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0023 OLD STAGE ROAD
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N ., o- M>h -.. I i _ 4 a n.. . Town of Barnstable �'THE T Regulatory Services Thomas F. Geiler, Director Building Division MAW. � Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 16, 2012 Edward and Kelly Lennon 8 Castle Drive Mansfield, MA 02048 Re: Family Apartment 23 Old Stage Road Centerville, MA 02632 Dear Mr. and Mrs. Lennon: Our records indicate that you have not responded to our letter dated January 15,2012 regarding the special permit No. 2009-065 to construct a family apartment at the above referenced address. To date, you have not completed the process for the family apartment and do not meet all of the requirements. Violation of the Family Apartment Rules and Regulations will'result in the approval to be rescinded and you could be fined up to $100.00 per day, per violation. Please contact this office by August 3, 2012 to review the status of your special permit No. 2009-065. If you have any questions, please call Brenda Coyle, Principal Division Assistant, at 508- 862-4039. ¢ . Sincerely, o fwL _lrr Tom Perry Building Commissioner Enclosure fasnd Town of Barnstable Regulatory'Services BMWS'rAB ' + Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 15, 20d$. Edward Lennon 8 Castle Drive Mansfield, Ma. 02048 RE: 23 Old Stage Rd., Centerville Map: 208 Parcel:`156 Dear Mr. Lennon: As you may recall,this office issued you a building permit on or about June 21,'2010 based on special permit No. 2009-065. The building permit issued was to construct a family apartment at the above referenced address and are subject to the conditions listed in special permit No. 2009-065. To date, all of the conditions have not been met and the special permit is subject to revocation. Please contact this office with explanation as to why you have failed to comply. Respectfully, L. L Local Inspector (508) 862-4034 Q:zoning5 TreasIger's Office /y y ge 1 of 2 �"`-�, , Leo- ��� �" ��a� � a� � t� �;� >: „��• ,V it�t�tr Ask r Departments Boards&Officials Virtual Town Hall Town Notices About Quick Links Home Search „ rHomel rDepartmentsl (Treasurer's Office] Web site Contact Information: Helpful Information: directory Roxanne L. Donovan,Town Print this Page Treasurer/Collector Sandra LaRosee,Assistant Town Questions about your bills can be answered by New in town Treasurer/Collector calling 508 261 7340 during regular office Address: Treasurer's Office hours ` 6 Park Row, Mansfield, MA 02048 Bill Payment On-line bill payment Office Location:Town Hall,., Second floor Phone: (508) 261-7340 Assessor's GIs FAX: database Hours: Mon/Tue/Thu 8am-4pm Wed 8am-8pm ON LINE BILL PAYING DIRECT Fri 8am-12pm. LINK Police Support Staff: Wendy Cutillo Kathy Colleran TO PAY YOUR ELECTRIC BILL CLICK HERE Fire Pat Gurnon Jennifer Kinney More about On Line Bill Paying Board Meetings About; THERE IS A DROP OFF BOX FOR PAYMENTS AT RSS Feed The Treasurer/Collector's Office is the central office EXIT OF THE PARK ROW PARKING LOT. ❑ parks&Rec for receipt for all payments.This includes Real PAYMENTS MAY BE DROPPED OFF AT ANY RSS Feed Estate Tax, Personal Property Tax, Excise Tax, TIME. PAYMENTS ARE PICKED UP FROM THE Water, Waste Water,and Electric bills.You might BOX AT 8:00 AM USING THE PRIOR BUSINESS say one stop shopping for paying town bills. DAY AS THE EFFECTIVE DATE. Library RSS Feed Real Estate Tax Bills and Personal --._.._.. __.....__....._._....-.................... Property Tax EventKeeper Login: IMPORTANT INFORMATION I Real Estate Tax Bills and Personal Property Tax REGARDING BILL PAYMENTS Bills are sent out quarterly.All tax bills are due upon receipt, however you have 30 days to The Town of Mansfield is now sending all pay your bill without interest or penalties. If payments to a Payment Processing Center in not paid by the due date, interest accrues at Woburn. 14% per annum from the due date. Quarterly tax bills due dates are Aug 1, Nov 1, Feb 1, Please use the envelope that is provided with your and May, 1 each year. bill(s)which is mailed to P.O. Box 4158, Woburn, Abatements, adjustments and address changes MA 01888-4158. Allow additional time for mail should be directed to the Assessors Office.You delivery. must contact them for this service. All payments mailed to or dropped off at Town Prior calendar year income tax information can Hall or the Electric Department will be shipped to -be obtained at the Treasurer's Office during the Woburn center, so allow up to a week for regular business hours. The cost is$.50 per processing. page. Tax bills and canceled checks can be used for income tax.records. If you choose to pay your bills electronically,we request that you do so through the Town's web Excise Tax Bills. site. Click on online bill pay. This is a free service when using your checking account. Annually the Commonwealth of Massachusetts Electric bills are no longer available through allows each city or town to collect a tax for the UniBank. Please visit the Electric Department's ownership of a motor vehicle. It is based on http://www.mansfieldma-com/html/treasurer—s—office.html 9/19/2012 Treasurer's Office Page 2 of 2 web site for Electric Bill online payments $25.00 per$1,000 valuation, determined by the Registry of Motor Vehicles.The major If you chose to use your personal online banking, portion of these excise tax bills are usually please update the remit address. Also, be sure to sent out in February of each year. If you provide correct account information for each bill change your vehicle you will receive another type to ensure that the payment is applied bill during the year, however adjustments are properly. made if plates are transferred or turn back into the Registry.To receive this adjustment you must bring proof to the Assessors Office.The proceeds of the Tax Bill stays in the city or town and helps reduce the real estate property tax assessed. Some states call this a personal property tax. Official web site Town of Mansfield, Massachusetts Please e-mail any questions,comments, or suggestions about the web site to our webmaster Disclaimer Copyright©2001 - 2011 Town of Mansfield, MASSACHUSETTS V�e Gf .koaal) eA,6LL L (EV ow �(W, http://www.mansfieldma.com/html/treasurer—s—office.html 9/19/2012 Town of Mansfield, MA- Property Details Page 1 of 4 Town of Mansfield Assessor's Home Page New Search 8 CASTLE DR Map-Lot: 43-134 Location: 8 CASTLE DR Owner Name: LENNON EDWARD S Vision Number: 100224 Property Card: FY 2012 3 View Map: Map It For property card,click on TY 2012'. Click on 'Map It'to view tax mapping. Parcel Valuation Item Assessed Value Buildings $485,500 Extra Building Features $2,500 Outbuildings $0 , Land $182,000 Total $670,000 Owner of Record LENNON EDWARD S 8 CASTLE DR MANSFIELD, MA 02048 Ownership History Owner Name Book/Page Sale Date Sale Price LENNON EDWARD S 12344/ 176 07/02/2003 $525,000 http://gis.mansfieldma.conVparcels/ParcelSearchResults.aspx?Pid=100224&Bid=7713 9/19/2012 oFtNKE r Town of Barnstable Regulatory Services BARNSTABLE, v KAM. g Thomas F. Geiler,Director f63 �0 'OTFv 39. 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 RE: 23 OLD STAGE RD, CENTERVILLE OUR RECORDS THE FOLLOWING ELECTRICAL PERMIT DOES NOT HAVE A FINAL INSPECTION #90245 ELECTRICAL PERMIT EXPIRED . FOR SECURITY/FIRE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION `Application 65;021d Map Parcel atidn # ''Date Issued 1,ejkz� g Health Division Conservation Division Application Fee Planning Dept: wPermit Fee Date Definitive.Plan Approved by Planning Board Historic = OKH Preservation Hyannis SEE PEAT 117 Project Street Address 0 Village Zevt kc V Owner (� Z wart Address NLI<, M?A!s&V-Ko Telephone Permit Request :A I A 31 414,vo-&-s Y ��ti f;��o ff, j;d 1.� �c�L. o,, ��3G� D F SC • 10 )CW k+t Aptly S40are feet: 1 st floor: existing—proposed 2nd floor: existing proposed--LTotal new Zoning District Flood Plain- '-Groundwater Overlay 1 AIAJ Project Valuation 0 000 Construction Type it L6t Size Grandfathere'd: Q Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family L] Multi-Family (# units) 'A Age of Existing Stru cture WHistoric House: LJ Yes XNo On Old King's Hi ay: LJ Yes )(No Basement Type: L(Full Ll Crawl Ll Walkout Ll Other Basement Finished Area (sq.ft.)' Basement Unfinished Areal.�s!q.ft) 1109 Number of Baths: Full: existing, new Half: existing n e Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new First Floor R om Count Heat Type and Fuel: %Gas Ll Oil LJ Electric LJ Other Central Air: Ll Yes $No Fireplaces: Existing New Existing wood/coal stove: LJ Yes Ll No Detached garage: Ll existing LJ new size—Pool: L1 existing Ll new size Barn: Ll existing Ll new size Attached garage: U existing Ll new size —Shed: LJ existing LJ new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded LJ Commercial LJ Yes XNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 2gwPi0gi Telephone Number 6— Ov_ Address le At License # J"14 S U 076 ta Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (off- (10 SIGNATURE DATE V r FOR OFFICIAL USE ONLY ,r ` APPLICATION# b d DATE ISSUED MAP/PARCELNO. t ADDRESS + VILLAGE OWNER DATE OF INSPECTION: - T FOUNDATION FRAME INSULATION i r FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING L a DATE CLOSED-OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' ' 600 Washington Street Boston, MA-02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeEibly Name(Business/Organization/Individual): " n Address: Z /Y City/State/Zip: 6@�Rt 0 3•L Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors6. ❑New construction ..