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�> � _ E , � � � '� j �, �� �� .� � / s r 4� c. 7^x tiM.� • y jv Y a x � r ' r CF SHE Tp� . Town of Barnstable Building Department Services • snarrsrnsLE, �» Brian Florence, CBO MASS' Building Commissioner TV0 OF gUNKM i639' ♦0 iOrEo�,�e 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 201 .AN 2 1. :S Office: 508-862-4038 Fax: 508-790-.6230 61VISION Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: - cC..) d The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: " Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the'above-identified family members. In the event that the listed relatives vacate said apartment;I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also' understand that I am required to comply with all conditions imposed by the ZBA Special Perm' and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to not ifv the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Sworn to under the pains and penalties of perjury this day of ��/'� 2020. 2-0 Signatafe Phone Number . Print Name v U q:form s/famaffid.doc rev 11/08/13 Town of Barnstable pp tHE 1p� tia Building Department Services Brian Florence, CBO * &UMSTABLE, '71 MAS& ,erg Building Commissioner .O '� t ¢- USTABLE Argo nna+" 200 Main Street, Hyannis, MA 0260.1 www.town.barnstable.ma.us , c Officer 508-862-4038 Fax:, 508-790-6230 Town of Barnstable Family Apartment / fOdavit I,being on oath, depose and state.as follows: My name is G�"� -e-" I"am.the owner/resident of the f, property located at: The following members of my family will be the sole occupants of the Family.Apartment at.the aforementioned address: Name &relationship to owner: #e_Je,!n_ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building,Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been.transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2019. -4et-g, .4,,& Signature Phone Number Print Name GC'd2-e 7" q:forms/famaffid.doc rev 11/08/13 i Town of Barnstable Building Department 8 AN E® Brian Florence, CBO (oj MM& Building Commissioner s6;¢ ♦0 ''RFD►9 200 Main Street, Hyannis,MA 02601 C= www.town.barnstable.ma.us a 0 oo Office: 508-862-4038 F . 508-79 6236�,> Town of Bamstable Family Apartment Affida it a cxa I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: _ 1 C, o-N J-f= The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: (/� Name &relationship to owner: �L' { ,�I,� s 6 '� Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J aJA 2018. S° `{ 20 Signature UPhone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable R = Regulatory Services oF�� Richard V. ScaG Director ' TOIAj OF BARNSTABLE . r Building Division BAPMABIX Paul Roma,Building CommissiMAMoner ' 17 rA:N . 22 �r 059. � -200 Main Street, Hyannis,MA.02601 Fp 1iAld www.town.barnstable.maxs Office: 508-862-4038 rl./R 508- 230 Town of Barnstable Family Apartment Affidavit I,being on oath,-depose and state as follows: My name is I am the owner/resident of the - -property located at: l - The following members-of my family will be the sole occupants of the Family Apartment at the ; aforementioned address: Name &relationship to.owner: Name&relationship to owner: The Family Apartment will be the primary year-round.residence for the .above-identified family members. In the-event that the listed relatives vacate said apartment, I will immediately' note the Building Commissioner in writing. I understand that no subletting or subleasing of said. Family Apartment is permitted. I understand that I am required to file an Aff davit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. .- -If there is no-longer a Family Apartment at this location,please.explain: The apartment has been dismantled. ` The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the ains-and penalties of perjury this day of Jain 2617. so Signature , Phone Number . Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFt"E twfti Richard V. Scali,Director n Building Division BMWSTMMM& ' Thomas.Perry, CBO,Building Commissioner .m� ATEo059. p 200 Mdin Street, Hyannis,`MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax:..508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: M name is ,S` c(v�.e" -�{ c�e Y " � -� I am the owner/resident of the property located at: ( �;cCj v.fu mck The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: e— Name &relationship to owner: za- The FImily Apartment will be the primary year-round residence for the above-identified cn family memberg. In the event that the listed relatives vacate said apartment, I will immediately PE�not&the Building Commissioner in writing.I understand that no subletting or subleasing of said ' c Fdm�Apart me�n,t is permitted. I underrstand that I am required to file an Affidavit annually with the Building Co mmissionerlisting the names and relationship of occupants in,said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program'(Appeal No. ) Other Sworn to under the pains and penalties of perjury this Y day of JA.-�"} 2016. Signature / Phone Number Print Name S: G�'�1 1`' q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services °F loy, Richard V. Rt Scali,Interim Director ti Si;' i r Building Division TOW"d - '?iRl= 4°'"" 111E STABLE, ' Thomas Perry, CBO,Building Commissioner 1 J¢_=:Z� !13 ' , � 2�F r . 0 ��� ��= 59 ArFp �p 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 t €� Frax; 5Q8-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is S� ��fi �` °E'� I am the owner/resident of the prop1rty catl e._-at- 11, � .iG•ln�-:S f C07HYf . MA- 026 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship'to owner: 14de.4Qkdoe�Lrs //lNy`'�k.e/J Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately, notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. if there is no`longer a Family-Apai-tnnent at this location,please explain: - The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J 6:t 2014. Signature Phone Number Print Name cG i e q:forms/famaffi d.do c rev 11/08/11 Town of Barnstable Regulatory Services Thomas F. Geiler,Director, ti Building Division ST"B Thomas Perry, CBO,Building Commissioner Mass t6 3 9. ' Street Hyannis, MA 02601 20 0 Main QED MA'S � Y www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state'as follows: Lh My name is '� ° `` I am the owner/resident of the � property located at:. The following members of my family will be the sole occupants of the Family Apartment at the . aforementioned address: 1 n 1 e.d- Name &relationship to owner: Name &.relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner,listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments.. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location;please expiain: - The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. Other Sworn to under the pains and penalties of perjury this day of. 013, Signature PhoA6 Number 4 Print Name y .�. q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services of Thomas F.Geiler Director , . , M. Building Division sARNSresLE Thomas Perry, CBO,Building Com"ioffo P( 1: In,1 , ►` 200 Main Street;; Hyannis, MA 02601 A. www.town.barnstable.ma.us Office: 508-862-4038 ` `S Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 9 -� I am the owner/resident of the property located at: 11 �bq-k s b The following members of my family will be the'sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: G� Lle l'1 at I Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 I understand that I am required to f le an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Towri of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has bee n.transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this 9 day of \j d--n 2012. off- 2-0 -sue ?. / Signature Phone Number Print Name . q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services tt tt oFT roy� Thomas F. Geiler, Director ta6�l'a fg" P 's 't:�s 3rinrt, Building Division x '"R STA L Thomas Perry, CBO, Building Commissioner Ar 1639. s��� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . Town of Barnstable, Family Apartment Affidavit I, being on oath, depose and state as follows: My name is S�d'n_04 �� I am the owner/residerit of the property located at: S +- M The following members of my family will be the sole occupants of the Family Apartment at the f r men i n a o e t o ed address: Name & relationship to owner: 'Q.l 2 a. Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names-and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.I Family Apartments. 1 agree to note the Building Commissioner immediately,in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has.been dismantled. The apartment has been transferred to the Amnesty Program-(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of at-, - 2011: Sigriatur Phone Number G Print Name bid Town of Barnstable Regulatory Services °e'THE To Thomas F.Geiler,Director " 14 Is GF 6AR .STA'k LE Building Division BARNSTABLE, Tom Perry, Building Commissioner ? 31 AIN p MASS. 039. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is IA4 I am the owner/resident of the 11ff property located at: `'C�- o, Aa_ozG,�c� r� Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name'&relationship to owner: AL[e-k 0114(i rf-cJ S ?��-- Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury'this day of, 2005.,. 'Signature E., _. �- _ __ _Phone Number . . . { `Print Name ^ In4�_aLc_l Q/bldg/forms/famaffid Rev:1/03 016 'Town of Barnstable Regulatory Services �THE•Tp� Thomas F.Geiler,Director �- ° Building Division =AMSPABM Tom Perry, Building Commissioner,jt, t; MASK. �• i639. 200 Main Street,Hyannis,MA 02601 ArEO��A Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows:f My name is t r l �T�-� I am the owner/resident of the property located at: `'I / A4,� czau— (I Map and Parcel Number im PID �a C).1!( The ZBA granted me a Special PermitNariance on MDU 2bo2 Q0_*'.X t zq--A_4P LP_ Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: A /' Name &relationship`to-owner: S Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under aims enalt' of perjury this f day ofNAP 2004. f' ',- so ^� r S` re a' Phone Number Print Name AOM V . Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services �pFIME tok� Thomas F.Geiler,Director Building Division TOW Q�F BA INSTABLE saxrvsraeLE Tom Perry, Building CommissionerMASS n , v� s • �� 200 Main Street,Hyannis,MA 02601 FEB 12 PI IZ� 52 • ArFD��p Office: 508-862-4038 .— Via,llloilO&- Sar�M 6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: M name is ►N1•�/' o` � Ctz y t� I am the owner/resident of the property located at: L4 Ag cC�� EG Map and Parcel Number (33���a The ZBA granted me a Special Permit/Variance on I/° Z f�g Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book J® Page The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: C? A PAP,1.1`)SO I �( Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of t—e:(3 2003. �� 15-12 - Signatur� Phone Number Print Name ow ftj '`q20- 'Z Q/bldg/forms/famaffid Rev:1103 f Bk 16110 p9316 0116077 12-19-2002 A 11a22n TOWN CLERK R RNSTAPLE, IN/.ASS, 702 NOV 20 AN !f: 37 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-128 A-Hale Special Permit-Section 4-4.4(2)Expansion.of a Pre-Existing Nonconforming Building. Summary: Granted with Conditions Petitioner: Thomas and Sydney Hale " Property Address:41 High Street,Cotuit,MA Assessor's Map/Parcel: Map 035,Parcel 027 Zoning: .Residential F&Groundwater Protection Overlay District Relief Requested&Background: Appeal 2002-128 B is for a family apartment special permit in accordance with Section 3-1.1(3)(D). The family apartment is to be located in a partly reconstructed accessory building located on the property. The applicants have also requested.an Appeal 2002-128A for a special permit in accordance with Section 4-4.4(2) for Expansion of a Pre-Existing Nonconforming Building. The subject building does not conform to the required 15-foot side yard setbacks for the district. 'Phis Decision 2002-128 A is that for the expansion of the pre-existing non-conforming structure. The subject property is a 0.78 parcel developed with a 2-story,4-bedroom 3,112 sq.ft principal structure and an accessory 1,221 sq.ft."barn/garage"structure. The home was apparently built some time around 1895. The accessory structure is located 1.6 feet from the property line. The existing accessory structure is to be partly demolished. The one story garage structure that is within the setback area is to remain and be rehabilitated. The older two-story section of the structure is to be demolished and rebuilt with a slight expansion to it. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 02,2002. A public hearing before the Zoning Board of Appeals was duly advertised and , notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 06,2002,at which time the Board found to grant the family apartment special permit and determined that relief was also necessary for a special permit for the expansion of the non-conforming structure. Board members deciding this appeal were,Gail Nightingale,Ron S.Janson,Thomas A.DeRicmer, Randolph Childs and Chairman Daniel M. Creedon. F Attorney Michael Ford represented the applicants,who were present at the hearing. Mr.Ford s explained that the applicants purchased the property in 1987 and had made extensive improvements to the Main Dwelling. He stated that Ms.Hale's mother Helen Andrews was selling her home in Mashpee and now desires to locate on the property in a family apartment The applicants wish to improve the accessory structure located on the property. It is in a state of disrepair. The two-story section being the oldest is in need of demolition and reconstruction,the one story section is a newer addition,having been added in 1950. That section of the building is to remain and should only need rehabilitation not demolition. TOWN CLERK BA. RNSTABLE-, MASS, '•, aA i qrNAM NOV 20 AN !l' 37 FD Mp'1 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-128 B -Hale Section 3-1.1(3)(D),-Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Thomas and Sydney Hale Property Address:41 High Street,Cotuit,MA Assessor's Map/Parcel: . Map 035,Parcel 027 Zoning: Residential F&Groundwater Protection Overlay District Relief Requested & Background: Appeal 2002-128B is for a family apartment special permit in accordance with Section 3-1.1(3)(D). The family apartment is to be located in a partly reconstructed accessory building located on the property. The applicants have also requested a special permit (Appeal 2002-128A),in accordance with Section 4- 4.4(2) for Expansion of a Pre-Existing Nonconforming Building. The subject building does not conform to the required 15-foot side yard setbacks for the district. This decision is for the family apartment. The subject property is a 0.78 parcel developed with a 2-story, 4-bedroom 3,112 sq.ft. principal structure and an.accessory 1,221 sq.ft. "barn/garage" structure. The home was apparently built some time around 1895. The accessory structure is located 1.6 feet from the property line. The existing accessory structure is to be partly demolished. The one story garage structure that is within the setback area is to remain and be rehabilitated. The older two-story section of the structure is to be demolished and rebuilt with a slight expansion to it. The reconstructed accessory building is to be used as the family apartment occupied by Helen Andrews,mother of Sydney Hale. Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 02, 2002. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 06, 2002,at which time the Board found to grant the family apartment special permit and determined that relief was also necessary for a special permit for the expansion of the non-conforming structure. Board members deciding this appeal were Gail Nightingale, Ron S.Jansson,Thomas A. DeRiemer, Randolph Childs and Chairman Daniel M. Creedon. Attorney Michael Ford represented the applicants,who were present at the hearing. Mr. Ford explained that the applicants purchased the property in 1987 and have made extensive.improvements to the Main Dwelling.. He stated that Ms. Hale's mother Helen Andrews was selling her home in Mashpee and now desires to locate on the property in a family apartment. The applicants wish to,improve the accessory structure located on the property. It is in a state of disrepair, The two-story"section being the oldest is in need of demolition and reconstruction, the one story section is a newer addition,having 1 been added in 1950. That section of the building is to remain and should only need rehabilitation not demolition. Mr. Ford noted that the proposed reconstruction is substantially similar to the existing architecture and will respect that period. He noted that a small one-story addition would be added to the rear of the reconstructed section of the building. That reconstructed area would not be within the required side yard setback. He noted that the on-site septic system would conform to the requirements of Title V and if the subject structure should need Historic Commission approval for the demolition,it would be processed according to General Ordinance Article XLIX—Protection of Historic Properties. The Board questioned the number of bedrooms and the applicants agreed to limit the apartment unit to no.more than one-bedroom. The other rooms would be used as studies, studio and accessory room, na.t bedrooms. The Board discussed the nature of relief being requested and the location of the building. Dugas, a Land Court decision, (Misc. Case No. 246863) was noted and the Board determined that relief would also be needed for the reconstruction of the building as well as its proposed use as a family apartment. Findings of Fact: At the hearing of November 06, 2002, the Board unanimously made the following findings of fact: 1. The property is located at 41 High Street,Barnstable in the village of Cotuit and is owned by Thomas and Sydney Hale. The locus is located in the Residential FD Zoning District and in the Groundwater Protection Overlay District and contains 0.78 of an acre of land. 2. The existing house was constructed in approximately 1895 and the accessory structure sometime there after. The assessor's record indicated 1900's. The'one story garage addition to the accessory structure is located 1.6 feet from the sideline at its closest point and was constructed sometime around 1950. 3. The applicants seek an approximately 1,154 sq.ft. family apartment to be located within two floors in the existing barn /garages. 4. The applicants comply with the requirements.of Section 3-1.1(3)(D) for the grant of a family apartment special permit. The accessory structure will be altered and improved to accommodate the family apartment. 5. The family apartment is to be occupied by Mrs. Helen Andrews,mother of Sydney Hale. 6. The applicant, through legal counsel,have indicated that they have read the restrictions in Section 3-3.1(3)(D) related to family apartments and have stated that they understand them and will abide by them. 7. The petitioners have sought a Special Permit to alter an existing non-conforming structure under Section 4-4.4(2) and MGL Chapter 40A, Section 6. 8. The applicant falls within a category specifically exempted in the ordinance for the grant of a special permit and that after evaluation of the evidence presented at the public hearing, the proposal fulfils the sprit and intent of the Zoning Ordinance and can be granted without a substantial determent to the public good or the neighborhood effected. l 2 Decision: Based on the findings of fact, a motion was duly made and seconded to grant the family apartment special permit with the following conditions: 1. Development of the family apartment shall be as proposed in plans presented to the file that show the elevations of the proposed reconstructed building and include a First Floor Plan and Second Floor Plan. Except that there shall be no bedrooms on the second floor. The apartment is limited to no more than one bedroom. 2. The family apartment shall comply with and be maintained in accordance with all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family members residing therein. 3. This family apartment is the only apartment permitted on the property. 4. The area of the structure that is the family apartment unit shall be located in conformance with zoning— 15 feet from the property line. 5. The family apartment unit shall not exceed 1,154 sq.ft. in area and is limited to one-bedroom. 6. The reconstructed building shall comply with all State Building Codes,Town of Barnstable Board of Health and State Fire Prevention Regulations. 7. The property shall comply with Title V without variance from the Board of Health. 8. This structure is to remain as accessory to the principal dwelling located on site. It shall not be separated onto its own lot nor shall it be sold separately. It shall always remain in the same ownership as the principal dwelling. The vote was as follows: AYE: Gail Nightingale, Ron S.Jansson,Thomas A. DeRiemer,Randolph Childs and Chairman Daniel M. Creedon NAY: None Ordered: Family Apartment Special Permit 2002-128-B is granted with conditions. This decision must be recorded at the 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. ! � Daniel M. Creedon, Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County,Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals.filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of Perj� Linda Hutchenrider,Town Clerk 3 Town of Barnstable �� :�� t � � � ��► � � w e � e " Building .Post This:Card,So-That=it;�is�Uisible:From'the Street=�A roved Plans�Must be Retained on�Job:and this Card Must be Ke t, „ , �a63q. Pos�tned Until Final Inspection�Has Been Made �,.�.z :��� � ..�, ' � � � �` F� �° Where a;Ce"rtificate ofQccu anc is°.Re wired such;Buildm hall Notbe:0ecu ied until,a,Final Ins ect�onhas been`made, �� Permit Permit No. B-18-774 Applicant Name: Jonathan.Whipple Approvals Date Issued: 03/22/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/22/2018 Foundation: Location: 41 HIGH STREET,COTUIT Map/Lot 035-027 Zoning District: RF Sheathing: Owner on Record: HALE,THOMAS&SYDNEY A g " t Contractor:Name JONATHAN N WHIPPLE Framing: 1 Address: P O BOX 1891 Con"tractor• L cense�CS 078683 2 COTUIT, MA 02635 Est Project Cost: $1,543.00 Chimney: Description: Insulation.Air Sealing.Attic insulation. _) Permit Fee: $85.00 F Insulation: Project Review Req: FeePaida $85.00 Date 3/22/2018 Final: Plumbing/Gas P 4 3 f Rough Plumbing: Building Official � Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auihonze8by tthis permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents- which this permit has been granted. a a� Final Gas: All construction,alterations and changes of use of any building and structures shallb e in compliance with the local zon ng by-laws and codes. This permit shall be displayed in a location clearly visible from access street or 65&and shall be maintained open for publiccrnspectign for the entire duration of the work until the completion of the same. F Electrical The Certificate of Occupancy will not be issued until all applicable signatures by th Bu dg and Fire Officials are pro �ded on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .. .. �`' __ .. ��� __ ._ _ _. - -.- -..t . . . , . . . -. . . . . . . . _.T - � __ _ . , --. . . _ . _- _ ' :-�- .. - �: � j A j • �� � f( [[ � �, �., ._ ; _ , __� t _ � ;i � .. 'r - ,. i .. - 1 1 t. _, �I �� .. �. .. �� _ 1 � .,. i i j, �� 5 � a + °; ,� I � li �' Town of Barnstable oFE Regulatory Services Richard V. Scali,Director `?c of: BARNSTABLE. } Building DivisionMASS. - , ; . �b 1639• �a Thomas Perry, CBO,Building Commissioner r t 200 Main Street, Hyannis, MA'02601 4, , •., www.town.barnstable.ma.us , Office: 508-862-4.038 "Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 0 1 am the owner/resident of the property located at: �4? ci 4 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: QJ j!Y1:0 tZ . Name &relationship to owner: - Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family'members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please'explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J a—;,J 2015. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 f Town of Barnstable Regulatory Services - pp1HE tqy, Thomas F.Geiler,Director ~� Building Division (OWN OF B=�RNSTABLE BARNSTABLE, Tom Perry Building Commissioner v� 1 • 1�� NO Main Street,Hyannis,MA 026011-0�QJAM AIEo �s www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is f I am the owner/resident of the property located at: )�J The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: e 'K- — /nqGfkc Name &relationship to owner:. The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this �. day of J a_ri 2010. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable --lZegulatory Services petNE Tqy Thomas F. Geiler,Director Building Division * sexxsrna , ' Tom Perry, Building Commissioner M,ss. r 1639. ��� 200 Main Street,Hyannis, MA 02601 ��EO MA'1 A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of. Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is � � � I am the ovmier/resident of the property located at: 6 Z CQ 3 r-41 The following members of my family will be the sole occupants of the Family Apart ent at ttLe. aforementioned address: Name & relationship to owner: ZA Name& relationship to owner: ' The Family Apartment will be the primary year-round residence for the above-1 entifieP family members. In the event that the listed relatives vacate said apartment, 1 will imme lately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of-occupants in said,Family Apartment. I also understand that I am required to:comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building.Cos;z;rissioner immediately in the event of the,sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties.of perjury this day of J 0-/7 2009. Signature Phone Number Print Name dh �- . : Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services oF1HE toys Thomas F.Geiler,Director Building Division snRNs-rns Tom Perry, Building Commissioner 9�A MASS.9 ,0� 200 Main Street,Hyannis,MA 02601 rFn �s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the o' her reside t of the property located at: A 0\- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&_.relationship to owner: - C�{�-QtC.cWS' Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also . understand that 1 am required to comply with all conditions imposed by the ZBA Spgcial Pef4it . and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. Iagree .-- to notify the Building Commissioner immediately in the event of the sale of this pro p;erty: E 1 CD If there is no longer a Family Apartment at this location, please explain: _ The apartment has been dismantled. ' The apartment has been transferred to the Amnesty Program (Appeal No. Other r W M Sworn to under the pains and penalties.of perjury this day of �6� 2008. Signature _.. hone Number . Print Name Q/bldg/forms/famaffid Rev:l/03 Town of Barnstable ply Regulatory Services °F1ME rOyti Thomas F.Geiler,Director Building Division _ 1l w 11. - lea 1bikH1* aaxtvsTns Tom Perry, Building Commissioner Mass. 1 39. ��`� 200 Main Street,Hyannis,MA 02601 " UP JAIN 2 2 AV, 1 1 , 19 www.town.barnstable.ma.us Office: 508-862-4038 Paxd 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: CA)1,4 M o__ 0 2-(,a The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: re V , ► I� Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this O day of J&O 2007. Phone Number a.._ Print Name l alw Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable O /_1 Regulatory Services pU'THE rOk� Thomas F.Geiler,Director '[OWN Building Division R snxxsrnstie t Tom Perry, Building Commissioner JAN 7 2 9� 1639. 10� 200 Main Street,Hyannis,MA 02601 Ply Q QED a www.town.barnstable.ma.us b ON Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: 1VIy name is ��IC.V t �I I am the owner/resident of the property located at: Map and Parcel Number ->r 7 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �� S Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been.transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J 0,0 2006. Signature Phone,Number Print Name 4a_�e_ Q/bldg/forms/famaffid Rev:1/03 Sk 16110 P9316 6116077 12-19-2002 8 11922a TOWN CLERK BARNS TAIKE, AMASS, 702 V0V 20 AN 11: 37 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-128 A-Hale Special Permit-Section 4-4.4(2)Expansion.of a Pre-Existing Nonconforming Building. Summary: Granted with Conditions Petitioner: Thomas and Sydney Hale Property Address:41 High Street,Cotuit,MA Assessor's Map/Parcel: Map 035,Parcel 027 Zoning: Residential F&Groundwater Protection Overlay District Relief Requested&Background: Appeal 2002-128 B is for a family apartment special permit in accordance with Section 3-1.1(3)(D). The family apartment is to be located in a partly reconstructed accessory building located on the property. The applicants have also requested an Appeal 2002-128A for a special permit in accordance with Section 4-4.4(2)for Expansion of a Pre-Existing Nonconforming Building. The subject building does not conform to the required 15-foot side yard setbacks for the district. This Decision 2002-128 A is that for the expansion of the pre-existing non-conforming structure. The subject property is a 0.78 parcel developed with a 2-story,4-bedroom 3,112 sq.ft.principal structure and an accessory 1,221 sq.ft."barn/garage"structure. The home was apparently built some time around 1895. The accessory structure is located 1.6 feet from the property line. The existing accessory structure is to be partly demolished. The one story garage structure that is within the setback area is to remain and be rehabilitated. The older two-story section of the structure is to be demolished and rebuilt with a slight expansion to it. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 02,2002. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 06,2002,at which time the Board found to grant the family apartment special permit and determined that relief was also necessary for a special permit for the expansion of the non-conforming structure. Board members deciding this appeal were.Gail Nightingale,Ron S.f ansson,Thomas A.DeRiemer, Randolph Childs and Chairman Daniel M. Creedon. Attorney Michael Ford represented the applicants,who were present at the hearing. Mr.Ford explained that the applicants purchased the property in 1987 and had made extensive improvements to the Main Dwelling. He stated that Ms.Hale's mother Helen Andrews was selling her home in Mashpee and now desires to locate on the property in a family apartment. The applicants wish to improve the accessory structure located on the property. It is in a state of disrepair. The two-story section being the oldest is in need of demolition and reconstruction,the one story section is a newer addition,having been added in 1950. That section of the building is to remain and should only need rehabilitation not demolition. TOWNCLERK oFiMEft,y_ BARNSTABLC, MASS, � BABNBrABIE. � IdOV 20 A !1 37 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-128 B -Hale Section 3-1.1(3)(D), -Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Thomas and Sydney Hale Property Address:41 High Street,Cotuit,MA Assessor's Map/Parcel: Map 035,Parcel 027 Zoning: Residential F&Groundwater Protection Overlay District Relief Requested& Background: Appeal 2002-128B is for a family apartment special permit in accordance with Section 3-1.1(3)(D). The family apartment is to be located in a partly reconstructed accessory building located on the property. The applicants have also requested a special permit (Appeal 2002-128A),in accordance with Section 4- 4.4(2) for Expansion of a Pre-Existing Nonconforming Building. The subject building does not conform to the required 15-foot side yard setbacks for the district. This decision is for the family apartment. The subject property is a 0.78 parcel developed with a 2-story, 4-bedroom 3,112 sq.ft. principal structure and an accessory 1,221 sq.ft. "barn/garage" structure. The home was apparently built some time around 1895. The accessory structure is located:1.6 feet from the property line. The existing accessory structure is to be partly demolished. The one story garage structure that is within the setback area is to remain and be rehabilitated. The older two-story section of the structure is to be demolished and rebuilt with a slight expansion to it. The reconstructed accessory building is to be used as the family apartment occupied by Helen Andrews, mother of Sydney Hale. Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 02, 2002. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 06, 2002, at which time the Board found to grant the family apartment special permit and determined that relief was also necessary for a special permit for the expansion of the non-conforming structure. Board members deciding this appeal were Gail Nightingale, Ron S.Jansson,Thomas A. DeRiemer, Randolph Childs and Chairman Daniel M. Creedon. Attorney Michael Ford represented the applicants,who were present at the hearing. Mr. Ford explained that the applicants purchased the property in 1987 and have made extensive.improvements to the Main Dwelling.. He stated that Ms. Hale's mother Helen Andrews was selling her home in Mashpee and now desires to locate on the property in a family apartment. The applicants wish to improve the accessory structure located on the property. It is in a state of disrepair. The two-story section being the oldest is in need of demolition and reconstruction, the one story section is a newer addition, having been added in 1950. That section of the building is to remain and should only need rehabilitation not demolition. i Mr. Ford noted that the proposed reconstruction is substantially similar to the existing architecture and will respect that period. He noted that a small one-story addition would be added to the rear of the reconstructed section of the building. That reconstructed area would not be within the required side yard setback. He noted that the on-site septic system would conform to the requirements of Title V and if the subject structure should need Historic Commission approval for the demolition,it would be processed according to General Ordinance Article XLIX-Protection of Historic Properties. The Board questioned the number of bedrooms and the applicants agreed to limit the apartment unit to no more than one-bedroom. The other rooms would be used as studies, studio and accessory room, not bedrooms. The Board discussed the nature of relief being requested and the location of the building. Dugas, a Land Court decision, (Mist. Case No. 246863) was noted and the Board determined that relief would also be needed for the reconstruction of the building as well as its proposed use as a family apartment. Findings of Fact: At the hearing of November 06, 2002, the Board unanimously made the following findings of fact: 1. The property is located at 41 High Street,Barnstable in the village of Cotuit and is owned by Thomas and Sydney Hale. The locus is located in the Residential FD Zoning District and in the Groundwater Protection Overlay District and contains 0.78 of an acre of land. 2. The existing house was constructed in approximately 1895 and the accessory structure sometime there after. The assessor's record indicated 1900's. The one story garage addition to the accessory structure is located 1.6 feet from the sideline at its closest point and was constructed sometime around 1950. 3. The applicants seek an approximately 1,154 sq.ft. family apartment to be located within two floors in the existing barn /garages. 4. The applicants comply with the requirements of Section 3-1.1(3)(D) for the grant of a family apartment special permit. The accessory structure will be altered and improved to accommodate the family apartment. 5. The family apartment is to be occupied by Mrs. Helen Andrews, mother of Sydney Hale. 6. The applicant, through legal counsel, have indicated that they have read the restrictions in Section 3-3.1(3)(D) related to family apartments and have stated that they understand them and will abide by them. 7. The petitioners have sought a Special Permit to alter an existing non-conforming structure under Section 4-4.4(2) and MGL Chapter 40A, Section 6. 8. The applicant falls within a category specifically exempted in the ordinance for the grant of a special permit and that after evaluation of the evidence presented at the public hearing, the proposal fulfils the sprit and intent of the Zoning Ordinance and can be granted without a substantial determent to the public good or the neighborhood effected. 2 f Decision: Based on the findings of fact, a motion was duly made and seconded to grant the family apartment special permit with the following conditions: 1. Development of the family apartment shall be as proposed in plans presented to the file that show the elevations of the proposed reconstructed building and include a First Floor Plan and Second Floor Plan. Except that there shall be no bedrooms on the second floor. The apartment is limited to no more than one bedroom. 