATION BATH HOUSE RENOVATIONS NEW FOOTINGS 3.30.2012 BROWN UND9UIST FENUCGO&RABER SK7 AT UNDER EXISTING ARCHITECTS,INC. scu COLUMNS @ 1ro -1 915 CRAIGVILLE BEACH ROAD YAW0UnfM. A 0267 AX5M,%'-2,B' COVERED DECK �a+��+r�^r^users —�"�"� F,ixsoeaaz-xsse DRAWN BY: CENTERVILLE,MA. JG 30 March 1011 Justin Gardner AIA Slandardsth H:\_Current Projects\Commercial\Craiolle Beach Assodalion\Drawings\—Current DWgs_\Currenl_Craigville Beach_SKs.dpg EXISTING AX6 P.T. COLUMN (2)SIMPSON ANGLE BOT SIDES; X x x OF COLUMN NEW (2)2X8 P T W/ EXISTING D CKING 3/q" P T PhYWOO s �I LOCKkNG � SIMPSONrr CCQ86SD52 �C®LUt IN �`� �k I EX I��STING�4X8P ; E�AM � CAP (OR SI NEW &X6 P.1 SIMPSON AB 'W GALV. POST dq � (OR SIMILA *� 5/8 Il(P ANCHOR r IN TOP OF PIER TO FASTEN POST BASE TO F4 �=a a,. .,.. 12"� CONCR TE F n 6 r �5 l EXISTING GRAI E SONO TUBE 32 Wx52 LxlN x � t CONCRETE OOT IN�G �� ie W/ #5 BAR xt2O EACH WAY NOTES:, I. SHORE UP EXISTING. DECK STRUCTURE AS NEEDED. 2. REMOVE EXISTING 'BLOCK PIER FOOTINGS �Q* L FfNG�r��'� o 3 No. 7789 , YARMOUTHPORT, MAG�J OF MpSgP DRAW NG NO.: CRAIGVILLE BEACH ASSOCIATION TrL' w0b: BATH HOUSE RENOVATIONS NEW FOOTING 3.30.2012 UNDER EXISTING BROWN CTS,INC.FENUCGO&RABER SK7 . 1 AT COLUMN @ ARCHITECTS.IN ' 915 CRAIGVILLE BEACH ROAD COVERED DECK 2oawuav—er.SWEA PH50B-362a2az CENTERVILLE,MA (LEFT SIDE) ram`'""M675 _`"""® FAXWB�62-=S DRAWN BY, JG Y 30 March 2012 Justin Gardner AIA Slandard.slb H:\--Current Projects\Commercial\Craiolle Beach Associolion\Drawings\_Current Dpgs_\Current_Craigyille Beoch_SKs.dwg EXISTING 4X6 P.T. COLUMN 2 SIMPSON A33 ANGLE BOTH SfiDEs OF; COLUMN EXfST1NG DECKING 3�'4" P T PLYWOOD y SIMPSON CCQ86Sp52.5 COLUMN EXISTING 4X8 P T CAP (OR Slf f ) BEAM NEW 6X6 P T POST EXISTING GRADE PLANE S I M PSON AB66 GALU rP,:OST BASE _ s< r z(OR'SITIILA1��; xf;:u? ,3'�''� �•'? :z =9',�ny .. I s.� 'z . r�' x , ;,.�t �rrfid � z MA M t y �a � r y.y �EX1ST NG GRADE � r I. k � � CONC�ETE�FOOTI IG 3w °�� i r `I�t t f 3 a ,ia4 pA 51 NOTES: I. SNORE UP EXISTING DECK STRUCTURE AS NEEDED. 2. REMOVE EXISTING BLOCK PIER FOOTING 4p'OPD /TFc�'Y:. n U O a No. 7789 J A UTHPORT. DRAWNQ,NO.: CRAIGVILLE BEACH ASSOCIATION �' BATH HOUSE RENOVATIONS NEW FOOTING 3.30.2012 SK7 . 2 UNDER EXISTING BROWN LI TS,INC.FENUCGO&RABER AT ARCHITECTS.INC3�' COLUMN @ 1/2'=1'4r 915 CRAIGVILLE BEACH ROAD COVERED DECK 2a3 Wl1GW SB7EET.SUR A PH W84U6382 CENT1 RVILLE,MA (RIGHT SIDE) rnae.+ounmcer,6w 02625 F—��• AXSBB-362-2B2B DRAWN BY: - JG i BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. 24 April 2012 Jeff Lauzon Barnstable Building Department - 200 Main St. Hyannis,MA 02601 RE: Framing Inspection/Craigville Beach Association Bath House 915-Craigvile•BeachARoad,Centerville,MA Dear Mr. Lauzon, Although this is not a controlled construction project, we are providing at your request a record of our inspections of any new framing that has taken place. BLF&R Architects has conducted numerous regular site visits and a framing inspection on 03.15.2012. We have concluded that all new framing has been completed per code using appropriate construction means and methods. Supplemental ceiling joists have also been installed to improve the existing roof structure within the work limit. We are also currently working with the G.C. to repair two deficient wood columns and the beam they carry. Once that has been resolved a-stamped sketch drawing will be provided. I trust this letter and photos will provide the assurance that the Building Department requires. Since r ly, cNi Q IL c C) N0. 