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0271 GREAT MARSH ROAD
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Ir - "d"', 4pr�'.. e� a �r ,,p�'fr?ntr H, ''- A-, ,�kn `rt ,',,:rNti:. „ ., b ..d," - U ..,, ,fr,,'"tq L v, e,, tiu ,Yi}. r'� )1 yf:.,'j 7 f' °S.......°'v,.; y. y-,'' d'la,.'1}p., ,F+. ,a �, ,$4 ,, , I:�; nr'r. ^„ t: °`: .'u 4' >flr2 / `rq!-, •.❑ rya, , f,' .'• n, ..,1."7Aa .6 „�it', ,.A, I - n Ira. r) t B y. , I Yy! 1 :,,. -. 11 r ... ryry 11 , ,.. .a ..�, V• Wr�'_: -B,. ,-y,I- � •.l.-y�t., ,r" r.5 - t ,1:'n 11 :1� '4`,e. ,,., ,,, . f AGRI BALANCE0 Do - Company Name CAPE COD INSULATION �'�,,' phone Number 1-800-696-6611 Kyle Pratt Installation Date 09-12-2017 271 Great Marsh Road PA86001691 lobsite Address E�TFjt'vIGL A-Side Lot Ws Permit Number B-Side Lot Ws P3246016617 o e 1C9 e THOM WN WPM@ rt 9" R-40 200 square feet (,1 .7® Floor 03 www.Demilec.com ti Ca )� lff InAws Mj ,/ F 0 R 1 CIG" MEMBER REPORT Level,Header PASSED 3 piece(s) 1 3/4" x 11 7/8" 2.0E Microllam® LVL Overall Length:14 8 0 0 0 v 1390 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal.;Drawing is Conceptual Design ReSuItS Actual @Location Allowed, Result n „n,, LDIF Load:Combination(Pattern) System:Floor - Member Reaction(Ibs) 5083 @ 0 4 0 20934(5.50") Passed(24%) 1.0 D+1.0 Lr(All Spans) Member Type:Drop Beam Shear(Ibs) 4080 @ 15 6 14807 Passed(28%) 1.25 1.0 D+1.0 Lr(All Spans) Building Use:Residential Moment(Ft-Ibs) 16983 @ 7 4 0 33465 Passed(51%) 1.25 1.0 D+1.0 Lr(All Spans) Building Code:IBC 2015 Live Load Defl.(in) 0.257 @ 7 4 0 0.467 Passed(L/653) 1.0 D+1.0 Lr(All Spans) Design Methodology:ASO Total Load Defl.(in) 0.440 @ 7 4 0 0.700 Passed(L/382) 1.0 D+1.0 Lr(All Spans) x+ • Deflection criteria:LL(L/360)and TL(L/240). 7 Top Edge Bracing(Lu):Top compression edge must be braced at 14 8 0 o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 14 8 0 o/c unless detailed otherwise. Bearing ;, Loads to Supports(Ibs) j Supports Total 'Available = Required zDead Roof Total Accessories Live 1-Column-SPF 5.50" 5.50" 1.50" 2113 2970 5083 Blocking Y 2-Column-SPF 5.50" 5.50" 1.50" 2113 2970 5083 Blocking • Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. TributaryDead + Roof Live L, Loads, 'Location(Side) Width 3(0.g0) .; (non-snow.1.2s)' Comments; 0-Self Weight(PLF) 0 0 0 to 14 8 0 N/A 18.2 - 1-Uniform(PSF) 0 0 0 Fro to n1t4 8 0 1360 20.0 30.0 Roof/Snow Loading _ Weyerhaeuser(Votes ` (Z�SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES - under technical reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASfM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator ' s� N 01 a fl,Iir� � , as ou Forte Software Operator .lob Notes , 7/28/2017 2:11:43 PM . Forte v5.3,Design Engine:V7.0.0.5 Mid-Cape Home Centers v .Y Brian Flagg � :_ t1� ` 271 GreatMarsh.4te �7 .L (508)760-4430 bflagg@midcape.nel - Page?Of 2 w c " ,i Op ® JOB SUMMARY REPORT ,1 271 Great MarshAte 01: vel p Member Name Results Current Solution Comments Header Passed 3 Piece(s)1 3/4"x 11 7/8"2.0E Microllam@ LVL r � t r. 91, I rte Softwa�e' pera ;, Notes ll Fo O tor (F 7/28/2017 2:11:43 PM Brian Flagg Forte v5.3,Design Engine:V7 0.0.5 Mid-Cape Home Centers V'Ul J0 P+J'tJtto 271 Great Marsh.4te r ' (508)760-4430 �J bflagg@mldcape.net Page 1 of 2 �1 -- - - .. __ ... - - -Commaawealthh. of Massachusetts.. Sheet Metal Permit Date: 10 _.._ � Estimated Job Cast: jaj Plans gubmFtted: NO Business License# Applicant.Li-cense# Business Infaaaatiun: Property Owner/Job.,LocafionLJnfomation:. n (� ' `J'P�L erne: � / Name: �1 C 6C i.�� CI N � u��� d`� • . ' AA Telephone: I Telephone: D 5T 13) Photo ID.required/Copy of Photo.LD. attached: YRS . NO � 7�-� J /M=1-unrestaeted-license k ' J-2 f k-2 restricted•to dwc ' .37stories or less and commercial up-to 10;000 sg'f� /2-stories or less Residential: 1-2,f roily Mult-family Condo/Tawnhousm Other Commercial: Office Retail Industrial Educational a Fire Dept.Approval Lisaafional_ ' Other _ Square Footage:•under 10,000.•sq.fL over 1.0,000 sq.ft, lumber of Stories: . Sheet metal workto be completed: New Work: � Renovation:: . HVAC �/ Metal Watershed Roofing. if-hen Exhaust System Metal CTsimney/Vents Air'B'alancin9 • ! Provide detailed description of work to be.done: ll 1>n5'e o.A PAL _ S STCVA QV i INSURANCE COVERAGE I have a mirrent iiabift.insurahce policy or its.equivalent which meets.the requirements of NLG:L Ch.112 Yes No Lf you have ctieckeQ ,:indi the type of coverage.by checking Elie rats box.belaw: aPPr oP A flabiiity insurance prsLrcy Other type of indemnity ❑ Bond ❑ Oman I�ISl3RkNC>=WATYEF2:'1 am-aware•that the Licensee does.-not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that nsyzignature owthis-permk appiication'yzdves-this requirement Check One 0* o mer- ❑ Agent ❑ ` Signature of Owner or•Oyme -a Agent } Sy checking thls•boz0,[hereby cer@fy that all of the details and Information-1 have submitted(or entered)regard-mg this appl�ion are true,and accurate to the best of"my knowledge a6d"that'all sheet metal work acid insta]taiions,performed under the permit issued•forthiz.applicatidt;will be In compliance with all pertirient provislori'of the i�fassachusefts'Building Code and Chapter 112 afthe General Laws, IDud Inspection required prior to-insulatiori InstaliaBon:YES Nb Proeresslaspectians Tate Comments Taal I=ectibn Date Comments Type of-License: 3Y ❑ Master rd1e ❑Master-Resb1ded -ity[Towri g(Joumeyperzgn-. Signature of Licensee �etmit# E]Journeype m-Restricted S • License.Nurritior. =ee$ ❑ Check-at www_mass.g2yLdyl nspector Signal=of Permit AppravaC 1. -. - � , • -� • fir t� �cfirr�� ,•& , , _. . dam 6� ---- ----- ---- ------- • '�ar�ers'�p Ia��c��-#�+�azr;•f-R,�"TrT �.�-a•�*���r�sfP�Taer� • street Na= 13 Cry/Sp: LA j am a emplayerviffi �. 4 ❑I amxBwcrAc =df 5 New mns mcfibx cm:,pSayccs{fi�11 mWbrpmt-tame)* fxave•1fsv-tlre 7 Q I am a sole prcpEif E orpariner- listed on:the sheds 7- D�Zirn>adeHng ship and havc no eap1byees ��se snb-co�rsatars have 8_I Q Demnlif6rt �rme is employees and have woti=s' 1 g ❑�.g addifian r ENO w�•'crimp:+n� e camp_ '=nrznt'= 1 S-❑ W,are a exstpataii==d ifs R=-b al repairs crr ad`Ef i= 3-❑I am a doing all irk �rxss 1� e�trised then _ 1L0 21nob-ing n�a m of Baas . x ' rightofefiss�gerbfGL „�,�f EN O w�'comF- I1_0$nof2efaaizs. . 13-0 Ctffi= ' eusplayees jl�Tawas coxop- #�mwn�su�sul�t•[Ivs�aavffi�ro�gtheya�tl�grH�r�Cs�$tali�ec�sa�sr�xas�rs'�d�c�ttm��s� �s frhecTc�isbcx=I tsttHc% a¢-ddifi— ski have Ii:the su�c�ha�ishss•e empIo�s,Hl�gmsst gcnvide tom•wrsrl�s'comF P��� - a azrs arz ump3G5,rs thatzsgrtrt cg tvo-t I ers'ca iD3t".,��. `ar MY CXR7&pess. Ffelgty is f e-Puligr audjn5 srtr ih,�Dtrrtaiirzsts.. ,, . e rnu=m rk= Ioh Site Addimsr- Bch a topy of the workers'coxaFe=ffim parity dwI=-ationpage:(vhowhag Faiilme to Secfm25.E1 c)F M Z.r- Ise cm Iead to the mpr-49—ofcrimival 12=RY s of a , e ng fa1D0 Of}and/or onctyeaz i se31 as ctvrl pe�alfim ine fug of$5" aP 1 QRDF�and a fn nfup to$250-00 a day agaiast fhe viola $e advts a Campy of tip -�„fi maybe mad to$tie€} rzi of-. . Iare:sflgat[ans a€t#�eIITF��t TM,�,;�co 'otL - _ ,r"Id&BrEiby=EY IZT d.f t"vf-ffir FRttL iC&F2YTI2�E3 iLhav, h-ua• L,CUFf'SL F}� cir£u�u� Drr tuft tpr�z,tt this srrerr�#a be cp3`e�rI by�ax.TixtFtt rr�i�iaE, � �' Cifg csr Tow= Prr ibrL'se se cnsitg{drdc nne , w L 3asxd-af lic2hh m BuWng Deg!aximmt:fiiV ,oLK a f crk 4_EIectd=I Easpettcr 6.Phomfifilz rap-.ctur 6.f7&rr �es�ct�$�rsna;: � phh�ane##c • _, .. .� ' . / 1 ormation and Las no ons , Massachusetts CreneraI Laws chapter 152 rep==an employers to provide workers'compensation for their employees. Ptasuantto this sue, an e2nployee is defined as"every person is the service of another trades any contract ofbire, express,or implied, oral or wri tE o An empooyer is defined as"an inriividnal,partnership,association,corporation or other legal entity,Cr any two or lucre - of the foregoing engaged k a joint etmpzise,anti mcd'rTin the Iegal reprrsenfaf ves of a deceased employer,-or•hie receiver or trustee of am inchvi 'At partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who r csides 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 an the grounds or building apputzaant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(o also states that'evmy state or Iocal licensing agency shall withhold the issuance or renewal of a Ii— e,or permitto operate a business or to constructbtuildiags in the commonwealth for atzy applirantwho has not produced acceptable evidence of compliance with the bism-.hce-coverage required' Additionally,MGL chapter 152, §25CM states`N6;ither!he commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the in izance" requirements of this chapter have been presented to the contracting a afhouity_ Applicants. Please fill out the wodcers'compensation affidavit completely,by ch=ldag the boxes that apply to your situation and,if necessary,supply sab-mnirRL r(s)name(s),addre_ts(es)andphtme tntmber(s)along with the=certincate(s)of msurance. L=tDd Liability Companies(LLC)cr Limited Liability Parts s ership (IZP)withno employees other than the' members or parffiers,are not r5gahed to c ry workers' compensation ins¢rance_ If an IJ— or LLP does have employees, a policy is re,quin4 Be advised that ties affidavit may be submitted to the Departtnent 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 f'orthe permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regaz�mg the law or i you are required tD obtain a workers' compensationpolicy,please call!hc Department at the nmberlistedbelow: Self-insured companies should enter•theff self-in urn ce license'nimmber on the appropriate line_ City or Town Of5cials Please be sure that the affidavit is complete and printed Iegrbly. The Department has provided a space at the bottom of the a$tdwrh#tor you to till out in the,event the Office ofInvestigations has to contact you regarding the applicant' Please be sore to fill in the peumitllicense number which will be used as a reference nnmber. In addition,an applicant that must submit multiple permit/license applications ja any given year,need only submit one affidavit indicating current policy infan ation(if necessary) and under"Job Site Adds'rho applicant should write"all locations k (city or town)."A copy of the affidavit that has been officially stamped or madcedby the city or town may be provided to the applicant as proof that.a valid affidavit is on file for fut=permits or license$. Anew affidavit must be iilled,out.each year_*lheae a home owner or citizen is obtaining a license or permit not.related to any business or commercial venture CLe,a dog license or permit to btum leaves etc.)said person is NOT requir-ed to complete this affidavit- The Office,of Investigations would like to think you i a advance for your cooperation and should you bay e nay .questions, please do not hesitate to,give us a caIL, The Department's address,telephone and fax number: The Commaawt,031 of assach D.epaltmMt Qf�n a1 ccldents =tie of juvesf texts 6M-WaA,gtm Size ` Bast== Tel, 617 727-4 at 446 Qr J-&Tj'MA&aAM Fax#617-` 27 774� Rt=viscd 4-24-D7 - F .gavIdia �'ME t ToWn of Barnstable t Regulatory Services RAINEMARM $* Richard V.Scab,Director 1639. 1e Building Division. Paul Roma,Building Commissioner -- ---... -- —200.Main_Street,$Yannis,.MA_02601. ., .. ' ... ...... www.town.barnstable.mams Office: 508-862-403 8 `Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, (.�� I �'y�nG' �'� , as Owner of the subject property hereby authorize � 4 _ 14\I_A,C- -`' to act on my behal� in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and claims are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final, inspections ate'performed and accepted. ors o A S Owner Signature of Applicant . Print Name Print Name Date QFORMS:OWNERPERMISSIONPOOIS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) CI M AC�� DATA Client#:21832 2AIRRI CERTIFICATE OF LIABILITY INSURANCE DATE13/2DIYYYY, ' 04/13/2017 'O AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 1RMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES )NSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED .CER,AND THE CERTIFICATE HOLDER. .ate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to AS of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the .,'lieu of such endomement(s). CONTACT NAME: ,a'Neil Insurance Ag PHONE F AIc No Ext:508 775-1620 C Ne:5087781218 ,,.enough Rd,PO Box 1990 E-MAIL ,finis,MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC"d ,508 775-1626 INSURERA:NGM Insurance Company 14788 INSURED Air Rite HVAC Inc. INSURERB: 133 Old Town Road INSURERC: Hyannis,MA 02601 INSURERD: . INSURERE: • - 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP SR INSR WV POLICY NUMBER MMIDD - MMIDD LIMITS A GENERAL LIABILITY MPT8454A 4113/2017 04/13/201 EACH OCCURRENCE' $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE SOEa RENTED $500,000 CLAIMS-MADE OCCUR MED EXP.