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0774 SHOOTFLYING HILL RD
x o n w O a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION e U Map 1 9 a Parcel Application # 36 9 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit'Fee 8 S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 5 Loo+ Village Ce Owner R(,ne, ' r� A�tt it w Address e, Telephone � 0 ► Sa 6 Permit Request ftj� Q• 3 �,b�cSl ,ss �� gel46f, -to rthG ac, ( 9 /It er I ss -t-o fk e, �ajemtO , 'r TeA 4he 4WIG Jane /1 d 6u'semen WiA CK 4RJr oayo Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 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 , 3 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. Number of Baths: Full: existing new Half: existing = new`.. Number of Bedrooms: existing _new --a Total Room Count (not including baths): existing new First Floor Room Count r Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other M Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new. size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes PNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �^ Name l�1 am mcctoq�q e Telephone Number 08 3 Q g 0379 Address �w� a �f 7�� r� License o a 6 Home Improvement Contractor# Email Worker's Compensation # WC, 0 R 55 4 D-W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f&04 WA SIGNATURE DATE 1 D 1 1 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. e ADDRESS VILLAGE OWNER a r` DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i a� . HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping;air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home 1 agree to the following: 1. 1 give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. I have read the provisions of this agreement and give my consent: Home Owner signature Home Owner email: Date: J-0P,2 Agent:(Signature) Date: to I -Z . Weatherization Zntr��tors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home improvement Building Science Construction Tupper Construction Cape Cod Insulation The Commonwealth of Massachusetts Department of Industrial Accidents •a d 1 Congress Street,Suite 100 Boston,MA 02114-201.7, www mass govldia, N orkers'Compensation Insurance Affidavit:Builders/Contractors/Elects cians/Plumbees, s TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Businessi0rgatuzation/Individual):Cape Save Inc a Address:7-D Huntington Avenue { City/State/Zip:South Yarmouth, MA 02664 - phone#:508-3981-0398 r. _ Are your an employer?Check the.appropriate box: Type of project(requiredj: 1.�✓`.I a n a employer with.. .15 employees(full.andlorpart-time).° 7. New construction t• -k. 2. I am a sole proprietor or paitnership and have no etployees working for me in + t ❑ A - ^. 8: ❑Remodeling �any capacity.[No workers'.comp.insurance required.] 10I am a homeowner doing all work myself.[No workers'comp:insurance.required]t 9 ❑Dem0lihon . [� .4.1711 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Blinding additionw - - ensure that all contractors either have workers'compensation,insurance:or are sole 11.❑Electrical repairs'0- additions r proprietors with no employees. 12.❑.Plumbingrepaiis or additions _5.❑'I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ""{ _ These sub-contractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 6.❑We am.a corporation:and its officers have exercised their right of exemption per MG l c.: il*E Other Insu_ lation_ - 152,§1(4),and w&have no employees.[No workers'comp.insurance required.] Any applicant that checks box#I must also fill out the section below showing their workers'compensatiompolicy information. t Horrieowners who submit this affidavit indicating;they are doing all work and then hire outside:contractors:must-submit a;new:affidavit;indicating such.— ' Contractors tbatcheck this box must attached an additional sheet showing the name of 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 km an employer that is providing workers'compensation insurance for my'employees: Below is the policy and job site..= •• ..information. - Insurance Company Name: Star Insurance Co. }' KPolicy#or Self-ins.Lie.M WC085540700 y t r�^ Expiration Date: 4/9/2017" iz 4 Job Site Address: 774 Rhnotflvin'Hill Road city/State/zip;Centerville " Attach a:copy of the workers'compensation policy declaration page(showing the policy number and:expiration date). . Failure to secure coverage as required under.MoL c.152,§25A is.a criminal violation punishable by a fine up to.$1,5.00.00 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.A copy of this statement may be forwarded to the Office of Investigations.of the D1A for insurance coverage verification. I do hereby certify underth pains and penalties of pepjury that the information provided above is true and:correct Si afore: Dater 17/1 Phone#:5Q8-398-0308 Official use:only. Do not write in this area,to be completed by.city.or town or _ � . City or Town Permit/License# Issuing Authority(circle one 1.Board of Health 1 Building Department 3.City/Town Clerk 4..Electricallnspector 5.Plumbing.Inspector " 6.Other Contact Person: Phone.#: l+ .ray 7 ® DATE(MMIDDNYYY) ACCM0 CERTIFICATE OF LIABILITY INSURANCE 4/12/2ols THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS:NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REP _SENTATIVEOR PRODUCER,AND THE CERTIFICATE HOLDER. IMPO NT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION ISVY ED,subject to the termkand conditions of the policy,certain policies may require-an endorsement. A statement onthls.cert(f(cate does.no onfer rights to the certificate Ider In lieu of such endorsements. PRODUCER .NCONTI AME:C T Risk Strategies Company Risk Strateq s Company AHC E (761)96fi=44D0 AX No.(731)963-4420 15 Pacella Par Drive :EA-ma randol hcld@risk-strat s.com D�ilEss: I' � Suite 240 INSURER(S)AFFORDING COVE GE NAIC Randolph MA 02368 1 INsuRERA:Selective Ins. OF rica INSURED INsuRERBAllmerica Financi 54AIliance Ins Co 10212 Cape Save, Inc INSURERC:Star Insurance C 7 D Huntington Ave INSURERD: INSURER E: South Yarmouth \MMAO4 INSURERF: COVERAGES CERTI LATE NUMBER:CL16.41211375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF fVURANCE LISTED BELOW HAVE BEEN ISSUED TO InE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRE T,TERM OR CONDITION OF ANY CONTRACT OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, E INSURANCE AFFORDED BY THE POLCCI DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND.CONDITIONS OF SUCH POLICIES. frS SHOWN MAYHAVE BEEN REDUCED PAID CLAIMS. INSRTYPE OF.WSURANCE - POLICY F -PoLI EXP LIMITS LTR POLICY NUMBER MM/� M/ X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000;000 A CLAIMS-MADE Fx_1 OCCUR PREMISES Ea occurrence $ 100,000 X S1994450 10/1612015 10/16/2016 MEDEXP one arson) $ 10,00D PERSONAL&ADV INJURY $ 1,000.,.000- GENIAGGREGATE LIMIT APPLIES PER:. GENERAL AGGREGATE $ 2,000,000 POLICY�PR LOC PRODUCTS-COMP/OP AGG $ 2,000,000. OTHERa. $ AUTOMOBILE LIABILITY Eaaa:ident N. L LIMI $ 1,000,000 ANY AUTO BODILY INJURY(Per person) B ALL OWNED SCHEDULED AUTOS X AUTOS ASBA4679 00 11/6/2015 11/6/2016 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Perecdder $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESSLIAS CLAIMS-MADE , AGGREGATE $ 1 000 :000 . DED X RETENTION S$ HIL 01994490 10/.16/2015 _0/1612016 $ WORKND ERS COMPENSATION ` YIN officers Included foc X STATUTE ERH ANY PROPRIETORIPARTNERfF. CUTiVE Coverage E.L.EACH ACCIDENT $ 500,000 C OFFICERIMEMBER`E(CLUDED? Fi] A _ (Mandatory In NH) 1 �, VC085540700 4/9/2016 A/9/2P{7 E.L.DISEASE-EA EMPLOY $ 500,000 If yes,desaibe under ' 1. