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HomeMy WebLinkAbout0042 SUMMERBELL AVENUE �� e }�e, F • y SS n , .ti ft o � o i _ � �O�► �o? SPOKE ��gt�c-t�f�i2 ��sk�- Cor�o���oN a�'' ��3E , �,r�us-r kECP A •c oN Prnwzy A+JD 1 _ a = 4 � , a , ` x N 10 i v F: • ^ a Y _ PROJECT NAME: o,tJS .' 1`�P U�ici'a L �fu ADDRESS: PERMIT# DATE: M/P: ( --O V 7 LARGE ROLLED PLANS ARE IN: �c BOX / f SLOT DATE: / r l q/wpfiles/archive --y fir• 7?7Z:—„t-^---� 43. S 1' - k 5 �[ eta E_ �,� � .a � E � ,��i .t./! C •�' f�^- �t 1 F f v _ 01 ' �fv_Yv syE1'�yR r i4 � '�1��iii�'a, -_ •;rWMM. ���+� a z .� �.x sty :t P.� ,a�"k` :.•^'* #��y_u y„ 4 _:.,.�•� `Y��''y�`1 ..dl� !� �^•�#, '+^wk�t -��,, � i"� rn- i� �� 'x i`��. ,.��, ���r'� a��� �+ ,c':Jt! q(� „�yypiy� ,a e. Y� } � ; ✓• :_, � ABC... �yri' � .fit' � /,� tl 4 ��.� r �c' �..� �'� ""•�_• �� �3 �f��, 1�' a�®�r'i..•yr uA "1�,:rY�tF ..'d< C,pit, ,w�" „; �* W ip t �' ✓ �fi ` � 3 � ���}��a, ;i�%r�.��g `. r�}� 't";.'t4 �^�,, ¢�•r��,ti� `��,� ���`,tj�'" �" „�' 47'� ay ���• 'T1� �. ..� +RL.:k �d' ,y4,`�''.-•„WL \ .GZf Z� 'w��, *�Yg '�*, x � ,•"� s-�� � t k. AIRY -51•�4�i � L r �. � � F v{ k: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION• Map Parcel Application ita; �7 5&97 Health Division �'? �" I Date Issued 6 Conservation Division tn`�/ _ � - � .Application Fee Tax Collector Permit Fee O Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address D Village Owner 9 E y 7 k3 A/6A Address 'L/ Au T Telephone cq .3 � � �,� �'0100 Permit Request CC)Pi'PLE-7C R ENO A 10 tJ 'i,/-l/T- A V E Square feet: 1st floor:existing ��`� proposed 2nd floor:existing proposed Total new 0 Zoning District Res Flood Plain hiO Groundwater Overlay � _ Project Valuation 730q COO Construction Type 61-'00b f - Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting- ocumentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) ' cn i-- Age of Existing Structure 40 5 Historic House: ❑Yes ❑ No On Old King's High! ay: ❑-Yes ro No Basement Type: PFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) +V 700 Basement Unfinished Area(sq.ft) Number of Baths: Full:existing -L new ® Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new C First Floor Room Count Heat Type and Fuel: h(Gas ❑Oil ❑Electric ❑Other Central Air: CkYes ❑No Fireplaces: Existing I New CD Existing wood/coal stove: ❑Yes Flo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:$,existing ❑new size o`P.,4 RShed:❑existing ❑new size Other: Zoning Board of Appeals Authorization_❑ Pp A peal# Recorded❑ _ . Commercial ❑Yes ❑No If yes, site plan review# Current Use t D +- Proposed Use BUILDER INFORMATION Name . S O N ATM p*i 1`(L[_-7,Z Telephone Number 6-0 8— J'(69 ` 1 0t 7 Address ,�7 r&A N I3 F y-.y LN License# -7 C\ yA f S WV-` M Home Improvement Contractor#_ ed o"I 67 A Worker's Compensation# ALL CONSTRUCTION DEB I RESULTI ROM THIS PROJECT WILL BE TAKEN TO N STh L E SIGNATURE DATE � C91 6 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED s MAP/PARCEL NO. sty h3 ADDRESS VILLAGE z�r OWNER DATE OF INSPECTION: S f FOUNDATION FRAME P �1 . INSULATION d b ' FIREPLACE ELECTRICAL: ROUGH FINAL {' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL h� FINAL BUILDING y 03d ag • r DATE CLOSED OUT ASSOCIATION PLAN NO. t. ' The Commonwealth of Massachusetts Department oflndustrial Aecidents Office of Investigations a 600 Washington Street Boston,MA 02111 . www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): - ®Nl���A`' L Address: City/State/Zip: /1 SYA W A-S 1 1 A o C),4(001 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-contractors 6. ❑New construction . 2. I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling These sub-contractors have ship and.have no employees 8. ❑Demolition ._.working for me in any capacity.' employees and have workers' ` #� 9: ❑Building addition [No workers' comp.insurance comp. insurance.t' Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P '3.El officers have exercised their I am a homeowner doing all work - 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 f' 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.#: 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 f9fAnsurance cayeraze verification. I do here y fy U patn Ities of perjury that the information provided above is ue and corree4 Sienature: Date: V 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): •. -`' n . 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Informnation and Instructions x 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, §25CO states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract fm the performance of public work until acceptable evidence of compliance with the in.=ante 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,it 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 cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the 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 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:. r Thy 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 Fax# 617-727-774g Revised 11-22-06 www.mass.gov/dia .°�TMEtO�ti Town-of Barnstable Regulatory Services * saxr?sresc�,Mnss Thomas F.Geiler,Director 9 �' - `b'�' BuRdin Division . �pIED MPi� b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME MROVEMENT 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. Type of Work: 7::6y Estimated Cost ,kddress of Work: 4 c)- S-) N►y�4�'� i `LZ LL Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reas on(s): ❑Work excluded by law MJob Under$1,000 [,Building not owner-occupied ❑Owner pulling own pemut 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 a I for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fmms:hcmeEffldav z'anm as�ata(rnattaae� . . . r preserlgtire A9ebgd for dm and T»O-Ir'Amw Ralrlaatw Balidlm "Oested�r#t� q'�'pels ' 1i3AXf1HiJM . GIA8 ins Glaang Ceiling Wail Floor B}saaiad Slab •HestinglCooling der cat Ei6dea Am'C/4 U•valuO R-vx1a A YAa R-Y4ucl Wall Perim F4'aP� . j R-value' R-valuer 570I to 6500 Hesttag 6egm DRYS' . IZ•/a• 0.40 98 13 l9 10 6 Nam 12% 0S2 30 19 . 19 . 12 "0 31 ' I3 I9 1 D 15% 036 31 13 25 I1/A NIA. IlormaI T T =ml v 15'�• 0.4�6 31 19 19 10 6 15'! 0.44 31 13 19 NIA, 14ilA 83 U AFUE � AEVE • jy 13% 042 30 19 19 10 6 31 • 13 5 NIA PT/A Normal Y RSV=. Q41 31 19 23 N/A N/A Normal 199r° 6,4� 31. 13 19 i d 90 AFUZ z l0•1° t130. 30 19 i9 14 8 90 AME f ADDRESS OF PROPERTY: P— SQUARE FOOTAGE OF ALL.EXTEMOR WALLS: 3, SQUARE FOOTAGE OF ALL GLAZING: 4, afo bLAZINO ARPA.(03 MMED By.*2); j, SELECT PACKAGE AA-see chart abcYe); ; VpTB; O'IT-ILMMORE INVOLVED I�TFi0D8 OF DE i TING E1�TERG�gEQt7IREN�I�TS ARE AVAILABLE. ASK.US FOR THIS IIvORIvIAmon • EtTtLD�'G•tI�SPECTOR A.PFROVAL: . • YES;. rTO; 4 gor�s�f3oQ303a r. Board of Building Regulations and Standards TOR HOME IMPROO,VEMENT CONTRAC /� 1 Registration:._1;1E627 ug Ex� d��ora 7 12 412 0 0 8 j �` TYPe� ,IndNiduat v � 5 JONATHAN M TYLER ° r � Jonathan Tyler 67 Cranberry Lane Box 80 = ut Administrator W.HyannisPort,MA 02672 DeP y ii� i'Board ofB ild oozcuea` _ r+ Construction g R�oieho_'"Ind Sta Supervisor License I. License: CS 72 j I ExPi ar tron =�. 1%4/2008 Tr# 5740 Restriction oo. p JONATHAN +, M TYLER PO BOX 80/67 ' CRANBERRY W HYANNISPORT MA p2672 �f __ Commissioner 01 : �2'Fa ,s4nr ' .,.r- . ...: ... ^'s+, `4 k L �`t9fi• �' .' ' ✓ :`S' r ..a i u ro a.+ 9.f. u ; Y a , Rug. 17 07 05: 17p. Kevin D. Shea 1203277GG14 p. 1 -4 C. Town of Barnstable ,,,, ,,,� ► Regulatory Services Thumps F.Geller,Director `0 Building Division Tom Perry, Duilding Commissioner 200 Main Strut, Hyannis,MA 02601 Office: 508-862 4038 Fax: 508-790-6230 f i Property Owner Must Complete and Sign This Section If Using A Builder xP✓i/i e, fi as Owne&f the subject property hereby.authorize N ON Ar H Al�q _r YL FP to let on my behalf, in all matters zelative to work authori2ed by this building permit application for. Symmerbel% 4v, G?mJ-eev� Ile.) 1419 (Address of job) S Owner �-/7- o -7 Date Pant Name Q•MRM.S:pWNERpER)=IoN f - i Permit# Permit Date i c Software VerslOn 11 P Com liance certificate Project Title: Shea Residence Report Date:04/02/07 Data filename:C:\Program Files\ChecMREScheck\client reports\SHEA.rck Energy Code: Massachusetts Energy Code Location: Hyannis,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: -17% Heating Degree Days: 6137 Construction Site: } Owner/Agent: Designer/Contractor: 42 Summerbell Avenue Northside Design Associates Hyannis,MA > 141 Main Street -.J Yarmouthport,MA 02675 -'J L_t .._._.-....P..=•--fo-.ter.+—.—�—.�- � .. ^.-._ ...—Tay-.��-..—.�7"+..