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0030 LIMERICK COURT
f , r F i r n ry TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Applicatio �d 419r. Health Division Date Issued Conservation Division Application Fee 44 Planning Dept. Permit Feet l�— Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street AddressG Village 2 Owners Address -(C:-�_ ^� Telephone `�✓ � �"( -- Permit Request RLul1 Z /C- Square feet: 1 st floor: existing l�proposed µ 2nd floor: existing G!, proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (G7 .— Construction Type--1 ' Lot Size Grandfathered: ❑Yes *�o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 57 r Hi "c House: ❑Yes No On Old King's Highway: ❑Yes )CNo Basement Type: ❑ Full ❑ Crawl O'Walkout 0 Other Yp F/ 1 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) '1 U Number of Baths: Full: existing new Half:,,existing. new Number of Bedrooms: Z existing . new Total Room Count (not in5uding baths): existing new First Floor Room Count Heat Type and F ' Gas ❑ Oil ❑ Electric ❑ Other ` Central Air: Yes ❑ No Fireplaces: Existing New Existing wood oal stov'e'i ❑o'os No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing -0 newb.size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals horization ❑ Appeal # Recorded ❑ Commercial ❑Yes CY No If �es site plan review# Y Current Use Proposed Use APPLICANT INFORMATION (B UILDE/R�OR HOMEOWNER) �" Telephone Number bers�7Name l Address License # i Home Improvement Contractor# 1-7 d d?e�e) Email Worker's Compensation # ALL CONSTRUCTION DEB'RISAESULTING FROM THIS PROJECT WILL BE TAKEN TO E SIGNAT DATA. < G FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER p Y DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL Y. PLUMBING: ROUGH FINAL f� GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Y The Commonwealth of Massachusetts, Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information / Please PrintLegibly Name(Business/Organization/Individual): ✓� �/�L''/��� �'IL��/vt��— EL. � 1c� Address: City/State/Zip: L �ylG ~! f° 62-';eQhone It: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I 4. I am a general contractor and I / -a employer with ❑ g 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner listed on the attached sheet. 7.kj�' odeling ship and have no employees These sub-contractors have g on. , workingfor me in an capacity. employees and have workers' Y aP t3'• 9. ❑Building addition [No workers'comp. insurance Comp.insurance.# required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Voth of repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13. ec comp.insurance required.] *Any.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or SeY ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: ' Attach a copy of the workers'-compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties f p ' ry that the in rmadon provided above is true and correct Signature: Phone#: �0 A Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in*a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the i owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance-or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this.chapter have been presented to the contracting authority." _.. _Applicants Please fill.out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-,contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,arehot required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pmmit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonw' ealth of Massachusetts Department of Industrial Accidents Offlee of luvestigations 600 Washington Street. Boston,MA 02111 Tel.#6 17-727-4900 ext 406 or 1-V7-MA88AFE Revised 4-24-07 Fax#617-727-7749. www.mass.gov/dia -Town of Barnstable t Regulatory Services t sa�rsrams, • , Thomas F.Geffer,Director Building Division Tom Perry,Building Commissioner 200 Main Street,$yannis,MA 02601 www.town.barnstable.ma.us Office:: 509-862-4038 Fag: 508-790-6230 Property Owner Must Complete and Sign This Section If Using•A Builder I, i LK e- e► - .B as Ownex of the subject pzoperty hereby authozizey to act on'my behalf; in all matters rekd7e to work authorized by r .this 1 PtYn7t ' 0ngP 36 Li.nerie Cf— e (A-dd=ss of Job) Pool fences and aI=ns are the responsibility of the'aPP licant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. signature of O wnet Signature of Applicant Print Name'- Print Name , 3 �i Date Q:FOR&-0WjM?EU SSIDMDLS r20I2 ' Town of Barnstable ^, Regulatory Services t t , Thomas .« F. Geller,DirectorMAML . Building Division Tom Perry,Bmlding Coimmissioner 200 Main Street; Hyatmis,MA 02601 www.tawn.barnstable.ma.us Office: 508-862-4038 Farm.508-796-6230 'HOAMOWNERMC22 sly EZXAIMON Please Print 3��y os T1orr: L�,n e r ia Ce&+e c v number - street 1 �xoan e- � ���►-� S ��"-3�7�' off' n e l one phone# e# MAII�VG 30 opte,Zt (+t i town state L yip code The cent exemption "home wn to ' hide owner-occupied dwelialas of six mots or-less and to allow homeowners to an individna o does not possess a license,provided that the owner acts as subervisor. / D ON OMMOwNLR Person(s)who owns parcel of n she sides tends to reside, on which there is, or is intended to be, a one or two-faffily dwe ' ed or de s essory to such use and/or farm structu es, A m r person who constructs ore - o'=`home in a tvao-ye be considered a homeowner. Such "homeowner" submit �ihe�Btnldmg Official on a fog �tab`l ^ ding Official,that he/she shall be onsible f all such'W /erin wd under the build'buildizz P Section 1 The undered`h //o assumes responsib>�ty for compliance tote B de and other apptic ]e codes,sby ws,rules and regulations. The `homeowner"certifies that he/she and crfends the Town ofBamstable D t. i> p on procedures and requirements and that he/she will comply with said prose s and Signature of Homeowner Approval of Building Official Note: Three-family dwellings cantainmg 35,000 cubic feet or larger will be required to comply with the State BMI ing Code Section 127.0,Conctract;rm Control r HOMTOVrTMIS EXE M MON I . The Code states that Any homeowrierperfor�oingv=k for which a bmldmgpermit is required shall be exempt from the provisions of this section(Section 109.1.1-Lirxasing of construction Supervisors);provided that if the homeowner engages a person(s)for hive to do such work,that such Homeowner shall act as supervisor." Many homeowners who use ties exemptiam are unaware that they are asstniag the rtsponsrbrlities of a supervisor(see Appendix Q, Rnles&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious prublems,particularly when the honeownr r hires unlicensed persons, I this case,our Bond cannot proceed against the unlicensed person as it would with a I=mud Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensue that the homeowner is fully aware ofbisRux respansrbr3ties,many communities require,as part of the permit application, i tbat the homeowner certify that hekbe understands @re Tm?m srbrlrties of a Supervisor. On the iastpage of this issue is a form currently used by seyeral towns. You may cue t amend and adopt such a£ormlcerlificatiouI r use in your community. Q*rms:homeocempt b jauoIssI.wwo � 960ZI061b0 u011ejidx3 09Z0 t�IAi q�nownld t jjli2i1Z fit.O�I}I�02I5?I 21VS I3 dHi II josl adnS uoU�nai�uo� 6uippn8}O paeo8 ue suoi�eln6a� �esseW spaepuelS p edaQ-'slAasnu I f,;a}eS oilgnd �o�uaw� T Caeaalaaslapun 09£ZO VA 'Hinovq l-ld (/ �r, = 42!NOMI SNOIN 21 lZ r a 2i31�MbS �3VHOILN 52if a,3JJVNdS'O13VHOIW f- .;J ��„s , Ienpinlpui r . FSLOZ/£W6 .uot;e�ldz { :ad�(1 9600LL ;uo.ei;sl6a ; Hol3 INOO 1N3W3AO'ddWI 3W not �a-d,ssaursna..79 s.ne33V lawnsuoO;o aal p 1' 4 s w m �� �2unnoo21110A 2� License or registration valid for.individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 ff o out signature l Massachusetts -Department of Public Safety Board of BuildingRegulations 9 and Standards ,- Construction Supers isor 4 R License: CS-106556 a MICHAEL SAWYER r 21 R NICKS ROCK R®. Plymouth MA 02360 ✓. .� J1 i n�.1. Ex piration iration Co mmissioner 04/10/2 01 6 9 C I� LN _ M i �tNE � Town of Barnstable Regulatory Services BAMSTABM MASS ' Richard V.Scali,Interim Director iOrE039. & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 26, 2014 Diane Brown 30 Limerick Court Centerville, MA. 02632 RE: 30 Limerick Court, Centerville Map: 169 Parcel: 082 Dear Property Owner: This letter shall serve as notice that the building permit issued for application number 201400169 is hereby suspended and a stop work order posted for said permit until such time that building code and zoning violations at the above referenced address are brought into compliance. Compliance may be achieved by: 1) Applying, obtaining, and successfully completing a building permit to restore the building to a single family home (Such permit requires the removals of the sink, countertops, and cabinets in the basement. The plumbing is required to be capped in the wall (separate plumbing permit). Removal of locking hardware at top of stairs). 2) Removal of the existing bedroom in the basement for which there is not the benefit of a building permit by creating a five foot cased opening and removing the bed. 3) Successful completion of permit number 74580. This requires visibility of framing elements and insulation. By Order, L. Lauzon Local Inspector j effrey.lauzongtown.barnstable.ma.us (508) 862- 4034 I la IMPORTAN . ... � 3'tflTE'9t1}LfJIP,{(i CCIQE:REQUIRES .Tt�t=.UPGRADItrICi..� SAftM DETECTORS FOR '�iE ENTIRE Owt--LUNG WHEN OM OR MORE SLEEoIP:^v AtZ ARE.AOGEG aq GRfATEO tiMJfE: A SEFaRrTTF PE?iflil 15 RLiIR FOR 7H_ INSTALLATION OF._SdA4�(F DETECTOR THE ELECTRICAi_ ..�'�l(S F( - 4 _,..... r, _... _ _.. c _ e v __.. ...... Qb Jf u " Ali — .. .. J 2 - a� y. �:'-A- x IMPORTANT J ;gTATE Bt1HDIPK� C."1QE REQUIRES THEUPGRADING..CF _ ._�_ .. S>kiOKE QETECTORS FOR THE ENTIPE OwEWNG 'iHEN _ ..... LEI 1 A SUILDi�G Dt �. L�!F C OR MORE SL . IP:G Atha ARE ADDrD Chq CREATEQ A SEYAIE PEF??AiT 15 RIJiRryJ FOR hiE INSTALLATION OF S +(E DETECTORS THE ELECTRICAL f�d�D ,i�II°lu lI " ~ ?, PSFY� Iu r� �� e� �. .0 G �Rp,{]T 1�C�S N01 .Vv N low ....... ... .. . i .�' _. N o a .: �.. - r C IM r� A-1 MASSACHUSETTS UNIFORM APPLICATION FORA PERMIT TO PERFORM PLUMBING WORK CITY . L c%/ 1�� (, MA DATE _` l PERMIT w. JOBSITE ADDRESS C, (I LG �fL OWNER'S NAME ! .� l OWNER ADDRESS TELI FAX� --TYPE OR - .000UPANCY.TYPE.:. .. COMMERCIAL[.I EDUCATIONAL: _ RESIDENTIAL ,PRINT CLEARLY N <RENOVAT EW ION:Lj REPLACEMENT:® PLANS SUBMITTED: YES E] N0E] ' FIXTURES 1 FLOOR--* BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BAT iTUB 1_ I—� w CROSS CONNECTION DEVICE` DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM r . - _�— J . TMx ' - - F DEDICATED GRAY WATER SYSTEM I - - DEDICATED WATER RECYCLE.SYSTEM DISHWASHER. DRINKING•FOUNTAIN FQOD DISPOSER.. I L�j FLOOR[AREA—DRAIN INTERCEPTOR(INTERIOR) .KITCHEN SINK LAVATORY ,, .: [-�( �i_—_.F-D= ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL ! �--- -I. - ` WASHING MACHINE CONNECTION' a a - WATER HEATER`ALL TYPES (� - WATER PIPING OTHER L�....�:i� S n INSURANCE COVERAGE: (have a current.liabili insurance policy orits substaritil equivalent which meets the requirements of MGL Ch.142. YES NO IF YOU CIECKED YES,PLEASE INDICATE THEfYPE OF COVERAGE BYTGHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY [j BOND �. OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts-General:Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT SIGNATURE::OF OWNER OR AGENT - i hereby certify that all of the details and information I have submitted or entered regarding this applicatioVr)ee and ccurate to the est of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be lian ith all Perti nt provision of the Massachusetts State PI .bin'Code and Chapter 142 of the General Laws. PLUMBER'S NAME u V...:,lJ.(�LC.(,',. LICENSE#[ � SIGNATURE ,. MP� JP r� ¢r"' CORPORATION# PARTNERSHIPEJ# LLCO # COMPANY NAME , . t,e c� ADDRESS CITY1 LD L — STATE I ZIP v`.�?_ TEL FAX 0 EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES. Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES f t �' 1� ✓ y4r+ f � q % o. av r s, a U g S« 3 pw OF- 'DI a 30 Limerick Ct. . Cent 3/20/14 f d ; � r .. d'. .... a .. .; _ k + 1 =k, F u' w { N v ; i 1 1 I I r 30 Limerick Ct. , Cent 3/20/14 r f y i • r f± IM'III, illIlI t t z, is G i uy 30 Limerick Ct. , Cent 3/20/14 r i s r A! v t „ m - f z k - r _ m � i i v V �c 30 Limerick Ct. . Cent 3/20/14 P iq j h uPr r + d: Y �ad,Yt .� w + �.i. 30 Limerick Ct. , Cent 3/20/14 4 i y � 31 i� a 4 Nk off x a+: g ter,- •,;.,M 30 Limerick Ct. , Cent 3/20/14 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i �Q Map AS Parcel 6� Application # 02of Health Division Date Issued v�1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board - Historic - OKH _ Preservation / Hyannis Project=StreetAddre-ss wdN CY, Co U y - _Village cf,_-'^ -8�A =Gw-er_ x4t_ 'L'u Address Telephone -3�co (4 cob Permit Request lrn Square feet: 1 st floor: existing proposed 2nd floor: existing proposed otal news s .a Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type51-1 .T Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportin documgritatic� Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) zn Name 1M,/� 11k � t Telephone Number ob ?