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS It LocAVEINS I VEHICLES(ACORD 101,Additional Remafks.Schedule,maybe:attached if more apace Is required) . National Grid COrpor a Services LLC d/b/a National Grid, Action Inc, Colonial Ga Company and NStar Electric are all i luded as Additional Insureds with respects to the General Liabi ity coverage of named insured as regnir by written contract. CERTIFICATE OLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC LED BEFORE sing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL 'BE D IVERED IN pe Light Compact ACCORDANCE WITH THE.POLICY PROVISIONS. Barnstable County 460 West Main Street AuniORiZED.REPRESENTATIVE Hyannis, bra 026:01 Michael Christian/CLC - "'- ''` O 1988-20.14 ACORD CORPORATION. All eights reservad. ACORD 25(2014101) The ACORD name and logo are registered marks Of ACORD INSo25(201401.) i Office,of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5 J6 Boston,Massachusetts 02116 Home Improvement:Contractor egistrat>on - x �" �' Registration. 1:71380 . rt - {; Type Corporation A. {r, Expiration z 3%14/201 t3 Tr# 419291 CAPE SAVE INC x WILLIAM McCLUSKEY Y �. 7-D HUNTIN&ON AVENUE SOUTH=YARMOUTH; MA 0664 4 ' Update Address and return card Mark reason for change." X4 Renewal Empioyment Lost.Card y El Address "III, SCA 1 0 20M-05111. e oarr�,zmzzgea(llz-a �'�r!us�cecicc erg License or re is4cation valid for indiv�dulnse only _ Offiee of Consumer Affh rs&Business Regulation g Y q� " HOME IMPROdEMENT CONTRACTOR before the expiration date If fouik return:0': Registrat<on 171380 Type: Office of Consumer Affairs'and Business Regulation: Expi 10ration 3/14/2018 Corporation; `Park Plaza Suite 5170 Boston,:MA102116 " CAPE SAVE INC. f WILLIAM MCCLUSKEY — , 7-D.HUNTINGTONAVENUE- !" SOUTHYARMOUTH MA-02664 Undersecretary Not valid'` i ignature . Massachusetts -Department&Public Safety Construction Supervisor Specialty {/ Restricted to: Board iof;Buiiciing Regui:ations and Standards CSSL=IC-Insulation Contractor 1�.1Ills Lt-111L11)11 Jtl�/E t'i ill6l'"'J�111141L_Z' .+�6ID<�'�'��d - - « License: CSSL 102776 ITS WILLIAM J MC CCU 37 NAUSET ROM Zufr West Yarmouth 1hlA %7 `4` n % :3" -JJ Failure to possess a current edition of the Massachusetts Expiration State Building Code is cause for revocation of this license. Commissioner 06728/20:17 ' DIPS Licensing information visit: WWW.MASS.GOV/DPS I ACfJRD® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMlDOIYYYY) `..�' 10/14/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: Colleen Crowley Risk Strategies Company PHONE Ex : (781)986-4400 . FAX IC No: (783)963-4420 15 Pacella Park Drive ADDRESS:ecrowley@risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE 14AICt Randolph MA 02368 INSURER A:Liberty Mutual Insurance Co INSURED INSURER B Allmerica Financial Alliance Ins Cc 10212 Cape Save, Inc INsuRERc:Ohio Casual t /Peerless Insurance 24074 7 D Huntington Ave INSURERD:Star Insurance Co INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL16101422377 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �TRR TYPE OF INSURANCE D POLICY NUMBER MMI POLICY EFF MMI POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILrTY EACH OCCURRENCE $ 1,000,000 A CLAIMS MADE OCCUR DAMAGE TO RENTED urr 100 000 PREMISES Ea occurrence $ X BLS1757246490 10/16/2016 10/16/2017 MED EXP(Anyone person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X ACT LOC PRODUCTS $ 2,000,000 POLICY a OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acciden $ 1;000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS X AUTOSSCHEDULED A.BA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per accident) $ NOWOMX PROPRTY HIRED AUTOS X AUTOS ED PeraccidentDAMAGE $ Undednsured motorist BI split $ 100,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESSLIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X i RETENTION 10,000 US057246490 10/16/2016 10/16/2017 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/E)(ECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? a NIA D {Mandatory in NH) WCOSS6401 4/9/2016 4/9/2017 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more apace Is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of named insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN, Cape Light Compact r ACCORDANCE WITH THE POLICY PROVISIONS. Barnstable County 460 West Min Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 _ Michael.Christian/CLC '�' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 774 Shoot flying Hill Road Centerville,MA Owner's Name: Anneli Karniala Owner's Address: P.O.BOX 1073 . Centerville,MA 02632 Date of Inspection: October 16,2001 Name of Inspector: (please print) Richard Judd,R.S. Company Name: Richard Judd,R.S. Mailing Address: P.O.BOX 55 South Harwich,MA 02661 Telephone Number: 508430-1764 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and the. rted below is true,accurate and complete as of the time of the inspection.The inspection was training and experience in the proper function and maintenance of on site sewage di spo to approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000 s JR. y No.1125 X Passes Conditionally Passes sA�I R 1a Needs Further Evaluation by the Local Approving Fails i Inspector's Signature: AlS Date: l ZOp The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)wiihin 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. .. Notes and Comments ****Ibis report only describes conditions at the time of inspection and under the conditions of use at that ' time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 774 Shoot Flying Hill Road Centerville,MA Owner. Aaaeli 1[arniala Date of Inspection: October 16,2001 Inspection Summary: Check A,B,CM or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determdned"please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. •A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distn box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced i obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 774 Shoot Flying Hill Road Centerville,MA Owner: Anneli Karniala Date of Inspection: October 16,2001 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment.. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from.pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered A copy of the analysis must be attached to this form 3. Other. Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 774 Shoot Flying Bill Road Centerville,MA Owner. Annell Karniala Date of Inspection: October 16,2001 D. System Failure Criteria applicable to all systems: You VVM indicate`yes"or"no"to each of the following for Al inspections: Yes No _ X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _ X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ _X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well Is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] NO (Yes/No)The system I&I have determined that one or more of the above failure criteria exist as described in 310 CUR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well if you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CUR 15.304.The system owner should contact the appropriate regional office of the Department. Page S of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 774 Shoot Plying Big Road Centerville,MA Owner: Anneli Karniala Date of Inspection: October 16,2001 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ` X _ Pumping information was provided by the owner,occupant,or Board of Health _ _X Were any of the system components pumped out in the previous two weeks? x _X —1 Has the system received normal flows in the previous two week period 7 X Have large volumes of water been introduced to the system recently or as pert of this inspection? t X — Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? X_ _ Were all system components,INCLUDING the SAS,located on.site? X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the bales or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? a The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information.For example,a plan at the Board of Health X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distanoe is unacceptable)[310 CUR I5.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 774 Shoot Flying Hill Road Centerville,MA , Owner: Anneli Karniala Date of Inspection: October 16,2001 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CUR 15.203(for example: 110 gpd x#of bedrooms).330/549.5 gad Provided Number of current residents: 2 Per 6'Xl0'pit calculation Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no):_ Seasonal use: (yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): 1999= 142 GPD/AVG. 2000= 121 GPD/AVG. Sump pump(yes or no): NO. Last date of occupancy: CURRENT COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgfi,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to,the Title 5 system(yes or no):— Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information No records peer Town of Barnstable. Was system pumped as part of the inspection(yes or no): YES 00/22/01) If yes,volume pumped: 1000 gallons--How was quantity pumped determined? 'Tank Size. Reason for pumping: Maintenance Required. TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool ivy Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: Certificate of Compliance issue 16/94 per Barnstable Health Department. Were sewage odors detected wW n artiving at the site(yes or no):. NO Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 774 Shoot Flying Hill Road Centerville,MA Owner: Anneli Kuniala Date of Inspection: October 16,2001 BUELDING SEWER(locate on site plan) Depth below grade: 30"below top of foundation, Materials of construction: X cast iron 40 PVC other(explain): Distance from private water supply well or suction line: N/A Comments(on condition of joints,venting,evidence of leakage,etc.): No evidence of leakage was observed SEPTIC TANK: X (locate on site plan) Depth below grade: Inlet Cover: 20" Outlet Cover: 9" Material of construction: X concrete_metal fiberglass polyethylene ather(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 8 5'L X 4 8'W X 4.08'D = 1000 Won. Sludge depth: 1" Distance from top of sludge to bottom of outlet baffle: 32" Scum thickness: 13" Distance from top of scum to top of outlet bade: T' Distance from bottom of stun to bottom of outlet bade: 5" How were dimensions determined: Cal&uW Measuring Stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Net si4c contains a PVC Tee Liquid level was observed at the exit line tape invert No signs of Backup. Hydraulic failure or leakage S m wasVMMoed(10/22/0 D as Dart of the msnecrion. GREASE TRAP.•_(locate on site plan) t Depth below grade:_ Material of construction:_concrete_metal_fiberglass polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Pars of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 774 Shoot flying Hill Road Centerville,MA Owner. Anneli Karniala Date of Inspection: October 16,2001 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level:. Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): DB 3 cover is 29"below grade Liquid level at the exit invert line Moderate amount of carrvover. No sign of bip or leakage D-Box anoears structurally sound PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNA FORM ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION PART C SYSTEM INFORMATION(continued) Property Address: 774 Shoot Flying Big Road Centerville,MA Oar: Anneli Karniala Date of Inspection: October 16,2001 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) N SAS not located explain why: Type X leaching pits,number.(D 6' X C(octagon)with 2 0'of stone all around. leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil hydraulic failure,level of ponding,damp soil,condition of vegetation,- si�s of etc.): Cover of Dit is 40"below gMdC. The dt contained 8"of standing liquid Sidewall stainim was observed 8"above the MpdjU liquid level There was no observed signs of hvd—mAk failure. CESSPOOLS: (cesspool must be pumped as part of inspectionxlocate on site p1 an) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIM (locate on site plan) Materials of construction: Dimensions: Depth of solids:' Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C Si(STEM INFORMATION(continued) Property Addrtn:' 774 Shoot Flying Hill Road Centerville,MA Owner. Anneli Karniala Date of Inspection: October lb,2001 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. r EXIST'C1 2 PAY A4F- LOCATIOM AT 05�1' 43 MAO • 1^taov -�.5 ,l�act� plT, EXISV 3 W- VWLL1 1 SHOOT FLYI Nq H 1 LL .KOAP Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - F SYSTEM INFORMATION(continued) Property Address: 774 Shoot Flying Hill Road Centerville,MA Owner: Anneli Karniala Date of Inspection: October 16,2001 SITE EXAM Slope 2% Surface water >100' Check cellar DRY Shallow wells Auger to 6.1'below lower surface elevation. Estimated depth to ground water_>183'feet(from surface). Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: _ X Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: - A transit line level was run to a landscape cosition that was 2 9'plow the bottom of the leach pit elevation. A handauaer was bored to a depth of 6 1'below the surface with n4 groundwater encountered Total depth below the bottom of the leach pit with no groundwater encountered is 9.0'. i � I s r . s aJ 75,e ! A ko Aar Out S�j LAI 6 pt. O-Z d j 9o/ t+k CA i S-" cf� Azo 11 �k r ,cam, 06,je tto t,-aA4-A� ata CIA A vex , 4�—�... GL. .�✓L-tug �-�; (d�,� (/t/`t�.���,�/Gri ,�,�� � w-- paae f r 071 Gill�-Y'�.N�-�c !✓�. / /`/ _'. � _ \ C j�`�`y�. lale 40 OWL r aLo rT 0,- h ; `7 VA Town of Barnstable - Building Department �J ComplainvInquiry Report cT'a Date: 06,0 Rec'd by: Assessor's No.: e ` Complaint Name:�� Z, �fl 2C H ITT I Location Address: :7- S i4,mT uiu- P—h f 02/U M/P 63sd21, ,5 2— Originator Name: A NV Q--1. K1+1e,,l iA Lz+ Street `71 sf�y�� L-fit'/tUCTI�[1 42.:.J Village: J?'