+a ,� � ..a I ILI Ceiling 1:Flat Ceiling or Scissor Truss: 1485 30.0 0.0 52 Wall 1:Wood Frame,16"o.c.: 3012 15.0 0.0 193 Door 1:Glass: 120 0.330 40 Door 2:Glass: 385 0.330 127 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space: 1485 19.0 0.0 70 Compliance Statement The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requireme ' REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.T e ng load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design nditi s fou in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the d ign cfied' actions 780CMR 1310 and J4.4. ilder/Designer Co any Name Date 1 Shea Residence Page 1 of 4 REScheck*i*e Version 3.7.3 Inspection Checklist Date:04/02/07 Collings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-15.0 cavity insulation Comments: Doors: ❑ Door 1:Glass,U-factor:0.330 Comments: ❑ Door 2:Glass,U-factor:0.330 Comments: �- Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioried Spac}e,''R-119.0"cavity insulation dt Comments: Air Leakage: � ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Shea Residence Page 2 of 4 Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design toad as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. 1 -+ i Shea Residence Page 3 of 4 y Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.6 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2.Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness In Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Shea Residence Page 4 of 4 k ,. JOB 5 ESII TAYLOR DESIGN ASSOC., INC. SHEET NO. P.O. Box 1313 SH FORESTDALE, MA 02644 CALCULATED BY TEL./FAX: (508) 790-4686 R CHECKED BY p'l rt t�IC�E� �'W QwV k) SCALE y : - - .......... ..._..... -- ....._._.. ...... _.. _ _... _. 2 ` 17 3 o �z. .._.......__......... . .. .... ..... .... ._.. ........... __... _....................._..._....__........... 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JOs TAYLOR DESIGN ASSOC., INC. SHEET NO. Z OF P.O. Box 1313 3` l-7 7 FORESTDALE, MA 02644 CALCULATED BY C-z 1 DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE .SCALE ` CO J so —2 t CC Q`J` .-.........: .._.... _ x.-.a ......... ....... f sC J _....... ....._-.. ----=- ....a _... ----.............. _ -- -- ..... .............._................__....- ..... ►i ..-......- -- ........... Z . r :.._.__..:----------- :..._... ..... ...- ..-- - 7 .:- a - - - - -- rrA l . 3 ............. ............ .._- ...... .......... .... _._-.._-......-.- ..-- __..__.._....._ .- - ` _ Pc� �- ` s. `P 100 ems : 3 _ r m v t l 4� .... ._.__._...-_-.. - - ._.._ ..... ...... .... ----- ------------ - . ......- _............._..---------_--.----Y-- ... ....-._.._...__...._...... _...-......-...._-.:....- _._....... 1.... ..._. ► c .... ... - J013 TAYLOR DESIGN ASSOC, INC. SHEET NO. 2� OF P.O. 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Box 1313 FORESTDALE, MA 02644 CALCULATED BY DATE " i�—O 7 TEL./FAX: (508) 790-4686 CHECKED BY DATE t +A-v"A5 `�— SCALE h. s _._.._. ---------- — = — ......._ ...... _ ..... ..... f f s € - : - W . ._......._........_.... _.__.. ...... _ ...... R - - _ CDP �_ ..... ..... - = - -- - - - ..... .... --- -. ..:- .....:.... la d I �. -- ..__....... ._.... - ..... ...... ... ..... _ ..... - - _ f . Go CS_....._. �- ...... ..... ..... _. ...... ......... ........ - --- «� _. ...... --- _... ..... _.. ..... ..... .... _.. ..... _..._ ...... ............ y.._.......... _... _ ..... - _.__... -... ...... ..... . ._ _ - ..... ._... ......... - - ...:...... 'iA --- ... - --- ----- --......... ..... ...... ...... z ,8 ..... ............ _....._.._...... --..-_... .. ----------- ...... -- i r k .. ....:.... ....:.. - .......... --------- -._. . .... - -:.... .._;.... ....:..... Y. i i S 1 ti 14 DIME BARNSTABLE T0}'� ' _7R;-; OpTpG M1►�► ..... '07 MAR 22 P l :2 7 Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit 2007-017 —Shea/Blake Section 240-92(B)Alteration/Expansion of Nonconforming Buildings or Structures Used as Single and Two-Family Residences To expand an existing nonconforming single-family structure not in conformity to required setbacks. Summary: Granted with Conditions Petitioner: Kevin D.Shea and Kimberly S. Blake Property Address: 42 Summerbell Avenue, Centerville(Craigville),MA Assessor's Map/Parcel: Map 226, Parcel 047 Zoning: Residence C Zoning_District `rp Relief Requested & Background: The subject property, is a 4,500 sq.ft. lot developed with a 2,226 sq.ft., two-story, five-bedroom single- family dwelling: The lot fronts on Summerbell and.Pleasant Avenues. Summerbell Avenue is a developed 25-foot way and Pleasant:Avenue.an undeveloped 20-foot private way used as a.common walkway. cb Under the Zoning Ordinance, the lot is required to maintain two 20-foot front setbacks along each way. However,the%structure is nonconforming. The setback on Summerbell is only2.5-feet and on Pleasant the structure extends into the way by what appears to be 1-foot at its most intrusive side. The building conforms to the side yard setback requirement of 10-feet. According to the plans submitted the petitioners are proposing to expand the first floor area including the covered porch and expand the second floor as well as create a small balcony on that second level. The expansions are to improve the layout and room arrangements, facilitating the creation of a master bedroom and bathroom. Extensive renovations to the home are also being proposed. In areas, the additions do not conform to today's required front yard setback, but do not infringe more that that setbacks established by the existing building. A special permit pursuant to Section 240-92(B) that provides for the alteration and expansion of a nonconforming building and structure used as a single- family dwelling has been requested. Procedural & Hearing Summary: This petition was filed at the Town Clerk's Office and at the,office.of the Zoning Board of.Appeals on January 17, 200.6. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MG Chapter 40A. The hearing was opened March 14, 2007 at.which time the Board found to grant the special permit for the expansion and alteration of the nonconforming.structure as submitted subject to conditions herein:.Board Members deciding this appeal were, Randolph.Childs,James R. Hatfield,Jeremy Gilmore, Kelly Lydon London and Chairman, Gail C. Nightingale. -EXHIBIT, ' Zoning Board of Appeals—Decision&Notice Special Permit 2007-017—Shea/Blake Attorney Charles M. Sabatt represented the petitioners. Mr. Kevin D. Shea was also present at the hearing. Mr. Sabatt stated that the existing dwelling dates back to the turn of the century as do.most homes in this neighborhood. These homes were built before zoning was adopted in the Town and most buildings do not conform to today's setback requirement. He described the surrounding conditions noting that the home intrudes into the private way known as Pleasant Avenue and has for a number of years, as do others. The proposed additions will not extend over the property line into that way. Mr. Sabatt submitted a revised Sheet A.2 — Elevation plan date 3/13/07 for the proposed building stating that the only change in the elevation plan is in the chimney. The Board and Mr. Sabatt reviewed the plans for the alterations and expansion. Mr. Sabatt noted that the home is restricted to five bedrooms by the Board of Health and will remain five bedrooms. He cited that the condition of the existing structure is in need of repairs as well as a new foundation and footing. That work is being initiated at this time. The Board questioned the need for any architectural review and Mr. Shea cited that the owners association has stated that review is not necessary. Mr. Sabatt cited that, should an historic review be.required, the Building Commissioner would catch that at the time of a building permit. The Board agreed that would be the case. Public comment was requested and no-one spoke either in favor or in opposition to the granting of the permit. Findings of Fact: At the hearing of March 14, 2007 the Board unanimously made the following findings of fact: 1. The petitioners in Appeal 2007-017 are Kevin D. Shea and Kimberly S. Blake. They are seeking a Special Permit for property addressed as 42 Summerbell Avenue, Centerville (Craigville), MA. It is shown on Assessor's Map 226 as parcel 047. The property is in a Residence C Zoning District. They are seeking a permit pursuant to Section 240-92.13- Alteration or Expansion of Nonconforming Buildings or Structures Used as Single-and Two- family Residence. The petitioners seek to expand the existing single-family dwelling located . on the property with additions to the first and second floors. The proposed additions do not conform to the required setbacks but are no more intrusive than the existing structural setbacks. 2. The subject locus is a 4,500 sq.ft. lot developed with a 2,226 sq.ft., two-story, five-bedroom single-family dwelling. According to the Assessor's record, the structure dates back to 1880 and is located in that historic area of Craigville commonly referred to as Christian Camp Meeting House Area. The lot is located across the roadway from the tennis courts and approximately 110 feet off Lake Elizabeth. The petitioners purchased the property in August of 2006. 