(Any one person)- $10,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS-COMP/OP AGG $2000,000 POLICY ECOT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO ' - BODILY INJURY(Per person) $ ALL OWNED. SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ - $ A WORKERS COMPENSATION 1NCT8454A 4/13/2017 O4/13/2O1 X WC STATU oTH- AND EMPLOYERS'LIABILRY _ - ANY PROPRIETOR/PARTNER/EXECUTIVE YIN - OFFICER/MEMBEREXCLUDED? � NIA EL.EACH ACCIDENT $500,000 - (Mandatory in NH) " If yes,describe under EL.DISEASE-EA EMPLOYEE s500 OOO DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable,Building SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE. POLICY PROVISIONS." 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S189123/M189081 LS1 Please visit our web site at http://www.inass.gov/dpi/boards/SM JOAOrM CHUMBINHO I. 133 OL'D TOWN RD (SM) HYANNIS, MA 02CO1-3543 • • L E r AS�SAQCHS�E�TTS SEA ; Z+4 VFW c �4s'SecAM { ' IN-M 1 / JOh0•,fz �5 _ a 1815 FALMOIfTFFROAD :-�.F �, APT AS��-'-�� � � �� II Fold,Then Detach Along All Perforations COMMONWEALTH°OF MASACHIJSETTS • • a U: • • r BOARD©F ° 'h ,. : SHEET METAL WORkCERS � � �„ . ISSUES THE fOLLOWING LIOENSE'AS A N JOfJRNEYPERSON UNRdE 'I Col,ED S JOAO M CHUMBINHO � t o$ -'"� 1� 133 OLD TOWN R 1 I3 HYANNIS,MA 02601�543 ,!, 'i � ;,ate z r' a .+r , 5283 Q3/28/2018 23273 ) ' �: ..�: ry YOU WISH TO OPEN-A BUSINESS?. For Your deformation: Business.certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town,(which you - must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this format 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl.,.367 Main St., Hyannis, MA 0260.1. (Town Hall)and get the Business Certificate that is k- required by law. DATE: d5 U�� ill in please: - l r�:i'i it"if�iu'���'. q r.•„ I .., - �n it APPLICANT'S YOUR NAME/5: E: �' BU I SS YOUR HOME ADDRESS: 24t GQF14T y'RA5y 4/J CG�'TE . F 0267L. rr sY �Ur•w 1,`t ;y�t ( m Lf f.`3/ .4in•�1L.1�^•.riri - -°@9"`'" a` `�i"'s �;•'� TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF-NEW.BUSINESS 90ori__4 TYPE OF BUSINESS /'�D a f IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS. � / �L i' T' vt"q MAP/PARCEL NUMBER (Assessing) u m .must do in order to be in copliance,with the rules and regulations of the Town of When starting anew business there are.,several things yo Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town: 1. BUILDING CDMMI5SIONER'S FFICE MUST COMPLY WITH HOME 0CCUPATION -This individual has been inf m any permit rhements that pertain to this type of business.. PU�,ES.AND REGULATIONS, rAILURE TO n rMhi~vY ► III : Authorized Signatur COMMENTS: 2. BOARD OF HEALTH This individual has been info_rmed of the permit requirements that pertain;to this type of business. Authorized Signature**. ` COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY] This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Fd ' s 1 uwn OI r arn5 Laule A THE Regulatory Services �p Tp� o Richard V.Scab,Director'; r 4 Building Division Paul Roma,Building Commissioner . DlFn run 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us' Office: 508-862-403 8 Fax:. 508-790-6230 Approved- Fee- Per it#: HOME OCCUPATION REGISTRATION Data: • � r��� yam• Name: Phone#: Address: r E14 T HIM IlW Village: �G•'`��/--/�(/��� Name of Business: �Lu® - • Type of Business:' Map/Lotd' EWENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air.or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the a following conditions: x • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings;and there is no outside evidence of such use. • No traffic will be generated in;excess of normal residential volumes. • The use does notmvolverhe production of offensive noise,vibration,smoke,dust or other.particnlar. matter, odors,electrical disturbance,heat,.glare,hmnidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess' of normal household quantities. • Any need for parking generated by such-use shall be met on the same lot containing the Customary Home " Occupation,and not within the required front yard , • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home'Occupation,other than one van or one pick-up truck not to exceed one tan capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation if the Customary Home Occupation is listed or advertised as a business,the street address-shall not be w ` included " • , 'No.person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit • .� I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. f Applicant t Date: Horneoc,doc Rev a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel (3 ��t';�;� OF A lication 'f 3 p {4 NSTAB`E pp Health Division _ Date Issued Eiji l " 1" n uta -�. ! H .;. 51 Conservation Division Application �? Planning Dept. Permit Fee DD~��g- Date Definitive Plan Approved by Planning's B646111. Historic - OKH _ Preservation/ Hyannis -/ Project Street Address a� Q FAT IM R rl k® Village j'jjvTF_12V 1 LL Owner OA 91 V, 6 V0/ZWAI/ Address _2'�( G 9G X _ /y%/1W 9 Telephone Permit Request 00 A/)a rl- 9 Mla,&_ Square feet: 1 st floor: existing proposed /b S 2nd floor: existing iWO proposed Total new 2 Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type (c/0 009 Lot Size 0 0/1 /90�'Z. Grandfathered: ❑Yes VNo' If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes &f1 o On Old King's Highway: ❑Yes ®'No Basement Type: Vull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new // Number of Bedrooms: Y existing —new Total Room Count (not including baths): existing S' new First Floor Room Count Heat Type and Fuel: VGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes VNo Fireplaces: Existing 14V New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Vexisting ❑ 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 �C C 'i/1� 2 Telephone Number �0 J ���� Address 2—Y �11611161 License# C.CA-`i1%2///Lt/l ,-f4 02 L. Home Improvement Contractor# Email �Y/ .�i �/�/I'd��% �°i17� .Cc'7� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 5. 0o_ � FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION V/r�T FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. YIZZ Commompeakh qfMassadruset& • ..ti ifFl9lgY`�QIt C;i��Hi�ncfi��stLiCCI��T�s Bism,M402.U.I • k4`FVt'FLtilaS��t7p�l�Zf1 WmIners' Cumpeniafim lusunmce Affi 13.wltleFS[CA Ifi=tarsMecfr: inns IPh mbex s A=Ikamd Tnfq 3{II! Please Mint I Ai-e pair an empkTer?Checkt:he appro]�nafe bo�c L❑ I am a 1 4: ❑I am a general corfractoi asrd I Type of Project(rcq�edl- �P 6. Near coustmc.Eicaa emp-10yem(full an`or part-#ime)* Irate Ivrec€�ehe s�cfr conbmdm 2.❑ I am a sole prr lx etar arpart=_ Tisied OM the att6ched Thaet~ 7. 0 R=odeling slip and have no employees. Them snb-contractors have S [�D Isfiosa Q far�sein' emgloyeesandhavewadmre 9. adzii#ioa wad•7nb _ �Y ' jNo CAII _incrtnrnr� comp_tnsaraMI r ed] 5.❑ We are a corporation and tts 10-❑Elezhical repairs cr adcRiom 3_[ amahomeovmerdoiggaUwwk of=- ersir=e=dsedthek 1LOFh=6in9rapairsorad&dom , MyzaE[No wa - right of em=pfion per MGL +s slmoce mired j f C.'52,�1( ,andwe fi=e nD 1?[]1ZoofrepaitS easplogees.[Na tvoers' 13-0 oaier s camp.insQrance required_ �AMYapPB=tC=tcbedtsTx=ftl RIM iMCattheseedoabaTosrsbu-aiagdieirwn&es'e®peasatinapo&cpi g� #&ameovraezr sabmti dris daeii iad>t�mg tiv Srt 3aia;aIE��c a fbeabFte o-uts;d�carom amst 9Ubmita3eW XMdXeit iadicstino SuCT fCa�rsuizt d�ec3c iigs 6oac mast sa addifiaesl sheet sbaa�tl��of the salt-•ca�g�,stye�heth®c arnottbnse entitiesba'c� • e�ivyees.I€thesvb-cants��s3�eemP7af�ts,tfie}��sCrmvide•theirirnr�as't�P.F�Fa�lser. I am arc euigr t7�rrtisprauiriirrg�var&ets'courpertsrdiurt i�srirattca jvr Rc}�emlv��ees SeT�yv is flcRga�ry arrd jQFa� . irt,�at�rxattnrL . Ins= a Company if ante: •Paficy 4 or f-ins_Lic_ ErgiratiaaDate: Jab Re Addres CiiyJ5laf��ig: Attach a copy of the vparl�erse com3pensatiaagaIicy decfaratloa page•(showing the poRcymm fiber m d exph'1tioxL dat* Faifne fo seaom coverage as of MGL e.157 can Lead to fihe imposiim of criminal P-11 -s of a fine ap to$1 5aa SOU avdr'or ona-gearimpdscs:meuk as weA as ci O pesatii- k ile fo=of a STOP WORK ORDERand a fig of uP to$MDa a dky agaitlst tiie violafar. Be.advised ffid a epFY of this zbdeme t maybt:fafwarded to the Office of lmvesfigafioas ofthe DL4 for insucaaca cavemgp vedEca#iaa. MO tiersbp CgtfiA rurdsr ifts p=x and psrra7tr s a Fediuy fliatifie u f brrsraff=PM.-!' d abmv is trzrs and c annect [leaf t�re£� ,T]a nrrt write r tFi s�xea,tit Fie aruiPked tag diy a�rtafru ZITLdal City orTawm Permiff tense 9 Iss�g Auffiarky(drcIe one): ` L Board of Heal& BuffTmg Degarfineat 3.#u{fown.Clerk 4L Eledricd hmp tar 5.Plumbing bmpecimr 6.OIIferr Coact Person: ) Ph-am 9: ormation and T-ustrue UoRS I52 all c�JY�En P da �e�on for•Sieir eMPlo'Ye=- Maccar�mcL S i LAWS"'aY 4 $te sm-vi.ee of s offic'Mder'-my Omfta PMS J t ffi:jS S 2�,an�tp£oyee is deed as¢.eY�aYPeson m or finPHA o1sd or wLffi=f - asso�un.carpor t m or offset Iegal a y, BY O or more { An.�£vper is defined as as mdividaal,P la g�legal � es of a deceased=P er,or the of the Cn iged m alamf offiMl �Y.�p�employees. gagrevr fhC r,=ivea'or wee:of an fil per.association ar. not more than.7ffi=apadm.ets and-who resides fiimrem,or th"occoga�off- ea of a,dw'ellmg�Se h�Tv _ - on=lt dweIFMg horse oven enyons tD do ma�Ce =or repay aWrffing horse of anddiet W P k sac f o be deco edtn be r�loyer." I •• or on the gtvunr3s arb�dmg `be1efn shal].notbeeanse ��� also sfdes� everp sf nr local H=.,Mg agmcY shall wif hald ffie i�aanr�ar M(�chapf�r I5Z,§�C(� �Elie eommcnwealth for aaF ' rcaewaI of a I�c�se or permitia operate a TjusnteSS or to constr¢rt b_ ��S ce cpy�tage re��-" apgliranfvFlio bas notprodttced acceptable e4id®zce of compTzanr�wifh t offal divisions Shall AddffionaIIy,MU2 chapter 152,§25CM stairs ffeiflrrdhe ra Ea nor any P r i any= ' p M ce 0fpnblic�� �Z �Pfable evid=m of cen:tamp ce�ifli file ms�'ance• emote s oft3ais rliapfraliavb1;=np=cmtt dto fhe cauftacEag aniiio ty:' Ietel by dieckin g dif-boxes�apply to yo'or. oa and'if Please fa oi>t the Fqo `as'comPensati°n affidav comp Y.neressarY �+ s) nihmbe(s)along wififher cr�� s)of ,.s,pPIY s)�e(s).ad&=s(e Wiffi lave's of =fh=tlie msna`�ce. Tm,r�edLrebihfy CamPames l OIIrmd ' ) no r�p mer bets or pare,are not req*ed.do daffy� ' cPmsaftatt Dance If an LLC or DLP does have is $e adviscdf3A�S afEdayitmaybe Mbnu�dta theDepa-fzaer�of Tadnstfal employees,a.policy tshonld Accid�uts mr conj5maiinn of m aM=cnv�a� A.Iso be sure to and dafE,the davit The notiiieDeparEmenfof be retained to$e�y or fo f fhe appFcati on for$ie permit or 1'icense is being irqu� obf�a.13o 1' TTr�rrefriaT�A r� ifs- nonld , have any gnesii ors reg j g the law or i'yoa sre �o-n poHcyY P IcasecaIlf3ieD�admer±atffier�bez]isfndbeloW Self-m-�ed��esshaflden�rt3ir* opmpPnc self-ice Ticc3se=Mbei on i3Le agpx a Ise. city,or Town Offs *aCc r - • lets and IelIy. 'Ihe Departiuenthas providad a Space a�the bofinm Please be sore the ifie af�daYif is o P - has to colt eyo'n the EPP" nt_ of Ilse affida:v t for you in ffiI orb infhe event file Office o M.aPPHcznt Pleasebesm�tnfllmfiiepe�itlriceosex nberwhi hwiIIbcmedasna ah�one affi vitIndicating cm=t f must sabmt mile p eM' icanse applicafions m aaY gam=y� 6aII Iocafi:ns ilt ( Y or P olicy mfornaticrv.Cif n Y)and IIndsS-job e� at5capp Fthm cit - ed atmaz�dbytlie city or t�nmay be provided fn the town)_"A copy ofIhLm-afdda-vitfiiathas bc�.officially stamped or Beres- AneFY affidav�mn�be filed oil ear�i applicant as.ja. n t�a valid affidavit is on fie for e p _ boson or commMr-�a1 v year.Where ahome owner or ciii=n is obfaiIIing alice°se or-HOT=1 it ted to auY pew to brm leaYes efn_ said "Ca is 1�IOT'i �o PI t3iis affidavit a dog license or .� P The Ofe ofln oaonwoullk to&VDMisaftMCOfOryoncocpmafionandSh d.you havtanyq�°ns. . e 9 please do not hesdntc tI3 tis a call 7heDepartmeni.'sa�S,telephonearuif�c�et: • , . _ -. - . G4 .De eat cif -TL:# 4-96 or 1477 MAE Fagg 617-a7'749 Revise$4-24-07. - t�u€-mas�2�2�drd- - Town of Barnstable ` Regulatory Services oFjKE tWf. Richard V.Scali, Director ~` Building Division BMMSTLE AB , ` Paul Roma,Building Commissioner 0 9. .m� 200 Main Street, Hyannis,MA 02601 rFnM°�p www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: o S, C72 (l JOB LOCATION a a Gf�/= T P1�/I //� C.c 1(R/Zt/(I t ,7 .