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HomeMy WebLinkAbout0003 HAYWARD ROAD 4, or 01.1 MS 41 (lop qq.,�V,r NNE �Sollt All hot O."ll, UZI N ST , Vt wi,%p,1,g?-.5 di vz No, v kl M MIR, g 606- g"liN V6 as 1,c &,o g KA MW �PXP"ftr- i��p� VT qff�,Om A"O MUM., P, �jj v"O N�ff-i WiR fT?, gV6 v.1"fig gg, 20." AA 4"i, 1,715,yt�,,M� 'U, , i - � -R 5V o;f— RkR A �1,-V7 "kmm �R IN A fl,, Mlv) I, 11TIRM,40 jgft ma F, �q G & �Nj M, -i-�'Y'13'! ',III,W.a., Nit ANIN Lit ;AO— q,�7 ;�ogg 2�,,i"M 1 4.0 N sl DO -�o o Mt g"ll ,7�e AlN, VUAMI�� R11"i t Ng I R, awl, �.I, A ''?, N.4 JJ:f;?0 vu,TXP A ,404 s a­g yo A m W;-�5/A q ,,�W�j g4 0* g.q 0�Af ig 'R 1.4 mug A "A 61g, 5 1 in f 4 mg� V�, T�i i'MA -p�y -J:V,v g,,- i .f� .10 q:" ,�. ,Am 7,0 U -polf� S 4NE ,jlq v. �,007 !On �� `� t D�� � /a � � � ����� I i y Town of Barnstable *Permit# 0U 0�6 5 Expires 6 months from issue date r= I T Regulatory. Services Fee. Thomas.F.Geiler,Director ` UE C i 9 Ruud Building Division k il�rglos Perry,CBO, Building Commissioner T OW N OF BARNS omTABL 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Irnprint Map/parcel Number J Property Address 3 r (Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Mn I CG(' RContractor's.N.ame IIt'rSCn Telephone Number.- Home Improvement Contractor License#(if applicable) foo Construction Supervisor's License#(if applicable) �Workman's.Compensation Insurance Check one: ❑ I am as ole proprietor fam the Homeowner L�J l have Worker's Compensation Insurance Insurance Company Name. Workman's Comp.Policy# 31 1(_0�H—U Copy of Insurance-Compliance Certificate must be on file. Permit Request(check box) F Re-roof(stripping old shingles) All construction debris will be taken to []Re-roof(not stripping. Going over existing.-layers of roof) Re-side [Z/Replacement Windows/doors/sliders. U-Value - 3( (maximum.44) *Wh6re.required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must.sign-Property Owner Letter of Permission. �_® p the Home Improvement Contractors License is required, SIGNATURE: Q:Fmms:expmtrg Revise061306 �,► �,,� Town of Barnstable Regulatory Services BAPMASM Thomas F.Geiler,Director 9. Building'Division P Tom Perry, Building'Coinmissioner 200 Main Street, 1jyannis,MA 02601 w*w.town.barnstable.,ma.us Office: 508-862-4038 � Fax: 508-790-6230 Property Owner Must P Complete and Sign This Section If Using A Builder bj as Owner of the subject pproperty J hereby authorize l / to act on my behalf, in all matters relative to work authorized by this building permit application for. C" (Address of Job) f Si atuie of Owner Date SG ELI Print Name Q TORM&OWNERPERMISSION i 67, e �amxnwauuea�i a�✓�aaaac�uiael�a Board of Building Regulations and Standards License or registration valid for individul use only i HOME IMPROVEMENT CONTRACTOR/ before the expiration date. If found return to: yy Board of Building Regulations and Standards r Registatiod:, 100871 One Ashburton Place Rm 1301 Expiration 6Y24/2010 Tr# 267906 Boston,Ma.02108 Type o Private Corporation i MARKWOOD CORP= 1 TIMOTHY PEARSON 110 BREED'S HILL'ROAD UNPT 10 ..�Q.a�•-� Not valid without signature HYANNIS,MA 02601 ''"r Administrator J >� A��(lom� ' Construction 5upervb6r License + Lim. ce 5867 I., ' S, ' _ . 1�00$ TO 6849 TIMOTHYY PEAR 1 PO BOX'519 CENTERVILLE,MA 0 = ' Commissioner L Liberty Mutual Group Liberty P.O.Box 9090 IVILitUdl® Dover,NH 03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 February 12,2008 TOWN OF BARNSTABLE ATTN:BLDG DEPT 200 MAIN STREET HYANNIS, MA 02601- RE: Certificate of Workers Compensation Insurance Insured: MARKWOOD CORPORATION 110 BREEDS HILL RD UNIT 10 HYANNIS, MA 02601 Policy Number: WC2-31S-319674-038 Effective: 2 /1 /2008' Expiration: 2/1 /2009 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability(Limitsl: Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident:,$ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. T AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: MARKWOOD CORPORATION FREDERICKS INSURANCE AGENCY INC 110 BREEDS HILL RD UNIT 10 P O BOX 427 HYANNIS, MA 02601 OSTERVILLE, MA 02655 ' 7/1'Ji)nnQ ,. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ADPlicant Information 'n`� Please Print Le ibl Name (Business/Organization/Individual):. ILIV T!1 Address: Ito osma, l' I�tRd e City/State/Zip:jyyGnn», fl' A, GPI Phone.#: �- 7 7�0221 Ar an employer? Check the appropriate box: Type of project(required):. 1. I am a employer with 4• ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction . . employees(full and/or part-time). . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp,insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MG!, " 12,❑Roof repairs insurance,required.]t c. 152, §1(4),and we have no employees. [No workers' ..13.❑ Other comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation i urance for my employees. Below is.the policy and job site information. Insurance Company Name: C Policy#or Self-ins.Lic.#: �- ,S- 319 7 32 � 3 - Expiration Date: c)- Job Site Address: 'T[-c"C x r-cf City/State/Zip:L.E 7 t i Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of- Investigations of the DIA for insurance coverage verification I do.he pains-and penalties of perjury that the information provided above is true and correct: Ski nature: Date: Phone#: 7 Zr--C � Official use only. Igo not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map v C-2 Parcel Q(!/q \ Application-# Health Division Conservation Division Permit# Tax Collector Date Issued H Treasurer Application Fee 50 Planning Dept. Permit Fee 4 C3)�� CD Date Definitive PlankhApproved by Planning Board d -5)l f/*? Historic-OKH "J, Preservation/Hyannis Project Street Address Y wlkza�> F Village Owner L 1 LE jZ Y Address rAi lr�T V Telephone C) L\ Permit Request 11�N hZvv\ ay 11 DT 5 L / p_F 2 5 a t�>F'4. _7 A�7'�1CC 5 c' ►-� vJ �u� 05-k 9 15, cL;S 11�CLA� L� w sTA C c. Square feet: 1st floor:existing 1'760 proposed a� 2nd floor:existing 14166 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation SOS Construction Type W�r� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 60 y?S Historic House: ❑Yes &No On Old King's Highway: ❑Yes Wo Basement Type: .Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 AJq Basement Unfinished Area(sq.ft) Number of Baths: Full:existing A new Half:existing I new 0 Number of Bedrooms: existing new Total Room Count(not including baths):existing 17 new ® First Floor Room Count Heat Type and Fuel tSLGas ❑Oil 0 Electric ❑Other Central Air: ( Yes 0,No , Fireplaces: Existing I New 6 Existing wood/coal stove: ❑Yes E.No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size 9 9 9 9 9# Attached garage:c4existing ❑new size ?� Y aShed:❑existing ❑new size Other: a Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 1 Commercial ❑Yes ❑No If yes,site plan review# ? ;a —� Current Use Proposed Use BUILDER INFORMATION w �` Name �61�A� -TV LE 1�_ Telephone Number 50 Address �J,r WOE N1 C T. License# !M Home Improvement Contractor# 10 CO Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l t or ` FOR OFFICIAL USE ONLY 4 , A PERMIT NO. DATE ISSUED y MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ^='; FOUNDATION FRAME i INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL . . i GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT l ASSOCIATION PLAN NO. °FINE, Town of Barnstable Regulatory Services Wt?" 'A ' * Thomas F.Geiler,Director 16.19. 9�AtfpM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. t ' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r(or Type of Work:_ [Y-16vC Estimated Cost 5� � Address of Work:_ Owner's Name: (_ J �'L1drl/ Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 'VIf��a 2�µ'A,_'KA.w 7YL 2 106 (o °7 Date Contractor Name Registration No. OR Date Owner's Name Q:fomis-.homeaffidav cB e i ��ie �arrvmauuec�/�e a��/�/laaaczc�ucae��Board of Building Regulations and Standards Construction Supervisor License i License: CS Expiration `1/4/2008 Tr# 5740 t � R/estnction �004 t JONATHAN M TYLER � r, f i PO BOX 80/67 CRAUNBERR,WL y W HYANNISPORT,MA 02672 f Commissioner I� � ✓fie Vramvrreovuue� Board of Building Regulations Stand HOME IMPROards VEMENT CONTRACTOR I Re9 istrati6,6:, ' 10662? Exp iolj. 7/24/2008 I ' TYpe' Individual f JONATHAN M 'I Jonathan Tyler 67 Cranberry ' Lane Boz'80- W Hyannis port, MA p Deputy Administrator °F,we>as, Town of Barnstable. �.�►r Regulatory Services _ a ; Bn MASS.-�' * Thomas F. Geiler,Director s puss• � Building Division AT fD MAC a' Tom Perry; Building Commissioner 200 Main Street Hyannis,MA 02601 www-town.b arnstable.ma.us 0ince: 508-862-4038 Fam: 508-790-6230 Property Owner Must Complete and Sign 'TEs Section If Using A Builder �CJ 'x- en , as Owner of the subject property hereby authorize '©"-rktA" act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) - C -- S' r- tie of Owner Date 5 Y Print Name Q:FOF-7,/, vrNERP .MISSION Department of Industrial Accidents _ : Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.govldia ' 'Porkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A_ po caut Information Please Print Legibyy Name(Business/Orgenization/Individual): 7bi,-)A AA ,�Kj Address: of t- }'ti )C 1f61_�►' C.`�'; City/state/Zip: H y/� Pi I-/► Ajo Dc?-b( Phone:#: '50�9_3G y Are you an em�Tayer? Check the'appropriatebox: Type of project(required):. . 1.❑ I am a employer with 4. Q I am a general contractor and I employees (full and/or part-time).* have hired the sib-contractors 6.•Q New construction . 2.ML I am&'sole proprietor or partner- listed on the'aitached sheet, 7, ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition' worldn for me in an capacity. employees and have workers' •#• 9.-•❑Building addition [No workers' comp.insurance comp,insurance. required.] 5. Q We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their I am a homeowner doing all work ' 3.❑ • 11.Q Plumbing repairs or additions myself [No workers' comp. rightbf exemption per MGL'• 12.Q Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13:Q Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t homeowners who submit this affidaoit indicating they are doing all work and then hire outside contractors must submit anew affidavitindicating such. $Contractors that check this box must attached an additional sheet showing the name of the'sub-contractors and state whether ornot those entities have employees. If the sub-contractors bane employes,they must provift their workers'comp.polidynumber. I aia an employer that is providing workers compensation insurance for my employees.-Below is.thepo;licy and job.site information. Insurance Company Name: Policy#'or self ins.Lic,#: Expiration Date: lob Site Address: City/State/Zip Attach a•copy of the workers' compensation policy declarafion page'(showing the policy number and expiration date). Failure.to secure coverage as required tinder Section 25A of MGL c. 152 cau lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of - Investi ations of the tWor insurance coverage verification. I do hereby r ' and r t e runs-and e alties of perjury that the information provided above,is true and�correct.' 5i store:. Date: y 1 Phone#: J�®� ��o�— Ok official use only..-Do not write.tn this area, to be completed by city or town offrciaL City or Town: PermitUcense# iss-,dng Authority(circle one); :1.hoard of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other' Contact>?erson: Phone#: Information and Instr'ucti.®ns Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more r engaged in a joint enterprise, and including the legal re resentatives of a•deceased employer,``orthe . of the foregouut, i�g J rp � g g . F ,,. T e • 'dual orb.