3. According to plans submitted the petitioners are proposing to: • expand the first floor covered porch with another porch addition measuring 4 by 19.6 feet (78.4 sq.ft.). This expanded porch area is situated 3 feet off Pleasant Avenue. • add another first floor addition consisting of 5.3 by 4.6 feet (24.4 sq.ft.). This'addition conforms to all setback requirements and is to be used to expand a half-bath. 2 J Zoning Board of Appeals—Decision&Notice Special'Permit 2007-017-Shea/Blake • expand a second floor bedroom with an V shaped addition that measures 13.3 by 19.6 feet overall. The estimated area of the addition is 152 sq.ft. and is to be incorporated for a new master bedroom. The second floor addition is situated over the first floor porch and the addition to it. This added area is also set back only 3 feet off Pleasant Avenue. • another "L" shaped second floor addition measuring 5 by 9.3 feet overall is planned over the lower porch. Staff estimates this addition at 35 sq.ft. This area is to accommodate an expansion of the master bathroom. The addition is situated only 0.4 feet (or just short of 5 inches) from the property line along Pleasant Avenue. • a covered orch is also be.in „ ro osed on the second floor measur--ing 4.3-by 13.11 or_5-6.3 sq.ft. That addition is situated over an existing first floor area and is to accommodate an exterior balcony for the second bedroom. Staff measures the addition to be situated 9 feet off Summerbell Avenue. . Overall, the first floor footprint of the building is being expanded 102.8 sq.ft. The total enclosed space being proposed is 24.4 feet on the first floor and 187 sq.ft. on the second floor. None of the proposed additions encroach more than the established setback of the existing structure. 4. In addition, the petitioners are proposing interior improvements that include a full basement to re-enforce the building. 5. The proposed alteration or expansion will not be substantially more detrimental to the neighborhood than the existing building or structure as this is not a substantial expansion of the building and that expansion is within the established setbacks of the structure as it now exists. 6. This petition falls within Section 240-92.13 - of the ordinance that provides for a grant of a' special permit for the Alteration or Expansion of Nonconforming Buildings or Structures Used as Single-and Two-family Residence. 7. Given the plans and evidence presented, this proposal fulfills the spirit and intent of the zoning ordinance and would not represent a substantial detriment to the public good or the neighborhood affected as it is contained within the setbacks established by the existing structure. Decision: Based on the findings of fact, a motion was duly made and seconded to grant a special permit pursuant to Section 240-92(B) Expansion/Alteration of Nonconforming Structure subject to the following conditions: 1. The alterations and expansion of the structure shall be in accordance with plans submitted to the Board. The plot plan for the additions is entitled "Plot Plan of Land" dated January 11, 2007 as drawn for Kevin D. Shea & Kimberly S. Blake and drawn by JC Engineering,. Inc. The architectural plans are entitled i"Shea Residence 42 Summerbell Avenue HHya is, MA"dated 2/0'6/07,7as drawn by Northside Design Associates and consisting of 3 Sheets labeled`Sheet A:2- Ele av ti no s, Sheet A.1 - Floor Plan, Sheet A.0 Foundation Plan. Sheet A.2 - Elevations has a last revised date of 3/1 7 The approved plans were initialed by the Chairman. 3 Zoning Board of Appeals—Decision&Notice Special Permit 2007-017—Shea/Blake 2. All construction shall conform to all applicable Building Codes, Fire regulations and Health requirements. 3. All exterior mechanical equipment (electrical'generators, air conditioning units, etc...) shall be located to conform to the district setback requirements and shall be screened from neighbors' views. 4. This decision must be recorded at the Barnstable Registry of Deeds and a copy of that recorded document must be submitted to the Zoning Board of Appeals office and to the Building Division at the time.a building permit application is made. The relief authorized must be executed within one year of the granting of this permit. The vote was as follows: 'AYE: Randolph Childs,James R. Hatfield,Jeremy Gilmore,Kelly Lydon London, Gail C. Nightingale NAY: None Ordered: Special Permit 2007-017 is Granted With Conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect. The relief authorized by this decision must be , exercised within one year. 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 Town Clerk. G I C-Nighting e Chair an Dat6 Sign d * _ ' I, L nda,Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massa, . certify that twenty (20) days have elapsed since the Zoning Board of Appeals file( that no appeal of the decision has been filed in the office of the Town Clerk. ui Signed and sealed this�day of o?oa under tho-pa'ns anq Iti o r u • Lin`drH `ehenrider, 4 MARCH 2,2007 LEGAL TOWN OF BARNSTABLE ZONING BOARD OF APPEALS NOTICE OF PUBLIC HEARING UNDER THE ZONING ORDINANCE MARCH 14,2007 To all persons interested in,or.affected by the Zoning Board.of Appeals under Section 11,of Chapter 40A of the General Laws of the Commonwealth of Massachusetts,and all-amehdments thereto you are hereby notified that: 7:00 PM Appeal 2007.016 . •Kazukonls-Fetscher. Maryann Kazukonis-Fetscher has petitioned for a Variance to Section' 240-47.1A(3) Family Apartments.'The applicant seeks to establish a family apartment in an existing detached accessory structure located on the property when the Zoning Ordinance re quires family apartments to be attached to or within the principle dwelling.The property .is addressed as 205 Crockers Neck Road,Cotuit,MA and is shown onAssessor's Map 019 as.parcel 033:It is in a Residence F Zoning District 7-15 PM •Appeal 2007-617 Shea/Blake Kbvin D.-*Shea and Kimberly S.Blake have applied for a Special Permit pursuant to Section 240-92.B,Alteration or Expansion of Nonconforming Buildings or Structures Used.as Single-and Two-family Residence. The applicants seek to expand the exist- ing single family dwelling located on the property with additions to the first and second floors. The proposed additions'do not conform to.the'required setbacks but are no more intrusive than the existing building setbacks. The property is addressed as 42 SummerbellAvenue,Centerville(Craigville),MA and is shown on Assessor's Map 226 as parcel 047:The property is in a Residence C Zoning District. 7:30 PM Appeal 2007-018 .. Benton Michael Benton,Trustee of the Benton Family Realty Trust has petitioned for a Variance to Section 24014.E Bulk Regulations. The applicant seek a variance from minimum lot.area and minimum lot frontage for an existing developed lot consisting of 10,734 sq.ft.,shown as Lot 1.on a 1976Approval Not Required Plan recorded at the Barnstable Registry of Deeds. The property is addressed as 239 Prince Avenue;Marstons Mills and is shown on Assessor's Map 076 as parcel 016. It is zoned Residence F and in the Resource Protection Overlay District. . 7:30 PM .Appeal 2007-019 Benton Michael Benton,Trustee of the Benton Family Realty.Trust has petitioned fora Variance ' to Section 240-91;H.Demolition and Rebuilding on a Nonconforming Lot: The applicant seeks the variance to allow for the demolition of the-existing single-family dwelling and rebuilding of a new single-family dwelling on a lot that is not a pre-existing legally cre- ated nonconforming lot as,required under zoning. The property is addressed as 239 Prince Avenue,Marstons Mills and is shown on Assessor's Map•076 as parcel 016. It is in a Residence F Zoning District. 7:30 PM Appeal 2007.025 Benton Michael Benton;'Tru'stee of the Benton Family Realty Trusthas applied in the altema- tive for a Special Permit pursuant to Section 240-91.H(2)Demolition and Rebuilding on a Nonconforming Lot. The applicant seeks to'demolish the existing single-family dwelling.and,rebuild a new larger single-family dwelling not in conformance with current setback requirements. The proposed yard setbacks-are' equal to the yard setbacks of the existing building.' The property is addressed as 239 Prince Avenue, Marstons Mills and is shown on Assessor's Map 076 as parcel 016. It is in a Resi- dence F Zoning District. 