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0129 NOBADEER ROAD
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'BC�'*�i #.,�59t-h��+§t+�{�tF".t�a `�a���'�S�,�fs��F§ a`1•,�� :4.���°r3':�4�Pfi7rdKTr�k� �?lu`' ,td��;�..�.}:,Xw'a � €;U�'r��: ' Town of Barnstable Building Department °ESNs i°kq, Brian Florence,CBQ Building Commissioner BARNSTABLE, « 200 Main Street,Hyannis,MA 02601 MASS• 43 1639• www.town.barnstable.ma.uS Office: 508-862-403 8 Fax: 508-790-623 0 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:. T"U CAXI Phone 4:: 7OT2 3 7 3 J� 7 Address:_I q /LSO FJ'Ci �'� .0 Gel ,1;CZ illage: iM lL c�-06 32 Name of Business: I t'O C -U r H"01 C 1 IN ?r0 VC2,M Psi Type of Business: 'i MIb �` Cl Map/Lot: -INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation Within single family dwellings,subject to the provisions of Section 4-1.4`of the Zoning ordinance,provided that the . activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors;electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic-or hazardous materials,or flammable or explosive materials,in excess ti of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage:or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed.one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation.. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigne ve rea d agree t tl; above restrictions for my home occupation I am registering. Applicant: t lz h Date: C4 I. ZO l t Homeoc.doc RIt, .,0/17 Town of Barnstable Building Department Brian Florence, CB Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towm bamstable.ma..us Pre-application for Business Certificate Date Ct 1'7 0 191 Map Parcel Applicant Information Applicants Name t` —A-e�t C � y, C'Gam% Applicants Address. p Email Address Telephone Number 'J Cf6 - 37 ' Listed❑ Unlisted ❑ Business Information o c Ef CZ Cn > 00 New Business? Z ------ -------- _ No -------- -- (`Business is a registered corporation? _____________________._ Yes � M if yes Name of Corporation C C Does business operate under the registered corporate name? Yes N 0 2 zz0 Is the business a sole proprietorship or home occupation? _____-___ Yes No 21 21 m CmnDO if yes then a Home Occupation Registration is required—See Building Division Staff r= C) C Name ofBusiness m D 0 =1 Business Address 9 , Ali)-h CL c-ttel p'2LT;> O Z Type of Business ��_l,4 ��� Buildvmg Commissioner Office Use Only Conditions. cep � . L Building Commissionu,5"j Date Clerk Office Use Only OFSME, Town of Barnstable *Permit#-&D l spy Expires 6 mantis from&su date Regulatory Services Fee • snxxsTwst.e, MASS. $ Thomas F.Geiler,Director 039• ArEO N1A<� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstabld.ma.us Office: 508-862-4038 Fax: 508-790=6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address j CJ r l rr�f�-1A C� �pir„ j" I O Z l� Z ['Residential Value of Work Z 3 9 • 4 -7 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address d4v(' Contractor's Name an Telephone Number 5? 2-5 - 1 3 70 Home Improvement Contractor License#(if applicable) t Construction Supervisor's License#(if applicable) 1 00 2- qq X-PRESS PERMIT RWorkman's Compensation Insurance Check one: Fri `i ' ❑ I am a sole proprietor ❑ I am the Homeowner : TOWN OF BARNSTABLE [k] I have Worker's Compensation Insurance Insurance Company Name �.,o � .•�L/L,�,�(,r/ Workman's Comp. Policy# �/ / 3 ti S 3 �{- f `I 0 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)Re-roof(stripping old shingles) All construction debris will be taken to Ct.J D Cs,� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit formsTYPRESS.doc Revised 070110 The Commonwealth of Massachusetts ( ^; Department oflndustrialAccidents l Office of Investigations r"4`' % 600 Washington Street Boston, MA 02111 ` - www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ' Please.Print Leeibly Name (Business/Organization/Individual): 1 lt(.,�Q.Ot, Address: ( �e( 'Yl � �'`ot C'_l -� l� l� b C 32- . i City/State/Zip: Phone #: �8 i 2-1-s 1 3 'T 0 Are you an employer?Check the appropriate box: Type of project(required): I. l am a employer with 4. ❑ I am'a genera]contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub contractors ' 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t ?. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. Y P tY• 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their ME] Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12.❑ Roof repairs . insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site 1 information. Insurance Company Name: j-Q� s _'ArLeI,y116- Policy#or Self-ins. Lic.