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0268 GREAT MARSH ROAD
7 r f, e February 5, 2020 James D. Smith 522 Bay Lane Centerville, MA 02632 508-367-8920 (cell) Building Inspector Barnstable Building Department 200 Main St. Hyannis,MA 02601 RE-LionellLari_7ee,,2.6.8gGreat Ma si Rd., Centerville, MA 02632 Eer-mit Dear Inspector: I am writing to certify that on behalf of Mr. Larivee I have reviewed your inspection report and your concerns, inspected the work, and provided some additional requirements of my own. Your concerns as well as mine I feel now have been througoughly addressed as follows: *Hurricane clips have been added. *Fire blocking has been done at the gable *1 called for the addition of an additional column at the midspan of the beam supporting the joists and that column has been installed. *The ridge beam has been blocked down. Since the ridge beam was not installed as designed I was concerned that the collar ties were no more than one third the distance from the plate to the bottom of the ridge beam so I measured them an they are at the one third point. Therefore the original ridge beam as designed was not necessary as a structural ridge beam to support the rafters in place of collar ties, had they been too high above the plate. It is my professional opinion that all the framing has been done to Code. If you have any questions please feel free to contact me any time. Thank you, r?,E DARC/Y, F Q� S2li�OA No.' 87 I N n W b ti Sl L MAScAC U T O ,rJ or PG James D. Smith ' " . Town of Barnstable Building e.�ayxrAiase Post This Card`"So That it is Visible From the Street-Ap'proved Plans Must be Retained on Job and this'Card Must be Kept "" Posted�Until Finallnspection Has Been Made. Permit Where a Certificate of Occu anc„ is Re wired,such Buildm�shall Not be Occu ied`until a final Inspection has been ma" Permit No. B-19-1646 Applicant Name: LARIVEE, LIONEL A& FELTON,JEAN M Approvals Date Issued: 06/03/2019 Current Use: Structure n rz.. +rka'&=019 Date:Expiration Foundation: i (3t'� do12 03 2 Permit Type: Building-Addition/Alteration- Residential Ex p / / Location: 268 GREAT MARSH ROAD, CENTERVILLE Map/Lot: 210-051_ Zoning District: RC Sheathing: Owner on Record: LARIVEE, LIONEL A&PELTON,•JEAN M Contractor Name:` Framing: 1 et e Li Contractor License: Z/ a Address: 268 GREAT MARSH ROAD 6 L<— Jam/ CENTERVILLE, MA 02632 Est. Project Cost: $ 12,000.00 Chimney: Description: Sunroom , Permit Fee: $ 111.20 ! Insulation: Fee Paid:F $ 111.20 Project Review Req: ,r Date: 6/3/2019 Final: t f` I Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within"six months after.issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted._ Rough Gas: All construction,alterations and changes of use of any building and structures shall.be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access streefor road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire-Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing ' 2.Sheathing Inspection ._ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue Irving is insfalled - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction: Health Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department r All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: a1 J Application Number......................f.............................. Section 5'—Detail Cost of Proposed Construction 6-06 Square Footage of Project /had Age of Structure WV, Dig Safe Number #Of Bedrooms Existing VlA Total#Of Bedrooms (proposed) &1A 110 MPH Wind Zone Compliance Method ❑)MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics. ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information +. y d Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed j Rear Yard Required Proposed Side Yard Required Proposed l Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No I Toc+„nrio+nA• 11/lcnnt9 DEPT Application Number..................................... ........ ..... .. . . . .. ... . .�.......... MAY 6 019 MASS. .z Permit Fee........................ ..............Other Fee........................ OwN OF 194 RNSTAeCE Total Fee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by..... On...(P.(..31.l.7......... BUILDING PERAHT Map.... .._. ....'O ...Parcel........051. ...................... APPLICATION . exnAT s ^ Section 1 — Owner's Information and Project Location Project Address _ 016& 6>kgKi �-Ip25 tl RD, Village C�--01L;fWL1.L 1 Owners Name ox6 -s-wv L�1z(✓�fi Owners Legal Address N► er f �29. City. C_ R t;1-1 U,(-�6 State A, Zip Ualo32�Owners Cell# 5 o g- Q S 9- 0 r6 t 7 E-mail tD e a h c.( t t qY 7 G v"l�' • C c Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Deck Apartment © Sprinkler System ❑ Addition Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description �UI�r sae av� y Application Number............................................ ` Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date r Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor E i Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... i . Signature Date Section-�11=--Home Owners License~Exemption Home Owners Name: Telephone Number Cell or Work Number q`q-C,gt 7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required CMR and the Town of Barnstable. Signature Date S 16119 , APPLICANT SIGNATURE ,Signature Date S))it r Print Name Telephone Number E-mail permit to: �j eu�N u`y / 9�l7 e, V Section 12—Department Sign-Offs �. Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval r Section 13 —Owner's Authorization i I, , 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 • �" -'` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel O ( A pp lication # O Health Division Date Issued Conservation Division MAW DES l_ Application Fee 75 Planning Dept. MAY 18 2017 Permit Fee � � o •O U Date Definitive Plan Approved by Planning Board TOVVAI c . Historic - OKH —Preservation/ Hyannis � u/1 A i � g �T �A�s� ni>- Po ect Street Address Village 'F oe Vl ra O wner � 'S-a-AN Address 26�' �����` W 495u fU' T lephoneg Permit Request quare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new oning District Flood Plain Groundwater Overlay '�°'Proecf V tuatiorrn-�l�b-dv 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 IdDA91 LAVellVErc Telephone Number D$'_��P�CJ>�t'y A,ddress s� �2 License# Home Improvement Contractor# Ail //Atet Q cr SAt- 5.4 Worker's Compensation # ALLCONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i ' DATE SIGNATURE ' r 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. t The Coamwnw-akh Qfwc Ofadv= 6$9 W=bfiWbxef fir,MA.O= Workers'Cmapeusx5cmIusumcsAffilxeit pp Tnfi Taf�r�s Please FF int P Name —�6*y 4-<11Z11616 Are you au.a oplayer?£hecktbe appropriate ban Type of pralecq r�y L❑ I am a emplogervd& ❑I ass a goal eo�e I (x- ❑ldesa eMPloyewcnffaMLbrgar"rae * Imhiredgm� Z 0 I am a sale orgarfuer- �d antise aft�ed shad . 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' �1/ as ' 3. .1 ►; �. 1 AWC Guide to Wood Construction in`High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CrAR 5301.2.1.1)1 Check 1.1 SCOPE _ Compliance WindSpeed(3-sec.gust)................................................................. ................:................................110 mph WindExposure Category.................................................................. .............................................................B 1.2..APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch ..........................................................................(Fig 2)........................................... 512:12 MeanRoof Height ..............................................................(Fig 2).....:..........................................._ft 5 33' BuildingWidth,W...............................................................(Fig 3). ............................................. _ft 5 80, BuildingLength,L ..............................................................(Fig 3).............................................. _ft s 80, BuildingAspect Ratio(LW) ...............................................(Fig 4). ............................................. 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ 5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete................:..................................................,......................................................... ConcreteMasonry................................................................... ................................................................ 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ................................. .(Table 4)............................................... in. .... .. Bolt Spacing from endfjoint of plate ............................(Fig 5):.................................... in.5 6"—12" Bolt Embedment—concrete........................................(Fig 5)............................................... in.�:7' Bolt Embedment—masonry.........................................(Fig 5):........................................... in.z 15" Plate Washer...............................................................(Fig 5)...............................................Z 3"-x 3"x Y4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension....:..............................(Fig 6 ' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6 Maximum Floor Joist Setbacks - Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft 5 d Floor Bracing at Endwalls...................................................(Fig 9)...:................................................................. Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness ................................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening..................................................(Table 2)..._d nails at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls..........................................................(Fig 10 and Table 5)............................—ft 510, Non-Loadbearing walls................................................(Fig 10 and Table 5)............:.............._ft 5 20' Wall Stud Spacing ...............................................(Fig 10 and Table 5)..................._in.5 24"o.c. Wall Story Offsets ........................................................(Figs 7&8) ........ ft 5 d 4.2 :EXTERIOR WALLS3 Wood Studs Loadbearing walls.........................................................(Table 5). ........................ .2x _ft_in. Non-Loadbearing walls................................. . ..........(Table 5). ............................2x -_ft_in. ; Gable End Wall Bracing' FullHeight Endwall Studs............................................(Fig 10). ................. ............................................. ........... ........................... . ..... ..... . WSP Attic Floor Length...............................................(Fig 11).............................................. ft 2:W/3 Gypsum Ceiling Length(if WSP not used) .................(Fig 11)............................................