7:45 PM .Appeal 2007.020 CaOzzl Thomas.Capizzi,Jr.and Mary A.Capizzi have appealed the January 6,2007 decision ofthe Building.Commissioner that the proposed addition to the dwelling located at 1010 Craigville.Beach Road in Centerville required relief from the Zoning Board of Appeal before.a building permit can issued..The property is located as shown on Assessor's Map 226 as Parcel 004002,addressed 1010 Craigville Beach Road,Centerville,MA in a Residence'C Zoning District. I 7:45 PM .Appeal 2007-021 Capizzi Thomas Capizzi,Jr.and MaryA.Capizzi have applied for a Special Permit pursuant to Section 240=92.8—Expansion orAlteration of a Nonconforming Building or Structure Used as Single-and Two-family Residence.The applicant seeks to expand and alteran . existing nonconforming dwelling not in conformity to required setbacks.The property is located as shown onAssessor's Map226 as Parcel004-002,addressed 1010 Craigville Beach Road,Centerville,MA in a Residence C Zoning District. These Public Hearings will be held atthe Barnstable Town Hall,367 Main Street,Hyannis, MA,Hearing Room;2"1 Floor,Wednesday,March 14,2007. Plans and applications may be reviewed at the Zoning Board of Appeals Office,Growth Management Depart- ment,Town Offices,200 Main Street,Hyannis,MA. ;- Gail C.Nightingale=Chairman Zoning Board.of Appeals. The Bamstable Patriot • February 23 and March 2,2007 AbutterR,eport Page 1 of 3 'Zoning Bard of Appeals (ZBA) Abutter List for Flap & Parcel: 226047 Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300.feet ring of the subject lot. Total Count: 41 A Close Map &Parcel Ownerl Owner2 Addressl Address 2 Mailing CityStateZip 226064 BOOKER, FLETCHER 9180 S E SEA ISLAND B TEQUESTA, FL C III ET AL RIVERFRONT TERR 33469 226149 BUFFINGTON, BUFFINGTON, P&A 25 EAST END AVE NEW PORK, NY JAMES III& TRS 10028 226043 CALDERA, PETER G CALDERA, KATHLEEN 19 STANDLEY RD N EASTON, MA & M 02356 226044002 CALLAHAN, PETER J %BLOIS,JOHN C/O DOYLE DONNA 4 CONCORD SOUTHBURY, CT ET AL COURT 06488 226049 CARPENTER, 42 MYRTLE AVE WESTPORT, CT SAMUEL&SHARON 06880 226040 CHRISTIAN CAMP 29 SUMMERBELL CRAIGVILLE, MA MEETING ASSOC AVE 02636 226041 CHRISTIAN CAMP 45 SUMMERBELL CRAIGVILLE, MA MEETING ASSOC AVE 02636 226137 CHRISTIAN CAMP %EGGERS, RICHARD SUMMERBELL AVE CRAIGVILLE, MA MEETING ASSOC H JR 02636 226046 CHRISTIAN CAMP %EGGERS, RICHARD SUMMERBELL AVE CRAIGVILLE, MA MEETING ASSOC H JR 02636 226196 CHRISTIAN CAMP %EGGERS, CRAIGVILLE, MA MEETNG ASSOC RICHARD H JR 02636 DALESSANDRO DALESSANDRO, JOHNSTON RI 226048 VINCENT A& CAROLE B 1855ATWOOD AVE 02919 226056 DELANEY, RICHARD NORTHBROOK, 3540 BAYBERRY DR IL 60062 DEYTON, C ANDOVER, MA 226038 EDWARD& 20 HALL AVE 01810. PATRICIA H 226044001 DOYLE, DONNA J ET 4 CONCORD CT SOUTHBURY,CT AL 06488 226047 GASKELL, %SHEA, KEVIN D& BLAKE KIMBERLY S 166 GOODHILL WESTON, CT MEREDITH P RD 06883 2260.54 GATES, CLARK R& %GATES, BARBARA H BARBARA H GATES 225 SOUTH DENVER, CO BARBARA H &CLARK R TRS REV TRUST HIGH ST 80209 226030 GOROLL, ALLAN H WASSERMAN, 37 SUMMER ST WESTON, MA MD& PHYLLIS SUE 02193 226023 GREENE, JOHN J & 4 OLDE COACH RD WESTBOROUGH, BARBARA L MA 01581 226016 GREENE,THOMAS M 210 RANDOLPH AVE MILTON, MA &STEPHANIE M 02186 226051 HERZOG, ROBERT& %HERZOG, 61 LOUNSBURY KINGSTON, NY ELIZABETH ELIZABETH PLACE 12401 226036 IRELAND, RICHARD THE 57 OCEAN AVE 1 PORTER ST WENHAM, MA H &BARBARA TRS TRUST 01984 ittp://www.town.bamstable.ma.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 2/12/2007 . AbutterR,eport Page 2 of 3 { KIRK ELEANORE H 24 GRANVILLE PLYMPTON MA 226.017 S TR C/O KIRK,JAMES W BAKER WAY 02367 226650 LISS, FARREL S& 189 DEERFIELD LN HANOVER, MA LINDA J 02339 MA CONF CHURCH C/O EGGERS, CRAIGVILLE CRAIGVILLE, MA 226027 OF CHRIST RICHARD H JR CONFERENCE 02636 CENTER MADDALENA, LINCOLN, MA 226035 PAMELA ANN 14 TODD POND RD 01773 MARINA FAMILY C/O BALSAMO, CENTERVILLE, 226058 LAND TRUST, LLC ANTHONY&MARY P O BOX 922 MA 02632 MCNUTT, C/O OATES, 127 LAKE CENTERVILLE, 226055 CHRISTINE&PAGE, CHRISTINE M ELIZABETH DR MA 02632-3629 D TRS 226057 PARKE,AVIS-ANN 135 LAKE CRAIGVILLE; MA ELIZABETH DR 02636 PLUNKETT, DAVIS CENTERVILLE, 226053 LAWRENCE PO BOX 166 MA 02632 226042 POWER, MICHAEL F 4 CHICKERING LN WALPOLE, MA &KATHLEEN R 02081 226037 QUIRK, HELEN B 41 HEARTHSTONE HANOVER, MA WAY 02339 226045 REILLY, IRENE I WILLIAM E REILLY JR 470 PROSPECT ST STOUGHTON, MA 02072 226063 SHEENY,THOMAS 55 SUMMERBELL CENTERVILLE, AVE MA 02632 226039 TROY,JOHN D& 35 OAK HILL RD SOUTHBORO, MA BETTE M 01745 226052 TROY,JOHN F& 11988 COLLIERS NAPLES, FL JUDITH B RESERVE DR 34110 226028 TROLL,ANN C TR 23 HIGH RIDGE RD BOXFORD, MA01921 226022 TINICHELL,JANE L 135 MAIN ST WINCHESTER,MA 01890 226065 WALTERS, GARY D 52 KNOLL DRIVE PRINCETON, NJ &SUSAN B 08540 WILLIAMS, 26 PROSPECT CRAIGVILLE,MA 226024 LEONORA A&FRED B AVENUE 02632 WILLIAMS, 226025-- LEONORA A&FRED 2601 P 0 BOX 595 0 S, MA B 2601 226029 WRIGHT, HOWARD WRIGHT, WILLIAM 39 VINE AVE CENTERVILLE, HUBBELL& HUBBELL MA 02632 I ' I ttp://www.town.bamstable.ma.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 2/12/2007 AbutterReport Page J of J This list by itself does NOT constitute a certified list of.abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 2/12/2007. BARNSTABLE REGISTRY OF DEEDS itt ://www.town.bamstable.ma.us/arcims/a eoa /AbutterRe ort.as x?t e=ZBA 2/12/2007 P PPg PP P P YP 1 I 1 I t TAW-C- I I _ I I I I I - O I I E upsTRiszS � I 0 0 0 O F TOW BARNSTABLE BUILDING PERMIT APPLICATION s �/ (p Map Parcel Application# Q G 000 V`� Health Division Conservation Division Permit# Tax Collector Date Issued eta Treasurer Application Fee �0 Planning Dept. Permit Fee *95,66 Date Definitive Plan Approved by Planning Board DO Historic-OKH Preservation/Hyannis Project Street Address Q Village Owner Address Telephone jgt 7 '-C 2 02 - Permit Request �. Od 9VJAZ - I Square feet: 1st floor:existing roposed 2nd floor:existing proposed Total new Zoning District (� Flood Plain Groundwater Overlay Project Valuation 5C� 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 O No c Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other `= Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other �► Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDE INFORMATION Name ov Telephone Number Address License# Home Improvement Contractor# /O(/1 d Worker's Compensation#Zi/7- 77?d-` �eD1,3 6 O dek ',ALL CONSTRUCTION DEBRIS RE LTING FROM THIS PROJECT WILL BE TAKEN TO �O SIGNATURE DATE ,� Cj^f�69 - 1 z" FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. Al DRESS VILLAGE' OWNER t DATE OF INSPECTION: y FOUNDATION yh>�/67 4f4, I r FRAME t INSULATION I� FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT '> ASSOCIATION PLAN NO. t t s r — t The Commonvealth ofMaysachusetts Department oflndustrial Accidents Offrce oflnvestigations 600 Washington Street Boston,MA 02II1' Mw .mass govldia ' Workers}Compensation Insurance Affidavit;Builders/Contractors/Eledtricians/plu�ibers' Applicant Information Pleas Print Le z'bl Name(Business/Organiiation/Indi al): Address: City/Stat r �,JPhone.#:_ ,��� ���Q • �.. yo eiriployerY-Checkthe appropriate box., I am a employer with__,___ 4• ❑ z am a general contraetoT•and T . :Type of pi of act(requh ed); . employees(full a4d/or part-time),*. .have hiredthe sub-contractors 6. Q New construction . 2. I am a sole proprietor or partner- listed on 1he-attached sheet; 7.�M Remodeling ship•andhaveno employees 'These sub-contractors have g, ❑Demolition. Wor 9 for me iu any capacity, employees and have workers' (No workers' comp.insirrartce comp,insurance,$'. 9, Q Building addition required] 5: ❑ We are'a corporation and its i0•❑-Electrical repairs of adcliaons -- °3.El I-am a komeownerdoiug-a'n—.work — - officers-have exercised their 11.El Plumbing repairs or adclitions myself[No workers'comb, right 6f exemption per MGL' insurance,required,]t c. 152, §1(4),andwehaveno' 12,[]Roof repairs employees,(No workers' .15.Q Other ' comp,insurance required.] *Any applicant that checks box#1 must also.fill out the section below sbowing their•workan'compensation policy informmtion, t Homeowaers,who submit this a$'idaYit indicating they are doing all work and then hire outside contractors mint submit a new affidavit indicating such, tContczators that check this box must attached an additional•sheet showing the name of the dub contractors and state whether arnotthose entities ghave su employees, If the sub-contractors have employees,they mustprovidb then•workers'pomp,policy number. I am an employer,that is providing workers'compensation insuran' for my employees Below is.the policy and fob site' informaton. Insurance CorapanyName; Policy#or Self-ins.Lic,P. (N �71, Z ' l�L dC Expiration.Date; 2 (� O ,ob Site Address' ' City/State/Zip; Attach a copy of the workers'•cgmpensation policy declar tion page'(showing the policy number and expiration date), Failure,to-secure coverage as required tinder Section 25A;of MCTL c. 152 can lead to the imposition of criminal penalti fine up tb$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP"ORK es of a ,pRDER and a fine of up to$250.00 a day against the violator, Be advised that a'Copy of this statement maybe forwarded to tbe•Office of Investigations of the CIA for insur c covera a verifi anon, ' I do hereby certify under the ry that the information provided above•is true acid correct Signature: • � c / ?. Date; Phone#; Off{cial rise only. Do not write ix ibis area,, be camplefed by,city or town offlciat City or Tdwn:' 7'ermit/License# . Issuing Autliority(circle one); �. 