=-s as or other legal entity ern to to es, Howeyer`the owner.of a dweIIing house having not more than three apartments and who resides therein;or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local•licensing agency shall withhold the issuance or renewal,of a license or permit to'oper to a business or to construct buildings in the commonwealth for any applicant�Pho has not produced,acceptable evidence of compliance with the insurance coverage required!' Additionally,MGL ohapter 152,•§25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,•the performance of public work unti acceptable evidence.of compliance with the insurance requirements ofdhis 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, i:� necessary,supply sub-contiactor(s)name(s),addresses)and phone numbers) along with their certifrcate(s)of insurance. -Urnited Liability Companies'(LLC)of Limited Liability Partnerships(LLP)with no employees other than the - I embers orpartners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. B.e advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or licensels being requested,not the Department of Industrial Accidents.;Should you have any questions regarding the-law.oi-if you are require$to obtain a workers.'*. . camgerisation policy,please call the Department,at the number listed below, Self-insured companies should-bnter their self-insurance license number on the appropriate-line. City or Town Officials please be sure that the affidavit is complete'and printed legibly,. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant, 'please be sure to fill in the pennMicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy-information(if necessary)and under"Job Sile Address"the applicant should write"alllocations'in (city-or town)."A.cbpy bf the affidavit that has been officially stamped or markdd 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.Ydhere a home owner or citizen is obtaining a license or permit-not related io any business or commercial venture (i•e,a d en dog license or permit to bum leaves•etc,)said persoa is NOT requited to.complete this affidavit. The Office of Investigations would lure to thank you in advance for your-cooperation and should you have any quest ogV,i-- please do not hesitate t:o givens a can. The Department's address,telephond•and faxnumber,, Dt pzt=ezt ofladuWal A.oei4=nt ' Office QfIn-eatigatiQns 00 Washington Street Bastcn,CIA U111 Te,1.4 617-727-00.0 ext 406 or 1-q77-MA.SSAFE Fix p',' 6r17-727-7 749,. Revised 11-22.06 v .�ass•g� d�ti . R T ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,,,, Map L Parc I r., Application #,20080 Health Division Date Issued Conservation Division f'o ( �M ; ;Application Fee Plannin J .W g;Dept Permit Fee= r f Date Definitive Plan Approved by Planning Board Historic : OKH - Preservation/Hyannis i Project Stre t Address (,�Ya7' L i Village Fc�.n i r Owner n 411 Address I'7 HV).cs I a Telephone 5DA Permit Request , hwId �xsts 1 1�� d) P,� = + 1r.►�, GMCI, �x r� Cv ssr cx1— X rev. Lc Cksi st'1 n� r�rr) , Square feet: 1 st floor: existing IWOproposed 1690 2nd floor: existing proposedabsoTotal new /�10 Zoning District. +�,"J ' Flood Plain _97 Groundwater,Overlay I V" Project Valuation 10/05'0 Construction Type1Q { Lot Size 33 P) Grandfathered: ❑Yes ❑ No If yes, attach supporting doc9merRtation. w: Dwelling Type: Single Family , Two Family ❑ Multi-Family (# units) - " �� a Age of Existing Structure I(�} Historic House: ❑Yes M/No On Old King's H "1hway: �Yew CFI No- Basement Type: ZFull ®Crawl ❑Walkout ❑ Other _0 Basement Finished Area(sgft), Basement Unfinished Area(sq.ft) ` g Number of Baths: Full: existing new Half: existing new Number of Bedrooms: Af existing-9new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: M/Gas ❑Oil ❑ Electric ❑ Other Central Air: ®'Yes ❑ No Fireplaces: Existing c� New —0— Existing wood/coal stove: ❑Yes No Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: Vrexisting ❑.new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals AA horization ❑ Appeal # Recorded El Commercial ❑Ye SN N If P Y a site Ian review# f f 1 Current Use f h r+, i Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name It N PMYSGI �"IG� Telephone Number C c Address 1 ( h i F License # ��F-IC�h�n1Sg I°�1 V7� (/ � Home Improvement Contractor# Worker's Compensation #00-3 f S-31?11-03k ALL CONSTRUCTION DEBRIS R SULTING FROM T IS PROJECT WILL BE TAKEN TO JeT SIGNATURE DATE I� r � FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 1 j ADDRESS VILLAGE OWNER .W �k DATE OF INSPECTION: . FOUNDATION FRAME k- '5 Qi INSULATION a `3 2.c a 7FIREPLACE r' ELECTRICAL: ROUGH FINAL { cN PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y , FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �1HE> � Town of Barnstable Department of Health,Safety,and Environmental Services 3ARNSTABLE, 9� 6 9 ,m� Conservation Division ArEo �s 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION y c� r Property Owner Telephone number Mailing address P oje location Map/Parcel tx Project description The following minor activities will be reviewed,under Art.27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60'from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns to decks,sheds,or patios that are accessory to single family homes,as long as:. -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * Stonewalls t ot include stonewalls for retaining wall purposes,grading and/or fill) Signature Date ` Reviewe y to _GIS Plan Attached(fee charged for plan) Q/WPFiles/Form/MinorAct 09/26/2008 05:28 000000000010 PAGE 01 Town of Barnstable i 1 Regulatory Services Thom B.GeW,ftedor Buiiding'Division Tom Perry, Ruading-Calseobsloner 200 Main Street, Ijymmb,MA 02601 www.torru.barnetablspr.U1 Office: 508-862.4038 Pax: 508-790-6230 Propetty Owner Must Complete and Sign This Section If Using A Builder L% SOC4 r ((&A ,as Owner of the subject property hereby authorize li; Yr� qrA d4ijkJ to act on my behalf, ib d niatter9 relative to vwrk authoriwd by this binding pernart application for. I Gt Grd U d (GM Y 1'7I(AdHa . t ss o Job) r ture of Owner Date n.