_ft z 0.9W . and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c... (Fig 11).............................. ............ or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)................................... _ft Splice Connection(no.of 16d common nails) ............(Table 6). ...................................................... _ AWC Guide to Wood Construction in High Wind Areas:.110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of 16d common nails)......................:........(Tables 7)......................:................................ Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).......................:.........._ft_in.s 11' . Sill Plate Spans ........................................................(Table 9).................................._ft_in.511, Full Height Studs (no.of studs)...................................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans..............................................................(Table 9).................................._ft_in.s 12' Sill Plate Spans..........................:................................(Table 9).................................._ft_in.512" FullHeight Studs(no.of studs)...............................'.....(Table 9)........................................I............... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously, Minimum Building Dimension,W Nominal Height of Tallest Opening 2 ..............................................................................._s 6'8" SheathingType.............................................(note 4). ..................... ............................ Edge Nail Spacing. .......................................(Table 10 or note 4 if less) .................... in. Field Nail Spacing.........................................(fable 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)........................................................ Percent Full-Height Sheathing.......................(Table 10)....................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening2........................................................................._s 6181 SheathingType.............................................(note 4)...................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)....................... in. Field Nail Spacing .................................... ..(Table 11). ............................................. in. Shear Connection(no.of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing.......................(Table 11)...................... ° 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?............................................................. ................................................................ 5.1 ROOFS Roof framing member spans checked?....:..................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)............._ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12). .................................... ..U= plf Lateral.............................................(Table 12).............................................L= pif Shear..............................................(Table 12)..............................................S= plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13) .............................T= plf Gable Rake Outlooker.........................................(Figure 20)............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness........................................... .............................................. in.z 7/16°WSP RoofSheathing Fastening...........................................(Table 2).......................................................... Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d., All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11, 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. t , AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: L Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv: On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -MEN THIS EDGE RENTS ON FRAMING USEAd NAILS AT6b.m 11 11 11 11 11 1 11 11 11 1 ' 11 11 11 11 If I 11 11 1 11 11 11 .[ I i 11 1 G 1 11 /1 N II ii O n on F i as ii ii i Ed . it 11 11. Ir g 1 � I I y� 11 11 IL u V it II h i it. I I IS NALSPACM . 1 PAAiF�_ cal j� v See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment r ' AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7so Cmx 5301.2.1.1)1 to C i I �aa I i I 0 m � 1 FRINGMEMBEM AM .C6 ti ii EDGE MTERMEOIATE 1 am' i STAGGERED 3•M KO HAIL PATTERN � PANEL PANEL EDGE DOUME NAIL EDGE SPAMG DETAJ Detall Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7so CAIR 5301.2.1.1)1 FAQ*: WFCM Checklist Question: I understand if a new home is built in a town in a no mph wind zone then the American Forest and Paper Association (AF&PA) Wood Frame Construction Manual can be used to prescriptively design it. I also understand that in some cases the home can be framed per the WFCM 1 oo mph Guide, if it meets certain requirements including but not limited to aspect ratio, roof height, number of stories, and exposure category(B). I have heard that Massachusetts has a "modified" checklist that can be used instead of the checklist at the end of the Guide. Is this true and what can you tell me about this "modified" checklist? Answer: You are correct on the items that you have noted. MA has modified the checklist in several important ways. The MA version allows a roof with a pitch up to and including 8 in 12 to not be "counted" as a story. Further it does not require steel hold downs and straps in many locations if full height sheathing is used as defined in the MA checklist. Further, if the building will have furring strips installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the ceiling joists are not required. There are other changes as well that were not noted here. The MA version of the checklist was formulated in recognition of the highly regarded framing methods used in MA for many years and wood framing that has been used in North Carolina over the past 10 to 15 years which has performed well in severe hurricane weather in that state. f *Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of the BBRS. 4' t Town of Barnstable ` . Regulatory Services s�ASS. Richard V.Scali,Director. - 9. Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwwAawn.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 • Property Owner Must , Complete and Sign This Section If Using A Builder L {LtVI e- ,as Owner of the subject property hereby authorize behalf" (-mot vK 1--��et..�e� to act on my in all matters relative to work authorized by..this budding petmit application for (Address of Job) ' **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final, inspections are performed and accepted. Signature of Owner Signature of Applicant tArzW-4K- Print Name Print Name J 1'7 Date QXORMS.OW MPERMISSIOI MIS Town of Barnstable Regulatory Services dry Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EUEWIPTION �^ .y Please Print DATE: J I�!�r t<p /1.��s .} /� JOB LOCATION: O ( �"°'y 1 1�> Cep ✓r rl number sheet Village "HOMEOWNER": LIPX14 name home phone# work phone# CURRENT MAILING ADDRESS: c�G O c.PRir4 t' �-,r*ts q L d- ca, , R*„v, Ow- a cityhown state zip code L 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 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 pr c require d e/she will comply with said procedures and requirements. Signature o Homeowner LOn valof Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code S 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 Appendix Rules&Regulations for Licensing Construction Su ervisors,.Section 2.15) This lack of awareness often see A 1; P ( PP Q� � 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 Suphrvisor. 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. QAWPFlIM\FOR 1v1Muilding pem it fomsslEXPRESS.doc 0620/16 y� 1 L f ' j �i� L''=k , MAY 18 2017 �2 Of D"N OF BRRNSTAB - 1 j i - i TBM-1 OUTSIDE CORNER/STEP EL.=98.78 x-87.94`w , `�0 J 88.02 88.66 x 89.65 b ^/ —-�} -g0 69 Salo„ Zpp ,� W -_ 90.29 Op 9 93.24 x ' \ - / � 1.03 Cj �--- 3� PROP. �� .: APR 8 TP-1 SEPTIC O O ` �'' -9,6--TAN p �'•�0 S,q ,., VENTS/ / by/ 98,33 97,AT PA TIO U x/65.75 /EXISTING N 99 40 6 90 / HOUSE(#268) Xo' 99.20 9$ I T.O.F.=100.5E / GARAGE V W / 100. PORCH h' O 99.33 . :.. STONE x 100.0 N.'DRIVE LOT 21 10,680±S.F. I 9.9y� 99.63 �` /; 100 :14 97.94 65, 9e o/ DRIVEWAY: ® aQj pO�e�i 1602 / Qj Go 98.71 99,68 99.37 �x 0 99,52 PIN 99.82 . 99.61 OWNER OF RECORD 0-4j� GUINETTEx (*, OL 268 GRRAT1MARSH ROAD CENTERVILLE, MA 02632 Rain File No CCCB-15341 Pan#15 ' Building Sketch Borrower Lionel A.Larivee&Jean M.Pelton Properly Address 268 Great Marsh Rd city Centerville County Barnstable State MA Zip Code 02632 Lender/Client Cape Cod Cooperative Bank i PkoPd553 AM tv r 22' First Floor' 1 12' 8' Patio 4' [1328 Sq ft] �'---- ---- [324 Sq ft] Approximate Floor Plan i Wood Dec [96 Sq ft] 12 6' 7 1 1 24' 1 Bath Dining Bath Bedroom Kitchen 24' Bedroom 24' _ or Living Bedroom 14' Family 6' Open Porch Room; [84 Sq ft] 2 2 32' 14' TOM skrch by a u made,hx. Area Calculations Summary v i Living Area" Calculation Details '- First Floor I - 1328 Sq ft' _ 60 x 16.. 960 - 8 x 32 =256 8 x 14 = 112 Total Living Area(Rounded): .1328 Sq ft " Non-living Area • ' Open Porch 84 Sq.ft 6 x 14 = 84 „ Patio - 324 Sq ft 7 x 4 = 28 '. ~ • / 14 x 20-=280 Wood Deck -96 Sq ft 12 x 8. _ 96 - Form SKT.BLDSKI—'WinTOTAL"appraisal software by a la mode,inc.—1-800-ALAMODE y Town .of Barnstable . 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit "1 V1 . Application No: TB-17-543 Date Recieved: 3/1/2017 ' Job Location: 268 GREAT MARSH ROAD,CENTERVILLE Permit For: Building-Solar Panel-Residential Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572 W m Address: 24 ST MARTIN STREET BLD 2UNIT 11, Applicant Phone: (508) 640-5839 MARLBOROUGH, MA 01752 (Home)Owner's Name: LARIVEE,LIONEL A&PELTON,JEAN Phone:_ (508)958-0817 M (Home)OWner's Address: , 268 GREAT MARSH ROAD, CENTERVILLE,MA 02632 - Work Description: Install solar electric panels on roof of existing house with any upgrades,when applicable,specified by Design; To be interconnected with home electrical system. JB0263596-6.3KW 211'anels Total Value Of Work To Be Performed: $2,000.00 , 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: Nathan Tissot 3/1/2017 (508)640-5839 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,000.00 Date Paid Amount Paid Check#or CC# Pay Type w-----µme �.�..._:w.� _....•.�. .�..:.. ._. _,:�....:_..._..�...__.. Total Permit Fee: $85.00 l ----------- __. ___.__._ ...____ Total Permit Fee Paid: $0.00 ® J r�12 ;CAPE Coo INS ULATIO;'N ®®� - - rim'GLASS 51AM1153 SPNAYPOAM SU5PIN0l0 SATTS 0UTTIYS INSULATION CIILINOS - - 1-800-696-6611 ,; 4 Town of Barnstable , 5 Regulatory Services !