7789 , Richard P. Fenuccio 0' YARMOUTHPORT,MA F PG`'rM dJD .CC: Fran Lahey(CBA) q�T�°F""PSG = - John Allen(CBA) 1110 °•-0 . David Sauro (CCCS) Enc. RPF/ak 203 WILLOW STREET SURE A PH 508-362-8382 YARMOUTHPORT MA 02675 WWW,CAPEARCHrrECTS.COM FAX 508-362-2828 PHOTOS: 1 Beam created @ bottom of new walls to distribute load to existing 48 floor framing 203 WILLOW STREET SUITE A PH 508-362-8382 YARMOLJTHPORT MA 02675 WWW.CAPEARCHrrECTS.COM FAX 508-362-2828 I f q�q 1 � I I La 4 s 1 I Completed interior wall framing. 203 WILLOW STREET SUITE A PH 508-362-8382 YARMOUTHPORT MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 i New wall between covered boardwalk and covered deck. New supplemental ceiling joists. 203 WILLOW STREET SUITE A PH 508-362-8382 YARMOUTHPORT MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 w C E I k r•• LA Poo- Rough framing, rough electric & rough plumbing, Looking from office toward Men's room. 203 WILLOW STREET SUITE A PH 508-362-8382 YARMOUTHPORT MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. 30 April 2012 Jeff Lauzon , Barnstable Building Department -200 Main St. Hyannis,MA 02601 RE: Structural Replacement Correction/Craigville Beach Association Bath House (9l5 Craigvile:Beach Roads Centerville,MA Dear Mr. Lauzon, This letter is a correction to a prior letter dated March 30, 2012. The prior letter explained the discovery of a beam that is showing signs of deflection that are not acceptable and its' corresponding posts that are not bearing directly on footings. Upon further investigation of the existing concrete filled block pier footings; we discovered that the piers are in good condition and would cause more issues if disturbed by replacing them. The root cause for the deflection in the beam is the inadequacy of its' sizing. We intend to replace the existing beam with one of sufficient size and replace the corresponding posts to bear directly on their footings. The attached wet stamped sketch plan from our office was developed to resolve this existing structural issue. I trust this letter and sketch plan will provide the assurance that the Building Department requires. Sincerel , Richard P. Fenuccio --� CC: Fran Lahey(CBA) John Allen(CBA) David Sauro(CCCS) Enc. Y 1 f`J RPF/ak 00 203 WILLOW STREET SUITE A PH 508-362-8382 . YARMOUTHPORT MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 30 April 2012 Justin Gardner AIA Standard.stb H:\_Current Projects\Commercial\Craigyille Beach Assoclotion\Dro*ings\_Current Dwgs_\Current_Croi011e Beach_SKs.dpg I MIT OF WORK LINE I I WI I 5I LL I LINE OF DEOK ABOVE O — — — — — —� — — — — — �I I jI ILI - Iz f I iY EX.COVERED DECK I O f SIC&I SK8.1 5KB.1 SK8.1 IL:___ — _ ` NEW 5Y�o XIba WOLMANIZED I - PARALLAM 1`51-BEAM . I STAIRS 5TAIRS TO REMAIN EX.COVERED BOARDWALK ♦ i I FIRST AID 1 - I n MEMBERS BEACH I L= STORAGE RM. EX.COVERED ENW i 0 oQT� �VG��Fr a No. 7789 p YA THPORT, 