#: W C 1-1 q t- 03 0 Expiration Date: ,tZ Job Site Address:---I !II City/State/Zip:�M? D - 6 3 Z 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$1,300.00 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 a/n�d penalties of perjury that the information provided above is true and correct Signature: l�� -A , Date Phone#: S 0 S Jc- 6 4 Official use only. Do not write in this area;to be completed by cityor town official City or Town: Permit2icense# Issuing Authority(circle one): 1. Board of Health Z.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Information a d Instructions Massachusetts General Laws chap r.l requires all emp yers to provide workers' compensation for their employees. Pursuant to this statute, an employee is de ed as "...eve person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,p rship, ociation, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,an inclu g the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, as ocia on or other legal entity, employing employees. However the owner of a dwelling house having not more than a artments and who resides therein, or the occupant of the dwelling house of another who employs persons to d •aintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall of because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every stat o focal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business r.t construct buildings in the commonwealth for any applicant who has not produced acceptable evidenc of c pliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Keith r the c onwealth nor any of its political subdivisions shall enter into any contract for the performance of public w rk until cceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contractin authority." Applicants Please fill out the workers'compensation affidavit con pletely, by chec ' g the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addresses i and phone numb (s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L mi d Liability Partners ips(LLP)with no employees other than the members or partners, are not required to carry workers' ompensation insuran . If an LLC or LLP does have employees,a policy is Tequired. Be advised that this a vit may be submitted the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date he affidavit The affidavit should be returned to the city or town that the application for the permit or license is being r uested,not the Department of Industrial Accidents. Should you have any questions reg ding the law or if you are re ired to obtain a workers' compensation policy,please call the Department at the nu her listed below. Self-insure companies should enter their self-insurance license number on the appropriate he. City or Town Officials Please be sure that the-affidavit is complete and printed legs ly. The Department has provided a s cc at the bottom of the affidavit for you to fill out iii the event the Office of I,vestigations has to contact you regard' the applicant. Please be sure to fill in the permit/license number which wil be used as a reference number. In additio an applicant that must submit multiple permit/license applications in any iven year, need only submit one affidavit ind'cating current policy information(if necessary) and under"Job Site Addres "the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamp or marked by the city or town may be provided�o the applicant as proof that a valid affidavit is on file for future pe its or licenses. A new affidavit must be filled ou each year. Where a home owner or citizen is obtaining a license or rmit not related to any business or commercial ven e (i.e. a dog license or permit to burn leaves etc.)said person is T required to complete this affidavit. The Office of Investigations would like to thank you in advance or your cooperation and should you have any questions, please do not hesitate to give us a cal . The Department's address,telephone and fax number: The Commonwealth o Massachusetts Department of Indutl al Accidents Office of Inveations / 600 WashingtStreet Boston,MA111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 5-26-05 .... —_-__ ,., 1-1:- '6L Ammarr, g rti°is k`�tt�cP lwn le . HOME IMPROVEMENT CGNTRACTOR ( Registration: 119269 v , Expiration: 6/13/2011 Tr/a 28504f' Type: DBA PLEASANT BAY SIDEWALL CHARLES GALLAGHER ^ ^ 227 CLAYHOLE RD2ag�.nQ r BREWS'CER,MA 02631 Administrator "Nfassachusctts- Depai httcnt of Public tiatct� I �► ` � ' w , o-ai d of Butfding Rc��ulatiens uul 4t.utditrds , .d Consttucfion.SuperVisorSpecialty License r' ""'' r•._. License: CS SL 10.0299 Restricted to: RF,WS CHARLES GALLAGHER ''•' / .PO BOX 830 SOUTH ORLEANS, MA 026-62 es: � _ �� �f� Expiration: 6/30/2012 • ( mmissihncr Tr#: 100299 i I •• I`� J i l ® P�3'7201 /DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE1 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 policy(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 MARSHALL K LOVELETTE INSURANCE AGCY - CONTACT NAME: 396 MAIN STREET PHONE /c o 508 775-4559 FAX A/C No): 508 775-4577 WEST YARMOUTH, MA 02673 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: LIBERTY MUTUAL GROUP INSURED CHARLES M GALLAGHER INSURER B: DBA PLEASANT BAY SIDING INSURERC: P O BOX 830 SOUTH ORLEANS MA 02662 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 9685058 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. ILTRR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY EFF/YYYY MMIUDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ kcOM MERCIAL GENERAL LIABILITY _ PREMISES Ea occcurrence $ CLAIMS-MADE OCCUR - MED EXP Any one person) $ PERSONAL&ADV INJURY $ • GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-JFCT LOC $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS 8 AUTOS NON-OWNED Parr cand entDAMAGE $ HIRED AUTOS AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ $ A WORKERS COMPENSATION WC 1-31 S-346179-030 7/22/2010 7/22/2011 WcsTATU- o�TI- AND EMPLOYERS'LIABILITY Y/N - TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVEn N/A - - E.L.EACH ACCIDENT $ 100000 OFFICERIMEMBER EXCLUDED? 1 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR CHARLES M GALLAGHER Workers Compensation Insurance:Part One of the policy applies only to the Workers'Compensation Laws of the State of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BREWSTER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2198 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. BREWSTER MA 02631 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CERT NO.: 9685058 CLIENT CODE: 1392832 Deb Derochemont 3/7/2011 7:59:55 AM Page 1 of 1 PLEASANT BAYSIDING CONTRACT CONTRACTOR INFORMATION Pleasant Bay Siding P.O. Box 830 South Orleans, MA 02662 508-255-1370/508-237-5177 HOMEOWNER INFORMATION Name- -_ Address- 129 Noba eer Rd, Centerville, MA02632 Telephone-508-534-9636 Contractor agrees to perform general sidewall/roofing services as described in estimate #227 at residential premises as stated above. The contractor agrees to perform the work, furnish the material and labor as specified in.said estimate for the sum of$. 3338.47. Payments to be made according to the following,schedule: 1/3 upon signing of the contract 1/3 upon completion of V2 the services 1/3 upon completion of services Permits required by the town will be obtained by the contractor acting as the homeowner's agent. In signing this contract homeowner authorizes contractor to do so. If additional work is required to complete the job in a professional manner, every effort will be made to contact the homeowner by phone for authorization. Homeowner's signature Contractor's signature 5---g eC5 Date Date *See next page for notice of cancellation TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel Application# ,-)oo?6 gosS _ Health Division ` Conservation Division Permit# Tax Collector -ap Date Issued a� v Treasurer �` Application Fee Planning Dept. ' Permit Fee. A C q ` 4L Date Definitive Plan Approved by Planning Board - /_a�L 77 Historic-OKH Preservation/Hyannis Project Street Address Village C���t✓c i l��-- �``� �a 6�� Owner V'`-k c L `Address Telephone 5 Q - 53 4 It Permit Request 1"ww Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay woe"iccr (-P g6ect Val atio J ( 0C? Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documer t, gtion. M Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure t°t N Historic House: ❑Yes XNo On Old King's Hig�fway: JY s %No -� Basement Type: (,Full ❑Crawl ❑Walkout ❑Other col Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ' cs i Number of Baths: Full:existing new Half:existing new-' NUmben 0FBedrooms:--existing: new,.,., i t Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: JYes ❑ 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❑ - T- Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION NameA '_ �O` �`� � r Telephone Number C-� : � Address Z �/Qc �f �[� License# Cce_^"�,!" ��,;'1 l E' - Home Improvement Contractor# Worker's Compensation# ALLY ONS RUCTION,DEBRIS RESULTING.;FROM„THIS'PROJECT WILL'BE TAKEN SIGNATURE // , '� Z- I67 r l FOR OFFICIAL USE ONLY F F PERMIT NO. DATE ISSUED MAP/PARCEL NO. a t ADDRESS VILLAGE 3 OWNER DATE OF INSPECTION: FOUNDATION Z �a Tt►9 °7�31�a9 FRAME 'I� IdS" Idtse 'ILt L�itED sraaWF4 Aic"" !! INSULATION (o�� 1 � i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 3 GAS: ROUGH FINAL i FINAL BUILDING J °3 Z7l�R rr S DATE CLOSED OUT f ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts Department of In6strial=Accidents Office of Investigations h a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:.BuUders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly c=;N3Tne(Business/Organization/Individual)` ��(Q�•�-r`�� (� t'J--� sty/.S:tate/Z p Phone s �� Are you an employer?Check the appropriate box: Type of project(required):. 