%q 1 b3 1 Address—13 0�L 4` * 01A, License # CS" 0-7L4 QA Home Improvement Contractor# ( � Worker's Compensation #05 S 3 1 S 3)%z9Q -OZ,q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SkT &c0 1)eCM4tig ✓? SIGNATURE DATE d i`1 r FOR OFFICIAL USE ONLY APPLICATION# DATE J$SUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i t DATE OF INSPECTION: I {FO:U Nil)AT.I.ON"iE A°),&P,J6 L o;K 16 FRAME -- F Lol1S - ONSULATION {-i F FIREPLACE ELECTRICAL: ROUGH FINAL - -' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - ` FINAL BUILDING ml{c lb'D!G DATE CLOSED OUT ASSOCIATION PLAN NO. f is �IHE r Town of Barnstable regulatory Services BAMSTAB` LE * Richard.V.Scali, Director 16 i 9r Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.t.own.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY_ I, Construction Supervisor License. # C,S hereby certify that I have assumed responsibility for the project under construction,as authorized by building permit# ably 00164 issued to z (property address) 2-AJ �wYL on The following dqcuments are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) 1� 66 I q LICENSE HOLDER DA E q/forms/newcontrb rev:040414 - L r _ �� �C`omrrrortrl Ferdt�i��'�assrre.�rts�s De., rhn,ent a•ffmd ufti Accidents tJfiice ofAnvestiga ions 600 WaThingfon&reet t Boston,MA 02111 wttw.rnass-gotatditx 'workers' CompensatianInsuraace Affidavit:Builders/Contractors/ElectricianMumbers Applicant IufarmatEion 1' Please Privt Legibly Name<&�si�es lO�ganizationlfn�vidnat)= 'V�eAn7 \_ ��/ Address: 73, City/Staf /Zip= ` 1�0� t �1� OZSo�`� Phone lire you an employer?Checkthe-app:ropria.te bay T , of o eLt r 4. I are contractor and I pr 1� I am a employer with ❑ a 1 (equired}: _ � employees(full and/orpart-time).* have hire>dthe sub-contrwc ots. 6_ ❑New constnx:.tx ort t lised on the aftach h ed sheet 7_ ❑Remodeling 2..❑ I am a sole proprietor or partner- i slip-and have no employees T1if-se sub-contractors have g- ❑Demolition, wcrong for me many capacity employees and have workers' 9_ Q Building addition 17�0 workers' comp_in�e comp-insurance rz quired_] 5_ ❑ )We are a corporationaud its 10_.El Electrical repairs or additions Dicers have exercised fheir 11- Pluinbin r airs or additions 3_❑ I am a hcsmsou�ner doing all work ❑ g rep , My-self. [No workers'comp- right of e-emption per MGL 12.❑Roof repahs i'n�erequired_]f c_ 1.52, §1(4} and wehave,no, ernployees_[Na workers' 131:1 Other comp_msurancerequired_1 *Any s>plicant test decks box t1 tmtst also fill out the section below dmwing ilLeir Qrodceis�rnapensadon poULT ix:ffitmatu�L #FfnmeownErs vrho submit this affidsvu iuxiarctmE they ace doing aff erotic and Hten hire astside contractors— scu'JffiA s ere-:afd m mdicstm$ snch_ Conbmcmrs that rf+xY this box must sttached an additional sheet showing the nsme of the vab-c=ft3cftng and state whethm ocnot use have amplayees- If the sib-contmcturs h3v a empIoyees,they must panride their workers'comp.policy number_ -Tam art employer chat is prmiditrg tuorkers'competLmh'o.n ansnrauce for my,emmpinyeczs Helots is fate polic}and job site information- Insurance Gotnpatayl'latne: l� 6/23'(� Policy or Self ins_Lim G.7C5^ �(S' 3 2� t(-OZ� Expiration Date: Job Site kdd cis_ 3 1 Lt^�Z t E Citw1S tate/zip_4G74'V j1(I. r Att2ch a copy of the workers'compensafi(m policy declaration page(showing the policy Iramber And expiration date). Failure fo secure cotitrage as required.under Section 25 A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50D.DD and/or one-year mis t,as well as civil penalties in tine form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator_ Be al�rised that a copy of this statement maybe fonNarded to the Office of Imrestiptions of the DIA fDr insurance coverage verification_ I der laereb{r cert�&i er the waigs nil penalties ofpedary thatthe information priwide-d abcwe is hue and correct Simature: ' `r � Bate._ �I 14 1 Phone ff: scf6 QfiTcialuseonly. Do-not write in this area,to be compLeted by cfij or form official City-or Town: PermitUcense# Issuing Authaiity(drde one): 1.Board of Health Building Deparbnmt 3.Gityfrowa Clerk 4.EIectricacl Inspector S.Phimbing Inspector 6.Other Contact Person: Phone#: __._ 6 Information and Instfuetions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an ernployee 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 asry two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,.or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees- However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant:of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant-`;hereto 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.pixy applicant who has not produced acceptable evidence of compliance Path the insurance.coverage required Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth.nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance vith the insurance rPg airements of this chapter have been presented to the contracting authority_" Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and if necessary,supply sub-contractor(s)name(s), addresses)and phone numbers)along with heir ceri%>=ic:1e(s) of insurance. Limited.Liability Companies(LLC)or Limited Liability Partnerships(LLP)wTir no employes other than the members or partners,are not re.4uired to carry workers' compensation insurance_ If an LLC or LLP does have employees, a policy is required, De advised that this affidavit may be submitted to the Departrnnent of Indus'xial Accidents for confirmation of insuance coverage. Also be sure to sign and date the affidavit_ .11 e affidavit should be returned to the city or town'uof the application for the permit or license is being re nested,not the Dcpart ent of Industrial Accidents_ Should you have any questions regarding the law or if you are required to obt 3 a;?corkers' compensation policy,,please call.he DepF-Ttment at the number listed below. Seli in -Tred companies s.'i.ould enter their self-in1-L=Ce 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 affidavii for you to fill out in the event the Office of luvest gaiions has to con`lactyou rt2 rding the applicant Please be sure to fill in the pt=Ttllicense number which will be used as a reference number. In addition,an.applicant that must submit inultiple permiYhD--rise applitations in any>given year;heed only submit one afl-ddavit indicaring current policy information-(ifnecessary) and under"Job Site Address'the applicant should write"all locations h'i (city or town).':A copy of-tht,,- fidavitthaf has been officially stamped or marked by the city or maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses_ A new affidavit must be filled out each r year_Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NTOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,teiephone and fax number: no Coarmanwr an of Ma-ssachusctts Depaz�ent of Industrial Accidents' a m of kyestigati&As 600 Washingtaa t • �a�am_ a�z I z `Fed,i�617-727-49GO W 4€6 or I-9777 MASSAFE Revised 4-24-07 Fax P 617-727-7-149 A1CO® DATE(M=D/YYYY) `�. CERTIFICATE OF LIABILITY INSURANCE F7/25/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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 pol)cy(ies)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 endorsement(s). PRODUCER SOUTHEASTERN INSUR AGCY OF CAPE COD INC NCONTACT AME: 641 MAIN STREET PHONE FAX HYANNIS, MA 026015411 ac"° E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: LM Insurance Co oration 33600 INSURED INSURER B: MATTHEW BOROWSKI INsurLERc: DBA CREATIVE CONSTRUCTION 73 WEIR RD INSURER0: YARMOUTH PORT MA 02675 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 21003207 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. ILTR TYPE OF INSURANCE ADOL�SUBR POLICY EFF POLICY EXP POLICY NUMBER MMIDOIYYYY MMIOOIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR OAMA E TO RENTED PREMISES Ea acunrence S _ I MED EXP(Any are person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY❑JECT LOC PRODUCTS-COMP/OPAGG S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Pet accident) 5 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accdent S H UMBRELLA LIAO OCCUR EACH OCCURRENCE S EXCESS IJAB Id CLAIMS-MADE AGGREGATE S DEO I I RETENTION S 5 A WORKERS COMPENSATION WC5-31S-318294-024 6/23/2014 6/23/2015 S�TATL,TE ETRH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT $ 100000 OFFICERIMEMBEREXCLUDED? ny NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100000 If yes•describe under SOOOOO DESCRIPTION OF OPERATIONS below E-L DISEASE-POLICY LIMIT S i DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES(ACORD 101,Additional Remarks.Schedule,may be attached I mom space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR MATTHEW BOROWSKI This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE • LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CER7 NO..: 21003207 CLIENT CODE: 1.409446 Lucy Garfield 7/25/2014 2:51:11 P14 (EDT) Page 1 of 1 t • C-5X,Woonmtox[[rea�/ Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR { UVIegistration: a28017 Type: xpiration 2/11/2015, Individual ! ,j f' MATTHEW M BOROWSKi',� ? . I MATTHEW BOROWSKt �... ' 73 WEIR RD � „^ � `g+ YARMOUTH RT,MA 02675 Undersecretary I Massachusetts Departn ent of Public,Safety~~ -Board of Building Regulations ac^I Standards 'Cnrictruction Supe6-isor License: CS-074669 � ;4 MATTHEW M BOtOWSKI, ; PO BOX 1173 y S�ENN1S MA 02660° n Expiration Commissioner 02/07/2015 -- Town of Barnstable Regulatory Services B"NSTABi g« Richard V.Scali,Director i639' ♦0 Building Division Tom Perry,Building Commissioner 2.00 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �� �x �lC 1 to act on my behalf, „ in all matters relative to work authorized by this building permit application for: Llwia ck Cw+�II 61� (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 5 •7J4� Pnnt Name Print Name Date Q TORMS:OWNERPERMISSIONPOOIS Town of Barnstable Regulatory Services ��aF E ra Richard V.Scali,Director Building Division 4 Y • �nxxsTasr Tom Perry,Building Commissioner hrass 1639- ,�� 200 Main Street, Hyannis,MA 02601 �Eo µpi a www.town.barnstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acbeptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to'do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a 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 Iast 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 I BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 CBT-Brown Res. Y - Garage/BR Add. Second Fir. Beam Date: 9/29/14 Selection W 8x 24 36 ksi Wide Flange'Steel w Lateral Support: Lc=6.9 ft max. Conditions Actual Size is 6-1/2 x 7-7/8 in. Min Bearing Length R1=0.9 in. R2=0.9 in. (1.0) DL Defl= 0.24 in Recom Camber=0.36 in Data Beam Span 20.5 ft Reaction 1 LL 3075# Reaction 2 LL, 3075# Beam Wt per ft 24.0# Reaction 1 TL 4551 # Reaction 2 TL 4551 # Bm Wt Included 492# Maximum V 4551 # Max Moment _23324'# Max V(Reduced) N/A TL Max Defl L/240 TL Actual Defl L'/335c LL Max Defl L/360 LL Actual Defl Attributes Section in3 Shear(in 2) TL Defl (in) LL Defl Actual 20.90 1.94 0.73 0.50 Critical 11.78 0.32 1.03 0.68 ' Status OK OK OK OK Ratio t56%) L,1606a IF TZOM C73%' Fb(psi) Fv(psi) E(psi x mil) Values Ref.Value Fy 36000. ;36000 29.0 Adjusted Values 23760 14400 29.0 Adiustments YP Factor, Lc 0.66 0.40 ` Loads Uniform LL: 300 Uniform TL: 420 =A Nu.409$ Uniform Load A I R1 =4551 R2=4551' SPAN'=•20.5 FT Uniform and partial uniform loads are Ibs per lineal ft. Additions io CxiskII buildings or structures are new construction and shall comply with the International Building Code. 1003._1A(101l1oimI +ora�•ity Ion(Is.Existing structural elements supporting any additional gravity loads as a result of add il;rns sh;iI l ctunlily % itli the International Building Code. The cumulative effect of the stress increase since oril:;iiial shall be considered. ExCeptinns: I . SiructtII;d C cM,eiits whose stress is not increased by more than 5 percent. 01 G rcui p 1: occupancy with no more than five dwelling units or sleeping units used solely for iclCnti I ) .irli scs where the existing building and the addition comply with the conventional light-frame )r,srrtic, OO M,Cthocls of the International Building Code or the provisions of the International Residential ("ode. 100.:3 I,iticr;tl-4nrce resistinb system.The lateral-force-resisting system of existing buildings to which additions are Muscle shall MI1411), WIL11 Sections 1003.3.1, 1003.3.2 and 1003.3.3. l�:xc,•pli,uis: • I. I�ui;tliat�: o!•Group k occupancy with no more than five dwelling or sleeping units used solely for r,sidenti purposes .\v1here the existing building and the addition comply with the conventional light-frame c,gustructlon nicthods of the International Building Code or the provisions of the International Residential Code. ?. )u of her c;iyJ n _, bl. 1(1 i nL,,s where the lateral-force story shear in any story is not increased by more than 10 100:—1A \'t•rtWc 11 acttliti ,tt.Any element of the lateral-force-resisting system of an existing building subjected to iu, inCrCa:FC iti 'J'I UC:Ji or Iilteril loads from the vertical addition shall comply with the International Building Code wand i ~o:isii); and ncc laiei-110tional Building Code level seismic forces specified in Section 101.5.4.1 of this cm1c. c''he,c:i. t ilddi ion Increases the building area less than 50%,the evaluation and analysis shall dc:nowtiv�ttc. c,),ohl ,ti : ,vt li reduced International Building Code 2009 seismic force levels as specified in 1001,' 11„rir ,,,i>,l addition. Where horizontal additions are structurally connected to an existing structure,all I;I,cr,' or�c ..