�A 0 2 number street village, "HOMEOWNER" (O�YL� K 6 rc/ 261511fW 57 9 193/ name home phone# work phone CURRENT MAILING ADDRESS: 2 7 4 G ,If� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.: DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to' be,a.one or two-family dwelling,attached or detached structures accessory to such use'and/or farm structures: A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building hermit. (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"ce�hat—e/she understands the Town of Barnstable Building Department minimum inspection p and requirements and that he/she will comply with said procedures and , requirements. roc • ese - $ignatu O 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 127.6 Construction Control: HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware,of his/her responsibilities,many communities require, as part of the permit application,that the homeowner,certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a.form/certification for use in your community.- �"E Town of Barnstable Regulatory Services seaxs'rea[.e, Mass. Richard V.Scali,Director Building Division Paul Roma,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, , 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) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant . Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS MORTGAGE INSPECTION PLAN , 14-08370 f LOCATION: 271 GREAT MARSH ROAD B oS rO1V CPTY,STATE: CENTERVILLE ,MA APPLICANT: GARIKGEVORGYAN SURVEY, INC. CERTIFIED TO: , SCALE: 1"=40' P.O.eox2soz2o PREPARED: OCT-16,2014 CHARLESTOWN,MA o2128 T(617)242-1313:F(617)242-1616 WWW.BOSTONSURVEVIVC.COM 100.00' t r 29,985 SF+/- 30�ff .car ('R°pcSEn 2iF±/_ Vim' dcck 1 story #271 rVft ' I I 1 I I 4.48' 95.55' GREAT MARSH ROAD FLOOD DETERMINATION REFF_RENCES According ro pedual.Fmergency Manegcment Agencymapg the —jorimpmvcmar'ta on wa property faX i"es Brea designated m DEED/CERT: 17935.184 ZONE: X• • PLAN REF:255-27 ���ZH GF y(gss9 COMMUNITY PANEL No.`1 �p Qrl ( NOTE To"how as eccoratt"cafe this plan must be pentad I�3� G C.RGE yG�n EFFECTI�fE DATE: � � nn regal sired paper(g.s"x!4) o -., En ' Thelxrmanertrswattuesarea ximate! ! 8 � ILINS rn orthalscalmnin ine Y ocatodonthe roundasshown. Theyeithercoofotmedtothesetbackrequirements g ardinanoes is afisctat the time ofcca>swctian,orate exempt ff°m violation enfomement actfon under °• M.G.L.Tl6e VU,Cboprer. Section 7,and Ibat are no eacroaobar lines except us shMm 8nd noted he vm, ®[t ofmajor unprovwnanfs either wayacross property P" q •SStOa y NOTE Ibis L not a boundary or titre insurance survey; Ttis !an was ti0 SURD standards fir Mortgage Loan br"pectfons as ado p Prepared in aceordonee to procedural and technical Land Sun pledbytheM—aebasetbBondofReglsUatfaaofPmfr iOwlengineersand preparing dead-r CUR or c end use foraay otherpurpose is pmhibitcd This plan is not to be used forteeorrfatg LL - descriytions or°v�wcn°n George C.Collins,PLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map I Parcel Application � Health Division Date Issued 15 Conservation Division VIC- Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board i Historic - OKH _ Preservation / Hyannis Project Street Address 27l rA&T/'i/�� Village C64-1 UVILL 6 Owner I,&11 V- 6(ilo1-610y Address ZY 64W i'/,�I�L/ /O �,,%- Telephone $� 599 yy3 Permit Red [P-" may Square feet: 1 st floor: existing 10-M proposed Mf 2nd floor: existing proposed 2 Total ne Zoning District Flood Plain Groundwater Overlay ProjectValuatio 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 40 YiPW> Historic House: ❑Yes L to On Old King's Highway: ❑Yes IrNo Basement Type: Full ❑ Crawl ❑ Walkout ❑ Other n Basement Finished Area (sq.ft.) Basement Unfinished Area (sq;fitj Number of Baths: Full: existing_ new / Half: existing © new Number of Bedrooms: .1/ existing _new , Total Room Count (not including baths): existing new P First Floor Ro Count= Heat Type and Fuel: MGas ❑ Oil ❑ Electric ❑ Other M Central Air: ❑Yes 9No Fireplaces: Existing 1 New Existing wood/coal stove: & Yes ❑ No Detached garage:: /❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:J existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �dNo If yes, site plan review# Current Use PEE t a 6� 1�/H Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name CIE k IMVOXW/dti -- "` � _. . .� --Telephone,Number__ Address 211 / 9 1-2 License # 6¢ivTGd1114If NA Z" Home Improvement Contractor# Email woo. col Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /3A s/ACE f'�/�yS`�R' fTA 7 0A1 SIGNATURE 7A, DATE 0 3Z/2115 t .,1 I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ' 4 4 ADDRESS VILLAGE w OWNER , DATE OF INSPECTION: FOUNDATIONS - FRAME brcK i-J AJ40rf-' INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. P F f -Town of Barnstable AFtNE Regulatory Services Richard V. Scali, Director RMWSPABLE. ; Building Division BARNSTABLE MAS& P HP0.5 0A5 115 O t i�LL£ S MRH T'M f 9� 1639. ♦0 Thomas Perry, CBO 1639-2014 Building Commissioner 200 Main Street, Hyannis, MA 02601 ' www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 April 13, 2015 Garik Gevorgyan `. 271 Great Marsh Rd. Centerville, Ma. 02632 • rt RE: 271 Great Marsh Rd., Centerville, Map: 210 Parcel: 137 Dear Property Owner, This letter is in response to application number 201501346 submitted to do alterations at the above referenced address. Unfortunately,the application can not be approved at this time because of the following: - 1) A plot plan must be submitted showing the construction will comply with all setback requirements. Please do not hesitate to contact this office with any questions. Respectfully, f y L. Lauzon Local Inspector j effrey.lauzon@town.barnstable.ma.us (508) 862-4034 , r;7 GE INSPECTION PLAN 14-08370 271 GREAT MARSH ROAD 11 B aS T ON CENTERVal E ,MA ICANT: GARIKGEVORGYAN SURREY, INC. CER'THIED TO: P.O.eOX 2020 SCALE: 1n=40' CHARLESTOWN,MA 02120 PREPARED: OCT.16,2014 T(617)242-1313;F(617)242-1616 WW W.BOSTONSURVEWNC.COM 100.00' ILLJ ' M 4 yy 29,985 SF+/- F A 0OPC5�0 deck 1 story #271 i rl It s I s 4.48' 1 95.55` GREAT MARSH ROAD FLOOD DETERMINATION RF.FF.RF.NCES � ^ According to Fedoral.&nergencyManagomentAgmcymaps,the d DEED/CERT: 17935-184 major improvemer e,on Ibis property fall in as area designated:as - AZµ OF k4S ZONE: Y( Y PLAN REF:253-27 oay�'� s�cso COMMWM PANEL No.2�i C 0%f NOTE:To show an accurate scale this plan must be printed �� G RG E EFFECTIVE DATE on legal sized paper(8.5'x l4) C. '7O . " LUNS N 7he permanent struatwes are approximately locatcdon the ground assho;m, They eitherconformd em to a. 417E4 of the Moal zoning ordinances in effect at the time of constructioon,or are exempt from violation enforcement action under M.G.L.Title VI1,Chapter 40A,Section 7,and that are no encroachments ofmajor improvements either way across property S s� litres except as shown and noted hereon. SUR�Fy iVOTE:Ibis is not a boundary or title insurance survey. This plan was prepared in accordance to procedural and technical standards Aw Mortgage Loan Inspections as adopted by the Mamseburetts Board ofRegistration orprofesaional engineers and Land Surveyom 250 CMR 6,05,and use for any otberpurpose is prohibited. This plan is not to be used fartecording, Georpe C.Collins,PLS preparing deed descriptions,or construction The Commonwealth ofMassachusem- rA Deparhmmt aflndustiialAccidents Office of Invesfigations ' 600 Washington Street Boston,MA 02111 www.masrgovldia Workers' Compensation Insurance Affidavit:BuRders/Contractors/Electricians/Plmnbers Applicant Information • Please Print Le,ibly Name(Busmess/organizadonthdividmi): G�r9�'l (e'�f/D✓��`© i Address: oLJt 6,6�AT ./t/P / < 1 City/State/Zip: ,oIA ojG72 Phone#: Are you an employer? Check the appropriate box: ". Type of project(required): 1.❑ I am a employer with 4. ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑New const<uction 2.❑ I am a sole proprietor or partner- lisp on the aifached sheet 7. ❑Remodeling ship and have no employees 'These sub-contractors have 8. [j D=oEi.;ti,. i working forme in any capacity, employees and have workers' 9. YBurldin addition o wormers'comp.insurance comp.inm�nance.t g mquired] 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.M I am a homeowner do' all work officers have exercised their 11. Plvmb � t exemption per MGL � �repairs or additions myself [No wol leers'comp. � of emP P 12.0 Roof repairs insurance required_]t c. 152, §1(4),and we have no employees.[No workers' 13.0 Other corup.inettrance required_] *Any applicant that checks box#1 mnst also fill out thc section below showing theirworkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing aU work and then hire outside contactors rmrst submit anew affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have_ employees. If the sib-contractors have employees,they most provide their workers'comp,policy amber, I am an employer that isprovkUng porkers'compensation insurance for ray employees. Below is the po&ty 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). Farlure to secru-e coverage as required render Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine rap to$1,50-0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a free 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 msvrarice coverage verfficatioa. I do hereby cerfify under the page and penalties of perjury that the information provider above is true and correct: Si afore:. Date: e9 Phone# Official use only. Do not write in this area to be completed by city or fawn ooiciaL ` City or Town: PermitlLicense# Ismiing 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 Geheral Laws chapter 152 requires all employers to provide workers'compensation for their employees. pm-suantto 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,paainersbip,association,corporation or other legal entity,or any two or more of the foregoing engaged is 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 enfity,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 ildmg appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the ius uranc0. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(m)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe sub 'witted 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 lime. City or Town Officials r 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 permWlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permitiUcense applications in any given year,need only submit one affidavit indir-atmg current policy information(if necessary)and under"Job Site Address"the applicant shoe,Id 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 lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. 'Ile Deparlm.enf s address,telephone and fax number. The Co=cmwealth of Massachusetts Depaitnent of Industdal Accidents Office of fnvesugatio= 600 Wasbbgton Strut Boston,MA Ell 111 Tel,#617 727-4900 Q)t 406 or 1--a77 MA.SSAFE Fax#617-727-7744 Revised 4-24-07 www_ma.ss_gov/dia I A FYC'Guide to FTlood Construction in High Wind Areas:110 tnph Wind Zone Massachusetts Checklist for Compliance (78o CAIR 5301:2.1.1), - Check Compliance 1A SCOPE Wind Speed(3-sec. gust)................::....................................::........................................................... 110 mph WindExposure Category.................................................................:.........................................................:...B Wind Exposure Category................Engineering E2equired For Entire Project..................................:....0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories Roof Pitch....................:............ ............................................(Fig 2) ............................................ _12.12 MeanRoof Height ..............................................................(Fig 2)..................:............................... ft _<'33' Building Width,W (Fig 3)...................: ft s 80, ............................................................. ......... Building Length, L ...(Fig 3 _ < ' Building Aspect Ratio(LAW) .......:.......................................(Fig 4)................................................. <_3:1 Nominal Height of Tallest Opening2 ........................ (Fig )...................... 1.3 FRAMING CONNECTIONS General compliance with framing o6nnectio171s............:.......(Table 2)......................................................_......... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...............................................................................................................................' ConcreteMasonry......................................................... ....... 2.2 ANCHORAGE TO FOUNDATION"a 5/8"Anchor Bolts*imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only P. g-g ...........................:.(Table 4)......:...........Bolt S acin general ............. ............................. in. Bolt Spacing from endroint of plate.............................(Fig 5)..................:................. in._<6"-12". Bolt Embedment-concrete.........:...............................(Fig 5)....:................................:........... in.>_7" Bolt Embedment-masonry.........................................(Fig 5).....:......r............................... in.>15" Plate Washer............................. .....................(Fig 5)..............................................>3"x 3'x'/' 3.1 FLOORS Floor-framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6).................................................. ft:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).......................................... Maximum Floor Joist Setbacks Supporting Loadbearing Wail's or Shearwall................(Fig 7).................................................... ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)................... < FloorBracingat 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 ......(Fig 10 and Table 5 _ < '• Loadbearing walls .......................... ( 9 )..........._............... ft _10 - ......................... Non-Loadbearing walls...................................................(Fig 10 and Table 5) _ft's 20' Wall Stud Spacing :....... .. ...................'............(Fig 10 and Table 5)................... in. 24'o.c. Wall Story Offsets ..(Figs 7&8 < 4.2 EXTERIOR-WALLS' r Wood Studs Loadbearing walls walls.......................:................................ able ........-.2x -_ft in. Non-Loadbearing walls...............................................:(Table 5)..............................2x -_ft_in. Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10)...................... WSP.Attic Floor Length..................:..............................(Fig 11).............................................. ft W/3 Gypsum Ceiling Length(<f WSP not used)...................(Fig 11)....................0....................... ft>_0.9W - and 2 x 4 Continuous Lateral Brace @ 5 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) Splice Connection(no.of 16d common nails)..............(fable 6)......................................................... AFYC Czzide to Wood Corrstrzrction in High bl ind Areas: 110 szph 1j'ind Zone Massachusetts Checklist for COMpfiance (780 Ct1R 5301.2.1.1)z Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables T)..................................................... 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) HeaderSpans ...................................................... able 9 _ < SiffPlate Spans ........................................................(Table 9)...................................._ft_in.S 11' 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) HeaderSpans.............................................................(fable 9)................................. ft_in.!;1Z Sill Plate Spans.... .......................(fable 9).................................._ft_in.5 12' Full Height Studs(no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4. Minimum Building Dimension,W Nominal Height of Tallest Opening2 ` Sheathing Type................................. (note 4)_-.:........................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ ' n. Feld Nail Spacing..........................................(Table 10).................................................. in. Shear Connection(no. of 16d common nails)(Table 10)......................................................I_ Percent Full-Height Sheathing .. able 10 ° 5%Additional Sheathing for Wall with Opening>6'B'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2 ` SheathingType........................................... (note 4)..................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. FieldNail 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_<smaller of 2'-or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12).............................................U= p)f Lateral.............................................(Table 12).............................................L= plf Shear............................:..................(fable 12)............................................S= Of Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Oudooker..........................................(Figure 20)............. ft s smaller of 2'or 1_/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.>_7/16'WSP Roof Sheathing Fastening............................................(Table 2).................................. ................... Notes: 1. This checklist shall be met in its entirety, excluding the speck 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 io 8 fL 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 P-grade. I ' AFYC Gi de to Wood Construction in Hi,,,h 111 n.df(r•eas: 110 utph IVbud Zone Massachusetts Checklist for Compliauce (780 CAiR 5301.2-1:1)' 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: 1. 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 5. Glazing protection: a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte. 6) b)vertical addition—not required unless there is extensive renovation to the first-floor c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. •-VMENTHS EDGE RE=ON FRAMNG USE 8d MAC$ • •AT 5'nt 1 It 1 1 1 Ir a rl 0 1 1 a!- 11 11 11 1 ; O 1'1 A H 1 1 p /1 11 •� I I r I I 1 1 ii 'COD a Ed1 1 r 1 1 11 0 17 it Zi i - z i l ru Wro Ir li. �i ii m i a i i 0< AU 1 t r I r C .i - i i 1 1 r FRAMING MEMBERS W is 1`Jj p� 1 I I EDGEXirEIWEDUIT]E 1 -1 11 11 h- 1 1 pp / ' 1 ii :i N r 1 / r 1 � a u u 1 I Z 1 X '418" 1 i tW- �ii� i Y u 11 tr it 40)OLEMGE - ��' STAGG, 3•MMJ NAILSPAGNVG PANEL �i ' XMI.PATTEM PAN • y PANE'EDGE ROUME MAIL EDGE 57'AC14G DETAL See Detail on Next Page Vertical and Horizontal Nailing Detail for ParTel Attachment Vettical and Horizontal Nailing for Panel Attachment �mE, � Town of Barnstable • r Regulatory Services * IIXMSTABLE. ss.arA �,, Richard V.Scali,Director 1639. ♦0 3.." Building Division ...._.......- --- . .__...___ .. -- .. . ....._._ Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �41WK 06VQ ��� ,as Owner of the subject property hereby authorize to act on-my behalf, in all matters relative to work authorized bythis building permit application for. (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. *. Signature of Owner Signature of Applicant Print Name Print Name Date QTORMS:O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services 'THE r, Richard V_ScaIi,Director Building Division swan�asxsr.+sS Tom ferry,Building Commissioner .L639. ��� 200 Main Street, Hyannis,MA 02601 QED ' 6 www.town.bamstablema.us E Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION i Please Print DATE: JOB LOCATION: le<2 /number Street /-/ village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 9.26 cit34wwn 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 Iicense,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations- _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si o e er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &ReguIations 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 Iicensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFII.ES\FORMS\building permit forms\EXPRESS.doc Revised 061313 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION T07,111 Orr ARNSTABLE Map �d Parcel 1 Application,# I Date Issued Health Division , , a ,,,�4f `'�' U 5 ,9 Conservation Division , Application tv Planning Dept. r -- - Permit Fee _ S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address r196A% Village GFwTCAViLzE Owner ( 1'1/g &VnRGK� Address � l /'/��AT /`�%1W A04, Telephone 7/7 -SWY -%'14i 2� Permit Request /yOyr Z�6E bf,�e� ID 0 0 TO TiE RmlYr S5 X r_ 4F 7&1F_ /IoV 'E Square feet: 1st floor: existing Idor7s4roposed 2nd floor: existing Sproposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6 O 0 0 Construction Type Lot Size 0- Atg Z Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure /// Historic House: ❑Yes �lo On Old King's Highway: ❑Yes No Basement Type: V Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 10961' Number of Baths: Full: existing new Half: existing new Number of Bedrooms: -1/ existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: U'Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �No Fireplaces: Existing tl New Existing wood/coal stove: YYes ❑ 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 q Yes i N0 If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION .(BUILDER OR HOMEOWNER) Name � �� Telephone Number Address v2►Z� l' "� /`1��% /�� License# Home Improvement Contractor# Email �� 1�� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a SIGNATURE DATE y R FOR OFFICIAL USE ONLY '{ APPLICATION # DATE ISSUED MAP/ PARCEL NO. �rt ADDRESS VILLAGE 7 OWNER c ; i DATE OF INSPECTION: F FOUNDATION y FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION'PLAN NO. t r k an =Nomossm son on SOME on MEMO man■IN ME MEE 0 No an 0 NONE mom NONE i iii i� "' ■� � 0 MEN ONE No 0 ME ME ME MENNOMMIEN MMMEMEM M M MENE MUMMEMINENEEME MEN OMEN ME M 0 ME MEMMMENOMMENEMEEME ONE SOMME immommosom ONES mmomml MOMME mom ON MENEEMESSE mmommom M ME ME ME MON MOMEM moommomms ME 0 No M MMENE M 00 0 m ON ME mmommmommoom ONNE ME ME M M 0 M moommosommosm mmommoom MEN No M M 0 ONE M 0 M mom MENNOMEMENOMMONSOMMI No M MOM ENE 00 M M M ME ME M 0 ME No ME mom ME MEMENESEEMEMEN NUMEME moms Emmommm 0 ME MEN ME mommmmmm M mmossm EMEN mom MEM No ME ENO smom NEN 0 ONE 0 E NOME No OMMENOM ME ME N 0 ME E ME MENMEEM M ME momom No ME NOMME ME MEMEMEOM 0 ME mom ME 0 M NONE No 0 0 mosommmom mommom ME M SOON ME so MEN ME somomm M ME NOSES ME ME mom 0 ME mom NEMENEM ONESSEM ME M on M m EmEmommommi'm No I N ME MEMOMEMS No SEEMS ME ME mom E 0 ENE ONEMONEMEM smommommm Mom M mom E ME M moommom M ESE ME NONE ME ME ME MOMEME USE ME M ME 0 ON ME MEMEEMOMMEMONEM ONE Em MEN mom ME MMM mmmm m momommommmmmmsmoom ME ME 0 NOME I - momommosmso MENEM i ��m MEMO MEMO IN NONE MEN almommmo ommmmommomom Mm 0 SEEM MEN ME on No so 0 MIN ON No SOME momom MI mom mommom 0 ON MMMMMMMMMM No No ' 00 MOMMMMMM no ME MEN NO 0 0 M MIlm M NINON . MMIMMON 0 M 0 ON 0 M M ONE ME SEEM IN 0 MEN N ME immom MEEMEMM M M M ommom MEMO ME INS 0 No Mm No 0 NOON ME No on ONO ME ON I * MEN 0 on MEMO NMI NOON NONNI 0 MMMEMM MEN MEMO No 0 MOOMMMOMMM m No miss imommoi �ii�i'i � MEMOMEMO�� inn= ■■■■C■� i■■ ■■■■ ■ o�iiiiii�' ' =i�i0 i�n=iii i■■i �MEMOia ME M■No 1. MOMENEr- ... - MMMMMMMM No ME M M mmms ME N MEN IN 101 1 MEMO moommom WON 0 M! MEN IS NMI mom mom 0 ME ONE IM a 0 low 0 ON M! WOMEN 111011001 MOEN= Elm ME MENOMMEN NONE MEMO so mom No 0 No MEMO INIMME I No WOMEN M1 ON MONO I mom NNE M1 M1 M1 No 0 OWN 1M ommom 0 0 IMMINE 0 0 0 0 ON ON MEMO M1 mom No MIN 0 MOEN NEON mom IMINIMEME IMEENEM NONE 1M 1M IM 0 MONO 0 0 0 ME INIM No MMI mom !IEMN IMMEMIN ONMEN ON N 0 NNE 0 1M 0 No ME 1M MINN 0 1M NNE INIMME I I IMME 0 M1 1M IMM MEMO MEMNON= NONE 1M1M1WMIM1 0 MEMO 0 Nom.10ME ME NOON N E MEMO 0 IMMI IMISIMEM 0 ONENE no 1M 0 MINIMMIN No ME! IMEMEN mommommommoomm IN MEN No ME MEMNON mmmmmlljommwmm No INN ON ME mommmom ISIMMIN IMMIMMINIM ME No NNE NONE NMI IN M N 0 No NJ IMMINNERN 0 MONO No IM 0 MONO 0 IN 01 0 1 NM momoloomomm 01000011 MEMNON 100MINE N wm��Wm =�M W�� MEN mmmomm mommom momom Elm 0 MEN 1M ommo MEMNON MEMO 1M IM M! mom 0 0 OWN WE MEN ON MONO 1111 ONNOWNWOMMM � WOMEN Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division E; BAMSrAMA ' Tom Perry,Building Commissioner rinse. 039. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: '� ..Please Print JOB LOCATION: o�d 64� /r / / number street village ' "HOMEOWNER": name 'y home phone# , work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official;that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that fie/she understands the Town of Barnstable Building Department minimum inspection procedures and re uirements and that he/she will comply with said procedures and requirements. meowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt .from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor 4 (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 to amend and adopt such a form/certification for use in your community. Q:\WPFHES\FORMS\buildingpennitforms\EXPRESS.doe ' Revised 040215 t% dFW Town of Barnstable Regulatory Services BAMffABM Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 �Y ProP a Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS l I The Commormealth of-Vassachusetts . Depcarfinent v,f ludustrial Accideras - - Offwe o,f 1Fmmligaftons 600 Washingion Street _ Boston,CIA 02II1 ' } nn-v mass gvv1dia '"Tarkers' Compensation Insurance Affiidavit:Builders/Contractors/Electricians/Plumbers. Applicant Informafian Please Feint LegibIX Namie(sUsmesStD ganizationflndcv ua4}: 1 4/V X �i't�V 0 f �,/W ' Address: 2 G g; A-T a 12-N R-19 Cityfstabel ip ,��-�/�l/, G ' .W G 3 Phone �1� s�.�/ Are you an employer?Checkthe appropriate box: Type of project(required): I.❑ I am a employer with. 4. ❑I am a general contractor and I T ❑ project jectr1m ( ctii employees(full and/or part-time)* have hired the sub-contractors 2.❑ I am a sole proprietor orpartner- listed on the attached sheet, 'I. Reszt These sub-contractors have slop and have no employees $_-E]Demolition worming for me in any capacity employees and have woudfs' [No a-oriaess'comp.insurance comp'-insurance.# 9. El Building addition. 3.�regtured] 5- ❑ We.are a corporation and its lta_❑Electrical repairs or additions I am.a bomeovmer doing all work officers haveexercised their 11_Q Plumbingrepairs or additions myself o workers' right of exemption per MGL �' � - 12.❑IZoofrepairs . , insurance regttirecl.j F c.152 §14{ �and we have no employees.[No workers' 13.❑Other comp_insurance required.] *Any appbicaat that checks box F1 mast also fill out the section below shavdn-Z their wo kere compensatiaaporky informatiao_ T Ham uwners who submit this of idat it im,d5u=,r they are doing all wok and then.bite outside cons mctars mast submit a new affidavit indicating sudL tConttactors f=check this bmc mast attached an sdditiana2 sheet shovdng the name of the sub-ccmuwarrs and state whether or not those endues pave empimes. ifthesub-con=ctoeshaveemployee%theymustpmvidetheir workers'comp.policy number. I ant an srnplpy�cr heat is prmadin�yvarirers'caarpertsafirrrt instua>Fce,far arty)etrrpIay�es Setoty is fits policy and jtab situ inforrnadom lusuraace company Name: Policy or Self--ins.Lic_ F-kpiratioa Date: Job Site Address: city/Statelzsp: Attach a copy of the workers'compensatfonpolicy declaration page(showing the policy number and respiration 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$1,54D 00 aid.,or one-year imprisonment as well as chit penalties.im 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 tine Office of Irxestigations of-the DIA for insurance coverage yecification_ T da heretby ceerhfy anther thepains andpanahlies ofyedwy,thatthe infbnuatnvaprtrt•*&dabme fs true mid correct Signature: ]pate: Phone i- Yr — S✓ ./ - OBYcial use only. Do not asrke in thisarea,to be completed by city artotwn offiaciat City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 3.Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Ph-one#: laformation and Instructions Massachusetts General Laws chapter I52 reguirm all employers to provide workers'compensation for their employees_ p m this statub%an employee is dsfiaed as."_.every person in the service of another under airy contract of hire, express or implied,oral or wit=" An errproyer is defined as"an individual,partnership,association,corporation or other legal eutily,or any two or more of the foregoing engaged in,a Joint®trrrprise,and incTn�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 tine occupant of the - dwelling house of anofher who employs persons to do main teamm,construction or repair work on such dwelling house or on the grounds or budding appu�thereto shall not because of such employment be deemed to be an employer." MGL chapi-,r 152,§25C(f7 also sfai-s 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 airy applicant Who has not produced acceptable evidence of compliance with the inset-ann ce.coverage required-" Additionally,MCrL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfmmance ofpublic work until acceptable evidence of compliance with the i rmuar,ce.. requirements of this chapter have been presented to the contracting a afho6tyf AppHcantS Please t�-I.l out the workers'compensation affidavit completely,by checlrmg 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 jns r+ance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cagy workers' compensation insurance. If an LLC or LLP does have employees,apolicy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for conf]umafion ofinsTirznce coverage. Also be sure to sign and date-.he affidavit The affidavit should be retrsned to the city or town that the application fur the permit or license is being requested,not the Depaztrnent of ExhT sari al Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' b listed below. Self-insured co anies should enter their co evsation policy, lease call the Department at the nnm er mP mP P cy�P self-insurance license nuni.bm on the appropriate line. City or Town Of dciais Please be sure that the affidavit is complete and primed legiibly. 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 pemlit/licrose nunnber which will be used as a reference numben lia addition, an applicant that must submit multiple peimit/license applications in any given year,need only submit one affidavit mdirating current policy intimation Cif necessary)and under"Job Site Address"the applicant sho-uld write"all locations in (CitS'or town)"A copy of the affidavit that has b=a 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 perms or licenses A new affidavit must be filed out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venue (i_e. a dog license or permit to bunn 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,Departmenf's address,telephone and fax number -Th�C.GMMmwealtbr of Masmchu7sot#s Ileparfmm<of ladustial Acc eata of ice of filvest?gatio-� ��4�a•c�tQn $ Bwtau�MA 01 111 ToL 4 617 727-4900 Qj-ft 4-06 or 14M=I SAFE Fa ff 617-727 7M Revised424--07WW Mlass, din II' f 9 F O R Y E ° MEMBER REPORT Level,Floor:Flush Beam PASSED 2 piece(s) 1 3/4" x 6" 2.0E Microllam® LVL Overall Length:6 2" n ., } . , 5'3" 0 0 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal.;Drawing is Conceptual Design Results �`'. Actual @ LocabonF, Allowed „ `Result W11,Loa dC mbmation{Pattern) _ System:Floor Member Reaction(Ibs) 3458 @ 4" 6322(4.25") Passed(55%) 1.0 D+0.75 L+0.75 Lr(All Spans) Member Type:Flush Beam Shear(Ibs) 2095 @ 11 1/2" 3990 Passed(53%) 1.00 1.0 D+1.0 L(All Spans) Building Use Residential Moment(Ft-Ibs) 3728 @ 3'1" 5000 Passed(75%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.135 @ 3'1" 0.138 Passed(1-/488) 1.0 D+0.75 L+0.75 Lr(All Spans) Design Methodology:ASO Total Load Defl.(in) 0.214 @ 3'1" 0.275 Passed(1-/309) 1.0 D+0.75 L+0.75 Lr(All Spans) Deflection criteria:LL(L/480)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 5'11 1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Resawn products must maintain manufacturing stamps. Beanng to.1: Loads 5upports(Ibs) "s a � G �. �; r �; ��a T - SU,ppOYtS x Totals Available Required 'Dead Floor Roofer, r Total ccessones Ltve� Lne _-> s -, , 1-Stud wall-SPF 5.50" 4.25" 2.32" 1312 1727 1295 4334 1 1/4"Rim Board 2-Stud wall-SPF 5.50" 4.25" 2.32" 1312 1727 1295 4334 1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed. °.P '' Tnbotary.'�I Dead Floor Lrve �Roof Lrve' LOddS _ ,Location . Width (0.90) . "'"(1.00)`' '(nonsrioxi::125) Comments_ . 1-Uniform(PSF) F 0 to 6 2" 14' 10.0 40.0 Residential-Living , Areas 2-Uniform(PSF) 0 to 6'2" 14' 20.0 - 30.0 Roof Loading ~We .� q _ . srNosehaeue SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASIM standards. For current code evaluation reports refer to http://www.woodbywy.com/services/s_CodeReports.aspx. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator r Job Notes 11/9/2015 11:53:08 AM j Brian Flagg Forte v5.0,Design Engine:V6.4.0.40 Mid-Cape Home Centers i (508)760A430 bflagg@midcape.net Page 2 Of 2 w , a r .. ',<. a au.a E y��: r':E IJ ��� ���� N.;g ;.,g= �a �o%o/�� �=�0�/�D��1 brit � �f (� �- L�G�sT� Town of Barnstable Geographic Information System March 19,2Op15 210049 `. H,mw 8 #?96 ' 210051 " 210072 210073 210074 #268 #250 # 0 #24 230 GREAT 119.4RSH R69 i 210138 1 9291 CM '7 21018*6#235 210136001 21#24002 210139004 124 210137 r #271 210185 #13 210136003 210136004 #251 9253 r # 210139003 #116 1 210194 210130002 210139001 ® �� #66 r #66 �6 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:210 Parcel:137 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 10 100'may not meet established map accuracy standards. The parcel lines on this map Owner:GEVORGYAN,GARIK Total Assessed Value:$291500 Li :. are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:0.69 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:271 GREAT MARSH ROAD such as building locations. Buffer �'�'' oK �13/�s Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 2/7/15 : 3 vW yy Town of Barnstable Thomas Perry CBO Building Commissioner l 200 Main St. Hyannis,MA 02601 RE: Building Permit#201409080 TO: Building Inspector(s), ` This affidavit is to certify that all work completed for 271 Great Marsh Rd, Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. Ceiling: R-19 cellulose upper attic Open slopes Behind Knee Wall: R-7 Thermax Floor Over Garage Under: R-30 cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey r 5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a ID Parcel 13 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. ®, Permit Fee 'gd0i ' Wk Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address a}� � a'�' ��,I,��k dkA Village V � Owner G io,,r g r,g y oLA 1\I i S'{-LA& Address S&A)e Telephone 818 5 4 44 31 Permit Request cd1 JA I o 2 4-o ` k& w+bkc SeA 1 +6 D lane add b _ l 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 60 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 4I No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION . _ (BUILDER OR HOMEOWNER) C Name � K C-C 656 . Telephone Number Pr Address - Z.1� License# �C t b Improvement Contractor# 3$ Email Worker's Compensation # W WC 3 a"�6 33 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO arnr►4ny�-�, SIGNATURE x DATE L k 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i MAP PARCEL NO: ADDRESS VILLAGE OWNER R ; DATE OF INSPECTION: FOUNDATION FRAME INSULATION c 9N FIREPLACE ELECTRICAL: ROUGH FINAL e t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASS, IATION PLAN NO. f i 4 I'lte Cott:monwealth ofMassachusetts Department of Industrial'Accidents ,- Office of Investigations 1 Congress Street,Suite 100 Boston MA 021142017 www.massgov/dia Workers''Compensation Insurance Affidavit:BWiders/Contrac#ors/Elect"ric ans/Plumbers AD12licant Information Please Print Leg biv Name (Business/brgeanizatioiVindividual).. Cape Save Inc.. Address.: M Huntingt0h Ave City/StatelZip`: South Yarmouth, MA 026E4 ` Ph4ne.#: 508-398-0398' _ —, Are you an employer?Check the appropriate box: Type of project(required): 1..M I am a ern to er with 4 Q 1 am a general cori, acto - , ., p y — -- 6. ,Q New constnact'ion etnpoyees(full andlor part=aitne), have hired the sub-contractors 2.[� I anz a sole proprietor or partner listed:on the attached sheet. 7. Q.Remodelin& ship and have no employees These sub-contractors have $, Q Demolition working forme.to:any capacity,:: ' coml©insurance ave workers 9.. ❑ Building addition [No workers comp:insurance p " - f 5., We are oration and its a cor . 1'0•El lectrtcal repairs.-or additions .required.) 0 p officers have exercised"ther 11. <Plumbin re airs or.additions 3.; I am a homeowner doing all work:, ❑ b. p myself.[No workers'comp: right of exemption,per MGL: I2 QRrepas c. 152, §1(4„andwehkninsurance required]t empibyees. [No workers' 13TV 1:Other. Insulation camp:insurance xegttired]; *Any applicant that checks box#t must also fill out the section below gho%6ng their workers compensation policy ititoi'ntation, Homeowners who submit this affidavit davit indicating they are thing all work and then hire outside contractors must subni a new aftidaeit indicating such, aGontrnctors that check this box must attached an additional sheet shod ng the name of the;sub-conitictors and stote w}erlter oe iiot the;"se entities hnve employees. If the sub contractors have ernQioyees,they must;provide their workers'comp:policy number: l uisz an eitpfover'that is providing workers'cortrpensution insurance for lny employees. Below is.the pglicy and josite information. Insurance Cornpany.Name: Wesco Ixlwsurance.Compapy Policy#or Self--ins.Lic,#:. WWC3085633_ Expiration Date: 04/09/2015 ' a 1 � - __city/state/zip, CP.