�onv�Ra•n�n►ro»nnti�e,ecrnx, 71w emw w,, ea t o�✓�aaaac�uoelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR,.'' before the expiration date. If found return to:, r4"� Board of Building Regulations and Standards Registratio'h; 100871 One Ashburton Place Rm 1301 � Ezp ration=r&24/2010 Tr# 267906 Boston,Ma.02108 :Type =PNuate Corporation M MARKWOOD TIMOTHY PEAR�SON � '�j r i 110 BREED'S HILL'ROAD UNfT 10 :G..,G a•�-� HYANNIS,MA 02601 Administrator Not valid without signature - s 4 Construcflon Supervisor License �. U . CO 586T I � N _ l t 12/2009: Tr# 6849 i TIMOTHY PEAR �r, i PO BOX 519 \� } n r ,'G- �`� • CENTERVILLE',MA 0 =" � � Commissioner t , - f: MEMORANDUM 4 5 PM / TO : Jeff VISION FROM Tim DATE 10-16-08 RE 3 Hayward Rd. Centerville Attached is the information per your request. - Existing first floor plan - Update version of reschech _ a ill • OC'xt 15, 08 06: 5Ga David Matthews 508-759-0139 p. 2 4 REScheck Software Version 4.1.3 Compliance Certificate FbwrtDW*ICA& a Data 1iGerow:C:Wrar n FlIaelCf>adclRESchsdcVd�ry2 mft Fnww Gods: me eCC Lor�tion: Csllbelyl Batslrttible��NasaaGhU"M 0001SIRC tan TYpa: Simla Farntly Qmft Am ay 61 Ken"Degree Dayw 61`31 cUw+Site Owmer/ Deaipner/C,�nbactor. NO (�fr1 ��►1 vC "`��^rID Canpfiehce:10."Bator Tim Cade Ma*rmn UA:102 Year UA:iM Cavity cont, Glazing U.4 COM 1:F10 CeBrly or 6daeor lrruft ISO 30.0 0.0 B Ce"2:Flat CeIRV or Scissor Thus 192 30D 0.0 7 Wan 1:Wood Frame,16'ac. 13.0 0.0 T Window t VW Frame:Datil"Pans win+La" _ 4 0.310 1 Watt 2:Wood 1%N1 ,l6'ac. 12o 13-0 010 10 Wtnpaw 2:VbM Frurne:Dadib Apft w1Mt Low6E 4 D.3iD 7 Wan 3:WODO Ftama,16'ox, au 13.0 0-0 6 Window 3:Wood hramw0whI6 Pena wnh Low•E 14 0,310 4 Wan 4:Wand Frame.16'O.C. 90 13.D 0.0 7 Window 4:Vi ryt Freme'Dolrbia Pane wNh LoW-E 12 0.310 a wan 5:wood Frame,l T a.& 96 13.0 0.0 a Window 5:Vhryl F+arnwOouble Pam wMh LOW-E 4 0.310 1 Well&Wood Frame,16'ac, 144 13.0 0.0 12 Row 1:AINWbW Jvfbfll'nsssO"UnoondOoned$pogo 165 1910 0.0 a Fuor 2,AM-Wood JoWTrue+ Ow Unamuftned Spew 192 18_1) 0-0 a Cwpftnw Slabmant The"OM MO ft dedgn daaibW here is ftud* d w ft Ere buNfrg I*M epoftotiNff.,and GOW ceoulowma stwovrlar the pamdl appkwom The I n p 0 u 4ul .q had been 4emgn04 to roast the 2000 tOW fo**emwft in RESobsdr V 421 and b tae�iy vAlh fie merdeo y� G i# Mneprctbn GreddfeA. CM ►'3ca Name-nib SWORD NO* ��............_.......... ._..............._..-..,..._,.,....-...... ---- pnajeCt rdw, Report dale:10115= Oda so NM 6:eipmwmn Pape 1 at 1 _ t MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 I - Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) " DATE: 9-15-2008 PROJECT INFORMATION: John & Lisa Cleary 3 Hayward Road Centerville, MA COMPANY INFORMATION: Markwood Corporation 110 Breed's Hill Road # 10 F Hyannis, MA 02601 COMPLIANCE: PASSES Required UA = 62 Your Home = 42 Area or Cavity Cont.. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 154 30.0 0.0 5 WALLS: Wood Frame, '16" O.C. 306 13.0 3.0 22 GLAZING: Windows or Doors . 24 0.310 7 FLOORS: Over Unconditioned Space 154 19.0 0.0 7 HVAC EQUIPMENT: Furnace, 90.0 AFUE ---------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is, consistent with the building plans,''specifications, and other calculations = submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greate a the design load as specified in Sections_780CMR 1310 and J4 r�� Builder/Designer Date' f + - MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 9-15-2008 Bldg. Dept. Use CEILINGS: [ l 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ l 1. U-value: 0.31 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 90.0 AFUE or higher Make and Model Number AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than. 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. . VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. } DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams; and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the . manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual- or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ,- Rated output capacity, of the heating/cooling system is not greater than 125% of the design load as specified- in Sections 780CMR 1310 and J4.4. [ l SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : ' PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-411 = Low pressure/temp. 201-250 1.0 1.5 . 1.5 . 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES . (in'. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-111 0-1.25" 1.5-2.011 2.0+1' 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 1Q0-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------ I Liberty Mutual Group Liberty P.O. Box 9090 Mutual Dover,NH 03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 February 12,2008 TOWN OF BARNSTABLE ATTN:BLDG DEPT 200 MAIN STREET HYANNIS, MA 02601- RE: Certificate of Workers Compensation Insurance Insured: MARKWOOD CORPORATION 110 BREEDS HILL RD UNIT 10 HYANNIS, MA 02601 Policy Number: WC2-31S-319674-038 Effective: 2 /1 /2008 Expiration: 2/1 /2009 Coverage afforded under Workers Compensation Law of the following state(s): MA ' Employers Liability Limits): Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance.Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: MARKWOOD CORPORATION FREDERICKS INSURANCE AGENCY INC 110 BREEDS HILL RD UNIT 10 P O BOX 427 HYANNIS, MA 02601 OSTERVILLE, MA 02655 The Commonweafth of Massa-chusefts Department of Industrial Accidents kviOffice of Investigations 600 Washington Street Boston, MA o2m www.mass.gov/dia Workers' Compensation Insurance Afdda-vit: Builders/Conti-actors(EIectticians/P.Xumberg Applicant Information Please Print Le "bl Name pusivrss/Organization/Lndividual): CC) Address ( )Q Xrce-C 10 J4c,&n* n.v7. ML ' City/StateJZip: Phone.#: —Sb - 7�O'y�� Are you an.eraployer7 Check the appropriate box. Type of project(required): 1.[wI I am a employer with 4 ❑ I am a general contractor and I 6. ❑Ncw construction employees(full and/or part-time).* bavc hired:the Sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached shcct 7. [V� Modcling ship and have no employees 'These sub-contractors have g. Demolition employees and have workers' working for me in any capaMty. 9. ❑Building addition • . [No workers' camp, inmTrancc �mP.insurance.$ 5. ❑ We arc a corporation and its 10_❑Electrical repairs or additions rcgui cd.] officers have exercised their 11.[jPI=biug repain or additions 3.❑ I am a homcownrr doing all work myself.[No workers' comp. right of exemption per MGL 12 []Roof repairs incrrrancc regraa-et�] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp.insurance rcguired.] *Iwy applicant that checks box#1 must also fill out the section below showing thou workers'eompczu Dn pobcy infoTu-t— t;:iomcawnax;who eubra'tt this affidavit indicating they arc doing all work and thrn hire o utside contractors must submit anew affidavitindir,t g such. tCnrn[ractars that cbcck this box v=rt attached an additional sbcct showing the name of the sub-cantracturs and rtalc whcthcr ornot those mtNis havo arrplbyccs. Tf t17C Sllb-COntidGtDi'S}3aYF LiTf�]l0�'�,thry roust provi db ti�cir wor'kcrs'comp.poll�'ntsnba. f am an employer that Ls providing workers' compensalzorz insurance for my emplayees. Beraw is the policy and jab site inforraaLwrL p 4�r I414 Ins n-a_nce CompanyName: 1•� + u y Policy#or Sclf--ins. Lic. #:t._x,oc-3�5-3�'�07' I —U3 _ Expiration Date: rob site Adds: 3G4 1 L C11yiStatCtZLp: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to scare coverage as rcquired under Section 25A of MGL c. 152 can lead to the imposition of Crimirial penalties of a bim tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a finnc of up to$250.00 a day against the violator. Bc advised that a copy-of this sta-tcmeLit may be forwarded to the Office of Invcsti atiorts of the bIA for• cc covers e verification. I do he certify under pairts-and penaLUzs of perjury that the information provided above is truue 'and correct Si store Date- Phonc# official use only. Do not write In this area, ib be cornpLeted by city or town offrciaL City or Town: Permit/License# Issuing Authority(circle one); 1. Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts Gcneral Laws chapter 152 requires all employers to provide workers' compensation for their employees: pursuant to this statute, an errsplayee is defined as "._.every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other Icgal entity, or any two or more of the foregoing engaged in a joint cntr-rprisc, and including the legal rcprescntativcs of a dcccascd employer, or the recc=ver or ttrust=of an.individual,partnership, association or other Icgal entity, em e ploying mployees. HOWCYer the owner of a dwelling house having not more than three apartments and who resides thcrcin, or the occupant of the iwcl]ing ho use of another who emPoY Is P crs c such dwcons to do maintenance, construction or repair work on llmg house ous�� )r on.thc grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. v1GL chapter 152,§25C 6) also states that"every state or Iocal Licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construc.t buildings in the commonwealth for any rpplcnt who has not produced-acceptable evidence of compliance with the insurance coverage required." Vddiaonaily,MGL ohapter 152, §25C(7) states `Neither the commonwealth nor any of its polijical subdivisions shalt issuia :rater into any contract fore th performance of public work until acceptable evidence of compliance with the mLe cgvircmants of this chapter have been presented to the contrasting authority." ,pplicants lease fill out the workers' compensation affidavit complctr-ly, by checking the boxes that apply to.your situation and, if cz-zssaiy,supply sub-enutractor(s)name(s), address(es) and phone numbcr(s) along with their certificatcW of Muz ce. Limited Liability Companies.(LLC) or Limited Liability Partnerships (LL.P)with no cmployccs othm than the ombcrs or partners, arc not rcq=rd to carry workers' compensation incTrrance. If an LLC or LLP dots have 7rployecs, a policy is required. $c advised that this affidavit may be submitted to the Department of Industrial ccidents for confirmation of.insurancc coverage. Also be.sure to sign and date the affidavit The affidavit should rctvmr-d to the city or town that the application for thn pcmoit or license is being rrqucstcd, not the Department of idustrial Accidents. Should you have any questions regarding the law or if you arc required to obtain a workers' Impc Pilaw call policy,Pila call the Departmente at th nurgber listed below. Self-insured companies should onto their If-inrur-,Mro license number on the appropriate line. ity or Tows Offi'irials case be sure that tbo affidavit is complete and printed Icgibly. The Departrncnt has provided a space at the bottom 'the affidavit for you to fill out in the cvcnt the Office of Investigations has to contact you regarding the applicant casc'�e sure fn fill in the permit/Iicensc number which will be used as a reference number. In addition, an applicant it must submit multiple permit/licc-mr applications in any given year, nccd only submit cap affidavit indicating cuacnt licy information(if necessary) and under`Job Site Address" the