• �.:,.Ln, cicnu:nts of the existing structure affected by such addition shall comply with the 1i1'$i r;,aiollo Odtii •�:(),-:' • \vind provisions and the International Building Code level seismic forces specified in Sc��tii�:t J 0M.3 a',\%u l t.+,t a r p %c`i,4l i i.i o n of structural elements to improve the lateral-force-resisting system.Voluntary at'liii•i ,,.a f(.>t t :su,al'cl'rn errs to improve the lateral-force-resisting system of an existing building shall comply \6,11 S,t tiol.. N l I)03..";.4 In-i ;;:,Faris ies. y:Vhere the addition results in a structural irregularity as defined in ASCE 7,all lateral to d-rc siStir:y actor.;! c,,diet is shall comply with The International Building Code 2009 wind provisions and th. rc:.uc;c1 h: .ru rfi irna;` b.ttild ng Code 2009 level seismic forces as specified in section 101.5.4.2. 1003."1 wnnr drd" ands.Atiy structural element of an existing building subjected to additional loads from the effects of sM ,\vth Ifi ;,s I ,•It of art tiddiiion shall comply with the International Building Code. The cumulative effect oj• the ., ress ,iicr a: ori,f;:iiul construction shall be considered. li,Xc eel ions: *irucaur; ' erits i,>se stress is not increased by more than 5 percent. Puilcli i t Croup 1' occupancy with no more than five dwelling units or sleeping units used solely for sIdeutt '.rposes %vliere the existing building and the addition comply with the conventional light-frame ConII[i U(' rnetllods of the International Building Code or the provisions of the International Residential CaIIOMI IAluscurn,•!( 6 F:,lnrcx,th=Rir;u1,Cotuit,MA 11/08/2012 Proicci ,Nwuhcr 1_`0 --- s L Page 9 of 32 BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 , CBT-Brown Res.. Garage/BR Add. Garage Beam Date: 9/29/14 Selection W 1 Ox 17 36 ksi Wide Flange Steel ` Lateral Support: Lc=4.2 ft max. Conditions Actual Size is 4 z 10-1/8 in. F Min Bearing Length R1=0.8 in. R2=.0.8 in., '(1.0) DL Defl=.'0.13 in Recom Camber=0.19 in Data Beam Span 20.5 ft Reaction 1 LL• 2050# Reaction 2 LL 2050# Beam Wt per ft 17.0# ; Reaction 1 TL R 2839#, Reaction 2 TL 2839#w Bm Wt Included - 349# 1-Maximum V }+e 2M9#- f - 3 Max Moment `14551 '# Max V,(Reduced) N/A. , TL Max Defl L/240 TL-Actual Defl L/532 7 - LL Max Defl ". L7 360 - LL'Actual Defl,, F/7-T36 Attributes Section (in') Shear,(in') .TL Defl (in) LL Defl .. Actual .16.20 , 2.43 0.46 '0.33 Critical 7.35 0.20 . 1.03 0.68 Status OK ,• ; :. OK y OK OK Ratio [45% f8%� # C45% f,"'49/o Fb psi Fv(psi) V}'E(psi x mil) Values Ref.Value Fy 36000, 36000 29.0 Adjusted Values 23760 14400 29.0 Adiustments YP,Factor, Lc, . 0.66 °' ' 0.40 r ;• ` Loads Uniform LL:200. Uniform TL. 260 =A A' e Fonoutb - r a •* PC N t f Of Uniform Load A R 1 2839 -R�39 A .. = T SPAN =20.5FT Uniform and.partial uniform loads are Ibs per lineal ft. A • � i y TABLE 1005.1 EC i�FSS V `1DTH PER OCCUPANT SERVED a - WITHOUT WITH SPRINKLER. SPRINKLER, . r , SYSTEM SYSTEM' a Stairways Other Other egress Stairways egress ` (inches components(inches per components per inches per occupant) occupant) ( P P ) (inches per 0CC11r NC'V occu ant) occupant) Occup.1 c icti other tl,.in those 0.3 0.2 0:2 0.15 listed 1)41ow llazard.,us.1-1-1 J 0.7 0.4 0.0.3 2 11-2•H-3and -1-4 , a � In ti rii M1F s tt I 7_ NA NA 0.3 0.2 , ' I oi-SI: I iil Ir =25.4 nun.NA=Not applicable. �. Builds ,s cgi1il)j)ed iltroughri� -ill, an automauc sprinkler system in accordance with Section ''1 15-!.l.or 903.3.1.2 100 .2 Door encro>icltut("1,t. Doors., when ("ally opened'' and'handrails shall not reduce the required means of e��r--s•; \widtli.by inches 1178 1nm).Doors in any position shall not reduce the required width by more then me-teal['. Oiht2 lj non structural l irllcc ions sucli as,trim and similar decorative features shall be permitted to ptc jccl- into the to lti"ircd width a mil:xHim;: e l l inches (38`mm)on each side. Roor Area Sq. Ft: /Occpy Occupancy Load Lower 11160,;;— — - -- Classr000 Arc , 423 20 22 _Art Slor i e areai - 290 300 1 Fire Proiecljon --- -_- 300 1 Room HVAC Rrootrl ,. = -- 300 1 Elevator z :;tail;naen( t ---- 300 1 `I n ,,A - `� i CVVE_RF1$p(0R r 26 s OCCUPA Y— ----= - Ct,s l cst _ 538 100 6 .— --. (� r _ 1 596 Y' 5 319 38 s' .z L .� • �.- -- •� -' -� 30 15 �I"t el fit} s' 281 300 1 T,5- -- I C.�OR 341 E, m1468 . 100 5 G s'1 r v 843 5 169 174 Cali r�7r;e1ai�.C,fir..14� cnr� tRlti i"?o id,C ttk14 .0 � �i: ' - 11/08/2012 Page 20 of 32. I BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 CBD-Brown Residence Add/Alt Ridge Beam Date: 10/07/14 Selection (2)1-3/4x 18 1.9E TJ Microllam LVL Lu=0.0 Ft Conditions NDS 2012 Min Bearing Area R1=6.4 inZ R2=6.4 in (1.5) DL Defl= 0.25 in Data Beam Span 19.5 ft 'Reaction 1 LL 3071 # Reaction 2 LL 3071 # Beam Wt per ft 16.19# Reaction 1 TL 4765# Reaction 2 TL 4765# Bm Wt Included 316# Maximum V 4765# Max Moment 23228'# 'Max V(Reduced) 4032# TL Max Defl L/240 TL Actual Defl L/426 LL Max Defl L/360 LL Actual Defl L/778 Attributes Section in3 Shear inZ) • TL Defl in LL Defl _ Actual 189.00 63.00 0.55 0.30 Critical 113.28 21.22 0.98 0.65 Status OK OK OK OK Ratio 60% 34% 56% 46% Fb psi Fv(psi) E(psi x mil Fc (psi) Values Reference Values 2600 285 2.0 750 • ' Adjusted Values 2461 285 2.0 750 Adjustments CF Size Factor 0.946 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00., 1.00 1.00 1.00 CI Stability 1.0000 Rb=0.00 Le=0.00.Ft Loads Uniform LL: 315 Uniform TL: 473 =A Fobnotgb bA - Uniform Load A R1 =4765 R2=4765 SPAN= 19.5FT. Uniform and partial uniform loads are Ibs per lineal ft. 1i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma' � Parcel dZ �NNonl #' Health Division Date Issued 2J 2,i N Conservation Division Application Fee 0 Planning Dept. Permit Fee ot ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 30 GE,, - IL(- V�b� Village � � Owner L � W Address L_4VYQ�Ct_ Telephone 23 v-7 L&:3-, 'Permit Request fL�C'C� iv - � ltJ c� _ 1 Square feet: 1 st floor: existir,6{proposed Zv 2nd floor: existing- proposed zy Total new, 6�0 Zoning District _ Flood Plain Groundwater Overlay Project Valuation 7 i Z� Construction Type Lot Size 17 � `3� � Grandfathered: ❑Yes �No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure ` rS Historic House: ❑Yes-.9No On Old King's Highway: ❑Yes JNo Basement Type: A Full ❑ Crawl ❑Walkout ❑ Other - � Basement Finished Area (sq.ft.) Basement Unfinished Area, .ft) 7 &e Number of Baths: Full: existing new Half: existing ? --newQ \: Number of Bedrooms: 2-- existing ( new Total Room Count (not incl ing baths): existing new 2— First Floor oom Count , Heat Type anZes P: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑ 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 sizdlo 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 ���� �� �� ��16V ire TeleP hone Number . L( Address 2//e X//C/Cl WGGLC '12112� License # 106 5_�; Home Improvement Contractor#EMA I Y1446%) Worker's Compensation # ALL CONSTRUCTION/DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO s , \ IN SIGNATURE -DATE f FOR OFFICIAL USE ONLY P _ ' TPPLICATION# V4 `M _DATF:ISSUED k. MAP[PARCEL NO. a . ADDRESS VILLAGE y ,r OWNER a I' ` 1 DATE OF INSPECTION: e _i r L FOUNDATION€� #�,s; FRAME _INSU.LATION_. '� ZOLA }' G,s P,r ; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ti FINAL BUILDING` f i DATE CLOSED OUT ASSOCIATION PLAN NO. ' '✓' SINE T°i, Town of Barnstable Regulatory Services, BARNM M QQ E Thomas F.Geiler,Director i639. 'O�EnMnrA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 4, 2014 Michael Sawyer 21 R Nicks Rock Rd. Plymouth, MA. 02360 RE: 30 Limerick Court, Centerville, Map: 169 Parcel: 082 Dear Mr. Sawyer: This letter is in response to application number 201400169 submitted to construct an addition at the above referenced address. Unfortunately, the application can not be approved at this time because of the following: 1) Plot plan showing the location of the addition in relation to the property lines is needed. 2) Second floor joists do not show compliance with 780 CMR. 3) Construction documents submitted are not accurate. 4) Construction documents submitted are incomplete. 5) All structural steel requires Massachusetts engineer approval. Pease submit the required documents. If you have any questions, do not hesitate to call. Respectfull , Lauzon Local Inspector (508) 862-4034 jeffrey.lauzon@town.bamstable.ma.us �IVF, Town of Barnstable, y' . Regulatu y. Services ' �lu'srae Thomas F. Geiler, Director: Mils �+ Building Division ° Thomas Parry, CB0,building Cammissioner 200 Main Street, Hyannis,MA 02601 www.town barnstableama.us Oiffaca: 508-862-4038 Fax: 508-790-623 0. ' PLAN REVIEW Owner: Map/Parcel: 0$22 Project Address 30 SEMCK Cr Builder•: The following items :were noted on reviewing: snD I°I-fit 3 2x(.o FL-D02 ;50ZZ 5 OVC+lSPAVAJ Reviewed by: DatE:_ f f L7// The Comer ommalth of Hassachuselts Deparh ent of lidustrial Accidents - 0YWe of investigaffons 600 T ffyk ngion Street Boston,MA 02-HI nwiv.anas&govIdia Workers' CampensafionInsurance Affidavit:Builders/ContractorsiElectricians/Numbers Applicant Information f / Please Print : . h Name(Bnsme�sJ6rganizationlfndi�tidnalJ: /ld7lde/` el t.,I& Address:-2/ 2 16->c-1c AeVS CityfStatrlZip /r z j/!��/�//( d Zw Phone� —so lJ Cp 60 : i Are you an employer?Check the appropriate box: Type of project r 4_ I ajm s contractor and I � (���� 1-❑ I a employer with ❑ � -6. ❑New consfructioa loyees(fulland/orpart-time).* have hired the sub-contradors 2_ I am a sole proprietor or partner- listed on the attached sheet y- ❑Remo berg ship and have no employees Thy sees an tra have. have g_ ❑ litiou waikmg for me in any capacity employees and have woYj,ers' 9_ Building addition [No workers' Comp.insurance comp_insuranm, required] 5_ ❑ [Tile area corporation and its 10_0 Electrical repairs or additions 3.❑ I am a homeowner doing all word, officers have exercised their 11..❑Plumbing repairs or additions myself[No workers'comp. right of eiemption per MGL 12-.❑Roof repairs insurance repaired_]T c.152,§1(4),and we have no, employees_[No workers' 13_❑Other comp.insurance required]; *Airy appbarae that checks boarl must also fill out the suction below showing then wo�rers'compenseliau pnlic}irmati T FLameowners who submit this afbdarnt indicating they nra doing all wools and dren hire outside contractors amsi submit a new affidacit irnX�finv such_ =Contractors that ctieck this bear must attached an additional sheet showing the name of flie sate o rS and state whether ornot those entities have employees. If the mVcontmctars have employees,they mast pmvide their workers'comp.policy number. I am an employer that ispm iding workers'compensation insurance for my employees. Beloty is Ste policy and job site informahan. Insurance Company Name: Policy 9-or Self-ins-Uc.4: Expiration Data: Job Site Address: Cityi StatelZip: 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 ofcriminal penalties of a fine up to$1,500.00 and/or one yearimpriso ,as well as civil penalties in the form of a STOP STORK ORDER and a fine of up to$250.00 a day against the violatar- Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for in_®ara+ce:coverage vetification- I do hereby certify re the pains and p nalfies ofpedary that the information prot¢ded abm, " bw a correct Simatm ._ Date: Phone CJjkiat use only. Ike not write in fills area,to be completed by c or town official City or Town: PermitlL tense 9 Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#:. 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.' Pursuantto this statute,an employee is defined as"_..every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in.sttrance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certficatc.(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial " Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departraent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affiLvit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of M&ssachusetts Depaitmitat of Tndustdal Accidents Office of lmvestigatxans 600 Washingtan Street Boston,MA 02111 Tel.#617-727-4900 W 406 or 1-& MASSAFB Revised 4-24-07 Fax#617-727-7749 www.mass_gov/dia l ATYC Guide to 1,Vood Construction zn HMI Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (7so CNIIR 5301.2.1.1)' U Check Compliant �. 1.1 SCOPE WindSpeed(3-sec. gust)...........................................................:...................................................... 110 mph Wind Exposure Category .....................B Wind Exposure Category................Engineering Required For Entire Project.......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in.12 slope shall be)nsidered a story) .L stories 5 2 stories Roof Pitch ............... . : j Zi 1 12:12 MeanRoof Height ..............................................................(Fig 2)....:........................................- ft BuildingWidth,W ...............................................................(Fig 3)...................:..................._........ ft 5 80' Z Building Length, L ..............................................................