�-�J_ob Site Address:. fS h l\ tl� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date) E allure to secure coverage;as,required under Section 25A of MGL c. 1.52 can lead to the impos%tion-`of;criminal penaltesof a foie up to`$4j500 00.and/or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK 012Dt. i d a tine:, of up to$250.00 a;day against,the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA,for insurance coverage-writication: a hereb erti c underahe alas and enalties o er` that the in orrnation provided above is,true and correct is i�at 'res _ • ' - _ _ Date �_ i . .Official use orrly. Do.not write,in' Ibis:area,fo he conrpleted'bycitynr town.offcmt l City or Town:,, __ _ PermitlLicense# _.: Issuing Authority(circle one 9, 1.Board of Health..2,Building Department.3.Citya wn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DAB(MMIDDAC® CERTIFICATE OF LIABILITY INSURANCE rm vj 11/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS t' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,,AND THE'CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(1es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. CONTACT PRODUCER NAME: Colleen Crowley Risk Strategies Company PHONE (781)986-4400 1 FIC No:(791)963-4420 15 Pacella PariADrive ADDREsil-ccroII..risk-strateg es.com ,. Spite 240 ,. INSURERS AFFORDING-COVERAGE _ NAIC0 Randolph, bA 02368 IN$uRERA:Selective Ins. OF AMOrioa . IrvsuREo INsuRER'S Allmerica Financial Alliance 10212 Cape Save, Inc It4s1JRERc:We5CC insurance Company 7 D Huntingtow_.Ave irsURERD: INSURERS south Yaspoilth, b,LA 02664 INSURERF COVERAGES., CERTIFICATE NUMBER:CL14111085532 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE,BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. W TYPEOFINSURANCE POLtCYNUMBER MOWCYEFF_, POUCY.EXP LIMITS GENERAL LIABILnY EACH OCCURRENCE $' A 76-ROQTM 1,000, ,000 X COMMERCIAL GENERAL LIABILITY PREMI ES a rren $ 100,000 A CLAIMS-MADE QOCCUR S1994480 0/26/2014 0/16/2015 MEDEXP(Myoneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,0001000 GENERAL AGGREGATE $ 2,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000`,000 POLICY. X' PRO- LOC $ AUTOMOBILELIABILITY fEsO a Idea( ;. 171�1 1t 000"000 ANY AUTO BODILY INJURY(Per-person) $ B ALLOYVNED SCHEDULED 6796600 1/6/2014 1/6/2015 AUTOS X AUTOS 90DILYINJURYs(Pereccident) $ X HIRED AUTOS X AUTOS ND Perec dnt =rAG $ $ . X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,GOO,,OOO A EXCESS LIAR % CLAIMS-MADE AGGREGATE $ 1,000,000 DED_'. .. REfFJJ710N till 1994480 0/16/2014 0/16/2015 $ C WORKERS COMPENSATION Officeis Included for X ;WC FYESTATU OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE N lA overage. E L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 3085633 /9J2014 /9/2015 (Mandatoryln NHj E.L.DISEME.' EA EMPLOYE $ 500 000 If yyees describe under DESCRipMNOFOPERATIONSbeIOW E.L:;DISEASE-POLICY LIMIT $ 500i 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks'SclieduI6;If more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsoh.Engineering, Inca is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcoMact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH TNE.POLICY PROVISIONS. Attn: Margaret Song PO BOX 427/SCH AUTf10RIZEAREPRESENrATIVE 3195"Main-Street Barnstable, MA 02630 ' chael Christian/CLC " ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACQRD HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. ` hereby consent to and agree that weatherization work � g may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping;air sealing; attic& basement insulation; exterior wall insulation;ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. have read the provisions of this agreement and give my consent. Home Owner(signature) Home Owner email:` r 1 Date: Agent:(signature) I !!� Date: Y - Weatherization Contractors: Adam T Inc,. Cape Sav All Cape Energy, rontier Energy Solutions Alternative Weatherization" Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction 4 Town of Barnstable Regulatory Services * BARNsrwsr.E. 9 MASS. Richard V.Scali,Director 639. & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must - - Complete and Sign This Section If Using A Builder I, as Ovaier of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for. 2 j �WfAT IrWv i c,�-7� 11-- (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. r - S Owner e f'Applicant Print Name Print Name 0�/06 j/s Date Q:FORMS:O WNERPERMISSIO'NTPOOLS Town of Barnstable a Regulatory Services ��osr-ME r, Richard V_Scali,Director Building Division sexxsrasr s Tom Perry,Building Commissioner nuss. 1639. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number sheet village "HOMEOWNER': name home phone Y work-phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he./she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowrier" 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 r*iinimum.inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner , Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction,Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109-1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes &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. Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc Revised 0 613 13 a F E T'®W)1 ®f Barnstable *Permit ® Expires 6 months from issue date .,Regulatory Services . Fee A : p14 '�` [[��t Richard V. Scaii,Director " �AT 1659 �� 111U�� T® Building Division Tom Perry,CBO,Building Commissioner " -200 Main Street,Hyannis,NIA 02601 www.towii.bamstable.ina.us Office:. 508-862-4038 Fax;-.508-790-6230.' `EXPRESS PE IT APPLICATION 'RE+ SIDENT IAt ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address' /�P(i/ C, [Residential Value of Work$ S00 b Minimum fee of$35,00 for work under$6000.00 Owner's Name&Address Ci�r�l V� `' �ir(/�� (, y��✓ 026g Contractor's Name : . Telephone Number: : Home Improvement Contractor License#(if applicable)'> Email: Construction Supervisor's License_#:(if applicable) ❑Workman's Compensation Insurance Check.one: ❑ am a sole.proprietor VI 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 Requ t(chec1.k:box) (F M.Re-roof(hurricane mailed)(stripping.old shingles) All construction debris.will be taken to'? `14 `�f ��� > 1(�y ❑,Re-roof(hurricane nailed) not stripping Going over existing layers of roof) Re-side • Replacement Windows/doors/sliders.U-Value (maximum:35)#of:windows , #of:doors: ❑ Smoke/Carb'on 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:Owrief must'sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors. is pse is required. p SIGNATURE: Q:\WPFILES\FORMS\buildi fo s\EXPRESS.doc Revised 061313 i The Commorriveaith of Massachusetts Departnterrt cifindustriaiAccide ` P.M" Office of Investigations y 600 Washi igion Street Boston,MA 02111 n � wmi mass— Idia "Forkers' Compensation Insurance rdavit: Builders/Cantractnrs/EIectiici;ans/Plumbers Applicant Information Please Print Legibly, ,Name(Business;Urganization;Indiiridual): Address City/a'tat&Zipc Phone 4-7 /Y Are you an employer? Check the appropriate:box: R^ T of project .r 1.❑ I am a employer with 4_ ❑ I am a general contractor and I �'I� p a ( = etnp•loyees Mull and,ror part-time),* have hired the sub-contractors b_ ❑Near construction 2-❑ I am a sole propne#or or partner-- listed on the attached sheet. 7_ ❑Remodeling These sub-contractors have slop and hai=e no employ=ees $_ EI Demolition working forme in any capacity. employees and.havewocers' [No worTcess'comp_insurance camp-insurauml 9_ ❑wilding addition fequad. 5- ❑ We:are a corporation and its 10.❑Electrical repairs or additions am a hmem mer doing all work officers have:exercised their. I Ln Plumbing repairs or additions. myself [No workers'comp_ right of exemption per MGL U ofrepairs . insurance required..] c_152, §1(4),andwe have no employees,[No workers' 13•❑Other comp.insurance fegttired] 'Any applicant#£Lai checks box--1 nntst also fill out the seccion below,shoumg wo&ers'compen_s-ation policy infbrmmtion_ Hamemkmers who submit this affidavit indicating they are domg all work and.dim him omt &contractors nmst submit anew afdavit k&ca�,sacl contractors ihat check lids box must a ttachEd an additional sheet shoni g the nay of the sub-cuuhactGn and state whether or not those entities bare empiayees. Iftbe sub-contractors have employees,they mustpraidde their worken'coiup.policy number. I aim an employer that isproviding, workers'ctrt gwnsntion hmirancefor aty employees. HeTow it thepolicy*avid jab site irrforrrcrrti�. Insurance Company_NTame.- Policy ft or Self-ins-Lie-4: Ex7piratioaDate: Job Site Address: Gitylstate/ ip: Attach a copy of the workers'compensation policy declaration page(shomng the policy number.and expiration date). Failure to secure coverage as required under Section 25A of MGL c._ 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 andtor one-year imprisonment as well as civil penalties in the fotn$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 farwrarrded to the Office of Investigations of the DIA for insurance coverage verification- I rIa hereby*cerhfi�udder tliepairts artd penalties o.f petym.ry.that the iriforitzatiali pr ii-ded aboi a is tale acid correct SiMatff e: hate: - - Phone A: Official rtsa only. Do not write in this area,to be completed by city or to"m o f ficiaL City or Torwa: P'ermitlLicense 9 Issuing Authoi*(ch-cle one): 1.Board of Health ?.Building Department 3.Cityffo nm Clerk 4.Electrical Inspector 5.Plumbing Lnspec.tor 6.Other Contact Person: Phone#: i Town of Barnstable t r6 f Regulatory Services 6 P�oFTNe Tgty,` Richard V.Scali,Director Building Division BARNSTABLE, ' Tom Perry,Building Commissioner MASS. g °o i639• 200 Main Street, Hyannis,MA 02601 ArFD �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 'JOB LOCATION: number • /street y village e .."HOMEOWNER": ----�name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFIIVITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and re uirements and that he/she will comply with said procedures and requirements. Sign a o owner • r Approval of Buil ing Official ` Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section.2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot . proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r ?�OF I E l ti r + * BARNSfABLE, MASS. Town of Barnstable prF p�,t a Regulatory Services Richard V.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 O ner M t Complete and Sign 's Section If Using A B r I, s Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORMS\building permit forms EYFRESS.doc Revised 061313 Town of Barnstable �s Regulatory Services Thomas.F.Geiler,Director • s,�exsrwar.E, Building Division Mom• Tom Perry,Building Commissioner 1619.'Opr�let a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: S'� -p Permit#: f HOME OCCUPATION REGISTRATION Date: 0•_r �-� 6 Name: Phone#: 0 oC a U G n 1 �jj t Address: 6•r�o�T d1r C ]Z,� Village: C�e.yi 4 e r V(d C � i� � r Name of Business: lgo S �-p n Pr e�e cr- c� T v Type of Business: Map/Lot INTENT: It is the intent of this section to.allo the residents of the ToNim of Barnstable to operate a home occupation within single family dwellings, subject to die provisions of Section 4-1.4 of die Zoning ordinance,prodded dklt die acd�ity shall not be discenible from outside die dwelling: there shall be no increase in noise or odor;no visual alteration to the ro premises which would suggest anyding other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groun&ater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the followuig conditions: I • The activity is carved on by the permanent resident.of a single fanuly residential dwelling unit,located 1-l2thi n that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary ui residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. � • The use does not involve tie production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. S� • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not widen the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in lenhgdh and not to exceed 4 tires,parked on die same lot containing tie Customary Home Occupation. • No sign shall be displayed indicating die Customary Home Occupation. • If die Customary Home Occupation is listed or advertised as a business,the street address shall not be t . included.. • No person all be employed iu tie Customary Home Occupation who is not a permauent resident of the dwellu m I,the undersign ave ad• ith the above restrictions for my home occupation I am registering. Applicant: Date: 6,Y- Z 2 2_ Honieoc.doc Rev.