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 workingfor me in an capacity. employees and have workers' Y P tY• # 9. ❑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 l l.❑Plumbing repairs or additions myself o workers' co right of exemption per MGL Y [N mp• 12.0 Roof repairs insurance required-] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1contractors 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. lam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.M 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 fo 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 DIA for insurance codraze verification. I do hereby certify under he sins a enalties of perjury that the information provided above is true and correct Signature: Date: D _ Phone#: to 17- !�i 6/— --Y Off 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 1.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Insttuctions 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 including the legal representatives of a deceased employer,or the of the foregoing engaged in a joint enterprise,and incl g p partnership,association or other legal entity,employing employees. However the receiver or trustee of an individual,p p, 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 ws ith 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 then self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 Tel. #611-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia r r Town of Barnstable THE "o Regulatory Services snaxsTwar t Thomas F.Geiler,Director Building Division CEO MA't�` Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: ` 10B LOCATION: Z 12 Zi M& Al fv(/ Llr,it ham - b �L number street I/ villages •`HOMEOWNER": Kb f l e ki !let/)� ���G�D W—4 is— name home phone# work phone# CURRENT MAILING ADDRESS: � � JZl✓ Ri✓Zr I-r_ WLGA�Sdit 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. 'DEFIMTION 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. l The undersigned"homeowner" ifies that he/she'understands the Town of Barnstable Building Department minimum' pe on roced and requirements and that he/she will comply_with said procedures and requirem is Signature of Homeo er Approval of Building Official } Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION ' The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly, when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC �1HE 1�, Town of Barnstable Regulatory Services s"x"srna •MAM ` Thomas F.Geiler,Director 16.39. ► Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property ProP e Owner Must Complete and Sign This Section If Using A Builder I, �v-✓�iZ , as er of the subject property hereby authorize 1 �✓ /va to act on my behalf, in all matters relative to work autho ' d by uilding permit application for. (Add s f job) Signature of Owner ate Yl//� Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 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GROSS WALL AREA 2ND FL = 1099 S.F. GROSS WALL AREA 1st & 2nd. = 2584 S.F. GROSS CEILING AREA = 1285 S.F. GROSS. FLOOR AREA 1241 S.F. GROSS WINDOW AREA ® 237 S.F. y GROSS DOOR AREA = 72 S.F. ,. NET WALL AREA = 2275 S.F. atyrxaWY; _ a.-4 1Wx 0 a = 1 MA ER BATH. n 24lur _ spa ew family room kitchen new deck � entry - p — EOFf UTER breakfast R d MASTER BEDR OM , new home office # a o BEDROOM new dining room 16 will a� 22, tic new deck I • HS 3CNF. CATEt - ppW, - EV6I M Dar.- ENERGY INFORMATION & SCHED. 2a.a°r—xoe4 ��� ADDITIONS AND RENOVATIONS csRnvicu v s�m3oMo Dnuzra�n BARTOL RESIbENCE esi aiwtot NMI+ nr samvI�,Aa 23 OLD.STAGE ROAD I` C iLLE. MA.'02632 aR 6 r I e M moon oaim . wwwar a t in o 16'or. "12 O ai1D lIGR . �..yr015 i l0 aY �} _ V l2 1••/�40 Ode.. 3 17 O .. O'STP4 la 1 >. _. rw.,IA.O MASTER t = -. .. o7Dom11 l i Ss a 1P oG .. ,I;OYER 0 HOME OFFlCF DINING REAR � C] Al I � ME 'jl M1 rj c 0 BUILDING SECTION A BUILDING SECTION B J i. SLA PAPER OR '1YVECK`7TT USED ON ROOF AND SDEWALL 2. BASEMENT UMM WRtDOWS A:PER SIAMM BUILDING CODE, = of FLOOR SPACE H EA M E R .^C H E U L E - ASTENEA SCHEDULE SiRUCTU L MEMBERS J. PAOViOE GUTIQT9 ANO DOW�SPOIIIS AS RE01lIHED SUPWaIYC HOOF meP suopoarow 1 SI01[P IBa,E ,� ,�i Sian't�oK .4. PROVIDE f1A�11NG ABOVE ALL WINDOWS AND DQOFTS n 1 n O. PRONDB CRDSSBRIDGad6 O I ZAN DF ALL JOISiB AS REQUIRED . 6. DOUBLE JOISTS UNDER ALL PARTMONS.AS REQUIRED — 7. ATTIC SPACE'TO EIE 4ffM AS'PER STATE BULL RED CODE — e. .. B. THE DESIGNER ASSU4ES NO RESPOH9131UTY FOR THE CoNSTRUCTIDN, THE'OWNER MID CONTRACTOR SHALL CDMPLY WRH All RULE9 AND — .. REGULATIONS IN.TME 1&STATt BWLWNO CODE MR1 I.00IL REGULATK]NS. _ VSULATION NO c .) ALL FLOORS BELOW HEATED SPACE AND ABOVE UNHEATED SPACE 7O BE INSULATED WITH 8` R-19 F.G. INSUL'MIN. p ALL CEILINGS BELOW UNHEATED SPACE AND ABOVE HEATED SPACE TO BE INSULATED WITH 9` R-30 F.G. MIN. IJ f. ALL EXTERIOR'WALLS ABUTTING HEATED SPACE AND UNHEATED SPACE TO 8E INSULATED WITH 3 1/2" R-13 F.C. INSUL IN. u NN r)`�(OPTIONAL:) AIL.HI(GHS/OJUmND AREAS I.E. BATHROOMS, T.V. ROOM & KTTCMEN TD 9E tNSUlATEO WITH 3 7/2` SOUND INSULATION.. SCAM.. .WW t W�l BUILDING JMTEs pRDJ �) A I LDI N G SECTIONS. '�4�''—D' 29—OCT--2004 1573 XFFRIY A BARNABY, CM ADDITIONS AND PENOVA71ONS SHEET 1: > CERTTPIED PRQFc=x$t,RI MG BcvGNER BD BARTOL 'RESIDENCE' ouvwa Sea Lal MWA M 1tEE MMUSE WM-EAST SNOVICK MA 'u+>v mee war wum. .M A-6. T>1.. BBB-B7�T 23 OLD STAGE ROAD a .a1�1 CENTERVILLE,. MA. 02632 , �W�p°O`�, —r ! it --- _ _ ''�/Y�.'ir��'1►�®ylli�a�rsi��sr�i;�i.■+ir.�i ,.. .. ..... ..is _ Hi�� ME-E- u ., ? ? ICI �.. Ei®�_�_�r-, I �■ I�NiP!�f;►;ate I A=�: t��LfJ�I! �.,�.w It� r�r.,�+-.r�i.w�.\�J-���'i�' I • :; ,.,■,.� �ifil�i�11l�i�iiiln4iiii�=—�`;��.. � new home office � aw It &••„ � - II i new . - ink ®_ � o .2-Wei' ' '�' '�• • i. ►1 .111 AllIffiff WIN FRAMING LAYOUTS .,. OR BARTOL . . STAGE. ROAD 4 . '+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A'`7 Map =T� Parcel, Application%#IZ40T O93 Health Division 'Date Issued . Conservation Division ;;Application Fee ,f'o Planning'Dept: Permit Fee —76 . � Date Defnitive'Plan Approved by Planning Board h UL a s (v% Historic =OKH =Preservation / Hyannis ; Project.Street Address 9L 3; 0 L-D E KO A-6- Village e-r Owner L E N t0 'ro k E io u/Avg 17 Address : 2-.3 ®L,r) Telephone Permit Request o Square feet: 1 st floor: existing 11,30 proposed 2nd floor: existing 1j VUo proposed 0Total new Zoning District AD - 1 Flood Plain Groundwater Overlay <L- Project Valuation 9 0 0 0,7 Construction Type W 00P Lot Size Grandfathered: 1174es ❑ No If yes, attach sup rting dogamertion. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) j, o Age of Existing Structured Historic House: ❑Yes No On Old King's h way: gMes No O Basement Type: ❑ Full ❑ Crawl M Walkout ❑ Other �- N Basement Finished Area(sq,ft.) o ®� Basement Unfinished� Area (sq.ft) .390 �w rn Number of Baths: Full: existing, a new ' Half: existing e new) Number of Bedrooms: - existing f new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 216as ❑ Oil ❑ Electric ❑Other Central Air: U'1'es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo A` Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ �VPC Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes M46 If yes, site plan review # Current Use CZS t D Er4 6e_ Proposed Use SP,AA E N W 2, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) w rn Name Owl pna C) C 0 Telephone Number (�p l q -Sq L{ -3q"7 0 Address 2� �� S" I License # Home Improvement Contractor# ®2t, 3 2 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO /JIS�DSrI Af SIGNATURE all DATE Oaf FOR OFFICIAL USE ONLY 1 , APPLICATION# i DATE ISSUED f MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH __-- ff FINAL FINAL BUILDING Zhi)11 t DATE CLOSED OUT' ASSOCIATION PLAN NO. JOWN OFBARNSTABLEBuilding Application Ref: 200904034 p BARNSTABLE, * Issue Date: 06/21/10 Permit 9 MASS �pA i639• Applicant: BARTOL WENDY P ?Fp .1 A Permit Number: .B 20101198 Proposed Use: SINGLE FAMILY HOME _. Expiration Date: 12/19/10 Location 23 OLD STAGE ROAD Zoning District RD-1 Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 208156 Permit Fee$ 45.00 Contractor PROPERTY.OWNER Village CENTERVILLE App Fee$ 50.00 License Nurn OWNER Est Construction.Cost$ 9,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BASEMENT REMODEL, 1 BEDROOM APT FOR JOYCE BENNETT,M. THFffjIS CARD MUST BE KEPT POSTED UNTIL FINAL PLUMBING PERMIT IS ON PERMIT 200902114 INSPECTION HAS BEEN.MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BARTOL,WENDY P BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 23 OLD STAGE RD INSPECTION HAS BEEN E. CENTERVILLE, MA 02632 Application Entered by: JL Building Permit'Issued By: THIS PERMIT CONVEYS NO,RIGHT TO OCCUPY ANY STREET ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER.TEMPORARILtORITMANENTLY., ENCROACHEMENTS.ON PUBLIC PROPERTY,.NOTSPECIFICALLY PERMITTED UNDER'.THE BUILDING,CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS.MAYBE OBTAINEDTROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE:THE APPLICANT FROM THE CONDITIONS,OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE-LINING IS INSTALLED r 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY-TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.• PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). a as x Q ® Hwy y'va' . BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS -s 2 2 M 2 3 1 Heating Inspection-Approvals Engineering Dept Fire Dept 2 Board of Health r The Commonwealth of Massachusetts , Department,of Industrial Accidents W Office of Investigations ' d 600 Washington Street Boston, MA 02111 lvww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information \\ Please Print Legibly Name (Business/Organization/Individual): r^� Address: ©t_,o City/State/Zip: J tU ,,L. Phone.