4. I am a general contractor and I 1.❑ I am a employer with � 6. ❑New construction . employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9.Ip Building addition [No workers' comp.insurance comp. insurance.$ C aired_, 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbin re airs or additions 3.;'_ �I am a honieowneT,d6iiig all'work ❑ . g p r y myself;[No workers Y comp. right of exemption per MGL 12.❑ Roof repairs y insurance.required:]t c. 152, §1(4),and we have no employees. [No workers' 13.7 Other comp. insurance required.] . 'Any applicant that checks box#1 must also fill out the section below showing their workers'.compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is..the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a flue 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 L. hereby certify under the pains and penalties of perjury that the information provided above is true and correct: �---� �� /--/— Slaria � 13 �� /Date 7 f6 Phone#: . Official use onlv. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal-representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced 1 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 vMh 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)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be,advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials _.. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Sile 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 io 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:. `phe Commonwealth of Massachusetts Department of Industrial Aceiderts Office of Investigations 6:00 Washingtcai Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE F'ax#617-727-7749 Revised I1-22-06 www.mass.gov/dia °F�►,E,°y� Town of Barnstable regulatory Services * *! Thomas F.Geller,Director MASS $ i6ig. Buildincr Division MP'� b Tom Perry,Building Commissioner 200 Main Street, Hyarmis,MA 02601 Office: 509-862-403 8 Fax: 508-790-623 0 Permit no. Date ' AFFIDAVIT HOME ENIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,.conversion, •improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than foci 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, t---T-ype of Work. � `�i��. �timatedsCost � ".e-F-V,(A �. ,.,..,- • er.s.Name �� L s��, ��� � t�'-t .�;CJ� Date"of Application 7 IZ,` ,c> I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QB g not owner-occupied 526 palling vn permit;. , Notice is hereby given that. OWNERS PULLING THEIR OWN PERMIT OR DEALING i.TITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. o- `7 "_AA� Date L•„Qwner;s.Name,,,�,. Q:fo=:homeaffidzv pZNE Town of Barnstable �p Tp�`, yP Regulatory Services BARTSTABLE, = Thomas F.Ceiler,Director. 9 MASS. fo Buildin a Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,NIA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EUMPTION Please Print DATE: _ JOB LOCATION: I Zq 1 1oVfudee r ILc� CPrt P i1t II (� ®�� number street village "HOMEOWNER.":_ P- Issca _i aV\L Sty- S34 9 b 6 name home phone# work phone f CURRENT MAILING ADDRESS: (1 tAockAs �—rk Cec��ery�lie z city/town state zip code The current exemption for"homeoV,nerS"«Vas extended to include_ouyrier-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire«,ho does not possess a license,provided that the uwneT acts as supervisor. DEFINITION OF HO?t2EOWNER 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 rho constructs more than one home in a two-year period shall not be considered a homeo«ner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official; that he/she shall be responsible for ail such work performed under the building-permit._(Section 10°.l.1) The undersigned"homeo«ner" 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 Tm«m of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and. requirements. � c Signat V e of Homeowner Approval of Building Official Note: Three-fainily 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 EXENfPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the pro-,risions of this section(Section i C9.1.1-Licensing of construction Supervisors);provided that if the hOme0W'T)er engages a person(s)for hire to dd 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-Supen�isors,Section 2.15) This lack of awareness often results in serious problems;particula-ly 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 homeo"vner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form cur ently used by several towns. You may caret amend and adopt such a form certification for use in your community. Q:io;-mshomeexempt RESIDENTIAL BUILDING PERMIT FEES j?PLICATION FEE New Buildings $100.0.0 Residential Addition $50.00 Altcrations/Renovations $50.00 Change of Contractor/Builder $25.00 r ME VALUE WORKSHEET NEWLnMgG SPACE quare feet x$96/sq.foot ply fr below(if applicable) ALTEpATIONS/RENOVATIONS OF EXISTING SPACE square feetx$64tscq foot= x.0041— plus f n-kbelow(if applicable) . 