applicant should write"all locations in (city or Nn)."A copy of the aff davit that has been officially stampod or marked by the city or town may be provided to the plirant as proof that a a valid ffidavit is on fide for fat i c.permits or lic-erases. A new affidavit,must be filled out cacti sr.Wheat a home owner or citizen is obtaining a license or permif not related fo any business or commercial venture a dog license or permit to btirn Icavcs etc.) said person is NOT required to complctn this affidavit . e Office of Investigations would hkr,to than you in advance for your cooperation and should you have any questions, ase do not hesitate to give us a calL Department's address, tc1cphone-and fax number. Tbti Cammonwol.th of Massachusetts D t nt of Industrial Accidents Office of InVestigat ans 6Q4 y,/RS}ljpgt�n Street Boston, MA 02111 Tel. # 617-727-4-90.0 ext 4-06 cr 1-577-MASSAFB Fax# 617-727-7749 I 1-22-06 www.ma.s2.gov/dHa I i 111E 1 / i 5 W/F 2 Dwelling. Pam A W,.d goo Lawn 1 1` #3 N nrcef c WIF N � o m 2 Dwelling SPK t smi. 4 MMkr S801` 00 0,T'' ca - -•�, w ` SMJ ,L A A AL I 4 �4 . y t 582- w I 'ir` _ 74.74'colc tie t:dq* of Solt Monh i AL o: Floyd by fNSR Sept�lnhtr IZ 2003 A( sxla AL 1 577,=9"W tie - ---------- -- - --- • 05,a AL sera AL AL Solt NorsA w IL AL o cn _ J& m I I • 1 )0 7884 0301 7869 oil r Town of Barnstable *Permit .� Expires 6 months from issue date Regulatory ulato Services Fee3/ • • aAarrsreJ"KAM • &" `e$ Thomas F.Geiler,Director Eo ' Building Division S `� Elbert C Ulshoeffer,Jr. Building Commissio7re T ACRESS FERMI i 367 Main Street, Hyannis,MA 02601w Office: 508-862-403 8 MA Y 2 1 2001 Fax: 508-790-6230 EXPRESS PERNIIT APPLICAT1 9VVN OF BARNSTABLE�/_ Not Valid without Red X-Press Imprint �J Map/parcel Number D -ly lLm Property Address A9V 1-12 C1 Residential OR ❑Commercial Value of Work Owner's Name&Address Qprnn tiC S Contractor's Name 1 Telephone Number 56 , '34b Home Improvement Contractdr License#(if applicable) ���1` Construction Supervisor's License#(if applicable) - F o`l 7 9,_;L Z Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance M insurance Company Name 64if?JV Vtj Workman's Comp.Policy# f�i��- & D 00 153 O Permit Request(check box) Re-roof(stripping old shingles) [�Re-roof(not stripping. Going over existing layers of roof) Re-side 0 Replacement Windows. U-Value (maximum•`4). Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg „r PROJECT: NAME: j ���} �1U✓ 17L?/�� }� /� r ADDRESS: PERMIT# D fId7 � PERMIT DATE: t M/P: LARGE ROLLED PLANS ARV IN: BOX SLOT f�3 Data entered in MAPS program on: 10 �-3 a� BY: a/wnfile�/archive A offioe (1st floor): ...J p/.....• .� F Ass map and got number . ... .. CJ�O T ,_;`rAYSTEM MUST �. t Ith ( r h-,`�ALLED IN COMPLIA --L-Bo • 3rd floor): Sewage , emit number oK.. .... ....:.. ..l? ,2iuws+y91�Ii 'TI�LE 5 �BasaszsnLE, �'U s Engineering Department (3rd floor): , 3 0--Nr'rq . f, o 039. House number . ................................................................... TD tzi61+� C � � � ��� ��� , DYPY \e APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only `s- st — TOWN 'OF BARNSTABLE BUILDING INSPECTOR Y� 0-, APPLICATIONFOR PERMIT TO .................................................................... ... ................ ................................ TYPE OF CONSTRUCTION 494V ..................f .`1. .. .......19..a..� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to foil ing informati n• Location .e`..:: �] .7...o�....C/v�� ..... ��� .... CS ... ....... 4�L .. ... ............................ �oT Proposed Use ....0.....fC�x �'L �(.��. ,............................................. . Zoning District ......... ...Fire District ` I�,. ..���...... ............................ Name of Owner .. ►. i�.Lj eqpp,;�s....Address ...... ........................................ .............. a. •�_. � c JI z 1 r�- Name of Builder ... ..........Address .......o G.no, r Name of Architect ... . .......Address ......(.6......� Foundation ...... . Number of Rooms ...... . ......ir.. y '\Exlerior .....Roofing .... k..l ��-t.r!..�..1.......................................... �'�...........................................Interior ....... .. �. .. `�.. Floors 7�.......... !..(! ...................Plumbin .......... — p Heating g .? vim... Fireplace ....... .......................I.............................Approximate Cost .............. ?J.Z? ............................... if Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......�. ..0....5.1-........ Diagram of Lot and Building with Dimensions Fee L + ........J•.. ...c ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow of ar table regard* g the above construction. Name . .. ....... .......................................... Construction Supervisor's License ....�.\! �� �.. .�? A. o COL1S'1Atd'1'zlll ' 0859 permit for 1 Uild Garage Accessory to"Duelling ....... .. . . ...... f`. f' Location ..Lot:. ......a................... t Centerville ...................................................:..... 3 Owner Constantine Pappas Frame Type of Construction .......................................... ....... ..................................................................... Plotr:........................... Lot ................................ i` Permit jGi•anted ......uune 1 ,.•••••••••••.19 87 Date of.-Inspection ....................................19 Date Completed ......................................19 ' t j .F L t � t Assessor's st ffioe Asses or'somap (andflotr)number .. ....fig ..... �' 0� FTNETo� Q • Board of Health (3rd floor): _. qq d� Sewage Permit number ................................ ......... ...l. ... i B9Ss STAB LL,� o e i�� t21 v4��( rasa Engineering Department (3rd floor): 3 'ao 1039• ems House number ........................................................................ -To 2eGwr �0YP�a\ S'p� APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only ' TOWN OF BARNSTABLE 1, BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .................................................................... ..... ................G................................ TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to t.e foil ing 'nformatio Location ..... .. CA. ..... .. ........ .. .. . ....... :... ... Ja CL 7 # � Proposed Use .... .. C . ........ .��`yG'1 ............. .......................... Zoning District .........!•`�..... ........ .....................................Fire District ......................Q..... .....,...................................... J Name of Owner .. m )...5. ......4.!!��......�� G.S...Address ......5.� ...................................................... RtName of Builder .t. .... .(..�o.�4?5.... ..........Address j O.�CX..... ..� GV1V" ( .................... - S Name of Architect ..i .......Address ..... ....... !?„ Number of Rooms ...... ram✓.. .G.......... ." ................Foundation ....... .. ........ ...................:................. Exie for �.... + .�r....r...Roofing ...... .5.. ..1/1. .1.' `_........................................... .. .... Q Floors ............:.. ..............................................Interior ....... ...... .v.. ................................ I' Heating .............�( /A.j�.. n� .... ............................... ! Fireplace ........•%c/(_12Y?^, e'...............................................Approximate Cost �' Z? (� } /. ..�. .,. ........ Definitive Plan Approved by Planning Board ________________________________19________ . Area ....... ......... Diagram of Lot and Building with Dimensions --- Fee ....................r.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH •Y . ,S OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town f Barnstable regardi g the above construction. Name .�. . . .. ........ . ......................................... o � a Construction Supervisor's License .... ... ........................... y PAP-PAS, CONSiANTINE A=186-064-001 No .30859... Permit for :..Build. Garage, Accessory .. .. .. t D ll ................... ......o...! in..q ............ Location .....L.o.t......2..,......31W .�. .o.t...Path .. . . .............. ... ..Centerville ............................................................................... Owner Constantin e..Pappa ............ Type of Construction ......9X aMQ....................... Plot ............................ Lot ................................ Permit Granted June 15, 19 87 Date of Inspection ....................................19 Date Completed ......................................19 t i Form 5 DEQE File No. SE 3-106 (To be provided by DEQE) Commonwealth city/Town Barnstable of Massachusetts Douglas Lebel Applicant g Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 From Department of Environmental Quality Engineering 7 To Douglas Lebel Same �! 1 (Name of Applicant) (Name of property owner) Address 5 Hayward Road, Centerville, MA Address This Order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) ZI by certified mail, return receipt requested on July 227,,E 1984 (date) This project is located at Lot 2, Web Foot Path, Centerville H(�'i The property is recorded at the Registry of Barnstable Book Page L,CCertificate(if registered) 10433 wyz K 9 The Notice of Intent for this project was filed on October 24, 1993 (date) The public hearing was closed on November 1S, 1983 (date) Findings The DEQE has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the DEQE at this time, the DEQE has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Underthe Act(check as appropriate): s, ❑ Public water supply ® Storm damage prevention ❑ Private water supply ❑ Prevention of pollution .❑ Groundwater supply ❑ Land containing shellfish ® Flood control IN Fisheries 5-1 Ji M? T ,. Therefore, the DEOE __hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the regulations,to protect those inter- ests checked above.The DEQE orders that all work shall be performed. in accordance with said conditions and with the Notice of Intent referenced above.To the extent that the fol lowing conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent,the conditions shall control. General Conditions Failure to comply re with all conditions stated herein, and with all related statutes and other regulatory meas 1. P Y ures,shall be deemed cause to revoke or modify this Order. 2. This Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This.Order.does not relieve the permittee or any other person.of the necessity of complying with all other applicable federal,state or local statutes, ordinances,by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless. either of the following apply` (a) the work is a maintenance dredging project as provided for in the Act;or (b) the time for completion has been extended to a specified date more than three years, but less than h that date and the special circumstances warranting five years,from the date of issuance and bot the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for.one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or de bris,including but not limited to lumber, bricks, plaster,wire, lath, paper, cardboard, pipe,tires,ashes, refrigerators, motor vehicles or parts of any of the.foregoing: 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Fi nal Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the.Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done.The recording information shall be submitted to the DEQE on the form at the end of this Order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Quality Engineering, File Number` SE 3-1064 10.Where the Department of Environmental Quality Engineering is requested to make a determination and n Commission shall be a party to all agency proceedings. to issue a Superseding Order,the Conservatio and hearings before the Department. 