(Fig 3).................................. .:.... ft 580. 21 Building Aspect Ratio(L/W) ..........2..:.............:....................(Fig 4)...............................:..........::.... _<3:1.1 � Nominal Height of Tallest Opening ...................................(Fig 4)................................................ a 5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing oDnnections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...................................................:..:.........................................:.............................. ConcreteMasonry................................................................................................................................... 2.2'ANCHORAGE TO FOUNDATION'' 5/8"Anchor,Bolts,imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete onl�'_ Bolt Spacing-general ......... ..........................(Table 4).............................................. �in. Bolt Spacing from endrjoint of plate................:............(Fig 5)......................................-in.<6"-12 Bolt Embedment-concrete.........................................(Fig 5).....................................:...,:...... 7 in.>_7" p�� Bolt Embedment-masonry........................................ (Fig 5).....:......::.............................. in.>15" '✓ PlateWasher..:.............................................................(Fig 5)...................... _3"x 3"x Y� 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 Wails or Sheanvall...:............(Fig 7)...................................................._ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft 5 d FloorBracingat Endwalls....................................................(Fig 9)................................................................... Floor Sheathing Type ..........:........... ................................(per 780 CMR Chapter 55).......................... ., ..... Floor Sheathing Thickness ............:..............................:...:.(per 780 C Chapter 55) ,..:.................. in. Floor Sheathing Fastening.................................................(Table 2).. d nails at-U_in edge/ in field 4.1 WALLS Wall Height Loadbearing walls..........:..........:..................................(Fig 10 and Table 5)...........................L�ft 510, Non-Loadbearing walls...................................................(Fig 10 and Table 5)......,............. . .... ft 5 20' Wall Stud Spacing ' .......................... .............................(Fig 10 and Table 5).................... in.5,24'o.c. Wall Story Offsets (Figs 7&8 s 4.2 EXTERIOR WALLS t' Wood Studs Loadbearing v4ls............................................ (Table,5)..............................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 (if WSP not used)....:............:.(Fig 11)............................................ >_0.9W � �and 2 x 4 Continuous Lateral Brad`a�@ 6 ft.o.c. ..(Fig 11)............................................................. or 1 x 3 ceiling fuming strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate ; Splice Length ....... ... � P 9 ... ............. .. (Fig 13 and Table 6)...................................._ft � Splice Connection (no.of 16d common nails)..............(fable 6)......................................................... A— • AWC guide to Wood Construction in. High TVind Areas: 110 mph tVind Zone Massachusetts Checklist for Compliance (7s0 CA1R5301.2.1.1)r Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7)..................................................... V/1" 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 jo Table 9) Header Spans ..............................(Table 9)............. ft Oin.5 11 .......................... ...................... SillPlate Spans ........................................................(Table 9).................................. ft in.s 11' Full Height Studs (no. of studs)....................................(Table 9)....................................................... 2 Non-Load Bearing Wall Openings(record largest opening but check all openings for comply- ce to Table 9) HeaderSpans..:..........................................................(Table 9).................................. ft a in.<_ 12 Sill Plate Spans...........................................................(Table 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 ............................................................................. 5 6`8" SheathingType..............................................(note 4).................................................,...J��� ' Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................in. Field Nail Spacing...................................j.....(Table 10)................................................. ..X Shear Connection(no. of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing........:..........:...(Table 10)....................................................3i% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... Maximum Building Dimension, L . N 1.691 Nominal Height of Tallest OpeningZ.....................................................•................ '. ' _-6'8' SheathingType..............................................(note 4)..................................................... Ilo Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing...........................................(Table 11)................,.................................. Shear Connection(no.of 16d common nails)(fable 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 S an Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ..........,.. ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= �f � f Lateral.............................................(Table 12).............................................L_ plf Shear............................:..................(Table 12)............................................S= pill, . Ridge Strap Connections, if collar ties not used per page 21... (Table 13)........ .....................T= plf Gable Rake Outlooker.................: (Figure ure 20 ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls / Proprietary Connectors ---ZZ,, Uplift................................................(Table 14)............................................U�.�t Zlb. Lateral(no. of 16d common nails)...(Table.l4).......................................L 4f..l Ib. _1� - Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 an p)............ Roof Sheathing Thickness.....................................:..... ....................:........................�F in.?:7/16-W pp WV Roof SheathingFastening ... able 2 7 i Notes: 1. . This checklist shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated 92-gr6de. AWC Guide to {rood Coustructioir in iliah 6VindAreas: 110 mph IVhnd Zone Massachusetts Checklist for Compliance (780 CNIR 5301.23:1)' _ 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: i. 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. x3, S-YMEN THIS EDGE RESTS ON FFiAI.IwGUsEad NAILS ° -' I11A c 11 ll !I al I! 1 .11 11 1 r Q t Z: } 1 ►- ii ii m i 1 d �FtF 1 I{ 'd rl rr (7 - ' Z 1 1 ._•.� �r'�o If II 1- m ! rp 1 Ir 1 C i - 1 1ILI is I'll 1 1 ' FRAMING MEMBERS EDGE ERE MEDIATE ' w IN ii ' 1' 2 I u r 1 IL u IJ I J a 11 CC t l 318' r 11 O ii iiF i I K. li Il 1l 1 1 3.I r N I 1 1 , I I 11 ,1. • r t 1 i 1 {1 {1 1 STAGGERED NAI�sPACkJG r ; w.IL PATTERN PANEL {t PANEL ?— ' � PANEa EDGE � DOUBLE'lL4Il EDGE SPACM DETAIL See Detail on Next Page Vertical and Horizontal Nailing Detail . for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment Town of Barnstable Regulatory Services MASSka Richard V.Scali,Interim Director 039. �0 o " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must _ Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authoriz � / �'"��il� to act on my behalf, in all matters relative to work authorized by this building permit. (Address of job) Pool fences and alarms are the responsibility of the applicant. fools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. F r Signature of Owner Signature of App cant ~ DC1, i 417�— ' Print Name Print Name /Ila Z&/ Date Q:FORMS:OWNERPERMISSIONPOOLS 10/13 . 1-V vY u vi Regulatory Services try Richard V.Scali,Interim Director ' Building Division Tom Perry,Building Commissioner annis,MA 02601 200 Main Street, Hy 16319k www.town.barnstable,ma.us Fax: 508-790-6230 Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: village number street "HOMEOWNER": work phone# home phone# name CURRENT MAILING ADDRESS: state zip code cityltown ".ws extended toinclude owner occupie The current exemption for"homers d dwellings of six units or less an to ow homeowners to engage an individual for hire who d DEFINITossess a license,provided that the owner acts as supervisor. ION OF HOMEOWNER or two- e and/or farm structures. e person who constructs more than one who owns a parcel of land on which he/she resides or intle�nds to reside,on which there is,or is intended to be,a one a form Person(s) family dwelling,attached or detached structures accessory to such nsible for all such work erformed under the buildin ermit. (Section home in a two-year period shall not be considered a home owner. Such"homeowner"shall submit to the Building official on acceptable to the Building Official,that he/she shall be - 109.1.1) dersi ed"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, The un gn bylaws,rules and regulations. ed"homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection The undersign uirements and that he/she will comply with said procedures and requirements. procedures and req Signature of Homeowner App_,Building Official _ dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Note: Three family g Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION shall be exempt ng rmit is Th e Code states that: "Any homeowner performing work Supervisors);isoP);pro vided that if the homeowner from the provisions of this section(Section 109.1.1-Licensing of construction engages a person(s)for hire to do such work,that such Homeowner shall.act as supervisor." uming he responsibilities of a supervisor. Many.homeo wners who;use this exemption are unaware that they are sa5ecction 2t15) This lack of awareness often (see Appendix Q,Rules&Regulations for Licensing Construction Supervisor , in serious problems,.particularly when the homeowner hirSuuerhvcissore The homeowner acting o s Supervisor is t results P proceed.against the unlicensed person as it would with a license p ultimately responsible. :... of To ensu re that the homeowner is fully'aware of his/her responsibilities,he resp onsibil tie of communities Supervisor. On the last page permit application,that the homeowner certify that s. she understands cans P of this issue is a form currently used by several towns. You may care t amend and adopt such aform/certification for use in. your comimunity. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc V Revised 061313. ,u, S 30d,by OU1111526, Parasl_482 _ •34 3841. 32 -30, 8 ,.L— ..., , ,Je �� -_ -_---- - -30 • -32- t �� ailsrrrnis , Moose J 8 PR ENCM _ , C�JECr_ STOP ON FOUNgA110N EV. 32 f5.00' x S4-- ^ N 34d 49' ,26" S e� ,w LI11I RLCK : CO UR W (40 FOOT,RIGHT OF I VAY) i x - ;u n: t t t�+ �..� ten, G r �-•"`y" £'� �.�» +, »w+n.-n,.+-..�.ti,. Y r..e• :C��6/�� 4+.7'�d+��` 'K..3 f .y,y .......—�..f�. .,.».».+...w..�. � «- t t� Vc�r + yNr ! fit C400 r. -------------- d "f A S} i t ti t It ,A`^ rN ' inv Ul t r f�- -� �:- -...r.w. `� .,t ..� �..,....,,,.n..+,�„�.s,,,,,,-.......+-..#w..,.��...�., .w..w...'..�.A:JiY--w:�..«..:.-•�.-.. .w.•...++...��....•,..�..��..+.r..•..r•.�........dw...�......w.. F �k M ` CIO 1_ J t F �Y•v+ j,1, F:�A 0&{" .r'y � ,y,,q Lg �bp4? 1 � , f -.SUSTAINABLE Weyerhaeuser T01,14N OF RAPIST F,LE hlRESTRY EF PH lA IVE A i February 4,2014 Dave McClain DI.V y Falmouth Lumber 670 Main Street East Falmouth,MA Re:Sealed Calculations Tech Call#:29341 Brown i 20 Limerick Ct. Centerville,MA Attached are ForteT"calculations and a Job Summary Report for joist,beam,and/or column applications that have been prepared for the above referenced project based on information provided by Falmouth Lumber Co. The calculations have been identified in the Job Summary Report and by the date and time in the lower right hand corner of each sheet: 2/4/2014 10:57:13 PM Many uniformly loaded joist and beam calculations can be verified by referencing the applicable span charts within the appropriate product literature.These common conditions covered by span chart literature may not have been addressed via individual calculations within this package. Each analysis reflects the Trus Joist®product,depth,and size that can structurally support the input loads shown.The professional engineer's seal on this letter verifies that the analyses presented conform to accepted engineering practices and use code-accepted product design values.Although I have not reviewed the project plans or visited the jobsite,we guarantee that our products will meet the strength and deflection requirements as shown in the attached calculations,provided the input model and loading are correct. All notes and design load information shown on these calculations should be reviewed with the building designer and/or the local code official to ensure that the loads,spans,and other conditions are correct and/or acceptable for the specific application.Building inspectors and/or owners should identify the"TJI®","Microllam® LVL","Parallam®PSL",or"TimberStrand®LSL"markings on Trus Joist®products to confirm that this letter is valid for the products actually installed. Please feel free to contact me if there are any q> stJo r,g'9rUing the analyses,I can be reached at(856)596-5555. Sincerely, �'. , 8 4...