#: Are you an employer? Check the appropriate box: Type of project(required): L❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ..2.0 I am a sole proprietor or partner listed on the attached sheet. T. Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity, employees and have workers' 9. 0 Building addition [No workers' comp. insurance. comp. insurance.$ required.] S. We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised.their 11.0 Plumbing repairs or additions . myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 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. M Expiration Date: Job Site Address: l 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 imprisonme 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 ised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ins nce cover verification. I do hereby certifannder,,ep i sandpe al es of perjury that the information provided above`is.tue a d correct. Si nature: Date: !d Phone#: Official use only."Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 4' Information and. Instructi®ns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied, oral or written.,, An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this.chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),.address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should firma be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. the Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" I.he applicant should write"all locations in—__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid,affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Depart -mt of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617--727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia r' REScheck Software Version 4.2.0 Compliance Certificate Project Title: MIKE SULLIVAN Energy Code: 2003 IECC Location: Centerville(Barnstable), Massachusetts Construction Type: Single Family Glazing Area Percentage: 3% Heating Degree Days: 6137 Construction Site: Owner/ gent: `Designer/Contractor: 23 OLD STAGE RD f CENTERVILLE,MA li Compliance:45.0%Better Than Code Maximum UA:191 Your UA:105 4. r Wall 1:Wood Frame, 16"o.c. 1550 19.0 0.0 90 Window 1:Metal Frame with Thermal Break:Double Pane 23 0.340 8 1 Door 1:Glass 21 0.350 7 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 2003 IECC requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date i Project Title: MIKE SULLIVAN .®_�......._�..,�_..._..�® ..._-._,._...._..�._..._,�.,,.._. Report date: 08/26/09 Data filename: Untitled.rck Page 1 of 4 , REScheck Software Version 4.2.0 Inspection Checklist Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Metal Frame with Thermal Break:Double Pane,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.350 Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are 1)Type IC rated„or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation. Skylights: ❑ Minimum insulation requirement for skylight shafts equal to or greater.than 12 inches is R-19. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-8. ❑ Return ducts in unconditioned attics or outside the building are insulated to at least R-4. ❑ Supply ducts in unconditioned spaces are insulated to at least R-8. ❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in basements. ❑ Where exterior walls are used as plenums,the wall is insulated to at least R-8. Duct Construction: ❑ Duct connections to flanges of air distribution system equipment are sealed and mechanically fastened. ❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,or tapes.Tapes and mastics are rated UL 181A or UL 181 B. Exceptions: ' Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ The HVAC system provides a means for balancing air and water systems. Temperature Controls: ❑ Thermostats exist 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 is provided. Project Title: MIKE SULLIVAN Report date: 08/26/09 Data filename: Untitled.rck Page 2 of 4 r Service Water Heating: u Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: r Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: 0 HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. a t, Project Title: MIKE SULLIVAN Report date: 08/26/09 Data filename: Untitled.rck Page 3 of 4 r 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 2.0 140-169 0.5 0.5 1.0 1.5 100-139 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 Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 106-200 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) k Project Title: MIKE SULLIVAN Report date: 08/26/09 Data filename: Untitled.rck Page 4 of 4 Town of Barnstable �ppTHE r� " Regulatory Services y� 0 iiwuuvsrwu;u a Thomas F. Geiler,Director Mass. 1639. `0�'� Building Division Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 Ymm.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: di-54 �j JOB LOCATION: �J Y/ I) �7 /% e/e number street village 'HOMEOWNER': Op At,b I 6G� Gew-v®,4 name home phone# work phone# CURRENT MAILING ADDRESS: <. �yZ 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"ho eowne 'certifies that_be/she understands the Town of Barnstable Building Department . minimum inspectlo proce• es and requirements and that he/she will comply with said procedures and requiremen Signature of Homeotvhcr 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 arc unaware that they an 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 fast page of this issue is a.form currently used by several towns. You may care t amend and adopt such a forrnhertification for use in your community. Q:forms:homeexempt 1HEr, Town of Barnstable Regulatory Services . sAaMAS&�e Thomas F. Geiler,Director 16yg6 DINxI06 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of i ob) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FO RMS:O WNERPERMISSION I II ii Ilj1u�:>=� WIN N BillIr'' HOM W �1I� . . . I MEN II iIJAI. E � ,� I •7' t�l "'11': \'711: ::II Ilf� '1 C:y' r ' F 1 jr��llll�.��=tee _ %:��Iw�w■i�w1 ra.•s�i�.��•�1•i•tiit�wt�ii tl�ttil! M MR MMoil [mpg 0 0�14 m I ^"ll�ilta��"�retri:iw�e Itrr�tlwws�q ' Iti titan.. . .I��>z_ _..._�.��► �t ICE ,■��._ �. �� 11��1111oI/�i�M'' ^� ■ _� ��"J,�=..�Irrrz�llly: ids �1 Kin", - - ��4�®�►�� t�f��n ITranr�t~�r � limp- 1��� • • ����1 ii�� i�i�1►1 l� * 11 I �I1 new deck . ®1� FRAMING j Itl RESIDENCE . ham BARTOL - Tom- . ._ � � f fi y.'• VE . - - 53 BABNBTABIA HAS& Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit No. 2009-065 = Lennon Section 240-47.1(A)(1) Family Apartments To allow a family apartment of 885 sq.ft. Summary: Granted with Conditions - Applicant: Edward and Kelly Lennon Property Address: 23 Old Stage Road, Centerville, MA Assessor's Map/Parcel: Map 208 Parcel 156 Zoning: Residence RD-1 Zoning District Deed Reference: Book 23692, page 211 Relief Requested and Background: Appeal No. 2009-065 seeks a special permit to allow a family apartment in excess of 800 sq.ft. The Applicants have proposed an apartment.unit of 885 sq.ft., exceeding that permitted as-of-right by 85 . sq.ft. Section 240-47.1(A)(1) of the Zoning Ordinance provides for a special permit from the Zoning Board for a family apartment unit that exceeds 800 sq.ft.. That permit can authorize up to 1,200 sq.ft. The'property is a 0.25-acre lot improved with a two-story, 2-bedroom, single-family dwelling with a living area of 2,230 sq. ft. The property is.serviced by an on-site septic system and 'is within the Board of Health designated Zone of Contribution to Saltwater Estuaries. Procedural & Hearing Summary: This appeal was filed at the.Town.Clerk's Office and at the Office of the Zoning Board of Appeals on October 15, 2009. A public hearing.before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter.40A. The hearing was opened November 18, 2009, at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were, William H. Newton, Michael.P. Hersey, Craig G. Larson, Alex M. Rodolakis and Board Chair, Laura F. Shufelt. Mr. Edward Lennon represented himself at the hearing. He noted that 23 Old Stage Road;'Centerville, . when completed. will be their primary residence and.the proposed apartment unit is to be occupied by his mother-in-law as her primary residence. He described the unit stating it is a studio unit to be developed in the basement of the home. The Board noted that a plan for the unit has been submitted' to the file. The Board questioned compliance with Board of Health regulations regarding the on-site septic. Mr. Lennon stated that the end result will be three bedrooms total on the lot and an approved on-Site septic system for a total of three bedrooms. The Board asked Mr. Lennon if he understood the Town of Barnstable,Zoning Board of Appeals—Decision and Notice Family Apartment Special Permit No.20097065-Lennon-.Section 240-471A(1)family Apartments requirements for a family apartment and the draft conditions proposed. Mr. Lennon stated that he did and would abide by all restrictions. Public comment was requested and no one spoke in favor.or in opposition to the request. Findings of Fact: At the hearing of November 18, 2009, the Board unanimously made the following findings of fact: 1. Appeal No. 2009-065 is that of Edward and Kelly Lennon seeking a special permit pursuant to Section 240.47.1.A(1) Family Apartments. The applicants have requested the permit to allow a family apartment of 885 sq.ft. The property is addressed 23 Old Stage Road, Centerville, MA and is shown on Assessor's Map 208 as parcel 156. It is in the Residence RD-1 Zoning District. 2. The Applicants are seeking a special permit to allow a family apartment in excess of 800 sq.ft. The apartment-unit they seek is 885 sq.ft., exceeding that permitted as-of-right by 85 sq.ft. The Zoning Ordinance does provide for a larger family apartment unit (up to 1,200 sq.ft.).by special permit from the Zoning Board. 