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0077 EISENHOWER DRIVE
I / i 1 t u `r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 F Parcel 0 ps Permit# 7/ r0 {a Health Division j{� tNs' .4 6 Date Issued 1.- CE Z1'��� Conservation Division ) llt Application Fee Tax Collector s Permit Fee 3�: e� Treasurer Uf V ,,01 `� 4 OYGTEM MUST BE Planning Dept. t -_7A!_LED IN COMPLIANCE Date Definitive Plan Approved by Planning Board r VON TnU i s" MTAL CODE AND Historic-OKH Preservation/Hyannis !`J�N nEGUUTIONS Project Street Address _ _7 ® Q_ IJ Q Village Owner eA,1, Address �7 Telephone q_2 �®� Cat J D�- 4 Z3 Permit Request _ _ ( 2- D �i Coal Square feet: 1st floor: existing propose.A 2nd floor: existing proposed Total new 2�a Zoning District 4� Flood Plain Groundwater Overlay Project Valuation"`,Vo 00 Construction Type _�k ;Q 0 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 Flo On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout Other S©&-OTU 640i 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 A/O*ei Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: Cl existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shedexisting Knew size xa 0 Other: t Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �No If yes,site plan review# Current Use Proposed Use_ 5"164 !� BUILDER INFORMATION . Name 40,57-4- Telephone Number S�®'�`' !f-30 Address -2,,!L�2 0"ei AU.y,P License# C 5 07�; hz6`G4 Home Improvement Contractor# f 32-9SLf Worker's Compensation# 7 7 Z `7 /,T S ALL CONSTRUCTION DEBRIS RESULTING FROM HIS PROJECT WILL BE TAKEN TO A SIGNATURE DATE ' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED =' MAP/PARCEL NO. ADDRESS r- VILLAGE t OWNER DATE OF INSPECTION: 01, FOUNDATION 9)W ~ 4" ®•�� O��'<' 1 FRAME Rle55eln INSULATION y ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH u r= ; FINAL FINAL BUILDINGS K , DATE CLOSED OUT ASSOCIATION PLAN NO. The rComxnanea�th of 1Vlassachusetts . -- Deparbnent of IndustrialAccidents' . . . • 6001 Washington Street _ �` • Boston,Mass,. UZXXX ., ^pyorf�ers'. C m ensatfon.UsuranceAffidavit-GeneralBusinesses • � err F�..;� � •a;t *s ; • . .•.. ,T�q♦oq� r;2 rtt.*: Iz" •°tY`�'r/'�fS,;:a r"` •. ^ .... _' LY^ address: 3•. D�3 ho e#' ,F `� F dt ; .. . 1 7 e iocatio>i fis11 address []Retail[]RestauraniBatlEating FstabliShmeot work site or and have no one )mess es RE�-Estake,Antos etc.)' (] Z si.a sole propn []Office[�Safes Cind ading . vt!orking in anf capacity. %%%/%%%%0 I am an em to ea with• etri'lo ees full&' art tune: Or , ///riii�ri n this•ab.. . //// y//////%%//////%//� cbmveusation for my empl /ogees wor]ang o • • ,j t.,e[pL0 kerS •t s • ,' t r•.; 1 n I ,employ �1CUn •� . 1.f'1'^• `t•� �, a•, r t�'', '".^G.••;k'K�'/,r 'fJ -t• •i r '.Li t,t:.:g': a :j:"•.f' , .�.:' i(S� IC'tr't• •r •. td•.� .. i. ,, 5• •[�IC;N,. ¢••lJrf�.t,:'S'•t i.. 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I,54S�;,5•�.�• O'l]Cr a• �M1 f•:S1t�r •,�f. 1.to...1 Manare cRIM FIAMINAW111,W11111111111eas re aired un��Flm MGL 152 can lead to the imposition o crfl ena�tiea of a�e to 51,500.40 an or tO aecAre COverag 9 enaltie in the of a STOP an"a OItDTi'R and a fine of$100.00 a day against me' X understand that� one years'impruonment as well as civilp . copy of this statement maybe for-warded to the Office of Investigation of the DTAfor coverage verification o ereb ertify under the ins and en �,q rjury that tl[e inform atinn provided above is free and cortecG r d h Date Si�atUre hone# t Print name v official use only da not write in tbia area to be eonpletcd by city or town ammcill ❑Building Department permitllicense# QLtceusing Board city or town: oselectnen's Office D.,heekif immediate response is required OHealth Department . []Other. phone#i contact person: (:evited Sei 2003) a • •ctlons- ma�zon a nd Zustru . Infor . ' eral L'aws cli�peer 152 section 25 requires all employers to provide workers' compensation for their. Ma65acln?sretts Geri •'`:' 1�, ; ,As quoted'from the `law"., an employee is.defined as every person in the service of another under any contract CmPof hire' express or impliJed; oral or written, ., , • : t An employer is�defined as an individual,partnership, association, corporation or other legal entity, or any lwo or mare of the foregoing engaged- djoint enferpnse,,and including the legal representatives of a deceased,employer, or t$e receiver or trustee of an individual,partnership.,association or other legal entity, employing employees. 'However.the owner of a dwelling house ha:4ag'*not'fnore than three apartments,and-who resides therein, or the.occupant�bf the dwelling house bf another who emp jbys persoris to do maintenance, construction or repair work on such dwelling house.c�r on the grounds or t , -building,gppenant thereto shall not because pf such.e�ployment.be deemed to be air employer.;... , IuiGl/chapter.152 sectibn 25 also'slates that'every state or legal licensing-agency sh{{all withhold the issuanco or renewal T, ' Of a license or pe2'p0't to operate a business or to construct buildings iri the'.6mmonwealth for any applicant who has not produced accbptable'evidence'of compliant:e with the insurance ontracgfor tlie�erforrnance of ublic work until• coznmonwealthnor.any.of its political subdivisions shall enter mto any p of eoznpliarice with