1.Board of Health 2,Building Department 3, City/Town Clerk 4,Electrical Inspector 5,Plumbing Inspector 6,Other - . Contact Person; Phone#• Massachusetts General'Laws chapter.152 requires all employers to provide workers' compensaticnfor 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 tbz legal representatives of a-deceased employer, or the receiver or trustee-of anindividual,partnership,association or other legal entity,employing employees, Howeve1the owner of a dwelling house having not mbre 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,deeiped to be an employer." MdL 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 construgt buildings is the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required.". Additionany,MGL ohaptor-152,§25C(7)states"Nether the commonwealth nor any of its political subdivisions shall enter into any contract for.the perfomiauce of public-.work until ameptablp cvi dense of comp zce�yztlstlie ros e' requirements of this chapter have been presented'to the contracting authority,."- Applicants i Please fill out the workers' compensation affidavit completely,by checking the boxes flint apply to your situation and, necessary,supply sub-contcactor(s)name(s),address(es)and phone numbers)along with their certificates) 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'compe'nsation insurance. If an LLC or LLP does have employees,a policy is required, Be advised that this affidavit may be submitted to theDep'artinent of Industrial ' Accidents for confirmation of insurance coverage. Alsb be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pemut.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law-or if you are regu'irec[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 onthe appropriate'line. City or TowiL Officials Please be sure that the affidavit is'completa'and printed legibly. The Department has provided a spacq 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 Min the permit/license number which will be used as a reference number: In addition,an applicant " b mit onpaffida affidavit must submit mul' le emlicense aPPlications nanY�ven Year,needonly su indicating current , °° " a c d •loca ions 9n ' (citsr•or �information(if and under Job Siee Address the ppli ant shout write all b _— policy ( Y) town)."A copy of the aff davit thst.has been officially stamped or ma3#d by the city or town may be provided to the applicant as proof-that a valid affidavit is on file for Attune permits or licenses, Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not=elated fo any business or commercial venture (La. a dog license or permit to bums leaves-etc.)said person is-NOT required to complete this of davit. The Office of Investigations would like to thank you in advance for.your cooperation and should youhave-anY questions, please do not hesitate to give vs a call. TheDepaztment's address,telephone•and fax number.. Ao Commmw . ofMum,—,ds DVartmtmt of ladustdal A-CoWats ' ( Ce of Inve:st*UQUa B6,,A=4.MA 02111 TO.#617-727-400 ext 406 ar]-& -MA.s B Fax#617`-727-770 Revised 11-22;06. WWWxaMs•aaV•/dia ; Town'of Barnstable Regulatory Services 9M�8M$ Thomas F.Geller,Director p,FD u;.. wilding Division Tom Perry, Building Commissioner " 200 Main Street, Hyannis,MA 02601 f , Mce:. 508-862-4038 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using rA, Builder as Owner of the subject property hereby authorize to act on mp behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:ovNERPERMISSI0N I 4.:1;:r ,i PJSiAR:`;J R`i%4516'1 21y:GQ 0---)C-2001 2:7 i SWO,OU CneNFARkIvay • EL EC7"A✓C +�des�lco .Massachusf`l�Ui99c GAS February 8, 2007 t RE: 42 Summerbell Ave Gear Mr Shea: At NSTAR, we're committed to delivering great service. This letter serves as cont'rmation that the electric service to 42.Surnmerbell Ave Craigville, MA 02636 , has been removed. Based an this infcmiation, there is no electric power at this address and yoca may proceed with the aemclition, if you have any questions, please contact rrye at (888) 633••3797.. Sincerely, New Cus;on)er Connects ' Centerville-Osterville-Marstons Mills Water Department P.O. BOX 369- 1.138 MAIN STREET OSTERVILLE, MASSACHUSETTS 02655 ���+E �sT z o F OFFICE OF u WATER BOARD OF WNI'ER COMMISSIONERS DEPT. WATER SUPERINTENDENT V f 9SrO/dS t�` TEL.No.508-428-6691 FAX No,508-428-3509 February 13, 2007 Town of Barnstable Building Dept. 367 Main Street Hyannis, MA 02601 Re: Account 9527 . Kevin D. Shea & Kimberly Blake 42 Summerbell Avenue Centerville, MA Gentlemen: On Monday, February 12, 2007 we disconnected the water service at the water main for the property mentioned above. It is"our understanding that the owner plans to raise the house, install a new foundation and will have a new water service installed at a later date. If you have any questions, please call our office at 508-428-6691. Very truly yours, Herbert L. Mc Sorley Assistant Superintendent HLMCS/jw FEB-07-2007 WED 08:57 AM KEYSPAN ENERGY FAX NO, 508 394 5019 P. 01 KgSpan Energy Polivery 6trli;/rjertiti,y 127 Whites Path South Yarmouth,MA 02664 February 7, 2007 Gordon Clark FAX: 508-362-5269 Rl;: 42 Summerbell Ave., Centerville This is to confirm there is no natural gas service to the above address. This was verified by a Keyspan representative on February 7, 2007. If you htave any questions, please call me at 508-760-7481. Sue K.'sMullin Operations Coordinator Keyspon Delivery Company t4. °FtME Town of Barnstable Regulatory Services r • BARNWABLY " Thomas F.Geiler,Director y AS& �► M!►. 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 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. Type of Work: Estimated Cost G U�d Address of Work: Owner's Name: Date of Application: 01, Ael_U0 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding 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 P Rgx7ITEPSOF PE Y I hereby apply,fora ermit as the agent of the o e . �;O Date Contractor Si tur Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 Qons?ndStan ards Board of BuildingMENT CONTRACTOR HOME IMPROVE Reg'►stra }1x06207 y Gt 1200'8 E = CorP°ration HAYDEN BLDG R Hayde n obert �0~ Administrator. O�(496.. pO B Mp,p263 co Mills. ..._. Ala - �jfhe61b cen5e , ' si cam• Ol MRM- r i Pp - �r R08��O��p p2rO 60, se¢sor's Office(lst floor) Map -Lot �7'7 /.P�� Permit# 3 ,! 7 Conservation Office 4th floor) Date Issued 3 'Zs Board of Health Ord floor G — En ineeriri Dept. Ord floor House# �� �� a Planning Dept._(Ist floor/School Admin.Bldg.): " Qa a v r+STAKJC, $ f � 'V t a ,tea 4'��.."�•r .v .'��'/r/.,f� 'r3•�0 TOWN OF BARNSTABLE Building Permit Application Project Street Address lz Village n Fire District Owner /l/ �C� U t � t N Address ��- Telcphonc' 7�Jr' 73Z Permit Re uest: elvaclel l Zoning District Flood Plain Water Protection Lot Size - Grandfathered Zoning Board of ApMls Authorization Recorded Current Use 73'&M,0ee zAne Pro sed Use Or/N'r!t S4016,xe loxweC Z�4_61 Construction Type 4/r)oc- Eaistine Information Dwelling Type: Single Family x- Two family Multi-family Age of structure /Dy -14 Basement type 3�a Ne_ ZZ se t c-_ Historic House a Finished Old Kinp s Hi h�wav lib Unfinished Number of Baths .2 No. of Bedrooms l Total Room Count(not including baths) 15/7 First Floor Heat Type and Fuel GARS ,Ca®t�F Central Air ;!�/002 Fireplaces t Garage: Detached Other Detached Structures: Pool Attached 4es Barn None Sheds Other Builder Information Name jT*(0N 0 Zg R4-p - Telephone number 35y—d151( Address 5' AA1749vP Ue. License# 057307 l.!/.�"' uT/! I go• Home Improvement Contractor# 11'16,519 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 Project Cost 30, 000 Fee 913, uC� SIGNATURE ��^ i/mil v�G` � DATE a11��6 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY ' a. ADDRESS S`�w. {�, VILLAGE OWNER DATE OF INSPECTION: L FOUNDATION ' 0,2- - i- INSULATION' ? FIREPLACE5 a 3 _ 6 ELECTRICAL: 'ROUGH FINAL _ a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING::, DATE CLOSED OUT: ASSOCIATE PLAN NO. , The Conrnionivealth of.4fassachusetLv -- ;•�7. = 1 Department of Industrial Accidents 011/ceof/nvesl/gal/ous 600 f'f ashine7on Street w Boston,Alas. 0 111 Workers' Compensation Insurance.Affidavit ant tntot•mahon: Please 1'RiNT`�l�?lY • - - .. M axes�a es=•r s s�re � � _ loc•Jtion* city phone�! 0 1 am a homeowner performing all work myself. J 1 am a sole proprietor and have no one working in any capacity 1 am an emplover providing workers' compensation for my employees working on this job. comnam name• �eyeti / /�2�e4�U7a� coo(i address• su i # cB o91(0 al am a sole proprietorXeneral contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name, address- city phone#• insurnncc co. pelict•# L-� .�i�.. �.-:-r:�_._. _ ''tn.r°''�':.r.