3. The subject property is a 0.25-acre lot fronting on Old Stage Road in Centerville. The property is improved with a.two-story, 2-bedroom, single-family dwelling with a living area of 2,230 sq. ft. The structure has been dated to 1850. However, it was completely remodeled in 2005. The property is serviced by an on-site septic system and is within the Board of Health'designated Zone of Contribution to Saltwater Estuaries and the applicant has indicated that they will be in compliance with applicable Board of Health regulations for the on-site septic system. 4. The Applicant has stated that they will comply with and maintain the family apartment in full compliance with all other requirements of Section 240-471 for a family apartment as-of-right as well any conditions in this decision. Decision: Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2009-065 to allow for a family apartment in excess of 800 sq.ft., subject to the following conditions: 1. This permit is issued pursuant to Section 240-47.1.A(1) to allow a family apartment of 885 sq.ft. The apartment shall comply with, and,be maintained, in full compliance with all other requirements of Section 240-47.1 for a family apartment as-of-right as well as all conditions in this decision. 2.—°The family apartmen unit is to be limited tot-at of a studio one bedroom unit located in the basement level of an existing single-family dwelling. The unit is to be developed as per plan submitted to the file entitled: "Proposed 1 Bedroom Apartment 23 Old Stage Rd., Centerville, MA dated 8-29-09. 3. The total number of bedrooms per on the property shall be as permitted by the Health Agent. . 4. All requirements of the Building Division shall be fully,complied with to assure that the unit and building meets all applicable codes including building, fire, and health. S. The Building Commissioner shall verify that the dwelling is being occupied by the owner/applicant as their residence prior to the issuance of any building permit in reliance of this permit. 2 •-�'' Town of Barnstable,Zoning Board of Appeals—Decision and Notice Family Apartment Special Permit No.2009-065-Lennon-Section 240-47.1A(1)Family Apartments 6. All parking shall be located on-site. 7. Occupancy of the dwelling and the family apartment unit is restricted to family members only and not to exceed two persons. There shall be no renting of the unit or rooms to non-family members. The vote was as follows: AYE: William H. Newton, Michael P. Hersey., Craig G. Larson, Alex M. Rodolakis, Laura F. Shufelt NAY: None Ordered: Special Permit No. 2009-065 has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision. A copy of-which must be filed in , the office of the Barnstable Town Cl erk.. 2A/ 1.6 9 Laura F. Shufelt, Chair. Date Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts; hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has.been in the office of the Town Clerk. ,••-• •. Signed and sealed this da of ©� +' u r e pains an ; UJ / • fr Linda Hutchenrider, Town �e ••••••••�.:•••^(,' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel Permit# on I I ri'3 Health Division 21 Date Issued 1 2_h),6`P Conservation Division 1 SALW/4 y Application Fee 18,Sa, Tax Collector Col� Permit Fee Treasurer SEP71C SYSTEM MUST BE Planning Dept. INSTALLED IN WMPUANCE VM THE 5 Date Definitive Plan Approved by Planning Board ENyRONMWAL,CODE AND Historic- I �� `� � ervation/ � TOWN MULATIONS Project Street Address 7 0 L—In Village ('/\A j efi? t/d GLP Owner i,o,_,.PA4,o v 13 mm Address � - Telephone <0& 7 9® Ll 9 4 Permit Request Nm�c Square feet: 1st floor: existing 10 6� proposed/77W 2ndfloor:existing 1R9Z proposed 963 Total new 2L Zoning District Flood Plain Groundwater Overlay Project Valuation ��So, 000 Construction Type t,.90_4 FA-c,,� Lot Size 6 ,S!a'44 Grandfathered: ❑Yes UNo If yes, attach supporting documentation. Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes VNo On Old King's Highway: ❑Yes t@ No Basement Type: OLFull ❑Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing :�2 new Half:existing new 1 Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count y Heat Type and Fuel: (A Gas ❑Oil ❑ Electric ❑Other Central Air:` ❑Yes ❑ No Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes No Detached garage:Cl existing ❑new size i Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:`Q existing ❑new size D Other: Zoning Board of Appeals Authorization ❑ Appeal"# Recorded❑ Commercial ❑Yes. 0 No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION { Name A/&�� /�� Telephone Number 504f 790 q Address License# Ceer i2 v1"e Home Improvement Contractor# i P.P. Raft 'k I Ufa; ��� �G y Fes-Worker's Compensation# t t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO pw SIGNATURE P DATE f FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE „ OWNER DATE OF INSPECTION: - FOUNDATION " _. FRAME62 .i INSULATION ! t FIREPLACE ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL co GAS: ROUGH E FINAL t �' I ' FINAL BUILDING DATE CLOSED,OUT, � cr to p F' .- 12 Q aiS ASSOCIATION PLAN NO.w M d co ere� r P :r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 2-6y square feet x$64/sq.foot= '71057O x.0041= 5rm 33 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= 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 sf 400.00 >1500 sf-Same as new building permit: square feet $96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck.... a _x$30.00= coo s o (number) r Fireplace/Chimney . x$25.00= Z��'a 0. '(number)' . Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving µ . $150.00 (plus above if applicable) Permit Fee Pmjcost Rev:063004 LIVING DESIGNS PROJECT #1573 S.F. AFTER RENOVATIONS 1241 S.F. LIVING AREA 1ST FL. DATED 29 OCTOBER 2004 165 LF WALL AREA 165 * 9 = 1485 S.F. 963 S.F. LIVING AREA 2ND . FL S.F. PRIOR TO RENOVATIONS 157 LF WALL AREA 1065 S.F. LIVING AREA 1ST FL. 157 * 7 = 1099 S.F. 892 S.F. LIVING AREA 2ND FL 1241 S.F. CEILING AREA ENERGY INFORMATION : GROSS WALL AREA 1 ST FL. = 1 485 S. F. GROSS WALL AREA 2ND FL. = 1099 S . F. GROSS WALL AREA 1 st 2nd . 2584 S. F. GROSS CEILING AREA = 1285 S. F. ,} 3 GROSS. FLOOR AREA = 1241 S. F. GROSS WINDOW AREA = 237 S . F. GROSS DOOR AREA = 72 S. F. NET WALL AREA = 2275 S. F. ,. FILE # M 1060 CENSUS TRACT # 127 CLIENT : Zaltas. Medoff & Raider DEED BOOK 8505 PAGE 0231024 OWNER : 'Joan Catalini PLAN BOOK 287 PAGE 42 LOT Al F. APPLICANT : ASSESSORS PLAN PLOT A7 MORTGAGE INSPECTION PLAN OF LAND LOCATED AT 23 OLD STAGE ROAD BARNSTABLE, MASSACHUSETTS SCALE : 1 30' LOT A-G JULY 15, 1994 LoT A-8 4-3.G8 `I -----------�_ 14 `lz,l8 LOT A-3 LIMIT OF to / I.71 IW SPECTIo►J00 LOT A-I A-7 In S.F± w / TAMASH al #,Z3 _ I � 1 I ` 1/z SYof2Y �` 1 Ur i OLD 5TAGE ROAD I CERTIFY TO ZALTAS, MEDOFF & RAIDER AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION., THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL ' APPLICABLE ZONING BY-LAWS WITH RESPECT TO HOR I ZONTAL .D I MENS I ORAL .R-EQ.U.I_REMENTS_: ,,� KENNEIH r THE DWELLING SHOWN HEREON ' DOES NOT FALL �,tSYEtt..WITHIN - A SPECIAL ' FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMURITY #250001- 0016 DATED - 7-2-92 BY THE .F, I .A , Lend Suiveyora Clvll Englneera (gibe "O091011ttnb4urve� 172 Aillinm �*L Ntfv �ebforlt, Al jV40 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a• mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are .made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con- C, structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may N be accomplished only by an accurate instrument survey. SPILLEWS ti 47 The Commonwealth of Massachusetts �- Department of Industrial Accidents _ Wc8 iffnsupdm 600 T3'ashinaton Street Boston,Mass. 02111 workers, Com ensation Insurance Affidavit-eGn er Businesses MEMOIRME/ / .. /////// "� address' l: state*' zi : hie# d�� 5 e work site location full address: e, • Retail[]Restaurant/Bar/Eating Establishment I am a sole proprietor and have no one Business'I`yp ; working in any capacity. ❑Office[]Sales(including Real Estate,Antos etc,) I am an en Toyer with eJz k es full& art time. ❑Othec / / //�///%% i /� �rm ��yrr�///e�i�i� iii/��i��r�/�iirr�ii�iiiiri//ii ��i�r din prkers' com�ensatlon for-my employees working on-thisjob. I am an employer provi g v,' . ••.. ` p r•Pt••1• ; .� r+.,••• •i,,lit'.�, + ' mot::' :,^•:.���. ,i.'Y• ,•. •••,Y.. I{ •1. 'r ` . •}•,:. �.. a i't'• ',• .. :,,•�':.,r•.•• �_�:•:•• ,•V ' cam any name: �. : , <, :T.'_ .': r•,,r; '; r' address" X. " . t, ,. : .'•:': `.,;'"+' `'':; bone#•. V '' `+ :,�i ' •y.. :fit;; ObC:'•#` .,�• •/ sdrance.eot 1 / ////y ///% //// /// r,* in s / .�, 5 win w orket . oils �/• thef g I am a sole proprietor and haye hired the independent contractors listed below who;have compensation polices: . . =; born an USM •(.', r :Z� .f' :?:li'':ti+.V,..= t•• bone ', M. 9991 insurance Co. ,t� •,,./ J.. �•�i:lJ� {. ,1',•,;�{•�; .,i� i',ir• •,, .J .�;•`,,J,r y, Y;ri �1:•f'7�., :��'vtrf ,{ :•,y�„{ • 1•.• •J .t,Y •!..• address ••r ., � ,• .. . , '.j•,' ..•.�•.,:�: 1 . . • .. hone eZt } r:S0�1Cv''tf`.'•!' i•.1•i P ;, '_ .n., insurance C0:n� F 4. e/ '• / // up to FaOure to aeeure'lgoverage as required under S� On 25A ofin the formhof as STOP FVbR1fi t. ORDER0.00 pai:d a fine orsUb 00 a day agaia+t�m I nna otand.t>iat� one yearn'imprUpment u weD v etYil pen Iti copy of this etatementmay be for erardad to the Office of Invntigations of the'DIAfor cove age verification I do hereby rt fy under thepains an a ties erjur'that the Information provided,above is e a cor�ecG ;, F Data lll`Z d`f .'' Signature t V — C1775 . � :�':'� '' Phone#�'�D .' •- print name r" a 7 Official we oily do not wrtte in this area to be completed by city or town official r q o`rpeimlt/acenie flr`~ ❑Budatng Departrmeat city or town:, (]licensing Board, . • "Y ` ❑Seleetmen's Ofrice '� ❑check ifi mmediaterespoaseisrequireds ❑EealthDepartment , hone,#, Other p contact parson: (tev#ed Sept 10M) _ _..., _..