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1211 CRAIGVILLE BEACH ROAD
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Town of Barnstable REc�EiPT ` 13AWWASIX200 Main Street, Hyannis MA 02601 ' 508-862-4038 Application for Building Permit Application No: B-17-3673 Date Recieved:.. 10/23/2017 Job Location: 1211 CRAIGVILLE BEACH ROAI),CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: DAVID W BURGESS State Lic. No: CS-068383 Address: Dracut, MA 01826 Applicant Phone: (978) 828-3069 (Home)Owner's Name: THAMM,CHRISTINE E& CONRAD A Phone: (508)778-1796 TRS (Home)Owner's Address: 1211 CRAIGVILLE BEACH ROAD, CENTERVILLE,MA 02632 Work Description: reroof 1 CN Total Value Of Work To Be Performed: $18,400.00 Structure Size: 0.00 - 0.00 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 information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least.24 hours in advance. Signed: david burgess 10/23/2017 (978)828-3069 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $18,400.00 Date Paid Amount Paid Check#or CC# Pay Type - _..... wi. .._. _,......� ......... Total Permit Fee: $93.84 10/23/2017 I $93.84 XXXX-XXXX-XXXX- Credit Card . ...: ......... S ......_ 7458 . ........... ..,............... Total Permit Fee Paid: $93.84 s 6, D TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Sz/ Application# Health Division Conservation Division e Permit# c1!Ll°I Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1 Z// Village Owner (j0c�,g,�,r, r���,fz�s ii�i.�' %/,��, ni Address Telephone Permit Request Square feet: 1st floor:existingille� proposed 2nd floor:existing Zogo proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2& 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 206 °/ris Historic House: ❑Yes UtNo On Old King's Highway: ❑Yes JW No Basement Type: 0 Full SLCrawl 12 Walkout a Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 3 new Half:existing new Number of Bedrooms: exist6g new T— Total Room Count(not including baths):existing new First Floor Room Count. Heat Type and Fuel: &Gas ❑Oil ❑Electric ❑Other Central Air: .9-Yes ❑No Fireplaces: Existing 2 New Existing wood/coal stove: AYes ❑No Detached garage:❑existing ❑new size Pool:U existing ❑new size Barn:❑existin}g ❑ ,new size ' Attached garage:,&existing ❑new size - Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use _ U BUILDER INFORMATION Name / .rt 4 l 1d3,&r� Telephone Number Address 3n llfa S JZ_ License# > `s Cy /. 1f9rh V ,i_71 //V/t7— Home Improvement Contractor# Worker's Compensation# r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 20�Z:-Nev.1-e.Ar4�X SIGNATURE DATE �' �� 1 FOR OFFICIAL USE ONLY PERMIT NO. ' •' DATE ISSUED r MAP/PARCEL NO.- ADDRESS 1 VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 03107 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services BAMSTAB*� erg" Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or,construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.of Work: //���yi of e,P, Estimated Cost �. i Address of Work: / // �i �J/6 Ui e—"2 r e�;/ Owner's Name: Date of Application: 17, d .6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑JQb Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ovine 6 5- Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav r , oF� Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director . nsA.sa 9`}' fa ,�►`�� _Building Division �r Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property O*ner Must Complete and Sign This Section If Using A Builder S-1 i A '� e �rq ft ,as Owner of the subject property hereby authorize A'/k 27 4;1Z'i6' to act on my behalf, in all matters relative to work authorized by this building permit application for: n /2i/ C1q.,61/1szZT (Address of Job) CZI-ZrZfZ✓>64Z Signature of Owner Date M Print Name QTORM&OWNERPERIM SION goal ✓fie�o� ' .,» ONs 5:�R RD OF BUILMNG RE, Qpp « 1 GONSTRUCT:ION Sll,P i License. 9 073953, Number Dtlid 1y 954 Btfta - _£(� Tr.no: 9021 0 t t tires:OZibb'��b07 �. .� 3A L Y MA .026�3 0o�m*�5 ones, t �t R9 M H, W YpRM • ominzooi�uP,a�i o�✓�aaaaclruc . `.Board of Building Regulations and Stan HOME IMPROVEMENT'CONTRACT.OR Reistra i 9 y 135852 ' 'va 7tyM 512006 E; - MARK BIBBO __ r: MARK BIBBO 30 ROSEMARY L.Affip ` W:•YARMOUTH;MA 0263_3 � �" k L l Y Administrator t � r 1 i i , en xPiL �� �5 B.o N re L 41147 �� y.�e'-ALL!•�%: ' , �,� �S w _�- ;2p-.l 7A � }CP5-er 1. J C _.....-.. ...__..__...— - o� "IsTEA �- ��� `'•ti,r 7` e � ,� �:,,..- .._.r- v _y a� t �.3' fig'+- �;�'s-"a -<q w..e/� �Y � ,f-' -._ -•'.� �t �� k�� fu� v4r. "1yh'�w' l" ' {� v ��� ., 'r�!**•e.� s ® N :. �sr- � T1 .3�'_ •--.... -.'�e• �,-.E s. ,.:��.-::ail �' �'�.s. �°_�`rt ��'�, �a�.;'^> -�. ;�..s�rx„ •- =_ :_ ^'�-� This information is for planning purposes only. Please refer to.installation instructions whenins41 g this product ' Product Dimensions 41r Direct Vent Models ' � �T 18511rn in. 38-1/4 in. �' 23 m [651 mm] f� i f/ [972 mm] -27-vat. ,- 584 mm 2-1/2 in. 32 in. / / -692 .:_'� 15-7/4m mmm ]6a rtnn] (813 mm) t © ©387 mm _ {, r j I r B ,a4en ,ma _}— A I - -6-3/8 in. Model A B C = 10 in. [162 mm1 B - / g [zsa mm] 36 Series 36, =-41, Ri ht Hand Left Hand ; - 9 42"Serie' 42 '47a Side Side r -- B-Ventvk © I � Models 23 in. 813 mm w x r 6 584 mm 38-114 in. n. 972 mm 22 3/8 n mm 568 mm 851 mm 2al8ln [89 Min g. 1 60 a ' 149 mm -'g e ; 1a3em1 r � ; r 6318m r a` t tr'..•s,:.. n�.:: x. 365 mm mn 101n 162'mm �, 4y Framing Dimensions Mantel Projections Clearance Dimensions $ p# ' 1 in.min.air space y � earanre to endosure. - Mantel 30 o Framing must be TO CEILING Projection Height, o in.TO LEvEi' above standoffs s t STANDOFFS t ; 9 in.-12 in. 45 in. +� 6 in.-9 in. 44 in. ! r [ 3 in.-6 in. `41 in. 0 in..-3 in. 39 in. 1 \ \ ` 1/2 in.TO BACK Mantel height is measured from, \ OF APPLIANCE , the BASE of the appliance. �} o MODEL A 12 in.is the maximum _ - 23-1/2 in. /.� 38-3/4 in. 36'Series 42-v4 in. mantel projection allowed. TO FLOOR '1/2 r TO SIDE 42'Seres 4av4 in. OF APPLIANCE y Direct vent Fireplace Locations I B-Vent Models B Models ' m mm A pi p7, D 111••• A � uzl .'i yn:bblaa E y awprp,ance�1 E oml to - I! +o bualiblea - bustiblea 3' I _ E �� c -�in.malt. `• - aao.e 7Y-1/1 H Installs+bn B e A Tap Vent Rear vent �' B C One 45'elbpw OHor¢Term� n add' N fr g d' -- ,also reference me `! - - •—t encea an0 Manta Pr 11g(Sns(6ac0ons 3 C antl 3.0.) r•Vent Clearances and FlemmB(6ecuon 6) - T •- - - • '� Rear Vem - 'N°elbmxa Rear Vent / B - Mons Term T 90•elbows f . One 90'elbow B _ w J T�a Vert Term l�—B H Term O eppi fO Model a A B C 0 E Model A `B:: C D M13 CDa236 50.6/9 a2 a3 T,-va 2312 CBa23&R Inche9 50.5/8 d2 71-5/8 231J2Mrl�ee t 266 ta87 1092 tet9 597 _ Milmaten 1286, 1067 1e19- 597COa.2 .rcnea 5st/a ae 'as 7&tla 23tn - � - Gf34842iR Inches 5S1/4 40 78-1t4, 23-1/2.14W 1219 1245 t986 597 Mirime,ere1403 1219 19M 597 2 i/' J. - Town of Barnstable. *Permit# 6U 16 t y 4 Expires 6 months from issue date X-PREP PERMIT , — Regulatory Services Fee_. JUN 15 2007 (4&., Thomas F.Geiler,Director Building Division TOWN OF BARNSTABLE TomPerry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us o Office: 508-862-4038 Fax: 508-790-6230 Q EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY D Not Valid without Red X-Press Imprint Map/parcel Number �� S Property Address /��l/ ( ✓�/ "//l d r®Residential Value of Work G Minimum fee of s25.00 for work under$6000.00 Ow ner's Name&Address �� �? /9 -� s�� �✓�' — � Telephone Number Contractors Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 2 ❑Workman's Compensation Insurance Check one: —I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side T R-Replacement Windows/doors/sliders. U-Value (maximum.44) (7i-74 4-61�E *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,Historic,Conservation,etc. ***Note: Property Owner must si opertylgwner Letter of Permission. A copy of th lontractors License is required. SIGNATURE: i Q:Forms:expmtrg Revise061306 PERMIT PAYMENT RECEIPT j TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/15/07 f� TIME: 09:54 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 CHANGEPLIED: 25.00 1 APPLICATION NUMBER: 200703719 PAYMENT METH: CASH PAYMENT REF: The Commonwealth ofMassachusetts .Department of Industrial Accidents Office of Investigations _ d 600 Washington Street Boston,M4 02111' widmmass.gov/dia ' '"'orkers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Pliimbers Applicant Information Please Print Le6ib13: Name(Business/Organization/lndi-,7dual): • •Address: �� c���2�—.2.s- �.