2� - F DRAWING NO.: CRAIGVILLE BEACH ASSOCIATION TrrLE` DATE LRMD: 4.30.2012 BATH HOUSE RENOVATIONS NEW BEAMS AND BROWN LINDQUIST FENUCCIO&RABER SCAP: SK8 AT ARCHITECTS,INC. 1/8•=1'-0' 915 CRAIGVILLE BE POSTS @COVERED BEACH ROAD DECK 203 WILLOW MEET.SURE A PN 50"624382 YMMOURVM.MA 02675 _�+•��a FAX WS-U2-2828 DRAWN BY, CENTERVILLE,MA JG , i0 30 April 2012 Justin Gardner AIA Standardslb H;\_Current Projects\Commercial\Craigville Beach Association\Drawings\_Cunenl Dwgs_\Current_CraiV1le Beach_SKs.d*g. EXISTING SECOND FLOOR 3/4" P.T. PLYWOOD FRAMING GUSSET BOTH SIDES -SIMPSON ECC66 GALV. OF BEAM. COLUMN CAP. 0 0 ° O° O NEW %"X16" WOLMANIZED NEW 5�A"XIV' WOLMANIZED PARALLAM PSL. PARALLAM PSL. . P.T. 2X4 EACH SIDE OF POST. FASTEN WITH S.S. SCREWS INTO BEAM AND POST SIMPSON CCQ66SDS2.5 GALV: COLUMN CAP. NEW P.T. (oX(o POST SIMPSON AB(o6 GALV. POST BASE (OR SIMILAR) . 5/a"(P X 8 ANCHOR BOLT W/ WASHER IN TOP OF PIER. DRILL INTO EXISTING FILLED CMU PIER AND SET ANCHOR BOLT IN EPDXY. AR UL FFN o 0 No. 7789 w 0 YA OUTHPORT, /y DRAWING NO.: CRAIGVILLE BEACH ASSOCIATION ` DATE ISSUED: - BATH HOUSE RENOVATIONS a.3oao12 NEW BEAMS AND �� BROWN LIND9UIST FENUCgO&RABER SC7uE: SK8 . 1 AT POSTS @ COVERED ARCHITECTS,INC. 915 CRAIGVILLE BEACH ROAD DECK 203 WILLOW SMEr.SUITE A PH 508-3626382 rAPW0JI1fCR7,MA W675 •••'�...++e�=•� FAX5W.362-2e2e DRAWN W.CENTERVILLE,MA JG �P'O POSrgc 13131313 BROWN LAbQUIST FENUCCIO & 'RABER `' _ ARCHITECTS, INC �e PITNEY BOWELS 203 WILLOW STREET SUITE A YARMOUTHPORT MA 02675 2 1P $000-450 _ 0004588958 JUN 06 2012 MAILED FROMZIP CODE02675 r Mr. Jeffrey Lauzon Barnstable Building Dept. I. 200 Main St. Hyannis, MA 02601 : 1ZE."I+ ,072 ,1111,,lll,,oil 1„a�l,1i'1 ❑ ❑ ❑ ❑ BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. 29 May 2012 Mr. Jeffrey Lauzon Barnstable Building Department 200 Main St. Hyannis, MA 02601 RE: Substantial Completion—Alterations to Craigville Beach Association Building, 915 Craigville Beach Rd., Centerville, MA Dear Mr. Lauzon, The alterations to Craigville Beach Association are now substantially complete. Based upon my final site visit on Thursday May 24, 2012,the only remaining punch list items are minor in nature and not related to any life safety or egress conditions. The project has been completed in general accordance with our construction documents and in a good and workmanlike manner. If you have any questions, please feel free to contact me at any time. Sincerely ou s, Richard P. Fenuccio CC: David.Sauro (Cape Cod Construction Services) Justin Gardner(BLF&R Architects) RPF%ak 203 WILLOW STREET,SUITE A -PH 508-362-8382 YARMOUTHPORT,MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Monday, September 09, 2019 11:02 AM To: 'Iwrigley@sperrytents.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-2839 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) Tent appears to be located within twenty feet of the building with inadequate access for fire department equipment. The application has been denied pending submission of compliant construction documents.The tent must be moved twenty feet away from the building in order to comply. Please do not hesitate to contact the building or fire department for further details.Thank you. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon(a-)town.barnstable.ma.us 1 I Town of BarnstableRECEiPr ` HAM,►ar;c ' 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-19-2839 Date Recieved: 8/30/2019 Job Location: 915 CRAIGVILLE BEACH ROAD,CENTERVILLE Permit For: Building-Tent Contractor's Name: Sperry tents State Lic. No: 1234 Address: 28 Patterson Road, W.Wareham, ma Applicant Phone: (508)748-1792 02576 (Home)Owner's Name: CHRISTIAN CAMP MEETING ASSOC Phone: (781)718-8033 (Home)Owner's Address: 39 PROSPECT AVE, CENTERVILLE,MA 02632 Work Description: set up a 66 x 86 ft tent on 9/12/19 and take down on 9/15/19 for a wedding. sides are weather dependent Total Value Of Work To Be Performed: $12,000.00 Structure Size: 0.00 0.06 0.00 Width Depth, Total Area I hereby swear and attest that I will require-proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). . I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application..I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All i nform atione contained within is true and accurate to the best of my knowledge and belief. All permits approved ar6subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Lauren Keirstead 8/30/2019 (508)748-1792 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $12,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $100.00 8/30/2019 $100.00 XXXX XXXX XXXX Credit Card 4428 Total Permit Fee Paid: $100.00 I ev �����s i 1 I ' f I 711 So- I L'I i i j I- I t � t I � ! ► I � � ! ! I I � I I � f � ► I I (- I I I I t ' � r I I � i I i ' � I I I ► � I -i ! I ............. ...V........ .... ................... ..............................•. ............._..-_............ • ... _..__ •,—t--t --�--+--{__.. --f—'i i — r f—+—+--*—l— 1 —_•.-•---�--}— i 1 � .r_-:-;-F -1 -i- i- + +---r-_-.•-+-�-= � � � i- I i 1 � i i � 1 I 1 I I + i , l I I ► l i � l l 11 1 j I I •' ! + � I , { � t -----r -f- �—'I---^-- -F 4 +•----r—i I {--T— !- fr � ..a--.�._,_„_-.LTi— .i...—.- ='--I�—� _^-+--i----i----i--F , i } +-- �. +--_� i--,.- 1 I 1 -}—, .- i—r i -+—f� � �-• ! � + 1 � �- -'�' —{'--^�-7 —#• F— i � ! -T--+—+— 1 t- F--,--�----Ir—r;Tr'— I -+•---1—T---r-----�+— � s I 1 { t_t 1--=--�-1 1--F—r— —�---}—- r--r—y +— ' +�-� �_ +.-�T�-_.--�' j— L� I —YTS•-�--}— 4- .F— L— } T—' -y #-- �^-�*--: - --^----1----• 1 1 -- r—f—T--� i -_•_.r +- I F-- I i'-'_T'—,--� f- + � +— '--�----I---�-- 1 4 .-----T— � t- i ..F � �- + M + 1 � � I BUILDING CODE SUMMARY PROJECT: BATH HOUSE RENOVATIONS AT APPLICABLE CODES,GUIDELINES AND LAWS: CRAIGVILLE BEACH ASSOCIATION • MASSACHUSETTS STATE BUILDING CODE, 780 CMR 8TH EDITION L ' INTERNATIONAL BUILDING.CODE 2009(IBC) LOCATION: 915 CRAIGVILLE BEACH ROAD • INTERNATIONAL EXISTING BUILDING CODE 2009(IEBC) CENTERVILLE, MA . INTERNATIONAL ENERGY CONSERVATION CODE 2009(IECC) • MASSACHUSETTS AMENDMENTS(MA) MASSACHUSETTS ARCHITECTURAL ACCESS BOARD(MAAB) . AMERICAN DISABILITIES ACT(ADA) REGULATIONS AND STANDARDS: MGL C148 SECTION 26 G(MGL C148 26G)RE:SPRINKLERS ITEM APPLICABLE SECTION TABLE PAGE NO. REQUIREMENTS/DESIGNATION PROPOSED CODE USE GROUP CLASSIFICATION` IBC 303.1 - 23 A-3-ASSEMBLY CONSTRUCTION TYPE _ IBC 602.5°- 601 89,91 TYPE 5B-UNPROTECTED ALLOWABLE BUILDING HEIGHT IBC 504.1. 