__. _. , .W„.... Information and Instructions 152 section 25 re uires aIlemployers. to provide workers'..compensation for their cha tea Massachusetts General Laws p q employees. As quoted from the"lave', 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 defted 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 m the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 26 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,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. o VINNIMAI Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation Please supply comp2ny name, address and phone numbers along with a certificate of insurance as all affidavits 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-"lave'or if you are required to obtain a workers'compensation policy,please call the Department at the number listedbelow. City or Towns _ 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 fillin the-permit/license number which will b'e used as a reference nuirber. The affidavits maybe returned to . the Department by mait or FAX unless other arrarigerments have been made. lik to thank you The Office of Investigations would in.advance for you cooperation and should you have any questions, please do not hesitate to give us a call. MM The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents flf8ee of I>ltitesggaions 600 Washington Street ' Boston,Ma. 02111 fan.#: (617)727-7749 phone#: (617)7274900 ext.406 �I pFIME 1 Town of Barnstable °-� Regulatory Services BARNsMU, t Thomas F.Geiler,Director 9 MAN. s639. Building Division 'Dlec nnA'�°i Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. o Estimated Cost ?�D Type of Work: Address of Work: Owner's Name: Date of Application: r I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO T1-11E ARBITRATION PROGRAM OR GUARA-NTY 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. l/ OR i a 0 Name me 1, ��oF�HE rpy�o� -Town of Barnstable . Regulatory Services Geiler,Thomas F. snarrsrr►st�, � ,Director . f ,.m� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.racus Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ' Please Print DATE y JOB LOCATION: � O fi� SQ�� r Z 0 number street verge "HONMWNMVI: 1214QY 18C& f�;O& 790 509 775 3900 (Zz.Z6) 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 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 re uirenients. Signature @frni, er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section i09.1.1-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 bomeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms-homeexempt I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I ' I Checked by/Date I I TITLE: additions and renovations CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-18-2004 DATE OF PLANS: 29-oct-2004 PROJECT INFORMATION: bartolsresidence 23 old stage road centerville, ma. 02632 COMPANY INFORMATION: living designs 110 state road, unit #6 sagamore, ma. 02561 COMPLIANCE: Passes Maximum UA = 414 Your Home = 414 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1285 0.0 30.0 40 WALLS: Wood Frame, 16" O.C. 2275 0.0 13.0 218 GLAZING: Windows or Doors 237 0.330, 78 DOORS 72 0.350 25 FLOORS: Over Unconditioned Space 1241 0.0 19.0 53 --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. Build r/Designer ` - Date ZO I TITLE: additions and renovations MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 11-18-2004 Bldg. 1 Dept. 1 Use I I CEILINGS: [ l I 1. R-0 + R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-0 + R-13 Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.33 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location DOORS: 1. U-value: 0.35 I Comments/Location FLOORS: [ ] I 1. Over Unconditioned Space, R-0 I Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cf'm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. DUCT INSULATION: L ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or 1 joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ l I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 1 ` COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-l" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 .1.0 1.5 1 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- • SMOKE DETECTORS REVIEWED • IXISTING iENCE --��� 16• DING DEPT. DATE - U 14'- ui NEW FENCE FIRE pEPA TM o GATE 2•-10' „•-2- P-10• 4'-,0- 4-,U" „'-E. DAT 80TN SIG ATURES A E REQUIRED FOR RERml ING _I CRUSHED STONE WILD Y Naw 6'6'fIll woll II !J X ENTRY S P O O I • I I ROOF OVERWWC ABOVE - z_4 ry I •1�1 R BATH I I I I 1 NEW HAND L- ot 4=------ -------- -____-__ ____-_-__ __ ____ _____ _ II II 7 II� �II II II � II ' ':. m� .I � 4•xJ' II II ? new ; eck I 0 — — ew family rHom t I „ kitchen � :, 6_B I 11 p 6'-0' 5--8' •°X '' r =_�� I I I I U II II •� II 0 - at III 11 I I /'IyI NEW J PM.,3/ II •I •I 9uII ` c`4• J-B- B• ''10- 1 II � V 4'STEP 0 0 s 1I n try A30 II J'-e' a-,B' I I I I II ------- ---------- ----II n • --�-���� —J - 1I 4'_0' -4•I I 4 II •' II II�� \ e�9 \ I I I I �' I I � � s' I I I I 3-1 WALL LOCATION MAY VP M P U T ER J._,. FT _ 1 3: II >iiT b II kTt�b�— HALF WALL n I I // �WE I I^ I S I.__ _______ �B� ______ OPEN HAIL M TE� y� � _ 4'-0' .10' ,0'-4' I 4 X 4 POST I I J'-B' - 2-4' I�" I I NEW HALF 1 ? 'I T--- -- - IXIsTW0 WNBOW LOCATION TO REMA.new home office iII, o F%LS,WC II NEW COLUMN B'-'PIATE n ENCLOSE OPENING BEAMS , _/j__r 1 IXISTING SEAMS ABOVE 4 X 1 POST I I I I ABOVE I I 4 X S'S O 64"O.C.� EXISRNG --- --------------- II II CA I I I I CU WILI NG LING UN. 4 W II II II I BEDRO M o HALF WALL li new ;;dininji room q I I > 4%4 Posr I II II T'-z' T'_• 1 2 2--X'X IT •' II � II II •� ,a•-4• I II 11 II I-T NEW SIDELMW 1 I I I new deck I --- — I I I c . 1 —•••fff —'�E DIE HANpIWL INTO ROOF O PROPOSED FIRST FLOOR PLAN PROPOSED SECOND FLOOR PLAN U w j I� I� (� SCALE: DATE: PROD. J: J L ,T L I�LlJ I�`�E D E IS l L19,jNj A PROPOSED FLOOR PLANS 1/4w-''-0' 2s-0CT-2004 1573 _ ADDITIONS AND RENOVATIONS SHEET III: JEFFREY A. BARNABY, CPBD BARTOL RESIDENCE CUANG DESIGNS2004 xe DEslors HE-DCPREs Y Re�NLs Irs Q L^� CERTIFIED PRDFESSIDNAL BUILDING DESIGNER R !p caMxan uw ccPrwcHT. TxESEL PUNS ARE xm s' \— I 131 QUAKER MEETINGHOUSE ROAD,EAST SAN➢VICH, MA. r D 23 OLD STAGE ROAD TO BE RI-CW-. .CHINfED OR GOPKO. TEL. soe-BBB-vas CENTERVILLE, MA. 02632 P x�"" o aEl�M iG ME�'E 1 NE' aF 6 Lmxc DEswNs PRIDR Tc TIIJ SrrRT of wGnN. -- 0 . rJ V) w 0 > J II II — II II II II II II it I I I I —RETAOYE WALL J 1 1 I —�I l y� II II II � I •I `�� �i II II O I I In > CI II 11 II 11 II' II II _ f II J ' II II II II - 11 II r-r�r I I I I I I I I O •� -'� __L1-- �_>_� RENovE RASEMENf ADC I I1 — a I I I I 4 ♦� 11 ��Y� - i !Wu TO REMN WINDOW TO RE-IN - n --Tr----7r----- _;I II II 11 vi Ld II II r-,o• -II II II — -----�� 0 II II > II IF II J il II II I jl II � . II `1---=='_--- --IZ------«----__-��--------------'r--11 0 EXISTING FIRST FLOOR PLAN EXISTING SECOND FLOOR PLAN v - cn w 0 WINE j, �I� I ���-- I�I pp S SCALE: DATE: PRCU. �: J� `✓ � u�E D E S L M M A � EXISTING FLOOR PLANS '/a"—''-0" za—ocr—s°oa is�3 3i ADDITIONS AND RENOVATIONS SHEET f: JEFFREY A. BARNABY, CPBD /1 D ®LIVING DESIGNS 2004 �_ CERTIFIED PROFESSIDNAL BUILDING DESIGNER ,.K./ BARTOL RESIDENCE �Nc QR--NERD,D,„„�,r nos ns 131 QUAKER MEETINGHOUSE ROAD,EAST SANDWICH, MA. 23 OLD STAGE (ROAD "`" °°°"°°"' E"°' ro RE R,rRcwvO.ce,x io gm coven. CENTERVILLE, MA. 02632 ANi DRR°RS OR 01..U..TO f°UNO OH MESE 8-2747 Runs uc TD eE ea°ucN,ro THE NT,EN N aE DF 6 DNND DESIGNS M,M TO TIE SENT'DT YARN. � M O U V w .0 J I I � 1 II II V I I I I NEW 2-2 X 10'5 MOD BEAN - u 2 X 6.5 O 16.O.C. EXTEND ROOF IN FRONT OF DORMER II III ____- ---- 1 - - L�new -III II-------- - 4 IIleckit he ew family rHom 1IIII I1I C. QU I WTCH EXI-NG ROO I _ II II r FMNING TO EXIEN 1 ORA1Efl V, II II II � Ljj 11 I I I I I I entry. II 11 > I I I I I I (0 I � ! ?� I N I '' I _ I 11 >11 b I I k4t I — _ q�i Or.rlay 2 K 05 I6'O.C. •� I D/X-X 11/7/8•VALLEY9�R II II I N 2 10 IDLE II II 11� a ----- --------'------- --- I 1 zf - --• \ b\ -------------------- 1------------------ ------ 11 �II II I �♦ %I S® I �� i new home office ii ;;---- I,----- - I - 0 �ElOSiwG RIDGE II - 11 I I I I /� i NEW Xt 12 RIDGE i (n II II I•I 1 I new I Id I n I n(1i J I room - ; ' 1 3/1-X 1 /6•MLLEY RKTER > -- - -- i — — — — — — I II II UI I v J �1 1I new deck Wk-= �T 2 X 6'S G 16"O.C. c �' I 2 X 6 RIDGE C O SECOND FLOOR DECK FRAMING ROOF FRAMING q w 0 SCALE: DATE: PROD. g: J � D�`E Q=[N_S A � FRAMING LAYOUTS 1/4'=''-O"I 29-OCT-2004 1573 � ADDITIONS AND RENOVATIONS SHEET F- ?� JEFFREY A. BARNABY, CPBD BARTOL RESIDENCE ®LIVING DESIGNS 200" /\ _ 5 ,. CERTIFIED PROFESSIONAL BUILDING DESIGNER D ouucN IAIW 0 RppHip�ESLPpSNU, J 131 QUAKER MEETINGHOUSE ROAD,EAST SANDWICH, MA. 23 OLD STAGE �ROAD TO K RfPR00110DD.CHRYFD OR OOPa. TEL. 508-608-2747 CENTERVILLE, MA. 02632 P""°': T�aE I�DI'�M'TO E.°1E°na`�OF DF 6 IMNc OFSi01E PfiOR TO TXE S1Nn OF MDIIX. 