���. • City/State/Zip: Phone.#: 1 Z-6 Are you an.employer? Check the appropriate box: :Type of project(required):• 1:❑ I am a employer to er with 4• ❑ I am a general contratrtoi and I 6. ❑New construction . employees(full and/or part-time).* • have hired the sub-contractors 2.1RD am a'sole pmprietor or partner- listed on the•attached sheet. 7. ❑Remodeling ship andhave no employees These sub-contractors have g, ❑Demolition �'orkin for me in an capacity. employees and have workers' g Y P ty t. 9. El Building- addition [No workers' comp,insurance comp,insurance. required.] 5. C1 we are corporation and its 10.[]Electricalrepaiss or additions a officers have exercised their 11. Plumbing airs or additions ' '3.❑ I am a homeowner doing ill-work . g re, P myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no • employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks boz#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 ornot those entities have employees. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance far my employees. Below is.the policy and jab site' information. Insurance Company Frame: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: ��CI � �.L'/1 4- ti Via/ /Ykaity/State/Zip: Attach a copy of the workers' compensation policy.declarationpage'(shovr ing the policy number and expiration date). Fa lure•to secure coverage as required under Section 25 A 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 civilpenalEes in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of`his statement maybe forwarded to the.Of ce of Lvestisations of the DIA for insurance coverage verification. I do hereby certify u der the pains•and penalties f that the informaton provided above is true and ccrrect. Si acre: Date: Phone is 776 t— g�,L tq OfTrcial use only. Do not write in this area, to,be completed by city or town ojT1daL 1 City, or Town: ' Permit/?�icense r Issuing Authority(circle one): :1.Board of Health 2,Building Department 3, City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other l Contact Person Phone T: I f Town of Barnstable y Regulatory Services 9B LE'$ Thom-as F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,NIA 02601 www-town.b arnstable.ma.us Office: 508-862-4038 Fax: 50.8-790-6230. Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property herebyauthorize inn,1 S ,l B 36 to act on my behalf, in all matters relative to work authorized by this wilding permit application for. (Address of Job) s- _ �a 25 —p';� Signature of Owner Date Print Name Q:FORMS:OWNERPERMIS SION -� ✓fie �Jan�nzo�rccuea� o�.. i�xc�iuJ,� ' - - *'F.k�d of 13t ntui l c;a iz t ..a t {St:n f I.:cense,or registration valid for.{ndii-iMtt use Only. hr{ IMP IsFY!{ GQdu7r2/aC,tC19' before the et.r.cratign c{ate.,`:tt Sound return"to: —_ Board of igiulding Regulation;and Standards , !e { t L^r 1 sJL52 i s Jn;e Aslebnrton:Place Rm 1301 Bostofi,Ma.02108 t fiP f„.GtG73 r without I1 t I . itho signature y { p Board of Building Regul�hon and Standards f' I Construction Supervisor License License: CS 73853 B{rthdate ?/611954 Exptrattot l , 2009 Tr#' 9472 j Restnctlon 00 ' MARK D BIBBO m 7 30 ROSEMARY LN ' �. W YARMOUTH, MA 021i73-•-� �F Commissioner i' qj Pa Tre� L(a inA v7K-. i796 RESIDENTIAL PROPERTY MAP NO. LOT NO. Be_�,_., FIRE DISTRICT 206 54 STREET 1211 CraigVllle Rd. Centerville SUMMARY C-0 73 LAND OWNER rn BLDGS. TOTAL y y.5, RECORD OF TRANSFER DATE BK PG I.R.s. REMARKS: Lot A, LC 13703-B LAND �/`` 1 01 BLDGS. � 1 - .' Ei 10�. B TOTAL 3 LAND • BLDGS. Downes; Aridrew J. & Marina 6-7-78 Ctf. 74369 ($90, �' TOTAL 23 G V/LLL' �A�N �LSJY/G/�'!// LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND {. BLDGS. TOTAL ! LAND BLDGS. TOTAL � LAND INTERIOR INSPECTED: / BLDGS. DATE: /G / )� \ TOTAL � LAND ACREAG COMPUTATIONS-� BLDGS. . LAND TYPE #k O ACRES ORICE TOTAL DE VALUE HOUSE LOT 9 Zo �/7 � TOTAL _S©00 .� � � ,�`CLEARED FRONT LAND REAR oI BLDGS. WOODS&SPROUT FRONT " TOTAL • REAR LAND WASTE FRONT BLDGS. REAR TOTAL LAND BLDGS. TOTAL r LAN D BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH gb FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. 0) HIGH GRAVEL RD. TOTAL T. LOW DIRT RD. LAND '_ SWAMPY I NO RD. BLDGS. GlUla. VVJI Conc. Blk.Walls. Bsmt.Rec.Room St. Shower Bath Bsmt. a 0 U Conc.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE PURCH. DATE Brick Walla Attic Ff.&Stairs Toilet Room Roof RENT Stone Wails Fin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. F 1' 2 3 Sink / Iola'V`S i�.0 P%• % r/2 r/� Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only Double Siding ? Plywood No Plumbing Bsmt. Fin. �� 6 Single Siding Plasterboard r y Int.Fin. 3� 1 Shingles TIQNG 4161 1 ,onc. Blk. G F P Bath Ff. Heat 3 ---- _.__ /9, U Face Brk.On Int.Layout / Bath Ff.&Wains. Auto Ht.Unit c Veneer Int.Cond. Bath Fl. &Walls Fireplace o 3; E 'om. Brk.On HEATING Toilet Rm. Fl. 4y y�/j/U ,20 Plumbing •/j 3 Q Solid Com.Brk. Hot Air Toilet Rm.Ff.&Wains. Tiling DO .� Steam Toilet Rm.Fl.&Walls Blanket Ins. Hot Water St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS Asph. Shingle Pipeless Furn. S.F. > . Wood Shingle No Heat s.F. 3 L -'/.G ' 3 Asbs..Shingle Oil Burner, /.—s -F� —•/6x9� ,orb S. F. / 7-'?6 h� r Slate Coal Stoker �• S.F. 0, 7 V rile Gas ROOF TYPE Electric S.F. G. p OUTBUILDINGS�. Gable Flat 5 S. F. /J; J j'7� (, 1 2 3 4 5 6 7 8 9 10 1 2131 4 5 6 7 8 9 10 MEASURE[ Hip Mansard FIREPLACES D S. F. �y3 Pier Found. Floor Gambrel Fireplace Stack / Wall Found. 0. H.Door LISTED FLOORS Fireplace / Sgle.Sdg. Roll Roofing / Conc. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Pine Shingle Walls Plumbing Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. 1st 7.7 PRICED TOTAL � _ .-� 7` Brick Int. Finish / Single 2ndS�,8.,& 3rd FACTOR t/ REPLACEMENT j LPL 7V` OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. e + J-117 V O 3-7, 7 y d' 3 or - 1 2 3 4 5 6 7 8 9 to TOTAL r Property Location: 1211 CRAIGVILLE BCH RD MAP ID: 206/ 054/// Other ID: Bldg#: 1 Card 1 of I Print Date:08/20/1998 7— v1m— _,NT XQAV�K�' L IV U 'T WK, 4 %p U, UVWINEN,A[NI)NEW J &IVIAKE-4A IN Description CO de Appraised vatue Assessed valu OLD HUNDRED HOUSE RLTY TR RESTAND 1210 123,10C 123,IUC 801 1211 CRAIGVILLE BCH RD RESIDNTL 1210 137,80C 137980C CENTERVILLE,MA 02632 T7' I I BARNSTABLE,MA 'M ccountan Ret. Tax Dist. 300 Land Ct# Per.Prop. #SR Life Estate #DLI LOT Notes: VISION #DL2 Total 26u,90 260,9U qli v1i JiN all VU1WfNhN,AMUREW J &MAKUNA IN C 14909 U I A Yr. Code Assessed Value Yr. (-ode Assessed value Yr. code Assessed Value DOWNES,ANDREW J&MARINA C74369 Q 0 2 2 8,M—-To—taT-, 2 2 8,8 0 C—-To-t-aT- 228,8 g U 4 is signature acknowleages a visit aLFata ollector or Ass ssor Year lypelVescription Amount (code escription Number Amount Gomm.Int. 81 ` "I Appraised Bldg.Value(Card) 135,500 Appraised XF(B)Value(Bldg) 2,300 Appraised OB(L)Value(Bldg) 0 Total.1 Appraised Land Value(Bldg) 123,100 1"N ,T 51�--""' A% Special Land Value IGUENT HOUSE. 