t�e insurance rbquirements of this chapter have been presented:to the contracting acceptable evidence authority. Applicants please ie workers' eoensatic�rr a€tidavit completely,by checking the box that applies to your situation.,Please supply company name, address andphone numbers along with a certificate of insurance as all affidavits maybe submitted j artrnent of Industrial Accidents•for confirmation of insurance coverage. Also'be sure to sign and date the to the Dep affidavit. The affidavit should be returnedto the city or town that the application for the permit or license is being requested, not the pepar•tment 6�ladustrial A.cciderits. Should you have any questions regardirie the'"law"or if you are obtain a workersr•compensgionpgliq,please call the Departd=t at.the niuxiber liste�d;belogr. required to ,. . , ' . City or Towns Please be sure that the affidavit is cbmplete andprinted legibly. The Department has provided a space at thdbottoni of the affidavit for you to,�out ra.the event the Office of Investigations has to contact you regarding fhe applicant Please be-sure to fill ip•the perrrnt/licensel number which will be used the D ep as a reference number. 'I'he.affidavits may be xetuzned tg mail FAX unless other arrangements have been made.• ` arfinent b�; °T, •. . . . ; �� ., .. •.,,' • .•. , The Office of Investigations would hfke to thank you inadvance for you cooperation and sb.oi ld you have any questions, please do nothesitate to give us a•cat" aztmentIs address,telephone and fax number. , TheD ep - The Commonwealth Of Massachusetts Deparbnent.of Industrial.Acdclents Bence of Wes 1pftita 600'Washington Street Boston,MR. 02111 fax#: (617)727-7749 , _ E Town of Barnstable ' of~ "o Regulatory Servides � saxr�5z�tn,$ Thomas F.Geller,Director 9 1639. Building Division �j016D MA't k Tom Perry,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862.4038 permit no. Date , AFFIDAVIT SUpp NMNT TO PERMIT APPLICATION CATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,ccu ier ion, irnprovemen removal,demolition,or construction of an additionto any pie-existing own P biding containing at least one but not more than four dwelling units or to atruptores which adjacent to such residence or building b e done by registered contractors with certain.exceptions,along Vi requirements. 2 Estimated Cost Type of Work. J Q Address of W ark• 7� `se��®�e�. � o C'®' i`✓ Owner's Name' • ' n� Date of Applicatio I hereby certify that: Registration is not required for the following real on(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNEES PULLING TSEIR OWN PERMIT• RI UROVEMENT WopXDR DEALING WIM GO N HA.YE CON'i' CTORS FOR AT'PLICAE,.LE H ACCESS TO THE APt1iYTItATION PRO GRAM OR GUARANTY FUND UNDER NIGL c.1�2A, SIGNED UNDERPENALTMS OF PERJURY I hereby apply for a permit as the ageut of the owner: C' 06 -0 ✓�'�� RegistrationNo. Contractor Name Date Name �o�ZHeTq,� Town of Barnstable Regulatory Services i E,� Thomas F.Geiler,Director i639. p1� Building Division rfD MA'S Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 vrww,town.barnstable.ma.us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property `ts to act on my behalf, hereby authorize /J►<e �� �" �p® W �� f in all matters relative to work authorized by this building permit application for: 7 -,701, VAIJ406"111 (Address of Job) 4ge 40f0wne:::r�-� Date Print N e Q:F0RMS:oVMRpER1vIISSI0N / • ' s.'I �, t m w 4 t r r / i) r s x q ` 70• THE BEST OF MY INFORMATION, AS- BUILT" PL KNpWLEDGE, AND BELIEF THE BARNSTABLE OT PLAN s ,�' `--�,,,�U��"�✓ --- SHOWN 0 MASS. N THIS PLAN HAS BEEN LOCATED 4 Lo` Z GROUND AS INDICATED (,1OF_j�`,.t EDATE ����fi =l R ^ � SCALE F s e`'x� y' f ` CLIENT !-✓ /.�r�.�t ;i RU!�(t� -„� - �1 � Vi l.1 'a . F S WE EN KNGINEL'WNG Ail) / C✓ `� 341 „• 235 GREAT WESTERN ROAD P.O. BOX 713 DATE PROFESSIONAL LAN 398-3922 ; .._ SOUTH o2s�o MASS. s ............... .... ... ®„ ... _ ... w I R ........... ........... ............ �. 4: i.... l.. .. 1, — . gW _.. ... _. ..__.-. t-u cYi ......... .... ..... ... = a s 14p. Qf^ ..,.. ......... .......... ... ....... _ ... .... ... f .. _ .. -........ r ............. 0 Flow cc ._ Q C pco O Qua DOC1t" VJ'�t•6� ..... . . __ CD � ........ ... .:.... U m N a Q � LL _ t �f 0.0 FL PT T'D I ST-5 4 _... ..�bay���^ ..... ... 1.0 7V4,-. s . .... .. 4/ t Board of Building Reyulations Ashburton Place, Rm 130'1 One Boston, Ma 02108-1618 Birthdate: 03/14/1970 _ License: CONSTRUCTION SUPERVISOR LICENSE Restricted To: 1G Number: CS 073865 Expires:03/14/2006 JAMES R MCGRATH 204 CRANVIEW RD BREWSTER, MA 02631 Tr.no: 19218 Keep top for receipt and change of address notification. ,�� Board of Building Regulations and Standards 4- One Ashburton Place Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 132935 Type: Private Corporation Expiration: 10/31/2004 r MCGRATH POST & BEAM CO. JAMES McGRATH 259 QUEEN ANNE RD. HARWICH, MA 02645 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Cares ;J�1e 6'nr►aixnxu�e�c`!