��t1 f`1�� state: Zip:O 6 3�2 Telephone: D/E 28 © � Complaint Description: 1��e n e �l� ors L►v UDC' a� 1, � ur�i t om a Us-S� 1A)I�A o-wL- Oy+ S-1-0 a o zet� e Inquiry Description: For Office Use Only Inspector's Action/Comments Date: Inspector. Follow-up Action Additional Info.Attached Copy Distiburlon. WJute-Depa=ent Me Yellow-Inspector Pink-Inspector(Return to OlTce:lfanager) 2.on� 774 Shoot Flying Hill Road Centerville, MA 02632 November 19, 1998 To Can Marchetti 762 Shoot Flying Hill Road Centerville, MA 02632 Dear Carl, . I just wanted to let you know about an area of our fencing that deviates well to our side of the boundary line. The boundary line between our properties goes in a straight line from the street, to the cement bound, that is just to the east of the back corners of our respective houses, through a wooden surveyors stake at the side of your fill, and ends at the cement bound at the SE corner of your property (where the fence forms a 90 degree corner). But our fencing does not follow this straight line in a specific area. The first reason for this deviation is due to the presence of the largest tree along the line, going downhill toward the wooded area. `If the fencing had been placed to your side of this tree, it would have been either just on the property line itself, or just on the edge of your property, so it was placed to our side of this tree. This large deciduous tree is, however, on our property. The second is due to the fact that your land fill (near the wooden stake, which is currently under one of your felled trees) spills over the property line. And to avoid placing the fence in unstable fill in that area, it was placed in more solid ground well to our side of the line. I wanted you to be aware of the above two reasons. Sincerely yours, Anneli Karniala i 20 r7I n g of�i'ce 774 Shoot Flying Hill Road Centerville, MA 02632 March 10, 1999 To Carl Marchetti 762 Shoot Flying Hill Road Centerville, MA 02632 Dear Carl, You may not be aware of the fact that the spotlights on the new addition to your house light up our garage, back yard, and the trees by our driveway. We would appreciate it, if you would aim the spotlights lower. Thank you, Anneli Karniala 2G1`�,n� o f J t G•P 774 Shoot Flying Hill Road Centerville, MA 02632 July 20, 1999 To Carl Marchetti 762 Shoot Flying Hill Road Centerville, MA 02632 Dear Carl, I would like to point out that the spotlights in your back yard are still lighting up on our garage and backyard as I had written to you in March 1999, and the newest ones on your back garage are being activated by our movement in our own back yard. Both of these situations are against the toning laws. Please adjust the spotlights accordingly. Thank you, Anneli Karniala 0, 774 Shoot Flying Hill Road Centerville, MA 02632 October IS, I N9 To Cart Marchetti 762 Shoot Flying Hill Road Centerville, MA 02632 Dear Carl, We have seen that your back yard fill has a huge trough of erosion, which has pushed a very large amount of fill down the slope, across the property line, and up against our fence. The fill now covers the bottom horizontal bar on several sections of fencing, which it should obvW*not be doing, and one section so far is being pushed outward by the pressure of the fill. I remind you that the property line goes from the largest tree on the sbpe,to the back corner cement boundary. This was seen previously by way of an extra wooden stake with pink ribbon put up by the surveyors, to the north of the fence. However, this has either been pulled up, or ft has been knocked down by the erosion. We trust you will remedy this situation immediately, as it is just bound to worsen in the next downpour. would also like to remind you that we have been quite patient in waiting for you to adjust your spotlights so that they do not continue to shine on our backyard trees and driveway, our garage, house windows, and frontyard trees. This continues to be against the toning regulations. Thank you, Anneli Kamials 730CMRAppada! , 4 TableZZIb( Prescriptive Packages for One and TW04401*Reaideadd WOW Road wdb Fall Fads MAXIMUM MIN[MUM (Glazing (Glaring Ceiling Wall Flow aaslmod 9bb �°�Coolmg (Yo) U-value= R value' R vaiuO R-vahter WallPaim= P=kage f;"I to 6500 Headug Degeee Dada' Q 12'/e 0.40 38 13 I9 !0 6 Normal R 12% 032 30 19 19 10 6 Normal S 12Y. 0.50 38 13 19 to. 6 85 AFUE T 15% 036 38 13 25 WA WA Normal U 15% 0.46 38 19 19 10 6 Normal V 15•A 0." 38 13 25 WA WA 85 AFUE w 15% 0.52 30 19 19 !0 6 85 AFUE X 18% .032 38 13 25 WA I WA Normal Y 18Y. 0.42 38 19 25 WA WA Normal Z 13% 0.42 38 13 19 to 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values,do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fiarrie or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. TF.e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc:: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement . dscribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.la NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). _ 43 r F tME Tp� The Town. of Barnstable e&RNsrxsi.e. _ MASS. $ Regulatory Services 1639•� �� Thomas F. Geiler,Director Building Division Peter F. DlMatteo, Building Comm issioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION repair,modernization,conversion,, MGL c. 142A requires that the"reconstruction,alterationsq renovation,repa��� owner-occupied improvement•removal,demolition,or construction of an addition to any.pre g building containing at least one but not more than units or to structures which are adjacent to four dwelling such residence or building be done by registered contractors,with certain exceptions.along with other requirements. Type of Work: J1a6n o Q Rad , . c�+ c� Q M U-U•n�v o Estimated Cost (W 00 _- . e�hfi hn�, Address of Work: 1)L Owner's Name: aLl Date of Application: I Z 4 ((7 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law OJob Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DR LINGWODO I NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMP VEMENTACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL a 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 162335 'kl 1-2 L ®l Registration NO.. Date Contractor Name OR Date Owner's Name q:forms:Affidav:re v-070601 'y • / I 1 ■ 11 1.11�. ••1 a \w.l\1/111 1_ ..\It, 11 C11 1 .11111 . �.1 .) .• 1111_ �1 ..... \IIIU� vll \I1 IU 11 111\ _ ,I\AII_ II ';¢..' �9. '� �cS�\�.� •. '. ';,� t¢z' is 2 WAND. lWM :11 I 1 111 _ 1 r\1111.: 11 - . \• ••1. ■ : 11 \ II \II.-1 II ' JI � IIII/ M11 \1 1 1 I -1 ' 1 ' 1 1 . •'11 ••1 ..\.1 r\1111\tit `✓.1\ \ 1 I\ r..+ ...„+ :: � �,.Q:F>:ayy:;;y:���:•�:�.:��:x;a.. .:,P..-y�.: J:a'v..a:v..,.,a. :.nab:%c�'xJ k r,' <Y�:k�t?:2Y;":�aJ:YF�r,.:+. >xx:cx" SD.:'•'a\:Sou:.. . •i'N' � aCf�riax�%:v:c::�'::.::.,?'u^ >h`aa i`:%,':',;� .a:y' .o:y.,.tyv+Ys,.`� �x n "i+.'s`i,.X aic..+€^`;'•ti J � � .„.y:o:::.;;.,,;`a:a+" k;};�:.,.,vo,� .Sr:a�,• '�� .. ,'. a '.. fca,::-,.,..;� b:o.:.,,....,.: 26�:y:o;;:�:`'<t.;�•;r��f�.:�`:. L �9�°: a;;i�:<,<;:�;�t$? '.••:�r'rt-`3'lcC:ar..,\�yh>+.. /////////////////////////////////////////////////////////////////////////////////////////////////////////////,i%////,!%/%%///,%//////////////!/////%//.:.::'ram/%?!'/!1'!///%/////////,.%//////////%/////////////,%//////////////////%✓.Y////// / �1 _ 1 •I do notwrtte in thh,am to be comPleted by city •11 1 11 •' �- - 1. responsecity or tovm ULICMW=g Board is OnIce Mdecunen chnkifWwmaaa 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their emplovees. As quoted from the"law", an employee is defined as every person in the service of another under any c°=--= of hire, e:cpress 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 ed in a joint enterprise.and including the legal repres==:tivm of a deceased employer, or the rec.