` d >� Robert A.Kuserk,PE Structural Frame Engineer : 1000 Lincoln Dr.East,Suite 313 • Marlton,NJ 08053 • Phone 856-596-5555 Fax 856-985-9806 MEMBER REPORT Level, Wall:Header PASSED 2 piece(s) 1 3/4" x 11 7/8" 2.0E Microllam® LVL Overall Length:16'6" t ffmt - �.r .M 16' o a All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results` ACt ai It LDF LoadrCombinabon(Pattern) System:Wall >, Member Reaction(Ibs) 3147 @ 1 1/2" 7875(3.00") Passed(40%) 1.0 D+1.0 L(All Spans) Member Type:deader Shear(Ibs) 2674 @ 1'2 7/8" 7897 Passed(34%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-lbs) 12592 @ 8'3" 17848 Passed(71%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.340 @ 8'3" 0.542 Passed(L/574) 1.0 D+1.0 L(All Spans) Design Methodology:ASD Total Load DeFl.(in) 0.648 @ 8'3" 0.813 Passed(L/301) 1.0 D+1.0 L(All Spans) •Deflection criteria:ILL(L/360)and TL(L/240). •Bracing(Lu):All compression edges(top and bottom)must be braced at 11'11 7/8"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. ,i Bearing Lengtfi s ds to SuPports0(Ibs) s a Supports mTotalAvaiWble Required Dead x Floor Snowy Totals Accessories 1-Trimmer-SYP 3.00" 3.00" 1.50" 1497 1650 165 3312 None 2-Trimmer-SYP 3.00" 3.00" 1.50" 1497 1650 165 3312 None I n6utary Dead floor live` Snow Loads lowbon Wrdth w(0 90} (1.00)„. ,, (345) Comments, 1-Uniform(PSF) 0 to 16'6" 5' 12.0 40.0 - Floor 2-Uniform•(PLF) 0 to 16'6" N/A 100.0 - - Exterior Wall 3-Uniform(PSF) 0 to 16'6" 8" 15.0 30.0 Roof Wey�. e'rfiaeu5er NOtes �,- N,;, SUSTAIVABtF FORrsTRv m1T!arivE. 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. The product application,input design loads,dimensions and support information have been provided by Falmouth Lumber --— — - --._. .... ..... --- -- ............... f...- Forte Software Operator i Job Notes 21d.,.'20" "': :57:13`(tii ^,c:r[KusrrK B€ ownForte v4.l,.Design cnglfle.VD 7.�i.L4� \sEi'i •'<f;iser 1 20 uimie.rick.C:t i x,lA Page 1 of':. __.._.._.__........................................._......._..........-.-__-_;___........................._...._..............-..-..-............................................_.........._....._._..................................s .w� . ,. .. BRQ-, Nm 2NID 11 R r�`&AM t , Y «- Member Data l Descriatiom to mibof Type:Bearn Applicition:1m lopi, is Tula L itoral Braa€xc.Conlinuouz� §: Boilotn Lateral Braoi%ContlnilOUS c.; K4,nis E_.e Gonditioit r Building Code.%,'IC t,ir _ars Lo�,�: ;� rl Liv Load,, t'f..F= !fir ftec€icr.Clit ( r.;3€Q live,L12410 iota' ". Dead s. c!c< tt'C'!_t` Deco t:.oiRraiac 6ipt3.is,,,itc ct tt{>fnkc€ i a lit: 24.0 PLY I t IlE€�a�7c KY62 Other Loads hype 7rih. Other Dead (Description) Star Begin Ord Width Stitt End Start E.r+rt ("'It""gory 3Y r nl i)£ fz f l T t3' 0 " 21 (� ,n�� t� 120 __._. _ _ ,. r a3 E i I err x Bearings and Reactions Input Min Gravity Gravity Location 'Iyprz. Leof)th Required Reaction Uplift. 1 €J.i.)i).:t V,)ali St_:>C� 5.5t}0" tdr'A 5502# 2 2' [ (1l{ WdaII St>3l?4 s 0P WA 5W24 Maximum Load Case R{;actions t.We Dead i LY"xr 3� j 5 {y LJ9::Jigi�-,pans .....�,......_ .,. .... 11 2U, v'nc,n•' ' Product: 8 x 24 (50ks ) PASSES DESIGN CHECKS Design a�slrr)CS c>;3rtitnuouS literal bracing along the top chord. ! Design rs,,urnes contiruwii-�lateral braeh:g along the bottnm chord. dl 7 Allowable Stress Design Actual Allowable Capacity Location Laadirig � 1-'(,skfio 14cG:T rt' .3 ,4rr'kf# 480/1, 10's l ',Tr Loa,`L) L k;a 4i< 1o«f t G 1 U+L, LL t,51_c;tir,v� 6? §" n(37 r •, Lt 3°✓a 10.5' l xf(i 1... C�i t 0.r547' l 4'i�a` L'2� 10 5 v _ E C m i if. •LL••Y•„ .iC�'.,'y..., ,. :1r.� ,i t )t If Rlf t::.^^C° ':<�'IIF,:M ^m,-�iYSrS�•, rra.,mA[ralesT3n� .a• +u;...�e,..sa.�d.37£ a �7¢y:amz r-:� a„n -,sn._i i,i c£_"�r.� 3 c.�_.w..,.. .. ___-.,,, =-=-.,,„•. ..._-._ .�._--sc._xr.:.- ...,W..r--�-.:.:..:.:.........__�____�s_-mom-.�-.�. ..��.,,..-,..�..- __. 3 S1 O%V% L' I S 'I L R ttl:, 'vI 4 NIA F' Member Data F Description. I't inabf r Type.Beam Applic-atiom Floni Iop t,aL,;rail I icier n l;r.ontinVOIIIS Bottom I. 11Pr ( CC)Man?ous I:r 1a1:1 Load: Moisture Condition,:ter}£ Building Code:ISBC Live Load: l betleerfjori Certeda Ur 630 tine,L,(�4)r0l.al Dead Load: I 0,P I..i= ()ec o,nnoct,-,on N nlled t','Ian,t)er Weiah!: ITO PIA' F;?r name'KY81 Other Loads i tvaa islti. Other Dead It escntatirr€zt Side acsjio End vVidth Start 5f)d Start. list Catc,gory Unttor n(Pt-�) ENE" a z3 Cz E 21 :J f9 Bearings and Reactions Input thin Gravity Gravity Location Type Material Length Required Rn.nctrcm Uplitt .._F it 'i Wall St-el 5.5001 Nip, 543211 3 0£ibltt' '."JAI 3 te"r r 5 01' NIA 3 # 3'�rzl ci ..,... s ...,_.--M".... .�,..v...—.« ..�_�._,.,. .,,._.a_______.» .,._....................>....»>, 1� : xir uni Load Case Reactions L i v v Dead 75 _..__ ... _._.. .--------.... _."...._. ". ... ......" fProduct: W 10 x 17 ( O si) PASSES DESIGN CHECKS I. Eg 1 j clemign assu}nes continuons latest bracing alang the top chord. I fl ©e;iun ,t orrrr ;continuous lateral bracing along the bottom chord. I I' Allowable Stress Design I` Actual Allowable. Caraac"Ity Location i aatlirrg 2 714 44 551K# ,,1 is; ItS,;a' To,al Loacl D-1.. I.. r 6-o*W 4BA8k# Pita CI' 'octal Load D4,L is Ci.k34611 0,674Sr U382 10"Y falFal Load, t3.8ti3r�` 1011& U2114 `06 otclLtaadD I t UO �C9 W s11c r i srsn, .....:.,, z.,vss„ma»a.,� »»,».. »,,.u»z. ,_. ,w.o-r•;..,F,, nm,c..._.....,,, :__`'-.-.ems-.,.,,. _. ....�..r.... .. .. E , _ BROWN 2ND FLR BEAM 2-4-14 a '> ` ? 30 LIMERICK CT 1:58pm CENTERVILLE,MA 1CeyBcam�4.000d ry " IcmBea-Engine 4.6026 - .. M atcrials Database 1429 Member Data Description: Member Type:Beam Application:Floor Top Lateral Bracing:Continuous' Bottom Lateral Bracing:Continuous Standard Load: Moisture Condition:Dry Building Code:SBC .. Live Load: 40 PLF.. Deflection Criteti.a:.,1460.live,L/240 total Dead Load: 10 PLF Deck Connection:Nailed Member.Weight: 24.0 PLF Filename:KYB2 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End . Category Replacement Uniform(PLF) Top 0' 0.00" 21' 0.00" 400 120 Live 21 0 0 21 00 .. t Bearings and Reactions Input Min Gravity y Gravity Location Type Material Length Required Reaction Uplift , 1 0' 0.000" Wall Steel 5.500"' N/A 5502# -- 2 21' 0.000" Wall Steel 5.500" NIA 5502# -- Maximum Load Case Reactions used forappiong point loads(orline loadstto carrying members • _ - r - Live Dead 1 4046# 1457# 2 4046# 1457# Design spans 29 2,750" Product: W 8 x 24 (50ksi) PASSES DESIGN CHECKS Design assumes continuous lateral bracing along the top chord. + r Design assumes continuous lateral bracing along the bottom,chord. { Allowable Stress Design Actual Allowable -Capacity" Location Loading Positive Moment 27.83'k# 57.4Tk# 48% 10.5' Total Load D+L, Shear 5.50k# 38.86k# 14% 0' Total Load D+L . LL Deflection 0.6284" `._ : 0.6743" U386. :- 10:5' Total Load L TL Deflection 0.8547" 1.0115" U284 10.5' Total Load D+L. Control: LL Deflection .r ®® SN OF MASS ®®® Gs .® o� DOMENIC W. �a DeANGELO , v STRUCTURAL !i%1 c No.3506 a All product names are trademarks of their tespedive owners Copyright(C)2013 by Simpson Strong-Tie Company Inc ALL RIGHTS RESERVED. - M• . ^Passing is defined as when the member.floorjolst,beam orgirde4 shown on this drawing meets applicable design criteria for Loads.Loading Conditions.and Spans listed on this sheet.The design must be reviewed bya qualified designer ordesign professional as required forapproval.This design assumes product installation according to the manufacturers specifications._ - - r BROWN ISTPLRBEAM 2-4-14 30 LIMERICK CT. ��'s=�" �__s:a.•wrt=_iw=; I:SSpm CENTERVILLE,MA I of I KeyBeam®4.600d - kmBcamEmg ne 4,6026 Materials Database 1429 Member Data Description: Member Type:Beam Application:Floor Top Lateral Bracing:Continuous Bottom Lateral Bracing:Continuous Standard Load: Moisture Condition:Dry Building Code:SBC Live Load: 40 PLF Deflection.Criteria: .L136.0 live,U240 total Dead Load: 10 PLF Deck Connection:Nailed Member Weight 17.0 PLF Filename:KYB1 Other Loads . Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PLF) Top 0' 0.00" 21' 0:00'.' 400 ._., 120 Live O •21 o,o /— 21 0 0 ; Bearings and Reactions >.r Inputrt Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.0001, Wall Steel 5.500" NIA 5432# -, 2 21' 0.000" Wall Steep 5.500 NIA • ,5432# -- Maximum Load Case Reactions Used forapplying point loads(orline leads)to anying members Live Dead 1 4046# 1386# , 2 4046ir 1386# p! Design spans 20' 2.759' Product: W 10 x` 17 (50ksi) PASSES DESIGN CHECKS Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord.. ` Allowable Stress Design Actual ,,Allowable,;, Capacity Location Loading Positive Moment 27.47'k# 44.55'k# 61% 10.5' Total Load D+L Shear 5.43k# 48.48k# 11% 0' Total Load D+L LL Deflection H346' 0.6743" L/382 10,5' Total Load L TL Deflection 0.8519" 1.011511, 1/284. - . 10.5' Total Load D+L Control: LL Deflection tH 0FM46. ®A® DOMENIC W. Gs v DeANGELO _4 a STRUCTURAL � >� :. - :a No.35062 ma's _, An product names are trademarks of their respective owners +1 Copyright(C)2013 by Simpson Strong-Tie Company Irie.ALL RIGHTS RESERVED. ^Passing is defined as when the member,goorjoisi,beam or girdet shown on this drawing meets applicable design criteria forLoads,Loading Conditions,and Spans listed on this , sheet The design must be reviewed by a qualified designer or design professional as required for approval.This design assume;predud installation aanrdmg(d Ne manufad cars specifications. I IJ � Z./�/�R iCA_ 'V a - f N.3¢-49 m ti �6 r zo i 7 ¢ - '/^ter.:f-- _ L. N 1 I w •��/ j l7 T!) o ROBLRT ----- -- = S 30` S7 �3 t� �y 1� QUMIKIS No.8420 If 7 FQL6 Tt% a do s ! CERTIFIED P!_0T PLAN 1 .� - "6.�7m.•ii�s_::s......=-_. -.e.. _ram.�:., - _ �W CONSTRUCTION ONLY t C�7�i%E7Zy'%L_1.4i rOP CIF FOUNDATION IS 19,1 FEET IN i kBOVE - LOW POINT OF ADJACENT 5.�1►� ����J �� . 2 GAD. SCALE: / 4r," DATE : .9 77 "LDREDGE ENGINEERING CO /lllC ''-r Ar �•9 I CERTIFY THAT THE f0 O'+r���'T/a� CLIENT°, SHOWN ON THIS PLAN 13 LOCATED EOISTERED (REGISTERED ERED - ) CIVIL I LAND* J08 NC`. 77( 7 ON THE GROUND. AS INDICATED AND ENGINE SURVEYOR OR. BY=`% �''I. CONFORMS TO THE ZONING. LAWS OF BARNST 8-LE ,'MAS . 53 NO. FAIN ST 712 MAIN ST. CH.BY. �, /' - YARMOUTH, MASS, HYANNIS, MASS: }� ! 1,� } �— — SHEET.;/OF I DATE REG., LAND SURVEYOR THE T� Town of Barnstable ;. Regulatory Services} BMMSTABLE. � V F v� MAss $ Richard V. Scali, DiTe�tdr . Building Divisjot Tom Perry,Building Commi`'ssioner '€ ' 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038f '' �! Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT //� I, Construction Supervisor License :> , hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # H , i�;sued to (property address) U C��./-d � - a y�l on � , 201'f. I also certify that on l[/ / , 201 , 1 notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. r LICE HOLDER DATE q/forms/newcontr reference R-5 780 CMR rev:040414 r pUIME Town of Barnstable Regulatory Services * EARN ABLE, • v Mass. g, Thomas F.Geiler,Director • i639 �� , 1°tF139 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 4, 2014 Michael Sawyer 21 R Nicks Rock Rd. Plymouth, MA. 02360 RE: 30 Limerick Court, Centerville, Map: 169 Parcel: 082 Dear Mr. Sawyer: This letter is in response to application number 201400169 submitted to construct an addition at the above referenced address. Unfortunately, the application can not be approved at this time because of the following: 1) Plot plan showing the location of the addition in relation to the property lines is needed. 2) Second floor joists do not show compliance with 780 CMR. 3) Construction documents submitted are not accurate. 4) Construction documents submitted are incomplete. 5) All structural steel requires Massachusetts engineer approval. Pease submit the required documents. If you have any questions, do not hesitate to call. Respectfully, Jeffrey L. Lauzon Local Inspector (508) 862-4034 jeffrey.lauzon@tov'm.bamstable.ma.us PROJECT f NAME. ADDRESS: PERMIT# C-�) PERMIT DATE: a� LARGE ROLLED PLANS ARE IN: BOX 13 . SLOT tH Data entered in MAPS program on: -2 I BY: S q/wpfiles/forms/archive �_:.� �.. 1 Ll Z-107- i.S �7, csy 3o` .S7 3 �� ". 1i / P. i • (�� BUMIKIS M no.8420 ?� ,'pF Alto s CERTIFIED KOT PLAN_ _W CONSTRUCTION ONLY , FOP Of FOUNDATION IS 19,1 FEET IN � IBOVE LOW POINT OF ADJACENT t GAD. SAgh g fASJLI AASS. _ SCALE: / 4-,() DATE : / / 9 '77 'LtrREDGE ENGINEERING CO !NC `rc-ti4GuA CLIENT . I CERTIFY THAT THE E01,W12117 �- ` SHOWN ON THIS PLAN 'IS LOCATED EOISTERED LSU"R 1 TT ERED -. .���-�_7 CIVIL ILAND JOB NC. - ON THE GROUND AS INDICATED AND ENGINEER VEYOR OR.8Y� � .r�l. CONFORMS TO THE ZONING LAWS .OF BARNST�►B,LE , 53 NO. MAIN ST CH.BY (? 