� �il�6lrrJJac✓tttiPt�i I-e Board of Building Regulations and Standards License or registration Valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: x: Board of Building Regulations and Standards s=" Registration: .132935 One Ashburton Place Rm 1301 Expiration: 10/31/2004 Boston,Ma.02108 Type: Private Corporation h1cGRATH POST&BEAM CO. JAMES MCGRATH 259 QUEEN ANNE RD: HARWICH.MA 02645 Admiarctrnrnr. Not valid Withont denshire i L r v , NOTICE NOTICE TO a TO EMPLOYEES EMPLOYEE M � The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 0�!1,11 617-727-4900 - http:/Awm.mass.gov/dia ;b As required by Massachusetts General Law, Chapter 152, Sections 21,22&30,this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: J • American Home Assurance Company NAME OF INSURANCE COMPANY ADDRESS OF INSURANCE COMPANY WC7827135 07/08/03 to 07/08/04 POLICY NUMBER EFFECTIVE DATES 434 RTE 134 ROGERS & GRAY INS AGCY SO DENNIS MA 02660 800-553-�$01 NAME OF INSURANCE AGENT ADDRESS PHONE# EMPLOYER EMPLOYER'S WORKERS'COMPENSATION OFFICER(IF ANY) DATE ' MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Worker's Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work rbiated ' injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the ANY ACCREDITED HOSPITAL. NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER � .K �'.• `' - � y. �� -^. .j._ r a- �� �, r ;:. �:rd��' ,.:`�.1Y T .1�+.�` �Y"�' ?ir�� ` j :� t't 4 , i ' L �a` K '- _ �,• ,. .WPi �O�O DP`RO bru C--T-S � r-I _ S . dll:dbom ihW0omd4 e,: ryh t �yt ,ru `.. a. -ram ,. t { �'� 'S•, �k .u' }• - , � G r ' r y . � s y p `�\ � l� Z, tis"� � } d S .!: J � k-+�,. +',y � R "4•.,"�*�'}' �..'o•�. ; ..� .� � _ 1i: a: .i-'= '� aa... \' ^'^'.� y „*!� •; `� .¢ d. k�• ,,� ra*,ly,eM4� P,,r' -:r� � ., n T , 'j �_ � - �• e �,a.�� ��.^� br". ?. �++.*+,....._. psi• '� � _ i t r.� � •� "� •,� -k ' '". "ew a to:.� m � � ^C �.�� "'' � ��_. � ,�'v,., Post &: Beam Sheds 4 �4 �ual t Out-door Wood Products .Q ry . .r -;. .. vl- F p4.h www.,pinelaror.com tt _4 Yz x,,, S '. �� J u,. .-..,�. ,�^'. 1 Y`';F. r �2 •a.t�..'' .,f' �' e'SaLEs 1-800-73 -SHED ?1 y CUSTOMER= SERVICE -SHED KIT (743-3548)r Pihe f�arbor.:Wood-Prod uets _ Since�1980 Pine Harbor Wood Products has been constructor the finest' uaht Post..& Beam sheds and outdoor g 9 y - buildings th.roughout'New England Our family owned and-operated business has builf'thousands of sheds:forsatisfied clients. We.offerstandard and- custom designed buildings to meet all your storage needs. r" Our'rugged`post aril beam construction separates Pine ` +tHarbor from the rest. Pine-.Harbor sheds are.constructed from full dirilensi'onal sawmilled pine;precut at our, ` manufacturing facility and built-on your-property.c- We.pride.ourselvesfon,creating a balance of function j and fashion.*Our reputation for:quality products,'fair F pricing and on-schedule`installations is'second to none:`'- Thank you for your,time.and interest in.our liuilding': 1 `Please call or stop`in,for a free quote,and,more information. F �—Thank You,. - James-McGrath =1Woetaht i forw�at�or% i Thank you°for your mterest.in'a Pine Harbor Wood Products'Post & Beam shed.` T � .. �{ -We appreciate your•busmess and have'put together the:following important•information to consider:,-,, ' t e �7 Before the shed�is,built : y- f Order: Please review your invoice and be certain that it states_whatyou ordered. } d If you must postpone or cancel delivery date,:we'need at least.a 5,day notice or charges will_apply." ; �If we are:unable to build on the day of delivery due to an unprepared.site,a,reschedule fee,willapply�•. ' Payment: Payment is due'in full the day;theshed is:built!`We accept checks,-Mastercard,and Visa..r Please let us know in,Advance.if you plan to pay by credit card.These sales-must be processed before delivery. rk ti " Permit: Permits are-the sole responsibility of the home owner,Please check with your local bull_ding department' regarding permit requirements;setbacks;and'otherregulations that may apply. Site Prep: Please prepare"the site before we arrive to build We need approximately:-2'around'the'she'd size .ordered..Please cut tree limbs that may be.in the=way;remove-trees,shrubs;underbrush and oth_er,miscc items from the shed site"area Land Grade: The grade-of the land can he deceiving.Be sure>that it 1s-flat. If you are uncertain"please`call fora free site inspection.We offer site`leveling and site work services for a fee.. t '�-• .AICceSs. Please let'us know in advance if the•shed site'you have chosen is notaccessibit by truck or-is in•excessl,of a, ^ •,50'distance from where we can park the truck.There'maybe an additional charge if it.is more than,50'. ._ _ Shed Location. Please be certain ofthe shed location you have chosen before we'start to build.We will not be responsible for relocation or anystructdral changes`;after`we sta,rt to build-TherewilI be an additional charge for' .. any relocation'changes diter it is built Delivery: We require that somebody must'be at the shed site the day of delivery to assure proper location of the shed and to give our-shed builders access to electricity Electricity access must be within 150'of the site There will be =` a generator fee if one pis needed at your site:ShWs•are built on your property:Delivery charges apply to-certain areas.__ -' WAR RANTY Pine-Harbor Wood Products provides you with a hve Year''Structural Guaranteeiagainst defective materials and workmanship.'' `Dani*,by accident;neglect or natural'dis,'ster is not included in this guSarantee.THe-warranty,period begins upon completion of construction.. s T d ' : - . «. .. 