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form-to the Town Clerk's Office, 1st FI.; 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law: DATE: j Fill in please: s APPLICANT'S -YOUR NAME/S: BUSINESS YOUR HO E ADTs mrc! TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS _ , Y� TYPE OF BUSINESS G Q IS THIS A HOME OCCUPATION? ESO o41 GA2 d� ADDRESS OF BUSINESS !�i2 &if, ' AP/PARCEL NUMBER ICE (Assessing) When starting a new.,business there are several things you must do in order to be in compliance with the-rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C MISSIO ER'S O . ICE This indivi ual e ri. m f y p r it re uirements that pertain to-this type of business. thori d ign re _ _� MUST COMPLY WITH HOME OCCUPATION OMMEN S: - _ RULES AND REGULATIONS. FAILURE TO 7707e�y F.IC-, LIUMPIZY MAY REM I IN FINES. 2. BOARD OF ALTH This individual ha. be i r d f the permit requirements`that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (MCENSIN�G AUTHORITY) " This individual has Llen infor>fi of t e he licensing requirements that pertain to this type of business. Authorized lSignature** COMMENTS: Assessor's map and lot number ....... ..�....... .. ........... .' ?w�/r.. ~-~ SEPTIC SYSTEM Mus;�BE 7 INSTALLED IN COMPLIANCE Sewage Permit number .........�.,. 0- WITH ARTICLE II STATE SANITARY CODE AND TOWN �QyOF?BET��`O TOWN OF BAR N9LtT bE d � Z BJ$H9TADLE, i �� 09.a.�� - BUILDING ISPE TOR 7, APPLICATION FOR PERMIT TO ...... `.:�."' ........... ..�... .. `0�.��7......v.�?Q'\�.1. TYPEOF CONSTRUCTION .............................................................................................................:....................... ..............` (2.U.0.0.......19..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby` applies for a permit according to the following information: 6 +..11.Location ...... ....... C& .......ut ............ .............................. Proposed Use ......5.��. \� .... SE` ..�\. ..Y ble!8�.. ....................................... .......I......................... ZoningDistrict ..................Fire District............... .... . .... .............. .......... ... .. ...................... ............... Name of Owner ............. ....... ... AACM ' Address 3.6.4Z...... Cyes �V1�,.. �°.!� ...S....yt Plv .Q!,' Name of Builder ......., ... .........G 'C..'..'..............Address .. .1 ........Q...!...................6�c . c. M Name of Architect3:)MU..1 ...:� .....l.l.ta:S ®QA��.Address Number of Rooms ..................�...........................................Foundation ....Rea.t!1..`�-.�................................................. ile"A : ...Roofing ..:..... Exterior .......... .. ............................................... �..�.�.. . R. .............................................. ...................................................Interior .... " Floors -�........ .. ►, ............ . ....................... Heating ..\. :C°... "�;1.........?.................................Plumbing ........................ .� �.� Fireplace Z...............................................Approximate Cost %a C o� d <....................................... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee ` : 7`3............ ... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH s b 414.76 tv th t A. a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. • Y Name . ...................... ......... .. ... . ......... . 16764 U1o@�e �ozo��� Permitfor � —----- --.-- z ......... ----- \ Location .....Great..8ars8z..I�i�____.V Crville- - . ----...����.............`-------------.. � . . ( Ovvne, —. Jannoo Maatovic ` ^ ---------------.-----' ` Type of Construction ---..�����------. —.----___,,_____________.___ / | ' Plot ��u�!�� . ---------' -------' | ` ^ . ' , Permit Granted 73 V � Dote of Inspection Date Completed � � | ' . . . } _ PERMIT REFUSED ' � �1 | -----,--.--. -------. lP �� ^^, ' ^ - .---..�,��.zx-----------_______. / ^ —.-.-------.----.-----------. -------------.-----.—...----- � � � ................................. . | - ` { Approved ................................................. lV ' � / ^ -----------------~--------' � � -----------------.---...---- ` ^ � Assessor's map and lot-'number ` Sewage Permit number `' mf CFTHETO f; �f TOWN OF -BARNSTABLE BARNSTODL8 i 9: Y - BUILDING INSPECTOR ` DM = APPLICATION :FOR'PERMIT TO i AU .L+ ""0 4 A4 4. � ...:.............................. ..... , TYPE OF CONSTRUCTION .... �.. vQ ...�J f F~ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...�4.7(....... .......................... .f.................... ProposedUse ........................................................................................................... ............................. .... .... ZoningDistrict .......R.. .....................................................Fire District .... ............................................................... Name of Owner ..�LLF_ ... '. C� y..........Address ..5..............................` ...........:..................................... J" Name of Builder .D°!-/}a.U ✓ �� ........... AddressolS70t/ �> .S�.s. ��c JS.................... Name of Architect ...............�.�................................................Address Numberof Rooms 1 Foundation............................................ ...................................................:.......................... Exterior .........,.......:.....................................::...........................Roofing .................:..:...:..:........................................................ FloorsInterior .................................. .PVT............. ........................ .................................................................... .. Heatingr- ................................'..®.........................................Plumbing .................................................................................. Firepp ...Approximate Cost .... : lace ....................................:...........:................:............. .............................;........................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ........ o U Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ............. Berzofsky, .Allen No ...... Permit %ormer or .................................... .......................... ...................................................... 271 ,Great Marsh Road Location .................................................... .............. Ceriterville ..............I............................................. ................... Owner ..............A 1 1.len Berzofsk7y ........................................... frame Type 6f'Construction ........................................... ............. .........................................:..................... . Plot ...... ........ Lot ............. ............ ................... J�uly 18 77 Permit Granted ............... ........................19 Date of ns'ection ... ... ...... ...19 p Date -..19 -0/Z ............ PERMIT.REFUSED ................................................................ 19 ............................................................................... ...................................... ........................................ .........11...................................................................... ............................................................................... Approved .............................................. 19 .......................... ................................... ...................... ....................................................... Assessor's map and lot number ;=7 .1n 1,3........................... Sewage Permit number .``.... !�!�� 7 - 1 yofTMETo.° TOWN OF BARNSTABLE Q BJflH3TSIILE, i 0 "6 9 ,,� BUILDING INSPECTOR �EpM Ar• APPLICATION FOR PERMIT TO t*'I G^ Z).Q Aj C A_ .... ...................................................................................... TYPE OF CONSTRUCTION a UR �I M ..................................................................................................................................... ' ............................7/ ....19..?.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...' .I(........(./f . 1 ....�f�.i� .�......`..�.......�F�c.rFh'v..t—c..F.................... ................................... ProposedUse ................�............................................................................................................................................................ ' Zoning District ....... ..............................................................Fire District ...C ./�......................................................... Name of Owner f r Name of Builder e vAcl Address s ...................................... ........................ .................................................... Nameof Architect .............f. ................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors '"�`......................................................................................Interior .................................................................................... Heating .................................. ..........................................Plumbing ........."...................................................................... Fireplace ..................................................................................Approximate Cost .... ..................U.............................................. Definitive Plan Approved by Planning Board ________________________________19________. Area .&0.................................. aC-1 Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name ...`lf!�/�i A Ire, Berzofsky, Allen A=210-137 19406 Permit for' 3g� mer No .............. ............ Location 271 Great Marsh Roa Centerville Owner Allen Berzofsky .............. ......................................... Type of Construction ......._.frame Plot ............................ Lot ................................ J ly 18 77 Permit Gran sd ........................................19 Date of Inspect'on Date Completed ......................................19 PERM T REFUSED .................................. ..................... 19 .................. ............................................ ............................................................................... ............................................................................... Approved ................................................ 19 l— To Oate f���3 Time T WHILE YOU WERE OUT M of 71 jt"-t 7got,44 ,e d Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator AMPAD 23-021-200 SETS �JL] EFFICIENCY® 23-421 400SETS CARBONLESS 4 - "� �' . �is ;•, ' RESIDENTIAL PROPERTY MAP Nil. LOT NO. y FIRE DISTRICT STREET 271 Great Marsh Rd. — Oenterville SUMMARY 210 137 �3. -LAND /o o . R ^'_-s ..P' �f •` !—r^�: r.c., C—Q Blocs. OWNE TOTAL RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 74 LAND 7 UNNUMB. Lot 137 BLDGS. 0 '- TOTAL 42 q�-� r LAND g .✓ c. . { r BLDGS. c3I.3J�0 TOTAL . 000 consideration LAND t t. i' n r� 2T TOTAL � '% LAND Bex�zafs , 31en"H. & Maril�>r° (tens ent)� .,5_24=77. 2515 90 47,50 • %7G - c�„� - //� 7y CY) BLDGS. TOTAL Berzofsky, Marilyn 11-5-79 3009 174 ( 1 . 00 ) Sump Mortg . LDS LAND Nu T d2.4 Rs Wtea ro 3 BLDGS. TOTAL LAND BLDGS. 4ti ' TOTAL LAND °. ',.INTERIOR INSPECTED: BLDGS. TOTAL 'DATE 7S- Z 2 / vv LAND ACREAGE COMPUTATIONS SHR BLDGS. • Area correction per .De t. Plan — - LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE ^ TOTAL HOUSE LOT i �L -2 G-1 LAND CLEARED FRONT 0 3 ' 2 (� /p _•' _ BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND J S 01 BLDGS. - LOT COMPUTATIONS LAND FACTORS - TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND > /0 o ROUGH TOWN WATER � BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. r IJU IV LOMIA L+--a. u MA Aw F'KIWIVb LAND COST . no.Wells Fin.,Bsmt.Area. _ Bath Room Base BLDG. COST X one BIkr,Wails ' ' >• Bsmt. Rec.Room St.Shower Bath Bsmt .,,/j. 2 4 V nc. Slab^' 4}„? ., Bsmt.Garage.- �� s� Wal ld St. Shower Ext. PURCH:DATE a/•�0`U PURCH }� rick Walls 't?� Attic FI.&Stairs Toilet Room :PRICE. Roof RENT tons Walls ' I , . Fin.Attic Two Fixt.Bath Floors W/ P ere �s INTERIOR FINISH lavatory Extra �. 