` a, Building Division " 200 Main St 1 Hyannis, MA 02601 a Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation,-Inc. performed & completed the insulation and weatheriz_ation work at the property listed below. Cape Cod �f Insulation did this in accordance to the specifications listed on the building permit application. All work,lias been inspected by a certified`Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal•& State,Requirements. Property Owner Property Address Vil—� Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) (X) (5; -) ( ) ( ) Slopes Floors ( ) ( ) ( ) ( ) ( ) Walls iV r (VO r !l J P ro r si of y ,� :� I - - Sincerely 2Hry E ssi r, President Ins ation, Inc. - -_..... ... 117(rs tea / s va�y7 oFt�E Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee 639. ,e�' Richard V.Scali,Director `1s ArFD��p eDU r' � [�Uilding Division Tom Perry,CBO,Building Commissioner APR 16 2015 200 Main Street,Hyannis,MA 02601 www.town:barnstable.ma.us Office: 508-86� U318N of BARNSTA5r_r+ Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 6A1. 3�. Residential Value of Work$ t11,11W. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /",A �,¢yC►��•t Contractor's Name 1✓l/�- Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I-aam 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 accompany each permit. Permit Request check box -` Re-roof(hurricane nailed)(stripping old shingles)`=All construction debris will be taken to -, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side 'Q ❑ Replacement Windows/doors/sliders.U-Value (maximum�4*9#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is ire . SIGNATURE:_ Q:\WPFILES\FORMS\buil i g permit forms\E doc"" " Revised 061313 t ---------- -- - - - .._ .. t' 2' 6,�o , 7'he Com mon",=tli ofMassachusetts Depart nt of Indus&ial Accidmts Oice of Il tigrrtions 600 llrashingtm Street Boston„M4 02111 www.massgml is Workers' Compensation Insurance Affidavit:Builders/Contrachw&/ElectjiicianwTlumbers Applicant Information Please Print Ley-ibly Atdress . �G g � lrcu • ices& . CityfStat�f�p Are you au emWarver?Check the appropriate bo= T of ect proj .�(required): L❑ I am.a em: 1 with 4- ❑ I am a general contractor and I _ ----� P 6- ❑New cvr W6ctstao Io foil an4llor e * Kati a hired the sub-contractors employees{ pa�#im}. 2.❑ Lam a sole proprietor or parbim listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working forme in any capacstT enVloyees amdhave wod=s' 9. ❑Blinding addition [No wotkees'comp.insurance comp.insmr nce. ire Qirt d 5. ❑ We are a corporation arid-its 1tk_❑Elechical repairs or additions -I:asa a homeowner doing all v�ealc have exercised thetr 1 l_❑Plumbing repairs or addit c mysel€:[No workers'comp- c.15 of eaemtptitsn per 1mIe n 12 Roof c_152, 1/4..and weliaire� '� repairs insurance re�{1-1 t � \ ernplo3 s-[No workers' 13.❑Other comp-insurance required-] fly applicam$ssr check s boa#I=W glso fLU ow the section below showmr dw¢woden'comgeusadm pwicy in€olmla m- Ii avers col»submit this afyidn7r indicatinc they are domg all v wk and fen hue outside coubwfors may{submits new afdwA indkAbn;snob_ ContswWrs fW cbea this bm must attached an tMidanal shw dwvdug the-oMe smb-conawtm nd state whether ornot tbnse emkies hwm employees. If the sub-cant wars bate employees,they mustpMvide their workers'comp.paHcy mzmbw- I.am an emp&y'er that is protiaYrg workers'comprensation insurance,jor my emplojwim Below is fhepopig,and,}ob sites information. Insurance Company Name: Policy#of Self-ins-Lic-#_ FxpiratiDnDate: late --� Attach a copy of the workers'compensation policy declaration page(showing the policy number.and expiration.date). Failure to secure coverage as required under Section 25A of MGL c; 152 can lead to the imposition of criminal penalties of a. fine up to S 1,500_©D anWor one-year imgrisaurnent,as well as civil penalties in the fount of a STOP WORK ORDER and a tine of up to$250.00 a day against the violator_ Be advised that a copy of this statement may be warded to the Office of In-vesgations of the DIA for insurance coverage verifxcataon. I,do hereby certi the pains and nables ofperdwy that the information proti&d ab/mw is true and correct Date:=V//1- � Phone#: 00 cial Tess only. Do not write it dds area,to be completer by city or town ojj5ciel City or Town: Permit/License Issuing.Authority(circle one): 1.Board of Health 2.Building Department 3.ci Town Clerk 4.Electrical Inspector 5.Plumbing Imspxector 6.Other Contact Person- ` Phone#- :, - 6 r � Information and Instructions Massachusetts Geiim-A Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pnrmiant-tD this strode,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 oa 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 wPithhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicantwQho 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 ofpublic work until acceptable evidence of compliance with the rosin-ance. requirements of this chapter have been presented to the contracting authority." : Applicants Please fill out the workers'compensation affidavit completely,by the dag 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 inm=ce. 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 ofinerrrance 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-ffisu ,nce license number on the appropriate lime. City or Town Offa-cials 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 perinncense 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 (Le. 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 Departraent's address,telephone and fax number. The Commonwealth of Massachusetts Depart ent of lndustial Accidents Office of JavesVgafians wo washhigtan sftleet Boston,MA Elul 11 Tel. #617'27-4900 i�xt 406 or i-F,77 MASSAFE Revised 4-24-07 Fax#617-727-7749 w .ma..s.:�_gov/dia oFtHE Ta,, Town of Barnstable Regulatory Services * BARNSTABLE, ' v MASS. g Richard V.Scali,Director 1639.rA�O 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 � HOMEOWNER LICENSE EXEMPTION DATE '�(/l b I/5' Please Print JOB-LOCATION:— D C�1t /L Q. �I/J& number street village a HOMEOWNERS_ name c home phone# work phone# CENT MAILINGADDRESS: 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 su ervisor. 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 buildingpermit. (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 procedur equirements and he/she will comply with said procedures and requirements. natuie ofHopAKner f Approval of Building Official ti 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." t 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. QAVvTFILES\FORMS\building permit forms\smokecarbondetectors.doe Revised 040714 ZFIE A�� ■ * WMSMBLE. • MASS, Town of Barnstable .eTFD MP'�A Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO 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, ,City r.1 Z'J le-we e , as Owne of the subject property hereby authorize to act on my behalf, in all matters relative to work a orized by this buil g permit application for: , w At (Address o ob 1 L / 5 Si e o Ownet Dat Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILESTORMS\building permit forms\smokecarbondetectors.doc Revised 040714 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO n, €, y "rSTABLE hh �y Map 2 Parcel ( Application # 2-015090 Health Division Date Issued Conservation Division Application Fee l S Planning Dept. a -ry °vermit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �?��w� � � e!✓�,� /�G� Village Owner ,ee"O i e k 1-a:44/.'Z e Address Telephone 025 Y �r���® -4'S 7 Permit Request /P 9 "�.�/f�fir? j`Z c��' <� � �� zl e a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation :�� �� 4 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 g No On Old King's Highway: ❑Yes XNo 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 CAB �O 4 %�i�1J�T � Telephone Number-, -� Address / �d �� C>e-0 License # %d Q ' Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 22viAvl SIGNATURE DATE � � s FOR OFFICIAL USE ONLY Y APPLICATION# ' t DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of-Barnstable Regulatory Services KASL�►„�,> Richard V.Ste,Director 3- Building Division Tom Perry,Building Commissioner 200 Main SUeet,Hyannis,MA 02601 www.towularnstable ma.os Office: 508-862-4038 Fax: 508-790-6230 ' Property40tiner Must ' Complete and-Sign This Section - — _JfUsinorA.iulde as Owner of the subjects property hereby authorize CCA} to-act on my behalf, i m all matters relative to workauthoiized by.this buRdirig permit applicati6h`fcir: (Mdress of job)L "-Pool fences and alarms are the responsibility of the applicant. Pool are not to be filled or utiLed before fence is installed and all fins] ,. in ections are erfonmed acid accepted. of r Signature-of Applicant Print Name - Print Nam f Date Q:F0RMS:0WWERPERMISSi0NPW1S ' � - AF 7 he Commonwealth of Massachusetts Lt- Department of Industrial Accidents Office of Investigations 600 Washing7on Street . Boston, MA 02111 www,mass.gov/dia Workers' Compensation Insurance Affidavit:Build ers/ContracfarslElectricians/Plumbc!l A licant Information : • � - PIease Print T,efribl•,, Name (Business/Organizadon/individual): Address: 61'�l�' w City/State/Zi •6'k ` AV (lli,d �I Phone #:. Are you an employer? Cheek he appropriate box: - 1. I am a employer with 4• ❑ I am a general contractor and I Type of project (required): employees (full and/or Part-time).* have hired the sub-contractors 6• ❑ New construction 2.❑ I am a sole proprietor or partner' listed on the attached sheet, 7. ❑ Remodeling ship and have no employees These subcontractors have g, [] Demolition working for me in any capacity, employees and have worker's' [No workers' comp. insurance comp: insurance:x ,9• Building,addition required:] 5. ❑ We area corporation and its 10.7 Electrical repairs or additlor Q 3.❑ I am a homeowner doing all work officers have exercised their. 1 l.[� Plumbing repairs or adc!:iors myself. [No workers' comp. ' right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12 Roof repairs 3a.❑ I am a homeowner acting as a employees. [No workers' 13. Other general contractor,(refer to 94): —`-`-- - ---- comp. in required] Any applicant that checks box#1 must also fill out the section below showing their workers' co �~mpcnsation`policy information: Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractom must submit a new affidavit indicatinv such. tContractota that check this boz must attached an additional sheet showing the name of the sub-contractors and stato whether or employees. If the sub-contractors have employees mP•Policy must provide their workers'co olic number. not those endti rs have I am an employer that is providin information. g workers'compensation insurance for my employees, 'Below is the policy and job Sift ''Insurance Company Name: ��5 �-�'�L(�i ( �t 11 , //'' _ Policy#or Self-ins. Lic. #: l ��% �. �U _ f_._.._.._ - Expiration Date: Ll � -..... Job Site Address: �,� Attach a copy of the workers' compensation policy declaration a• P Y Page (showing the policy number and eapirahnn d-ate): Failure to secure coverage as rewired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties oi•, fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER a'n l , n,>of up to$250:00 a day against the violator. Be advised that a copy of this statement may be forwarded t6the Office of' Investigations of the DIA for,insurance coverage verification. , I do hereby certi un the pains and penalties of perjury that the information provided above is true and correct. G Si a ,� Date: �` B / 7 Phon #: �� Offrcial use only. Do not wrire in this area, to be completed by city or town official City or Town: 4.4 Permit/Liceuse Issuing Authority (circle one): 1. Board of Health. 