1. .. F•. - _ _ r .- .. .: a .. _ f 1 -Wh I Allh ' 'Oarbor Post �eamhedY UYj Pine Harbor.Wood Products is family owned and operated-' with over 25 year`s-of-experience in the construction of quality. , ;Post & Beam sheds and structures:. We stand 100% behind _ our workmanship: Our sheds-.are handcrafted piece by piece, _ 4 - here o1fi Cape-Cod and built on your,property! No Prefab! `. k Our Post`& Beani`sheds.provide a charming focal point on your property. Our different designs•allow you to match your, . !` home--s architecture and'choose a.shed that will reflect your . a personal style. The Pine Harbor Post &Beam difference'is craftsmanship of years,past where quality is of the utmost'importance. :We use - full dimensional sawmilled pine in our framing, providing you with an extremely durable structure with rugged good looks: No stick framing here! _ When you place'an order with us, you are scheduledimmediately and-given an installation date. That'isthe date your , shed mill-be built, that is�our commitment to-you: (Weather permitting of course!) To.ensure that you receive the most professionally built Post & Beam shed possible,-our own Pine Harbor certified installers are extensively trained in our Post&,Beam installati6ri system to.ensure quality and consistency. . At this time we at Pine Harbor would like to thank you for considering us in your for a shed. Please feel free ' to call us anytime with your question!;or thoughts. ;Ask a neighbor or-a'friend and chances are, they have a Pine Harbor -Post & Beam shed. . _ Standard Post & Beam-Sheds Come With: •�j %".p 1 wood.floor CDX'exterior•grade • Post and-Beam frame.. `Y g - _ , Shiplap pine siding • 6'5" inside wall height, •361'standard door, w/free pressure treated-ramp • Heavy Duty keyed entry handle • Stationary windows with flowerbox and shutter. ; • 8"x 12" louvers for-ventilation, .- - . •25 y'r..Asphalt Shingles 2"x.6" Pressure treated floor framing. • Solid_ concrete block . (2'9,x 8".on 12'deep sheds) In extreme circumstances and supply shortages,-Pine Harbor Wood Products -reserves the right to use materials of equal,or better quality:, - - Our Post & Beam sheds-are built,on your property. - - _ Time'Tested Uses'For' Helpful Hints t' •Shed siteprep is important Pine Harbor Sheds Grade-of land cam be deceiving - r� Garden TOols'and Supplies Patio Furniture A level sitewill look better,be more `r ' ' functional,,and provide`easy access! t 1 r Garden Tractors Bikes and Toys 1 } Mowers :Galls-, .• .Stain/Seal within 30 days to preserve _ Playhouses Pool Supplies �- the lifetime of your shed. Bunkhouses Motorcycles ' " " •When"choosing a size,we strongly h, Art Studios Snowblowers .- recommend ordering one size larger c ;Outdoor Furniture and much more"... than you think you need.You always Protect YOUr'Investment§= �, , t need storage'space."Do it once-do it rikht! Shingle'Color Chart. 25 yr.3-tab Certainteed'asphaltsliingles.Standard choices below.Colors are not exact Certatnteed architect style shingles are an available option. n Chestnut Brown Slate Gray- Gray Frost Star White . -Moire Black •Weatheredwood Black Pepper Timber Blende'- #r ' i a p p� �y+',w •\ 7 `L'e��:•.S; S'. �' ,:� ,��`.?,y'✓��X,+ ""C� r i �3y Y�� Ca a Cod Clasic _ - Y Y � s .x ,ate� f��� :a '�� � • — _ 8x etas rc -. r -� � � � _� �, • 1 :1 11 1 � 1 11 s "` +�' ��� ' � �' -fit oY ;# • : : �1 11 1 • :•1 11 t -. 4 •1 11 1�1 11 12A6 Classic vi/nption oulile doers 1 1 '•111 1 ' � �111 e ere a ie e : ie a �e Saltbox \ �� M 1 •e �.'� . F �'� _.�- 'ems � fl.- L i l l � nab �,. '•a�.r- 1 , ; � sw„'�'�' � � fi��gk � � *•w- ' • � ' 1�111 : ' :�111 : 1 1 11 1 1 11 8s1.2 Saltbox w/optional cupola : •:1 11 1 • .1 11 e e ee • e :ee : :e a �e St' dard-Shed Vol ass T 9 The WON LOft By increasing the roof pitch to a steeper } Y , , pitch ('%Z) and-inctuding a 4' storage-loft F _ - this is the perfect-style for the,"pack rat". The loft provides storage space-for smallfa ` and seasonal items such.as beach chairs ' and hoses,,etc. . while maintaining optimal -wall-and floor space. This'design adds New England,character! r { k Size Pricih, ' y . 6x8. . . . :. . . . ... :...$1300,00 1Ox12. . : . .`. "$2350.00 6xf0 $1440.00 1Ox14 :$2780.00, ^ 8x8. . . . . . $1420.00 10x16 . . . ... . . . . . $3170.00 ` ,` * 8x10 - . . . .,$1710.00 12x12 .`$28.30.00• l + gx12 . . :$2000.00 12x14 -.$3400.00 ! ' 1 12x 16 2240 00 $ J. $3800.00 8x 14. . .10x10.. . .. . . . .. . .$2220.00 12x20. . $4800.00 , Larger sizes available.; r - :All siding is now Shiplap Pine.not Board&Batten as pictured. r The Vineyard Overhang id When outside covered storage is as important as,the inside, the 30'° overhan' off the-back allows for firewood, kayaks, bikes, etc.... to`be.kept accessible, yet covered without - " - making the entire shed bigger. The roofline ^ is also appealing-for its-Saltbox.looks'.This r jdesign has a %z roof pitch.= - 1 6x8 . . . . ... . . . . . -.'$.1380.00 lOx12 .. . . : . . . $2410.00 6x10 . . . $040:00 1Ox14 ' . . .�. . . . . . $2900.00, u 8x8 $1490.00 aOxI6 . . . $3280.00, 8x10 ` `. . '-$1800.00 ',12x12 . . . ... $2940.00 8x12 . $2100.00- 12x14 . . $3480:00 �u 8x14 $2300.00 _12xl6 . . . . '. $3890.00 1Ox10 . . ... . . ::; $2290.00 12x20 .. : $5000.00 Larger sizes available. 