4 smt ax(/ 1• 2 3 Sink SaL f a r Attic} 0 t 1h r/ Piaster Water Clo. Extra Z /2 EXTEFUOR'•WXLLS Knotty Pine Water Only ouble Siding;.•,; I ✓ Plywood No Plumbing mt.Fin. r ngle,Siding ' " Plasterboard t. Int:Fin. y Shingles TILING ne Blk '. C F P Bath FI. Heat /3 9 !,. to Brk On Int,Layout V Bath`FI,&Wain Auto Ht.Unit �. ' Veneer Int..Cond. Bath Fl. &Walls Z�•. Fireplace . L O O m iBrk:On ys. H EATING Toilet Rm.FL Plumbing 0 a /2 hd Com'Brk " Hot Air Toilet Rm.FI.&Wains. p — Tiling 3 0 O -'. •^^ � f,.t, Steam � Toilet Rm,FL;&Walls lanket Ins: Hot Water St.Shower l� T of Ins Air Cond. Tub Area Floor Furn_ ROOFING COMPUTATIONS Isph:Shingle Pipeless Furn: (� S.F. e , Iood.Shingls No Heat S.F. 30 stir Shingle Oil Burner S.F. late r Coal Stoker 144 S.F. Gas S.F. OUTBUILDINGS ROOF TYPE Electric able, Flat S.F. 1 2 3 4 5. 6 718 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Pier Found. Floor r iD Mansard:. FIREPLACES S.F.' gambrel Fireplace Stack f ✓ Wall Found. 0.H.Door LISTED FLOORS Fireplace 1 t/ Sgle.,Sdg. Roll Roofing �V one. LIGHTING arth No Elect. Dble.$dg. Shingle Roof DATE — w Shingle Walls Plumbing - ins lardwood ROOMS 3:Z303 Cement Blk. Electric sph.Tile Bsmt. 1st TOTAL Brick Int.Finish PRICED tingle 2nd 3rd FACTOR * T3,IQ REPLACEMENT 31.�30.3 3133 -- OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. )WLG. FfFM l 5 tR`t !3 i S T Z HN .3/3-" P 3 „4 , 5 7 B .vl o TOTAL ZONING I DISTRICT CODE SP - GISTS. DATE E PRINTED PCS Ni3HL) — I I CLASS I I KEY NO. 17C71 GREAT MARSH ROAD 10 RC 30 C. 10co 07/09/95 1J71 _iJ -+*1 AC ;i�'1 13?. I 130726 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ'D. UNITMAP— Land B /Date Sze Dimension ACRES/UNITS VALUE Description HUFFs DAVID B PATRICIAPiyiICIA SAP Y LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE A N D 1 25,300 CARDS IN ACCOUNT — CD. FF-De th/Acres E � i 10 1ELDG.SIT . 1 X .69 =10C 122 29999.9 ' 36599. 9 .fig 2.5300 43LDG (S)—CARD-1 1 89.500 01 OF 01 #PL 271 GREAT MARSH RD CENT COST BATHS 2.0 U X C= 100 7000.00 7000.00 1 .00 7300 3 #DL LOT 137 ,ARK=T 109000 SRR REC RM S 11 X 17 C= 100 11 .2 11. 25 187 21UO 3 #RR 0627 0100 INCOME A 8 M T GARAGE U X 1 C= 100 31W.0C 3100.00 1.00 310Ci. 3 USE D APPRAISED VALUE A 114.800 ARCEL SUMMARY U AND 25300 S LDGS 89500 T —IMPS m OTAL 114800 E CNST N DEED REFERENCE Type DATE Recorded R I O R YEAR VALUE T Book Page Inst. MO. Yr. D Sales Prig AND 25300 S 559/279i 103/35 119000 LDGS 89500 30C9/174: :00/00 OTAL 114800 I 1 1 BUILDING PERMIT Number Date Type Amount LAND LAND—ADJ INC ME SE SP—BLDS FEATURES OLD—ADJS UNITS 25300 12200 Co its Total r B It Norm. Obsv. p I p g artywall FaC- Class Units Units Base Rate Adj.Rate A I Age peer. Cond. CND Loc %R.G Rapt Cost New Ad Rep] Value Stories Mei ht Rooms Rms -Baths •fix. P 01C 000 . 105 105 . - 59.40 62.37 74 75 19 80 100 80 111894 39.500 1 .5 7 4 2.0 7.0 Description Rate Square Feet Repi.Cost MKT. INDEX: 1.00 IMP.BY/DATE: / SCALE: 1 /0 O.6 9 ELEMENTS CODE CONSTRICTION DETAIL SAS 100 62.37 1096 68358 t, L< 55 u FOP 35 21.83 64 1307 N *---12--* STYLE U4 APE COD 0.0 FWD 85 8.50 144 1224 ! FWD 1 : tSTuR-W JqT- -JT t�ItN-A6JU�T---3:0 B15 42 26.20 1096 28715 12 12 EXTHR:W-X1LS-- -01 D-UD7Tw- lmE--------0_._0 ! I IEATtAC--TYPE- -J3 LtCTRTC---------1T�_0 46------ 12-- IINT---..1e FTWI5Fi- -G0 --------------------U 0 1VT R:LA-rOUT- 731 ------------------U ! ! I N T-F :O,,J-KL T Y- -32 S-ATTE-AS--E X TYR`:--T%0 15 F LJV R-STTIJCT- 0 ------ -------------�_0 W ! ! E F LO-TR C_OVER-- -00 ------,--------------T;0 D 208 1096 ! ! CID-F-TY?t---- -J0 ------------------V."0 E Total Areas Aux Base s BUILDING DIMENSIONS 28 BASE *----1b----X `bb",,irDAT-1�N--- -J() -----------------9�------------------- �=n T BA—SW b FOP S 4 E16 N 4Y15 ;.a =9 . ! A SAS S 12 W30 N28 E46 FWD N12 411.2 ! 4 FOP 4 -------------- - --- -------------------_-- � S12 E 12 ' .. BAS Sib .. ! *---- 1b----* -----'4€2 rt30R JD A.TAC-t-efffETt'VILit-- L ! LAND TOTAL MARKET ! ! PARCEL 25300 114800 *------ 30--------* AREA 6020 VARIANCE +0 +1807 - STANDA RD ,, 20 , �` • � ( � r I i I "r � I � � ; , �{ �� M�� I.• � , � � E I -' ' �• �, •_ b � . . {-...• _ _a. �.::,--l.- _�� .. �.._�..- f .y-•t «.�-_ � .. �'! ,. � ti,-.�w .-.I.Y_ a _ i «_.�- ��.. w�... �.r{,�w�M.��r^+^. �' .0�.� i , _.-4 -1 � _. t , t - • r _ 1 ,---.,� - { '�' T_._. � t'' ] '� � -t --r _..�.._: ..'�" _yl '±M - , - • `�'" -—r,.--.,.�.._1}•^ .i_ .1- 1i � ;� i ' f , t , I •{ '} t j .. L _...i= ,{.. ,. .� .�. _L_. -t ,. .i, _ -�. r - �. # _ ,.�. E ,{ -., - � ,.w. _ .,fir.•w ,_,.-.}_• _. i t .. � f. .; _ .� ,, 1 . t I j jjjl t � � i. r '' - _� - ,. _ + T i i—' + t � i r , i - +. _. t�_.i- y •+ _ , - 7—•-• i• � { 1- r � r , - •'{ r , , �,.,. f :�.. y. .� _ ,., y ... r ,{ �.''. '� 1} i ! 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'Pv t' �@O fete s -� 14 Ck t f -r � , + - i r _ _ �: �_ 1 } � �- i R - r j• -T '� r i � � � r 1 a ; { t r . • t -• - ( t 1- ' �. .�}. ' } -� } 1 T -_�Y_ r.. _ + r ._ a _.}�;:. _ _ t r -F•^..-.{ -... �_ t `... t } 'r r} �' .`.Y_'rY-. .:r .•-�._. �� L � � ,. . _ y, .� ' t ' 1 � 1 - � .. �r- r' _ .rr h � � -,,,�. - i _ S' I I M � r S. .` 1 � _ ' n 1 ' _ •' + - r �. i , , ', • r . . r '. � {. � — ... ...� .1.._.,�. ..w h-.« .�.. _..L-. r:.,r�-, i - �j. .t. , � `... { r , - .. f. ^Y i f i.- -s -v......- { Y. � t f t - _ .. r If I BAXTER NYE Uzi GENERAL NOTES 1.)THE WENT OF THIS PLAN IS TO DETAIL PROPOSED WORK AT LOCUS B.) ENIVRONMENTAU INFORMABQN NB SFO DN r°L GIS INFORw110N1' Z O N I N!G TABLE ENGINEERING & •SITE IS NOT WITHIN AN A.C.E.C.(AREA OF CRITICAL ENVIRONMENTAL CONCERN)- ZONING DISTRICT(S): REI SURVEYING T , AREA 6 COMPRISED OF: DISTRICTS: AP - - ��U5 w US TR C 2. LOCUS OVERLAY D S .- , ASSESSOR'S MAP 306 PARCEL 177 •SHE IS NOT OHHM AN AREA t)F ESTIMATED IUBRAT OF RARE WILDLIFE PER ALLOWED USE: SF RES. DWELLING(DETACHED) - BOOK 22090 PAGE 286 NN6P YAP OC70BfR I,2010 TSTIWTED ONACHABITATS OF RATE WILDLIFE" :/ • It FOR LSE WITH TIRE IA%VLANDS PROTECTION ACT REGULATIONS(3I0 Opt I0).' EXISTING USE: 120-SEAT RESTAURANT••, SF(DWELLING • Registered Professional Engineers '` EXISTING TOTAL BUILDING AREA = 4,346 Sq.ft. PION BOO(539 PACE 46 •SITE DOES NOT CONTAIN A CERTIFIED VOW POOL PER NNESP MAP OCTOBVI 1,20f0 EXISTING BUILDINGS TO BE DEMOLISHED and Land Surveyors _ "CO MED VERNAL POOLS." 1955 TOWN LAYOUT OLD COLONY ROAD- TOTAL PARCEL AREA: 33,347t SF ) 78 North Street - 3rd Floor 1 PUN BOO(I19 PACE 123 FRAMES I AND 2 •SITE IS INN WITHIN A PRIORITY HABITAT PER NHESP YM OLTOBfR i,2010"PRpMY REQUIRED PROVIDED 010ANGERm e" HyOnnis, Massachusetts 02601 j f SPECIES UNDER THE _ r , HABITATS O RARE SPECIES OR 4 SF UPLAND IlA1XT 13 93 + - OT 1 4 r 3 56 , OWNER:GAtN GEVORCYAN SPECIES ACT.REGUU11fN5(32I C11R10). LOT AREA: 33,347 SF.. _ I - .. 3J PROJECT BENCHMARK:MAC NAIL SET AT ROAD SDE1 NE AS SHE IS NOT WITHIN A STATE APPROVED ZONE 0 GROUND WATER RE7IRGE PROTECTION AREA FRONTAGE: 20 FTOT 1 47.0 FT - Mi:, Ph One - (SOS) 771-7SO2 L . SHOWN ON THIS PLAN-EL 1498'NLYD29 I Fax - (508) 771-7622 """l+ - BUILDING SETBACKS RB ZONE: IOT 1 21.1 FT I !. ESTABLISHED BY CPS OBSERVATION CONVERTED •SITE IS NOT WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESRWtY(BNMS'TABIE B.O.H. FRONT SETBACK I 20 FT ___ LOCUS MAP Scale 1 =1000' www.bOxier-nye.com CL� REG..760-15). _.....__ TO NGW29 USING CORPSCON 6 SOFTWARE SIDE/REAR SETBACK 4 10 FTOT 1 - 11.8 FT MIN. •WERNID DELINEATION BY LORI WxDONALD,U.S..P.W.S.OF Wu NYE D MEERNG k MAX. LOT COVERAGE(STRUCTURES): I 'I 20% OT 1 - 20%. 4.)ZONING INFORMATION SURVEYING-SEPIEMBER 19.2011. STAMP STAMP ZONING DISTRICT: RB (UPLAND AREA ONLY) i FLOOR AREA RATIO �30% yr 23%--_- �Trt OF g) n1P TTY INFORMATION SHOWN HEREN' - _ '_ c CURRENT MINIMUM ZONING REQUIREMENTS: (TO - tj' SPLINE 's4 MIN.LOT AREA=43.560 S.F. .THE CONTRACTOR SHALL CONTACT DIG SAFE(Ai 1-S&L-OG-SAFE)AND UTILITY COMPANIES TO LOCALE MAX. BLDG. HEIGHT(STORIES): {2.5 S2.5 FEET MAX. (70 PLATE) D.E.P.File#SE 3•__ MIN.LOT FRONTAGE=20' ALL EXSTING UTILITIES.AT LEAST 72 HOURS PRIOR TO THE START OF CONSTRUCTION.THE LOCATION OF �. f= 4888T YIN.LOT WIDTH= 100' EXISTING UNDERGROUND INFRASTRUCTURE.UMM.CONDUITS AND DIES ARE SFWIYN N AN APPROXOME •<PRE-EXISTING NON-CONFORMING Order of Conditions Expires: MAX.BUILDING HEIGHT a 30' - WAY OILY,MAT NOT BE UNIED TO THOSE 94OWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE FRONT YARD=20' SIDE Q REAR YARD=10'/10 AVAILABLE UTILITY RECORDS NOTED HEREON.17E CONTRACTOR AGREES TO ff FIRLY RESPONSIBLE FOR .<- ANT AND ALL DAMAGES WHICH MINT BE OCCAASOIED BY IHE WITRACIDR'S fAWME TO LOCATE STUD CONSERNMON NOTES: T/I OVERLAY DISITICTS:AP INFRASTRUCTURE AND UTILITIES EXACTLY IF FEND CONDITIONS DIFFERS FROM PLAN NFO MAVOK THE CONTRACTOR BULL.NOTIFY THE ENGINEER OWIEOATELY FOR POSSIBLE REDESIGN 1. NO I 10 00E FORMS A E B AIIIG WITH ffOUWD PIOfOCPAR6 ARE SBIWnTD TO CONSERVATION OW�5101 . LT N T 5.) A TITLE SFARCII.NAS NOT,BEEN PERFORMED FOR THIS SHE IF DETERMINED •01FRNFAD RECTOC SERVICE SHOWN AT LOCUS WAS FIELD LOCATED BY BARTER NYE 04GNEDW E SWILLCOYSSTOF NcyNjESAND - TO BE NECMAW,,A TIRE SEARCH STALL BE PERFORMED BY OTHERS. WORK ' SURVEYING. 2 GOOD REPAIR COWIflDN OF HOUSE AND LY DSCIPP�G. 1D ff MAINTAINED M 6.) THE PROPERTY In NTORwIp ML N SI IS BASED ON OIRRENT AVAILABLE RECORD INFORMATION CONSISTING .GAS LINE SHOWN AT LOCUS WAS TAKEN FROM OF PLANS AND DEEDS. - I( 1 A THE AS-BUEi FOMDI7D flM1 N SNL BE O11YF>fm ID HIRE CONSERVATION DUSTING FEATURES Wo HEREON WERE OBTNNED FROM AN ON THE GROUND FINED SURVEY PERFDRNED •APPROOMATE LOCATION a SEWER LINES PER SKETCH PROVIDED TOW GED BY THE TO OF BARNSTABLE ALL FLOW lEA0B6 SHALL DLSC1LYdX 70 My WFlIC OR DWG'7fRLFFS CONSULTANT N S U L T A N T �. BY BARTER NYE'EA�N VEYTIG ON G 3 SLR SEPTD®ER 19-21,2011. ALL PROPERTY LIE AND SITE DEPARTMENT OF PUBLIC WORKS PREPARED BY A 3 B CANCO(PONT NO 3319),DATED 5/7/1990. . 4. FEATURES WERE DETBi11PED IANOEIt THE DNECT SUPERVISION OF J(XPl EWS,W PLS/79874. SEWER Gas I SHOWN ON PUN MERE FIELD LOCATED BYRVEYINGAKU NYE H APPEARS R HAVESURV T1NG. INVERTS TAKEN M FIELD BY BARER NYE ENGINEERING!SURVEYING,WIDGI APPEARS 1D 1L4K 9 5. A IPIIGOIX!PLANING RAN 70 PPs1OE 7!E 0'-50'.BLfTFR SOUL BE PREPARED N CONSUL7-) COMMUNITY PANEL NUMBER:25001CO5681-W AaVIDONED Pp'6 TO A PREVIOUSLY USED LEACHING FIELD. ALL MATMAL WON 61201IIOON OUTION SHAIONLL STIFF RE FLOOD NSURANLE PATE MAP DUM THIS AREA AS ZONE AE(EL If).X S TOED AFD X MH400 .APPROXIMATE LOCATION OF WATER LIES WETS TAKEN FROM A SKETCH PRONGED BY TIE HYAWAS WATER I 6 ALL MAVANCE I ER A FIAAME REIKIHLON SOUL ff NwaID OFF SIZE AHo DISPOSED 6 N 1' SYSTEM(/2294A h 22948J WATER GATE LOCATED AT 136 OLD COLONY ROAD WAS FIELD LOCATED BY ACCOflPWCE W11H AFPUC/i9L RC4AAIXNS. THIS OFFICE 7. NEW NMI IS ID BE COFPIECED TO IONN SEWER. _ PREPARED FOR: E A 57M4E RA4 FENCE SOUL BE 16TN1ID AT THE 50'BUFFET!dE AFTER REIIOVA OF !} Mr.Garik Gevorgyan � 271 Great Marsh Road T Centerville MA 02632 j TIE NEW SIDEWALK INTO EXISTING • AND AT E%ISTNG WIDTH ` -� INSTAl1 NETV araa TO i CLOSE EXISTING _ DRIVEWAY OPENING00 47DI,TO \ \ C%Afy \ I w 14.A,' WAY- 196, 1- Ap W . W'�oy 14.46 L PROVIDE ACCESSIBLE RAMPS \ O ... N Tt 40.M �. ..,r /3D /Isf O� EACH SIDE OF NEW DRIVEWAY \ .. Rzglp-�' °. 1l.52 (TYP) �... ...1 _ -- I T\ PR , i6 Y.L s 14.B2b-TEG \ - -- PROPOSED _ 6. V .- DRIVEWAY - :. a O 10.0 i !!4. _WSTg4 INSTALL NEW CURB♦5L EXISENG TO Q , s ORIVEWAY OPENING Q w. N A7 •. -LOT-.1_ � •:; & �'• �. - �,;.F .., AREA=13,934 SF - aANQA .. ..ice race 0 . FL SHAPE FACTOR = 24 JZ3 17 f )\\ S s'(1E-wq� IJ79 71Er - 24.01 \ ! Z.1J;M Q Q . ;. Jay PRCp +Ron- /7.3 '�•F8.. u+ A,JTep' $4B Q"k;E J55 ~ V UJ 1&5 ME CM W f ZONEOM EOO N Q 20µO°EOM) ry K g5, Cox PL BBAN l o S 75 ' STATE /- • I la5 LOT; - +/3 O 3 SF (18.076 SF UPLAND) - - O S 7t x SHAPE FACTOR 21 ! ---... w Nx �� i 100•BUFFER ZONE I a FROM WETLANDS .LEA /•� REPLANT (SEE CONSERVATION - TIT ' - _ - Jay NOTE 5) I B'-0•CIR 10 C1R 5"OA POST- - m J £ •:" 9 t dA RNL PROPOSED LIMIT OF WORK ,� R B7yl�.jl - 22 - SHEET TITLE (SEE CONSERVATION NOTE B) 2 OF CO/ - T/ Wetlands Permit Plan . ' A 1^ �•` <- FETRCE SECTION ELEVATION D LOT 1 56 BUFFER ZONE I � / j .. ,, FROM WETLANDS 3 - nm6: ,.1o01nc KaM to BE(P)x FP T WWM MNMM PF1NN#. • - . A SHEET NO • ry - �WF/A7 4 v �vuu GAM.ran rname vFCFr+mrs m �-WF/A,-10 i wrzwus ro x Fmn uaas amm��cs nuo n+n.r c uan m suwm WPP 1.0 r J WF'A,-1, , - _ / BUFFEIL ZONE-SPLIT RAi FENCE -WETLAND DELINEATION BY LORI oETA"1_ DATE 04/30/2015 20 O 20 40 �1 A MOYE N GIN M.S., P.W.S. OF BARTER: SCALE IN FEET i WF/A1-,2 NYE ENGINEERING&SURVEYING�• SEPTEMBER 19, 2011. WF/A1-13 RAWNIDESIGN BY: OF CHECKED BY:MW'E JOB NO: 20I4-002 C A R D FILE- 2014-032-011