-rt er or the foregoing engaged J ees. However the owner of a trustee of an individual,partnership, association or ad=legal entity, employing emp to y dwelling house having not more than three apartments and who resides themm,or the occupant of the dwelling house of another who employs persons to do maintenance =asttnctim or repair work ou such,dwelling house or an the grounds cr building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,nemthcrtl= commonwealth nor any of its political subdivisions shall eater,into any contract for the performance of public work=inl acceptable evidence of compliance with the insurance �regmr of thus chq=have been.presented to the conaactng authority. FEE UFF;%, Applicants Please fill in the workers' canmpensaiim affidavit c®pleteiy,by chwldng the bax that applies to your sit=m and 7. supplying campanY names,address Phone numbers along with a certificate'Of insmaace as all affidavits maybe far inn ofinsmz=coverage. Also be sure to sign and submitted to the Department of Industrial emit or license is s. ortewnthatthe Iication P date the affidavit The affidavit should be returned to the city have aPP regarding the`haw„or if you being requested,not the Department of Industial Accrdeats. ygn �5' °� are required to obtain a workers' compensation policy,Please call the Department atthe number fisted below. City or Towns - 1 The D artmeat has ded a space at the bottom of the Please be sure that the affidavit is ce®plete and printed legibly. eo P Iicaat. Pl�se affidavit for you to fill out in the event the Office of Investigations"has to contact you regarding aPP be sure to fill in the peraut/license number which will be used as'a reference number. The affidavits may be rccnne3 to the Departamem by mail or FAX unless other arrangements have been made. The Office of Investigations would file to thank you in advance for you cooperation and should you have any questions Please do not hesitate to give us a call. The Depanrneat's address,telephone and fax mmmber. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lavesduatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 a Hoard of Building Reguhtians ar_d Stacdards %i0..1E IMPROVEMENT CCNTRACTOR i Reyi.Stration. 102-35 a.�or.: C7!01/2 ` TYPO: DBA � ii DCNAL D I..SAKE �. , ..DER . Do"a,d 2b JIt.11M.". CRCWELLS PATH DENNIS, 'A 62638 GG.-..... Administnimr,. 1• Lirthdate: F BUILDING REGULATIONS STRUCTION SUPERVISOR S004648_118/1 /18R002 r.no: 19521 i. .Restricted TO: 00 _ DONAL D B BAKER PO BOX 1216 Administrator DENNIS*. MA 02638, • V 1 40 S4-r&he,�(Ave ( � ScA�(4, r 774 Shoot Flying Hill Road PO Box 1073 Centerville, MA 02632 October 1, 2001 Attn: Robert D. Whitty Board of Assessors, Town of Barnstable 367 Main Street Hyannis,MA 02601 To the Town of Barnstable Board of Assessors, Last week, after discussing plans for remodeling our home with Jason Streebel of the town Assessors Office and Frank Schlegel of the town's Engineering Department, I hereby respectfully request the following change in the mapping of my properties. I request that only my Lot 2 and my Lot 3, as shown on the enclosed deeds in my name, be combined into one lot, in order to facilitate the upcoming remodel plans and thus conform to the town's requirements. Sincerely yours, Anneli Karniala 2 Encl: copy of deed for Lot 2 copy of deed for Lot 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,. i9,a-- 03-7 -va� 73.7 �37 !JV a Map ��`Z Parcel Permit# Health Division I O �aJ� Date Issued Conservation Division ' �' Fee Tax Collector Treasurer �1 s t� CP�7�f� / �i P71C SYSTEM �g INSTALLED IN COMPLIANCE Planning Dept. L NOV 1; 7 J 01 WITH TITLE 5 Date Definitive Plan Approved by Planning Board EN'VI ONMENTAL CODE ANM 'i'yO@,'ISN REGULAU'CI��; Historic-OKH Preservation/Hyannis Project Street Address ' ` t NG ��ti (�vr� Village CCnA —;(` yi [Ic Owner _1)0 ne 1 act�"�1 a 1 G Address So,me Telephone SO-Z G C)5 Permit Request 2 v r into � ��1 � Ce C c 4^C. rc � (r, -n e uj fi . ccN aoa a�e 3b0 Square f 1st floor: existing iaWo proposed R 1 nd floor: existing b proposed n Total new Valuation 3-3 ZoningDistrict' Flood Plain Groundwater Overlay Y Construction Type iUoon Lot Size �{ Z5 Alt �'� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Z Two Family ❑ Multi-Family(#units) Age of Existing Structure `& Historic House: ❑Yes eNo On Old King's Highway: ❑Yes Basement Type: 6'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) %Z Number of Baths: Full: existing 1 new 1 Half: existing new Number of Bedrooms: existing� new i Total Room Count(not including baths): existing _5 new I First Floor Room Count Heat Type and Fuel: ❑Gas 21 Oil ❑ Electric ❑Other Central Air: ❑Yes "No Fireplaces: Existing I New a Existing wood/coal stove: ❑Yes Detached garage:❑existing 211"new size2YY,2q Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:51"existing ❑new size Shed:Erexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Erro If yes, site plan review# Current.Use tMilk Ho are Proposed Use _S[)N\e BUILDER INFORMATION NameD"Ac y� Telephone Number Sa$az� °- ZZ -?— Address 7 f. .�; MNNIU Q (`Off.Q �S �c� �t _ License# c`M447�- �e n 415 M U Home Improvement Contractor# t-41 L Qe V) V) reS G-Z fs3 Worker's Compensation# '� UU -� (�`.S'`l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . SIGNATURE QLM,Q �__I DATE ` I �I 14 S k FOR OFFICIAL USE ONLY 3 PERMIT NO. DATE ISSUED MAP/PARCEL NO': ADDRESS 3 i VILLAGE 7 OWNER " DATE OF INSPECTION: FOUNDATION FRAMEn�. .. t ' INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH .-FINAL ; FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t' .r J � RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE r New Buildings,Additions $50.00 © ' Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= i plus from below(if applicable) ' ALTERATIONS/RENOVATIONS OF FMSTING SPACE U square feet x$64/sq.foot= '?/ x.0031= I plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf $ ,, �v >500 sf-750 sf 0.0 ' 55 1 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= y (n er) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee projcost tH�E i The Town of Barnstable . BAR LE.MASS. Department of Health Safety and Environmental Services MASS. a 9� ,639• `00 "rEOMp�a, Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location ubditl-I Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: c �,j Please call: 508-862-4038 for re-inspection. Inspected by Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i c Map —�, Parcel Z Application# o Z Health Division Conservation Division ®/ Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board a123�D7 Historic-OKH Preservation/Hyannis Project Street Address S Po O T 6 Y%L[-- 1P6A ) Village Owner A/UV EL --/ ek)j,7-LA Address 5/4 Mct- Telephone JC"v�i /tea Permit Request Q n 6 ; /`on Of ). ai-nhdA./f9ac.