2. The family apartment shall comply with and be maintained in accordance with all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family members residing therein. 3. This family apartment is the only apartment permitted on the property. 4. The area of the.structure_that is the family apartment-unit shall be located--in conformance with-s ,zoning—-15-feet-from. the-property-line—1 ` 5. The family apartment unit shall not exceed 1,154 sq.ft. in area and is limited to one-bedroom. 6. The reconstructed building shall comply with all State Building Codes,Town of Barnstable Board of Health and State Fire Prevention Regulations. 7. The property shall comply with Title V without variance from the Board of Health. 8. This structure is to remain as accessory to the principal dwelling located on site. It shall not be separated onto its own lot nor shall it be sold separately. It shall always remain in the same ownership as the principal dwelling. The vote was as follows: AYE: Gail Nightingale,Ron S.Jansson,Thomas A. DeRiemer,Randolph Childs and Chairman Daniel M. Creedon NAY: None Ordered: Family Apartment Special Permit 2002-128-B is granted with conditions. This decision must be recorded at the 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. Daniel M. C�redon, Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 3 Abutters within 300' of Map 035 Parcel 027 • This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from Assessor's database July 2,2002. Mappar Ownerl Owner2 Address City State Zip Country 1020027 GARLAND,MICHAEL B&MICHELE L T COACH RD CENTERVILLE IMA 102632 1020028 IDOTTRIDGE,BENNETT&CAROL P O BOX 743 COTUIT IMA 102635 1020033 IGIFFORD,JEFFREY W& GIFFORD,MARTHA A BOX 543 COTUIT IMA 102635 1020036 BARRY,RICHARD G&HOPE T P O BOX 4 COTUIT IMA 102635 020039 RAPP,KEITH M&ROSEMARY A P O BOX 357 COTUIT IMA 102635 035020 GARDNER,JAMES A&CYNTHIA BOX 953 COTUIT IMA 102635 i 1035021 ISCHMID,FRANCES E FRANCES E SCHMID INVESTMT TR 82 SCHOOL ST COTUIT IMA 102635 035022 TUCKER,CATHERINE I 11 OLD CARRIAGE DR IWILBRAHAM IMA 101095 1035023 MANGIAFICO,EDGAR S&JEAN C TRS I P O BOX 2360 BORREGO SPRINGS CA 92004 035024 CODY,DWIGHT H 30 PARKER ST tl1 WATERTOWN MA 102742 f 035025 HURLEY,ROBERT J &CAROL A PO BOX 285 BARNARD JVT 105031 1035026 1BARTH,JENNIFER S 60 CLAMSHELL POINT COTUIT MA 02635 ILN 035027 HALE,THOMAS&SYDNEY A P O BOX 1891 COTUIT IMA 102635 r"LEY,THOMAS W&LAURA C HIGH ST COTUIT IMA 102635 Tuesday,October 15,2002 Page I of 3 Mappar Ownerl Owner2 Address City State Zip Country Q35030 RALEIGH,LORRAiNE M TR LMR PROPERTY MANAGEMENT 5 MARK IN 2ND FLR JHYANNIS MA 02601 r 1035031 IDUNNICLIFF,MARGARET A 457 MOUNT AUBURN ST ICAMBRIDG13 IMA 102118 #2 1035032 IDUNNICLIFF,MARGARET A 457 MOUNT AUBURN ST ICAMBRIDGE IMA 102138 / #2 +t 035033 ALLEN NANCY L PO BOX 734 COTUIT IMA 102635 035034 CHRISTENSEN,JANICE E P O BOX 162 COTUIT MA 02635 ft 1035043 IGROVER,TRACIE E&AVALLONE, P O BOX 991 COTUrr IMA 102635 PATRICIA M 1035044 COTUIT FIRE DISTRICT P.O.BOX 1475 COTUIT IMA 102635 035045 GROVER,SCOTT M TR _ THE 56 HIGH ST REALTY TRUST 222 ESSEX ST SALEM MA 01970-3705 ! 1035046 SMITH,HAROLD&ELEANOR HIGH ST COTUIT IMA 102635 035047 CROCKER,CLAIRE B P O BOX 237 COTUIT �MA 102635 1035048 JPISANI,AINTHONY M %PISANI&ASSOC ARCHITECTS 374 CONGRESS ST BOSTON IMA 102110 t 035049 ANDERTON,HERBERT G JR,TR COTUIT FEDERATED CHURCH NOM P O BOX 436 COTUIT IMA 102635 ITR ..4 0350,50 FEDERATED CHURCH OF COTUIT SCHOOL ST COTUIT IMA 102635 r i 1035056 IMCGEOCH,JOAN C 21 13TH ST MELROSE IMA 102176 ' 035059002 LEVERONI,TIMOTHY&DANIEL TRS JTD HARBORVIEW RLTY TR 1100 RANDOLPH AVE IMILTON MA 02186 It 1035060 1GROVER,SCOTT M TR THE 40 NICKERSON DR REALTY TR 1222 ESSEX ST. SALEM IMA 101970-31)05 1035065 IGROVER,PAUL E&LISA P %HOFFMANN,ANN T 50 NICKERSON DR COTUTI IMA 102635 Tuesday,October 15,2002 Page 2 of 3 Mappar Ownerl Owner2 Address _ City State Zip Country 1035097 IMANN,FRANK&BIDDLE,KATRINE T 1 P O BOX 1989 COTUIT MA 02635 035104 KAZANJIAN,JOYCE P O BOX 1715 COTUIT IMA 102635 Tuesday,October 15,2002 Page 3 of 3 a uS>„A,•,, ,y�'r"��'aY".�'a�6,�7.u4' alSitB"��°x s�.�'� �1tir�';.4.+h*' p'. ��. '� ` t' a,�.�'r wiS � �', NOTICESLEGAL 0 fu 10.,Pl�Ea�$ r NOTICE Of PlfBfriC F4i! G f1ND£ 7fi� 'ZtfllilNG{5f3DiN11NCfE. MB` : A r.�yr� r a�d} far k,. t hM1l It I '�o a11;per�ts��int�>��cT �„ar,e�fp�ted by the�onin��o�rd.of Appeals under Sect�n t,., g+f fyhi✓�pt �AOja of�e �ei'et;l� of the CommonwealtH o�ty(assgcM+�arts, and'al!' Qm/ein/h�� ner� .?ldre hereJ�y7;r�o>afieo thaE ' i �aFotneZent`ft9sapj�ltek�'`fgrs.,f'�ir�ilyA�cp�r�enESj�eei�i7f�ei+rt,+iX�f�t�@i'�$eo'tion3l if�)C,D)• to construct an apartrta »>rv+thin the existing?;rngle �Mi�y st ructure Te propeity+s shown. gn Assessors'Map C) 4;` Parcel 002ommoni atldresed as 3;53 Lakest+ore Drive, lytarstotis M+Iis MA itt a ties+di'nt+alC)lstnct 10`,!S M ` tea liar o rr Ix'a ;r ri m„'+`1 AI 0,46i.gQQ 126 Ann Harrroar,ha ap�UPt� oraX/anancefrpm.prberlsron, SecErort3 �� )Cp tapetirijt a#anr�y apa(krrie�iir�ars`exi'stir"g ncats°ciOnPgrtsin�b�fid+i�rg tht`daes no des s$ttck regult+�n foi`aar)�ay apdrett+errt meiropert�is sown on Ass�sa'g?a3lapA Aarcel (}6f) t t22 a+°: treef,Qkerurlirv ,lgkJrt, }�sadentta�C gartirsg ......' 1�+strrpt � �``rr''"''�^ '9��larr♦?iort,st ,� a~ a . I } u �r 'I x ;r�p�eaf�,bb�`i�`�' `• n N Harmoro ha a l ed bpi s�/ansne Femrl�I�parxmentpe>~aterm+t�ra acf or�lancs withCtiOn 3. � ` GD) p¢rri�+a fAmily� ar trrrdr�t°+ri�n e'xt+ng#tfti�t(in 'I iae p+op?rty; i sh+invn`on:Assessar's Map 4i,Parcel 060ttcomrAonly addiessed as 642 iJiafn Street, (�stervitte MA ir+a R #i w nir � �5 P Ill �a1) "� �i��� }�,�� ' , ,xt• �>s�kai:ZbQ2 'f28 �I r Trarraa6 and SydnQy ' tatie 'ap�l+edy` `� eCi rrtaik +under eCtioti 3 t i(3)(Df to onnstruCC a tt>yillSo M " � " of arY. - fri Sri�iding, fie alipi A �i ,Cttitre for kh pui�Usesta r �c�g a family ppa tt prapetty is shown on A]s3se.ess¢r`s M f)36,4 Parceloodn s rfty adlttl'sedJ4gh Street Ct2tul MA fl0didEn;tla�t Pazyrt Co mpnitlansppY�d foi Uanance unerecEratlt5w, n 'k Z' s+an o a`{�rk existing ne1�C+rrrFafiMir g sd li �apph ant propi� ei)`to cOhstquCt 0' ��d'*edditt6n tti A't+ar+�il�t@r,siara�es4rd�,�g,�'��', �, �'�as si,��n on�5esss�r's Map 5+Psrcet Q9 5 ,001&Otl2,'oommanly at¢rase as Oak Sttet;lA/esL Bamstabie, %ip rn$ ieslC�it tie i ";�and6Wk�9(�ft1i]!IOn h �i$�tiirr"tt r�M t� 4x, I t a t e T�t2se p4b(ic h arin s i be J�eld at the l arns ble owirr,#-lalL4 7 4 5ir�et,Nyar�nla,... VAy i 6 Md ,A " 1^5 `�j 5% r d$ I F t n it �" k ► tit 0m,I. iafls 6 �t t r [rSJrrt CSfflces rnaY;� r�vreWwed art i1� , ginning prns+or► Zoning$osrc�of +ppeals bff►ce, Dan+s�M Cre n r an i apPea}s 1 7`he:ddmst�b�e Patticrt -.. t I w�:t. + o-vt.-•.•• ' !Octabar t$��d bctbt%e�r 78 �:2002 . __ i c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel a-7 Permit# 2_ 9 Health Division 22DO3-b2-q 2 I2(f03 5 5 �l7�1 ON��/ Date Issued Conservation Division Application Fee i Tax Collector r L— II'�3 Permit Fee , Treasurer 0 k SEPTIC SYSTEM BUST EE Planning Dept. INSTALLED IN C0MPLIARCO. Date Definitive Plan Approved by Planning Board VM TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE ANCTOWN REGULATIONS Project Street Address Village Owner B8C M - Address Telephone q= Rttouaato, �qZD_�"7PermitRequest (k.(\l i obzu n I O M cti.!m Square feet: 1st floor: existing O proposed'�Q 2nd floor: existing q ICE proposed 6C O Total new 67 Zoning District RZ Flood Plain No Groundwater Overlay Project Valuation 9 Q Construction TypeFRQ A e Lot Size t Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure G C/fq2_W Historic House: ❑Yes 1 No On Old King's Highway: 0 Yes XNo Basement Type: Q4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ( Basement Unfinished Area(sq.ft) 6 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: 2Gas ❑Oil ❑ Electric ❑Other Central Air: QdYes ❑No Fireplaces: Existing (0 New 0 Existing wood/coal stove: ❑Yes �(No Detached garage:O existing ❑new size Pool: 0 existing ❑new size Barn:❑existing ❑new size Attached garage:Aexisting 0 new sizeill-SL Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appear# 9002 -- 1 Recorded14 Commercial ❑Yes )l No If yes,site plan review# Current Use Gbes cad GA�d4e�C� Proposed Use EA AAtLJ A-P1 Z�lvt�ra�'�aR.t ; BUILDER INFORMATION Name oLRf�,L MC Telephone Number Address kfim e.O L If-e.a License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO PC%i t 0Ge L 6 CQ C' SIGNATURE DATE l/03 .t FOR OFFICIAL USE ONLY PERMIT NO. r •-- DATE ISSUED z _ ' ,`• �� - MAP/PARCEL NO. ADDRESS • VILLAGE OWNER DATE OF-INSPECTIq N• _ al z a �In�s� FOUNDATION — V _ FRAME -I e n� INSULATION Si 1 _ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH -- ! FINAL GAS: ROUGHS. T" =` FINAL FINAL'BUILDING 5C- .3Zz1a4 DATE CLOSED OUT ASSOCIATION PLAN NO. L' BxaRN Ti RLP. Town of Barnstable Zoning Board of Appeals LOT FEB Fit 2: 41 Notice-Withdrawn Without Prejudice Appeal2001-08 - Hale Special Permit-Section 4-4.5 Non=conforming Uses Summary: Withdrawn Without Prejudice Petitioner: Thomas Hale and Sydney A.Hale Property Address: 41 High Street, Cotuit,M, Assessor's Map/Parcel: Map 035,Parcel 027 Zoning: Residential F,RPOD,Resource Protection&AP,Aquifer Protection:Overlay Districts Background: In Appela 2001-08,.the applicants were seeking a Special Permit in accordance with Section 4-4.5 Non- conforming Uses to alter an existing non-conforming use,that being an apartment located in-the primary . structure :,The proposal was to relocate the apartment to the first floor of.an existmg.accessory building know as the barn,.and to convert the second "floor f the barn into guest rooms and a tudio : A 544 sq.ft. addition to the barn was contemplated: ` The property is a 0.78 parcel developed with a 2 story, 4.bedroom 3,112 sq.ft. principalstructure and a 1,221 sq.ft. accessory "barn" structure: The home was apparently built some time:around 1895. • Procedural &Hearing Summary: This appeal was filed at the Town Clerk's Office and at the,Office of the Zoning Board of Appeals on November 28, 2000. An extension of time for holding.the hearing and for filing.of the decision was executed between the applicants and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened January 24, 2001, at which time the applicants through their representative requested and the Board granted to allow the appeal to be withdrawn without prejudice. Board Members hearing this appeal were; Dan Creedon, Gail Nightingale,Ralph Copeland,Jeremy Gilmore and Chairman Ron S.Jansson: Attorney John Alger represented the applicants. At the opening of the hearing,Mr. Alger requested that the appeal be allowed to be withdrawn without prejudice. Motion: At the January 24, 2001 hearing, a motion was duly made and seconded to grant the applicants request to withdraw the appeal without prejudice. The vote was as follows: AYE: Dan Creedon; Gail Nightingale, Ralph Copeland,Jeremy Gilmore and Chairman Ron S.Jansson. NAY: None v 0 • Ordered: Appeal 2001-08 has been withdrawn without prejudice. 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 in the office of the Town Clerk. S� 2 L'1 61 Ron S.Jan airman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this�� day of `J°Ol under th am* and enalties of e u_ g Y P rl .r3' Linda_Hutchenrider, Town Clerk 2 5 fc N:G Daniel E. Braman, P.E- 4-.l . t�► .-G� T. 189 Harbor Point:Rd. Cnmtnaquid MA 02637-0 1 , - • t _ a L.o `15 t i �aVh;S c�T ec-- cin, c� c�or GVe, oh tvc�C' OG..c _ c�.G� _sect _`. . t _ z t r , r t ; t`aOP C LzI L. ,. vx2 -z 4gp� Z ? x- '_ . ' A-o r4 t(p 'Coq _-_ --. .� _... __. .__ .. _ • _. �o�.," t5 _ ��- 24 0... _ :. -. _ w c-.cam:- . 28 o a-- w s x 35 W: Sx24 i ! R&M5BEAM,V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. . Job: Hale Res. 41 High, Cotuit Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = WlOX19 Fy = 36. 0 ksi Total Beam Length (ft) = 20 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0 . 019 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 20. 00 0 . 180 0 . 180 0 . 000 0 . 000 0. 480 0 . 480 SHEAR: Max V (kips) = 6. 79 fv (ksi) = 2 . 65 Fv 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 34 . 0 10. 0 0. 0 1.00 21. 67 24 . 00 21. 67 24 . 00 Controlling 34 . 0 10. 0 0 . 0 1. 00 21. 67 24 . 00 --- --- REACTIONS (.kips) : Left Right DL reaction 1. 99 1 . 99 Max + LL reaction 4 . 80 4 . 80 Max + total reaction 6. 79 6. 79 DEFLECTIONS: Dead load (in) at 10 . 00 ft = -0 .257 L/D = 935 Live load (in) at 10 . 00 ft = -0 . 