1 6ptional double door, shingle siding,tr'irn pek, &architect shingles. _ All.siding is now Shiplap Pine-not Board&Batte ured.- s a - � o ice. Price does not include 5%sales tax: S )Ousfom Shed pesigns • A i t 12x16 Custom 12x14 Custom' , pit - e 12x16,Custom, 1Ox12 Custom - whyOuy., Cu, In addition to our standard sheds;we also offer customized sheds built by our professional"staff. We will customize any shed to meet your needs. The only lmitao customizing your shed is-your imagination. . Whether it be a custom pool cabana'; changing.chan ing room or a place to store unsightly-Pool pumps and filters; a rustic Post &Beam bunkhouse for summer.visitors and extra space; an art studio or workshop... we can"design a building for you: !'J" Custom options include concrete slabs, heavier frames, shiplap flooring, door and window options not available on standard designs and much more...: 4 %S) We also offer a selection of screenhouses, Post & Beam horse'barns, run in",sheds, barns and garages built on Cape Cod and the Islands-.only! All of our buildings axe'of top quality-rugged Post & Beam construction built to stand,the test of time! Please contacV our Harwich sales-office`at 50$;430-2800 for information aboutthese larger buildings.'We offer design'services, free consultation and quotes on buildings of all sizes,and styles. _ q (v"(/ e . 'Vp' 1�"'•r_ i `Shed ,O O�V- h �. - ♦`; -� V <. . .,Customize your shed with options.to get t. e.most out`of your shed. ,:' , - . Door's- - A-11 doors come with free 40"pressure treated ramp additional 3,'door '$85.00 r additional"4'double door 3. . .'. .- . . . . . . . x 140.00 ' - additional 6 double door �. $175.00 upgrade.3'door'-to.4'double door i _ $60:00 •',N upgrade 3'.door to 6'double door.. � �` � -`F ` ` � .$85.00 upgrade 3 door_to,Y-Bead•Board door $50:00 _ additional-3•'Bead Board-Door, $1 5.00' ` additional 4''Bead-Board Dopr` . . . $195 00 ', additional 6"Bead BoardDoor ? . '$270.00 Acorn Stra Hin es-'Pair p g i r $35.:00 wlndows `*z -.additional stationary window(22"x28") {: $50:00 _ r 'upgrade;to'opening•windcW . `; r. $30.00: , 4 upgrade opening to Double Hung window . : ... . . .,. \: $135.00.' a additional opening wmdow.'(18'x27') ;?": x upgrade to Double Hurig window (23"x41 w/Screen and window liox(no shutters) `: 16 additional Double-Hung window21 , ,a �F> Shelvi Units 1 'x12"shelf l Shelf Unit 8 ` $15 00 per shelf ,Shelf Unit 10' Shelf Unit'12', : . . . �. . $95 00 . . . . . ' � $95 00 •Lofts 4 x8' ,:. . . . . . . t _ _ 4'x 10' f - $60:00 4'x -570.00 12' t.. �. r. . Cupolas, F� v, 'q 16"white cupola with black top roof. r K f . , : ,,A $85.00 , =16"copper,top... � .'. � $220.00 - 18"copper top. . . . . . ... . . . . s. .. . . . .` . $260 00 1 y Wide selection-of weathervanes available f M1 Sono Abe Footings -available on Cape Cod only t 8,'.tubes . ` 450 00 each 10"tubes . . i $70:00 each . . . . .. l Primed TYimP'a'ckaie-enhance appearance,.by upgradmg;rough trim to pre-primed smooth trim`opening wiiidow(s), smooth " z `window box;brackets and shutters, 1. ''"re- rimed bead board doof,and black.haidware - ,r ( ) 3 P P = '.6x8, 8x8, 8x10; 1Ox10" . . . " 8x12;1Ox12, 12x12 1. . . . . . . . . . ` . . . . . ;' $200 00 " $220 00 ` 8x,14,lOxl4, 1Ox16 12x14;'12xl6 ._ . .. . . $280 00 New Deluxe Appearance Paekage includes natural red cedar;primed red cedar.clapboard'or cedar shingles on the front wall only. Are pnrried smooth trim opening wmdow(s),smooth windowYbox brackets and shutters,(1)3'pre primed bead:board'_door with black hardware d _bx8, 8x8„8x10 161: . . . °.. - $490 00 f - -8x'12, lOxl2,,12xl2 00 t z �. '-8x14, 1Oxl4, lOxi6, 12x14,112x16 4 the.FollOw "g Cis owe Optiohs A' AVre aI' bVAa -Priced PertShod Size-_ s �t J •y. + F,z, � Y *` `•, �.t �'- .a Y .� }. '�' t,f` ra, .d Sidm� Options... r y.. Pressure TTreated-Plywood �'loormg :. Clear Red Cedar cla board siding f 1 era : t r p g $ p q. ft: of shed size Primed Red Cedar clapboard siding �y y ` Roof Shin les K White Cedar,shingle siding g, f r w (available on'1'or 4 walN only) - ;Archiiecfaral Asphalt-$1 per sq.ft. of shed size i l -'7'Wall Height. _ - v - - White Cedar roof'\ g r r `priced upon request r ' F i ,� ,R .Rad Cedar roof 11.50 per sq: ft..of shed size r. - Site Work-Services.. � � t r , „ ' 1. Pine 9f(arbor Vllood;Products t * We offer a wide:variety-of quality'outdoor-'products to,enhance 'the beauty.of your yard - v R. n '-♦ ' ..�. - ' --- � '�•..,ti;'. �r r>',may' �t .\ ike Ri .^a �, . 66 ' Adirondack Set ' u, - �•-� , Riverwood •Devon Outdoor weathervan s' , =Table Set s r" t r , •G 1 - Furniture oalsetter Basketball Hoops" 1 eCoastalfHammocks ,Umbrellas `r ' •Cushions- ORenchesand Gliders.`' t -•Yard.andPorch:Swings r f i. •IViailboxes and.Posts C Riverwood` , Casual Furniture Tyndall°Creek Rocker Cupolas _ Double Rocker - �2IGINALRedwood Playse't Company " - i - Fine residential`play equipment All natdial.redwood. Many models andplay-options to create yo'k perfect swingset. - r f { SALES.1:80�0=368=SHED (7433) CUSTOMERS SERVICE'1-866 :SHED+, IT'R(743-3548) h ` _ ; x 'Licensed `Re istered Insured' - . ; • _ -_ t, �www pineharbor a w • `'y 259-Oueen Anne Roads 326'Yarmouth•Road-(Willow St.)', 403jrnpike.Road (Rte.138) Harwich,.