9ARAGES'(attaehed&detached) square feet $32/sq.fL x.0041= ACCESSORY STRUCTURE>120 sq.ft.. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf-1000 sf 75.00 >1000 sf- 1500 of 100.00 >1500 sf-Same as new building poxmit: square foot $961sq,foot= x.0041— STAND ALONE PERMTS Open Pgreb (number)x$30.00= Deck x$30.00- (number) FireplaeeMbtmneY _,x$25.00 a (timber) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25,00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Q p Y, c l o 17 z LO I6 � o �8 0 1r, O 1 0 Lw 60,00 and � I On the basis of my knowledge, inf4rtna'tion �vur�►r�,-TtorJ Ge{�TiFICA�TIotQ belief, X certify to Lo"( r7 that result of a survey ma a on tk�e groundr+ r v�u..E, �b.1��►hTa•��..aG ,M�., on 3 , l find that: .. ; Nam, t5, ►�a�a scA� 1'� , '.the tr►acture(s) are located on the site as shown. /rl.Cor��o%e�ce r�ti �e..Tmav�'z®h�nLvs The.'-title. lanes and lines of .occuPat ,o gxl%e ��lN'c..M.w.A•9N0tCV, � agSoG. tnlG- site are ,as shown. hereon*, �::A-LM TA `l'k1e situ,'is situated. in. k Iood� Zone r�/� r C. �P��N OF Comr�uxiity ParielAgo. qss t . 4� WILLIAM ��'y Date o �� 3 � ,r a 4;o w RWicK r NaT n� �,19 Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: ADDITION Report Date:06/26/07 Data filename:C:\Documents and Settingslbdaniels\My Documents\PROCTOR.rck Energy Code: Massachusetts Energy Code Location: Centerville(Barnstable),Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 15% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 129 NOBADEER RD. FRED PROCTOR CENTERVILLE,MA 129 NOBADEER RD. CENTERVILLE,MA Ceiling 1:Flat Ceiling or Scissor Truss: 370 30.0 0.0 13 Wall 1:Wood Frame,16"o.c.: 923 13.0 0.0 64 Window 1:Vinyl Frame:Double Pane with Low-E: 100 0.350 35 Door 1:Glass: 40 0.330 13 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 370 19.0 0.0 17 Furnace 1:Forced Hot Air.84 AFUE Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. wilder/Designer Company Name Date ADDITION Page 1 of 4 REScheck Software Version 3.7.3 Inspection Checklist Date:06/26/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.330 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air.84 AFUE or higher Make and Model Number. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. ADDITION Page 2 of 4 Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturers installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. ADDITION Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurefremperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) y ADDITION Page 4 of 4 Z9 w`o badele-C �I; f 2ND FLOOR BEAM REPLACEMENT FOR STEEL TJ-Bea/h06.25Serial Numb'er''7�v00�41�03, 62 4 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam@ LVL Page Engine Vers07 ion: THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.25.71 CONTROLS FOR THE APPLICATION AND LOADS LISTED ku o, ,o 1505 S3 LJ-9 67 b b 16• _ 1 Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width: 12' Primary Load Group-Residential-Sleeping Areas(psf):30.0 Live at 100%duration, 12.0 Dead Vertical Loads: Type. Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 0.0 90.0 0 To 16' Adds To WALL LOAD Uniform(plf) Floor(1.00) 200.0 100.0 0 To 16' Adds To ATTIC LOAD SUPPORTS: Input Bearing Vertical Reactions(lbs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 2.47" 4480/2856/0/7336 Al:Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam@ LVL 2 Stud wall 3.50" 2.47" 4480/2856/0/7336 Al:Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam@ LVL -See TJ SPECIFIER'S/BUILDERS GUIDE for detail(s):Al:Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) 7183 -6161 15794 Passed(39%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 28133 28133 35696 Passed(79%) MID Span 1 under Floor loading Live Load Defl(in) 0.434 0.522 Passed(U433) MID Span 1 under Floor loading Total Load Defl(in) 0.711 0.783 Passed(U265) MID Span 1 under Floor loading -Deflection Criteria:MINIMUM(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 15'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: RICH PROCTOR Matthew Gustin PROCTOR RES. Mid-Cape Home Centers 129 NOBADEER PO BOX 1418 CENTERVILLE,MA 465 ROUTE 134 SOUTH DENNIS,MA 02660 Phone:5083986071 X4987 Fax :5083984559 mgustin@midcape.net Copyright ® 2006 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. 