619 L/D = 388 Total load (in) at 10 . 00 ft = -0. 875 L/D = 274 AAMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Hale Res . 41 High, Cotuit Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W10X30 Fy = 36. 0 ksi n Total Beam Length (ft) = 20. 00 .[� Top Flange Braced By Decking LOADS: Self Weight = 0 . 030 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 20. 00 0. 240 0 .240 0 . 000 0 . 000 0. 64.0 0. 640 SHEAR: Max V (kips) = 9. 10 fv (ksi) = 2 . 90 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 45. 5 10 . 0. 0 . 0 1. 00 16. 85 24 . 00 16. 85 24 . 00 Controlling 45. 5 10 . 0 0. 0 1. 00 16. 85 2,4 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 70 2 . 70 Max + LL reaction 6. 40 6. 40 Max + total reaction 9. 10 9. 10 DEFLECTIONS: Dead load (in) at 10. 00 ft: = -0 . 197 L/D = 1217 Live load (in) at 10. 00 ft = -0 . 467 L/D = 514 Total load (in) at 10 . 00 ft = -0. 665 L/D = 361 . RAMSBEAM, V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Hale Res. 41 High, Cotuit Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = WlOX19 Fy = 36. 0 ksi 3 Total Beam Length (ft) = 17 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 019 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 17 . 00 0 .240 0 .240 0. 000 0 . 000 0 . 640 0. 640 SHEAR: Max V (kips) = 7 . 64 fv (.ksi) = 2 . 99 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 32 . 5 8 . 5 0. 0 1. 00 20 . 73 24 . 00 20 . 73 24 . 00 Controlling • 32 . 5 8 . 5 0 . 0 1. 00 20 . 73 24 . 00 -- --- REACTIONS (kips) : Left Right DL reaction 2 .20 2 . 20 Max + LL reaction 5. 44 5. 44 Max + total reaction 7 . 64 7 . 64 DEFLECTIONS: Dead load (in) at 8 . 50 ft = -0 . 174 L/D = 1170 Live load (in.) at 8 . 50 ft = -0 . 431 L/D = 474 Total load (in) at 8. 50 ft = -0. 605 L/D = 337 r _ RAMSBEAM. V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Hale Res. 41 High Street, Cotuit Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X28 Fy = 36. 0 ksi Total Beam Length (ft) = 20. 00 Top Flange Braced By Decking LOADS: Self Weight = 10 . 028 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 20. 00 0 . 180 0 . 180 0 . 000 0 . 000 0 . 480 0 . 480 SHEAR: Max V (kips) = 6. 88 fv (ksi) = 3. 00 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange- Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 34 . 4 10 . 0 0 . 0 1 . 00 16. 99 24 . 00 16. 99 24 . 00 Controlling . 34 . 4 10 . 0 0 . 0 1. 00 16. 99 24 . 00 --- --- RE_ACT.IONS (kips) : Left Right DL reaction 2 . 08 2 . 08 Max + LL reaction 4 . 80 4 . 80 Max + total reaction 6: 88 6. 88 DEFLECTIONS: Dead load (in) at 10. 00 ft = -0 .264 L/D = 911 Live load (in) at 10 . 00 ft = -0 . 608 ' L/D = 395 Total load . (in) at 10 . 00 ft = -0. 872 L/D = 275 I RAMSBEAK V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Hale Res. 41 High Street, Cotuit Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X35 Fy . = 36. 0 ksi Total Beam Length . (ft) = 20 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0 . 035 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 , LL2 0 . 00 20. 00 0 . 240 0 .240 0 . 0.00 0 . 000 0. 640 0. 640 SHEAR: Max V (kips) = 9. 15 fv (ksi) = 3. 64 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 45. 8 10. 0 0. 0 1. 00 17 . 60 24 . 00 17 . 60 24 . 00 Controlling 45. 8 10 . 0 0 . 0 1. 00 17 . 60 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 75 2 . 75 Max + LL reaction 6. 40 6. 40 Max + total reaction 9. 15 9. 15 DEFLECTIONS: Dead load (in) at 10. 00 ft = -0 . 269 L/D = 893 Live load (in) at 10 . 00 ft = -0. 626 L/D = 384 Total load (in) at 10 . 00 ft = -0 . 894 L/D = 268 r RAMSREAM. V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Hale Res. 41 High Street, Cotuit Steel Code: RISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X24 Fy = 36. 0 ksi Total Beam Length (ft) = 17 . 00 3 Top Flange Braced By Decking LOADS: Self Weight = 0 . 024 k/ft Line Loads (k/ft) : Distl Di3t2 DLl DL2 Pre DLl Pre DL2 LL1 LL2 0. 00 17 . 00 0.240 0. 240 0 . 000 0. 000 0. 640 0. 640 SHEAR: Max V (kips) = 7 . 68 fv (ksi) = 3. 96 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 32. 7 8 . 5 0. 0 1 . 00' 18 . 75 24 . 00 18 . 75 24 . 00 Controlling 32 . 7 8 . 5 0 . 0 1. 00 18 . 75 24 . 00 --- REACTIONS (kips) : Left Right DL reaction 2 . 24 2 . 24 Max + LL reaction 5. 44 5. 44 Max + total reaction 7 . 68 7 . 68 DEFLECTIONS: Dead load (in) at 8 . 50 ft = -0 .207 L/D = 987 Live load (in) at 8 . 50 ft = -0 . 501 L/D = 407 Total load (in) at 8 . 50 ft = -0. 708 L/D = 288 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 iffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: l _ JOB LOCATION: number street village "HOMEOWNER': `- name home phone# work phone# CURRENT MA•II..IIdG ADDRESSIb 'Rtn)C_I me city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department spection cedures and requirements and that he/she will comply with said ents Signature of Homeown Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building pemtit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a by severaltnwnc_ You may caret amend and adopt such a form/certification for use in your community. DANSON SURVEYING & ENGINEERING'-� CO. 355 UNION STREET ' NEW. BEDFORD, MA. 02740 TEL (508) 9.94-6989 FAX:- (508) 992-5860 MORTGAGOR: THOMAS & SYDNEY HALE DEEDIBOOK: 6705,PAGE: 255 LOCATION: 41 HIGH STREET PLAXI-BOOK _- ,PAGE: CITY, STATE: COTUIT,, MA. 02635 SCALE: I 40' ASSESSOR'S PLAT: PLAN NUMBER 94386 DATE: 3 MAR 94 CERTIFIED T0: EAST\WEST MORTGAGE CORP., & Its Title Insurance Co. and Attys. SULLIVAN,. WILLIAMS & QUINTIN l4�t RODS . Lot Area 126f sq. rods PORCH OECK `. StNGtE - - FAMILY , OVAILING a.� 4O'3 ' f t _ ca RESIDENTIAL BUILDING PERAUT FEES APPLICATION FEE New Buildings,Additions $50.00 �U Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSAEET NEW LIVING SPACE S 4 P, square feet x$96/sq.foot= 9 c Z x.0031\4(c • 7 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) 4 -7 6 . (g 3 square feet x$32/sq.ft._ 3% L'- x.0031= ACCESSORY STRUCTURE>120 sq.ft. ✓ 3J /3 7 ~� U >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500.sf 100.00 ' >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) 6 � Deck x$30.00= (number) �Q1�ol� �c,� 36, 0o c,o 0= 3�5 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee nroicost I �F IKE' ti The Town of Barnstable BARNS ss. 0 M ASS. Department of Health Safety and Environmental Services 9 i639• �0 pfEO Mp+� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 I Fax: 508-790-6230 PLAN REVIEW Owner: I�( ci Ma /Parcel: 5 P -(( Project Address:4 N I k S k v k-� Builder: ..G.( e The following items were noted on reviewing: i c� �I e.n�t l✓ �1� (J V'c�-�'��Y' S r --TrC,V t CS -Y A G e S Py-UV k'(LC A 21 v- C0 2 0 Reviewed by: Date:6Z�gd3 q:building:forms:review 77se Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street • Boston;Mass 02111 Workers' Campensadon Insurance Affidavit i OEM ttame !Elk S r uru I�ti Lontion City �' A K c g�� �C ❑ I=a homww=p"t=r=n8 an wmk=yselE ❑ I am a sole 'etor and havt ao one working in any wosit {��p Waziaag as this job ❑ I am an exagioyc ding °° empiayees ... :.:ns•. ,. .!a'yy>,M:•:^,yw,.w„}w«vrwv.•..++�•):C':a? . ?aysfeea{Y61 , 'hax:kitva::.Se6:x ,\�R."•' •Si�xi'Ty} '.•}'..r• •'}'•'.'•':ti.}4.;,:r,::'';.'::<?::<R;4S:{}:.:±t:; :` .+-:•.•::•.:.•M.:.+a:+Yv'::\:V'f+it;.X.:;?.n. •,;.;;:r:y..is},.,, •.,.}::{:arv. .. ..n.v.,.. . v,}:ti•.•:••.,'.°•..{"a.<•i'.-:�v...,,;?• ...... <7r.,::•::r,:yy{:5., 4y. ,c=Tv J3w..:.: .r.. ...t,,,,tn:.. : ..:;}::•ot;:.•:. nnw.a�•...:£.,. rr?a:r.+tw,'...,xu. 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ODA I . •• 1 . •.._ • 1 •. • . �I...••«• .• Ii w1 ' .1 1. •'. ., .• .. ..• • •►.1..1• • • •w.at1 O • ..la• _..�►o_• -..1...w •loot•r• .r..lt .. . � ..: 1 .. . .. ..._.. .. .. ./.,...w %/M%/��/M���//�//O/!//0�����O�OO�����0�����vlgmM •.1 r else• • •. ✓-as . i... . •1 • of- 0 asses • . • � t t r w1•o•1 w. .posts•w 'o . { • • _• wlw ..•r N.•.•.M 1 /•• 1.. • ■. get so•w..w.1.. 1 •__t IIr. . �-•. tN wet . — • w.•1 do 6,4 /.t . 1 • • 1 1 1 � 1 • • 1 1 i °FINE Tp Town of Barnstable yP °� Regulatory Services r � "Bix, ' Thomas F.Geiler,Director y Mass. $ q'prED ���m Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.of Work: CAGUCL (10 / C 0a �i1C /Gi) Estimated Cost L I �1 a,., �-- Address of Work: '1 ► SY (2 (V l Owner's Name: �040 Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork 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 PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date ontractor Name Registration No. Date er's Na Q:fomis:homeaffidav 790 CMR Appmft 1 Table JS.Z.lb(continued) prescriptive Package for Une and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Coiling Wail floor Basement perimeter meatingicooling A ,(`/1) U-value, R-value] R-value' R-value° Wall Perimeter Equipme nt Efficirn Am, Package I R-value' I R-values 3701 to 6500 Heating Degree Days' Q I2`/e 0.40. 38 13 19 10 6 Normal R _ 12Ye 0.52 _ 30 — 19 19 — 10 6 Normal ' .) S 12% 0.50 38 13 19 10 6 85 AFUE T 15`/. 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE 85AFUE W 15% 0.52 30 19 19 10 6 r }( 18Yo 03Z 38 13 25 N/A NIA Normal rmal Y 18% 0.42 38 19 25 NIA N/A Normal Z 12% 0.42 38 13 19 10 6 90 AFUE' AA 18% 0.50 30 19 19 10 6 1 90 AFUE 1. ADDRESS OF PROPERTY: lI G O 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: l� 3. SQUARE FOOTAGE OF ALL GLAZING: �d 4. %GLAZING AREA(#3 DIVIDED BY#2): I Z3 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-1980303a 780 CMR Appendix J Footnotes to Table A2.Ib: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fF of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement dt scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component_ Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 ��ICE U$�4N.4Y PROPERTY ADDRESS: ALCULATION FOR PERMIT COST TYPE OF ROOM ETC NO ��pp ADDITION U�0`r �"` ALTERATIONS F..I BATH BED ROOM CERTIFICATE OF OCCUPANCY • 2 �, , p •7®• } COMPUTER ROOM DECK OPEN I DECK WITH ROOF 2 hC� DEMOLITION DEN 2 U, 3 Y, 32 ,31 (� �, DINING ROOM FAMILY ROOM FIREPLACE FOUNDATION ONLY 32 GARAGE NO. OF BAYS 2 5 °► . ► .� v ,9 4 GREAT ROOM KITCHEN LAUNDRY ROOM Q c i LAUNDRY ROOM LIVING ROOM MUD ROOM. OFFICE PORCH CLOSED PORCH OPEN REROOFING. . SHED STORAGE AREA SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROU D SWIMMING POOL INGROUND-= WINDOW REPLACEMENT 4 2 u tt f IKE BARNSTABLE MARR. t639' rfC MAr 6 Town of Barnstable Zoning Board of Appeals - Decision and Notice Appeal 2002-128 A - Hale Special Permit- Section 4-4.4(2)Expansion of a Pre-Existing Nonconforming Building. Summary: Granted with Conditions Petitioner: Thomas and Sydney Hale Property Address:41 High Street,Cotuit,MA Assessor's Map/Parcel: Map 035,Parcel 027 Zoning: Residential F&Groundwater Protection Overlay District Relief Requested & Background: Appeal 2002-128 B is for a family apartment special permit in accordance with Section 3-1.1(3)(D). The family apartment is to be located in a partly reconstructed accessory building located on the property. The applicants have also requested an Appeal 2002-128A for a special permit in accordance with Section 4-4.4(2) for Expansion of a Pre-Existing Nonconforming Building. The subject building does not conform to the required 15-foot side yard setbacks for the district. This Decision 2002-128 A is that for,the expansion of the pre-existing non-conforming structure. The subject property is a 0.78 parcel developed with a 2-story,4-bedroom 3,112 sq.ft. principal structure and an accessory 1,221 sq.ft. "barn/garage" structure. The home was apparently built some time around 1895. The accessory structure is located 1.6 feet from the property line. The existing accessory structure is to be partly demolished. The one story garage structure that is within the setback area is to remain and be rehabilitated. The older two-story section of the structure is to be demolished and rebuilt with a slight expansion to it. Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 02, 2002. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 06, 2002, at which time the Board found to grant the family apartment special permit and determined that relief was also necessary for a special permit for the expansion of the non-conforming structure. Board members deciding this appeal were Gail Nightingale, Ron S.Jansson,Thomas A. DeRiemer, Randolph Childs and Chairman Daniel M. Creedon. Attorney Michael Ford represented the applicants,who were present at the hearing. Mr. Ford explained that the applicants purchased the property in 1987 and had made extensive improvements to the Main Dwelling. He stated that Ms. Hale's mother Helen Andrews was selling her home in Mashpee and now desires to locate on the property in a family apartment. The applicants wish to improve the accessory structure located on the property. It is in a state of disrepair. The two-story section being the oldest is in need of demolition and reconstruction, the one story section is a newer addition, having been added in 1950. That section of the building is to remain and should only need rehabilitation not demolition. Mr. Ford noted that the proposed reconstruction is substantially similar to the existing architecture and will respect that period. He noted that a small one-story addition would be added to the rear of the reconstructed section of the building. That reconstructed area would not be within the required side yard setback. He noted that the on-site septic system would conform to the requirements of Title V and if the subject structure should need Historic Commission approval for the demolition,it would be processed according to General Ordinance Article XLIX—Protection of Historic Properties. The Board questioned the number of bedrooms and the applicants agreed to limit the apartment unit to no more than one-bedroom. The other rooms would be used as studies, studio and accessory room, not bedrooms. The Board discussed the nature of relief being requested and the location of the building. Dugas, a Land Court decision (Misc. Case No. 246863) was noted and the Board determined that relief would also be needed for the reconstruction of the building as well as its proposed use as a family apartment. Findings of Fact: At the hearing of November 06, 2002,the Board unanimously made the following findings of fact with respect to the expansion of a non-conforming structure: 1. The property is located at 41 High Street,Barnstable in the village-of Cotuit and is owned by Thomas and Sydney Hale. The locus is located in the Residential FD Zoning District and in the - Groundwater Protection Overlay District and contains 0.78 of an acre of land. 2. The existing house was constructed in approximately 1895 and the accessory structure sometime thereafter. The assessor's record indicated 1900's. The one story garage addition to the accessory structure is located 1.6 feet from the sideline at its closest point and was constructed sometime around 1950. 3. The applicants seek an approximately 1,154 sq.ft. family apartment to be located within two floors in the existing barn/garage. The accessory structure will be altered and improved to accommodate the family apartment. 4. The expanded section of the accessory structure will meet current setback requirements of the Zoning Ordinance and the non-conforming garage section of the accessory structure will be altered but shall not be demolished and then reconstructed. It shall remain in its current location and size within the setback area and rehabilitated for use as a garage. 5. The petitioners have sought a Special Permit to alter an existing non-conforming structure under Section 4-4.4(2) and MGL Chapter 40A, Section 6. 6. The neighborhood consists of single-family homes constructed on small lots, many of which have been expanded. Several residences are more than two-story single-family structures. The proposed design of the altered accessory structure is virtually identical to the existing historic design of the existing structure. 7. The applicant falls within a category specifically exempted in the ordinance for the grant of a special permit and that after evaluation of the evidence presented at the public hearing, the proposal fulfils the sprit and intent of the Zoning Ordinance and can be granted without a substantial determent to the public good or the neighborhood effected. 8. The proposed alteration of the existing structure is no more detrimental to the neighborhood than the existing structure. Decision: Based on the findings of fact, a motion was duly made and seconded to grant a permit for the expansion of a non-conforming structure subject to the following conditions: 1. Only storage and garaging of vehicles shall be permitted within the area of the building that infringes into the required side yard setback of 15 feet. 2. The area that infringes into the side yard setback shall not be expanded in are or height. 3. If required, the applicant shall apply and secure approval for the demolition of the existing structure form the Historic Commission as required under the General Ordinance Article XLIX—Protection of Historic Properties. 4. Upon completion of the accessory building,it shall be considered full buildout of this lot, and there shall be no other structures built or additions made to the structures on the property that increases the living area,without prior permission from the Zoning Board. 5. The structures on this lot including the existing principal structure shall be required to meet all applicable building, health and fire codes,without variance. 6. This structure is to remain as accessory to the principal dwelling located on site. It shall not be separated onto its own lot nor shall it be sold separately. It shall always remain in the same ownership as the principal dwelling. 7. Only one bedroom shall be permitted in the accessory building. The vote was as follows: AYE: Gail Nightingale, Ron S.Jansson,Thomas A. DeRiemer,Randolph Childs and Daniel M. Creedon NAY: None Ordered: Special Permit 2002-97 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in 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. Daniel M. Creedon, Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury• Linda Hutchenridet,Town Clerk 3 •ht ti IKE RARNRFABM MABB. t63A � lFG MFK� , Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-128 B - Hale Section 3-1.1(3)(D), -Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Thomas and Sydney Hale Property Address:41 High Street,Cotuit,MA Assessor's Map/Parcel: Map 035,Parcel 027 Zoning: Residential F&Groundwater Protection Overlay District Relief Requested & Background: Appeal 2002-128B is for a family apartment special permit in accordance with Section 3-1.1(3)(D). The family apartment is to be located-in a partly reconstructed accessory building located on the property. The applicants have also requested a special permit (Appeal 2002-128A),in accordance with Section 4- 4.4(2) for Expansion of a Pre-Existing Nonconforming Building. The subject building does not conform to the required 15-foot side yard setbacks for the district. This decision is for the family apartment. The subject property is a 0.78 parcel developed with a 2-story,4-bedroom 3,112 sq.ft. principal structure and an accessory 1,221 sq.ft. "barn/garage" structure. The home was apparently built some time around 1895. The accessory structure is located 1.6 feet from the property line. The existing accessory structure is to be partly demolished. The one story garage structure that is within the setback area is to remain and be rehabilitated. The older two-story section of the structure is to be demolished and rebuilt with a slight expansion to it. The reconstructed accessory building is to be used as the family apartment occupied by Helen Andrews,mother of Sydney Hale. Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 02, 2002. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 06, 2002, at which time the Board found to grant the family apartment special permit and determined that relief was also necessary for a.special permit for the expansion of the non-conforming structure. Board members deciding this appeal were Gail Nightingale,Ron S.Jansson,Thomas A. DeRiemer, Randolph Childs and Chairman Daniel M. Creedon. Attorney Michael Ford represented the applicants,who were present at the hearing. Mr. Ford explained that the applicants purchased the property in 1987 and have made extensive improvements to the Main Dwelling. He stated that Ms. Hale's mother Helen Andrews was selling her home in Mashpee and now desires to locate on the'property in a family apartment. The applicants wish to improve the accessory structure located on the property. It is in a state of disrepair. The two-story section being the oldest is in need of demolition and reconstruction, the one story section is a newer addition, having been added in 1950. That section of the building is to remain and should only need rehabilitation not demolition. - Mr. Ford noted that the proposed reconstruction is substantially similar to the existing architecture and will respect that period. He noted that a small one-story addition would be added to the rear of the reconstructed section of the building. That reconstructed area would not be within the required side yard setback. He noted that the on-site septic system would conform to the requirements of Title V and if the subject structure should need Historic Commission approval for the demolition,it would be processed according to General Ordinance Article XLIX—Protection of Historic Properties. The Board questioned the number of bedrooms and the applicants agreed to limit the apartment unit to no more than one-bedroom. The other rooms would be used as studies, studio and accessory room, not bedrooms. The Board discussed the nature of relief being requested and the location of the building. Dugas,a Land Court decision, (Misc. Case No. 246863) was noted and the Board determined that relief would also be needed for the reconstruction of the building as well as its proposed use as a family apartment. Findings of Fact: At the hearing of November 06, 2002, the Board unanimously made the following findings of fact: 1. The property is located at 41 High Street,Barnstable in the village of Cotuit and is owned by Thomas and Sydney Hale. The locus is located in the Residential FD Zoning District and in the Groundwater Protection Overlay District and contains 0.78 of an acre of land. 2. The existing house was constructed in approximately 1895 and the accessory structure sometime there after. The assessor's record indicated 1900's. The one story garage addition to the accessory structure is located 1.6 feet from the sideline at its closest point and was constructed sometime around 1950. 3. The applicants seek an approximately 1,154 sq.ft. family apartment to be located within two floors in the existing barn /garages. 4. The applicants comply with the requirements of Section 3-1.1(3)(D) for the grant of a family apartment special permit. The accessory structure will be altered and improved to accommodate the family apartment. 5. The family apartment is to be occupied by Mrs. Helen Andrews,mother of Sydney Hale. 6. The applicant, through legal counsel, have indicated that they have read the restrictions in Section 3-3.1(3)(D) related to family apartments and have stated that they understand them and will abide by them. 7. The petitioners have sought a Special Permit to alter an existing non-conforming structure under Section 4-4.4(2) and MGL Chapter 40A, Section 6. 8. The applicant falls within a category specifically exempted in the ordinance for the grant of a special permit and that after evaluation of the evidence presented at the public hearing, the proposal fulfils the sprit and intent of the Zoning Ordinance and can be granted without a substantial determent to the public good or the neighborhood effected. 2 . Decision: Based on the findings of fact, a motion was duly made and seconded to grant the family apartment special permit with the following conditions: 1. Development of the family apartment shall be as proposed in plans presented to the file that show the elevations of the proposed reconstructed building and include a First Floor Plan and Second Floor Plan. Except that there shall be no bedrooms on the second floor. The apartment is limited to no more than one bedroom. 2. The family apartment shall comply with and be maintained in accordance with all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family members residing therein. 3. This family apartment is the only apartment permitted on the property. 4. The area of the structure that is the family apartment unit shall be located in conformance with zoning— 15 feet from the property line. 5. The family apartment unit shall not exceed 1,154 sq.ft. in area and is limited to one-bedroom. 