2. Building Department 3. City/Town Clerk- 4. Electrical Inspector S. Plumbing Ins ector ! 6. Other P Contact Person: — Phone Y• From:Roge4s&Gray InsutaFax: To: +15087785736 Fax: +15087785735 ;Page 2 of? 0313012015 10:04 AM CAPECOD-27 BDELAWRt NCI- ACORO` CERTIF16ATE OF LIABILITY INSURANCE ' DATE""'"° 3/30/201 > THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 7111S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PO(_ICIL:;S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT. BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, t IMPORTANT: If the certificate holder.Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. 1f SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER R CONTACT——!A -- -- Rogers&Gray Insurance Agency,Inc. NAME:PHONE FAx 434 Rte 134 Arc No Ext: Arc No: (877)816-2'156 South Dennis, MA 02660 E-MAIL - ADDRESS: - INSURER(S)AFFORDING COVERAGE HAIC INSURER A:Peerless Insurance.Company-see LIBERTY MUTUAL INSURED INSURERS:SAFETY INSURANCE COMPANY 39454 Cape Cod Insulation,Inc. INSURER c:Endurance American Specialty Ins. Co. 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E _I .. <INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICI I TH!S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED,HEREIN IS SUBJECT TOALL IHETEPIi'; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. SR TYPE OF INSURANCE POLIO EFF PO E P - —'--"" LTR POLICY NUMBER + MM/DCNYYY MM/DD(YYYY - LIMITS ' A X COMMERCIAL GENERAL LIABILITY - ------' EACH OCCURRENCE S, 1,000000, CLAIMS-MADE OCCUR CBP8263063 �' i 04/01/2015 04/01/2016 PREMISES(Ea $ 100 OO(i; r -- MED EXP(Any one person) T 5 OCO PERSONAL&ADV INJURY T -— 1,000,OOU e GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 000 .X POLICY a PE LOC - PRODUCTS-COMP/OP AGG $ 2,000 00C, OTHER: AUTOMOBILE LIABILITY BINED SINGLE LIMIT. Co Ez accident B ANY AUTO TB'D 04/01/2015 04/01/2016 BODILY INJURY(Per per;on) $ I ALL OWNED X SCHEDULED — -- AUTOS AUTOS hION-OWNED * BODILY INJURY(Pei,accident) s X X HIREDAUTOS PROPERTY DAMAGE AUTOS Per accident) +• $ X UMBRELLA LIAR X OCCUR - •- - --- EACH OCCURRENCE- % 2,000 UDO;• C EXCESS LIAB CLAIMS-MADE EXC10006635000 04/01/2015 04/01/2016 AGGREGATE . DED I X I RETENTION$ 10,000 - Ag regate 2,000-O00� WORKERS COMPENSATION PER OTH. - . ---AND EMPLOYERS'LIABILITY - STATUTE ER - _ D ANY OFFICERIMEMBERrEXCLUDEO�ECUTIVE.Yn N/A WCE00431900 06/30/2014 06/30/2015 EL.EACH ACCIDENT -. - 1,UOi)0U(1 (Mandatory in NH) - E.L,DISEASE-EA EMPLOYEE T 1,000,000 000,000. If yes.describe under � � � DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,00ci_ -- DESCRIPTION OF OPERATIONS/LOCATIONSI VEHICLES (ACORD 101,Addltldnal Remarks Schedule,.maybe attached if more space Is required) _ Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and'Auto Liability When required by written contract or agreement with the Cell ificate Holds i, i I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE .ABOVE DESCRIBED POLICIES BE CANCELLED Bf-.F OI2(_ Cape Cod Insulation,Inc, THE EXPIRATION DATE THEREOF, -NOTICE WILL BE. DEL IVFiRF0 Itl 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS. South.Yarmouth, NIA 02664 - _ AUTHORIZED REPRESENTATIVE - - ©.1-988-2014 ACORD CORPORATION. AI1hts IC er ecf. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ` Office of Consumer.Affairs and Business ReguIa:t on . 10 Park Plaza-- Suite 5170- _ Boston, Massachusetts'02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 112/15/2016 Trtt 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 R E A R D O N CIRCLE -_ ..-------- SO. YARMOUTH, MA 02664 - -- -----'-- - _-.___. - Update Address and return cart.Mark reason I'm Olin,, Address L] Renewal L-] Eniploymen't ( L:osl Cou;l SCA 1 Ci 20M-05/11 C�//ie (Coarz�,ictrzurca���o�C�/f��r�dac�rr�eCl� � ' a*\ office of Consumer Affairs& 1lusiness Regulation License or registration valid for iuilividul use only J,ffi ;HOME IMPROVEMENT CONTRACTOR before the'expirntion (late, (('found return to: ' registration: 153567 Type: -Office of Consumer Affairs and Business Regulatioir 10 Park Plaza -Suite 5170 C� l'./Expiration: Q/15/201..6 Private Corporatioii' Boston,NIA 02116 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO.YARMOUTH, MA 02564 Undersecretary N valid wi.tit sign 'e-- —^ Massstchusetts Npartmenl.of K'ublic Sately ..Board of Building Regulatlons and Standarcl ; , - Cun.etrn�'tinn Snj�c i i nci.i, . hlcense; CS100988 sin I�owss� .V �, ,„ WEST Y ARM 0 TiI 2t p.t�7.3F ✓, J> ,r i u '\ Ex I�iration Commissioner x 11/11/2015 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 05-1 Application # Health Division Date Issued o? Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project S-eet:Addr_ess, ".P age arh_Te_d le_. - ( 'erjf�i Qwne w�drel�g �i��✓I-�- �. Address Same TeeIepho- ne'\5 Permit=Request---�,& re a a �►01al'o darn e �t/ r rr�D y j Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay I 2!2cfiValaation . ��1>D Construction Type z` C Lot Size Grandfathered: ❑Yes ❑ No If yes,AKing' portingdocL rgentation. a6.s: Dwelling Type: Single Family ❑ Two'Family ❑ Multi-Family (# units) E Age of Existing Structure Historic House: ❑Yes ❑ No On ighway,: ❑ s ❑ 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 O 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) Nam e r6 f�, -�u;ne_t Telephone' —r / r Address , �� a L, ,QC � License# ( e nte_rr'V;14 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE (�f: D E"'' f_ %�� r FOR OFFICIAL USE ONLY I" f APPLICATION# DATE ISSUED MAP/PARCEL NO. F 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION e FIREPLACE' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE-CLOSED OUT A OCr1lON PLAN NO. The Commonwealth of-Massachusetts Department of Industrial Accidents - - - Office of Investigations 600 Washington Street = Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):r%�i ,i a7 c_,C-ity/St6te/Z1T_ �3- Phone#: ,-=-�V/ % Are you an employer?Check the appropriate box: — 4 Type of project(required): 1.ElI am a employer with G4r0 I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). . 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No w r-kers' comp. insurance comp. insurancejt �r red.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions (3-r I am a homeowner doing all work officers have exercised their 1 l.❑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 13.❑Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. C$Contractors_that=check this-box-must attached-an-additional-sheetshowing-the-name-of-the=sub-contractors_and.state_whether_or-not-those=entities-have plo Aes.,If the-sue contractors hare=employees;whey_must=piovide_theu workers comp policy number.--�-s 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 cerAunder the pains and penalties of perjury that the information provided above is true and correct. CSi Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4:Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the. dwelling house of another who employs persons to do maintenance,.,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel, #f 17-727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable ` Regulatory Services oFtt roiy,� Richard V.Scali, Director Building Division BARNSTASLE, * Tom Perry,Building Commissioner yQ MASS. U 1639. 200 Main Street, Hyannis,MA 02601 i0ren 1i��A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION .� Please Print ' ""JOB LO'CA_TION_ '—'-,z;?,gd arell' '�� !/1 CY; --.-�, number street ' village 1 -«HOMEOWNER"-`^ /��J//f r (�?i�Ii'/?/ T ' �� 1 °f�i name / home phone# work phone# CURRENTMAI'LING 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. DEFEVITION,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) r The undersigned"homeowner"assumes responsibilitysponsibility 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 r reements. Signature of omeowner Approval of Building Official I *+� ----- �' 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. 4 -` 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.99 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. A c 0� BARNSTABLE, # 9 i639. 1�g' Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO 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 O r of the sub' property hereby authorize to act on my behalf, in all matters relative to work authorized by this building t it applicari for: (Address of Job) Signature of Owner Date b ; Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILESTORWbuilding permit forms\smokecarbondetectors.doc Revised 050412 o�I ME r Shed P st TOWN OF BARNSTABLE ermi P� * BARNSTABLE. y MASS g 16349. Permit Number: Application Ref: 201502048 20150784 Issue Date: 04/17/15 Applicant: GUINETTE, CAROL A Proposed Use: Accessory Structure :Permit Type: SHEDS 200 SQ FT & UNDER Permit Fee $ 35.00 Location 268 GREAT MARSH ROAD Map Parcel 210051 f Town CENTERVILLE Zoning District RC Contractor PROPERTY OWNER Remarks INSTALL A 200 SQ. FT SHED Owner: GUINETTE, CAROL A - Address: 268 GREAT MARSH RD CENTERVILLE, MA 02632 Issued By: SS POST THIS CARD SO THAT IS VISIBLE FROM TH _ REST . Q Town of Barnstable �TME rO�sti Regulatory Services o" Richard V.Scali,Director # 4 MALSS. ♦ f 9 � Building Division i639' �� �E1639. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMT#p70/ 5 0 a6�� FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village Property owner's name Telephone number w s Size of Shed Map/Parcel o .> :zz Sign tore Date M Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE CONnUSSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 i� . I Map Page 1 of 1 Town of Barnstable Geographic Information System New sear Parcel Viewer F Custom Map Abutters Map size ® a3, Zoom Out 11111 1 E n,In r �a® a Turn map layers on/off by]PG selecting check boxes below a re, Town Boundaries r AIL-1 H = •m [ Road Names 21M71'd r-' 1120 Voter Precincts 21005213 019 17 Multiple Address House Numbers-; Map&Parcel Numbers , F7, Parcels 210050 h - 0290 FEMA Flood Zones /Or �41 Effective July 16,2014 13 VE-Velocity Zone t 10 AE-100 year Flood 9 r ., c 21072 ®AO-100 year Flood 1250 '", ,' 0.2%Annual Chance Flood 210051 Open Water • 210073 0240 ['. Neighboring Towns f Water F, Streams c Far aralrr Mow F. Jetties 17 Edge of Water 210139 0291 $10137 310130001 210136003.210135004.210130001 r Marsh 0271- a259'.. -.1253 0251 0 219139opaeet #.x �- Drainage Ditches �FiQh[ atf y e Water Bodies Set Scale 1" Aerial Photos I MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MAAII rights reserved.Send questions or comments to GIS BarostableMA v1.2,5494[Production] -73 70 > 03 r http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=210051 4/16/2015 -7, �b MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY C F r J MA-DATED - 7- 1 PERMIT#� JOBSITE ADDRESS Zc-S �,t&Ar /1'mS lz OWNER'S NAME CA4o CTcJ t.J ITT OWNERADDRESS _C'��/;��ly" t� + /`'I 9 TEL r- FAX P - TYPE OR OCCUPANCY TYPE COMER ® EDUCATIONAL RESIDENTIALI�' PRINT CLEARLY NEW-[] RENOVATION: REPLACEMENT:© PLANS SUBMITTED: YES® NO FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM - - DEDICATED GAS/OIUSAND SYSTEM -- DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM I I - DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) �— KITCHEN SINK I---- ' LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK G - r—gill- TOILET 3 L I URINAL _; —�I ` i _ ..I' WASHING MACHINE CONNECTION , -- WATER HEATER ALL TYPES WATER PIPING �!