-MA 02645,' t Hyannis,`MA 02601v,3 Y .' S:Easton,.1VIA 02375` J hone:"508-430-2800' ; >Fliori_ e.508=771-5007r _" Phone: 508-230-3420 Fax:.,50&-430-1115. `, Fax 508-7-71=7070 t Fax: 508-230=3421 Email: harwich@p neharborcom' Email: Hyannis@pineharborc6m, - Ehiail.'easton@pineharborcom TOWN OF BARNSTABLE T { CERTIFICATE OF OCCUPANCY - -PARCEL-I-Dr-039- -093 - - ------ -- -GEOBASE-ID---23'72 ADDRESS '77 EISENHOWER DRIVE PHONE ..(508)896-5695 COTUIT ZIP - LOT 24: LC36 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 26016 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#19414) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �1ME I BOND $.00 , 1 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTAgLE. I b OWNER WHALEN, STEPHEN Mj. ADDRESS E� PO BOX 322 BUILD D VISI N SOUTH DENNIS MA. BY DATE ISSUED 10/01/1997 EXPIRATION DATE �"` THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A ik 1- I m / LI DATA APO Department of Health, Safety and Environmental Services tN * * BABWBTABLE, • MASS. 039. ED Ml�►I BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET _43/BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 f b LQZ Pu;4 2 -j _1 t!1i Oi9 � 6' 2 d VL ?� -- r -, = 4 �� 3 � rlv ,3 � �•� ������� ,/� HEATING INSPECTION APPROVALS NGINEER G DEPARTMENT - �d' 2 9.2 3�(�—� BOARD OF EALTH 017 OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED 0 THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED F VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOT TION. NOTED ABOVE. TION. t' G 4o l6 BUILDING PERMIT ❑❑- —>,) C) ❑ —I 0 h C�DZ --- n °Q clz W `S0 C" %[Z -1.1 -0 w (D � z --, z m � � � D � � z >O El < c — N Zm -+ - � -I y0 � n r — D ao ZOW (�,� D r' ti m l rn o ljr� I rn r ic,> I .. Town of Barnstable Approved /�p� Regulatory Services Fee Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Horne Occupation Registration Date:_/,9 —3 Ch -a / Name: � � 12 Phone#: r4 Address: -7 7 o L j e A op r Village: C©'XU f` Name of Business: P / /� ��✓�✓d�� Type of Business: I// f �! Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than.400 square feet of space. There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke, dust or other particular matter, odors, electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Gam/ Date:`© ^3 69 Homeoc.doc c ,cJJ Engineering Dept. (3rd floor) Map Parcel cJ Permit# 9 /_ / House# /J Date Issued - 102 b J to /Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Feed /Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin.Bldg.) 141YU Defi ' ' Plan Approved by P anning Board �/ 19 � � ✓' �T' B B ; V 1 —Q I ECG•S'-e � ' b_ a�a,;t., "v ',t�6� 39• a 4�1 TOWN OF BAR Nisi B �7 Building,�PermitApplication C*ectS� Address Village 4 Owner Address 6 v � Telephone $— r /� A Permit Request �,°ni r/,P_ vm,f'/t,Z xJ4L �G First Floor Z. Z- J ' u r feet Se and F r q s uare feet A . Construction Type Estimated Project Cost $ 7. OQ® Zoning District 1? F` Flood Plain Water Protection Lot Size 2 C 9 64 Yr S;F Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 1 Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) (^j Basement Unfinished Area(sq.ft) i Z Z C/ Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New _ 3 Total Room Count(not including baths): Existing New First Floor Room Count �}^ Heat Type and Fuel: O(Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ONo Fireplaces: Existing New =L Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) 7-0 )C X 0 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ `i Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Q��--1� _ Telephone Numbe Address License#- Home Improvement Contractor# 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 SIGNATURE DATE t,11X/f_ /1 BUILDING PERMIT NIED FOR THE FOLLOWING REASON(S) 1 FOR OFFICIAL USE ONLY ' PERMIT NO. DATE ISSUED MAP/PARCEL NO. - ADDRESS ' _ VILLAGE OWNER Y . 1 DATE OF INSPECTION: FOUNDATION 41 FRAME INSULATION .r FIREPLACE L ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL i GAS: TROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l r TOWN OF BARNSTABLE Building Department- Foundation Permit Date � 9G Name Location J��-t�► - - Msp. of Bldgs. THE The Town of Barnstable r BARNSTABLE, ' Department of Health Safety and Environmental Services MASS. $ Departmen39. t Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location - �' �, ("��� �W� Permit Number 4t 14 Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: -n WUS-e 4- 4 1( A it 1i C-L� -T,_L r a jg-".A PvUL— Ar LUL 0 -- 'te ±7r-f5 u c AA 4e V- (�-4Pj Please call: 508-790-6227 'for fre-inspection. Inspected by _(-ftN�f Date ' ` y '` v r '� cl�/ a a a# 3 Z 8 N Al q, •q � l a A ri 1 Jll yr ` j r TO' THE BEST" OF MY INFORMATION; "AS- BUILT" PLOT PLAN KN KEDGE, AND BELIEF THE BARNSTABLE, MASS. SHOWN ON THIS Lo; Z % G PLAN HAS BEEN LOCATED GROUND AS INDICATED DATE �FQ SCALE s� r3sa JOB ���'i'�' CLIENT // a iLCO n 6 rz. SWEETSER ENGINEERINGf , 235 GREAT WESTERN ROAD P.O. BOX 713 SOUTH DENNIS, MASS. DATE PROFESSIONAL LAN '1 �l�` a,�. �Z 398-3922 02660 I y Oa :. 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Ili N'?e aT'V6 M RAIM si M ST " i SMEE% Q �` �o` 10 j zw 00 Oi W i a � I �e� of agrw• � �a i Prim•Wr O O _m Qr i ®n -0rz �.Lr raw�•^r"L.�........w b E a£5 I. _.._ - -.. ..._-. .J �✓ 10>J.^rl^fS v c � a i _ f0-< - � s f+ .v:srnomrm r.msAID �j ( �i �n� r �i+•i" �il P�� .