�i=-r'••-..:Tjet;°'f!;•*SF2`+�"+ - 'T�s[�+s+�e�'•*s•�"+W'1�R�9e•+�►:.".4u*•.9•�tYa_,�,�""'•.'ems company name: address: city phone#• insurance co. policy# :Attach additional'sheet if aei Failure to secure coverage as required under Section 25A of 51GL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or unc years•imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. l do herebt•certify and•r the pains and penaltiessoof pedwy that the information provided above is true and correct Signature � at, Print name 1e le �P/�Al2^tom Phone# 39`-S-lVb otiicial use only do not write in this area to be completed by city or town official city or town: permit/license# riBuilding Department [31,1censing Board check if immediate response is required [3Selectmen's OMce (311calth Department contact person: phone#; MOther (m,sed V95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees: As quoted from the"law", an emphtyce is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrplitrer is dctincd as an individual, partnership, association, corporation or other ;cgal entity, or any two or more of the fore-,oing 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 I'S2 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 in 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. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers 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"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. t•...... . � �t' ... ._....... .. .• �.. :.....:. .. {t.-Nej{. �,F h':.y'i'7 �� •r•)J� 'T'•Iril;� YR.YR�'•�•'�' .• ♦ •. Citv 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 fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. '-�A.. .wr-..•.... ,--�.+svas�• .a.n.....-va�!n.....+1-'!'n' .,;,. ��//<< y,.•«, n..R.+...�Vlcr�•7',-*r-v�—.'t...r>+•77 s•iv)t� Ol J':n•.M1 •'oh' r.��: M.�.'..': 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 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 The Town of Barnstable NAM 1�P Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyaaais MA 02601 Office: 508-790-6227 Ranh Crosses F= 508 775-33" Building Cow For office use only Permit no. Date • ApZ+'IDAVIT HOME nffROVEMENTCONTRACrORLAW SUPPLEMENT TO PERMIT APPLICATION MGL c I42A requires that the"reconstruction,alterations,renovation,repay moderarzatton,0==dM improvement,remo%-4 demolition, or construction of an addition to any pre- dsting owner 0°apied building caatawng at least one but not mots than four dwelling units or to saucduee which are adjacent to such residence or building be done by registered contractors,with attain ons,along with other tequiremeats. Type of Worst: a &L Cost ► 0 0 0. Address of Wont: �a S�vnr�ter QL� �d- CzQtg yt L(.e Ce�v�G2 O,%mer.Name: ,4/Ue 6 , Date of Permit Application: 31a/4 I hereby certify that: Registration is not required for the foiIowing reason(s): Work excluded by law Job under SI,000 Budding not owner-occupied Owner pilling own permit Notice is hereby Shren that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WrMUN CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE .ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL C. I47-A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Rq*r.Lion No. OR ' ' � �l/ae�oonmeo�eaea/d o�✓�aaaar/eueelLi HOME IMPROVEMENT CONTRACTOR _ Registration 114630 Type - INDIVIDUAL , Expiration 10/07/97 STEVEN M. LeBARON 54 MONTAGUE DR �o YARMOUTH MA 02673 ADMINISTRATOR OEPARTMENT Of PUBLIC SAFE, !ONS1f C1ION SUPERVISOR L ICENS_ Nueber: Expires Re�tri:ted {,: OC, "{VEN " 'tEBfiROR ccr.�rnus r;-� 54 MONTAGUE DR M YARMOUTN, `Mfi 02 I - NEW STAIRS I I FIX BACK PORCH NEW WINDOWS cr23 cn24 _ 0 �m Q1 CLOSET 3 M sunroom I 16 7' kitchen ref bedroom NEW SIDEWALL SUNROOM (GARAGE UNDER) M FOOD STORAGE 13 s pantry NEW WINDOWS BATHROOM FIXTURE ARRANGEMENT To BE DE RMINEO 87 porch DINNING ROOM _ __ GARAGE ROOF ------ SECTION REPLACE PLUMBING REPLACE WIRING NEW WINDOWS INSULATE WALLS & CEILING NEW BATROOM m KITCHEN CABINETS & TOPS NEW FRONT & BACK DOORS STORAGE porch REPAIR BACK DECK & LATTICE NEW GAS FURANCE FRENCH DOORS AT STAIRS FRENCH DOORS AT LIVING ROOM PLANS FOR: NANCY GIFFIN 77S-3732 EXISTING FLOOR PLAN #42 SUMMERBELL CENTERV ILLE, MASS. SCALE: 1/4„_12"i APPROVED BY: DRAWN BY: S.M.LEB STEVEN M. LEBARON DATE: MRR.22,1996 REVISED: DESIGNER. PROPOSED: REMODELING YARMOUTH,MASS. ORA ING NUMBER 394-814G 000100A I APR. 5.2007 9:43AM BARNSTABLE COM/ECO:DEVELOPMENT NO.782 P.1i2 Hyannis, MA 02601 Is Building/St ructure located in a Local or Regional Historic.District: YES n N0 XVF��` ' '` `-`•' ' If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out Z l rern ind5r offj�,hjs Jd . DaaofA pli tioh: 4j5/07 -- T: �42 :SUMMERBEL'L AVENUE',`"W �ORT,'"MA 02672 [building/Structure Address. Number Street Toµ state zp 047 Assessor's Map C. 226 ssessoes Lot#: is Building/Structure listed on the National Register of Historic Places or on a pending list with the National,Register of Historic Places: YES C] NO COX How old is the Rullding/Structuret CIRCA .1880 RESIDENTIAL Numberof,Stories: 2 + WALK—OUT How is the Building/Structure Occupied: BASEMENT Architectural style of Building/Structure, describe if not known: COTTAGE ST LE _ Material of Building/Structure: WOOD—FRAMED, SHINGLED Is this Sullding/Structure&ssoclated with one or mote historic events or person, Please list event, description or names; NO Type of Building/Structurearid proposed work: RESIDENTIAL COTTAGE:- ADDITION & kEPAIR o RESIDENTIAL ` `- Explanation of the proposed use to be made of the Zoning District: RC. Fire District: H NORTHS DE DESIGN ASSOCIATES rvr Applicant's Name; 141 MAIN STREET YARMOUTHPORT, MA 02675 M r>-- rr Address: rown state Tip Number Street Owners Name; Address: 166 GOODHILL ROAD WESTON, CT 06883' Number street rawn state ZTp Contractor. Address: Town State ZJp Number Street Program of Lot and Suilding/Structure with dimensions: Name: 1 i 1 °FINE T Town of Barnstable Regulatory Services t M * BA MASS.LE. � ��, g, Thomas F.Geiler,Director �A .i63q 10 rE1639 & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 7, 2007 David Shastany 12 Vista Circle Mashpee, MA 02649 RE: 42 Summerbell Ave, Centerville Map : 226 Parcel : 047 Dear Mr. Shastany: This letter is to follow up on a matter that was brought to your attention some time ago. The work site at the above referenced address remains in an unacceptable condition. There needs to be placed barriers to keep the site from eroding into the street; and more importantly, the house itself is improperly supported and poses a serious safety risk. This matter must be corrected by June 14, 2007 in order to avoid further action by this office. Such action shall include; but not be limited to, reporting the incident to the Building Board of Regulations and Standards recommending license revocation. Thank you for your anticipated cooperation in this matter By Order, *ee L. Lauzon Local Inspector Q:zoning5 J7 ' ' x r'^"'•. .: rram' e xx r,ryyau Pz a ': �* 4r r "urii':) III +,�' 4rTUl p a :W nl r P,.i Wi �l'' k4 *x a 4wc 0'a fv v n r ,�(Ian Fr i11 11M1�p:V rare my YhS 6 1 rwa k-;_} M :.Cp+,cv;lrf.',yt� l Y,.' r I v, .'f :. %.,u: itU,� ,u a, N .y{{ ,,,f. vl jN ,j 1Rf �,.Ji l;,I dr p� .,+. 1 K•,I f, e jr l . .;,( ,r 1 ,,:,t �sw I h,- m��'( f r .r.r r rv� ;r tlfl`� 'sltl.�� ,..,d.�,rur�;lrI"l rl {I,Sl.,pq+ r L r';m,i I�I I(u gerf S{f;AYaCR)ad::�•., ` 6a tier f rr SW"s u l e a;, 1 .... ;�.:\ N:h.•, r�rtu t. N.,..., t��.a �r,,,; Ilrr,- if Pu ll'^p r�.�rk't al)I�c rt- h ,�31 rfl..wll1 �al FV19l�. 2. ��>♦ i ! lY aj 9 !' IIrY1r 1 F 11 r.tUirlr a�vA �f �Y : 11 k r r t 1 isll su kit jr� �fl I `7�f �a, N ''Itl lfrl 'AR, S � .� ,n,e � � ,r hti �l r rl 1�(uN.^� �ryIr �-.r lW 1Wa �.� � �a II�IS;y I „/ I�} ���7A aro f IY r R` r r�. 11 Il a ppr s Si rl_ s >ti�i,y rr t r - rk{li vSy l i4 II) < 1 r tit r k .......... „r��,� a ���,u��i7rRail '{r fs :,z �rn fs� Y SI�,.,rrt ,7t i I , IJ t I!■'; I° ly, I 1+1 f-frl jpo it Y '(. Itry rr-1. f ��,`.: �I }'.e B u S ri�dlptni; D aart e t are)lullndEralt,� I r5 "It �rr '1S�YF Iv rlr�� S A r ; l 1V - hIer ! a 5� ' r.¢tz p�li �f,: �r Il r,N. �Drr r!7 tJ sCi 1 •. ��r r r<!r1 ; i i 1 1. <�� - rr Ar ��! pd JI ✓Jz�� �' 1� _' G � �<� r 1 >- A r •i r 0 �r - f �ler A Pg}' dss +r i 9 A dx yya y k ! 1n ame� 111� r r r �t r 1 R ) m r a r Jk�n ��rl t,i s I�la � wt( u 11 f) l 1 w If a,:' �>`,4 ;;�.:.� sir��t:�tArvllYrr !,y�(v ,t��+ Ifs �r N' 'w x lfur'r It4r,: a SI,+:•i U > s,fu..,', 1 � r f ".a a,; __ r a - r .. ;Y�,..��).J k Ca'���� ���i` I,rknyi�wlnt + �,✓,. i 5��,,,it .Y I h1Y 1(i 4 �!� 111 uJry rr :.;`$ ct l + � "t ;«J4r r�r I ,;', �a✓ rrf t". Y 'fir /UP�,� � Ikr.rr h rl � r% ( � ` r p'. � f r � r r s, � Y I � � � IA. � u' ��..�� ��"�r nd,,.l s�+r,1 �.:,;; � v � ��I �Ylrr f�f���al�p IS• �' �+ _� s r t Y r+ t,15 r rt !r.:r t h ��^1 �r •i f l! I e ', .. r N'` � I J' 7 f,1� � -.• r t 1xt�:4 r t�_.;.i� N� ! nyglktf'�` e'�y p; r<YV'w P ! err �,:t '�,w s I sl t l..c: r•+ r 1 r Ir F I� yyt;•(, ,v,.,:. f",': rw' 4 ,r;,, ,:a,,.✓f t s..,��9R'r �' ,� a r', ,y,—y r p�r �vz>Vw iH��.,t w�'�i„:vh r}r :..n^l ^ i 1,,, h ;;�;I 1 r '!; r -.,�r>f r.°,i W f .li;r {,ra� 1 I r ,��� ✓k.d' � 1�4 ;�Mi'+{k ,R6y�,rd ,,: A rlrk`1 , h �,, �1 i ro tHy al{;�ariE !p 1 rll� i rl I f dt'n::a t J�� 9 ;+^I'r n .,_. .2.. ta;.fii. ., '�r.�...,i::.<_�.L,..... �h -�'� r.4ft..:»F:� 7� ;u-�zv.a.rr.',z..,.,W..:eaa..t. ,,.f�;.. ,...'U�..sr,:_.':..,,e,....,..:.-,.., .... o..s..,..,.ra�'➢>�'-e..f {,.,-. .r,�',^�4r+�.a, .�.�i6.a�.eu...r�d�:t. �4..+iaa.:r�.:�`.r,. ...