6. The reconstructed building shall comply with all State Building Codes,Town of Barnstable Board of Health and State Fire Prevention Regulations. 7. The property shall comply with Title V without variance from the Board of Health. 8. This structure is to remain as accessory to the principal dwelling located on site. It shall not be separated onto its own lot nor shall it be sold separately. It shall always remain in the same ownership as the principal dwelling. The vote was as follows: AYE: Gail Nightingale,Ron S.Jansson,ThomasA. DeRiemer, Randolph Childs and Chairman Daniel M. Creedon NAY: None Ordered: Family Apartment Special Permit 2002-128-B is granted with conditions. This decision must be recorded at the 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. Daniel M. Creedon, Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 3 Q PK,,,TA-` F ' ASS. Town of Barnstable Zoning Board of Appeals 2001 FEB -7 RN 2: 41 Notice-Withdrawn Without Prejudice Appeal2001-08 - Hale Special Permit-Section 44.5 Non-conforming Uses . Summary: Withdrawn Without Prejudice Petitioner: Thomas Hale-and-Sydney A.Hale Property Address: r41 High Street,Cotuit,M, Assessor's Map/Parceh Map 035,Parce1027 Zoning: Residential F,RPOD,Resource Protection&AP,Aquifer Protection:Overlay Districts Background: In Appela 2001-08,.the applicants were seeking a Special Permit in accordance with Section 4-4.5 Non- conforming Uses to alter an existing non-conforming use,that being an apartment logged in the primary . structure.:The proposal was to relocate the apartmpnt to the first floor of.an existing.;accessory building know as the barn,.and to convert the:second floorf the barn into guest rooms and a studio. A 544 sq.ft. addition to the barn was contemplated.: The property is a 0.78 parcel developed with a 2 story. ,4 bedroom 3,112 sq.ft.principal:structure and a 1,221 sq.ft. accessory"barn" structure. The home was apparently built some time.around 1895. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the,Office of the Zoning Board of Appeals on November 28, 2000. An extension of time for holding.the hearing and for filing.of the decision was executed between the applicants and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened January 24,2001, at which time the applicants through their representative requested and the Board granted to allow the appeal to be withdrawn without prejudice. Board Members hearing this appeal were;Dan Creedon, Gail Nightingale,Ralph Copeland,Jeremy Gilmore and Chairman Ron S.Jansson. Attorney John Alger represented the applicants. At the opening of the hearing,Mr. Alger requested that the appeal be allowed to be withdrawn without prejudice. Motion: At the January 24,2001 hearing, a motion was duly made and seconded to grant the applicants request to withdraw the appeal without prejudice. The vote was as follows: AYE: Dan Creedon, Gail Nightingale,Ralph Copeland,Jeremy Gilmore and Chairman Ron S.Jansson. NAY: None r l�Z CUSTOM BUILDERS P.O. Box 159 • Cotuit, Massachusetts 02635 • 508-420-5363 9/17/96 DEar Sirs, writing to you on behalf of Tom and Sydney Hale of 41 High:Stpr. Cotuit. operty contains the second floor apartment documented in the enclosed letter from Mr. DaLuz. The Hales would like to relocate this existing non-conforming use into their detatched. barn. The square footage will not increase. The project will include renovations to the outbuilding which is badly in need of repair, as well as any septic and utility work which may be required. The existing apartment kitchen in the main house will be removed and the entire living space will be incorporated into a single family dwelling. Please advise me on the permitting process. Are any additional steps required? This information is a prerequisite for the preparation of con- struction drawings. Thanks for your time. Sincerely, Steven P. McElheny 4 t� V 5 �.�,• a f i AI?: e a.. Di,Lu_ .: :xt:ucor T'r;Lk'rHCHfi1 775-1120_• - EXT. 1 a3 TOWN OF BARNSTAB1 E 3 VIL :'iiNG ►.TDR TOWN -O rFIC1: F.UILDINv PYANN1y, MAS5. 02EJ1 June 12, q979 BOX 45f i�LU1t Doar Hrs. cDancugh: {-'": 5rch {., 1977 yC'j lT!^•iteJ mF C :: „ � 1n rebr � O -- ':-d �1G� .-?LC4 t� LAIC .. 1 i •_.n�-.r:ui:,.�c:.� in.y6xr_ct��_11�r>�;. wAs i 1r:;ntiangd. you have o-1 a t._31_ a-a La mut for r:s ; Years and that at :;c_i:us r±s ,;at chan2ec,,.reluest I: . hwever0hat is frc:n the urizt. Cocci i oc. r Peace, RESIDENTIAL PROPERTY ; MAP NO. LOT NO. FIRE DISTRICT SUMMARY ' �7 STREET High St. Cotuit LAND Q O O 3-� 73 d OWNER Y�-Geg, BLDGS. 30S1D TOTAL S/U 95d LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. n'• rn McDonough- I�1#,er�t��cae�a�'�::�' a'w1 a��nay ^^ ..-3 x-lO-.64,. l2i-.;.-�33x' TOTAL LAND McDonough, Mar I. y 6-1 - 8 1 11 Walter J. rn BLDGS. /G�. ST+ CTu iT, !i1 qJ• O�s� I I�I O J _..�, o�J 1.1 F?j�G TOTAL � LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND / . . BLDGS.INTERIOR INSPECTED: ! ^-iY" OI ( TOTAL DATE: . LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT y G /a 0 u a OS�O —• O O LAND CLEARED FRONT 0) BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND 2 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND / ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND B G FOUNUATION LiSM 1. be A I I Il NLUMkillVli PRICINki LAND COST .P cone.Walla Fin.Bsmt.Area j Bath Room Base / 6J_O BLDG. COST Cone.Blk.Walls Bsmt.Rec,Room St. Shower Bath t Bsmt. _- �y C PURCH. DATE Cone.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. Brick Walls Attic Fl.&Stairs Toilet Room Roof RENT n Stone Walls Fin.Attic Two Fixt. Bath _ �1J Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. F e i 1 2 3 Sink Attie /4 Plaster Water Clo. Extra' /s EXTERIOR WALLS Knotty Pine Water Only Double Siding_ Plywood No Plumbing Bsmt.Fin. .Z♦', Single Siding Plasterboard Int.Fin. i Shingles TILING ,36 Cone. Blk. G F P Bath Fl. Heat -3 a Face Brk.On Int.Layout 14 Bath F&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl.&Walls Fireplace Com.Brk.On HEATING7 Toilet Rm.Fl. Plumbing Solid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. O f Tiling A W Steam Toilet RmA&Walls Fl.Blanket Ins. Hot Water SI. ShowRoof las. Air Cond. Tub AreaTotal �Q • , • Floor Furn. �• P ROOFING S COMPUTATIONS / /D Asph.Shingle Pipeless Furn. ?gWIS. .F. /8 /4 , Wood Shingle No Heat -- F. /6„j O Il/]s ZAsbs. Shingle Oil Burner .F.Slate Coal Stoker .F. �.30 / 3 Tile Gas - S. F. / -SD s OUTBUILDINGS ROOF TYPE Electric ' S.F. 1 2 3 4 5 6 7 6 9 10 7. 1 2 3 4 5 617 819110 MEASURE! Gable Flat Hip Mansard FIREPLACES S•F. Pier Found. r� I Floor Gambrel Fireplace Stack Wall Found. 0.H. Door LISTED FLOORS Fireplace Sills.Sdg. Roll Roofing Cone. LIGHTING 'r _ _ _ Dble.Sdg. Shingle Root Earth No Elect. DATE Shingle Walls Plumbing Pine Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. 1st S)9 TOTAL 7 6 Brick Int.Finish PRICED Single 2n f 3rd FACTOR CLB REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REM�O�Dj. COND.. RtE'P-7L. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. �.:� ��r�" /`" �I/� 7 L f o� Z)o .. I A J, 2 3 4 5 6 7 8 9 10 TOTAL PROPERTY ADDRESS ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NRHD KEY NO. 0041 HIGH STREET 01 RF 200 01CT 07/09/95 10 1 J A8 LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS _T,, UNIT 'ADJ-D. UNIT L:ntl Bvmalo s :Drn„n,on LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE Descnpron HALE. T H 0 M A S & S Y D N E Y A MAP- co. FF De v,Incres #LAN D 1 5 3 P 40 0 CARDS IN ACCOUNT - L 10 18LOG.S.IT 1 X .71 =10C 114 59999.9 68399-99 .78 53400 43LDG(S)-CARD-1 1 103,900 01 OF 01 A 40THER FEATURE 1 6,100 OST 16340C N BATHS 2.0 U X B= 100 8800.0 8800.00 1.00 83JO 8 4PL 41 HIGH ST COT 1ARKET 171600 - NO BSMT S X 8= 100 6.1 D . , 0143 ME FIREPLACE U X 8= 100 3900.00 3900.00 1 .00 3900 d SE A BARN S 33 X 371 1900 3= 20 1.2 5.02 1221 6100 F D PPRAISED VALUE D J 163P400 A U ARCEL SUMMARY T S AND 53400 A T LDGS 103900 -IMPS 6100 M E OTAL 16340C E N _ CNST 48800 E - DEED REFERENCE Type DATE R d-I R I O R YEAR VALUE A T o Book Page In sr. I MO. Yr D S.le,P6c, A N D 53400 T S 6705/255, 104/89 235000 LDGS 110000 D 2731/311: 60/CO �OTAL 16340C R E - BUILDING PERMIT SNumber Dete Type .\mount LAND LAND-ADJ INCOME SE SP-8LDS FEATURES 8LD-ADJS UNITS 53400 6100 2600 Class Con st. Tol al Base Rate Atl.Rare Year Buill Age Norm. Obsv. CND Loc ob R G ReDI Cosl New AO Repl Value $tou es Hergnt Rooms Rms Batns a Fi•. P.rtyw.11 Fa<. Units Units I A f D¢Dr. COntl. I 018+ 000 115 115 75.65 87.00 95 55 39 47 100 47 221125 105900 2.0 10 4 2.0 8.0 0--pl- Rate Square Feel Rept.Cos MKT.INDEX: 1-00 IMP.BY/DATE: / SCALE'. 1/00.3 8 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 87.00 131.5 114405 GROSS AREA SINGLE FAMILY DWELLING CNST GP:00 T FOP 35 30.45 212 6455 *-18-* 'TYLE 05C01LONIAL OLD 0.0 R FFB 650 65.00 32 2080 1FWD 12 ------ ESIGN ADJMT__ 03 ESIG_N ADJU__S_T____15.0 D FWD 85 8.50 56 476 -8-*10*-* X7ER.JALLS _ a OOD_ F_R_A_M_E_______ 0.0 C FSF 8.3 288 22550 FSF! ! EAT/AC TYPE 04 IL 0.0 FWD 85 8.50 216 1836 � � -- rER. INIS - --- --- ----------- T FFB 650 65.00 32 2080 i �1 NiER,FINISH 0C 0.0 tvTER.LAY66T 01 0.0 U 820 60 52.20 1315 68643 36! AS ----------- R - NTER.6UALTY o2'A�E AS EXTER. O.OI A ! 41 *--15-* LOUR STRUCT- -JU ----------------- 0_0 L D W ! ! ! E _LOOR_ C6VER-- -pa-------- -------- ----0.0 Total Areas A.. - 48 4 Ra,,e= 1 6 0 3 B A S E 20 0 0 f_ T Y P E E ! ! _ ____ _ t77 A_N_S_AAD-_A_S_P_H______0._0_ BUILDING DIMENSIONS -8-* ! L E C T R I C A L 0(� 0.0 T BAS W10 S10 W10 N10 W10 FOP NO2 FWD5 ! OUNDATION--- -j0 -----------------99.9 A W04 N04 W04 S16 E18 N10 W10 FOP *-* * -------------- - --- ----------------------I 8AS N10 FF8 W04. S08 E04 N08 FF810* *-10FFB -----NElG_990R WOO 6 D3+48 COT U IT l L FWD W04 SO4 W04 N09. E03 S05 16 10 10 LAND TOTAL MARKET .. SAS N41 FSF W08 S36 E03 N36 !FOP ! ! PARCEL 53400 163400 FWD W08 N12 E18 S12 W10 .. *-18-*-10* AREA 4439 8AS E15 S21 E15 S20 FFB E04 S08 VARIANCE +0 +3581 W04 NO8 .. BAS S10 .. STANDARD 25 r, ] [R035 027 . ] LOC] 0041 HIGH STREET CTY] 01 TDS] 200 CT KEY] 20621 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 HALE, THOMAS & SYDNEY A MAP] AREA103AB JV] MTG12010 P O BOX 1891 SP1] SP21 SP31 UT11 UT21 . 78 SQ FT] 2982 COTUIT MA 02635 AYB] 1895 EYB] 1955 OBS] CONST] 48800- 0000 LAND 53400 IMP 103900 OTHER 6100 ----LEGAL DESCRIPTION---- TRUE MKT 163400 REA CLASSIFIED #LAND 1 53 , 400 ASD LND 53400 ASD IMP 103900 ASD OTH 6100 #BLDG(S) -CARD-1 1 103, 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 6, 100 TAX EXEMPT #PL 41 HIGH ST COT RESIDENT'L 163400 163400 163400 #RR 0701 0148 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE104/89 PRICE] 235000 ORB16705/255 AFD] I LAST ACTIVITY] 11/01/91 PCR] Y J, R`635 027 . A P P R A I S A L D A T A KEY 20621 HALE, THOMAS & SYDNEY A LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 53 , 400 6, 100 103 , 900 1 A-COST 163 , 400 B-MKT 171, 600 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 2982 JUST-VAL 163 , 400 LEV=200 CONST-D 48800 ----COMPARISON TO CONTROL AREA 03AB ----------------------------- NEIGHBORHOOD 03AB COTUIT PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 534001 LAND-MEAN +0% 1634001 97665 IMPROVED-MEAN +60 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [000] DATA- [ ] XMT [?] `'�035 027 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 20621 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A I I m / � LI DATA PARCEL ID 035 027 GEOBASE ID 206-2 " $ ADDRESS 41 NIGH STREET PHONE COT-IIT ZIP — LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT. PERMIT 67028 DESCRIPTION DEMO GAR/REBUILD WITH 2STORY APPT/GAR PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: PROPERTY OWNER Department Of ARCHITECTS: Regulatory Services j TOTAL FEES: $623.20 BOND $.00 �tME CONSTRUCTION COSTS $163,9,97.00 434 RESID ADD/AZT/CONV 1 PRIVATE s'4 !�"T _ * BARNSTABLE, • Mass. 059. i RFD MA'S A B I ISIO B DATE ISSUED 02/18/2003 EXPIRATION DATE TOWN. OF BARNSTABLE 8UILDI+NG PERMIT w PARC ID 635".02'7 STREET ID 062 ADDRESS 41 HIGH STREET `HONE COTOI T Z I P LOT BLOCK, LO �SZ. E- bBA DEVELOP �'NT S' RTT �:°I' PERMIT: 67028 DESCO.IPTI0 DEMO GAR/REBiJILD WITH .STORY; APPT/CAR Y I I; PERMIT TYPE BADDI ' . 'TITLE `- `; BUILDING PERMIT ADDITION ` .CONTRACTORS: PROPERTY OWN2R Department of ARCHITECTS: t Regulatory Services. (7 : r fi TOTAL FEES: . $823.2 ` BOLD ti. CON COSTS $133 537.00 43 �fL.j.- RESID,,4 ADD/A, T/CONY 1 ,�^ PF� VATE !'