2%12 RIDGE BOARD ASPHALT o MASTER BEDROOM ROOF BEYOND OO APPROVED (Fl BNINGLE BRR OV 1/2'E%T.PLYYTIOD R) ER OVER VER R - ROOF RAFTERS(1'IPIGL) `-'� E%ISYNG RIDGE O 2%IO'SO 16'O.C. U %10 RR1GE I NEW ROOF SHINGLES 2 10 IDCE AT ) 2 ow by 8' O 1'O. as 12 2 10' o •G.. W 12 bn/light Tim" , : Q 12 >_ reel ea.Hcr 1 Ewm c J 12 ♦% WOOD BUMS O 64.O.C. - rmee LLLJ e.neea � Q I n eolet'nq plots rape plate for door E%ISRNG PLATE HEIGHT MASTER I I L BEDROOM EXISDNG PLATE E I eiietin9 glob I12 ODOR TD n I .ry I MASTER BEDROOM 2 M B'6 O 16'O.C. c G 0 FOYER U HOME OFFICE DINING i REAR ENTRY o r > J ------------------------------------------- ----- ----------------------------- BASEMENT BASEMENT y G 0 U vi W BUILDING SECTION A BUILDING ,SECTION B '� GENERAL NOTES: j 1. SLATERS PAPER OR "TYVECK" TO BE USED ON ROOF AND SIDEWALL F-I EA E R S C H E O U L E FASTENER SCHEDULE FOR STRUCTURAL MEMBERS 3:2. BASEMENT UTILITY WINDOWS AS PER STATE BUILDING CODE, 2% OF FLOOR SPACE SUPPORTING fl00F ONLY SUPPORTINGFR W.t STORY ABOVE SUPPORTINGMAX,2 STORY ABOVE JOIST TO SILL D CIRDEft TOE NAIL 3_ 3. PROVIDE GUTTERS AND DOWNSPOUTS AS REQUIRED SOLE PLATE TO JOIST OR BLOCKING 80 4. PROVIDE FLASHING ABOVE ALL WINDOWS AND DOORS _ _ 5. PROVIDE CROSSBRIDGING ® MIDSPAN OF ALL JOISTS AS REQUIRED a _ STUD TO TOP PLATE 2_ 160 6. DOUBLE JOISTS UNDER ALL PARTITIONS AS REQUIRED - - DOUBLE E A IDO®2a O.C.MIN. 7. ATTIC SPACE TO BE VENTED AS PER STATE BUILDING CODE - - - - c�luNc JOlsrs i0 PLATE TOE PLATE S B 6.1 THE DESIGNER ASSUMES NO RESPONSIBILITY FOR THE CONSTRUCTION, q S -_ THE OWNER AND CONTRACTOR SHALL COMPLY WITH ALL RULES AND a _ 210 REGULATIONS IN THE MA. STATE BUILDING CODE AND LOCAL REGULATIONS. BUILT—UP CORNER STUDS. 100 O 24 O.C. TO 4-160 R TIES RA E RAKERS 3_ INSULATION NOTES16.111�1 B ® 2 0 1.) ALL FLOORS BELOW HEATED SPACE AND ABOVE UNHEATED SPACE TO BE INSULATED WITH 6" R-19 F.G. INSUL. MIN. E u c ATHING TO STU05 INTERMEDIATE B0 O 12 O.C.2. SH ALL CEILINGS BELOW UNHEATED SPACE AND ABOVE HEATED SPACE TO BE INSULATED WITH 9" R-30 F.G. INSUL. MIN. I u eG® B D.c. (n 3.) ALL EXTERIOR WALLS ABUTTING HEATED SPACE AND UNHEATED SPACE TO BE INSULATED WITH 3 112" R-13 F.G. INSUL. MIN. W 4.) (OPTIONAL) ALL HIGH SOUND AREAS I.E. BATHROOMS, T.V. ROOM & KITCHEN TO BE INSULATED WITH 3 1/2" SOUND INSULATION Q > SCE:' DATE: PRQI. /: J 2 BUILDING SECTIONS 29-OCT-2004 1573VgE LN! A ADDITIONS AND RENOVATIONS SHEET�: JEFFREY A. BARNABY, cPBn BARTOL RESIDENCE ®LAVING DESIGNS 2004 �_ CERTIFIED PR13FESSMNAL BUILDING DESIGNER D Rc�Eui wre r.+e�s�>p sErrvcs • 131 QUAKER MEETINGHOUSE ROAD,EAST SANDWICH, M06 23 OLD STAGE ROAD 10..RO'RDW:CHWgm OR COPIED. TEL. 508-808-2747 CENTERVILLE, MA. 02632 PIAns ro eclwo'Hi IrRD rFioiE�TrcxnaN� 6 urMc DEsmra PAIw TD THE srMrr or_Rx. OF r a ENERGY INFORMATION: GROSS WALL AREA 1 ST FL. = 1485 S.F. GROSS WALL AREA 2ND FL. = 1099 S.F. GROSS WALL AREA 1st & 2nd. = 2584 S.F. O GROSS CEILING AREA = 1285 S.F. U GROSS FLOOR AREA = 1241 S.F. w GROSS WINDOW AREA = 237 S.F. 'Q GROSS DOOR AREA = 72 S.F. J NET WALL AREA 2275 S.F. 61 JIi z n 1/4• b 41 yr xFIT I I j MA ER BATH a q1711g x124 5/x' 243 ]7 i/r x 41 1/4• 41 /4'141 +y 1/x•x 4i Ile new deck — — ew family room kitchen p 0 q o w entry. J — � LOFMTPUTER breakfast — — q Cinew MASTER BEDR OM ome office b — — o0BEDROOMnew dining room '° a > .1/1 i9 X.Y/x 01 X .0 x x it7cz ousm olnx ousoti +/Iax.Niall I new deck ►�nx 7 I � O U vi w 0 >_ I ������--- I� f�I� SCALE: DATE: PRQI. ES[ LMS A ENERGY INFORMATION & SCHED. 1/4"=1'-0' 29-OCT-2004 1573 ADDITIONS AND RENOVATIONS SHEET y: {ram 3' JD PROF A.PROFESSIONAL BOIL NG D D BARTOL RESIDENCE ®LIVING DESIGNS 2(1D4 A-VA CERTIFIED PRDFESSIDNAL BUILDING DESIGNER cD`�u�DrD,uw covrn"�`GHip l�llEgIPVA�E„a, 131 QUAKER KEETINGHDUSE ROAD,EAST SANDWICH, MA, 23 OLD STAGE ROAD t0 BE flFPROWCED,LHM'CtL OR COPIED. TEL. 508-888-2747 CENTERVILLE, MA. 02632 �:HR�ro BMG!' 1a FOUND FNTNESSE of 6 l NO Ml—PRIOR TONE SfNlE OF WORM. m ____ -- _ - -- -- --- ��. ..: Isl_.1■1\ J■..■1■I_.I.1.1_.t■Isl onimmim WIRMAIM ME mass rt■■ILI It■o./■.■u■./■■. ■.■■us.■■I■s..o■ I I■..�. �S=� �t■Imin.. ■___n_n■Inolr IN min.. �_- _ __=__�__=�_ _ _ _ -_ - ��..._�� -1 �■i'iiii aiiiii■ismom■i■ommuiiiiiiil� A OF, 1. Jl_.1■ .■. ■_.I/L_ J■..1■I_■.■i■I_■tslsl_.1_.-._.r.,.- mom onamossr. 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I NEW TO D COL I 4„ —EXISTING EXTERIOR WALL ----------- c I OVE NO Rl.HIC4- FI YE H I I AILR-. IMEN, ) I L - _ _-- - -- N 2 10' I - EXISnNG SILL/BOX/RIM EWO -----EW COLU N X1 VE ISTS ---------------------- EXISTING FLOOR JOISTS 0 6•o.'- ^- - _5 - 1'-6• _ I NEW 2%4 BOX(ON EDGE) C I_ B UNDER EXISiW BFAY I 1//1 0 CO NEW 1/2'X 16•STEEL C - I i N GE F. INC A I I •I I I L1E0 SWE ,I NOTE: 'II ANCHOR BOLTS O 48•O.C. �O '-4• 10 CUT NOTLN IN II NEW P.T.2 X 10 SILL W/SU SEAL I 3 1//2 CONC. 1 EW X 1 u 1•O. ( M2Y/FTC COL - FNEW 2JOISr6 - I FllLEO EEL UNN I I TD ACCEPT B'CONCRETE MASONRY L I I _ EXISTING SILL w I� UNITS(FILLED SOLID) > 2'-0 NEW X 10's ° G of I 55 4 X 5 1 I _ Q I I I TE L OL M 1 FAN P ♦ NW. RING I I I N P OLU N N I IST AS VE 'e 5 4* X 4' 5/1 I I I I I \ f 10•P.C.FOUNDATION WALL e I ENTER OWMN UNDER Sf I I 4 P.0 S E E \\ I — -- -- -- -- I I 1 " °N e ' I I DETAIL B (OUTSIDE WALL , SLAi i - I I 12•0 Co s'-o•k e•-e• e•-4' I I ° EL co III I I 7 u 11 // NEW 1O'S O EMSG I @_- I I EW U ER EXI TIN B N I I / P.C. -GRIN/ BERM ' .I I A E SLAB) I S 4' S 16 E L MN I I 1'-B 7/E• O I -T-- ry b \ \\ 3 2•e c C. I >o - -t-' I R W N of sT o I I U . \ F I +'S E GOL I I \ I I I (n \ ----�-- ] 2 1 S U STIN ° JOISTS I♦•W IOb C.F00 C '0 ON Q W I __ - _-- I Sf EL °L N I NEW 2%10'S O 12.O.C. > ] 2% 'S(FL ) 1 -}- S NEW 2 X 10.,our TO EXISTING JOISTS '� 1 in4 L. a6R I __-_ I I 2 COARSES CNU FILLED SOLID- J T, -Ln I I n u EA ( j b - Y5 RE-BAP-2 PER CONC.BLOCK __-_____- I b '(� I I F On G R TAI I A N BEAN UNDER EXISTING I I I I ]'tY 1•D I.C.FtO (COXCR MASONRY UNIT) I - .1L IR J I FlLL BAT W/NEW 2 X 10 JOIST i• I 10•POIIPEO CONC. TION WALL I I I 7'-B•HICN WI H A BOVNIN0U5 ON A lo•x 2a' I F , r 4•P.0 SLAB ( I ASPNar FlNI I 1 I b '; I I I3'-1• S'-5• I4'-0' O B_B• U 12• 32'-6' NOTE: VERIFY ALL DIMENSIONS. uj NOTE: FINAL WINDOW PLACEMENT TO BE DETERMINED BY CONTRACTOR Li II����y� I�I� SCALE: DATE: PROD, g: J I� L �✓ L Lu z D E�[� 9j A FOUNDATION PLAN & FN D SECTION 1/4- -0� 29-O°T-2004 1573 1 ADDITIONS AND RENOVATIONS SHEET /: ?� YFFREY A. BARNABY, CPBD ®LIVING DESIGNs2DO4 A CERTIFIED PROFESSIONAL BUILDING DESIGNER BARTOL RESIDENCE GDF61Gr6 HERERf DtPPETSI RTB]WE6 131 QUAKER MEETINGHOUSE ROAD,EAST SANDVICH, MA, 23 OLD STAGE ROAD COOMON MAW DED.NT. TNES MO ANE f0 BE fl♦yRCIXICEO.CMNiGED OR COPIED. CENTERVILLE, MA. 02632 DRCR6 OI6CPEPANCI1. AT ENT O TEE. 508-BBB-2747 PUHs AR6 ro BE EBOOGHr rD ra ATrON of pF 6 GNRG 061cIS PRICK ro n MTNTT OF WORK. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t _ i p �s Parcel Ma Ii, f Permit# ,., Health Divis;l n 7_7 9 — 62 3 0 Z9 4f Date Issued Conservation Division r., Application Fee Tax Collector - Permit Fee / 0 , 00 Pa .a Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address 'a-e-X'e—C_-e Telephone Permit Request 66,10_� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation dd v Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other r 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 O Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use- BUILD R INFORMATION J Name Az/ Telephone Number Address License# on&/ Home Improvement Contractor# Worker's Compensation# X///////(�p/1 h a j�y'6 3 dZ 20 ALL CONSTRU T N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY z •PERMrrTkw& D;l ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION o1 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofMassachusetts . ' = Department of Industrial Accidents' 600'Washington Street Boston,Mass. 02111'. _ Workers! Compensation.Insurance Affidavit,-General Businesses •- i•Y- address: state ci work site location fall address : ❑ I am•a sole 1)roprietor and have no one Dvsiness ape. ❑Retail[]'Restaurant/Bai/Eating•Establishment ai ' any capacity. ❑ Office El.Sales(includiug•Real Estate,Autos etc.) ❑I a an em to er-with eta'lo fees(full& art time ❑ Other %%//%///!'��/ %N)MR, I am o _g workers' co ation for my employees w king on.this fob.: . �r '•.�•. '4 .i: .t• ,;•i:i:r •.f�`1''.'r:' . :t,;:rat"• ;,i ame: 'r COIIl�-aII 'ZlI, .• 'r. ••�� :• •t Q'..•:i.:'(`•:'j:;�, 'e• •i. '4• rs• >'' '''•• ' ••i::•r}ji'. 'i...' '.•f..'i:: .a J.,...F•r. .i. r't`'=r:,.. seeresph6s: yr: ! .l' „t Rif; 1 • jdi.is /9 J('j t; ;insiirarice.cds `�� ME /j, (] I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: .rt., t• •.n, - �',,• n.'+ '; '.�, ':'r _;v„:?r�' 'fir r;l•' ..fin:?:', •:w'•::?'� _ COIII 9 r (irfr t�'e;:': t: :' f`•:.'' 1'•'•' i' .;f. sY*r.' d, . h;s. • 'ram 1! �•t• ';+,• y:y i ?r .l ''t t'.�:ii��;i.i•: sdtirtss:. yr' ti• *: y`. s: ,,:�.. :.;c:• ,. V r• on ' U. • �, •'. .:i: ,,r, ':+:' :'fit:,, iz:i.,: .1�'j:•}.r:t.i.::..,J.S`.ti�e''{.;�:�' i �i •,•' •i'' ., r �'.'�' i';i ''v '+�+''•'.,..'r: .;'.i.' :r?S,S t� ; t', .k. �.,• :.U'1�C :#1•.,t.7.:.'ti 't!• - :}i. ''s•'::`f�t.,:;',`'1' in'snrsnce-co. r•t '•• , M1.. ;}tr coin` address: � '': ."• • i.t•• 1•i ti,}' .''i: ''r i:: s'.., �'i: .••'; t• •fit. ,h:.' _ i' �:''''���••' ..L "ii• f.''� •• '+•' li' �`.9 i:�7: ':B.' .°i� a ij t.:' •:�.,r: -OZicY:#iY'_•,•,• til i'••' �•,,'`!• insurance co :• . ... % ��/.. FaUure to secure coverage s9 required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'lmpr�onment as well as civil penaltle°.in the form of a STOP R'ORK ODDER and a fine of$100.00 a day against me. I understand that g copy of t statement may be forwarded to th'e of Inver gatie 'the It1:for coverage verification. I do hereby certify under the pains dl ti pe at etinformation provided above is true and or ct. 1 Date otad • Signature ��.. Phone# �G Print name - J official use only do not write in this aree to be completed by city or town official c9 or town: permitlliceme it ❑Building Department tY ❑Licensing Board ❑'checkif immediate response is required ❑Selectmen's Office ❑Health Departmeni contact person: phone#; ❑Other r (mvl�ed Sept 2003) 4 Information and Instrue ons• ' co ens for the' es all �to s to provide workers mp �r Laws cha ter 152 section 25 regwr ems y al P vfassachusetts Gener ,. � ' d from the 4`law", an employee is.defined as every erson in. servrnce'of another under. As quote any contract ;rriployees. . ff hire; express or implied; oral or written. An employer is defined as an individual,partnership, association, co oration or other legal entity, or any two or more of P the foregoing engaged in a�joint enterpnse, and including the legal r ' esentatives of a deceased,employer, or the receiver or trustee of an individual, partnership,.ass6eWion or other legal entity employing employees. 