503 79, 80, 81 1 STORY, 40 FEET ALLOWABLE 2 STORIES, +/- 37'-0"HIGH (AUTOMATIC SPRINKLER INCREASE) (504.2) NO INCREASE FOR SPRINKLERS ALLOWABLE BUILDING.AREA IBC 506.1 .503 80, 82; 83 ALLOW AREA 6,000 GSF(TABLE 503) MAIN BLDG 1 ST FLR; 5,479 GSF (BUILDING AREA MODIFICATIONS) (5062) MAIN BLDG 2ND FLR 1,248 GSF (506. ) ADJUSTED ALLOWABLE AREA PER TOTAL MAIN BLDG: 6,727 GS EQUATION 5-1 SECTION 506.1 STORAGE OUTBUILDINGS ' Aa = 6,894 GSF/STORY 10 @ 261 GSF: 2,610 GSF AUTOMATIC IBC 903.1 IBC: 1,84 AUTOMATIC SPRINKLER SYSTEM IS REQ'D MAIN BUILDING DOES NOT FIRE SUPPRESSION SYSTEM : IEBC 804.1 IEBC: 3 PER MA AMENDMENT SECTION 102.2.1.1 EXCEED 7,500 GSF. LEVEL OF MA CH. 34 903.2(MA) MA: 136 TO IEBC 2009,AND MGL C148 SECTION ALTERATION =LEVEL 2 MGL C148 102.2.1.1 26G FOR BUILDINGS UNDERGOING (NOT A MAJOR ALTERATION) (MA) MAJOR ALTERATIONS WITH AN SPRINKLER SYSTEM NOT AGGREGATE BLDG AREA> 7,500 GSF REQUIRED OCCUPANT LOAD IBC 1004.1 1004.1.1 219, 220 STOR./MECH.AREAS: 300 GSF/OCC .FIRST FLOOR WORK AREA: BUSINESS/OTHER AREAS: 100 GSF/OCC 17 OCC MINIMUM EGRESS.DOOR WIDTH IBC 1008.1.1 224 32"MIN.WIDTH(IBC) ALL DOORS ARE 36"WIDTH MAAB/ADA, 34"MIN.WIDTH(MAAB/ADA) MINIMUM MINIMUM STAIRWAY WIDTH IBC 1009.1 230 44"MIN.WIDTH NO EGRESS STAIRS IN WORK 36"MIN.WIDTH WHEN SERVING OCC AREA-SINGLE STORY LOAD OF < 50 SPACES WITH-ONE OidE cX(F:, C€SS°= =1BC��- --- ^-1015:1 -1:01.5 1> .- 239 F. 4� r A-3_ ASSEMBLY_USE=.49 MAX OCC SINGLE EXI1S PERMITTED IN NEW _ DOORWAY FOR SPACE WITH ONE EXIT. SPACES PER CODE LENGTH OF EXIT ACCESS TRAVEL IBC 1016.1 1016.1 240 200 FEET-IN BUILDING WITHOUT < 200 FEET AUTOMATIC SPRINKLER SYSTEM MINIMUM CORRIDOR WIDTHS IBC 1018.1 - 242 44"MIN.WIDTH NO INTERIOR CORRIDORS MINIMUM NUMBER OF EXITS IBC 1021.1 1021.1 243 2 REQUIRED FOR 1-500 OCC(TABLE FRONT ENTRY/EXIT AND OPEN 1021.1) EGRESS ACCESS PROVIDED. STORIES WITH ONE EXIT IBC. 1021.2 102l..2 243 1 ST STORY/BASEMENT: 49 OCC/75 MORE THAN ONE EXIT TRAVEL DISTANCE PROVIDED EXISTING BLDG-CLASSIFICATION 'IEBC 404 23 LEVEL 2 ALTERATION APPLIES WHERE LEVEL 2 ALTERATION-WORK OF WORK WORK AREA DOES NOT EXCEED 50% AREA= 20%OF BUILDING AGGREGATE AREA OF THE BUILDING. AREA ADDITIONS . IEBC 1001.1 - 51 NOT APPLICABLE NO PROPOSED ADDITION TO BUILDING INTERIOR.ENVIRONMENT IEBC 602.1 803.9(IBC) 27 'ALL NEW/ALTERED INTERIOR FINISHES ARE ALL NEW/ALTERED INTERIOR 602.2 REQ'D TO COMPLY WITH IBC CODE FOR FINISHES COMPLY WITH 602.3 NEW CONSTRUCTION. THE IBC.SECTION 803 AND 804 PLUMBING CODE SUMMARY BUILDING CLASSIFICATION: APPLICABLE CODE: . BATHING PUBLIC BEACHES MASSACHUSETTS STATE PLUMBING CODE, 248 CMR- 10 REGULATIONS AND STANDARDS ITEM CHPL/SEC./TABLE REQUIREMENTS/DESIGNATION PROPOSED 1 PER 500 OCCUPANTS 3 WATER CLOSETS PROVIDED MALES: SECT. 10.10 TABLE 1 (URINALS 330/6) (3 URINALS PROVIDED) WATER CLOSETS: 6WATER CLOSETS PROVIDED* FEMALES: SECT. 10.10 TABLE 1 1 PER 200aOCCUPANTS FAMILY UNISEX ROOM INCLUDED IN WOMEN'S COUNT 2 LAVS-MEN'S ROOM LAVATORIES EACH GENDER SECT. 10.10 TABLE 1 1 PER 1000 OCCUPANTS 4 LAVS-WOMEN'S ROOM(INCL UNISEX ROOM) NOT REQUIRED WATER FACILITIES NOT PROVIDED DRINKING FOUNTAIN SECT. 10.10 TABLE 1 SERVICE SINKS SECT. 10.10 TABLE 1 1 PER FLOOR NOT PROVIDED IN WORK AREA -d