0 / / 2ND FLOOR BEAM REPLACEMENT FOR STEEL TJ-Beani@6.25 Serial Number':7w0004 03, 627 4 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam@ LVL User:, Engine Vers07 ion:OOAM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Engine Version:6.25.71 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group ^ 15' 8.00" ^ Max. Vertical Reaction Total (lbs) 7336 7336 Max. Vertical Reaction Live (lbs) 4480 4480 Required Bearing Length in 2.47(W) 2.47(W) Max. Unbraced Length (in) 188 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 2398 -2398 Max Shear at Support (lbs) 2796 -2796 Member Reaction (lbs) 2796 2796 Support Reaction (lbs) 2856 2856 Moment (Ft-Lbs) 10952 Loading on all spans, LDF = 1.00 , 1.0 Dead + 1.0 Floor Shear at Support (lbs) 6161 -6161 Max Shear at Support (lbs) 7183 -7183 Member Reaction (lbs) 7183 7183 Support Reaction (lbs) 7336 . . 7336 Moment (Ft-Lbs) 28133 Live Deflection (in) 0.434 Total Deflection (in) 0.711 PROJECT INFORMATION: OPERATOR INFORMATION: RICH PROCTOR Matthew Gustin PROCTOR RES. Mid-Cape Home Centers 129 NOBADEER PO BOX 1418 CENTERVILLE,MA 465 ROUTE 134 SOUTH DENNIS,MA 02660 Phone:5083986071 X4987 Fax :5083984559 mgustin@midcape.net Copyright ® 2006 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. a + rry M y �. � �. ��'�• ._ '� � 4 _ eft:.. 9� � . ,z Ix 4..rG'Y v w , , o�os 'i"OVIVI. t- 8AW61ABLE 2008 JAN 15 All 11 15 January 15,2008 GIVISION 129 Nobadeer Road Centerville,MA 02632 Jeffrey Lauzon,Building Inspector Town of Barnstable Building Division 200 Main Street Hyannis,MA 02601 .Dear Mr. Lauzon: Re: Building Permit BIOGNW I am requesting an extension on building permi r an addition on the property located at 129 Nobadeer Road in Centerville. I was not to start the projectdue to financial reasons. However,I am reading to begin the project at this time so I would like to extend the permit: Thank you for your consideration. Kindest regards, . Melissa Tomlinson OD � c Melissa Tomlinson 129 Nobadeer Road-Centerville,MA 02632 Tel: 508-534-9636-Email: Melissa@tomlinson.com UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address,and ZIP Code in the space below. •Complete items 1,2,3,and 4 on the reverse. U.S.MAIL •Attach to front of article if space permits,otherwise affix to back of article. P PENALTY FOR PRIVATE •Endorse article"Return Receipt USE, I Requested"adjacent to number: RETURN Print Sender's name,address,and ZIP Code in the space below. TO Mr. Joseph DaLuz, Building Commissioner ToT,ni of Barnstable 367 Main Street Hyannis, MA 02601 i ISENDER:Complete items 1 and 2 when additional services are desired,and complete items 3 and 4. Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this card from being returned to you.The return receipt fee will rovide you the name of the person Ylelivered to and the date of delivery.For additional fees the ollowing services are available.Consult i postmaster for fees and check box(es)for additional service(s)requested. i •1. ❑ Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery. 'I.Article addressed-to: 4.Article Number P-539 082 812 Mr. Gary Powers Type of Service. Landclear'nR.W.P. i g R.W. III El Registered El insured r129 Nobadeer Road_; Certified ❑ COD Centerville, MA 02632 t 1' Express Mail Always obtain signature of addressee or 64 ;� ( agent and DATE DELIVERED. _ _ ._ _ ``B.S n ture=Adhiressee 8:Addressee's Address(ONLY if X requested and fee paid) P.Signature—Agent X 7.Date of Deliver - PS Form 3811,Feb-.1986 DOMESTIC RETURN RECEIPT J S O EP H D. D A U 2 TELEPHONE: O Es 773.112 0 Building Commistiontr EXT. 107 TOWN OF. BARNSTABLE , BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 August 24, 1987 Mr. Gary Powers Landclearing R.W.P. III 129 Nobadeer Road Centerville, MA 02632 RE: Zoning Violation/Nobadeer Road, Centerville Dear Mr. Powers: On several occasions this office, through the zoning enforcement officier, has informed you of the illegal activity of conducting a business at the above address. Your residence is located in a residential district and business activities are prohibited. This office would like to advise you very emphatically that should this activity continue, along with the parking of construction equipment fourteen (14)`days after receipt of this letter I will be forced to seek a complaint in the First District Court at .Barnstable. . Please be further advised that conviction of a violation under this by-law is subject to a fine of One Hundred Dollars ($100.00) and each day is considered a separate offense. I trust that this serious matter will be immediately resolved without the nesessity of legal action from this office. Peace, J!seph D. DaL z Building Commissioner JDD/gr cc: Board of Selectmen Town Counsel Quissett Village Home Owners Association Certified mail: P-539 082 812 R.R.R. 1 0 o `r F .. A - o \b n 1,- o T 17 N 7� s v� N H O 1 ram. .. 