'However the owner of a dwelling house having not more.than`three al�utrnents and who resi es therein, or the.occupant of the dwelling house of' another who employs persons to do.maintena��e, construction or r ' air work on such dwelling house or on the grounds or building appurtenant thereto shall not because such.employment a deemed to be:an employer. MGL chapter 152 section 25 also*states that'eve state•or local censing agency shall-rIthhold the issuance or renewal of a license or pernut•to operate a business or to onsiruct b ' dings in the:cbmrrionweaI#h for'any applicant who has not produced erage r�qidr�d. Additionally,n6ithei the acceptable evidence of compliance h to �* nanny contractt for the performance of ublic work until coirIInonwealth nor.any.of its political subdivisions sha e y P acceptable evidence.of compliance with the insurance re 'ern is of this chapter have-been presented to the contracting . authority. w Applicants y hecking the box that applies to your situation.:please. Please fill in .the workers' compensation affidavit completely, supply company name, address and phone numbers along wi a cate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents-for confirmation o ins ce.coverage. . Allso'be sure to sign and-date the - affidavit The._affidavit should be returned to the city or to that e application for the permit or license is being artment of Industrial Accidents. Sho d you ha a any.questions regardin*gU6"'law" or.if you are requested, not the Dep . required to obtain a:workers' compensation policy,please c the Dep t at the number hstedbelow. City or Towns . Please be sure that the affidavit is complete and printed It ly. The Dep t has provided a space at the liattoni of the affidavit for you to fill out Office in the event the of Ines ' ations has to conta you regarding the applicant. Please be sure to fi11.in the permitllicense number.which will b'e us d as a.reference n er. The.affidavits rnay:be.returned to the Departmentb , of FAX unless other:arrangements avebeenmade.' ations would life to thank you in adv ce for you cooperation d should you have any questions, The Office of Jnvestig -- . please do nothesitate to give us a-call.-- .. I . {. The Departnnen t's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents �C6 Ot 1HYE81j1�9115 . 600 Washington Street Boston,Ma. 02111 faz#: (617)727-7749 phone#: (617) 727-4900 ext:406 r QY. Town of Barnstable • �y �`°� Regulatory Servides a sre� Thomu F,Geller,Director q`b,� sa�9• k,�� Buildiug Division T6b h{p'� • Tom Perry,Building Commissloner 200 Main;Street, Hyannis,MA 02601 Fax; 508-790-6230 Office; 508.862-4038 � • bats ' AI+'FSDA.YTT ROME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT.APPMICAMON MGL 0.142A requires that the"reconstruction,alterations,renovation,repair,modernization,convarsio% •improvement,removal,demolition,or cans ction of an additionto any pre-existing owner-occupied building containing at Least one but not more than four dwelling units or to structures which are adj scent to •. such rosidsnce or building b a done by registered contractors,with certain exceptions,along with other requirements, • Type of Work; Estimated Cost • - Address of Work: � v� X r Owner's Name: Late of Applscatian: 4 �' / •. •• . I hereby certify that: Registration is not required for the following reason(s): []Work excluded bylaw 036b Under S 1,004 ' ❑Building not owner-occupied Downer pulling own permit Nonce is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED- _ C0NTpA•CTORS FOR AYPLICAB•,LZ HOME MUROYEMENT W0RKD0 N 0 T 9A73 ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL e.142A. - SIGNED MERPENAL'J MS.OF PLRTURY " There apply for permit as the agent of the o p/w el, C Data ntiactorNam Registrationhlo. OR Owner's Name �HEp Town of Barnstable . .� Regulatory Services . S WAMM Thomas F.Geller,Director q� 019, �•� Building DIIASI0n 'OTEa n+A'� Tom Perry, Building Commissioner 200 Main Stree% Hyannis,MA 02601 . - www.town.b arnstable.maus - Fax: 508-790-6230 pfftce: 508-862.4038 .. '. :. Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize % G to.act on mybelialf -= - in all matters relative to work authorized by this building permit application for. (Address f job) ae 4 . S Of Print Name s Pr z�r. 6. 00' LOT A6 LOT :__ �I A 7 I LOT Al �y 3 � HST,.:_ • .�� � LOT �6 --#�- - - LOT A8 moo. 1g� ,t 0 c RES. ZONE.- "RD-1" This MORTGAGE INSPECTION 1s For FLQOD ZONE' "C" Bonk Case Ont TOWN: _C _T YI�LE____ REGISTRY OWRR: kE�'D7_ ' _ _.-`-____-- _-- DEED REF: _,K&�/_, 5 ----------BUYER? --- - - -- ------------- DATE: -412419-�------------- PLAN '•;�28 4 -----—. -_� S SE; "= 30' -----FT. I HEREBY CERTIFY TO PL1Yt�Q��'H_ 1�7�A� �'Q yr YANEE SURVEY ---THAT THE BUILDING ��1H Mq SHOWN ON THIS PLAN IS LOCATED ON THE GROUND. AS �� �y CONSULTANT'S SHOWN AND THAT ITS POSITION DOES _ __. CONFORM PAUL (�: 4{�I3 (SiJI'IE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 4 M[%,1ITHEW H _ TOWN OF B�L�L1jS l,, -..—_—.__AN'D THAT' t NO. '32098 INDUSTRY ROAD IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD ';• y�c,srEsl�° ,`�� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U:D. MAP DATED_.d/�/2�5__ ss 1A`��5o� TEL: 428-0055 C 1950001 0015 C 1°``'�i FAX 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT 1f1857 /)G/�' ' fit% �URVT;Y, NOT TO Br USED FOR FENCES. ETC. l ©© 444 6r \`lu��J.C�1i14nU an Rrwi {.tn,w.w-,, , _ �•7;� k ,a�s/� If lJ l J�J Sr _ ' --t? �tol�flvi l��1 l GkUGI 74 7 Lr o JYoTt z p arN=»r - a� men: o: e)En inerin 3rd floor Parcel g e g Dept.p ( ) Map et Permit# House# Date Issued L Board of Health(3rd floor)(8:15 - 9:30/1:00-4:30) W- 4,30 �1' � es " Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 1\q(o Planni Defi =and 19 TAE� TOWN OF BARNSTAREENo ` INS ®E MID Building Permit Application REGULATg le v) ProjecYreetAddress "]�� O L-D 14h1r ` . Village (0i'U Owner [AAC-AIPL4Address Telephone 0 — (� Permit Request T First Floor 2 square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain' Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use ( Builder Information Name H I Cl- ELL Telephone Number L Za Address (fiD OL 1) 6OU IV ij P—,�) License# 0 Z 3 Z U3 k" r�- Home Improvement Contractor# 0 1 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 5 A/C- SIGNATURE DATE /s/ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 6.00 . a4. ' LOT Pj - . LOT .A I LOT Al ; .SIyCD � cb LOT _ _-_-� LOT � , _���• w �a.r' r ' ' AB A3 ; � H This MORTGAGE INS .X`111ON R 1 Uie4on� !F'LQDD ZDiVf:• 1 5: ZOI _J ..__ REG1sTRY O1�Y ER: '- „. . �. -------- -- DFE a _y BUYER F:.�? .��;� P ► ''7l"= 30_r_ __FT. DATE: �� �,�ss — -- FL — or ~s. ` . Y1�KEE SURVEY 15 t SHY cER To PLY�Q 'l - �. CONSULTANTS ....THAT .THE BUILDING ��� '� "' o PAUL SHOWN ON THIS PLAN .IS 10CATED QN THE GROUND AS � ¢� SHOWN AND l!!A_ `1TS POSITION DUES CONFORM Aa 409 _(SUITE 1) 3�i �tTliEw w INDUSTRY ROAD CIE ZONING LA�i SETBACK REQUIREMENTS AAND `CHAT �� No.320988 MARSTONS MILLS, AAA. 02648 TOWN OF � L?Jysr ,�� •Q�sist ,�4s TEL: 428-00 55 0 LIE WITHIN. THE SPECIAL FLOOD HAZARD �rt°�i' t;e� �0-55a:. IT DOESAS.-Am -�- ON FAX �_ 7°HIS I'I.ltld NJT MADE FItbM, AN:, Ifi1STRUMON : 18857 lN_.'ll S _ URVLl: Na't"'CA Hr t ED F'OR rlMj ''E.4:' MC. ' 4 , 6. 00' r LOT A6 LOT ti A7 f I T ",_a0I Al y� \ 35 4 A8T LOT \ -- s=-=- - - _- �^reCrN c� ti9 ti O � o 57756'SQ,� RES. ZONE. "RD-1" This MORTGAGE INSP ACTION PI`''1 is 'lor FLOGJD 7,ONE'. "C" I3ucil. Case OnIa TOWN: =�FN_ YI�L� .--------- --- REGISTRY OWNER: YYF 'D 'aP ------------------- DEED REF: —K&U--115-----------BUYER DATE: _ 412410-------------- PLAN R7 F:' 28k�;142— ---- - SCALE;l"= 30'__—FT. I HEREBY CERTIFY TO PLYM21,TH "RTR G ��1 Y o� YANKEE St1RVEY ___THAT THE BUILDING ��tH Mq SHOWN ON THIS PLAN IS LOCATED ON THE GROUND. AS �� �y, CONSULTANTS o SHOWN AND THAT ITS POSITION DOES CONFORM g PAUI ` TO THE ZONING LAW SETBACK 'REQUIREMENTS OF THE A. 40I3 (SUITE 1) I�EF':rhiEW N INDUSTRY ROAD TOWN OF � ��L�N5�4��___.---..------_—,---AND THAT No. �2U�8 � IT DOES— l nT — LIE WITHIN THE SPECIAL FLOOD HAZARD ?• �; v 4'o MARSTONS MILLS, MA. 02648 <<s ' csrE�;� \�,� TEL: 428-0055 AREA AS SHOWN ON THE H.U:D. MAP DATED_$/�9���__ s,�,�,",i lA�,�y , ` C -- �.50001 0015 C FAX 420-555 3 THIS PLAN NOT MADE FROM AN INSTRUMEN'r U[. 11Ft1'F.1'. NOT 'r0 BI? USED FOR FENCES, ETC. , a ®4 ��9® CRTBFIC' 7' � E � cs 9ATEgbgd►/p@/�'Y) . PRODUCER THIS CL, CATE IS ISSUED A5 A MAti' IR ON The Insurance Agency ONLY AND CONFERS NO RIGHTS UPON T",E CE�i�rF�E of Cape Cod, Inc. HOLDER.THIS CERTIFICATE DOES.NOT AWNP, E T D QR 480 Route 6A, P O Box 838 ALTER THE COVERAGE AFFORDE9 By THE RO.LIGIESELO,U�I. E. Sandwich MA 02537 COMPANIES AFFORDING COVERAGE The Insurance Agency..•- -. COMPANY 508-888-2766 A Aetna Casualty & Surety Co. INSURED COMPANY B Michael E Willii>LIIIa d/b/a COMPANY Harbor Light' C9C - C 160 Old County ACBd COMPANY East Sandwich MA 02532 - D COVERAG .$ _ .. .. THIS IS TO CERTIFY THAT THE POLICIES 0F.