� '�'�f�G� 'II _ I dnC S—Q p h cz Ram �. i :. . y 3A?t EM '.�i� „2 I� &.`�)?3CY'I a3I t �L'r.,-�/' !I , n..�—I�P� W N B rl MUST _emu 2 c R ui.gr.r= Ili crn �r Z I I I v� ! � - I,,hS 9A4.`LY11C19rA U.'II.i 9ll L.F. urtaGr,usF 0t)00 M 2nd =LOOT PLO —. . J ZF'7-",FF.C-IMCAL i PLAIN NpM. ;EET 10 DONALD F. HENDERSON, P. C. ATTORNEY AT LAW 776 MAIN STREET HYANNIS, MASSACHUSETTS 0 2 601-43 8S 508-7 75-IS04 FAX NO. 508-775-1952 PLEASE REFER TO FILE NO. November 14, 1996 DFH 5326 By Facsimile and Regular Mail Mr. Ralph Crossen Building Caunissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Dear Mr. Crossen: I have examined the title to Lot 24; #77 Eisenhower Drive, Coblit, as shown on Land Court Plan 36319-C, a aopy of vhich is enclosed. This lot is also shown on Assessors Map 39 as Parcel 93. It is abutted by Lots 19, 23 and 25 as shown on the same Land Court Plan. . Ipt 24 vent into separate owership by Deed dated August 14, 1979, which Deed became Certificate of Title No. 79147, and has remained in s`lqparate owership fran adjoining properties since that time. Thus I believe, although the lot is not an acre in area, it is grandfathered under the Town of Barnstable Zoning Bylaw, The lot is under agreement and I believe Stephen M..;Whalen has male application to your office for a building permit. If there is any further information that you need from;a title standpoint, please let me know and I will try to provide it promptly. Very truly yours, D(NAI D F. HENDERSON, P. C. By, Donald F. Henderson DFH/pbw Enclo sur e cc: Mr. Stephen M. Whalen ! The Commonwealth of Massachusetts u }t Departn ent of Ittdttstrial Accidents '� 1 Oniceo!/nvesUgallONS 601/ {{'ashinl;ton Street Boston, A1ass. 02111 Workers' Compensation Insurance Affidavit r° legibly s •`"�.....� r"`....:.�.-...• _ _ ,pi�lltcant tnftirmation• name• TG,O��/L/ �jAl phonecity T�- 1 am a homeowner performing all wort.myself. 1 am a sole proprietor and have no one working in any capacity ra..e� w+�w!58� �'^'n'"+T'."*°at•� ,•`^**" e+.+agr�.'y,.'•t.,..,tr•�e,4� 1.::.d.�..:_�''�-.---�/°"-.^-ins; ':T:..r�..:•^,,a•avtv.'a^?"I Iry,'a7'x'rr^a*R'R2�9.slra..'�K _.; ��r..'-d�p��°... _-.rM. �dl.'�:d..,�.�..::r::r•......_..:...__...�....� I am an employer providing workers"compensation for my employees working on this job. company name• address• city: Rhone#• jinsurance co. policy _.... .,>�,... .. .,,,.,.•«mot,-�'. »..;.. .. ..�.rn-.w+ccw.,;c+w.;,-s'f :. ..:.. .......« .. .�!'�'~` ".'o""'..:�."S"" :. Cl I am a sole proprietor, general contractor,or homeowner(circle one and have hired the contractors listed below who have the following workers' compensation polices: company name: I(dress• city: phone#• insurance co polio # e ue:F['i:" "."?i�+V*�-^-r,^�^.:'T•:1'•�e^T9 �t''•'c •rs "s.^_•''t"�"r,e*'v1�"x�'yrs•::i5 'R.j' tjt s�"'�!"•-�.,:* .-...�._s_......-.�z�. ...�-_.._'::.asin• a •_ _ :�i.liJr:M 4►..t�1� r�.w•tl$..,.c.4.riiYr company name: address: city phone#: insurance co policy. Ati:ic_h'addi_tional sheet'if necessa„"���"";� ".�i',r:-':�,..:. ..ar.a' .n:a—.a•,. y i'• -.,�fir,s�t+a RYucra't, u , ,., .� ,teat°,.`Zrtii'. Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP R'ORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehP certify under the pain and penalties of perjun,that the information provided above is true and correct. �s Sianature Date Ji 7(� Print name 2 �'PN "�' Phone# 7omcw do not write in this area to be completed by city or town official 'J� permitAicense# riBuilding DepartmentoLicensing Board `cec mmediate response is required OSclectmen's Office s �liealth Department contact person phone#• MOther (revised 3195 PJA) Information and Instructions f Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an e►nplovee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An etnplover 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 r•epresetitatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employ ing�emp1 yees., 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,ho.use or on the (,rounds or building appurtenant thereto shall not because of such employment be deemed to be an emplover. MGL chapter 152 section 25 also states that even,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 vvho has not Produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the ' performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. .;t' r Applicants Please fill in the workers' compensation affidavit completely, by cliecking 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. s City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to 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. ."!t1M.'�u+tfw.•.^..w..........:.�-:,�'Vnq,'.• - yr.y;SM F•rq TJ:'CR!✓R•.fn . fer.'v�T .JII•wrK�a s+RJ1►RV'}f/t.•I . ;T 1 T�Rs�tTM.V'f•••+'aR�1' .... '.., ...... rr •'t 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) 727-4900 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION /V/ z P ! o 4,,{,A Number Street address Section of town "HOMEOWNER" )94A1 11amerHome phone Work phone PRESENT MAILING ADDRESS �, ®. �®y, City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildin-g permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said rocedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings .35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. i HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for ,licensing Construction Supervisors, Section 2. 