�,a'I Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati ,1� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Roo Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing woo al stoveL" b Yeb- ❑No Detached garage:❑existing ❑new. size Pool:❑existing ❑new size Barn: xisting ;5 newc,size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# 4 Currt_Use _ _ _ Proposed Use BUILDER INFORMATION Name Telephone Number �'��o��" �'� f o Address /p oC�i4�" S'O-'/�i4Y w License# /�^- �''��✓ Y%' 6�3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE � Y a - FOR OFFICIAL USE ONLY s �! PERMIT NO. r R DATE ISSUED L MAP/PARCEL NO. 3 ADDRESS VILLAGE r OWNER DATE OF INSPECTION: � FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT j ASSOCIATION PLAN NO. s i ' o'�He r Town of Barnstable Regulatory Services " Bn �'MASS. ` Thomas F.Geiler,Director y Mass. $ �'OlF039. 0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50.8-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder M1 I, A lu y Z.L-% A�4r�u /zLz- ,as Owner of the subject property hereby authorize D I V7-7 &J 141% T/ 614Q1QC to act on my behalf, in all matters relative to work authorized by this 4 permit application for: De mo i `pYl, (Address of Job) Signature of Owner Date Print Name Q:FORMS:O W N ERP ERM I S S ION The Commonwealth of Massachusetts Department of Industrial Accidents 1 Office of Investigations 600 Washington Street �< Boston,MA 02111 a www.mass.gov/dia '`Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lmibly Name(Business/Organization/Individual): Address: City/State/Zip: C.,✓ �1�'t, Phone.#: c 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 6 ❑New construction . employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑Remodeling 2. I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. emolition ' working for me in any capacity. employees and have workers 9 Building addition [No workers' comp.insurance comp.insurance.t 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] 3.❑ I required.] a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑ Other employees. [No workers comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have, employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is-the policy and job site information. Insurance Company Name: Policy#or Self-ins.Li c.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under th pains and penalties of perjury that the information provided above is true and correct. YZ Si�ature: Date: - �� Phone#: F only. Do not write in this area,to be completed by city or town official n: Permit/Licensehority(circle one): . oarHealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receivoLtrustee 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)stares"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-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below..Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job 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 io any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, - please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax##617-727-7749 www.mass.gov/dia I Energy Delivery 127 Whites Path South Yannouth, MA 02664 April 19, 2007 Anneli Karniala P.O. Box 1073 Centerville, MA.02632 RE: Outbuilding at 774-Shootflying Hill Rd., Centerville This is to confirm there is no natural gas service to the above.address. This was confirmed by a representative of Keyspan Energy. If you have any questions, please call meat 508-760-7481. Sue McMullin Field Coordinator Keyspan Delivery Company CUSTOMER'S PHONE FAX DATE A-DAD'S PLUMBING & HEATING I % P.O. BOX 702 NAME W. BARNSTABLE, MA 02668 (508) 362-9436 r FAX(508)362-4243 ADDRESS ge _,7 // rd ��o le OQ-0 QTY. DESCRIPTION TIME 4 t Y EMPLOYEE: pa' 01, �3'o-q— CUSTOMER'S ORDER NO. PHONE DATE A-DAD'S PLUMBING & HEATING NAME P.O. Box 702 W. BARNSTABLE, MA 02668 - (508) 362-9436 ADDRESS L/ FAX (508) 362-4243 �i SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE.RETD. PA6 0 T i OTY. DESCRIPTION PRICE AMOUNT i _._ ..........__ ______-_ -____ ____ __ _ -________-_-__- -._-. ._ . ..... - TAX = RECEIVED BY TOTA � 7 All claims and returned goods MUST be accompanied by this bill. 2428 JOHN, B. RAIMO MASTER ELECTRICIAN T� tol LIC.#A18352 Date: 133 Berry Avenue,West Yarmouth,MA 02673 Tel: 508-778-1804 Fax: 508-778-0750 email: raimoelectric®yahoo.com CUSTOMER: foB# NAME 1n �i v4 ADDRESS _ i " CITY 11 STATE ZIP Uy,:r-er olke WA HOME PHONE WORK PHONE DESCRIPTIONOF •' • BE o• r T < SCvv► n rior ACCEPTANCE OF WORK PERFORMED.I find the service and materials rendered and MATERIALS installed in connection with the above work mentioned, to have been completed in a satisfactory manner. I agree that the amount set fourth on this contract in the space TAX labeled'TOTAL"to be the total and complete flat rate/minimum charge. I agree to pay reasonable attorney's fees and court cost in the event of legal action.I acknowledge that I have read and received a le ' le copy of this con ct. LABOR 4: AUTHORIZED V SIGNATURE e 7S 07/30/2000 19:46 508-771-7778 INDIGO IMAGE CNSLTG PAGE 01 FAX Pat, Annell Ka rnials 774 SHOOT FLYING HILL ROAD PO BOX 1073 CENTERVILLE, MA 02632 (Horne)Tel,608 778-9066 Fax 508 771-7778 ®ate: SUNDAY, JULY 30, 2000 To: _ATTN: GLORIA URENAS, ZONING (+ Ralph Crosson) Fax: 790-6230 No. pages Incl. fax cover page: 2 To Gloria -- After your call to me 8 a.m- Friday, July 28, in which you told me you had received the voice mail 1 left for you on July 27, and after you said you had talked to Carl Marchetti again re: his AIDING of his spotlights/floodlights, we have experienced the following: Friday July 28--dog barking in his yard from 6pm-8pm continually. -- one set of his back floodlights on 8-8:30 pm (at corner of his deck) and they still lit up our back yard, garage, driveway, car in the driveway, and trees in the lot beside us (that lot is also ours). Our 2 cats were inside our house the entire time, and do not frequent his property anyway. -- I activated another set of his back floodlights (at the nearest corner of his back garage) 5 times between 9pm and 10pm, by standing/moving jn my own back yard. They remained on 5 minutes each time (see copy of my letter to CA4.7-20-99 -- one year ago -- that you have in your file from me). -- None of his front lights went on (turned off?) during the evening when cars went in and out of his driveway, the few times that I noticed. Saturday night July 29th/Sunday the 30th in the "wee hours": -- I thought I was going to bed at 10:45- 11.00 PM I -- at 11 pm, one, sometimes 2, sets of frontyard floodlights went on, lighting up (and into the room) our bedroom, the north side of our house, plus the trees and bushes in our front yard, along.with the trees on the lot (again, our lot) beside our driveway. The lights went off after 4-5 minutes. Motorcycle(s) were revved up, drove in and out of his driveway about 1/2.to 3/4 of the following times that the lights went on (I got tired of noting it down), at: 11pm {fights + motorcycle) 11:45pm (lights on and off, then on again at... 11.50 pm (lights) 11:58 pm (lights + motorcycle) 12:10am (lights motorcycle) 12:17 am (lights) 12:56 am (lights on then off, then on again at... 1-02 am (lights + motorcycle) 1,25 am (lights + motorcycle) 1:48 am (lights + motorcycle) (cont'd on page 2) 07/30/2000 19:46 508-771-7778 INDIGO IMAGE CNSLTG PAGE 02 several of the above times in the middle of the night, the cycles would honk on either entering or leaving his driveway. y -- this left me with being able to steep after tam (3 hours later than I wished - it's rather difficult with lights flashing on and off of the bedroom window). Sunday, July 30, 2000 -- the first basketballs get bounced onto his extended asphalt driveway, behind his second garage, approx. 