-- OTHER rb A A 5,` rj e c T I c - w INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES ' NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW ite ca LIABILITY INSU CE POLICY OTHER TYPE OF INDEMNITY BOND [j OV wR'S iF&RANCE VER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Machus4tts Genera Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT c _ SIGNAkJjRE OF OWNER OR AGENT -'hereby&6Mfy that all VQ—e details and information I have submitted or entered regarding this application are true and accura to the best of my knowledge in d that all plumbing v nd installations performed under the permit issued for this application will be in compliance !s!of the Vassachasetts State Iibing Code and Chapter 142 of the General Laws. PLUMBER'S NAME K� ��clCcs'<li N Cr LICENSE# /vS3 IGNATURE MP�jp© CORPORATION#PARTNERSHIP®#=LLC O# COMPANY NAME ADDRESS - o - D?c f CITY ��/ �� I� STATE ZIP 10 TEL Z FAX - CELL _ ��EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINNAL INSPECTION NOTES Yes , No ,� <c� THIS APPLICATION SERVES AS THE PERMIT ❑ ��� FEE: $ PERMIT# PLAN REVIEW NOTES a�fiµ sa AS 0""•1 i P M7 It T •"T\T r'r♦T I I / / I I I I I % " % Pat o C �< C%4 �C 14. 0 32. 0 14. 0 t _VI re / / / / / I / / ✓ / / / / -Pa t-i o • / / /:� ��i , e� s Foc 14. 0 3Z 0 140 0 Zc L , 268 Great Marsh Road, Centerville MA For Sale I Trulia.corn Page I of 7 268 Great Marsh Rd $265,000 Qgj6gl Lille,MA 02632 orclability rPrice History&Trends More V .............. ................. .............. ................................ .............. 01, 02 $265,000* $1,282 mo(16 Mortgage V Save Share .....------------——--------- ISDAW '$4 r.A.t mr.n qp.nrp. .. ...................... ...........................................- 20 $5W'000 Pullsueen, Learn more about this property 250'000 $550000 WD'10500 Lynda Bryson t90,Do0" L,000 (508)737-3317 $ • 0,000- $650,0 **A** (0) 40,_ Your Name .............................................--- .................... Your Email ............................................ ..................... R3 Phone number T4 Hi,I found your listing on Trulia.Please send me 61 - _t" i 4 < -Z more information about 268 Great Marsh Rd, Centerville,MA 02632.Thank you. CC 4 .A ............................................- ...................... F; Find if you can afford this house:get pre- qualified by a lender C Request Info lu,V Ey sending,You agrecto Trull 5Tu0(y C d pI yacy'o ic. Can you afford that house?Find Out with Trulia's free calculator-Try Now Home Details for 268 Great Marsh Rd. 164 Days on Trulia 795 views 268 Great Marsh Rd Deeded beach rights to Lake Wequacluet!Beautifully maintained 3 bedroom,2 bath Schools .......... ranch within.3 miles of the lake.There are hardwood Centerville Elementary floors,updated windows and baths.The floor plan offers great privacy with the master suite off at one end and Exceeds Standard ................ the 2 guest rooms at the other.The fireplaced living Barnstable High School room is open to the formal dining room that has a slider to a gorgeous large deck with outside shower and extra Exceeds Standard storage bins.The deck overlooks the beautiful grounds MORE DETAIL and flows to a Bluestone patio with lots of privacy.The corner lot has two peastone driveways that allow for at least 4 cars. Crime Lowest Show more MORE DETAIL Broker: Provided by:kinlingrover.com J0 Listing Agent:Lynda Bryson http://www.trulia.com/property/3162798822-268-Great-Marsh-Rd-Centerville-N1A-02632 1/5/2015 268 Great Marsh Road, Centerville MA For Sale I Trulia.com Page 2 of 7 Neighborhood Info Features for 268 Great Marsh Rd g__. ApArsor!bXuAlhisRo InformationU�%RPP11/24/2014 d �► Requestlnfo Centerville,MA 02632 12:00 AM: sPrice Histo & rn r .a.e- L _odun ce IMq1T7 6927 0,454 sgft Zip:02632 64 1,328 sqft r3900,000 5400,000 `$700,000 156,000 :. $460400 ;%$750,000`�' $200A00 $5001000 J -i80 000' 2W'000 5550'q00 $860.000; d aaa 000 t�--:,I 8sa4aoo 7V i from county(public)records as of 04/2014: '000 tsoo sstl,00r' s 1 Bathroom �- 0,454 sgft Built In 1964 5i.�k: ZILU11t2t,. IsLUly neap ng.Hot Water Exterior Walls:Wood Siding Roof:Asphalt 6 Rooms 1 Building Style:Ranch/Rambler County:Barnstable Jan 5:obama Reduces ti s� ` s 1 Amount Homeowners we Schools Crime within 2 mile z' - Vg ,f Homeowners can use this t* little known wayto ,r 1 ° refinance your home.if you 1 High School Uk i owe less than$625.00-(}on your home,use Obama's 2 Middle Schools 9 .- . I Refi Program.You'II be f shockedwhen you see 3 Elementary Schools mot $.f ( how much you can save. { Select Your Mortgage Balance: ................................. .............. t q 80.000.85.000 }v n , f See schools ratings � °� ,i See details S "°'g � � ��`�. Calculate Payment .. ».a.l I 142014 A Nearby Homes menities 5 - Transit nearby: �. ) �„ - nearby: r� R25tdUrarlt5 , ROUteS ".,„� 95 Great Marsh Road,Centerville MA i Groceries Buses i rc - 366 Great Marsh Road,Centerville MA Banks p Rails . 75 Great Marsh Road,Centerville MA I s Great arsoad,Centerville MA Gas Stations 165 G Marsh R � � � i . �" {�' ,ti 357 Great Marsh Road,Centerville MA __.... a See details ? _ See more routes ►Show More E j ;--- .... - -- - - ' -' Rate and Review area around 268 Great Marsh Rd Rate this area: * ` '}Y Rate it Overall area rating: We need more ratings to calculate an i Rate these categories: average. Safety F, i Rate it Top rated categories: Pet-friendly I Rate it Welkability I'Rate it We need more ratings to calculate top j � --� 1 Restaurant&Shopping categories. 1 Rate it Help us out by sharing your opinion.Do you live,or work near here?What is this area Rate and Review like? f Affordability http://www.trulia.com/property/3162798822-268-Great-Marsh-Rd-Centerville-MA-02632 1/5/2015 268 Great Marsh Road, Centerville MA For Sale I Trulia.com Page 3 of 7 h",c tltti,r mortgage for 268 Great Marsh Rd 626&+great Mmstk Rflualify for a lower r � � � � � �'►, _� �► � Request Info rpy4lhg MOffgduce the monthly payment. ordability Price ' &Trends Mor race GD6265,000, , /month ,000 $450.OQO $750,5oD r 1 i6u7PY` y-000 ._ i $500,400 8;1700 Z50,GOD $,i50.Doo: $&SQflgD � - _ D $4D aDti — - D d 3.86% O $994 Principal and Interest m $220 Property Taxes Homeowner's Insurance • alified Live answers,your Experian score&report See how credit affects your payments Get it all for$1 with enrollment in Experian Credit 330 830 Tracker a ........ - Poor Excellent Experian- Credit tool provided by Trulia i } Property Taxes and Assessment for 268 Great Marsh Rd Year Tax Assessment Market 2014 $2,412 $226,900 t N/A _...._._.__ _. _......_ .... .._..........:... 5ouice'ub`Ic Pecords j Price History & Trends .. _.....«.._.- .................. . ........ -...-. . ......._..... ,.........:.._. . ..-... .• .... ........ i Price History for 268 Great Marsh Rd b Alert Date Event Price Source Agents 08/25/2014 Price Change $265,000 Kinlin Grover Real Estate -$14K(-5.0%) 07/25/2014 Price Change $279,000 Kinlin Grover Real Estate 07/10/1995 Sold ►viewdetail $92,500 Public records Compare homes in the area to 268 Great Marsh Rd A This Home ZIP 02632 Centerville Vs Sold Price $265,000 $250,000 $250,000 n Y� 10YR SYR tYR 0�� $400K $360K $280K xs $240K http://www.trulia.com/property/31.62798822-268-Great-Marsh-Rd-Centerville-MA-02632 1/5/2015 268 Great Marsh Road, Centerville MA For Sale Truliaxom Page 4 of 7 S2 0K 268 Great Mars�i�Rd � � ��� 2b1, 2C12 sA� ,odb' 2015 Median sales price for all homes in the area. Requestlnfo Centerville,MA 02632 dabil ty Price History&T end pim&wrynunity ................................. — _ Estat x r ire1€e $265,000 . e 15 C1 �6YrTt $282,300 7%above listing price x�k $261,008 2%below listing price 2 $572,198 54%above listing price Median sale price for all homes in 02632 $250,000 6%below listing price View more Sales Trends for 02632» Comparables and Estimates around 268 Great Marsh Rd Comparables Estimates 46n00 amr - U . �a $ � tri6r. a 1y�czRs k Li, s it _ t 3 `�T s- n� -r. " N _ 2 a W - 1 i "4 fr 211 "N��i"�iryiG ENL s $28flK wr ttR _ r g � 1ioulwfF r 1 �' ai t"m�11yi ii irk a �o ioi ii A .7;Z e ar `. �, p fiM5 . g. ,. �. �M c iP(@ , Pdafa(�2015Google e::u¢NPe la:.ul rfo " Sold Homes near 268 Great Marsh Rd y . Address Distance ,Property Type Sold price Sold date Bed Bath Sqft 52 Baird Way,Centerville MA 1.13 Single-Family Home. $260,000 07/10/14 3 2 1,663 32 Carrie Lees Way,Centerville MA 1.25' Single-Family Home $235,000 06/26/14 3 2 1,508 _ 316 Elliott Rd,Centerville MA 1.31 Single-Family Home $315,000 07/31/14 3 2 1,928 #; 20 Farm Hill Rd,Centerville MA 1.56 > Single-Family Home $258,500 05/27/14 4 2 883 121 Dunns Pond Rd,Hyannis MA` a 1.61 Single-Family Home $240,100 08/29/14 3v 1 2,022 568 Bumps River Rd,Osterville MA ,,1.91 Single-Family Home $250,500 e04/09/14 ry 3 2 1,337 21 Yearling Ln,Marstons Mills MA 1.98 Single-Family Home $319,500 10/31/14 3 2 1,384 78 3rd Ave,Barnstable MA 2.21 Single-Family Home $290,000 10/03/14 4 1.5 1,249 http://www.trulia.corp/property/3162798822-268-Great-Marsh-Rd-Centerville-MA-02632 1/5/2015 268 Great Marsh Road, Centerville MA For Sale Trulia.com Page 5 of 7 A',d n:s s Distance Property Type Sold price Sold date Bed Bath Sqft $2J5K ......... .-...... . ....,.... ......... ....... 1 1--..... -......., .... $220K... 1 s 1 Smgle-Family Home $135,00 / % 1 , 52 Request Info ,( qable MA 4.30 Single-Family Home $385,000 06/20/14 3 2.5 2,041 Flipw 't ordability�Price History&Trends More V -- c: —. — ..- —_ ....... ........ ....-.......--- ---....... o i a�C I o $� oD �: c t51000 S450.000 $75000' $208,000 $5W,000 $800000 Bryson s '$stwoo16.so 37-3317 Sss}.aoo• (0) T i' in Grover Real Estate website 0 Inquire about this property Your Name Message Your Name Hi,I found your listing on Trulia.Please send me more information "............ """"' about 268 Great Marsh Rd,Centerville,MA 02632.Thank you. Your Email — ----------- i s Your Email I i ...