�.,,„ . YN67 D WRTr--g-p��c�.1,�G iY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Y Map Parcel Application Health Division Conservation Division { Permit# Tax Collector Date Issued �b Treasurer Application Fee Planning Dept. Permit Fee �ZSo ?o Date Definitive Plan Approved by Planning Board (�D34340?r Historic-OKH Preservation/Hyannis Project Street Address 4Z 5�VAOAWgE L--;4Ug Village CmtmwlI.LL- Owner �EVI0.<+- Ea Address Ibb C-VQ0 tLL Z0.IQ5M> IJ,(!i 0&M Telephone - 26 q00 Permit Request r .0(e%M A4 CavE- ��Z10tZ� VJA� '�O CO O IC "f�2 K�{ W KWU- ,UCcD C D Square feet: 1st floor:existing (DtO prPel�! 2nd floor:existing 650 ,�y�{aesed� ze�}rev� Zoning District Flood Plain Groundwater Overlay Or. Project Valuation Construction Type Vjoco- Rt *ig Lot Size Grandfathered: ❑Yes ❑ No If yes,attach sil9porting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) /� Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑.Yes 2<01 Basement Type: Uflulio ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) � Basement Unfinished Area(sq.ft) 100 Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing S new Total Room Count(not including baths):existing u new First Floor Room Count Heat Type and Fuel: Vdas ❑Oil ❑Electric ❑Other � f Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: 0 Yes; o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:Or'existing O=newsize ` Attached garage:❑existing O new size Shed:❑existing ❑new size Other:a3! Zoning Board of Appeals Aut rization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use = _ BUILDER INFORMATION oo�� Name lU�S�6 Tele hone Number c09'4Z0"'gg2j p ct7 Address �2 ��Sfi �.1�.�-�L� License 0503T( VV a A Home Improvement Contractor# ML o M Worker's Compensation# ALL CONSTRUCTION D RIS R TING FROM THIS PROJECT WILL BETAKEN TO CiAStU-4 i SIGNATURE DATE �`:J�7 FOR OFFICIAL USE ONLY - I PERMIT NO. f+ DATE ISSUED MAP/PARCEL NO. ADDRESS V ILLAG E OWNER / r DATE OF INSPEION: CT FOUNDATION FRAME K INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ? FINAL BUILDING llO CnP_ LEEr -MOS $LE .40PAZ070 DATE CLOSED OUT ASSOCIATION PLAN NO. • The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations F, ' d 600'Washington Street ' Boston,MA 02111 S� �� www.mass.gov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electriciaiis/Plumbers Applicant Information Please Print Legiblyt Name(Business/Organization/Individual): . �t fc;LrS. Address: Z S 12CLL' City/State/Zip: ! A Phone.#: Are you an employer?Check the appropriate bog: Type of project(required):. 4. I am a general contractor and I 1.Q I am a oyer with ❑ 6. Q New construction . e oyees(full and/or part-time).* have hired the sub-contractors 2. I am a'sole proprietor or partner- `. listed on the attached sheet 7._Q Remodeling ship and have no employees These sub-contractors have g, Q Demolition workingfor me in any capacity." employees and have workers' Y P tY•" 9. Q Building addition [No workers'comp.insurance comp.insurance.$ d.uire req ] 5. Q We are a corporation and its 10.Q Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions ' '3.Q I am a homeowner doing all work ❑ . g p myself. [No workers' comp. right.of exemption per MGL 12,Q Roof repairs insurance required.]t c. 152,§1(4),and we have no w employees.[No workers' 13.Q Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew 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. lam 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.#: .Ex piration 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 re ' e der Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 or one a prisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 �ftfo airs a 'olator. Be advised that a copy of this statement may be forwarded to the Office of . Investigations of incur nce covera e verification. I do hereby ceMumd penalties of perjury that th_a information provided above is true andcorrect Date: J"•Z,3'� Si ature.Phone# �� —. EOther only. Do not write in this area,to be completed by city or,town officiaL n: Permit/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: 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 receime or trustee-of an individual,uartnershin,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-contiactor(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 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 fo 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: c Commonwealth.of Massachuset ' Departmetit of Industrial accidents Office Of Investigaflow 600 Washington Street Boston,MA 0--111 Tel.##617-727-4900 ext 406 or 1-977-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia oFZHE r�,, Town of Barnstable Regulatory Services BABNSTABM " Thomas F.Geiler,Director MASS. 1639. .�A`e Building Division ; Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601" Y Office: 508-862-4038 a 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. Type of Work: y Estimated Cost Address of Work: Owner's Name: Date of Application: 3•N. 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 of th%owner: z6� Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav �cME rq Town of Barnstable • iA�N3rABiE. y MASS. 1639. Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize /,�/[�2/S' to act on my behalf, in all matters relative to work authorized by this building permit application for: ` Sy m wlo r Gall acl a ,(Ito- (Address of Job) C� /LW Signature of Owner ate A624 71 &Ct Print Name Q:Fomis:expmtrg Revise071405 .�. "''�`` ✓lie �'om�.nrnxuea� And I . Board of Building Regulations Standards HOME IMPROVEMENT CONTRACTOR Registration,,-•108901 � ii Expiration `8h2.7/2008 , Ts PrtefCorporation REVISIONS, INC i ' David Shastany Sv �•�=� 12 VISTA CIR MASHPEE, MA 02649 `L 1 ' Deputy Administrator ®® a . � ' i tl ry I+ �/!le Z/JO7Il/I9207UA/� O�✓l�(.¢QOp�tCIGP.�d i . j BOARD OF B-UILDING REGULATIONS �. License: CONSTRUCTION SUPERVISOR Numb e'fS 058376 i2p07 Tr.no: 318.0 -- Rest DAVID P SHAST j 12 VISTA CIRN MASHPEE, MA 0264-9-{'f-- Commissioner is k NA _ FOUNDATION - 20" VENTS / VEI - - — '— — — — — — — - - — — / WA CONTRACTOR TO I '/ '• I, 'ir`_ 'i'- i, �/, -. ..—_.____ q' EXCAVATE FOR /� i NEW FOUNDATION 5 I/j" CQNC. FILLED WALLS I I STL.,.LALLY COLUMN ON 36"x36%121 DP: T CONC, FOOTI I BM 7 -I � � I� �: J PKT , ! I { L _� I i �i /--•ry��Il I n a' N g I 3 �l z � O rv1, 71 I I // � - � - PROVIpE• �.e."n I .'I- �I � 1 TO CRAWL 01 I // z IN- I� r PKT.. j I r W J 'n 'a. 3 I/2" CONC FILLED m 4 rc I 'O�u VO' '�„P . ALLY'COLUMN 5TL L - p. z ,p: DP --- F-pp CONC, FOOTING TYP' N 0. 3"� m i z - - - - =x � - — — - - — — m - 'T _ T _ _ _ WL r _ L T - J , : O _ -PKT i PKT. a i 1 ui N O 0 . y I] 3 I/2' CONC FILLED 1 i. I 3 112', CONC FILLED ,'- STL LALLY COLUMN —' - L-5TL LALLY COLUMN -- ON 36'x36'x19' OP. i - ON 36"x36'x12" OP, CONC FOOTING, TYP - - _ " - GONG FOOTING, TYP N r JW Q w ndz Z Z 1-tL Z K 0.'p,l__ 0O0Oaw Jww �u'V-z>> Q11-�j UL :L uOZ 7 a N w-= JCY�J? 2'NN - wQ(cv>w zZ3v s; � } y - - - - -� -- - -- — - -- --- �sNnoj .. .. q ' N011gQ N�Od 1 ;vyp gr'+er: tri°.,,:�:r'e'Y."'a'xr _-...�- - ,.„fiy, -( .'�:z(:x`C"I' I>--, 'ro I I.rr,++.-•:.. . DNl 51X3 •I�� 1,14 - L I I wE� — l IIi Q. z L a.° ' � \• I III - om° III In it o N Q , f l slslor aoo�d III LL> I I mFz j I _ III j - lI _ ['_ail— X 4 - IIL119 43dd021a M3N p (Ih� A-1 .11,(1x,/,1(c,X�` JIL_ 0 O £-,oL o LLm n_ u1w-z - �; tLN s. ! J F , oZ Xw.4 3wZX • - Zr-aur coTno mpoA-1 O Z-,z 3 (1 < � I,c0 D O . pQ _ ;u -n (O O r 1 O l - - - - - - -- - - - - - - - - - - =Y- - - - - - - - U ' A.. ,. a E m 4_O + MIN. 4' BELQW GRADE µ,•-'�• J - n m M1t T'- s�y SCALE 1 4 1.-0" STATE AHD LOCAL!&WLOINGI:WES VARY GREATLY ACROSS.n1E D(X1NI{{r DUE TO '.. THIS PLAN INvAuO • ,dR AND MANY OTHER'VARIA73lE5 SUCI. COPYRIGHT .UNLESS ACCOMPANIED FOUNDATION `P LAN �OWG`M THER ANQ;-S011 C'0N0Fj10N5 6UtL R T 7I1"l DING'MATERMEEr,9tF1E lL ll:55(glLl T'I OF N0�1♦THS1�L 0-�1 2 ����..4'' '8 � BY A COMPLETE'SET OF � � � ON-SITE Ieig,EpnGN..gt coH3TRvcT1oN NORTHSIDE HERE - CONSTRUCTION DOCUMENTS. - - - SUPERd9DN'"'ET,G,NO(tTNS�E DESIGN RESERVES ITS I ASSUUES NO RFSF;LI{R51&LITT:DR LIABILITY s DESIGN COPYRIGHT._THE' SHEET NO. NUMBER OF DRAWINGS IN SET: FOR ANY LOSSES:OB DAMAGE$INCURRED ' ASSOCIATES NOT 70'BE REPF DATE. DLIE_TOERRORT6 OHISS10NSnRTHE *; �^ AS OCI mjlS CHANGED OR CO SH EA RESIDENCE PLANS OR L{tJ CITUIAL DmdENOES IN 1 j� THE�OE9GHS NGIRITRSTOE DE9GTI ADT. - FORM OR MANNE THAT eEFOR£''OOL+uE, C GCNSTRUGnON, WITHOUT FIRST C 12/19/oe 42 •SUMI• ekBELL AVENUE THESE PLAas 6E TAIIEN TO YOUR LOCAL DISTINCTNE•RESIDENTWL & COMMERCWL DESIGN A O �� eunrnNG DFPARTMEHj NO/�nsPECrGR EXPRESS WRITTEI HYANNIS, I tA. FOR REVIEW_AHD:FROVAL a AapNC AN I4I MAIN STREET YARMO THPORT MA 02675 AND CONSENT 01 P0598LE DISQREPELt ES IN,STRUCTURAL (508) 362-2210 (508)-762-9802 DESIGN. OR AEST)/ESIG.ODDESi.IN eDUR:`:AP''A .. 