15 -20 ft away from our bedroom windows at 9.15 a,m., which is really no fault of the young boy doing it. HOWEVER, since it was impossible to sleep before tam (more like 3 am, by the time I could relax), then 6,hours of sleep on a Sunday morning was not my idea of a restful sleep. --at GIA5 am, the first revving of a motorcycle started. Has continued throughout the day, with numerous honkings of horns when driving by (for his benefit? or ours?) In any case, the motorcycle business is not the complaint, but it shows the "coincidence"/choice of time for retaliatory measures that we have experienced with this man before (after complaints or problems). The police can handle the excessively noisy mufflers or lack of mufflers, and the incredible speeds at which they have been driving up and down our road. There are other neighbors all around, and they can choose to complain, I suppose, if they dare, or even if they are bothered by it. But the difficulty for us is, that we cannot even try to block out the cycle noise, as we do with regular road traffic noises, when the added "effect" of lights on and off onto our house and into our windows takes place. The other neighbors do not share the light problem , ch It is this man's tusine at is blew for us y when we do always has -n -- and his floodlight$ (not just regular 60 watt or 100 watt lamppost lights), CONTIIVtJE TO BE A AT nt li2 PRr1PERTv ANDIORILGIffT be it house, yard, trees, garage, driveway, wooded lot beside our driveway (our property) or wooded lot behind our property and his (also our property), Sincerely, { Anneli Ka.rniala 14NAIFLi' �4RAIi Lf� 7 79 .9o-� TO ALL NEW BUSINESS OWNERS: Fill in below: NAME OF NEW BUSINESS: =n orP f r7 --7 7�TYPE OF BUSINESS kna Cons&,,�7 ��/or yn5y//a h f G�i�ti „Color� e �3Pavfr'�/ IS THIS A HOME OCCUPATION? 0 UCc iYk ADDRESS OF BUSINESS MAP/PARCEL NUMBER 194103 If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and relulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office (Ist floor-Town Hall). • 1 TO B ILDI G INSP R'S OFFICE(4TH FLOOR TOWN HALL) / is ind' idual is int mp i and has been explained the procedures needed to sit a busi ess � Building Insp�et ture 2. GO TO BOARD OF HEALTH (3RD FLOOR TO HALL) This individual has been informed of mit re irements that pertain to this type of business. Health Inspector's Signature 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business / Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. � T The Town of Barnstable Department of Health, Safety and Environmental Services taAsrtsreat.� s Building Division � g 1e59. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: J U n e Name: ,4&A1'EJ Phone #:�Jr�� Address: 7�y SHD07— L ����� fF�� L D�U/9nVillage: 72Fk'�'�L� Type of Business: —i-W e pende l- INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • Tliere are no external alterations to the dwelling•which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Date: Applicant r� I 4� � ;7 L/ _ _ I PROFESSICONAL PRESENCE I A Seminar on I Business Dress and Business Manners I I For: Employees, Town of Barnstable Hyannis, Massachusetts 9a.m. - 12p.m.. September 18 and 20, 2001 - I Presented by: ANNELI KARNIALA, MSN INDIGO IMAGE CONSULTING P.O. Box 1073 Centerville, MA 02632 TON= 508-771-77 7a indigo7img@aol,com I Anneli Karniala, 9-18. 9-2012001 PROFESSIONAL PRESENCE What the words mean. • Professional T • Image • Style • Professional presence * The higher our position, the stronger and more positive our professional presence is expected to be. * The work place trains us for our job tasks. We are responsible for our image and presence. In meeting us, a person will presume to know all they think they need to know about us. • How fast does this happen? • What if we make a negative first impression? • What is the 'judgment"based upon? How do we communicate professionalism? • Appearance -- balanced dress and being well-groomed. • Self-confidence -- authenticity and knowing own interpersonal abilities. • Authority-- credibility and job expertise. • Manners -- interactions with customers and colleagues. The nitty-gritty about appearance • Colors --the face and our unique colors. • Color characteristics -- communication and Intensity (brightness/softness),Depth darknesslUghtness), Temperature(wa:nith/coolness). ■ "If it doesn't fit, don't wear it!" ` The major misconception in the world of dress Body design * Hemlines and skin Buttons and accessories Fit, and too loose and too tight * How to avoid mistake purchases ` io w to '.'shup sTiiar t" • Dressing for Business Authority and formality Levels of business dress I Anneli Karniala, 9-18. 9-2012001 Levels of formality in business dress Strongest Visual C ommand/Authority FORMAL BUSINESS X x>k* CLASSIC BUSINESS s*X BUSINESS CASUAL --ELEGANT I xx BUSINESS CASUAL--ART AXED Least Visual Command/Authority INFORMAL(Sporty Business and Weekend Wear) Levels of business dress. Type Clothing Items Fabrics Colors Key Identifiers FORMAT.BUSINESS Dressy suits. Wools, silk. Dark neutrals, Impeccable grooming. Dinner suits. Refined. black,dark navy, Matching suits. Formal suits. charcoal, contrasts and solids. CLASSIC BUSINESS Tailored suits. Wools, silk. Dark neutrals, Matching suits. Business dresses. Blends. grays,taupe, navy. Very well-groomed. Closed high heels. Always hose/stockings. BUSINESS CASUAL,-- Dress pants and blazers. Wool,linen,silk. Medium neutrals. Tailored jacket or ` ELEGANT Pantsuits. Blends. "Lights&brights in cardigan jacket. Co-or- Mock turtles w/jacket. Fine cottons. accents only. dinated separates. Thin-soled shoes. Fine knits. Navy,gray,ivory, Thin-soled shoes. Accessories. burgundy, slate Well-groomed. Shirts w/collars. blue with camel. Structured clothing. Traditional color Always hose/stockings. combinations. BUSINESS CASUAL-- Unstructured jacket. Wool. Cotton Light neutrals to Outfits. 3rd layer. RELAXED Sports jacket. corduroy. Blends. brights. Bolder ties Vests. No denim or Sweater sets. Mock Knit ensembles. and accent colors. jeans-type pants. and turtlenecks w/out Shirts with collars jackets.Dresses. and sleeves. Polo shirts. Flat shoes: Well-groomed and Loafers. accessorized. Always hose/stoclungs. INFORMAL-- Sweater sets. Cottons.Knits Whimsical colors. Weekend wear or nD T T C .-t 1 a.,,, 1x7.,..1—ul L,,.:.,.. 