- Phone 1 F. Find if you can afford this house:get pre-qualified by Phone number lender Request Info 6y sending,you agree to Trulia's_erraS of Use&Privacy Polley. .I 7T RX r o Bluetooth Discussions in Centerville 265 followers Recent Activity ~ Hi,we are looking to retire to the ..:.a , cape soon,looking for foreclosure property from Brewster to Barnstable and all in between, under 300K,email me 7 answers F What is your favorite activity to do r on Cape Cod?4 answers http://www.trulia.com/property/3162798 822-268-Great-Marsh-Rd-Centerville-MA-02632 1/5/2015 268 Great Marsh Road, Centerville MA For Sale Trulia.com Page 6 of 7 1r In advance for your help.We're thinking of buying a home on 268 GreaiciMilfShvRd $265,000 Good nei-hberhood?Centerville- /� Request Info Centervl'AI'&?AM nswer5 Mordability Price History&Trends More . ---— -- ( i erneu rn. . $;50 00 � �© e.. _ s2oe�o � M.000 Sin 9 �$ ao® $soo a� 501000 $9511,0 0 o o a 190 Fuller Rd 78 Old Stage Rd 715 Old Stage Rd 172 Skunknet Rd I > $299,000 $249,000 $249,900 $299,000 i 3bd,2ba, '2bd,2ba, f 13bd, 1ba, 2bd,2ba, i ;3bd,2ba, ;3bd,2ba, 1,428 sqft 1,426 sqft j 1,296 sqft 1,120 sqft 1,560 sqft 1,267 sgft Single-Family Home S Single Family Home Single-Family Home Single-Family Home Single-Family Home Single-Family Home { I Similar Homes View all)i f_1 Ll t i c 78 Old Stage Rd 26 Short Beach Rd 47 Headwaters Rd 610 Main St j E 84 Loomis Ln 900 Old Stage Rd $249,000 $1,495,000 ;$324,900 v $489,000 ! '$592,700+ $269,900 j> 2lad,2ba, 3bd,3ba, 3bd,2ba, 3bd,2ba, 3bd,2.5ba, Lot/Land i 1,120 sqft 2,482 sgft 1,312 sqft 1,700 sgft ! 1,680 sqft Single-Family Home I Single-Family Home Single-Family Home !Single-Family Home f !Single-Family Home 1 I ti Y . " } 191 M, P Cell VTexts Minutes Communities near 268 Great Marsh Rd,Centerville MLS#21406927 Centerville Real Estate Nearby Cities Homes for Sale Real Estate and Mortgage Guides Compare 268 Great Marsh Rd With... Centerville Real Estate West Hyannispoa Homes for Sale Centerville Real Estate Guide Similar homes to 268 Geat Mai sh Rd Centerville Foreclosures Hyannis Homes for Sale Centerville Schools Recently sold Centerville homes Centerville Single-Family Homes Osterviile Homes for Sale Barnstable County Home Prices Heat Map Recently sold 02632 homes 02632 Real Estate Hyannis Port Homes for Sale Massachusetts Home Prices Compare to 268 Great Marsh Rd 02-632 Single-Family Homes West Barnstable Homes for Sale Centerville Mortgage 02632 Apartments for Rent Barnstable Homes-for Sale Centerville Refinance Centerville Apartments for Rent - See All Nearby Cities Centerville Home Loan - Residential Real Estate San Francisco real estate New York real estate I. Los Angeles real estate I Orlando real estate Miami real estate Philadelphia real estate Phoenix real estate San Diego real estate San Jose real estate I Chicago real estate Arizona real estate i California real estate t Florida real estate I Illinois real estate Massachusetts real estate = New Jersey real estate I Pennsylvania real estate I Texas real estate i Other local real estate I California apartments New York apartments 1 Texas apartments I Apartments for rent I Home price maps Real estate community U.S.Property records Mortgage site map More Popular Cities New Properties New Rentals - Popular Counties http://www.trulia.com/property/3162798822-268-Great-Marsh-Rd-Centerville-MA-02632 1/5/2015 268 Great Marsh Road, Centerville MA For Sale I Trulia.com Page 7 of 7 5,rI*rt,Trulia Homes for Sale i Homes for Rent 1 Scats&Trends Real Estate Advice Real Estate App-!Phone Real Estate App-Android Trulia Labs ITrulia API I Trulia Estimates 268sr IVI��B113ds 0®e g Ag s MLS Advertisers&Partners Tool rl [Your Listings Real Estate Leads Site MI A' ivef tuest Info Centerville,MA O26321 Directory Site Map ., 11) 4 om E Trulia Blog I Tech Blog Careers i Investor Relations Privacy;Terms of Use Subscription Terms i 4pY prr{ab l tV I pr e HtSrnry Trends More ,I eb i RZYrlCtSing T..er'r�iS KCT_ChUife$-----.. ._..---- - --- sh Rd,Centerville MA,02632 is currently for sale and has been listed on Trulia for 164 days.This property is listed by $100 000 $600U0d� $7f ,aa0 _ d has 3 beds,2 baths,and approximately 1,328 square feet.The property was built in 1964,268 Great Marsh Rd is in 150,000 $450,000 $75000 1 f$265,000 is 54%lower than the average list price of$572,198 for 02632 real estate and 54%lower than the average list price $20p,a00 $5ap,000 $.&pp,000.�, ice for this property is 6%higher than the average sales price of 5250,000 for 02632 and 6yo higher than the average sales 250,000'" Mi0go $8,* are foot for this property is$200,which is 36%higher than the average of$147 for 02632,and 36%higher than the average $30p pa0" $fiaail3.., _:. $35a,00a $85p tlatk $95p p00 Fair Housing and Equal Opportunity Have a question?Visit our Help Center to find the answer http://www.trulia.com/property/3162798822-268-Great-Marsh-Rd-Centerville-MA-02632 1/5/2015 268 Great Marsh Rd, Centerville, MA 02632 - MLS#21406927 CENTURY 21 Page 1 of 1 268 Great Marsh Rd Centerville, MA 02632 $265'000 Eslimated monthly payments: $1,5 t 3imo.' 3 beds 2 baths 1,328 sq ff t t.`•w s a ,�A n i 13 t Tit Nod J� Photo 22 of 26 Photos: I I I - -Courtesy Of Kinlin Grover Real Estate - Property Description Features Single Family Detached Deeded beach rights to Lake Age:Over 50 Years Old. Heating System:Hot Water - - Wequaquet!Beautifully maintained 3 Amenities:Deck,Lawn,Patio, Lot Size:0.24 Acres bedroom,2 bath ranch within.3 miles of Basement,Garden Roof Type:Asphalt • Appliances:Dishwasher,Dryer, the lake.There are hardwood • Rooms:Basement,Bedroom, Dinin Range-Gas,Refrigerator,Washer floors,updated windows and baths.The 9 Room,Famil y Room,Full floor plan offers great privacy with the Architecture Style:Ranch Bath,Living.Room master suite off at one end and the 2 Floor Covering:Hardwood, guest rooms at the other.The fireplaced Laminate,Tile living room is open to the formal dining room that has a slider to a gorgeous :. large deck with outside shower and extra MLS#: 21406927 Est.Property Tax: $1,988 Copyright©2015 Cape Cod&Islands Association of REALTORS®,Inc.All rights reserved.All + information provided by the listing agent/broker is deemed reliable but is not guaranteed and should be independently verified.Information being provided is for consumers'personal,non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be QAn Equal Opportunity Company interested in purchasing. Schools for 268 Great Marsh Rd,Centerville, MA 02632 Elementary School Middle School High School Grades PRESCHOOL-3 i Public School N/A Grades 8-12 1 Public School ' CENTERVILLE,MA 02632 HYANNIS,MA 02601 658 BAY LN 744 W MAIN ST 508-790-9890 5087790-6445 , Distance:1.2 mi Distance:1.4 mi GreatSchools Rating Parent Rating 0000* GreatSchools Rating Student:Teacher Ratio 9:1 Parent Rating Total Students 320 Student:Teacher Ratio 13:1 Total Students 1974 a http://www.century21.com/property/268-great-marsh-rd-centerville-ma-02632-RENO 14616... 1/5/2015 N •COM (508) 775-6201 THURSDAY, SEPTEMBER 21, 2006 T ■ thepCodH - Ca, e . . . H, . 1 0 1 , 111 1!1 `..3Ym k'.;. ';;:" .� .'.`}� 1 � �ih.� w E.R� .�t' � J<wi`3' xu. '51,.✓,r�"851$..1 aiu;�� y� TS??????? RENE L.POYANT INC SANDWICH.!ting! Serving Cape Cods Com HOLLY RIDGE MORTGAGE RATES: See CHATHAM/HARWICH 1 & 2 Sao 4 392-0097 mercial Real Estate Needs "Economy in Sunday Cape bedrooms No pets.Begin at rf ^a Since 1947 508 775-0079: Just reduced$50,000. Cod Times or Internet $875.508-945-5350,x101 sit KING: Now $429,000 Immaculate www.capecodonline.com w. Free Estimates. 3 bedroom,2'fi bath. a DENNIS W: 26r heat & elec St s.Ca a wide. Td-level Contemporary, �� tric, non smokin no pets, pp 2 car ��� avail. 10/1, $12g s .60 2392. - garage; private Lot. 00/mo 1st 1 Owner Must SELL last security.518-399-7033 S e Estimates.In- Boston Harbor Mortgage www.allcaperealestate.com CENTERVILLE: Clean, com All Credit Considered DENNIS,WEST:Studio. erences. Cape fortable, dayy/wkJmo. Craig- $650/month. Includes heat aft and wood Purchase/Refinance MA ' vine Motel 508 362 3401. Broker#1061 508-420-3500 � and electricity.First and last . I-280 5056. y a months.No pets. (508)428 2770 CENTERVILLE S: Close to 508-685-1707 fir' Aruction. MORTGAGE RATES: See Hyannis Call for details. _ $y Masonry, 'Economy' in Sunday Cape r r 100/week.508-778-0265 DENNISPORT:1&2 Br.Apts. e Estimates Cod Times or Internet Utilities included. No Pets. Y 1 i.0765. www cepecodonline com ��� s FALMOUTH: Recoverryy house, $925/mo:$1225/mo. singles, doubles, $125/wk. 508-428-9518. e i View Upcoming 508-737-2479,Jim DENNISPORT:1 BR.($875)& 2Br.($1095) includes all. HYANNISPORT,W: Open Houses HYANNIS: Downtown, nice, First, last & security, no w/cable, fridge, phone, pets.508-760-2756 Mi h Open House TodayRealEsrate.com private bath,non smokang. Y 9 p From$175/week DENNISPORT: 2 Br. Condo, Weds&Thurs 5-7pm **** lk 7k** Cell:508-280-8002 utilities included. HYANNIS ^ 4 bedroom Classic Cape, Near hospital 2 br. wheat INESS Hardwood Floors,Formal Din- TODAY REAL ESTATE YARMOUTH, W: Furnished, included.YAAMOUfH-Spa- 505 Ing room, .Flreplaced Living private.bath, cable, fridlle, cious studio near Sea Gull room;5 minutes.to 5 beach- microwave, heated pool,la- Beach. HYANNIS-Pleasant ed 510 es.$359 900. cuai, Wkly rates range Park Condo,apt,style,2 Br., V 9 ' Die Old 6raigvine Beach Rd to $200$350 Tidewater 2 Ba. Hawthorne Terrace n 520 Old Town Rd#104 508-775-6322 Condos-Townhouse, pperfect rI www.allcaperealestate.com condition, 2 br., 1Y2 ba. s 525 °.When you're Ready, YARMOUTH,W.:Newlyreno- HYANNIS-new apts.,studio Es 530 Call Team Nicoletti vated furnished 1 room & 1 Br. outstanding views p units,w/private bath micro- overlooking Hyannis Harbor. B0 ' rites 535 wave,fridge&kitchenettes. See the boats go by! la A All utilities. YEAR ROUND Harvard Realty 775-1803 3 575 YARMOUTHPORT:PondFront RATES $185-$250. IT (508)428-2770 $419,900 (20611244 Call(506)790-1272 DENNISPORT: Brand new, V ` Today R.E.508 398-06)00 2br., 1Y4Ba, W/D, skylights. -= BK REAL ESTATE �� $1275/mo. Includes heat, Cs YARMOUTHPORT: Large rm hot water&cable. 1st, last $275/wk. Single rm $175/ &recur'508-778-4005 a � r (508)367-8265 ity.(508 760-2756 e 160,•00 wk.Don ) va annis 20% EASTHAM:Pond,woods,ter- ' a month. HYANNIS:Village Marketplace i 1,I L FOR RENT Coastline Real Estate New Condo's from$289,000 _ race,eat in kit.,antiques,w/ — Hyannis,1-800-427 0295 N d, non smoking, k MONHT. www.capecodrealestate.org Cal!(508)775-9316 1st, last, securi , efe aria CEfe 00ECU x38S BOURNE/SAGAMORE BEACH: es.'$875/mo. includes alll 3Id x38 MASHPEE:Oak Hollow, Large 1-2 bedroom apart- 212-580-2592. ra old.com Merl-Real Estate 2 br.with cathedral ceiling, ments near canal. $850- skyli ht and all a liances. $1200/mo+.1st,last,recur- FALMOUTH/HYANNIS/ K!Ilin ton VT OS RVILLE...508-420-1000 pp CENTERVILLE: 2VI 9 $1 9,900. BEXLEY RE �y+ 1 year lease required. lease, casual 508 477 5959 No pets.508 564 5900. RENT FOR 12 MONTHS.... n4 here,favors PAY FOR 111 ggr i er season or Spacious 1 & 2 BR a ts, 3!1 MASHPEE:Summerwood 2Br, BUZZARDS BAY.2 BR,$1125 p P opperator 2Ba, file & Pergo firs, full includes heat & hot water. $900$1200/mo.plus utilities. enu to ser- No pets. 1st, last & security FREE BROCHURE bsmt,Best deal!$189,900 No ppets.508-394-7221 �v err&public. (508)477-3100 capecodcanalapartments.com revlred.Basic cable included Dore mail: Pictures of Cape&Islands in H annis.Year-round. SEAVIEW REAL ESTATE y r resort.net properties.508-759-2121 Call Mon-Fri.,508-775-9316 ucreaftr com ?