15) . This lack of awareries often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, . man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. S119DTVI3Tr)'' PLAN nF LA"'D TN RA.R1I3TAPLT7 363/9C Thomas F. Kelley ^o. , Surveyors i Fehruar;; 1., 1973 K` O Ur I °,s,GB•`�21iS.S4 ti ^`f2 /9�82F0 O. 2 0 .4 z fN. �9S 8• �a `A�1 �4 � .N Ne CV i . 2y�2Z� VI N2 28Y` 9 N ce p 1 g4 4G 40 ��i ? h.inCa V 1J �46 4n-�F ��„ ' �$ d acGe, 3 $5 cn $ •� N 8 -� vy / 1 v 140.00 eh. U 7 O�1 j N N . Q 01225E N Gi �a9°{y, p" A 149.31 /6pA0 N W00n �` G1 l• O/7 o+ � N '°26 0 cn a N 16000 CV163.04' ' S701225F v OS47q� fQQ Ta,1AQ3V1N O NZ vn 5 N $ry 160.00 5701225E_ - O O I N O 2 ° 4 O s47��t a� N TO e19 39 32 n 4 24 a`� $ oo vt ro .,g 160.00 2II.6 w N Z Z10.31 d g70 ?25t 0 12.25 W " w 7D� �",:33 b 3 N 20 N A 23 160.00 Q 263./-9 ro O `;,Z10.31 p _S7012zsE a S4746 w NTO`1225WN 34 3m 'l 1 2/�.� ;N 22 ��j 0 � � 2 298.02 N 212.85 O 0 161.33 f N 61020.44••W d,;4 135:44 r 136.47 dh r� Gilbert W. Cox I..C.N.. 36006,4 • .. C�rt. 54h31 � Subdivision of I,ot 1 3hnwn on nl an 36319a i Filed with Cart, of Titla ''o. . • Registry District of Pnrnetn'?aCn`ir.l.y i I Separate certificates of title ma be Issued for land shown hereon is/sb..13_tbru 94______________ Copy of parf of p/aa --- y the Court. —fig — in LAND R£GISTRAT/ON Off/Cr AUG.221973 r�" Sca/e of this _ ________ plan 157E feet to an inch 6UO_Oz1173 %� Record AL.Woo d6ury,Engineer ror Co urt SOIL T�ST .. TOP OF FOUNDATION 20 FT. MINIMUM FROM CEAR ! `? _ _- LL _.- ._-- __-- _ __.. . ., TEST _ ------ ----- --_ --- ---- -- --- DATE OF SOIL t - 10 FT. MINIMUM 10 FT. MWIMUM FROM SLAB OR CRAWL SPACE ELEV. _ — _ ______--� CLEAN SAND SOIL TEST DONE BY $Ij�G � WITNESSED BY 6 L 14'> CONCRETE - COVERS LOAM AND SEED OBSEKVATIOP,� HOLE 1 ELEV•= % 7 y OBSERVATION,HOLE 2 ELEV.= 4" SCHEDULE 40 PVC PIPE C PERCOLATION RATE _ z- `f MIN./INCH AT '`� INCHES PERCOLATION RATE i MIN./INCH AT (`` INCHES --- MIN. PITCH 1/8" PER FT. � �� 2" LA)EH OF -- _ --1/8' TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TURE COLOR MOTT. OTHER " wASHEU STONEC��tT 4" CAST IRON PIPE l�(. MAX. - - _ >1 _ NOT REQUIRED O `f 0 �7X �< r) ______. (OR EQUAL) MINIMUM \ ----� I PITCH 1/4" PER FT. __ rn 1 COI.CkE TE `f'9 r r S/yAd -- --- ANCHOR �'9 / _ FLOW LINE 7rl: t +, ELEV. 61°tJ. :o 4 D ��� . �,�,,� I ELEV. s te_ E`EL o I to V `3t ' I 6" 'J "'l _ ELEV_ LOA"h Y �� L 0 / ;9ELEV. i > ifGAS ELEV. _ ELEV. v. -- -- BAFFLE I) �> Xr� � M13 _ DISTRIBUT ION16 5�r�1� LIQUID OUTLET L_;—: V CoA/wsa' .7Eby -DFYm- -- — TO BE PLACED ON FIRM BASE) BOX ' rINrILTRATOR-1 WITH STONE IN AN z � � f3-) U I (� `Z Gpc' `i'rfg� C � � 2711 GSA✓�'�. 4 FEET 14 INCHES ( TO BE WATER TESTED I[t � 1p TRENCH FORMATION � , 5 FEET 19 INCHES IF MORE THAN ONE OUTLET -- -- - - „J / 1 UU '9 7 j 6 FEET 24 INCHES � 500 GALLON / �. �. WELL ' �J U WATER ENCOUNTERED AT ELEV. _ �T 9 �� WATER ENCOUNTERED AT /Z ELEV. _ S T 8 FEET - 34 INCHES `�EF'TIC TANK (TO BE PLACED ON FIRM BASE) SOIL ABS'ORC- TION ZONE 3/4" TO 1 1/2"-' 0)YSTE!vl (SAS) INDEX WASHED STONE � ADJUST_._.__ LEGEND: DESIGN CALCULATIONS } ' 'P 3 r' USA PROBABLE WATER TABLE ELEV. _ _____ EXISTING SPOT ELEVATION 00„0 NUMBER OF BEDROOMS _ L " SEWAGE DISPOSAL SYSTEM PROFILE OBSERVEIJ WA1LR TABLE ( ' / ) ELEV. _ _ EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT i NOT TO SCALE BOTTOM OF 'TEST HOLE ELEV. m ��� FINAL SPOT ELEVATION TOTAL ESTIMATED FLOW � FINAL CONTOUR--- --- ._{ -- ( it *' GAL./BR./DAY X BR.) O GAL/DAY SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITI 4 GAL. UTILITY POLE o- ACTUAL SIZE OF SEPTIC TANK 1500 GAL. d�rat� TOWN WATER SOIL CLASSIFICATION I _.=W=,,r-__xW�r=—_ CATCH BASIN ��� DESIGN PERCOLATION RATE �_ MIN./IN. GAS LINE -- - G------- -- EFFLUENT LOADING RATE 074 GAL./DAY/S.F. LEACHING AREA SO. FT, I LEACHING CAPACITY (AREA X RATE) { GAL./DAY / RESERVE LEACHING CAPACITY �f` GAL-/DAY ' I NOTES: r 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. r TITLE 5 AND THE TOWN OF 1;02/L-"S f a ' RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. (p 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN l 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE J USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL I BE MORTARED IN PLACE. NO DHAS BEEN MAE AS TO COMPLIANCE WITH Ai �Q yy f 5 DEEDED ORI NAMON ZONING REGULATIONS.D CWNER / APPLICANT IS TO fN �� ! 1`'��` OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. c f 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR !, �'� IS TO CALL "DIG-SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS fI tV / S N PRIOR TO COMMENCING WORK ON SITE. ! 91 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. f �vw 8. PARCEL IS IN FLOOD ZONE - ,> �1 9. LOT IS SHOWN ON ASSESSORS MAP !! AS PARCEL >.f 31167 4 Aj CO , A CRAI0 W�La - v { FI + 7Ayfi 341 m aHUR ' kv �, 7 ^/ I J$4 27dCs3 S�lFivt^� ,^\FCt F s /,PPROVED: BOARD OF HEALT H Alf DATE AGENT PROPOSED SEPTIC DESIGN - .41 - FOR J I - PROJECT LOCATION 4 S WEETSER ENGINEERING IV , ti r ,� 235 GREAT WESTERN ROAD j �1 vi 508— SOUTH 0.DENOIS713 SOU , 398-3922 02660 P� DATE, .�.. SCALE 1,► _ ,s iJ _ I , REVISED JOB N0. C LOCATION MAP [REVISED SHEET / OF 01996 SWEETSER ENGINEERING