0 THE OLD HUNDRED HOUSE. Total Appraised Card Value Total Appraised Parcel Value 2609900 Valuation Method: Cost/Market Valuation Net Total Appraised Parcel Value R 3- X "110 "B U1 ILADI 11 I\ A 1 16 IVU, L If lwz' w" W W, Permit ssue Date lype Description Amount Insp.Date Yo Comp. Date Comp. Com ents Date ID Gd. Purposelwesuit MOM 7 N FR R 1T B# Use Go de Description one D 11,rontage Depth I Units Unit Price 1.Pactor S.L U Factor Nond. Adj. I Notes-AdjlSpectal Pricing Adj. unit Price an Value I 121D E;0-AJUJNU-HS HVI 3 0.2b AC-----742-NU.0( IJU 8 LOC 48WA 1.5#JISIWATERFNI' 4719UU.Ut 122,7UC 1 1210 BOARDNG HS RD1 3 1 0.53 AC , , 500.00 LOG 5 1.00 48WA 1.5016 IWETLAND 750.0( 400 ota anuntil otaI an va 123,10 Property Location: 1211 CRAIGVIILLE BCH RD MAP ID: 206/ 054/ Other ID: Bldg#: 1 Card 1 of I Print Date:08/20/1998 M, Element Gd. Ch. Description Commercial vata Elements Sqfle/ type J3 Uolonial Element Ud. Ch. Description Model )i Residential Heat&&AC Grade )B B Frame Type FUS[1036] Stories Z 2 Stories Baths/Plumbing UBM[616] Occupancy )0 Ceiling/Wall Rooms/Prtns Exterior Wall 1 14 Wood Shingle %Common Wall 2 all Height 8 of Structure 03 Gable/Hip 16 16 Roof Cover 03 Asph/F GIs/Cmp BAS Interior Wall 1 08 Typical IFF" 2 Element Go de Description t,actor Interior Floor 1 20 Typical Co-n-ip-Te—x 18 12 2 Floor Adj nit Location eating Fuel )3 Gas U 39 14 BAS 14 FGR Heating Type )9 Typical Number of Units 35OP 32 E AS 20 20 20 AC Type )i one Number of Levels %Ownership 14 Bedrooms )0 Zero Bedrooms Bathrooms Zero Bathrms 3 IF Ev%fvlr�0 0 Full Unadj.Bse 48.00 lu 12 rotal Rooms 16 16 Rooms Size Adj.a FactorRate 0.91657 16 Grade(Q)Index 1.06 ath Type Adj.Base Rate 46.64 Kitchen Style Bldg.Value New 154,005 Year Built 1820 Eff.Year Built 1970 1 Physcl 136p 7 Funcnl Obsinc Econ Obslnc pecl.Cond.Code a pecl Cond% 15 Go de escn lion Percentage verall%Cond. 8 1uu Deprec.Bldg Value 135,500 WIVA WV111DING& (L) k 0 WE,,so& Code Description LIB Units Unit Price In Dp Rt %C;nd Apr. Value -FPL-2-Firepl-1/2 Sty -----3,200.Ut 7U --I ,j-0,c Code Description Living Area (-irossArea Ejj.Area Unit Cost undeprec. Va&ue --BA-S—F-ir-s1T1-oor 2,0131-----2-,M-------- 93,65-- .FGR Attached Garage 24( 84 16.1 3,91k FOP Porch,Open,Finished 25( 51 9.21 2,375 FUS Upper Story,Finished 1,031 1,03( 1,036 46.61 48,319 UBM Basement,Unfinished 61( 123 9.31 5,737 11YE 'ros�s iv ease Area g Val-- 154,00� r To wn wn _ * i0s F f o Barn stable' st o able° � e Expires 6 months om issue date Regulatory Semces FeeMASS .. 39. � Thomas F. Geiler,Director �prfD AAA'l� Building Division . /611A Tom Perry, CBO, Building Commissioner 200 Main Street Hyannis, MA 02601. - . www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY Not Valid without'Red X-Press imprint Map/parcel Number lJ Property Address / k' e/�' ,r�4� I C.�1 : ��/2 4f d ( /� - l f��,>� ' ig"Residential Value of Work 3 Ude, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 0/0 oRJQ 4 011, U MY AIX ou.$2 Contractor's Name I Telephone Number Home Improvement Contractor License#(if applicable) 4 Construction Supervisor's License#(if applicable) MEPERMI ❑Workman s Compensation Insurance 5 ; Check one: ❑ I am a sole proprietor F F ° 1 ® I am the Homeowner I(}1f N L F BARNSTA�L ❑ I have Worker's Compensation Insurance G Insurance Company Name Workman's Comp. Policy# r Copy of Insurance Compliance Certificate'must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers"of roof) .Re-side #of doors ❑_'RepjacemLt Windows/doors/sliders. U-Value (maximum'.44)#of,windows *Where required;.Issuance of this permit does not compliance with other town department regulations,i.e.Historic,'Conservation,etc. ***Note: Properly Owner°must sign,,Property Owner Letter,of Permission A copy of9w Home Im ent Contractors License& Construction_Supervisors License is require IGNATURE: AWPHLESTORMSIbuilding permit forms�E RESS.doc evised 070110 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia' Workers' Compensation Insurance Affidavit: Builders/Contractors/Elect ricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organizatio dividual r Address: City/State/Zip: Ii) r6 0a 11tf 20Yhone #: �09' �� ����9 Are you an employer? Check the appropriate box: Type of project(required): 1.El.I am a employer with 4. [] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors .6• ❑New construction 2.E] I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.$ 9. ❑Building addition required.] 5. We are a corporation and its 10.❑Electrical repairs or.additions 3.VI am a homeowner doingall 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 &S I D0 comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their 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 cov rage verification. I do hereby certify and e p nd enalties of perjury that the information provided above is true and correct Signature:, Date: Z �� I 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 r Contact Person: . Phone#: A THE T Town of.Barnstable Regulatory Services tAtixsz'ABLE, * Thomas F.Geiler,Director y arnss. Building Division TEn Nwr°' , Tom Perry,Building Commissioner r 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us r� Office: 508-862-4038 AFt1x:.508-790-6230 . - HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1211 WA/6 V111ff lg,S, CIV n ber street 0 A14 HOMEOWNER": �e �/ZI AF- 7 7�. v!a��-4. name home phone# work/p e# CURRENT MAILING ADDRESS: . l Z 1 �lCf 0 f G y j �Q city/town sta a 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. t undersi a "homeowner"certifies that he/she understands the Town of Barnstable Building Department mum' ctio a ores d requirements and that he/she will comply with said procedures.and ire Signature of omeowner - Approval of Building Official " Note; Three-family dwellings_containiiig 35,000 cubic feet or larger will be required to comply with the State Building Code Se6tion'117.0 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 Rules& p or see Appendix Regulations ( P , gu ons for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly ,when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person-as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible: To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. , Q:forms:homeexempt _#r- �IHE, Town of Barnstable Regulatory Services MASS Thomas F. Geiler,Director i639. ♦� Fo,v,ec'' Building Division Tom Perry,Building Commissioner x 200 Main Street,Hyannis,MA 02601 www.town.barnsta bl e.m a.us Office: 508-862-4038 Fax: 508-790-6230 Property;Owner-M.ust ,t ry Complete and-Sign This Section. } . y A Builder -- as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools , ., are not to be filled before fence is installed and pools are not to be'- utilize d until all final inspections are performed and accepted. \'�'--, .F k Signature of Owner Signature of Applicant Print Name Print Name Date 4 ' Q:FORM&O WNERPERMSSIONPOOLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -Map E06 Parcel OS`/ _ Permit# (0 3 CU `? Health Division :t 9 g-"Pqe al -Date Issued F_ 2 Conservatiori Division • It 0S �c �.°i� � Fee Z�, D l� Tax Collector PJ .:- EYJSM14G SEPTIC SYSTE "�-- M Treasurer Ov UMMTO, OFBEID ROOMS Planning Dept. - Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis 0 Project Street Address /2ij C�/�AI& uic e-,e / ,7,4r,;z 1?o Village r /t Owner Pn.,s Address Telephone > L�S� - Permit Requ & f'si A /T /`D U.,✓D4Ti nig / AEAVIWo Ze- .Square feet: 1st floor: existing / ! proposed 2nd floor: existing -128t proposed Q— Total new Valuation Zoning District Flood Plain /da Groundwater Overlay Construction Type 4JMnJ0 /niggle- Lot Size g ,4 Grandfathered: f°CI.Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: ILYes &No On Old King's Highway: Cl Yes s No Basement Type: .IFull l kCrawl 0"Walkout ❑Other Aril SdP,,Om 0 — OyOwly Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 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: M'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 49 No Fireplaces: Existing New Existing wood/coal stove: -a-Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing O new size Barn:❑existing 0 new size �v Attached garage:W existing ❑new size PPv Shed:❑existing ❑new size Other: �•. Q Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No__-If yes,site-plan review# Current Use Proposed Use c: BUILDER INFORMATION Name A&4h= gy-aaa ' r Telephone Number Sp�7y •-4,9v8_— ji .:Address 3r� O?d „� Lla�,� License# `i V a,,TAJ _ eV� © 2�7,� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO p �P " !1 .lfl4�ib�Yl' �L SIGNATURE DATE �' —� / FOR OFFICIAL USE ONLY 8! PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' t DATE OF INSPECTION: FOUNDATION FRAME L) INSULATION ®{� 3 (a 5001 ' FIREPLACE 0 O �w► r e� ELECTRICAL: ROUGHS FINAL ; 2 O PLUMBING: ROUGH7) FINAL - (V GAS: ROUGH FINAL r FINAL BUILDING 1C r ��`ate Z r DATE CLOSED OUT S . � ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations ' d 600 Washington Street Boston,MA 02111 www mas&gov/dia r Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leadbly Name (Business/organization/individual):. /� D Address: �,36r oT®rZI�-,-,9A ,e City/State/Zip: p 2 a_ Phone#: o 2 g-CS�>4 Are you an employer? Check the-appropriate box:. Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.( I am a sole proprietor or partner- listed on the attached sheet $ 7.JRRemodelin g ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.[:1 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: N. 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 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: /Z// 2 Z.d Czz A® City/State/Zip:��yr,��e�/ic L4f ,A4 &ara3� 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 caii lead to the imposition of criminal penalties of a fine up to$.1,500..06 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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpen ti perjury that the information provided above is true and correct Signature: Date: �- Phone#�9 ep 0 �r-- Off<cial use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute as"...every person in the service of another under any contract of hire, .an employee is defined ery express or impl ied,Oral or written." An employer is defined as-``au. 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. Howeyer.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 certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the 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 pern it/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 prof that a valid affidavit is on file for;future permits or licenses. A new affidavit must be filled out.each o year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents Office of Investigations j 600 Washingfon Street Boston,MA 02111: Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia Town of Barnstable Regulatory Services aARNSTASI.E. ` Thomas F.Geiler,Director T MARS, ,g �OlfD3 p Building 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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied at building containingleast one but not more than four dwelling units or to structures which are adjacent to n such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Estimated Cost—, 10K TypeofWork: t1 arm — Address of Work: 1-211 n rj leer el i Li 4 &22cN �D Owner's Name: n6e r C/�!!1 is ,•,t A" — Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO TEE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: .-o Date.- Contractor a Registration No. OR Date Owner's Name Q:for=:h=eaffidav Town of Barnstable ~ Regulatory Services ' s"R''WA11M ' Thomas E Geiler,Director 9KAM 0p `bArE;;;.�►`` 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 ABuilder G -IAft OA ,as Owner of the subject property hereby authorize �/Z ® �i!�!j to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of Job) 6 Signature of Owner ate 6P-A! i`I'� l �At Print Name Q:FORMS:OWNERPERMISSION a�d3�as i4or/Ic��4 ^�` Gi.�i �'�cEe �eLix P,lba. mow,-naP6y Alo 6X6 $os¢s� �CQNd(- CC) 6 ' w0-21cm�� Lu fe Ly `BoardfBn ng Ril ecaea o� 6 egulations aed Staudar HOME•IMPROYEMENT CON.TRACTOR.It ' Registt 135852 {" 5/2006 - ual ' 111 MARK BIBSO I MARK BIBBO 30.ROSEMARY LA W.YARMOUTH;MA 02 Administr s . BQA�R�w o'F DUI"e fW 1 Q B._ QING�;.A'EGULATIP L 0 ft �'�'NO- -,",ThQN SlJ_PERUfS.OR j 073r853 i} �• :4 i # Tv.Ko. 9MOcip: a Q R =NARY LN° 6t 1�1/YArR, �TH, '[WA Q263 .r O. Isslone, T - - ------------ G,c-1 ,4 Ri S -SIB' &4V, N rep Zf- ' Lve�P �( e�GLlri/G " e IN 74 .,s T r :>OF x 4' - JAMES �G r /i ? 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Yia t a a ya YY aY aaa of a Yaa" i ;-H bwz'x i S;:".'.Timinu. m*—,-1 hav-.an viL''�: fteaiiur L.,u......L' ::a.L'a :.. ..LLL.ee.':eT. .> 't •( •l LLCA Sys{SGKit£GYV.K'CF'(ftLG SLS[t4£Lt L 4tF S 5Ai YLL6LA<LH LLK4hftiE 4A<FL<E-4{�� L AFi<f(Fi 54•F SLL..E45 LG4.4.?f;E 45/4f.CY a ( "nickn=far f'........� .: 3 ## far A6. fig M.- `E4n ..i••.-.• h:'t � E:...F Y�' •+.'n. 'E - 6 'E ft".' t is a su aaa a a:.sa}sa �_� us :,••t::::8d`U"itiCr_Ratrfcuaruie%. met-� •.s.� c�_� :�_:� -It Ar NW .4_TO Palo.- 3 ,• Town of Barnstable Reg-datorY Services Thomas E Geller,Director 9q, s6g9 �• IkIldl ig DIASfOU Tom?erry, Building Commissloner 200 Main Street, Sya=Js,MA 02601 . --- VnMAcI ularnstable.ma,us -- Fax, 508-790-6230 Office; 50&862-4038 w.. Property Owner Must Complete and Sign This Section _.. If Using A.Builder as Owner of the subject property to act on mybehalf _.. hereby authorize relative to work authorized by this binding permit application for. matters --_- in G� ddress of Job) - �• _ _ - ._-_ Date. ... .__..�. tore of Owner --"Al t % dam° Pit Name _ 9 r Town.of Barmstable,7 yP O� Expires 6 months from•issue date. Regulatory Services. Fee_ � 9e� i639. ,e$ Thomas F.Geiler,Director - p'fD Building Division X-PRESS 5 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 OCT ? 12003 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTAB�E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 4 Residential Value of Wore?po,e 77 Owner's.Name&.Address. CTCW.12i'J :2 s� ✓ A � Adz i�S l�✓��G� iD�l Or 06(10 Contractor's.Name dz/?Z,3 6 Telephone.Number 226 -6%O Home Improvement Contractor License#(if applicable) T C2 5:Z Construction Supervisor's License.#(if applicable) ❑Workman's.Compensation Insurance 1� Check one: ❑ I am a sole proprietor ` ❑ I am the Homeowner JR I have Worker's Compensation Insurance.117 ` Insurance Company Name Llf Z,12;T ///s/!Ll� Workman's.Comp.Policy# Cn./ Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side .. Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this.permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign roperty Owner Letter of Permission. - Home rovem C actors License is required. Signature Q:Forms:expmtrg Revised121901 OcOCT_20.2003D611�02AM WEBSTER COMMERICAL M0.580 P.2 P-2 Town of Barnstable : Regulatory Services Thomas F.Geiler,Director NAM %bit. • Building Division: Tom Perry, Building Commissioner 200 Maio Streef Hyannis,NIA 02601 Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sigh This Section If Using A Builder I eveVJ2 /4_1) �' //�AfYIf�lq as Owner of the subject property hereby authorize Z&a.LK f 31 eu& to act on mp behalf, in all ruittem relative to work authorized-by-this-building pemoit application for (Address of Job) �0/2o jai Signature of Owner Date / Print Name FBc.Ir�lcfBua}dk9 G R.ekul Eh Y 4Ef r �tOME I KRAt it%gist it iV1IN.7' - - �04 I rwdual I �Lq9 'r 1E-41AWf ,ACC MIA 02673 t .71 •�' F FRIEDLINE& CARTER ADJUSTMENT INC. 436 Main Street,P. 0. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: lding Commissioner or Inspector of Buildings - ( ) Board of Health or Board of Selectmen O Fire Department TOWN OF Barnstable TOWN HALL Hyannis, MA RE: Insured: THAMM, Conrad &Christine Property Address: 121,1 Craigville Beach Road Centerville, MA Policy Number: W01211 R `. Type of Loss Lightning Date of Loss: 6/5/2003 File#: 96862 k ° f Claim has been made involving loss, damage or destruction of the above captioned property,which may either exceed$1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. ° On this date, I caused copies of this notice to be sent to-the persons named above at the addresses indicated above by First Class Mail. J. F. MCNAMARAt,, t Adjuster . . 6/20/2003 . �THE The Town of Barnstable Department of Health, Safety and Environmental Services • 's Building Division M� ►`�� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph MCrossen Fax: 509-790-6230 Building Comaussio- Home Occupation Regis>z don Date: 17g Name:C�6.N2tt d `-C�[ `% � ' Phone #: 7 7 F/71 Address: Type of Business: �� Map/Lot: WTENT. his the intent of this section to allow the residents of the Town of Barnstable to operate a hone occupation within single family dwelling,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no mncre,se in noise or odor,no visual Aeration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of tight subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dsveiling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which arc not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residenual volumes. • The use does not involve the production of offensive noise.vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat.sure,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials.or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to czcced 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • ff the Custeomary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwellin8unit. I,the undersigned,have read and agree with the above resmcdons for my home occupation I am registering: Applies �� Date• /'O /9 Homeoc.doc TOWN OF BARNSTABLE SIGN PERMIT PAA.An _ID..20a_054 -- - - rt - E�1BAS D~ 123Ja ADDRESS 1211 CRAIGVILLE BEACH ROA PHONE Y' CENTERVILLE ZIP - LOT A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 34322 DESCRIPTION OLD HUNDRED HOUSE (4 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $10.00 BOND $_00 THE CONSTRUCTION COSTS $.00 753'-. MISC. NOT-CODED ELSEWHERE * •ARNSTABLB, MAS& 1639. A�O� B rILDING DIVI40N DATE ISSUED 10/26/1908 EXPIRATION DATE' ` ��- 1 Department of Health, Safety and Environmental Services;: • ap c NAM ,�► Building Division O 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Co;i G�1" 1►-ecLsure,� Application for Sign Permit 4 Applicant: ������ /11140 ( Assessors No. Pq(?tg ASS Doing Business As: Telephone No. Yd O "6 7�, Sign Location 6121?14� Street/Road2!1 �/T�z � /�G� (.,o%�IeoltlZe A Zoning District Old Kings HighwayP Yes(✓ Hyannis Historic District? Y s/No PropName Owner �)'1J l��� � Telephone: Address: a/l � � � / U 7�� Village:� �%�Z V/L�� Sign Contractor Name: Telephone: Address:, -ice Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Ye f 0 (Note.Dyes, a wiringpermitis required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that;he use and construction shall conform to the provisions of Section 4-3 of the Town of Barns dinance. Signature of Owner/Authorized Agent: Date: Size: Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Offi L'al: h Date: Signi.doc i .�`• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel'; b'��= _ . � Application # Health Division "-' +. Date Issued P6 ' q110 Conservation Division Application Fee 77 Planning Dept. Permit Fee e Definitive Plan.Approved by Planning Board ` Historic'- OKH Preservation/ Hyannis Project Street Address 110) Village it T 19 /L tJ/L L AC Owner Oftm,2,0 TA1 a Address.G fe Telephone ��Q - C.S3 —G goF �'�9NTO/V Ci Ob019 J Permit Request J&y Z J& IL/w 6 hNA Atit - L (9"1*00TZ AAVQ0fiLj S12,ea re sort t a 41�T� P � �2 �n L Square feet: 1 st floor: existing,&¢proposed J4.wt 2nd floor: existing l/e oo proposed s. mk Total new Zoning District Flood Plain Groundwater Overlay r' Project Valuation 47k Construction Type 4w,0 Lot Size Grandfathered: 43 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure OgAY Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: B Full LdCrawl ❑Walkout 6'Other Basement Finished Area(sq.ft.) ;i eo myt Basement Unfinished Area (sq.ft) li/G Number of Baths: Full: existing 2 new Half: existing Z new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 41 Gas ❑Oil ❑ Electric ❑ Other Central Air: M1114es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:existing ❑ new size_Pool: ❑ existing ❑ new size _ Barr Rd existing ❑ n size — s--z Attached garageA existing ❑ new size _Shed: ❑existing ❑ new size — Other¢ -n Zoning.Board of Appeals Authorization ❑ Appeal # Recorded ❑ , Commercial ❑Yes ❑ No If yes,site_plan,review=#- _- - Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Namei�slL�t7 b�Ir�iQ-,n,� Telephone Number Address 4(t!2 1__L,4e,0e d, AAAP. License# Lie?/��eiW Cj D G d Ag Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURES DATE k • FOR OFFICIAL USE ONLY / .7 APPLICATION# $, Is � J i- DATE ISSUED MAP/PARCEL NO. r _ ADDRESS `�' r - VILLAGE— OWNER' E 4 r OWNER' DATE OF INSPECTION: .s A FOUNDATION "f r, i FRAM 4R) ld2okq ic,l ^� INSULATION AkI zo/ti f: .FIREPLACE .r ELECTRICAL: ROUGH ff ANAL '•t e° ; PLUMBING: ROUGH FINAL GAS: ROUGH "FINAL .� FINAL BUILDING O 1591� DATE CLOSED OUT s ASSOCIATION PLAN NO. a; The Cotmnonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 ?Washington Street Boston, MA 02111 www.mass.e ov/dia, Workers' Compensation Insurance Affidavit: Builders/Contractors/El ectricians[Plumbers Applicant Information Please Print Lecribly Name (Business/Organization/IndMdual): CdA10/Lr4 d zbe !mi/�'� Address: &_r— "Ar LAV. City/State/Zip: Cgyre a 1!!3C dGo i 9 Phone-#: Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4.' I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have g• E]Demolition working for me in any capacity. employees and have workers' 9 Building addition comp.imqurance., [No workers' comp.insurance. S. [� We are a corporation and its 10.[]Electrical repairs or additions required.] 3. 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 1c. 152, §1(4), and-we have no employees. [No workers' 13.❑ Other comp.insurance required.] "Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ' x__Mtractors that check this box must attached an additional sh=t showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providt their workers'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: A,04 Le_ &Oe lel?o City/State/Zip:t�'$s✓T+Cl�d�e(mil /pia 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 crim?rial penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well m 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 coves e verification. I do hereby certify'a de the a penalties of perjury that the information provided above'zs ue and correct:. Signaturtm Date: IVIV 0141 Phone# Official use only. Do not write in this area, io 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#: x Information and histr°u.cfio s 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_dp.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 shalt withhold the issuance or renewal of a-license df per riif:to operate usiness or to construct buildings in?he commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insuranceve corage`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." y Applicants Please fill out the workers'compensation affrdavi completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),addresses) and phone number(s) along with their certificates) of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships (LLP)with no employees other than-the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have ..a 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/hcense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year,need only submit one affidavit indicating current ;..pohcy,information(if necessary) and under"Job Sile Address" the applicant should write`.