� CENTERVILLE: Craigville for Sale By UPPER CAPE REALTY �� Beach Rd.2 Br.,$1150/mo. HYANNIS: Ocean St. efficien- CHA- Main Street, , ? includes utils 508-428-9518 cy,full be.&kit.Private en- ne sell. Serious try. $775. pays everything. $9 5-0251 LAKEFRONT BARGAIN CENTERVILLE: Immaculate 1 cra!0v!!le R1 775-3174 — ` � '" �•�'" 4+Acres br, furnished, private en- C� reneurs To view all !!stings currently 579'Waterfront trance,all utils 1st&securi- Hbeach�S. 2BR, 1 BA, near Dwn on the market, please visit. ty.$850.(508)7901773° great location, our web page at: only$199,900 $1400/mr includes location . Siness? Spectacular 4+acre parcel on CENTERVILLE: New studio, 1st,last,&secur'It�r. wUNIQUE PROPERTIES c stal clear lake in Western ideal for 1, private entrance (508)221-5659 COT nchise UNIQUE PROPERTIES ry ailable 800-922-2324 Maine w.over 450'prime lake &driveway,avail now!NON HYANNIS: 2c e by Entre 800 3051898 frontage. Soils tested, sur- smoking, no ppets.$750 in- •Downtown- - $1 Find out veyed,great owner financing.i eludes.Call(508)771 303 Largecu 1-434-3329 `' Call US Realty now are 75o/includ kitchen and DEN ". 207-781 3343 HATHAM: 1 br, avail now. electric. Re REALTY x Clean bright, 1st fir. No •One bedroom,$850/ INC. Deer Crossing 1r smokin 'pets. $1000/mo. includes heat/electric. — 000 5 � � includes 508 237 5817 •Hyannis Area,large DEN LTY NET x, Townhouse, 2br, 1. be, fp, �� k „¢ slider to deck.Association ' efficiency, full ba,fridge w/ a' —1 .pool&tennis.$259,900 ,-- MASHPEE:'s$13990. • NNII 3' �FTHE T Town of Barnstable Regulatory Services * B" ` Thomas F.Geiler,Director y nss. MASS. g, 1639n. 14. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 September.21, 2006 Ms. Carol Guinette 268 Great Marsh Road Centerville MA 02632 Re: Illegal Apartment: C2�68`Great'Marsh,,RoadtCenterville_MAM 02632 Map 210 Parcel 051. Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. incerel -L' da Edson Amnesty Zoning Enforcement Officer Building Department . gforms:zoning3 �pTHE Tph, Town of Barnstable Regulatory Services * BARNSTABLE, 9 MASS. g Thomas F.Geiler,Director �ATEDMA'�A`0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 June 25, 2007 Ms. Carol Guinette 268 Great Marsh Road Centerville, MA 02632 RE: Illegal Apartment: 268 Great Marsh Road Centerville , MA 02632 Map : 210 Parcel : 051 Dear Property Owner This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11 You must contact this office by July 13 , 2007 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, a dson Amnesty Zoning Enforcement Officer, Building Department Qzoning5 Edson, Linda From: Taylor, Madeline Sent: Tuesday, February 27, 2007 10:53 AM To: Edson, Linda Subject: 268 Great Marsh Rd, Centerville Hi Linda The owner of the above property contacted me today. She was required by BOH to replace her failed septic in order to proceed with her application. After getting some estimates she has decided she cannot afford to do this and therefore does not wish to proceed with her application for an accessory apartment. I informed her that she would need to contact the Building Department to take out a permit to remove the kitchen from the illegal unit. Thanks Madeline Taylor Accessory Affordable Apartment Program Coordinator Growth Management Department Town of Barnstable 367 Main Street Hyannis, MA 02601 Phone: 508-862-4743 Fax: 508-862-4782 1 r Town of Barnstable *Permit#j- "'ZF Expires 6 month. issue date ��/ qn � Y Re ulator Services Fee g wtrtsrasr,e. Thomas F.Geiler,Director e% �m'g � Building Division QED MA't A Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 Ok 03olog www.town.barnstable.ma.us Office: 508-862-4038 Fax:.508-190-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ;1,1121) Property Address 0,'z d2 0-, t//(QYSh WC/. �f'nZe rf//Z z/,- 0 Residential Value of Work fo-0 Minimum fee of$25.00 for work under$6000.00 Owner's Name*Address D f 12 Z�P Contractor's Name Q, St1D,Uol(o Telephone Number Home Improvement Contractor License#(if applicable) `f.241� j ❑Workman's Compensation Insurance Check one: ®PRESS PERMIT �!r I am a sole proprietor ❑ I am the Homeowner❑ JUN 2 7 2008 I have Worker's Compensation Insurance Insurance Company Name -TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over .existing layers of roof) N/Re-side [� Replacement Windows/doors/sliders.U-Value z.�> (maximum .44) *Where required: Issuance of this permit does not exempt compliancewith other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. r t SIGNATURE: Q:Forths:buiHingpermits/express - Revised 123107 Lee V�omr/rr:ca�uk�a�i o �/�ac�iuvel,�a Board of Building Regulation's and Standards i HOME IMPROVEMENT CONTRACTOR Registration: 157283 Expiration;..9/20/2009 Tr# 259506 i Type:' DBA RGL REAL ESTATE MANAGEMENT ROBERT LEVINE 20 WILLIOW RUN DRIVE CENTERVILLE, MA 02632" Administrator } aan;eu�jjs;noq;! un;ou V f .y 80IZ0 ,ew `uo;soe IO£I MR aauld uojjnggsV aup spaePuu;S PUB suo1;Rjn2ag 2urpll'ng.Io paeog }I :o; u.tn;a.r Puno,;JI •a;Lp uo�;e t�dxa aq;a cojaq Xluo asn lnp!A►PUI.tol PrleA uo�;ea;sIUa to asuaa,7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le Ably Name(Busutess/ ization/fndmdual): / V• !i"` Xddress::^w City/State/ ip`:: - ��20�G111,r I�®•&$, Phone.#/' a 7�� Ase:you an employer?Check the appropriate box:-----,-,. Type of project(required): 1.❑ I am a employer with 4`B'4fam a general contractor and I n o --�' 6. ❑New construction employees full and/or art-time .* `7T1 hi eAired`th�e sub-contractors ( part-time) 2. I am a sole proprietor orpartner- fisted on the_attached-shave 7. ❑Remodeling ship and have no employees These=sitb=contractors have g, ❑Demolition workingfor me in an capacity. employees and:have workers' Y P tY .�.r 9. ❑Building addition [No workers'comp.insurance Comp.insurance,# r uired. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions """�]'"" "' officers have exercised their 11. Plumbing repairs or additions 1 ETI am a homeowner doing all work ❑ g P my"`sel£[N(5,woi eri comp. right of exemption per MGL ,.12 T oof r airs '-'insurance required.] c. 152, 1 4),and we have no - � 0 °' t § (employees. [No workers, 13 Bbther 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. 1contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractor 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 Investi ations f the DIA for insurance covers a verification. I do her a un r e 'ns and penalties of perjury that the information provided above is true and correct Signature: A� Date:.-�� Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 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 TO. #617-727-4900 ext 406 or 1-877 MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia 0,*VEro Town of Barnstable Regulatory Services f Y a+WIesceHAM � Thomas F. Geiler,Director $AfFo �A`m 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 X , 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 Homeowriers License Exemption Form on the reverse side. f Town of Barnstable f O� tHt r � o� Regulatory Services " Thomas t F.Geiler,Director BARNSTABM t . 9 MAs-1, g, sb3o. Building Division PTFo iu'�k Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 . n'ww.toy'n:barnsiabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: J19B-L0GA--0ON' n r Q r street village .`HOMF,oWNER"•'-'z.�Pl�il � .�i � �D�-�7`- 303� ,�L?�=3G�-�� name home phone# work phone# CL RRERI MAILING?DDRESS .t o city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellia s 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 HOMEO\'VNER 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 mum inspection procedures and requirements and that he/she will comply with said procedures and re�q ments. 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 1o9.I.i-Licensing of construction Supervisors);provided that if the homeowner engages a persons)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 Wshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may tarn t amend and adopt such a form/certification for use in your community. Parcel Detail Pagel of 3 Logged In As: Parcel Thursday, Septemb Parcel Lookup Parcel Info _.. ... ......... .......... __....... Parcel ID 210-051 Developer LOT 21 Lot Location 268 GREAT MARSH ROAD Pri Frontage 97 Sec j Sec Road WILLOW RUN DRIVE Frontage 101 ................... .......... .................. .............................................. .......................... _.... Village CENTERVILLE Fire District`:C-O-MM .... ............ ......... Sewer Acct,,; Road Index 0627 g Interactive � Map (Ifs cA 6 f4 Owner Info ................ ........ ......... Owner!GUINETTE, CAROL A Co-Owner a• Streetl 268 GREAT MARSH RD Street2 City CENTERVILLE State MA zip f02632 Country US Landlnfo g Acres 0.24 use Sin le Fam MDL-01 zoning RC Nghbd 0105 Topography Road Paved _._.._ _._.. ...... ... . ....::.... _.,_.._.. ... __................ .. Utilities!I. Water,Gas,Septic Location Construction Info Building I of I Year; Roof ._.._-_.. ...... Ext Built 11964 struct Gable/Hip Wall£Wood Shingle Effect 1558 ! Roof Asph/F GIs/Cmp A INone Area : Cover Typee= ........ Style`Ranch Int Drywall Bed 2 Bedrooms Wall' Rooms _. _... Model=:Residential Int Bath Residential Full Floor' Rooms Grade lAverage Type`Ho 11 t Water Rooms{6 Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=15031 9/21/2006 Parcel Detail Page 2 of 3 5 0 ....... .. .:........... ... ......... ............ ............ stories 1 Story Heat-GaS Found Typical 3uu �33 Fuel 'Gas 3d3 n � 3313I313I�IIry�H �3'' Permit History Issue Date Purpose Permit# Amount Insp Gate I Comments Visit History Date ho Purpose 8/17/2001 12:00:00 AM Paul Talbot Meas/Listed � Sales History. .......... -------------- ... Line Sale Date Owner Book/Page sale P 1 7/15/1995 GUINETTE, CAROL A 9746/082 2 ZELIGMAN, JOSEPH L& SANDRA 2819/101 AssessmentHistory -----......._... ..................... .... ............................................v.___... ._ �_• ,.,,...... �...... Save# Year Building Value XF Value OB Value Land Value Total Para 1 2006 $122,000 $2,500 $0 $142,800 2 2005 $114,000 $2,500 $0 $128,700 3 2004 $92,500 $2,500 $0 $109,400 4 2003 $88,100 $2,500 $0 $42,100 5 2002 $88,100 $2,500 $0 $42,100 6 2001 $83,100 $5,300 $0 $42,100 7 2000 $63,400 $4,900 $0 $24,800 8 1999 $63,400 $4,900 $0 $24,800 9 1998 $63,400 $4,900 $0 $24,800 10 1997 $79,000 $0 $0 $18,600 11 1996 $79,000 $0 $0 $1.8,600 12 1995 $79,000 $0 $0 $18,600 13 1994 $73,500 $0 $0 $22,300 14 1993 $73,500 $0 $0 $22,300 15 1992 $83,400 $0 $0 $24,800 16 1991 $87,600 $0 $0 $43,300 17 1990 $87,600 $0 $0 $43,300 http://issql/intranet/propdata/ParcelDetail.aspx?ID=15031 9/21/2006 Parcel Detail Page 3 of 3 18 1989 $87,600 $0 $0 $43,300 19 1988 $58,900 $0 $0 $16,600 20 1987 $58,900 $0 $0 $16,600 21 1986 $58,900 $0 $0 $16,600 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=15031 9/21/2006 Main File No.CCCB-15 P e#15 Building Sketch Borrower Lionel A.Larivee&Jean M.Pefton -- FrOPeq Address 268 Great Marsh Rd Ci Centerville County Barnstable State MA Zip Code 02632 4 ' Lender/Client Cape Cod Cooperative Bank - 22' First Floor 12 patio 4' S [1328 Sq ftJ r--------- [324 Sq ft] Approximate Floor Plan 9 wood Deck 8'a [96 Sq ft] 2 6' 7 R t ° 24' Bath Dining Bath Bedroom _ Kitchen r 24' Bedroom . . 