712 MAIN ST. �ti/77' �r�•_ �� r Y11DtJl%IITu uwnn „v.....a. .. . ,... - PROJECT 1 ADDRESS: c4e,L), i PERMIT# CO IlQ PERMIT DATE:? M/- I ct -Cxp .BARGE ROLLED PLANS ARE B® 1 $LOT Data n entered i . MAPS program on:. . � 13 l Assessing Search_Results Page 1 of 2 e. . ri ti � �. I1 i ► 1 = �, Nt r�yea- Home:Departments:Assessors Division:Property Assessment Search Results New Search New Interactive Maps>> .Owner: 2040,Assessed,Values :r .REID,DIANE C 30 LIMERICK COURT .2010 Appraised Value-2010 ASsessed Value Past Comparisons . - Map/Parcel/Parcel Extension Building Value:,$104;700 . - $104,700 Year Total Assessed Value _ ., 169 /082/ Extra Features: $13,600 $13,600 2009-$267;600. Outbuildings: $2 300 $2 300 2008-$'277,200 Mailing Address' Land Value: $106,700" $106,700 ;: ,2007-$276',700 REID,DIANE C 2006-.$286;400 2010 Totals'$227,300: $22.7,300 30 LIMERICK CT Residential Received=.$92,000; CENTERVILLE,'MA.D2632, 2010 REAL ESTATE Tax Information: - Tax Rates (per$1,000 of valuation) Community Preservation Act Tax $31.54 Fire District Rates -Town Residential c Barnstable FD-All Classes $2.43 $7.77 C.O.M.M.-All Classes $1.26 Town Commercial C.O.M.M.FD Tax(Residential) $286.40 Cotuit FD-All Classes $1.56 $6.87 - Hyannis-Residential $1.82 . Town Tax(Residential) $1,051 28 Hyannis-Commercial' $2.88 W Barnstable-All Classes $2.28' Community;Preservation Act-3%of Town Tax w ^ Totals$1399.22. _ Construction Details 7: Building Property.Sketch&ASBUILT Cards' Building value $-104,700 Interior Floors Carpet Property Sketch.Legend Style Cape Cod Interior Walls Drywall, Model Residential 'Heat Fuel: Gas Grade Average Minus Heat Type.' Hot.Air _ Stories - _ 1 Story F A AC Type None Exterior Walls Vertical Sidin Bedrooms, 2 Bedrooms y Roof Structure Gable/Hip' Bathrooms, 3 Full Roof Cover Asph/F GIs/Cmp Living Area sq/ft 1,061 a F . � , Replacement Cost $119,034 Year Built- 1977 v r + Depreciation 12 Total Rooms 6 Rooms Land Gross Area sglft'3,026 CODE 1010 Lot Size(Acres) 0.39 As Built Cards. http://www.town.bamstable.ma.us/assessing/2010/displayparce110map.asp?mappar=169082. 9/30/20 TO -Able Assessing Search Results Page 2 of 2 Appraised Value ,$106,700 M E View Interactive Maps >> Assessed Value $106,700 Sales History: . _a xw Owner: Sale Date Book/Page: Sale Price: ' REID,DIANE C Mar 20 2002,12:OOAM 14950/265 $167,000' BROUGHTON,COLLEEN A Jul 2 1999 12:OOAM 12384/207 $0 ' BROUGHTON;MICHAEL C 2714/126 $0 Extra Building Features Code Description Units/SQ ft Appraised Value ,Assessed Value DOR Dormer 6: $800 $800 BFA Bsmt Fin-Aver 700 $'9,206 $9,200 FPL2 Fireplace 1 $3,600 $300 SHED Shed 144 $2,300 $2,3001 Property Sketch Legend BAS First Floor,Living Area -FST 'Utility Area(Finished Interior) . UAT ' Attic Area(Unfinished) BMT Basement Area(Unfinished).• FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST` Utility Area(Unfinished). FAT Attic Area(Finished) GAR Garage - ' UTQ Three Quarters Story(Unfinished) FCP Carport °` " GRN Greenhouse UUA ,Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS' full Upper2nd Story.(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK »Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) .. a i. http://www.town.bamstable.ma.us/assessing/2010/displayparcellOmdp.asp?mappar=169082" 9/30/2010 pGy /^y�p{- �yy ats" 'r�• '4 G' " u `�a ¥ «t -'�uf x w «�..t f_4^, .;-r3' +� ra '��� �,����� r � „''� �� .�.,,�.k A: e '� �t � �`. �. �"�"` ' ",mw .� .�•' ��. ' �g an w�s� x `tip, �"' ,r � � �°�'�?',; c m. ` "+^ a:1.?�.-F*w�.-as - 1 �, � r .. " _„ �c " P . �K. �. cal�� _ 4 1piin`` ng ept, ,6 -"BOIL"b1N DEPART Fl�1T. .m :'m"ataara f �.y, ti y �" � , ctJP� � ' ,�~��° - � �� �x�` �Pt�aae ,� ��E:Sd���tT�. N Epp Prafala � �G s '� � is is ' 8 S3dC m '� � �,�?— O m , f. w °hNo w M. »ram ` P,e''raa )eits Str . ,_ ', LSf. EFG€C �1;RT' 9-4-• .K x Flaw �a`,f1�� D P1CTEC1 C� lay Chi' ' �` 4�ial�Qaras _ Anspeetivr>•type` B�F 1 . w U �h G:a"F# 1 "�SPE�T� # � fs�su�t F if �'� I MIT 'F t�daC;lrasps et LE$uEd(7!A � '� PellOm",ea�YfT�� _ - - tT1avel�:e". u `' spE�ko Ty 4L� kL'1Zt� 'F'.RE MEMO psmelime�� rc�cessBQradsrt Crct�r1 .r. `I y x R #nspecirxt�id� .. PsxLet, a' u x rr g��t��S.Peri�rts • .� .ow� Awn ` ° .� �r ,�°� �; r-� �: �'� _ �x. Y s_� ,m. �, � � �° �� ,, .�s av •wm ss � Via- ,. r�: � WTI t SORT r3 'Dim, ' a H 13", ��',�-'�,.�. ��.. r�.ca+ ,. a �, � r:''%=a,��` ', �'•"�` mac -,A # �,syza ��'t�?v,-'`�# � �p�`:`-a�� � :�- ��: ' Town of Barnstable ,mot"E r�wti Regulatory Services Thomas F.Geiler,Director B"MASS. Building Division 9gjAr 1639. 1�� Tom Perry,Building Commissioner FD MA a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Diane Reid and all persons having notice of this order,as owner/occupant of the premises/structure located at 30 Limerick Ct.,Centerville,MA 02632 Map 169 Parcel 082 you are hereby notified that you are in violation of the Massachusetts State Building Code 780 CMR 5115.2 and 5118.1 and are ORDERED this date,September 10,2009 to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR 5115.2 Required Inspections. 780 CMR 5118.1 Unlawful Acts. 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: Successful completion of all required inspections. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board within forty-five(45)days after the service of this notice. If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. By order, y auzon Local Inspector Q/FORMS/viozonel `� Orr 0p IRE T, Town of Barnstable *Permit# Expires 6 nionihs frown issue dale STAB Regulatory Services FeeRARN ��� - 'i6 Thomas F. Geller, Director 91 Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis; MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - EXPRESS PERMIT APPLICATION - - RESIDENTIAL ONLY / Not Vnlid without Red X-Press lnrprint Map/parcel Number Property Address �1pU residential Value of Work Minimum fee. of$25.00 for work under$6000.00 Owner's Name&-Address (,�.� �: 1 cty a �► our s 3C5 L(w�trrck G-bV�Tt l Y'nJ,#--vrfle Contractor's Name Mctr- ►', r rt'vr— _Telephone Number .Home Improvement Contractor License#(if applicable) /110 fW Z Construction Supervisor's License#(if applicable) CI Z 5 6 ❑Workman's Compensation Insurance Che ne: X-PRESS PERMIT I am a sole proprietor ❑ I am the Homeowner AUG 2 6 2009 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name r - - Workman's Comp. Policy# AIIA Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) V'Re-side Replacement Windows. U-Value (maximum,.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property+Owner must sign Property Owner Letter of Permission. mprov nt Contractors License& Construct Supervisors License is required. .SIGNATURE: Q;\WPFILES\FORMS\Express\EXPRE MIT.DOC Massachusetts- Department of Public Safety Beard of Building Regrulation:s and Standards Construction Supervisor License l� License: CS 92961 .Restricted to „00 MARK E MEJEURJ PO BOX 682: E FALMOUTH MA 02536 Expiration: 4/9/2011. g ('ununissioner Tr#: 12865 - �lze '�ia7zmzoozuseca� o���,czaaactu�aeCta T . f Board of Building Regulations and Standards License or registration Valid for.individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found ret.urn to: Registration; 160192 Board of Building.Regulations and S.tan(lards Expiration 7/2/2010 Tr# 270157 One Ashburton Place Rm 1301 T` e DB ' .. Boston,1%Ia.02108 r Yp MARK MEJEUR CONSTRUCTION: MARK MEJEUR :r 20 PARKER RD. EAST FALMOUTH,MA U2536 Administrator Not va' rthont signature - r > s , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + d 600 Washington Street Boston, MA 02111 =�•y� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiorandividual): I ,K Address: PJ Bo- 6ZZ City/State/Zip: t1�* D,2,536 _ Phone.#: 724- 23S-F_3% l Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a emP toY er with 4. I am a general contractor and I 6: New construction employees (full and/or part-time).* have hired the stab-contractors 2. I am a sole proprietor or partner listed on the attached sheet. T. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation.and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I f]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1Z ❑Roof repairs insurance required.] t c. 152, §1(4), and we have no ff employees. [No workers' 13. Other sad iv�C, 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 subnut this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.M Expiration Date: Job Site Address: 3U �.�t�l'/e�rtdS �'�{-, City/State/Zip: l .e-Ir-u,����0,04 0263 1- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine_ of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si afore: s Date: 2 O Phone#' 7 7`1' Z3 '�9y Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6. Other O Z ions Information and InsAtuct' mployers to provide workers' compensation for their employees. Massachusetts General Laws chapter 152 requires all e 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 engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the of the foregoing _ J receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the sons to do maintenance, constriction or repair work on such dwelling house dwelling house of another who employs per or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a.license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for•the performance of public work until acceptable evidence of compliance«nth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)narrie(s),"address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lino. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" I.he.applicant should write"all locations in__(city or officially stamped or marked by the city or town may be provided to the town).".A copy of the affidavit that has been ture permits or licenses. A new affidavit must be filled out each applicant as proof that a valid affidavit is on file for fu year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. r, e ivesti.ations would like to thank you in advance for your cooperation and should you have any questions, ue viuw of ,ug W please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts }department of Industti,al Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-7227-4900 ext 406 or 1-877-MASSAFE Fax#'617-727-7744 Revised 11.-22-06 www.mass.gov/dia 1 c IRErpf Town of Barnstable Regulatory Services EARN� $ Thomas F. Geiler,Director Building 'Division 0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ww-w.town_barnstable.ma.us Office: 508-862-4038 Fax: S08-790-62 Property Owner Must Complete and Sign This Section If Using A Builder h as Owner of the subject property , hereby authorize a� �� ev r to act on my behalf, in all matters relative to work authorized by this building pernut application for. 1 �30 oZ63 Z .(Address o fob) zi, ^tore of x - a Print Nanil If Property Owner is applying for permit please complete the Hom-eounie'rs L,icerise Exemption Form on the reverse side. :ra w Town of Barnstable Regulatory Services g Thomas F. Geiler,Director t BARNSLAsu.e. • t�wss. g .. ' i6:y¢.. Building Division PrED � Tom Perry,Building Commissioner 200 Main:St=t,—Hyannis,MA 02601 vtwc'v.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICEi``SE EX.E.MPT70N Please Print b , F � l DATE: JOB LOCATION:• villa c b g scc t tr . number a . "HOMEOWNER:'. • name �, home phone# �, work phone# •� ` s CURRENT MAILING ADDRESS: { city/to�Qo state zip code •. F . The current exemption for"homeowners"was extended to include owner-bccupied 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 4- k sttpeI Isar. o. t DEFDI-ZMON OIL HOMEOWNER Persons)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 Iaccessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall°submit to the Building Official on a form acceptable to the Building Official,that be/she shall be ' responsible for all such work performed under the building permit. (Section 109.1.1) " The undersigned"bomeowner"assumes responsibility for compliance with the State Building Code and other 4 t ,applicable codes, bylaws,rules and regulations. The undersigned.."homeowner:'certifies that-he/she understands the Town of Barnstable,Buildi g Department Y rnnnum.mspection,procrdures and requirements and that he/she will coruply with said-procedures and rn requirements, f Signati nt 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 EXF_MPTION y The Code stairs that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1 o9.i.) -Licensing of constructionSupervisors);provided that if the homeowner engages a persons)for hire°tn do such a%orlc, that such Homcowna shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilitics of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This labk of awareness often results in serious problems,particularly In this case,our Board cannot procood against the unliccnscd parson as itwould with a liccnscd when the homeowner hires unlieenscd persons Supervisor. The homeowner acting as Supervisor is ultimately responsblc. •cation To ensure that the bomeowner is fully awe of his/her responsibilities,many communities n quire,as part of the permit appli , aware that the homeowner certify thkt he/she understands the rrsponsibilidcs of a Supervisor. On the last page of this issue is a form eun-cntly used by several towns. You may can t amend and adopt such a fomnIrcrtifil cation.for use in your community. �!