`all locations in (city or town)."A copy of the affidavit that has been officially'stahV6d or-uharked t ytl e�cityof town may B.e 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 brim 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 C6mmoi1wc,&h of Massachus-M Dc,-pzztm=t of Indtl.strial Accidmts ;k Office of Investiptzons 600 Washington Street Boston, MA 02111 Tc1. # 617-727-490.0 ext 406 w 1-M-Iv1ASSAFE Fax# 617-727-7749 Revised 11-22-06 . www.mass.gov(dia Town of Barnstable pp THE tp� regulatory Services- w +' HARNSTABLB, - Thomas F. Geiler,Director - .Q MASS. $ - �},, 1639. Building Division lFD MA't Tom Perry,Building Commissioner . 200 Main Street, Hyannis., MA 02601 ,ww.toA,n.b2riistable.ma.us°w Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Id JOB LOCATION: 1211 60i I AP Aro4eloy /►f7 y/Y%�n Ulf G-I-4C street Village HOMEOWNER": Can ol."a-O IM*W'AI &®" f * name home phone# v�-- 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 be/she shall be responsible for all such work performed under the building permit. (Section lO.9.1.1) 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 i ction procedures and requirements and that he/she will comply with said procedures and requirem ` s Signature of Homeowne 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. FtOMEOWNEI2'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/cutification for use in your community. �OpIli Er, Town of Barnstable Regulatory Services ��ASSS. Thomas F. Geiler, Director lso,,�ra wilding Division Tom perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.rna.us Office: 508-862-4038 Fax: 508-790-6230 Property; Owner Must Complete and Sign `Ms Section Yf_U§ing,A ,Builder ''XN, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. A �• All • . ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFVICICIENC'Y FOR. • ONE; AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (790 CMR 61.00) Applicant Name: Site Address: ell in.prim ,r� 1 oym: Applicant Pho�n - - Applicant Signature: Date of Application: fQ !jt NEW CONSTRUCTION: choose ONE of the following iwo'o Lions 780 CKR.TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS 1�crl�UM •MINMJM . Ceiling or Q Slab Option l: Basement Fenestration. exposed Wall Floor' Wall Perimeter AFUE HSPF SE. U-factor floors R Value R-Value R-Value R-Value R-Value and De th National Appliancc•Encrgy R-1 0, Conscrvaiion Act(NAECA)i 35 R-38 &-19 R=19 R-10 4 ft . - 1987 as wnc:;drd,minimums cater as a licablo Note: This form is not required if you choose either of the two versions ofREScheA as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck-Web which can be accessed at http-Hwww energycodts.goy/rrscheck/ AbbZX OIVS:OR�A.LTERA' 1614S.TOEXZSTINGB�DZNGS.O�E125�ARSOX.l�* *Duildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula; (100 x b= a) - 2—SF 100 x _=�322= % of glazing b a (b) Glazing area equals /.3 SF If lazin is<_40%.use the chart below. < If lazing is > 40 % rocee••d to "SUNROOM" section 780 CM R TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESZDENT7AL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Wall Floor Basement Wall Exposed floors R-Value U-factor R-Value R-value R-Value R-Value and Depth ' .39 R-37 a R-13 • R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.c. not Compressed over exterior walls, and including any access o enin s). ' SUNROOM-An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. 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Permit F �.� a tee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address >`Z// ( ,�xi iC y/� Village C�:=.�/:ita y i I c Owner r6,w 4 r Address 12 0?19iC 0i c�Z. 91i60/4110 Telephone >) g 7 Permit Request 11?,F (ozZ.5-Z Uri �1�,��,tf �> -a. �ii��c Cis' ✓?aisii S (d )rjuj,)ot J Square feet: 1st floor:existing� � proposed4A 2nd floor:existing/O ® proposed 5���Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �c Construction Type lt>mo Lot Size Grandfathered: aYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family.M- Two Family ❑ Multi-Family(#units) 40 Age of Existing Structure2L-6 Y/?S Historic House: ❑Yes allo On Old King's Highway: ❑Yes M No Basement Type: ❑Full Wrawl ❑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 1 -3 new First Floor Room Count 50 Heat Type and Fuel: Was ❑Oil ❑ Electric ❑Other Central Air: Cl Yes 0 No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes d�rl\lo Detached garage:aexisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:X 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 11213 C7 Telephone Number ,�� ' 6,90 5 23) 92i1 Address 30) ACZS Z,614,4 c,v License# 3 S ,S 3 / y"OyitJ Home Improvement Contractor# / 3 o9s Z Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��`'�-�-� _ DATE 2 — / A C) FOR OFFICIAL USE ONLY ' PERMIT NO. r DATE ISSUED ' I MAP/PARCEL NO. 4 ADDRESS, VILLAGE i y OWNER DATE OF INSPECTION: ' FOUNDATION i FRAME INSULATION 07 I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Q 0116101 I DATE CLOSED OUT ASSOCIATION PLAN NO. y h F J _ The Commonwealth ofMassachusetts Department of IndustriaZ.4rcidents ` Office ofIr Vestigations 600 Washington Street . Boston,MA 02Z.71' , My W-mass gov/dia ' Workers' Compensation Insurance Affidavit: Bllilderg/Contractors/Electricians/Plu ers A licant Information Please Pxint Le ' l Name(Business/Organiiadom/Individual) Address: 3n AsF042,�,'• City/State/Zip:C" 1 t,r� 2 6� Phone A Axe you an emiployer? Checkthe propriate box:a - 1"[]..I am a employer with 4. [] I am a general contractor and I Type of pioject(requireq... employees(full R4orpart-time),*. have hired the sub-contractors - S El New construction , 2. _am a'sold.piroprietor or Partner- listed Onthe'attached sheet: 7.'Q Remodeling ship and have no employees These sub-contractors have g (�Demolition. iyorlang for and in any capacity. employees and have wotkers' (No workers' comp,insuuance comp, insurance.#'• 9. []Building addition required] 5: [] We are .corporation and its IO,Q Electrical repairs or additions Q I a= homeow=x-doing-a'l-.Wozk - ---cfficers.have exercised their . ' myself,[No workers,comb, right bf exemption per MGL' 11:Q Plumbing repairs or additions - inswance.required,]t c,152, §1(4),and we have no 12,[]Roof repairs employees, [No workers, 13.Q Other ' comp.insurance required] *Any applicant thatchecks box#1 must also fit out the section below sbowhi their workers'compensation paHOY infam�atioa. l oomeownerhat check submit tans affidmust aft indicating they are doing all woik and then hire outside contractors must submit a new affidayit�dicadng such, $Contractors that check this box must attached as addih'onal sheet shaving tba name of the dub contractors and state whetber arnotthose entities have erwicyees, Iftha sub-contractors bane employees,they must proYidb thei} workers'comp,polio number: ' I am an employer•that is providing workers,compensation insurance for my employees. Below is.the policy and3ob 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 patre,(showing the policy number and e Failure to socure coverage ag required tinder Section 25A;ofMGL c. 152 can lead to the imposition of criminal'expiration date). fine iip to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK.ORDER and of fine of up to$250.00 a day against tht;violator, Be advised that a-copy of this statement maybe forwarded to luvesti ations of the WA for insurance coves;%ifl catio y ORDER of I do hereby certify under the pa' ury that the information provided above is true and correct. Si afore: Date; �r-/, • Phone#; e-> ®. _ Offccial rise only. Do not write m this area,tb be completed by,city or town offciaC City or Town:' Xermit(License# . Issuing Autkiority(circle one):' .1,Board