60 00 On the basis of my knowledge o inf grM.ation and Fou N Po�. 6e oz, AT I oN belief, I certify to 7ti m4 urns t,oT (7 N o a b ovap, that result of a survey,ma a on the ground Goa �v►�E, ��1�►�ETA►t�u� ,MA. :on ii �° 3 , I find that: : 'ihe tructure(s) are located on the -site as shown. 14.Co°»p%av ca Aoi;! the.'7own The.'-titl*& lanes and lines ':of ocau at cau, f hea�Soc. IrJG- s. , e are as shown hereon. ;4 1 0 �;a�rno�TN , MAg , `lkie Site.'Js situated.- :x Flood, Zone" �- � C . cP;�H of M . . Comrzunity Panel l�o. batae Q WILLIA s' M y� Date: leg 3 ,t,t a �F 7' t ;his wARw+cI No 1977J , r's hap n lot number , THE. assesso of Sewage Permit number ... .. .... ' 12`q. } SEPTIC SYSTEM fife-IST BE 9HasasTa LE . i 639. House number ............................. ....... .. ..............:: o MA! TOWN O F B� ���� 1�I�f r:nAIB L E o TOWN BUILDING INSPECTOR APPLICATION FOR PERMIT TO U I. ... �... �� l........... �/...... ... .........................�`� :.. TYPE OF •CONSTRUCTION ....... eq.a.p:........ J : .......................................................... j .... 7.......................19..1��.--� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ... ........ ........... .... ........... .... ....... .. ProposedUse .........ofn....MT:':e:...... tlJ �..N9.......................................... ........................................ Zoning District ....:... ......./..........................................Fire District ........C. ................................. Name of Owner ..,,,ram' 4.3...... ll ........... ............Address ...1.. .. �. 1..:.... .. /`� Nameof Builder .`....`7...... .............. ...........Address ..................................:..............................�................. Name of Architectnf.-��1..1!`.l'I.. o.p ......O-e,. ..4A..Address 4�.... ..y, ,� !1 t. r7 .. Number of Rooms .......................... .....Foundation � .. �NG rll (^ - ( .'!.�� oofing .....�..J� .. Exterior ....... ...... _ ....................................... w Floors � dv�C...................... ................... ...�.y...�'.?1.?..�..........................Interior .........�. . .C�,���.. �.�............. Heatingkl-z:...................................................Plumbing ...... ..1�.......... .. . ...... ........... .Y Fireplace ......... /.'!° ..........................................................Approximate. Cost ........fG�.lv..RO.......... A .... ... EO Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ............................ .......... Diagram. of Lot and Building with Dimension's Fee ir�................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ���� 7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega ing the above construction. Name ............................ Construct' Supervisor's Licens /> @�� ..... .......... ...Y....�... ...... S•4L S TRUST 1 j r c=` No ..2`5810.. Permit for 'A........... �^ Single Family Dwell" - ,� -.��. ..... _. . ... .......................... Lot 17 ...�................ r ' `•� � - 129 Nobadeer Road - , Location ................................................................ i 3...........Centervill ................................... _ Owner ..S...L..S..Trust....... ....... J _ .................. Type of Construction ..Frame. ..........:............ ............ ................................................................ f` ? q1j. . ♦ - r Plot ` Lot ................ .......... f.. • • � .�R .i �y� per .. - � • > Permit Granted ., November 22,. 19 8 3 Date'of lnsp ? DateCompleted t�..,r.:. 19 J `a'-Y,4 -7 „o�TM TOWN OF BARNSTABLE'' ' Permit No. _25810 111WIT� ; Building`Inspector cash • - --------------—------- — .,ems ,•. 6)y �OYPY P'` OCCUPANCY PERMIT • Bond ________Y Issued to S L S TrU,gt~ Address L<* 17, 129- NokAdeer Road, Centerville Wiring Inspector 1 �_ Inspection date Plumbing Inspector Inspection date Gas Inspector IV114 U Inspection date X Engineering Department i A � e'r Cf1' Inspection date'.)7 Board of Health _ t ,�� .