24' or Living Bedroom - 14' Family 6' ®pen Porch Room [84 Sq ft] , 2 . 2 32' 14' TOTAL Skea:h 61 a la mode,inc. Area Calculations Summary Living Area First Floor - - - - 'Calculition Details:- • . 1328Sq It _ 60 x 16=960 - - a. - • 8x32.=256 8.x14.=:112 -. - Total Living Area(Rounded): 1328 Sq ft Non-living Area Open Porch' • - '84 Sq it _ + _ '6x 14 84 Patio ^ 324 Sqft. - '.7 x4 = 28- i - 14 x � ' 20=280 _ Wood Deck 96 Sq it 12.8 = 96 Form SKT.BLDSKI—WnTOTAL"appraisal software by a la mode,inc.—1.800-ALAMODE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly p `Name(Business/Orgmization/Individual): 1-14g� e✓ - Address: :P-G$ �(;�tat JMAier,-� [2 D.: `City/State/Zip:, Cc,. Cyt v,•11*. W4- bd6? - Phone#. S O Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6: ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y aP tY• 9. ❑Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions !3'. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions L' / right of exemption per MGL myself, [No workers comp. 12.❑Roof repairs insurance required]t, c. 152, §l(4),and we have no employees.[No workers' 13.❑Other . comp.insurance required.] *My 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,.yhether or notthose entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site _ information. Insurance CompanyName- 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 maybe forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify under the pains and penal'es of perjury that the information provided above is true and correct: . SiRtafore: Date S �L ��' Phone#• � tj op 9-0 617 — -- - Official use only. Do not write in this area,to be completed by city or town official City or Town: Perinit/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. " an contract of hire son in the service of another lender y Pursuant to this statute,an employee�defined as ...every per 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 bnsiness or to eonstroct 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-cantractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(L LC)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 InC us ritux 11'Got eats. Should yo have.^:^f iTrestmms regarding the la-w—;f 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 be filled out each e for future permits or licenses. Anew affidavit must applicant as roof that a valid affidavit is on fit p aPP P 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. ne Cammmwealth of Massachusetts DDepmt eat of Itidustdal AcAdents Office of Uvesti.ptions 600 Wa sbingtan St=t Boston,MA=11 TeL#617-7274900 ext 406 or 1477-MASSAFE Fax#617.727-7744 Revised 4-24-07 wwwmasss,gov/d1a CORNEfP .=98.78 • spy SAP�'� _x-8-7,94 88- r 88,02 -ONO 88,66 x 89.65 N 69• e —9o. w 1O -✓ 90.29 00, `93.24 C/�l` / x 91.25 1.03 -94 PROP. 9318/.�: �38, Cy) s' SEPTIC ' O .' TP-1 —96—-TA O S VENT / PA 7/0 x/65,75 /EXISTING 99,40 -- 6 9 HOUSE(#268) 99,20 01 T.O.F.=100.5f 1 oo, PORCH GARAGE c9 99.33 .W STON / x 100,0 LOT 21 w..:DRI MBL 210-51 I 9 10,680±S.F. .59\ x I 99,63 .. 10�1•14 97.94 'a' ..... x 10 ;4 .; �O9e •"DRIVEWAY:,;. aqj 1602 looke 0 f98.71 . g� 9.85/ 99.68 99.37 R,19 x 0 Cb 99.52 PIN 99.82 1 99.61 OWNER OF RECORD GUINETTEX Ca � 268 GRM MARSH ROAD CENTERVILLE, MA 02632 h FOR CONSTRUCTION SET - '}> IF FOOTER USE (2) /202" DOWELS IF FOOTER USE (2) /2x12" DOWELS PORCH 2x12 LEDGER NOTE: , DRILLED 6" INTO WASTING DRILLED 6" INTO WXISTING BOLT TO WALL WITH 7¢x5" GAL LAG BOLTS 16" O.C. STAGGERED. USE GAL -SIMPSON DD2T BOLT THRU BOX W/ FENDER WASHERS. (2) LAG BOLTS 8" SONO TUBE TO EXISITNG FOOTING 8" SONO TUBE TO EXISITNG FOOTING EACH END. (1) PC 2x12 SPF LEDGER, WASHER/NET INSIDE OO OR DOWN 4' BELOW GRADE ONTO OR DOWN 4' BELOW GRADE ONTO 1606x12" FOOTER 16x16x12" FOOTER 2'-0" 8" SOW TUBE TO EGRADG FOOTING , i i �'�'� OR DOWN 4' BELOW GRADE ONTO UQ I'l.�l lil,lil HUC310-2 5 Y.x 7 7/8" HANGER W +_; I L- W m CHISEL OUT FACE SO FLUSH HANGER Z Z ADDITION FLOOR = m (1) 2x10 P.T. LEDGER O � HOUSE FLOOR m U O �2X12 24" O.C. a o 2X10 BRIDGING ~ I ~ a I I I a 1 x _ - I I N I x x' SIMPSON H8 ENDS & H7 OR SIMILAR I i w I CPS6 STANDOFF BASE BETWEEN 0 x TIE DOWNS GIRT AND TUBE ox 3§ ANCHOR BOLT W/ I I a ANCHOR BOLT W/3x3 PLATE WASHER m 30 PLATE WASHER ROOF: RECESS AS REQUIRED. USE 48" GAL OR SS I RECESS AS REQUIRED ANCHOR BOLT 36" IN TUBE W/BEND OR 7x11 4" P.T. POWER BEAR FULL 14' 1470 LL 22381?L -', NUT/WASHER END. INSTALL THRU 12" GIRT MAY BE (3) 3 Yt x 11 36" P.B. BOLTED c • .- ; , - W/S.S. OR ZMAX SDS2506 (3)/ROWS m FOOTINGS F1: LL TL °D 16" O.C. + ENDS STAGGER SIDES ° --i------------ --------' 14' SIDE BEAM 1667 3228 ai (4 t6d E.W 3 ROWS F1 PL1 F1- 14' REAR BEAM 2635 4804# TYP 4 16D O. (4) 16d GAL I z B' 6'-4" 8'-6" 8" RIDGE INC IN 1$ REAR BEAM 14'-0" (4; tOd ®T HAND NAILS w TOTAL 4302 8032# - ROOF/2:7��'j 3'ax 11 ). LVL BOX r NOTE: I BIGFOOT USE 28"+12" SONO TUBE ADD 2x BLOCK TO 735 LL 1118 TL a y a DUE TO RAISED PATIO TO 114'-0" 7x11 7/8" P.T. POWER BEAM JOIST W/(8)16D DECK FRAMING 425 PSI C = LEFT SIDE MAY NEED-TO - 110 MPH WIND:: MAKE 6" ±12" TO CUR BIGFOOT L=14, W=11 L/W=1.27 SCALE 1/4" = 1'-O" - N cow o 0 FOUNDATION SIDES W 3/11= 28%PLY NAIL 3" EDGE, 12" FIELD 7x11 X" P.T. POWER BEAR FULL 14' REAR L 3/14= 21% PLY NAIL 3" EDGE, 12" FIELD a o 0 MAY BE (3) 3 Yz x 11 W P.B. BOLTED SCALE 1/4" = 1'-O" 2,-0" (SEE DETAILS) FOR SHEAR PANEL W/S.S. OR ZMAX SDS2506 (3)/ROWS _f - Z ®16" O.C. + ENDS STAGGER SIDES --------, _ (2) 1/2x16" DOWELS INTO FOOTING . a w o UP INTO 10" TUBE >z ANCHOR BOLT SEE ABOVE w o 10• 12" DEEP FOOTING o I�TTT LLL i ` ALT CORNER PIER SCALE 1/4' = 1'-O" CENTER RIDGE (1) PC - - 1x10 LEDGER NAILER IN VALLEY _ VALLEY RAFTERS 2x8 ®16" O.C. Q 44 PSL POST TO WALL BELOW L MSTA 18 OVER RIDGE 2x6 ®16" O.C. GABLE WALL. MSTA18 UPPER/12" CTR/18 LOWER L.Lj ' J INSULATE FACED FIBERGLASS R21 RIDGE (3) 2x10. CENTER CONTINUOUS Yto SPF OR J OVER HANG AND TRIM NON-STRUCTURAK LVIL 8 POST UNDER RIDGE ELEVATION TO MATCH EXISTING 2x w CEILING JOIST 2x4 ®16" O.C. HOUSE. V.I.F. WALL HEIGHT TO NAILED TO JACK Cie ALIGNMENT -- - - RAFTERS 2x8 ®16" O.C.. UNVENTED + FOAM INSULATION Rf49.9. SEE A1.0 (5) A35 W/10D NAILS -- DESIGN OF WALL: m 8D AS SHOWN 6" O.C. L..Lj WALLS 2x6 ®16" O.C. f7'-4 1/2" TALL H2.5 HURRICANE CUPS EACH R (N.S.) L) Uv ' V.I.F. BASED ON TRIM O.H. AND ELEVATION \ - t18"X10' SHEAR PANEL EACH END 1 TO MATCH HOUSE. - (2) 2x8 HEADER SPACE W/ 2x3 # E ADDITION F.F. TO MATCH HOUSE F.F.. ENDS, EACH J, CTR EACH BAY. INSULATE Q 0[ CARRY 1x12MATCHING FREEZE W/BED •il \ CENTER _ C MOLDING. 5'-1" WINDOW R.O. TO ALIGN ^ (2) OUTSIDE ROWS 8D 3" O.C. L.LJ cle - WINDOWS W/ FREEZE. WINDOWS BASED ON a I 2 INSIDE ROWS BD 6" O.C. L-Li = Z O ANDERSEN CASEMENT. 2x8 HEADER PER I _ NOTE. NOTE CLIP ANGLES VERIFY R.O.CLEA S of - NAIL HEADS. a DECK FRAMING, LAP MSTA 18 OVER RIDGE o � PLYWOOD • SIMPSON.A35 _ 3.X11 �.¢" LVL GIRT RIDGE (4) 2x12 SPF BUILDING; (1) 2x12 (3)1. ¢ ~ Q FOR VALLEY END - I DROP GIRT STAIRS NOT SHOWN _J Q Cie RAFTERS 2x10 ®16" O.C. CEILING JOIST 2x6 ®16" O.C. T-Oj 7'-0" L'j Cie I— H2.5 HURRICANE CUPS I - � " L) co Cie DUE% NOT RAISED PATIO TO 1--II \� LEFT THIS BIGFOOT MAY BE %x24" ANCHOR BOLT W/HOOKED —� ou v) 14'-0" A MOVED 8" TO RIGHT OR BOLT-WASHER END A2 . 0 ROOF FRAMING END FRAMING SCALE 1/4" = 1'-O" ' I SCALE 1/4" = 1'-0" :ameV°°nna <r x\6 1 X OWN OF�PC� R� FOR CONS I RUMN SE 268 GREAT MARSH ROAD(FFc'ON'n' ' tEXISTING SLIDER WILLOW RUN DR -� *24'-0" f3(j 2JX ROOF xFOR ENEW RRIDE POS ABOVE T O SPAN SLIDER + 3' EACH SIDE. WIND DESIGN: _ EXISTING DECK TO BE � BLOCK JACK TO EXISTING PLATE U L = 14'; W= 11'; L/W= 1.27 REMOVED BY OWNER REMOVE OLD Q 2 REAR W 3/14 = 0.21%NAIL SHEAR WALL PER DETAIL z - DECK 3J W RIGHT 6/11 0.27%NAIL 3" EDGE, 12" FIELD 0 a a a Z Z LEFT 6/11 = 0.27%NAIL 3" EDGE, 12" FIELD t USE 10' SHEETS VERTICAL (3) EDGE ROW STAGGERED N N • O O TO BOX + (1) EDGE ROW EACH PLATE STAGGERED. N N wA $gnl8table Bldg.Dept. REAR TOP BLOCK TOP SEAM RIGHT w a A ANDERSEN PS51168 ONE L & ONE R (SEE ELEVAITON ^ n w SU j VERIFY 3T 'I Approved by: NOTE) 5'-11 1/2" x 6'-8" R.O. ,µ Y� 1D ANDERSEN 400 SERIES C145 = 2'-0 %x4'-5 Yz" RO o L i 3J PeYMlt# ©ANDERSEN 400 SERIESCX245 = 5'-3 1/4-(MULLED PAIR) o O x4'-5 X" RO W/1 Yi POST BETWEEN; VERIFY GEC.IGN BASED ON TO PROVIDE SIMIILAR HARVEY TRIBUTEDERSEN FOR NCE WINDOWY © '� © 2JX W 2 2JX DOUBLE GLAZED, 2xARGON GAS, U 0.30 OR LOWER EXISTING RETAING WALL EQ CONTINUOUS HEADER+6' EO 14'-0" ��/��p b ASPHALT ROOF LILaP.l - SHINGLE MATCH HOUSE. OVER ROOF HOUSE PLAN W„/ ADDITION & NEW DECK ING FELT PER SCALE 1/4' 1'-O' MANUFACTURE z PVC TRIM TO MATCH w J > a a U Y a HOUSE - a H o u a 1x PVC FRIEZE W/ - w o 0 BED MOLDING. SEE -_ - ^ ' DESIGN NOTES i� `\\ i�'I �� `� `� WINDOWS CENTERED. 2x POST® a o 0 PAGE S1.0 \ _ �� ��� \ `� CENTER. POST NOT REQUIRED O OPERABLE WINDOWS SHOWN �� `� \ SIDE PAIRS z v VERIFY LAYOUT BEFORE �� < > Z \\ i ORDERING WINDOWS. 2x POST ' �` �`� /� w \ ONLY REQUIRED FOR CENTER �` ` i i > a j Y 1x4,1x5 PVC CORN \\ i (2) SIDE 2x MULLION OPTIONAL i a BOARDS y 3 a¢a DROP GIRT SET BACK 10" O • �'-0' THIS SID� 1 • 1 14•_0. '� III DESIGN NOTE: REAR ELEVATION ADDITION WALL HEIGHT- HOUSE LEFT ELEVATION WALL HEIGHT. ASSUMED 7'-4 1¢' SCALE 1/4' = 1'70" L,aJ VERIFY BEFORE CONSTRUCTION v� SCALE 1/4' = 1'-0' - AND BEFORE ORDER WINDOWS. IF DIFFERENT ADJUST AND MAY MSTA16 STRAP EACH RAFTER. CHANGE WINDOWS SO ±24" (4) 2x12 RIDGE FLOOR TO R.O. 2z42x8 RAFTERS ®i6" O.C. N 1x8 LEDGER CONT. (4) 8D Q[ L~ DESIGN OF WALL: 2x4 COLLAR TIE 016' O.C. NAILS ®6" O.C. Ly) - A WALLS 2x6 ®16" O.C. f8'-6" TALL j v FULL BAY FOAM INSULATIO Z V.I.F. BASED ON TRIM O.H. AND - 7 Y; ' 6.5 = 49 OK ELEVATION TO MATCH HOUSE. LAJ DIMENSION SHOWN ALLOW 3" FOR (2) L� 0 HOUSE SILLS. _ CARRY 102 MATCHING FREEZE W/BEO MOLDING. 5'-1" WINDOW R.O. TO ALIGN - WINDOWS W/FREEZE. WINDOWS BASED > 9 ,, ALT RIDGE 0 � \\ ON ANDERSEN G.C. TO ADJUST FOR ``f it o SCALE 1 " = '-O' W � 3 4 1 WINDOW USED. \o a i N / LL, Z �\ J WALL HEADERS: Z 3 O1 Z 400) USE 2 2x8 HEADERS SPACED 2 W a H�( ) Yz / BLOCKING ®24" O.C., ®JACKS & ®ENDS. y Q/ Q ~1 \ INSULATE CENTER. USE (1) PLATE SO BOTTOM ~ HEADER. VERIFY SLIDER R.0 AND RIP BOTTOM I \ m NOTES: TO CLEAR IF REQUIRED. G.C. TO DETERMINE IF { o m 1) 2X12 SPF JOIST®24" O.C. FOR FREEZE ADD 2x TO BOTTOM FOR WINDOWS 1 2) % T&G DECK PLYWOOD IF NOT T&G ¢ W c AS SHOWN SO FREEZE STEPS AS SHOWN j N - \ BLOCK SEAM - LJ J DOOR HEADER RIP ,-2• • 2•-0• 3) 10 P.T. NAILED TO JOIST. �..Lj ♦Z w5 2x6 TO FIT R.O. 0 4 INLAY Yt" P.T. OR MARINE PLYWOOD. L_7 _ 7'-0" THIS SIDE I 5; B 1/4" FOAM INSULA710N R6.5/IN=R53.6 O Z CO ACCESS NOTE: 14'-0" I 1 ! 14'-0' N 1•-•i J SLIDER ANDERSEN PS51168L MAY BE USED FOR WHEEL CHAIR CLEAR OPEN ±28". IF OWNER j I PREFERS USE CUSTOM 8'x6'-8' (PS71168L) A1 . 0 =t40" CLEAR t & ELIMINATE LEFT HOUSE -'"- SIDE) WINDOW. WIDEN STAIRS AS-REQUIRED: - - NOTE USE OF SMALL R.O. ANDERSEN HEIGHT RIGHT ELEVATION SECTION SCALE 4 1/ " = 1'-0" SCALE 1/4" = 1'-0' :xicVimToi