-tt oo )sra 13f�SEr11FN� Q E}OkSE NCf-0S S NOW— p67-ECMR � �kstc�4E�J 57euk-t-Cowv7'e� �c,2owAv� } l 3 a i u � T n i TOWN OF BARNSTABLE BUILDING PERMIT APPLI TION Map Parcel .Z x ,a, , (jL� Permit# (� Health Division 6 20 o-2-10 7 Date Issued Conservation Division o St '510 h' J.: Application Fee Tax Collector SErmif F f'f�� fee ,w IN ,: '- Treasurer ir,iir;�� �r /) i1USTJT 6F V ENVIR E Planning Dept. ' SIr aim ALIi E AND Date Definitive Plan Approved by Planning Board TRMULATIONS Historic-OKH Preservation/Hyannis Project Street Address 30 Z-1nier i ck 4* Cu Village L'eK4e-f v I Owner I I A K e- C 2c i Address 30 c f c,� e f- Telephone So 9 - Y.z Fr -3 9 7� Permit Request _ fh/._5A d i�Se- ter+ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ,27 r 5• Historic House: ❑Yes a o On Old King's Highway: 0 Yes 0 No Basement Type: ❑Full ❑Crawl a Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new 1 Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing s new 7 First Floor Room Count 3 Heat Type and Fuel: Aas ❑Oil 0 Electric ❑Other Central Air: ❑Yes O'No Fireplaces: Existing ✓ New Existing wood/coal stove: ❑Yes 0 Detached garage:O existing ❑new size Pool: 0 existing Cl new size Barn:0 existing ❑new size Attached garage: 0 existing 0 new size Shed:©"existing 0 new size Other: Zoning Board of Appeals Auth�o 'zation O Appeal# Recorded 0 Commercial 0 Yes 04o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name l R V%e. )fie t Telephone Number '5�a S- g-- 3 517 Address 3e Z_ c r i r- License# e V\4"n. r v t le" m a aG 3OL Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sec�iC�' SIGNATURE DATE Isla f i` t ' t FOR OFFICIAL USE ONLY PERMIT NO. : r DATE ISSUED MAP/PARCEL-NO. , ol ;? ADDRESS VILLAGE OWNER DATE OF INSPECTION: IZ� FOUNDATION FRAME N INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL m PLUMBING: RO .� FINAL - k� GAS: ROB FINAL FINAL BUILDING, t DATE CLOSED OUT' v ASSOCIATION PLAN M. G 4. The Commonwealth'of Massachusetts Department of Industr4l Ace'idehis' ' _ 600 Washington Street _ Boston,Mass. 02111 o workers'..Coin ensation..Insurance Affidavit-General Businesses ON y •.:��'r:ii•'+imr •:;T``.,er„+,fp`,r a.,t„r,+.. r ..' nine: L, :.. ,• .. L° ` t u .. - 3 G�,.vre Ic,� Cfi address: 1.�� state a Orr 0 - hone � CCU • V✓l A 63 e _ , -: •- , . _:... . work site loeat iw fall address : ' I am-a sole proprietor and have no one Bvsiness 7.`ype: Retail Sal-es mclnding RReal Estate,An os�etc.)' vvoikdng in any capacity. ffic ee,( Q I am an em to er with �� zt%%//////%%//%// zzz %////////�//% �loyer providing vLorkers' compensation for my employees working on this fobI am au' . COIn•8II.` t:, a 77 M•.^.+,t' Y :f•ti:i.� '?^t'a ' :i,'. ':•• ;;}.'L r' ��. r.• �:,:�• ~t t ..',! _ •s r 7s :r�. ,:•k'r,•'t��5'intr'.�•.ty)^a°• +i•^ •.:.!t�. ;. •'1 4' r ., t 3:'"' s.t:`. t• it .. $d r a1•i.v+^•.•'' !•a:,� :t�E•I''•'':''•� •i.' J', t•'k•.!J '.'�.' to.:)•:• 4���}: •}'•:{.t•'ti•t •.'r �'-,' � '•''ci.' :,.' ;\:' . . •� .ri+ . . $one.. .i �'!: .tti�. '\•.:,,, t •. s�. '•1.�,1.t -I •if,' •' ipp+',ifs ,•a:' •t'•.....'t•�•:„•;.• •• �r• '.at+ •1•:'`'• •', ':4'�.4 i�:' "'•,i•Is.a'il':'... OiIC, ..':,:� L'•s .i •� Ssurinced I am a sole proprietor and have hired the independent contractors listed below.who have the following workers' compensation polices:PRIURM .:r�,l+.•. ) i •.•r ,4i..::.ir,•'•':'�:•::t !=aL !tj�; �t4'+�,,r •L•. 't .;:r,'.r.; ,++ Cl! \ •y.;' "jh„t 1.:.. ''t'.::rti ''iL` 'S�th''' t '1'"' ' +[1^�'�. 1+• •+'"� �•�f.,�'-"• •u ;i`'f�',d.a hY`'�• '� ''•u1:' :. 's, y'a; .� �1•� �L' •,�,_•:. '� .. •.;:� '":'.. �' .i'^ v.il'b•'•�s S�''�•=,"�"` �� 'Y!' •.+.�.,.."o.1iC Wit•! .t.?i.r•ti•:..'t}':...:L:.. r, j j •: p[ •i • '/ tR:• iei'.•ii:i ,, t r. ,� r; ••:t M�'L .�;) f tl.r. � !'t ""'`F ','t '••-i.�• ,L_ + ,/.:3•t.!% V*•;•�t• 'i'• '�: .may• '\t'('.'::�.,.,i�}.."r`}yl r•4,:'��,'%,.,^•�.1l.WLJ,�.�" •'t"�.: '.t••, coin an. aenie:.�<. ;•. ..i. ^ ;t ..+ :i'-~i' address: .. •'.l.`rL�i LL•; ° ^•Z'a.i :,]: (( r vti,�.:,t. ,ty ='L'�s•';r r+.,. .'.'+' 'i: ''�'.� '�. t:}., r•:.�•' .. ••;.y.'sta•'• tti.�.'}.: .;.. :iOtiC: :#•a: .r'• '.:�,.+�; . !.+.�, • ', �{.. (1.+�!,.{, :;:. •:t�,"•' :3itr:_.ti�•.'. '�' %' .:tin':'.-'••"•�:'^ ,,.�•• Failure to secure coverage as required under Section 25X of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1r500.00 and/or ! one yeara'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that IL copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification I do hereby certify under the pain`s and penalties of perju that t'e information provided above is true and cor y C' Date o2 S lea Signature G 1 Phone# 5-0�- ��'�-3`i >S'- Print name '�, '�'^ P official use only do not write in this area to be completed by city or town official permit/iicense# []Building Department city or town: []Licensing Board ❑Selectmen's Office []'check if immediate response is required DHealth Department phone#; ❑Other contact person: (revised Sept 7003) Information and Instructions. Massachusetts General Laws ch pter�152 section 25•requires all employers to provide workers' compensatioa for their. employees: As quoted'from the law', 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 defuied as an individual,partnership, association, corporation or other legal entity, or any two or nigre of the foregoing engaged in a']oiut enterprise,and including the legal representatives of a deceased,employer, or the-receiver or trustee of an individual,partnership,association or other legal entity, employing employees. 'However.the owner of a dwelling house having.'not more than three apartments and-who resides therein, or the. upant,bf the.dwelling house of another who se bay.m. to do.mahitenance, construction or repair work on such dwelling house•or on the grounds or betiding appurtenant thereto shall not because of such,employment.be deemedtobe:an employer.-...: MGL chapter 152 section 25 also'states that*every. state'or local licensing-agency shall withhold the issuance dr renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applic1. ant who has not produced acce.... .evidence of compliance with the insurance coverage required: Additionally;neither'the' comnonwealth nor,any.of ifs political subdivisions shall enter into any contract for the performance of public work until,' acceptable evidence of compliance with te insurance requirements of this chapter have been presented to the contracting • authority: Applicants Please fill in the workers'•compensation affidavit completely,by checking the box that applies to your situation.,Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Deparcment•of Industrial Accidents•for confirrnation 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.7•compensation policy,please call the Department at the number listeA below. City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the out in:the event the Office of Investigations has to contact you regarding the applicant. Please affidavit for you to fill be sure to fill-in the permit/license.number which will b'e used as a reference number. The.affidavits maybe returned to. the Departmentby,ma�orFAX,unless othei•ariangements have been made. The Office of fnvestigations would file to thank ybu in advance for you cooperation and should you have any questions, please do nothesitate to give us a call. . The Departrnent's address,telephone and fax number: . : • , The Commonwealth Of Massachusetts Department of-Industrial Accidents of ice of Westigaaens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 .u. r4l•n ►71PT_Aonn a-rf. dnK f F ,E Town of Barnstable o* Regulatory Services nr x tE,$ Thomas F.Geller,Director ss v� 1619• Building Division ''tFD MAt k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date , AFFIDAVIT HOME ZIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that ecor construction of an addition to mypre-existing o�wg.er o c pied ion, -improvement,removal,demolition, bg 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. o 0 Type of Work:, i i fl Sim t ,,� �- Estimated Cos���000. Address of Work: 30 Z �-,,e-r c k - Owner's Name' �G I Date of Application: /S�a y I hereby certify that: Registration is not required for the following reason(s): DWork excluded by law ❑lob Under$1,000 []Building not owner-occupied �wner pulling own permit Notice is hereby given that: OARS PULLING THEIR OWN ABLIB ME I112PR0 MENT WORKDGO NOT HA.YE CONTRACTORS FOR APPLI ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTMS OF PERMY Ihereby apply for apermit as the agent of the owner: Contractor Name RegistrationNo. Date OR Date Owner's Name Town of Barnstable oFt�'�ti Regulatory Services BAMSPABLE, ; Thomas F.Geiler,Director MAM 9�AlE039. & � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION !� Please Print DATE: C12— JOB LOCATION: 3G L/ m C ` l C C' CP -fie f V! r_ number street village "HOMEOWNER': 7__)AKG Re f 5 0 a- y�8 3/C 78 name / home phone# work phone# CURRENT MAILING ADDRESS: 30 G/•�G i C,� C� �ev.-l-ery► //C� l'Vl� GoZG 3- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. — f� — ` 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 perfomung 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/certif cation for use in your community. Q:forms:homeexempt 06/ � 1 4 f 9A Yy+�l� f f I n t eAr Cl\l 1 OR .......... ti i71 s �� �61 �ptNE Toy, Town of Barnstable Y Y Regulatory Services Y Y * BMWWABLE. Y 9 MAs3. .$ Thomas F. Geiler,Director �p s6gq. �0 rF039 A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building code Violation and Order to Cease, Desist and Abate: Diane C Reid and all persons having notice of this order: As owner/occupant of the premises/structure located at 30 Limerick Ct, Centerville,MA 02632 Map 169 Parcel 082, you are hereby notified that you are in violation of the Massachusetts State Building code 780 CMR Article(s) 110.0, Section(s) 110.1, and are ORDERED this date January 23, 2004 to: 1. CEASE AND DESIST IMMEDIATELY, all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR Article 110.0 Section 110.1 Permit Application. - 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: File a written application for a building permit for work that will be done. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1, Section 122 of 780 CMR State Building Code)within forty-five(45) days after the service of this notice. By order, Jack Fitzgerald Local Inspector s ,pFTMFIp The Town of Barnstable o� BARMAS&A35. Department of Health Safety and Environmental Services i679' °lEo Mpy. Building Division 367 Main Street,Hyannis,MA 02601 'fice: 508-862-4038 x: 508-790=6230 PLAN REVIEW Owner: A Map/Parcel: 'J (5; l � �> Project Address Y1�ey 1 c ` ' Builder: 0 LOIA Q.lr The following items were noted on reviewing: _ 1 -- V\ e_MI- _ - �' Sll�r�P." v _ lJ� r - - Reviewed by: Date: 2^ / " U 16 0� . ��f� Town of Barnstable ti • r Regulatory Services 9BaxrMAS&' aIEg' Thomas F. Geiler,Director 1639. A�0 E `1 o N►o, g Buildin Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building code Violation and Order to Cease, Desist and Abate: Diane C Reid and all persons having notice of this order: As owner/occupant of the premises/structure located at 30 Limerick Ct, Centerville,MA 02632 Map 169 Parcel 082, you are hereby notified that you are in violation of the Massachusetts State Building code 780 CMR Article(s) 110.0, Section(s) 110.1, and are ORDERED this date January 23, 2004 to: 1. CEASE AND DESIST IMMEDIATELY, all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR Article 110.0 Section 110.1 Permit Application. 2. COMMENCE immediately, action to abate this violation. SUMMARY OF ACTION TO ABATE: File a written application for a building permit for work that will be done. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1, Section 122 of 780 CMR State Building Code)within forty-five(45)days after the service of this notice. By order, Jack Fitzgerald Local Inspector WE rti Town of Barnstable Regulatory Services BARNSTABLE, " MASS. Thomas F. Geiler,Director iOrFn 39. Building Division Thomas Perry, Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: - - - - 508 862`403 '`8 r Fax: 508 790 6230 RE: 30 LIMERICK CT. l CENTERVILLE :. z OUR RECORDS. THE FOLLOWING ELECTRICAL PERMITS DOESNOT HAVE A FINAL `INSPECTION #77810 ELECTRICAL PERMIT EXPIRED RFINISHED BASEMENTFO � . f FTHE 1p�, Town of Barnstable ti Regulatory Services • MUMSznaue, T; MAM. . Thomas.q F. Geiler,Director, se3� ,0 39 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building code Violation and Order to Cease, Desist and Abate: Diane C Reid and all persons having notice of this order: As owner/occupant of the premises/structure located at 30 Limerick Ct, Centerville,MA 02632 Map 169 Parcel 082, you are hereby notified that you are in violation of the Massachusetts State Building code 780 CMR Article(s) 110.0, Section(s) 110.1, and are ORDERED this date January 23, 2004 to: 1. CEASE AND DESIST IMMEDIATELY, all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR Article 110.0 Section 110.1 Permit Application. 2. COMMENCE immediately, action to abate this violation. SUMMARY OF ACTION TO ABATE: File a written application for a building permit for work that will be done. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1, Section 122 of 780 CMR State Building Code)within forty-five (45)days after the service of this notice. By order, Jack Fitzgerald Local Inspector Town of Barnstable �FTNE �� Regulatory Services Thomas F.Geiler,Director " aAMAS&LE, ` Building Division 039. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Diane Reid and all persons having notice of this order,as owner/occupant of the premises/structure located at 30 Limerick Ct. ,Centerville,MA 02632 Map 169 Parcel 082 you are hereby notified that you are in violation of the Massachusetts State Building Code 780 CMR 5115.2 and 5118.1 and are ORDERED this date,September 10,2009 to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR 5115.2 Required Inspections. 780 CMR 5118.1 Unlawful Acts. 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: Successful completion of all required inspections. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board within forty-five(45)days after the service of this notice. If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. By order, Jeffrey Lauzon Local Inspector Q/FORMS/viozonel ...tom r Pp; ' i tT � r WTI• r.' .F r. �A a 1 - J i p r s 4iws4U.' 'Lad . r` AN fig a t _ � 1 A a f ' ':, [; fi 1 wor- _ i o� The Town of Barnstable Department of Health Safety and Environmental Services oy Building Division 367 Main Street,Hyannis,MA 02601 ice: 508-862.4038 508-79.0.6230 PLAN REVIEW Owner, f�)i&ye 0 R Map/Parcel: OLL Project Address: d l YKey-r1 c Builder: 0 LU1A cLlr The following items were noted on reviewing: dk r Reviewed by: Date: l b 6�P�oF e.to�o .zTOWN OF BARNS?ABLE " OFFICE OF BAHN9Td.BL :.639 BOARD OA D - OF HEALTH �D 6gq \�0'' DMAY� 367 MAIN STREET HYANNIS, MASS,02601 February 26, 2001 Colleen Broughton 30 Limerick Court Centerville, MA 02632 RE: 30 Limerick Court Dear Ms. Broughton: You are granted permission to construct a n onsite sewae Limerick Court, designed,with an innovative trementsystem,disposal system at 30 at bedroom dwelling. _ for a three (3) This permission is granted with the following conditions (1) No more than three (3) bedrooms are authorized. Dens, stud rooms finished attics sleeping lofts, and similar type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) A floor plan shall be Submitted by the applicant showing locations and dimensions of the three (3) bedrooms and the rooms in the proposed house. then (3) The applicant shall record a`properly worded deed on at Barnstable County Registry of Deeds;-Limiting the property to'threee " (3) bedroom maximum._ The deed restriction shall be signed by the owner of the property. A copy of the recorded deed restriction shall be submitted to the Public Health Division prior to obtainin a building permit. 9 (4) A maintenance agreement and monitoring plan for the n?icrofast treatment unit shall be supplied to the Board of Health. (5) The designing engineershall supervise the construction of the d onsite sewage disposal system and shall:certify in writing to the" Board of Health that the system was installed in strict accor with the submitted plans dated February, 16' 2001: dance Colleen ; This permission is granted because the applicant stated three (3) bedrooms are needed in the house. However, only three (3) bedrooms can be approved. Two (2) bedrooms currently exist on the second floor. Two (2) are needed on the first _ floor because her sister is handicapped and her mother is elderly and cannot go up the stairs any longer. Sincerely yours, Susan G. Rask, R.S. _ Chairman Board of Health Town of Barnstable SGR/bcs colleen ��F THe ray DATE: * BARNSTABI.E, FEE y MASS. �A 039. cb REC. BY /0 . Town- of Barnstable SCHED. D 2 ATE: 2 2000 ' Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX 508 790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM• LOCATION Property Address: 3 L' 41!'n`e(�t L lC Assessor's Map and Parcel Number /� q-" 0? Z Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No ,/ Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT`PERSON Name: (.c�L!�f'�Ey! /"O - Name: Address: 3 Ler Address: Phone: Phone: VARIANCE FROM REGULATION(List Reg.)- 'REASON FOR VARIANCE(May attach if mo e space neede ) 310 e_� G[I p 'r S cY Lyyt �LI/�3 Checklist(to be completed by office staff-person receiving variance request application) Four(.4)copies of engineered plan submitted(e:o,. septic system plans) Four(4)copies of Moor plan submitted(e.g. house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) 4Variance request application fee collected(no fee For lifeguard modification renewals.grease trap variance renewals[same ovine neasee only],outshle dining variance renewals[sa owner/lessee ly],and variances to repair failed sewage disposal systems[only if no expansion to the hilding proposed]) - Variance request itte at ast 15 days prior to meeting date ' VARIANCE APPROV Susan G. Rask, R.S.,Chairman - NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAP r Ralph A. Murphy, M.D. Q:/hP/VARIREQ �i oa 00 b Oo Il�ti;8d6{i � o FRONT ELEVATION z SCALE: REAR ELEVATION SCALE. /B'FBI I'_p• s P $ EJ3�i*Y-� ��T �'. Ili l' ,� • - 'N O LEFT ELEVATIONIGNT ELEVATION SCALE: /B' - I'-p' SCALE: I/B' I'-p' 4 Yk if \ DESK - L W m� m r Z I el -N N ulauav � I- n) F, ST FLOOR PLAN PLAN /Xol r ' I i ,4 q "� AsseF ma and lot number ��1:'�. ... ..... �1 .G�+ �-2/ �{ SEPTIC SYSTEM MUST BE f y ?' 22 INSTALLED IN COMPLIANCE a Sewage Permit. number `l WITH ARTICLE 11 STATE ' ...... SANITARY CODE AND TOWN "�.� LEI � - �/ W l� TOWN-- F� B WN ® AR�N�T'A�LE 89SHSTADLE i i� �,. ti �DING ;n OYPY{t�e .� t'�`, INSPECTOR i' j ',y �ht al a as, APPLICATIO`W,FOR ,PERMIT., TO ....... :...............:....... TYPE OF C{ NSTRKTION � 1 /..... ................�.......'...................s,s..y ... .............................. .....................f. ....'1...........19.77 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....f. ..f...........1 ............. .I.. IG.�.............O? .................... ........................................... Proposed Use ....... .1 .Cf............../�Gr/�'�f.�-. .........../lUusl[.!N ....................................................... y ZoningDistrict .............................................:..........................Fire. District ......... .... ...... .................................................... Name of Owner .. ..Address ...... ',,��.�-MSS-.. . . : �......����c. �.� �?L.�. 5�,.....T��r�,r�� Name of Builder ) /!C��d .L!. ..... �'v9.. � .Address ... °.. .'.f'.... E' .....�!l� ol ��"lctSS Nameof Architect ......:.............. ........................Address .................................................................................... Numberof Rooms ....................y.........................................Foundation S&.............: ,1..`...................... Exterior .....f � ool�� �� /............Roofing � .........................�j *//C-11-.............. . Floors ....W1....../.V.... '�` �............................................Interior ..�� 9� [......... L� ......... ... /....... ......... .. ��-- //��,, Plumbing Heating . ....r.(..!.�.........! g Fireplace ...... . .......................... ® 0a ...............................Approximate Cost .............�..............................,.......#/; ...... J ... Definitive Plan Approved by Planning Board -------------------------- ' /------19--------. Area ................ .......... ...... Diagram of Lot and Building with Dimensions Fee — . .../(Ii.................................... SUBJECT TO.APPROVAL OF BOARD OF HEALTH 1 / y I hereby';agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above . ; construction. ti Name .... ...........19b . Crocker, Mr. 8: Mrs, Harold '. � 19537 . 1 1/2 ory single family dwelling ' � - ° ` ' ' Limerick Court . . . Location --.--.------.—.-..-'—..�----- . � . . Centerville ^ ..—.—.---....—.—.,.~'.-.—,--.----'^ � Mr. & Mrs. Harold Crocker , Owner -----_---------.--.-----.. � ^ � - frame Type of Construction .......................................... . . -^''—'~—^—'-'-~^'—^-------'`—'~----'- ' #65 . Plot ............................. Lot ................................. � �� , �� . Permit Granted — --.. l� . --' �r � Date of Inspection ............. Dote Completed .. . .-----l9 . . - - - ' PERMIT. REFUSED ............................................................�..,. 19 ...—.--^..-~- ...................................................... '. . .......................................... - - . - . '. . -,--~.^...,.,~,_-.—......-._-.....^._-.—., � � .�.^--,..--....,..,..,.--.^^...,,^,..,^.'---.- ' ' . � . � . � 19``-,_'-- ................................................ . . ' ^ � .—'—.---------~....,—..—,..--....,, . . � ' -------.---.~.....—_.,..........^..^ ` | ' w +A� any 4. B tYa+rr a w tN }s )t� i ,f�,� �otxa H' Jr ar"' E., w t N ${fit fife .` I• 5 rE I.:., n t' a`F + ' k { r• its ac 14P tkIr 'sn )'F,'; ' �,�= 4 biF I a?k t fii {+• I'' � ' f.r T i t)"�� ra�€1. . 4x ,:x _� F �• ' R 4n x .1. #1 'b�( � � � �� ,,�. o ' ��� � it - �� -�� "') -�. � -.wv .z, �nc �.t d re� € ,�, k I �•- i �i aJ �,_. f-•. k� ; = e `'l r•. >' x A 7 i--»-..p- _'Yr.a.-•t-•-. «.t�3.c.-..:�.�,. f 1, 14 i \ 3 i 3 a. w}. i IJ s. a � �yy G� CJ• e> � � T jot• It P J . N€.) 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THE �oejlV<0A4770Al j -:- =— REGISTERED SHOWN ON, _ ; THIS "PLAN IS LOCATED I ` s CIVIL` AND JO® it ,,+, F , 4., ,r ON THE GROUND AS INDICATED AND ENOIIVEER VEYOR i DR. 8'Y V, i f� CONFORMS :T® THE Z®NIBdG LAWS F - OF ®ARNST ! E, MAS _ y rra3'+3'�IQ, MAIt�IY`SV "�4_ _%i6� C�I �'- n/ �''. SO' YARtNOUTN MASS. HYANNIS, MASS. - �- � J. - I SHEET / DATE REG. LAND SURVEYOR s ` .I I Assessors map and lot number ......:................................... x Sewage Permit number .................Z...................................... Qy�f7HEr0�y TOWN OF BARNSTABLE Z EWSTABLE, —NAM �•� BUILDING INSPECTOR a 0 M APPLICATION' FOR,PERMIT TO .........; (//L:... ....... lV.e'A)................................................................... TYPEOF CONSTRUCTION .: ................................. ......................................................................................... �� 77 i ........................ . .....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ..!J. ............... ................ ..1.l.i Jc.. ....1.+ ............... ..`. . ................................................................ Proposed Use ` I or i {�i' ��r: +c / /'tnl. ,�J r/v Gt r ................................................... ...............,..................................................I......................... Zoning District ........................................................................Fire District ........./1117'2 rJ�f .................................................................. r �• /�y 1,� r1 Name of Owner t r�/��5 L G .�,.....L 01( Pil Address -� fc�►C `-,� -C , /�...................................... .... ..........-5..................................................... Name of Builder � �'..1'f a.F.Xa......134A. '...{01�9..Address ... �:..:���...:56/�...... .f °�'.:°,,.!................... � % / / ' Nameof Architect ........................ ........................Address .................................................................................... Number of Rooms ....................A ..........................................Foundation / �- -, ................. ......................................... Exierior �, �,'f /, > � /1c� &'1, f/ l��iVrJhfL % ...........................................'.....................Roofing .. .. ......................................................... Floors ....`...... rr17.. L f•�<L�i .Interior ....._. ... ................................................................ , Heating ..... ........................... ..........................................` Plumbing �...��1 i} W• Nu...�! ..:�..�...!. �C.: . � f .. ..... i Fireplace .......r ................................Approximate Cost ::............. -`. ► 1 ....:...................................... ... ................................................. Definitive Plan Approved by Planning Board __________________________ �? J 4/:------�9--------. Area ..... ......... ......... � 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. s„ ;e d7 Name ..... `- "d � !r.................................................. .fjr . Crocker, Mr. & Mom. Harold A=169-82 19537 1 1/2 story No ................. Permit for ........................... ........ single family dwelling ......................-J, �. ......... ..... .............. KBUM Limeri 1F oust Location ...................................... .. ..................... Centerville ............................................................................... Owner Mr. Mrs.i„Harold Crocker ................ ......... ....... Type of Construction ...........fKAMA................... ...................................... .. .. . .. . ......... . . . I Plot ............................ of .............#65............. Permit Granted .......... . .gust 23 19 77 ....................... a Date of Inspection .... ..............................19 Date Completed .......................................19 PERMIT REFUSED ...................................................... ..... 19 �. �. ` �. ................................................... . ... , ........... ................................................. ...... .................... Approved ................................................ 19 ............................................................................... ...............................................................................