�! Inspection date r✓? f THIS PERMIT WILL NOT BE VALID;'AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. cel Building Inspector L FROM T016 OF BARN.STABLE. BUILDING DEPARTMENT To �'Cler f.aht�lne 367 MAIN STREET HYANNIS, MA-To�tta Clerk ' Phone: .775-1120 SUBJECT: FOLD MERE DATE flay 29, 1984 MESSAGE Work has been completed under Building Permit 25810 (S_L'S 'rust). Please release Bond. ~ • - � - SIG ED�• �� �� DATE - -REPLY ~ - SIGNED - - - - i N87•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A.. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.'. " ...STAMP: �. 5'-B° 6'-II' • - EAVE SPACE SMOKE DETECTORS REVIEWED I O BATH AB BUILDING DEPT. DATE 2'-O° ° CARBON MONOXIDE ALARMS , x 00 6'-B'DR I s' MUST BE INSTALLED PER m 1J MASSAM USETTS BUILIM COOS $ EX. FIRE DEPARTMENT DATE $ BEDROO 2'-6'x6'-B' r-6°xb'-B" - " - BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 6 DOOR DOOR n x EX. BATH - I m NEW - QO IMPORTANT - UPGRADE REQUIRED Z M ILI z y _ o STATE BUILDING CODE REQUIRES THE UPGRADING OF DN. €� �J SMOKE DETECTORS FOR 000R 6'_e• €�` J " ONE OR MORE SLEEPING THE ENTIRE pWE{LMiG VfiiEN AREAS ARE ADDED OR CREATEDr z Z m o� ^z .NOTE A SEPARATE PERMrr IS REWIRED FOR THEc INSTALL °m ATION OF SMOKE DETECTORS-THE • ELECTRICAL 3 a ° q PERMIT DOES N)L SATISFY THIS REQUIREMENT. "OPEN TO LIVING � - � - - RM. m - } P.T..5TOOP - - w .. - , ` EX. KITCHEN W Q v o Lu 6' b' EX. DINING O W-O'x -8° FR. DR. ' RM. , 1= C to W z •ADDITION FX151TING m J • ro - - 0 a w Q O 0 O > qLLJ U � . w p N z SECOND FLOOR PLAN z w 05CALEd I'/4'- -0' o- -- ou w a- r U ' In O --.p 11- _- /V m PROPO wii z ii FAMILY RM. ii EX. GARAGE v TITLE: ------------ o m EX. LIVINGELL FLOOR PLANS o DATE ISSUED: 06/26/07 REVISIONS:. ADDITION BXISITING " - DRAWN BY: PROJECT#: _- `SCFIRS I'T FLOOR PLAN DRAWING NO.: 4 ALEo/4'- -0' �� Al ' STAMP: i NOTE: I � � ALL TRIM, SIDING, '` � ROOF SHINGLES, GUTTERS, ETC TO MATC14 EXISTING LLLL Z C9 177� N w p N o a X w 2 � me mN 3Q _3 ADDITION EXISTING + W Lu Q FRONT ELEVATION z c O L" C cn W G f Q O L" m J , W U Z Z O CV W r U' W F- •: OUTLINE OF .� 12 12 EX. HOUSE . '. Y - _ _ •' .. BEYOND - - MATCH EX. MATCH EX. _ TITLE: Z. ELEVATIONS DATE ISSUED: 06/26/07 ® ® ® .. - - -. - REVISIONS: FM .. DRAWN BY: . •. - - - PROJECT#: ' LEFT SIDE ELEVATION ° EXISTING ADDITION DRAWING NO.: SGALEd/4'ml'-O° REAR ELEVATION ®� A2 r' .STAMP: 15'-9" _.) .. ^� CONTINUOUS 2x6 P.T. SILL PLATE/SILL 2x12's L. 16° O.C. INSUL. w/I/2" DIA GALV. A.B. • W-O" C - O.C. MAX - - - v -------------------- DRILL d GROUT - - I ' r------------------ 2-tt4 DOWELS @ 12' O.C. II I .II_ Ililllllll , 1 V II IIIIIIIIIII t I ip a' I FLUSH FRAME a T I I CUT OUT m I I ACCESS TO CRAWL SP. ' WIOx35 ST. BEAM N 11 � IIIIiIIIIIIII x 3-2x10 GIRT �1�1 �C �IC 3 I/2" GONG. FILLED t I I I I I STEEL LALLY COLUMN - 1 BELOW DOWN TO FND. m I I .I .L I I I I I l I I I I Z � 1 C� I I BM. PKT-TYP. L 3 1/2" GONG. FILLED e, I I MIN. BRG. 4" STEEL LALLY COLUMN I 1 ON 30"X30"X12' CONC. <n qc I FTC. TYP. I I I I I I I I I I I I I w N Z U CRAWL SPACE I I I I . I i 3 1/2" CONC. SLAB OVER Y m U m I I 6 MIL POLY VAPOR BARRIER OVER I I 6" COMPACTED GRAVEL ¢ 3 NOTE: I L------------------ I. STEEL BEAMS TO BE ENGINEERED BY - DRILL t GROUT 5TRUCTRUAL ENGINEER. --------------- --- 2-1t4 DOWELS @ 12" O.G. - - - - CONT. 2x12 RIM. JST. CONTINUOUS 5"x4'-0" CONC. WALL m ON I6"xB" CONC. FTG. W 2x12's @ IV O.G. _ U z W z o O W En W ADDITION EX15TING • - ADDITION EXISTING Q o O c SECOND FLOOR FRAMING .PLAN U ol � FOUNDATION PLAN SCALEw4•=l'-o• z O 04 U 5CALE°I/4'=l'-0' UJ y • CON'T RIDGE VENT- 1 10'-8"+/- TYPICAL ROOF CONSTRUCTION - . - 2x12 RIDGE BD- \ .E ASPHALT SHINGLES ON « ~ 15# BUILDING FELT ON r 1/2'CDX PLYWD. - -- +/-5I- `-I+/-B PROP-A-VENT BAFFLE AT - MATCH EX. MATCH EX. SLOPED CLG.5 2.10 RAFTERS @ 16' O.G. • _ 51MPSON H2.5 CLIPS @ 16' O.C- - ALUM. GUTTERS - 9" (R-30) FIBERGLASS BATT ' •- ' Ix FASCIA 13DS - 2.5 @ 1 O.G. KRAFT FACED INSUL. • - TITLE: 4 Ix SOFFIT w/CON' + «, VINYL SOFFIT VENT Zli an TYPICAL WALL CONSTRUCTION BATH BEDROOM' + W.C. SHINGLES 5 I/2° ExPosuRE ELEVATIONS ' m TYVEK HOUSEWRAP - TTP. 2r,d FLOOR CONSTRUCTION m - ' 3/4° : PLYWD 5UBFLOOR U 1/2" COX PLYWOOD GLUED R NAILED OVER Q 2x4 STUDS @ 16' O.G. 2xl2's @ 16'O.C. TO MATCH EX. SOLID BLK E 3 1/2' RIB UNPAGED FIBERGLASS . 1 x 3 STRAPPING AT 16° O.C. TYP_ BATT INSULATION • 1/2°G.W.B.-PTD. 1/2" G.W.B.-PAINTED - DATE ISSUED: WI0x35 ST. BM. - 06/26/07 z m REVISIONS: �_ TYP- IST FLOOR.CONSTRUCTION S� 3/4' T t G PLYWD SUBFLOOR FAMILY RM. - - - GLUED 6 NAILED OVER - 2x12's @ 16" O.C. TO MATCH EX. SOLID BLK 6" (Ri9) FIBERGLASS BATT TYP. INSULATION y 3-2x10 GIRT FOUNDATION: - BITUMINOUS DAMPPROOFING ON DRAWN BY: L.C.ON CONC. B' CONC. FOUNDATION WALL ON FTG. O Z 16'x0' DEEP KEYED CONG. $ r L FOOTING PROJECT#: .. - DRAWING NO.: DRAWL 5P. FLOOR: 3 I/2' CONC. SLAB OVER g CROSS SECTION 6 MIL POLY VAPOR BARRIER ON Ao SGALEeI/40• 6° COMPACTED GRAVEL