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 ON MAY,PERTAIN,THEJNSURANCE 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR DATE(MMIDD/YY) DATE(MM/DD/YY) GENERAL;LIABILITY GENERAL AGGREGATE S 2000000 A COMMERCIAL GENERAL.LIABILITY TBA ! 08/01/96 08/01/97 PRODUCTS-COMP/OPAGG 3 2000000 _ CLAIMS MADE ,OCCUR PERSONAL&ADV INJURY 51000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 1000000 X BOP FIRE DAMAGE(Any one fire) S 300000 MED EXP(Any one person) S 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT S . AGGREGATE 9 EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY " .. EACH ACCIDENT 8 - THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Plastering CERTIFICATE HOLDER >CAN=LA'I'IpN BARNT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 367 Main Street Hyannis MA 02601 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REP ESENTATIVES. UItfTHOr IE ESENTA IVE Th IS[@ ® c ncy .......... ;:%g:5::...i!:ii::::>:i:......:;:`2;::i:::2:;::::::2::is:<'.25:5::+:l;:`:'t:Y%4:'t:G::S::S:Zi: /;5'::;::YS::Z'ii':`5::::;;Z::i::.!:'F.:.:. .; .;...,.....;,,..:...;;5..:..,. .......;.,:;; ..; :. AcoRD 2:5s t3/9 ..... : :::. �II,CQRD ] r' ' 9_ 15, 's � 3 ', ,, k4"Ie. a. S� "7M1 yy��t !) I$- I I I t r , i I I , i t I I i II t I f 1I C, C. - - � I fi / cpx I 1 I{ _i r � fe� �� - I i i ► —I II I - Engineering Dept. (3rd floor) Map Parcel /�5—� Permit# House# D�te Issued ' Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 7`/`G'�C� C� / � �1ye'Z ,1 ,,S (} Conservation Office(4th floor)(8:30-9:30/1:00-2:00) r I Plannin i Bldg.) _P a� YS y Planning Board 19 EN 1,A E 7 NAND TOWN OF BARNSTAft',V'�7,0'0%%N1NMRCEG Ns Building Permit Application Irojecteet Address � (�Lx) Village G,—Ni"-2 y IU_i;. LA fir. Owner WFIJ47>v1 T. _8rZ1-yL, Address s�-yl•�►-�. Telephone 4 S —13 — Permit Request 6amtjF_ L4tjk1r�� U a f 2- 6P First Floor L7 jz- square feet Second Floor -;s square feet Construction Type - (eikS Estimated Project Cost $ .0(_ Zoning District ep — J Flood Plain -20AA Water Protection Lot Size_ Grandfathered 2JYes ❑No Dwelling Type: Single Family 1�1 Two Family ❑ Multi-Family(#units) Age of Existing Structure L149 U g�> Historic House ❑Yes O No On Old King's Highway ❑Yes )3 No Basement Type: ❑Full ®Crawl ❑Walkout $],Other eC Basement Finished Areas( q.ft.) Basement Unfinished Area(sq.ft) C7'� Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing_`5 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: lh Gas ❑Oil ❑Electric ❑Other V�_u Central Air ❑Yes IZI No Fireplaces:Existing D New Existing wood/coal stove p Yes ;ELNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) i ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ] to X ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®No If yes, site plan review# Current Uses=, Proposed Use _ Builder Information Name �"( I CI Aim - 1 'l._La � v►�� Telephone Number Address !V P) License# tJ t L h3- Home Improvement Contractor# V Iyj 3�1 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CO STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z� A1,01 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) t -1 ' � ' `, ~ � \ � � F�,� ' .-. J3 �tJ r ..y. .. .. ... � s ti �T.,.:,r..i. ............. ..... t 't r '' ,. { . - r _ _ _ _. _. . . . � _ . , -.t _ ,,, � �_ •{ - -- .1 . , f , . �� , ' ._ - � _ _. � .... . ,. . r, .,, .. _ ,. r i �� � �.� � l °F THE Tp . � The Town of Barnstable • BARM U& • MAM 1e� Department of Health Safety and Environmental Services 1�9.�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. n y►� r-�rV`�'S Est.Cost T Z°� � Type of Work: '� v1� Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: I Ig I /,� c te�l �s to Contractor Name Registration No. OR Date Owner's Name t eSGA-lam .a I - _ . . , ,3 lk- 1 `—����5' , � 7 I ^ r �� k,'!a*• ."d�r--��" *�}Y° s�' +'; " — r�r"� t 3'ti.a ��':,�r ��K„�y.x�+ar'�— b a � 1I(�;�`� f t s '4 ` #� 44 iu fi }},,xx ,�¢I 1,t si 1' } •y.���� ?r"11� It A 6. 00' ti LOT o/ LOT col . A 7 I L07' ., Al 35 ~�_ - - - - LOT 3_ _ A8 LOT77 Q 4.3' O o 9 --- 59 73, RES. ZONE.- "RD-1" This MORTGAGE INSPECTION Plan is:For" Nark Use Oiilv F'L<JOD 7,OeVF' C. ' TOWN: —C'ZNTZRVll7------------- REGISTRY OWNER DEED REF: _,9ZdZ1_1tJ5-----------BUYER: -- — — — ---- ------ ------ DATE: _ 4124 RE ,(96 -------------- PLAN F—: 7 -42 ____-- -_ aCALE1."= 30'---FT. I HEREBY CERTIFY TO PL_r9D_LTLr YANKEE SURVEY -----------------THAT THE BUILDING ��VA 4Q SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS �� �y, CONSULTANTS o SHOWN AND THAT ITS POSITION DOES CONFORM � PAUL s ' TO THE ZONING LAW SETBACK REQUIREI.IENTS OF THE U A. 40B (SUl'I'E I) " i�Ep:r1�Ew INDUSTRY ROAD TOWN OF 6�RLY�T�1�_-------•.--..----.__.ANll THAT' Y Nu. a�c��e o4 IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD "• yC�sTE�I� � MARSTONS MILLS, MA. 026a8 AREA AS SHOWN ON THE H.U.D. MAP DATED-",z/-�j-_ rs,, 1A1 �5oH TEL: 428--0055 .Coi -- 1950001 0015 C °'" FAX 420--5553 lrinr� __ THIS PLAN NOT MADF. FROM AN INSTRUMENT - ,_lfi SUR\r;Y, NOT TO HR i;fiED POR FP;NCES, E'i'C.C. 1885 CSR OATR[MM�9Pyi') PRODUCER THIS CI":h&ICATE IS ISSUED AS A WWI I QF W13-RNIATION The Insurance Agency ONLY AND CONFERS NO RIGHTS UPON TH5 GEIiT,F16AfE of Cape Cod, ,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTENg OR 480 Route 6A, P 0 Box 838 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. E. Sandwich MA 02537 COMPANIES AFFORDING COVERAGE ry The Insurance Agency COMPANY 508-888-2766 A Aetna Casualty & Surety Co. INSURED COMPANY B j. Michael E Wi11i8II18 d/b/a COMPANY Harbor Light CEC - C 160 Old County •to-as COMPANY East Sandwich MA 02532 D :COVERAGES:::::::::,.. :., THIS IS TO CERTIFY THAT THE POLICIES OF.INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINGsANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEq 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE 92000000 A COMMERCIAL GENERAL LIABILITY TBA 08/01/96 08/01/97 PRODUCTS-COMP/OPAGG 92000000 CLAIMS MADE F-1 OCCUR PERSONAL&ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1000000 X BOP FIRE DAMAGE(Any one fire) 8 300000 M ED EXP(Any one person) $ 5000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY 9 NON•OWNED AUTOS (Per accident) PROPERTY DAMAGE 9 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 8 ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ r AGGREGATE 8 EXCESS LIABILITY EACH OCCURRENCE 6 UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ ........._._......................._. .. . . .._.._............_................. .. ........................................ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY - r EACH ACCIDENT 8 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ I PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ OTHER k , DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECUIL ITEMS Plastering CERTIFICATE IbLDER .............CAICELtATiAN BAPMO1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 367 Main Street Hyannis MA 02601 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REP ESENTATIVES. uUTHO �E ESENTA IVE Tla e ncy .. ..;.-..^ ii.. :. :Z:G:i:'::>::is5::i—::i...................................... 5 :::;:ii:i :8:::i2Y:�z::::;: o-::>::.:;.>:;::isi::'::?^; i':`i:?::::::'::;;":G..... >5i'i:`::;`i:S:':i:....:::::::::i::::2: AGOR[�2 �5( 3.1.:.: :.. ,., •. ...... ...,;;;; :...<.: ( .,a•- . zIf;.:a_�i )I"�t' .Xi4'� �_..—�YY,:S.i.` ��...�'�"f ^ tJ'57 {e tmn.. � ._4�, .. �2.'i,4c��"�"�.3��• u r c! CENTERVgL'LE-OSTERI/ILLE-UAASTONS MOLLS FURS DEPARTMENT IINCB®ENT REPORT Type of Call:__=g Alarm No_'�C)�Qo_ Brief Narrative Required on all Calls Locaflon p^ * w _ Date: 10 _g " RECEIVE© FAX COMPLAINT FROM TOWN BUILDING Called by - t e el.#: �"- i e r c'd DEPT. REGARDING RUBBISH AROUND BUILDING ' `i o Dispatcher.____ IIII omments: ,' ' C> OSING POSSIBLE FIRE HAZARD. — __ ON LOCATION, I SPORE WITH Ili. MIKE KILL1:AtlS � Apparatus response; - Total Manpower: WHO IS A CODIRECTOR REMODELING THIS DWELLING_._ On the Air: . On locabo Ret. In Service HE STATED AS HE REMOVES KATERIALS FROM INTERIOR D Weather:_ emp:� _Wind:SE At: +7-( OF DUMLING, HE PLACES DEBRIS IN DUMPSTER L0- 3 CATED ON_PREKISES, AND OVERFLOW IS PLACED Other Agencies Notified _ROIUIID DUMSTER, I OBSERVED THIS is THE GASES_ i NamelAgency Tele No. By AND�IONID THAT OVERFLOW SHOULD BE PLACED w SIDE THBST AWAY FROM BUILDING. ALSO TBERE C) IS A PILE OF MATERIAL AT REAR OF BUILDING_LOCATED z i APPROXIMATELY 10-15 FEET FROM_MMLLING. __-- 0 - ----------------------------------------------------==----- I ADVISED Mil,. WILLIMS TO KEEP MATERIALS TO BE Buildings Type of Occupancy: SINGLE..FAMILY Tale No: 790-4948 LEFT ON SITE TO A_KIN_IirlUB4iAN(l ALSO TO STORE � Owner: WJWDY BARTOL Address: SAME AS FAR_ FROM BUILDING AS POSSIBLE. I ALSO SUGGESTED " Tenant:— — ---- ---� -_-~ THAT MATERIALS BE PICKED UP ON A MORE REGULAR rn P _WOULD DO THAT. ------- ---- EquipmentlType:—^_._., _ Location:_------_—� Year:____________Make: -Model: MIKE WILLIANS-CONTRACTOR_ Serial No. RO E: 888-5208 Motor Vehicle - Year: Make/Model: Color: VIN:— �_--- Owner:— _ —Address:__ Operator:— _ Address: Brush Fire - Class: Arealsize: __---M^------ -^ - ------- — ---- --- --- __ in OD m Automatic Alarms -- Classification/Code: _ z. m List items needing Follow Up: — —�-- `� w co -, Form #62 left at: D _— n Report by: ate; v C-O-MM Form #19A Chief Rec'd: Date: J :kkr.,i:k".;kS<kY:'?::}•aa ,,tk77':::k<kkt}}};:r..:•Kkkk:R>kS":kyyy:K„ yyy,.,,;tu ,.y:.}„}y,}y}ttt,yyyy:yy::}vyy,ya`r>;.yy:}so}:r.:kk ak}. ykuw.auaaa•.,,,vv:a,uuxt•.,xv},a•. a,uv:.u,vtxv.:w::tornu,,,u,,.,a,,:t,u,a,aaauuavk .. n::•:x::::::;;}:::::::n:•::. .n••••:•:•........... .......yxvvvv:n::•.•vvvvvvvvxv.:v.n•.•..:yy.;v};.;.7}7`:::.,:xvvx:\},}}}}SYx;.}S}y}Y3:4:•S3Yr•iSS}:•3}S}}:•.33:::33. 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