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Y ----- ------- a� I u T �-------------�- g�S-- ----- --- rrewcROFPeocriir-- -- -I P<� " --- _ g I + r III --- •- ----- -------I - e I •- T•LVL Tea"' I� m3F 7s -------------I�- �}y�Qt - ----- a -- ----------- i -- - 1 -------------- - --- _ _ r ,-- °rR-F .a7° ____---- ------------- aQa 1 T T ' Zs;l -- ° -- --- "�3 _I i ems° u,13 1 FLOOR JOISTS _ _____ _______ -L_ - S � I � ______________III _____ __ -________ _ I rr FIOR I 1 -------— --{ -------- ---1°--- --- ---------------- - --------- _ - I r -------- -- ----=— -- �� I L.Il1— J I I I FMbATION �a X Buz - - -------- -- 6r=4 r I q,-�. 4_ . Xrr� N =`nfl .. --- IIL D DReD 4IRf III FLOOR JOISTS w $91 i L'x11-� 11r-- r o I ----- -_------- I $gcr WE - -• - S 41 . WE r. qr �Z= � o � x m o0 m ID 3 a� y °c =� L---- 0 C HEIGHT TO at DETERMINED y� I'TI MIN.4'BELOw GRADE . ; . -o (Tl TATE AND EOfJ1 SVADnIC'cm"YARY pdALE: 1/8'=1'-0• nrApp5.�THE CaNTIrr• DUE TO S uAro µr mNEx YUDARES sua COP1R_IGHT. DATE REVISIONS Nc M.Em+AAEs"D Wnsmu"a_ FOUNDATION PLAN NORTHSIDE NORTNSDE HEREBY EXPRESLY 0 2 4 8 18 sa NSOECnm m coNs R c DESIGN t:� DESIGN RESERVES ITS COMMON LAW Iio ETC. TM a IJA u COPYRIGHT.THESES PLANS ARE aR ANY LDssEs aR AM RI0.1INiED - - NOT TO BE REPRODUCED SHEET N0. DAIE: tD ERR03°" OISN nE: S4 IEA RESIDENCE A��OGIATES CHANCED OR COPED IN ANY DRAWN JH OR STMrCnMAI DFJIOf)gES IN Drydr, w0R�qoDEE DEycN ADVISES F OR MANNER WHATSOEVER AT BEFORE COIAbICNc coNsiRUCiKN. - WITHOUT FIRST OBTAINING-THE A2�08/07 °ANB BE AK�I�TO Y"LOCAL 42 SUMMERBELL AVENUE DISTINM RESIDENTIAL COWERCIAL DESIGN EXPRESS WRITTEN PERMISSIONO OR II, OMARND�T APVRO AL R INSPRE"qDrNo"ANY HYANNIS MA. 141 MAIN STREET•YARMoUmpm•WA Dun AND CONSENT OF NOR7HS DE CHECKED dSCREPENCIES N STRUCTVR a (008)3e2-22tO (e°e)3e2-9e02 DESIGN. PROVIDE PRECAST CONCRETE EXTENSION 5"DIA. OUTLET(S) + + VENT TO BE INSTALLED 2-FT MIN ABOVE TOP OF FOUNDATION= 103.19+ FINISH GRADE OVER CHAMBERS= 'I 00.0 - 97.0 FINISHED GRADE WITH CHARCOAL FILTER GENERAL NOTES / RISER WITH CAST IRON FRAME AND COVER TO REMOVABLE COVER SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO 1-1/2"DOUBLE / FINISHED GRADE OVER OUTLET WASHED STONE TO FINISH GRADE OVER D-BOX= 100.0, 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS FINISH GRADE @ FND. EL.= VARIES FINISH GRADE OVER TANK EL.= 1 01 .1+ - 99.9+ 4"SCHEDULE 40 PVC MIN SLOPE 1% CROWN OF PIPE SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY PLACE RISERS ON ALL APPLICABLE LOCAL RULES. f20"MIN.ACCESS COVER 1 2"OF 1/8"TO 1/2" (TYPICAL FOR 3) 36"MAX.,9"MIN. 36"MAX: „ TOP OF SAS= 95.65 DOUBLE WASHED CHAMBERS TO 64N OF 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE , 9 MIN. B FINISHED GRADE DESIGN ENGINEER. 7 7 _ 94.65 36"MAX. BREAKOUT EL = 95.15 - STONE3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 2" DROP MIN. „ PROVIDE WATERTIGHT 6"+ 3" 3"DROP MAX. 3 9 JOINTS (TYP.) o oo oqo 4. TO PREVENT BREAKOUT,THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN o _ \ 4"PVC IN FROM O 0 0 000 O C� ELEVATION=95.15'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 14" �`- 97.04+ SEPTIC TANK 4"PVC OUT TO o 000 00 000 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF THE + LEACHING FACILITY oo C� LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 100.77 OUTLET TEE 96.50' MI'N. C) ' 2' o� � � � � � � � � � o� � ��O 5• SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. P 97.25+ 48" 6 33 �1 f _�1 00 000 11 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. + .. 6"CRUSHED STONE o CJ 0 0 o 0 0 C1 0 BASEMENT= 96.07 22 ZABEL FILTER o _ 7. LOCAL BOARD OF HEALTH TO BE,NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY OVER MECHANICALLY S MODEL#A1801 HIP COMPACTED BASE COMPLETE AND READY FOR INSPECTION.SYSTEM IS NOT TO BE BACK FILLED WITHOUT 10.0' (GAS BAFFLE ON 4.0' 8.5' 3.9 4.0' , 4.0' FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. BOTTOM) 5 OUTLET DISTRIBUTION BOX 41.0' ' gyp.) TO BE INSTALLED ON A LEVEL STABLE � 85.'7 12 9 8. ELEVATIONS BASED ON ASSUMED DATUM OF 100.0'MSL OBTAINED FROM TOP OF CONCRETE PROPOSED 1500 GALLON CONCRETE SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET 92.65' GROUND WATER ELEV. BOUND AS SHOWN ON PLAN. PIPES TO BE LAID LEVEL. 4 - 500 GAL. CHAMBERS (H-20) 5'MIN. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH LENGTH 10'6" WIDTH 5'8" DEPTH 5+7+r CROSS SEC-LION VIEW ^ j p DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE SEPTIC TAR 1 V PROFILE V ! TYPICAL CHAMBER PROFILE `s�"1AM©ER DETAILS �H-20} CHAMBER END VIEVV AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN TANK NK DISTRIBUTION SOX DETAIL,, ENGINEER. NOT TO'SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE WATERTIGHT. " TESTPIT A 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM INSPECTOR: APPROPRIATE AUTHORITY. SOIL EVALUATOR: Samuel Philos Jensen i 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED "' . ' ' DATE: Octobe,-23,2002 UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND 1 �. .f• { :.. `' + TEST PIT#: 1 H-20 LOADING. La , `II ELEV TOP= 97.15' 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT,DUST AND FINES. w • _ ;,._ �• '' ELEV WATER= >11.6 BGS 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL LOAM,SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT.ON ALL SIDES OF LEACHING FACILITY.REPLACE a ' �,,_, " R,; • 1 PERC RATE_ <5 MinAn(Assumed) LE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER .. UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). o �. *: • DEPTH OF PERC= N.A. U -.` �;• �'' �� .,��rrf 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE TEXTURAL CLASS: 1 CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. N/F CHRISTIAN CAMP MEETING ASSOCIATION "�,�} 1.,► r,,' "`!. 16. PROPOSED PROJECT IS LOCATED WITHIN: _ .. _ _ MAP 226 PARCEL 46 ,��+ i.• a..��r, + - "�' S. ,�,k .; 0 97.15' ASSESSORS MAP 226 PARCEL 47 • , ;��Ems,;; S ,��:'__ _.__ *.� • Loamy Sand 17. OWNER OF RECORD: ANNE M. GIFFEN ` • .: y A 10YR 3/2 P ,. SS.ADDRE 42 SUMMERBELL AVENUE J•�\ r1i .,,,. ' . '�1l .li W. HYANNISPORT,MA 02672 1i Loamy Sand r. :: p' 1 B 10YR 4/6 18. PLAN REFERENCE: BOOK 24 PAGE 1 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. �. • 30" 94:65' _ 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY FOR �� - ` a F t.k -• SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF Coarse Loamy Sand Al 0 C1 THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 2.5Y 5/6 21. THE FOLLOWING LOCAL UPGRADE APPP.OVAi_S,IN ACCORDANCE WITH 310 CMR 15.401,ARE 97, 106 _ .LOTS 94, __.. . _ o. q x �...�.. .._ _. .. __-_. /_ .. .. . • . :. .. .,.:. . . ., . . REQUESTED.. 4 500 SF_ i ^r -� 92.15 - � INSTALL CLEANOUT w� � � `.., er � . / .. .��.. , _ / chi - ;: , .: NE OF 6' i AT BEND `~ p : •. , :._ ': :; :: : . _ 2.SOIL ABSORPTIONS STEM SETBACK FROM REARPROPERTY U 94.6X v �po \ / j. ,; �w M Cy Sand , 3. SOIL ABSORPTION SYSTEM SETBACK FROM SIDE PROPERTY LINE OF 2.7 (1V-7.3). �w :. . D��` Ob / f: a C2 4.SOIL ABSORPTION SYSTEM SETBACK FROM FRONT PROPERTY LINE OF 5 No Groundwater 5. SOIL ABSORPTION SYSTEM MAXIMUM COVER OF 1.35'(4.35'-3). i INSTALL RETAINING WALL (TOP EL. 95.5) \ , ' / LOCUS PLAN—. 138 Encountered 85.65 INSTALL GEOLINER FROM BOTTOM TO-PLUMB EX T DWELLING SCALE: 1"=1000' i• I OF EXCAVATION TO EL.95,15 < AS SHOWN #42 O11>1 EXISTING5-BDRM \ / !' , DESIGN DATA LEGEND DWELLING \ `V / J EXISTING SPOT GRADES T.O.F. EL. 103.19 :.= 5�:.'� EXISTING CONTOUR 1• •.' BASEMENT SLAB EL. 96.07 '� ` NUMBER OF BEDROOMS 5 50 PROPOSED SPOT GRADES NUMBER OF PERSONS 5 �� PROPOSED CONTOUR 96.0 DESIGN FLOW 550 GAUDAY/BEDROOM /i J k` '` O Jam• TOTAL DESIGN FLOW 550 GAUDAY - .�: -. O, .•.'+ r " E/T/C EXISTING ELECTRICAL UTILITIES 94.Ox �� l 0 ' DESIGN FLOW X 200 % _ 1100 GAL/DAY fo GAS GAS EXISTING GAS LINE ! USE A NEW 1500-GALLON SEPTIC TANK .EXISTING WATER LINE 94.0 x 0 5 °� EXISTING RETAINING WALL x \ �� (VARIABLE HEIGHT) ^,� �' ; I _ TEST PIT LOCATION 9 \ %" , INSTALL 4 500 GAL. CHAMBERS 94.Ox r' OOP . � PROPOSED SEPTIC TANK r •, � .•_ . •. I SIDEWALL CAPACITY I 4"SOLID SCHEDULE 40 PVC PIPE s �\ I (LENGTH+WIDTH) (2)(2'HIGH) (.74 GPD/S.F.) _ GAL/DAY p DISTRIBUTION BOX (41.0'+12.9) (2) (2') (0.74 GPD/S.F.)= 159.5 GAL/DAY �rW,� JNSTALL 1,500••GAL �� 500 GAL. LEACHING CHAMBER INSTALL FOUR, SEPTIC TANK 500-GALLON CHAMBERS \ ` N/F D'AEssANDRo '` , I BOTTOM CAPACITY MAP 226 PARCEL 48 ! j NSTALL I (LENGTH x WIDTH) (.74 GPD/S.F.) = GAUDAY DISTRIBUTION BOX i (41.0'x12.9� (.74 GPD/S.F.) = 391.4 GAUDAY ' REV. DATE BY APP D. DESCRIPTION INSTALL SYSTEM �- • I PROPOSED SEPTIC SYSTEM UPGRADE VENT TO 2-FT ABOVE I TOTALS: �,�' Vt GRADE Jof � ANNE PM PREPARED R N m I B.M. TOTAL NUMBER OF CHAMBERS: 4 FARREN LOCATED AT I Top of Concrete Bound ( TOTAL LEACHING AREA: 744.5 SQ.FT. No. 33590 Elev. = 100.00' TOTAL LEACHING CAPACITY: • 550.9 GAL./DAY 42 SUMMERBELL AVENUE Assumed W. HYANNISPORT, MA 02672 ` SCALE: 1 INCH 10 FT. DATE: OCTOBER 25,2002 0 . 5 10 20 40 FEET vie vi Or P. roH�L •; PREPARED BY: i C?;UPCH,iL CB FND I JE- � JC ENGINEERING, INC. CIVIL418 5 ROUNDHILL BLVD: No. 418vT EAST WAREHAM, MA 02538 S' vq F' j.. SITE PLAN 508.273.0377 Drawn By: SPJ Designed By: SPJ Checked By: JLC JOB No.284 SCALE: 1"= 10'