1?r: t,♦ ,-ts SP.,nTY B.UISINTESS Shoe-IL and washable fabiics. „ILeLts. Coral, spotty wear. and sleeveless shirts/tops. Denim in jackets, yellow,periwinkle, Jeans may be OK. I` 1TTTJTA�71''�WEAR 117._tt 1_ l__ A J 1 1 1_ / /"�/ L 1 �EEK,END WEAR walking snorts lot shirts, dresses, camel and khald��'� Clean athletic shoes. women. Polo shirts. and skirts. reds,blues,teals, Clothes still need to be Knit tops. T-shirts. magentas. clean and pressed. Very few accessories. No jacket for outfit. Sandals. Well-groomed. Anneli Kamiala, 9-I8, 9-2012001 I Communication tips about business dress. Fabrics and prints ■ The coarser the fabric, the more casual the appearance. • Soft, drapey fabric is more casual than a stiffer fabric with substance. • The "busier" the pattern, the more distracting, and therefore the more casual the garment becomes. • Large-scale prints are relaxed to informal. • Tighter weaves give more authority. Clothing lines • Straight lines in clothing and prints (geometric lines, diagonal lines, stripes, houndstooth, . herringbone, subdued plaids) convey authority and sophistication. • Curved lines (florals, paisleys) in clothing and prints convey gentleness and approachability. Florals, flower prints, animal prints, sports prints, and checks are inappropriate for Classic Business and Formal Business dress. Garments and levels of authority ■ The suit jacket is the symbol of authority in Classic Business dress, for men and for women. ® A man's tie should always be spotless, properly tied, and of the correct length. • Wearing sunglasses at the work place drops the level of authority to zero. • The more fitted the garment, the more authority projected. • The more visible the stitching on a garment, the less authority projected. ■ Accessorizing to balance and harmonize with our appearance raises our level of authority. • The thinner the sole of the shoe, the more formal it becomes. • The chunkier the heel on a woman's high-heeled shoe, the more casual it becomes. Self-confidence and authority. • Authenticity -- honesty, being ourselves, and the framework/limits of the job. • Knowing our interpersonal abilities-- what do we know and what do the others know.about us? • Credibility for the customer-- why should they believe us? • Job expertise -- it speaks for itself • Self-talk-- make it positive! Business Manners. Cori municatibn basics • Stop • Look • Listen • Then talk What do manners communicate? • About us ` • To the customer i I Courtesy,and respect • Interest and trust • Professionalism Anneli Kamiala, 9-18, 9-2012001 The basics of etiquette Why do manners matter? What our parents taught us. • Fighting the negative side effects of the fast pace of business-today. Handshakes nd introductions • First impressions of the hand • Who is it? "His Master's Voice" • Megaphone or whisper'? - voice qualities and how they are interpreted • Intonation -- sincerity, sarcasm, and insults • Language use -- swearing. Tech. abbr. Technology - a help and a hindrance • Telephone etiquette • Answering machines • E-mail Angry customers ■ Stop, look and listen. ?'hers talk. • Human emotions -- understanding,/ernpathy, patience/calmness, anger/arrogance, anxiety/fear • Cultural, age, and socio-economic differences • Ask for help, intervene, give support • How to "get over it" Compliments and apologies As important as any "please" and "thank-you"! a1 D• T r�--_.._ J L,._a �,._ a1 level 1 ,.l .D r,.DJ t Looking and aceing pol shed and projessio eal -- wha a-vex'the le��ee -t baseness dress-- allows us eo concentrate on the work at hand! Our mange communicates our professional strengths! We are Stever ofj`er-ing just the services of"our workplace--we are always selling ourselves! 77hank you for joining me! Anneli Karniala, 9-18, 9-201'2001 " 135 I; l , i 4-7 . 6 Site Development Standards: 1) A reasonable effort shall be made to conserve and protect natural features that are of some lasting benefit' to the site, its environs and the community at large. 2) Slopes which exceed ten percent (10%) shall be protected by appropriate measures against erosion, run-off, and unstable soil, trees and rocks . Measures shall be taken to stabilize the land surface from unnecessary disruption. Such stabilization measures shall be the responsibility of the property owner. 3) The placement of buildings, structures, fences, lighting and fixtures on each site shall not interfere with traffic circulation, safety, appropriate use and enjoyment of adjacent properties . 4) At any driveway, a visibility triangle shall be provided in which nothing shall be erected, placed, planted or allowed to, grow so as to materially impede vision from within motor vehicles between a height of three feet (31 ) and eight feet (8 ' ) above the average centerline grades of the intersecting street and driveway, said triangle being bounded by the intersection of the street line and the edges of a driveway and a line joining points along said lines twenty feet (201 ) distant from their projected intersection. f5) Adequate illumination shall be provided to parking lots and other areas for vehicular and pedestrian circulation. In no case shall free-standing illumination devices be installed to a height exceeding fifteen (15 ' ) in a residential district . ,-;All- illumination_ shall• .be.-directed_and,/,or_shielded-so_as -not -f , shine- beyond the perimeter of the site:. or--interfere wd h� '_ --traffic. 6) All areas designed for vehicular use shall be paved with a minimum of either a three inch (3") bituminous asphalt concrete, a six-inch (6") Portland cement concrete pavement, or other surface, such as brick, cobblestone or gravel, as approved by the Town Engineer. r 7) All parking spaces shall be arranged and clearly marked in accordance with the Parking Lot Design Standards contained in Section 4-7 . 7 herein. Signs and pavement markings shall be used as appropriate to control approved traffic patterns . .8) All utility service transmission systems, including but not limited to water, sewer, natural gas, electrical and telephone lines, shall, whenever practicable, be placed underground.` t Foundation Certification in Centerville Mass . Prepared For: Anneli Karniala Assessor's Map: MAP: 192 PCLS: 37-1 (portion) & 37-2 Baxter, Nye & Hoirngren, Inc. Community Panel Number: 250001 0015 C Registered Professional F.I.R.M, Map Zone: C Engineers and Land Surveyors Plan Ref(s): 130/89 & 115/61 812 Main St. Deed Ref(s): 12,3501242 & 9256/205-6 Osterville, MA 02655 Phone — (508)-428-9131 Fax — (508)-428-3750 Owner: Anneli Karniala Job Number: 2001-075pc.dwg Scale: 1" = 60' Date: 1 1-13-2001 rn 00 00 V) www aa � o_ CL a 0coLO V) 0 r tr r 000 Y Y Y 000 m m M Z Z Z -- ------ --- o_ a.. CL v, O rx n/f M A R C H E T T I .J —..I CB/DH FND 87'25'12" E 282.99' — t7 00 Z 06 EXISTING GARAGE74 ,, 59+/- SQ. FT. EXIST CO 1.08+/- ACRES "� HOUSE DK o No. 74 GAR 3 o hed o Z � rn --r o � 71..0' o) — 0 �. 152.8' � ,k PROPOSED NEW 1'4' CONSTRUCTION COVERED PORCH, \ RAMP & GARAGE `n O � O C, G� 197.92' N 88'55'10" W CB/DH FND '— o' CURVE RADIUS ARC LENGTH DELTA ANGLE C1 34.66' 49.45' 81'45'00" C2 30.00' 47.12' 90*00,00" I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE PROPOSED AND EXISTING STRUCTURES SHOWN HEREON ARE IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, ARE �F . LOCATED IN RELATON TO THE MONUMENTS SHOWN, AND ARE NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. a� jo fm THIS PLAN IN NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH B S PROPERTY-LINES. J 2'3G474 1 ( - 14-at fG151Ett�Jy EGISTERED ROFESSIONAL LAND SURVEYOR DATE �4-o MI5TJ (�XISTJ E tile;, rX15T O r CI F— I :. cc O � X c0 �xlsr, � �fnp00M I C��np00M =__ -- ---- O - .. U] C�2 N � n ate. - h1 �Xl�t �Xlsr, I s�, �XiST �Xlsr, I cl,�;, � owacrcn � H- C��bp00M Mza: z 1 CAA a. 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