11 . Upon completion of the work described herein,the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 12.The work shall conform to the following plans and special conditions: 5-2 Plans: Title Dated Signed and Stamped by: On File with: Site Plan of Lot 2 in 10/24/83 Eldredge Engineering Co. DEQE Centerville,_ Barnstable, MA Special Conditions(use additional paper if necessary) 1. A row of hay bales laid end to end is .to be securely staked in place along the west lot line,. beginning at a distance of one hundred (100) feet to the north of the northwestern corner of the garage as shown on the above-referenced plan and extending to the south for a minimum . distance of one hundred and fifty (150) feet. This silt barrier must be emplaced before any other work begins and must be maintained so as to prevent siltation into the marsh and until all disturbed slopes are permanently stabilized against erosion. 2. Excavation for the frost wall along the western and southern walls of the garage is to be done by hand. No machinery is to be operated on the bank between the proposed garage, as shown on the plan of record, and e stockpiled . the marsh. All excavated material is to b p uphill of the frost wall trenches. 3. All roof runoff from the garage is to be directed to dry wells located at least twenty-five (25) feet from the west lot line. 4. The driveway is to be constructed with a crushed stone surface as per the plan of record and must be pitched to the east so that all runoff from the driveway flows away from the marsh. 5. All exposed soil slopes are to be permanently stabilized against erosion with vegetative cover immediately upon completion .of grading. Temporary stabilization measures, such as use of mulch or hay, are to be implemented as necessary to .prevent erosion due to runoff during construction and until permanent vegetative cover is established. r i • } Issued by the Department of Environmental Quality Engineering. A p Signature . APt4 Robert P. Fagan, puyegiona nvironmen a gineer. ' ` On this day of /�/ 19 befog raj personally appeared Robert P. Fagan to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My commission expires The applicant,the owner,any person aggrieved by this Superseding Order,any owner of land abutting the land upon which the pro- posed work is to be done or any ten persons pursuant to G.L.c.30A,§10A,are hereby.notified of their right to request an adjudicatory hearing pursuant to G.L.30A,§10,providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of the Superseding Order,and is addressed to: Docket Clerk;Office of General Counsel,Department of Environmental Quality Engineering,One Winter Street,Boston,MA 02108:A copy of the request shall at the same time be sent by certified mail or hand delivery to the conservation commission,the applicant,and any other party. A Notice of Claim for an Adjudicatory Hearing shall comply with the Department's Rules for Adjudicatory Proceedings,310 CMR 1.01(6),and shall contain the following information: (a) the DEQE Wetlands File Number,name of the applicant and address of the project; (b) the complete name,address and telephone number of the party filing the request,and,if represented by counsel,the name and address of the attorney; (c) the names and addresses of all other parties,if known; (d) a clear and concise statement of(1)the facts which are grounds for the proceeding,(2)the objections to.this Superseding Order, including specifically the manner in which it is alleged to.be inconsistent with the Department's Wetlands Regulations(310 CMR 10.00)and does not contribute to the protection of the interests identified in the Act,and(8)the relief sought through the adju- dicatory hearing,including specifically the changes desired in the Superseding Order; (e) a statement that a copy of the request has been sent to the applicant,the conservation commission and each other party or rep- resentative of such party,it known. Failure to submit all necessary information may result in a dismissal by the Department of the Notice of Claim for an Adjudicatory Hearing. Detach on dotted line and submit to the prior to commencement of work. l NOTES: WEST DENNIS,MA 02870 ASSESSOR'S YAP 186, PARCEL 64�- PRONE AND PAX. (608)498-7110 MLW DATUM,XL. 0.0' NFLOOD ZONE A13, EL, 1r X&FAM na �o ,ram, CONSTANTINE PAPPAS t LOCUS FRA BOXCNAM. MA 01703 CE f ��yZH 649 �f MgSsgc'... LOCATION MAP s' JOHN o Z 3 HAYWARD ROAD � DEMAREST,JR. �' �:. CENTERVILLE, YA 02832 8 �No. 36859� 6BDP��DW�8Bt OBNlBRVILIJ,MA DWU , + ' AVID K AND JOY S.H"Aa PATH EXISTING PIER /0 RICHIRD ROYPAL! A ,$ RAMP AND FLOATS 48 wBST LlgB R'ARRI3T PIRK'I - INNSAPOLfS,MN W410 ' RUGOSA •• RQSA ,,. 11"A • •• 0 0 v► • • • .• EXISTING 85, X 6' PIER ' 9 PROPOSED 6' X 1Z FLOAT -2 EXISTING PIER, RAMP, STEPS AND FLOAT , LICENSE NO. 1034 ' WETLANDS FILE N0. SE3-1046 ,4 EXISTING PIER Q,' RAMP AND FLokEXISTING Y" (2) 8' X 16' FLOATS w - g �S E EXISTING FLOAT -4 ' oil 0 40 , SCALE. P 40' EXISTING FLOAT ' f PLAN ACCOMPANYING PETITION OF - CONST ANT I NE PAPPAS TO AMEND LICENSE NO. 1034 ' TO ADD AND MAINTAIN A FLOAT -,4� IN AND OVER THE HATERS OF CENTERVILLE RIVER (CENTERVILLE) BARNSTABLE, MA - NOVEMBER T,2001 146T7u To 8E RtoVED� 7Y. - co 4 A 4L t -PATIO AT�o vlt-�U-riolc1 q �e vac AD, r - s R 'CF SAS ✓ ��a v L& 5�1ag_ silsvA t �, ` y ku tu f _ I t 01_ +.•r,7 � > W I f s xj oaf, c .11J bit f+ I LY1 LI t CL 2.'4 aCtO y'�V G' t''✓�`�"6 ' o 4 E C C - O � W F at 4 =C MoogZ�N j, �j lry r4 cc N 10, � I 71 rV- 01 000, It ( L✓i�3'1t.1�:+/$-t i�tl:... 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