of Health 2,Building Department 3., City/Town Clerk 4,Electrical Inspector 5,Plumbing Inspector .6,Other • Contact Parson; Phone#: Massachusetts General1aws chapter.152 requires all employers to provide workers' compensation for then 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 indiyidual,partnership,assodiation,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 trusteb-of an indiVidnal,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 onthe.grounds or building appurtenant I ereto shall not because of such employment be deer iadto be an employer." IvIGL 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,seceptable evidence of compliance with the insurance coverage required.". Additionally,MGL ohapter.152,§25C(7)states"Nejthei tfie commonwealth nor any of its political subdivisions shall enter into any contract for,tht perform&&e of pnblic-.work uritii aceepta'bIp ev d�nEe of camp nce kith the insuaance' 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,it necessary, u u -conti;actor a names address es and hone numbers)along with their certificates) of supply sb ( ) P PP Y () () 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. Br 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 appkication for the pemut.or license is being requested,not the Department of Industrial Aocidents. Should you have any questions regarding the law-or if you are requirecl 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 orithe appropriate-lino. 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 permitllicensa applications in any given year,need only submit onp affidavit indicating current policy infornaatiorr(if necessary)and under"Sob 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 fo any business or commercial venture (i.e. a dog license or permit to bum leaves•eto,)said persbu 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 givens a call TheDepartraent's address,telephone•and fax number:. • 4�Mmmwwth OfM9 � S s al Qf "of �00 WashingtM Stma B4ston4.MA 02111 Ta.0 617-7,27 4 k ext 406 or 1-MMASSAFB Fox 4 61�'- 7-7749 Revised 11-22.06. www.M 8av/dia 1vTT1A vl iJLL1JLLOL, iU1V Regulatory Services L snx�vsrsn�, Thomas F,Geiler,Director 9�pl16 ►+ `,0 . Building Division Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.towA,barnstable,mz.us ace: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME ry2ROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL a 142A requites that the"reconstruction,alterations,renovatiori,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which'are adjacent to \ such residence or building be done by registered contractors,with certa m exceptions,slang with other requirements. Type of Work: /1/ ��l leg, Estimated Cost. Address of Y1ork: Owner's Name:— Date of Application: 2> �— I hereby certify that: Registratign is not required for the following reason(s): 0Work excluded by law DIJob Under$1,004 ®Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OV,NERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT FORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERIYIGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner' Date ntractor Signatare. Registration No. OR Date Owner's Signature Qvwp51es.forms:homeaffi day Rev: 060606 02/01/2007 12:2.7 FAX 860 692 1602 WEBSTER BANK COMML Ia 002 Town'of Barnstable Regulatory Services SAM ., Thomas P:G•eBer,D3ix'eow o¢'� Building Division Tom Peru*, BuIldiug Commissioner 200 Main Street, Hyaais,MA 02601 Efi= 508-862-4038 Fax:'508.790-6230 Property C}Uer Must Complete and Sign This Section If Using A Builder Owner of the subject ptoperty }aesebp authorize-A2 �! j5 to act on ray bebalf, is all tnatten J:& iv'e to wotk authotized by this building permit application£or. (Ad&ess of Job) a1-( 2a0 7 Signature of Ovum Data oe Flint Name -�- • Q:POR1vLS:OWNI�LPERNiLS5I0N ' 02/O1/2007 THU 12: 11 [TX/RX NO 9673) IaOO2 r CR 3 t 1^y?* ANFISIR License , TITRUO ION SU`PRICRr •' � ;�# - -� N e...bed-.,� 073863 ! l ,f' " .^mom...=.+- •) S - fl_ ,-/' 'h�.nQ` ;1,'2�..�., �• yMAR�^K [ VV,O� , .dn .4� i W~•Y'l��R �1}Hr7Nt'��'�l� r3�'' '�� � c. f K!, OddTI:;tgC Ol^ icense or rem he'74ex�tstrat►on s aliti tur tr.c! i i3��82 iicfore t E;card Ftrtti'un ctae. fi founds,ti ttye only. 12()1)8. r, of Bhiw-n .I'ae return I t r ?fir 7t�unsi+ua` 4 0 ASiEt urfon'Place�lations and�iat'd:' R rrc�Ese, s .' . oston"Ala',02.108 m I30] . L7j3 Stl rt ; Ez� n c t YnRPv"a ;i a >_ W67-3 vafi With0ut Si mature r ' LUrvIrvU ILitz.Itilt-I LUut z.l -ulz.Iz..ILireIC r"MIryImul CLASS I r-'--' I Ntsmu KEY NO. - 1211 CRAIGV.ILLE BEACH R 10 RD-1 300 loco 07/09/95 1211 JJ 43WA R206 054. 12395R LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ'D. UNIT , Land By/Date Size Dimension ACRES/UNITS VALUE Description D O AI N E S T A N D R E W J T R $ LOC./YR.SPEC CLASS ADJ. COND. P PRICE PRICE. p `, MAP- CD. FF-De th/Acres E ,L A N D 1 71,3 C 0 CARDS IN ACCOUNT - L 15 1WATERFNT 1 X .268=14C 242 79999.95 271039. 9 .26 7J503 43LDG (S)-CARD-1 1 157,500 of OF 01 ' . A 16 1WETLANO 1 X .53 =10C 145 1000.0c 1450.0 .53 30J 4PL 1211 CRAI.GVILLE BCH RD COST 4DL LOT A N ARKET 303900 BATHS 0.0 U X 13= lob 1 .0c 1.bo 1 .00 3 :4Rk 0369 0125 INCOME 1/2 BSMT S X B= 100 3.9 4.91 518 25ao-z3 USE AD FIRIEPLACE U X 8= 100 3900.00 3900.00 1 .00 3`:?OG J APPRAISED VALUE D J A 228,800 A U PARCEL SUMMARY T S AND 7130C A T BLDGS 15750C -.IMPS M jTOTAL 228800 F EN CNST E N DEED REFERENCI Tnpe DATE Re�rd� T Book Page s,. MO� PRIOR YEAR VALUE In Yr.°I Sales Price ' A iDl LAND 7130C T S ti C124909 I:11 /91 A 1 6LDGS 15750C U C74359 P0/00 TOTAL 22880C R 1 I E BUILDING PERMIT GUEST HOUSE. S Number Date Type Amon, THE O L D HUNDRED LAND LAND-ADJ INC ME SF SP-BLDS FEATURES 13LD-ADJS UAITS HOUSE. 71.300 �: 1400 Const. Total Year Built Norm. Cbsv. Class Units Units Base Rate Adj.Rate A f Age Depr. Cond. CND Loc %R G Rep] Cost New �Adl Rep1 Value Stones Height Rooms Rms Baths 0fix. Parltiwall Fec. 018 000 115 115 67. 75 77.91 20 70 24 74 100 74 + 212821 15753J 2.9 16 10.0 Description Rate Square Feet Repl.Cost MKT. INDEX: 1000 IMP. BY/DATE. SCALE. 1/0 0 m 5 9 ELEMENTS w CODE CONSTRUCTION DETAIL ;S BAS 100 77.91 1036 30715 GROSS AREA 3044 SINGLE FAMILY DWELLING CAST GF:JO T FOP 35 27.27 256 6931 *-------28-------*--10-* *-----22---`--* STYLE 05 OLflNIA_L OLD 0.0 R FSF 90 70.12 776 54413 ! ! 8 8 FSF ! Ljlal� ADJI�IT_ 03 ESIGN ADJUST 15.0 U FFG 30 23.37 240 5609 ! 14 *-i -* 16 EXTE-'_il _ELLS _J1 OOD_ fRA�4E------ 0.0 1SB 1r00 77.91 196 15270 *-8-* ! ! ` LAT1AC TYPE 02 AS - 0.-0 C _ - - - - - ---------- --- ------------------- -- 820 60 46.75 1036 484.33 '- ' *---14--*----18-- ! NT-E-R. FINISH 00 p.0 T + 1 r * *--12--* Y1�TR�LAYOUT 12 VEit./NORMAL ----_ D..O U ! ! 1SS ! it ! ! ! �iT R. J-KLTY- J2 A�IE AS EXTfR. �.Q R ! 39 14 14 ! ! ! ! L_0V1 SfiRJCT JJT oOfl JOIST--------p.0 A W.32 32 BASE ! ! 20 20 20E LOVR-COVER-- -00 -------.-----------�f�(3 0 t?OF-TY?_F---- -J0 ------------------ L ! ! ! 1 � 1 1 � E Total Areas Aux = 49 6 Base = 2 0 0 8 - - _ 7 .0 BUILDING DIMENSIONS ! ! *---14--* 1 L E C T R I(,A L--- JT �� T BAS W28 N05 FOP W08 N32 E08 S32 ! ! ! ! ! FFG, F 0 1tii5AT-1ON-- - tJt �UIfED--CaNC A BAS N39 E28 S14 FSF E13 S20 !FOP ! ! *--10-*--12--* ------------- ------------------- --- E10 F FG E12 N20 Wi 2 S20 .. FSF ! ! 16 NtIG30Rr10�D 4SWA CENTERVILLE -- L N20 E12 N16 W22 SOS W08 N08 W10 *-8-* ! LAND TOTAL MARKET FSF S10 .. 1SB W14 S14 E14 N14 5 ! PARCEL 71300 228800 .. 8AS W14 Sl4 _ E14 S16 .. *-------28-------X AREA . 106400 VARIANCE +0 +115 STANDARD 25 . .,v+.....�e-..-:®-. .r�!sa+r.ts:--S,...ta..w.^,a..�,ry.e...,+-cm -+sc-�._•-,:•.v'yey�.+imue�Y-r•.�w.r-. :�c.�•x.-�.:�:,-ma.e+.•.r.-s: .-..::v.+v+s.w..3vi�s..N.=M..r.6..h.-.;,',.,Ti -,l.o-r�..v�.w�.,r,.•n:-.sl-�..rv.vie.'hrnxxr...-.a.•s,.eC.'✓.a.:1::�fH.u.a-•..a«...�&.s_..�.Eruz�rwaP... n....rw+r.�c...na.nf+. v^sr..:..,i�.':zY.';•ah�x..'rv+,.p{:.-bav�:.v.:r.. .....+F-+s — —_ — . �•-- _-r f t k } �'SFr � � _! : �� .f ` ► , 1`' ,"°.�- A S. kl,J {f / Veil 2 2y Ic Ole; } {{ "F a 30 - Lj 'L&PW6"Vt AL =- F CC ` t F 4 4 t ! 1 1 k , .._• m t bar" {. 1 ! I , -.........-. �-...._-..... �.«..- �s.....k,y�.h.,w.-a .yam,...sa.�;«.erc.-....i_.,va�.4.h:.u>rvxfc.,....yw.. mr.�^'x• { - . .- } — ._, r y � +bYM9s5�'°Sgs2'xc✓ ..•3xvas.. ^- _ _ — 1b6 x VL/ Lvs2� (�tD&i_�l�NJ` 5 - Vrty ex(. IS%-,x. --R30 Zyt'16 f t � ! ! { CID tC a , t_T fdpig ; ig 1� 12�z11 GJ e, i �`Y )3 w9°t o A Bo Ur- # ! ! E z' ' t cL ass PT A O.c , R 2S Y --t�r�RDI JPlaNt I SJY/>/-Ks gg 19'-0" ± EXIST. 1-STORY BUILDING n � TO BE TEMP. SHORED UP Z & NEW FIRST FLOOR FRAMING co & SUPPORT FOUNDATION SYSTEM INSTALLED t- 1'-0" 7'-0" o NEW HELICAL O _ PULLDOWN PILES (TYP) z -.....- - - — f LAP, +1 +1 mx Lo CN EXIST. 1 STORYBUILDING TO REMAINEXIST.BUILDINGEXIST. CMURETAININGP." � WALL TO REMAINNEW HELICALPULLDOWN PILES (TYP)Cl OF MgOHN A.FOUNDATIONPLAN c N SCALE: g,� 1�_p,f �isTe�`` S�ONALey con r D. 91, al 00 F O Z o vN t: „ o Q o 19'-O" ± EXIST. 1-STORY BUILDING 00 TO BE TEMP. SHORED UP Z & NEW FIRST FLOOR FRAMING & SUPPORT FOUNDATION Ru SYSTEM INSTALLED Q H U - O a � q 1'-0" 9'-0" 7'-0" s r , N WW/ Xx .T. (3) 12x: 6EI1OV .N, I 2 .6 1JOISIS 1104 (3 c E is i P� 2XLr) � 01 T C� J 6 C. P.T. 6x6 POST w SIMPSON 1 I { TYPE CC66 COL. CAP / - - C --- ALL HELICAL PILE LOC. (TYP) j�P. i(3� 81 E f / I EXIST. 1-STORY BUILDING TO REMAIN N pq W t. EXIST. 2-STORY BUILDING TO REMAIN / rA SK-3 H oB" ` , w v / o ('V v Op ry 0. U 0 �* ( �St1 OF 444SSy N o A. FIRST FLOOR FLING PLAN N o Gs �� � o U y ., e SCALE: 1 = 1,,_��� N . 33776 c C7 o o. �GISTER�Oa�� a SS/GNAL ENS G A n� OzouN ca o06 U ® N � '16'-6" ± - V.I.F. A v� 7'-6" I 5'-2" 2'-10" zU Q F• U w E.u' A INSTALL SIMPSON TYPE H2.5A HURRICANE TIES 0 ALL JOIST TO BEAM , ,.. CONNECTION LOCATIONS INSTALL SIMPSON TYPE FJA EXIST. ONE—STORY FNDN ANCHORS @ 4' O.C. BUILDING TO REMAIN j — SECURE TO EXIST. RETAINING O ' NEW 3" PLYWOOD INSTALL SOLID WALL w/ �" 0 HILTI TYPE H + 4 I P.T. BLK'G BETWEEN SUBFLOOR / HIT HY20 ADHESIVE ANCHORS w JOISTS (TYP) /////�/////// //�! :/ INSTALL NEW P.T. /44 SILL AS REQ'D I trig, P.T. (3) 2x8 ��•Ij . BEAM (TYP) 6 NEW P.T. 2x6 JOISTS @ 16" O.C. P.T. 6x6 POST SECURE P.T. POST SECURED w/ SIMPSON L , TO CAP ASSEMB. w/ TYPE CC66 COL. CAP (TYP) z (2) 4" 0 GALV. BOLTS (TYP) EXIST. CMU RETAINING M w WALL TO REMAIN / H { I o GALV. STEEL HELICAL PILE '� CAP ASSEMB. (TYP) r SEE TYP. DETAIL SHT SK-4 }:_:`� "� � INSTALL HELICAL PULL— DOWN PILES BELOW TIMBER POSTS (15' MIN. EMBEDMENT) SEE PLAN FOR LOCATIONS e v H OF&4 c SS N -, 9 b• �° HN A. cn r c i o. 3377600 v N U G/STE �o��' - '. C7 R SECTION A S1oNAL ENG� G w ¢ u _52 Q . SCALE:Z,r= 1'-0" . . � ;® � o Y ' STRUCTURAL NOTES o Q o 5. Details of wood framing such as nailing, blocking, E- 1. All structural work shall be coordinated with the following bridging, firestopping, etc. shall conform to the latest O �t governing standards: fi edition of the National Design Specification, and the Timber Z 53" SPACE Construction Manual 4 A) The Massachusetts State Building Code, sixth 2 �` BETWEEN PLATES edition, and all other agencies having jurisdiction. U P.T. 6x6 B) The Timber Construction Manual, 4th edition, FOUNDATION UNDERPINNING SYSTEM a POST _ American Institute of Timber Construction. --' C) The National Design Specification for Wood Helical Pulldown Micropiles (HPM) SECURE P.T. POST Construction, latest edition. TO PILE CAP ASSEMB: 1. HPM shall be Type SS-175 as manufactured by the A.B. w 2 3" GALV. BOLTS GALV. (2) 7"x5% STEEL 2. The Contractor shall provide temporary shoring and Chance Co., or equal, with the following minimum ' ( ) 4 PLATES SHOP WELDED bracing and make safe all floors, roofs, walls and adjacent dimensions: TO MTL PLATE (1 E.S.) property as project conditions require. p �rcv 10"-12" diameter double helix lead'section z 3. All construction is to conform to the Massachusetts State 3" E" 1„ 1 extension shafts GALV. 10%10'x2 Building Code and all applicable w `product and design 4 —" — STEEL PLATE SHOP standards. Absence of specific items from these drawings 2. Cement used for HPM grout shall be non—shrink Portland does not infer that the Contractor is relieved from the WELDED TO COLLAR Cement conforming to ASTM C150 Type I or II. statutory code requirements. 3. HPM shall be installed as shown on plan and shall be 4. All materials and methods of construction shall conform embedded to develop p �'•: PROVIDE WEEP HOLES p a minimum 10 kip ultimate load ' N - to the approved rules and standards for materials, tests, and IN STEEL PLATE BELOW capacity with a minimum embedment depth of 15'. When requirements of accepted engineering practice as listed in GALV. TS2x22x4 POST LOCATION Appendix A of the Massachusetts State Building Code. required, the bearing capacity of individual HPMs shall be verified by an independent testing method. COLLAR WELDED TO SS-175 HELICAL 5. The Contractor shall verify all' dimensions and conditions in HELICAL PILE SHAFT PULLDOWN MICROPILE Y 4. All HPM foundations shall be installed b trained and the field prior to commencing work. Any discrepancy between Y what is shown on the drawing and actual field conditions experienced installation contractors who, upon request, shall f f id successful installation of helical evidence o shall be reported back to the engineer before proceeding with submit HELICAL PILE CAP ASSEMB. any work. i foundations under similar job and subsurface conditions. 5. Anchorage installation machinery, tooling, underpinningH 3 6.. Design Vertical Live Loads: `, g Y• 9� SCALE:4"= 1'-0" bracket hardware and equipment shall be as supplied, First Floor Load (Not Sleeping Rooms) — 40 psf specified or recommended by the manufacturer. ��� Snow Load — 25 psf 1+1 6. Anchorage installation procedure and anchor testing ry W FRAMING LUMBER procedure shall be in accordance with the manufacturer's specifications. Follow manufacturer's instructions for 1. All framing lumber shall conform to the latest edition of installation of underpinning bracket assembly and hardware. the NFPA "National Design Specification for Wood Construction", and supplement "Design Values for Wood 7. The Contractor shall maintain installation records during Construction", latest edition. Maximum moisture content shall the entire driving operation. Installation records indicating T helical pier type, Location, embedment and torque vs. depth E be. 19%. data shall be submitted for each' installation. H C� 15: 2. All exposed wood members used for structural framing, ABBREVIATIONS o decking, stairs, rails, bracing, etc. shall be pressure treated Q� w with ACQ preservative, or approved equal, to minimum O.C. On Center �M�JI �FiJI o detention of 0.6 PCF in accordance with AWPA C3. T \ N LONG. Longitudinal v 3. All connectors, connections, fasteners, etc. used to secure TRANS. Transverse ACQ pressure treated lumber shall be triple zinc coated hot CONT. Continuous �I CONC. Concrete dipped galvanized or stainless steel. FNDN foundation a 3 TYP. Typical N d a 4. The framing lumber shall be of the following minimum ^� > g specified use. lumber s e BLK'G Blocking P.T. Pressure Treated [-. grade and species for the cified All lbhall b U 2 w w y grade stamped by a recognized grading agency and shall be R surface dry. EQ'D Required O Z CMU Concrete Masonry Unit �HOF v, a� U DIMENSIONAL LUMBER REINF. Reinforcement ��� M�SIR N �* JOHN A. I For Exposed Pressure Treated Members* , ci Q U .� c c —floor joists & beams #2 Southern Yellow Pine 0. 3377 0 g Fb = 975 psi, E = 1.44E6 psi a U N 0 —timbers and posts #2 Southern Yellow Pine S/ONAL�NG\��� lu x (5x5 & larger) Fc 525 psi, E 1.2E6 psi ¢ `L q (*Design values adjusted only by Cm) :2 v; Ozo � N �` U ® �