„ J_ anattvsraB>I�, • 16 B I ISIO ISSUED ,Q2%18/2003 EXPIRATION DATE THIS PERMIT CONVEYS`NO RIGHT TO OCCUPY'ANY SfiREET, ALLEY OR'SIDEWAL=K OR-ANY-'PART THEREOF;EITHER—TEMPORARIcti'-OR=PE,RMANENTLYrEN 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- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN'MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS 1 ELECTRICAL INSPECTION APPROVALS 1 v. �� . � CCU /� � �� •. y , -Z.�= a:3 8FRV►1 Ill) 3 2 d sk ..IIh2A3�p 2 H.�4 Pik 2 � yo 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHE SITE PLAN REVIEW APPROVAL b WORK SHALL NOT PROC ED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. t r I r TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 035 027 GEOBASE ID 2062 ADDRESS 41 HIGH STREET PHONE COTUIT ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 75502 DESCRIPTION FAMILY APARTMENT W/ATTACHED GARAGE PERMIT TYPE �F.e6OO TITLE 41M. OCCUPANCY PERMIT CO CONTRACTORS: PROPERTY OWNER ARCHITECTS: Department of Regulatory Services 9 TOTAL FEES: BOND $-00 CONSTRUCTION COSTS $.00 753 MISC- NOT CODED ELSEWHERE I PRIVATE BAMSTABM Mass. 039. BUILDING DIV S ON BY UVL, 7� DATE ISSUED 03/22/2004 EXPIRATION DATE U (J) V 40 v 03/2zjoy I I • . ,>; TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 035 027 GEOBASE ID 2062 i' ADDRESS 41 HIGH STREET PHONE COTUIT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT .1 j PERMIT 75502 DESCRIPTION FAMILY APARTMENT W/ATTACHED GARAGE j j PERMIT TYPE. STCO07 TITLE . OCCUPANCY PERMIT � CONTRACTORS PROP ER017 OWNER Department of ARC141T ,` .0".IZ S Regulatory Services TOTAL FEES: BOND $.00 �ZNE j CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1. PRIVATE * BARNSTABLE, MASS. 1634. �BUIJLDING DIVIS a N BY 9 DATE ISSUED 03/22/2004 EXPIRATION DATE (/ 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- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 r 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH (e OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT glal� 3 Td� 01 BRIM AB CAPE COD t INSULATION r C-F : I 6 [j7 F18RR O1A55 SRAMI[SS 5RRAT FOAM SOSRSNORO RAM ouR'R3 IN511l"o" GSRINOS 1-800-696-6611 QI` I Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: +113 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner / Property Address ) Villaey ,J L ��1P .� y Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls ( ) ( ) ( ) ( ) ( ) Sincerely hECasJr, President on, Inc. ,; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4 Parcel Application #6/di3 Health Division Date Issued ll` Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 7�U1 g Historic - OKH _ Preservation / Hyannis Project Street Address VillageCG S: Y' Owner Address -.);V/*e Telephone i�2y %2, �G Permit Request 1�i�1� ,/��� ���li' 2&G&�! 6� /,*,A� lay op Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District • Flood Plain Groundwater Overlay Project Valuation,? Construction Type,/ ���� i 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 JLNo On Old King's Highway: ❑Yes JkrNo 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 C-3 Number of Bedrooms: existing _new Total Room Count (not including bath-)): existing new First Floor I `oom Coun Heat Type and Fuel: .❑ Gas ❑ Oil ❑ Electric ❑ Other Central-Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo '/coal stogy: ❑? es ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ nOV 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name*� ae2_' i,�/ �/,� iG Telephone Number�c� Address 1e��� 61A License #_ 1D® Q Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ,p APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION a FRAME INSULATION i y FIREPLACE ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING a . Y r. DATE CLOSED OUT ASSOCIATION PLAN NO.� f f i �0�8 tt►vrpy se�b N W save PARTICIPATING mass un CONTRACTOR PERMIT AUTHORIZATION FORM . I, Thomas Hale ,owner of the property located'at: (Owner's,Name,printed) 41 High St Cotuit (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. X Ownli 's Signature 03/27/13 Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services!Participating Contractor to the above referenced project: f Participaling Contractor Date t Rev. 12132011 f }.; �Iu��acllutictis - I)c•1uu'tnu•ut of Public tiafcls ' Board of Buil'tlin., I:<<,ulation. :uttl �tanilards Constru.jption Supervisor License Liceil -CS 100988 HENRY CASSIDY 8 SHED ROW WE3;r 1iARMOUTH, MA 02673 1Ir, h' ` Expiration. 11/11/2013 ( ,.uuui,�fiuicr TrFF: 76204. ' a� �j Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 11ome Improvement Cotitractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2'b.14 Trk 233831 CAPE COD INSULATION, INC HENRY CASSIDY _........ --- - 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 _ _..__._....__.--- _.. ................ Update Addrt i and return csu-tl. IYtnrlc I-easun fnr change. L Address ( ltencwal I._l Employment I: I Lust Gird :ii^ ,'((•r �rt��en7trl,errrr/l/LCf'C-;llr�irtr.'�(trlelC . F urli+e of Gmsunier Affairs J Busuiess licgulatioii License or registration vnlitl for individul tile billy ins hIOME IMPROVEMENT CONTRACTOR before the expiration(late. If found return tu: eyistration; 153567 Type: Office of Consumer Affairs and Business Regtilation ;Expiration: 12/-15/2014 Private Corporation 10 Park Plaza-Suite 5170 Bostuu,MA 02116 i i)I)iWULATION,.�•INC. - - - - Ici Rl-APDON CIRCLE ti Y; (;pAOUfIL, MA 02664 - Uudersecretaiy Ot Val Witho t ' ❑lit re The C'ommonweulth of'Massachusetts Nnn(torrn F� 1 Depurtment of Industrial Accidents Office of'Investigritions 1 Congress Street, Suite 100' Boston, MA 02114-2017 w ww.muss.gov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/lla lee triciaus/Plumbers Applicalu Information Please Print Le,,.; N mic (l1USiliCSS/Oig Lllization/lrutividual): ( Q f --� - ---� — -- tl,r�l,ilc/,%i,T�: cJ�.` Any i`t IN�"�_ Phone #: 1JO0' "1 1 " �- Pre you itn employer? Check tile appropriate box: Type of project (required) ,I crrrplcryer with I am a general contractor and I cillplo)ecs (Ill l and/or part-time;). have hired the sub-contractors 6• ❑ New construction �..� I ant <, sole proprtc r rat parmer listed on the attached sheet. 7. ❑ I —tod.eling: ,;Ilil, and have no employees These sub-contractors have S. [] Demolition ��tlr6in� for lne in any capacity. employees and have workers' r 131.11lding addition JNo tworkcrs' con�tl.�: insurance comp. insurance.# r�tluirc d. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions honitowner doing; all work officers have exercised their I l.[] Plumbing repairs or additions nlpscU'. I No workers' coin right of exemption per MGL P 12.❑ Roof re llt;ti n,urunc� recluircll_J L c 152 §1.(4),and we have no (�j �� /� employees. [No workers' 13.� Otherza` - .... _ � comp: insurance required:] 'An). ;,pphc llt thal check:.box-8 t olds(also till out the section below showing their workers'compensation policy information. I loilicomicrs who subruit dais aflittavit indica('utg they are doing all work iuiti then hlr'e Qlltside convectors MUSt.submit a new aflidavit indicating such. C inua.lu,>that chuck (his box must attached an additional sheet showing(hc naune of the sub-contractors aril state whedwr or not(hose erltiti4s have rinplop Itlhc sub-coutruciors have employees,they must provide their workers'comp.policy number. l um an c:mploY�er that is providing workers'compensation insurance fur my employees, Below is the'policy uad job site in/urrnuriurr. I In � (` iivairinc: l'uutlmny Name: �Cc� lt� �t/tUV1 I Vl�i(�rilVt G _ Policti ri of ticll-ins: Lic. //: WcA o0 ez 11-2 01 T Expiration Date: doh ;etc Addl-css: _ .__. ..,e _ � �v �: City/State/Zip: Altach a copy of the workers' corYrpensation policy declaration page(showing the policy number and expiration date). I atlurr. It)secure coverage as required under Section 25A or NIGL c. 152 can lead to the imposition of criminal penalties ol'a iiuc up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK OIZDFR and a tine l,I ill it,:$250.00 a clay against the violator. Be advised thai a copy of this statement may be forwarded to the Office of liwosliiations ofthe DI for insurance coverage veriticatIM-1. I do herehV cerrifV.4tiat'r the pacers-aqd enalties of erjuq that the information provided above is true;and correct. _. — Date: Jr Ufliciul u.se only. Do not write in this area, to be completed by city or town official. � t itt or'fowu: Permit/License# ls.uUmg Authority (circle one): I. hoard of l-lealth 2. Building:Department 3. City/('own Clerk 4.Electrical Inspector 5. Plumbing Inspector Contact I'crlsuu: _- Phone#: _� CAPECOD-27 SPURDY ACORLi DATE(MMIDDIYYYY) CERTIFICATE OF- LIABILITY INSURANCE 4124/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). !PRODUCER - CONTACT I NAME: Cape Cod Commercial _ _ 434 Rte 834ray Ins.-Dennis Branch PHONE dal/� No) (877)816 2156 --(A/C,No,Ext).(508)398-7980 I I !South Dennis,MA 02660 E-MAIL — ADDRESS: i INSURER(S)AFFORDING COVERAGE f NAIC# INSURER A:PEERLESS INSURANCE COMPANY INSURED — --- _INSURERB_COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER c Evanston Insurance Company 18 Reardon Circle INSURER D Atlantic Charter Insurance_Company South Yarmouth,MA 02664 I ' INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i r --- INSR I- -- ADDL SUBR� ----- ------ ..; — POLICY EFF POLICY EXP - - - - LTR,I TYPE OF INSURANCE INSR_WVD _POLICYNUMBER — (MMIDD LMM/DD/YYYY) _ _ LIMITS _I j GENERAL LIABILITY i EACH OCCURRENCE I$ 1,000 000' DAMAGE_TO RENTED A X I COMMERCIAL GENERAL LIABILITY CBP8263063 I 4/1/2013 4/1/2014 PREMISES(Ea occurrence $ 100,000j ' I CLAIMS-MADE LXT] OCCUR I MED EXP(Any one person) $ 5,0001 - - —_— PERSONAL&ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000 000 11 i'---- --- GEML AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 RO POLICY ECT.—L LOG _ $ j AUTOMOBILE LIABILITY I — �COMBINED SINGLE LIMIT(Ea acci $ 1,000,0001 dent)_ — 113 ;`ANY AUTO I . 12MMBCKVMK ; 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED - SCHEDULED BODILY INJURY(Per accident) $ IAUTOS X- AUTOS 'r NON-OWNED LPROPERTYDAMAGE __ $ --� HIRED AUTOS X AUTOS i L(PER ACCIDENT _ _ UMBRELLA LIAB X OCCUR I - EACH OCCURRENCE $ _ 1,000 0001 --- ----- -'r -- -- tEXCESS LI I CLAIMS-MADE i I AGGREGATE 4/1/2013 4/112014 $ 1,000 0001 j I I DED _RETENTION$_ 10,000 - _ I $ --- -. .. - ------- -------- ---- ---------- I WORKERS COMPENSATION WC STATU- -0TH- AND EMPLOYERS'LIABILITY X TORY LIMITS -.._LER D I ANY PROPRIETORlPARTNERIEXECUTIVE I/N N/A i WCA00525903 - 6/30/2012 6/30/2013 E.L.EACH ACCIDENT $ - 1,000 000, i OFFICER/MEMBER EXCLUDED? I — " (Mandatory in NH) E L DISEASE-EA EMPLOYE $ 1,000 000I i _ If yes,describe under — --� -- ---- DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ 1,000 000 I I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.(Attach ACORD 101,Additional Remarks Schedule,if more space is required) !Certificate Holder is an additional insured under General Liability when required by written Contracts or agreements. S I I I , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE.WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ©1988-2010 ACORD CORPORATION. All rights'reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD t - Commonwealth of Massachusetts Sheet Metal Permit Map Parcel Date: ll� .� X-PRESS PER I 1_ermit# O0 60 , .. Estimated Job Cost: $ / 2i 17oL12 Permit Fee: $ bJ LIAR 11 '2013 Plans Submitted: YES NO V' Plans Reviewed: YES -NO Business License# /® � TOWN OF BAPOMA Else# ��- Business Information: dro p��tywner/Job Location information: Name: D(q 7- A" Name: J a C- d9�2 6/ ,PS Street: /2 Street: City/Town: City/Town: �/I® �G Telephone: �'�� � /� Telephone: �5 dg Photo I.D. required/Copy of Photo I.D. attached: YES V,-' NO U Staff Initial unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ . Other Square Footage: under I opo sq. ft. V over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: ✓ Renovation: HVAC _ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air.Balancing Provide detailed description of work to be done: t 0 Aej_ A14 A /7 / t x,�t°�`'� �y /J r %d fiL rs INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes to ❑ If you have checked Y&I indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement.. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this bo ,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.- Duct inspection required prior to insulation installation:YES NO 1�/ Progress Inspections Date Comments Final Inspection Date Comments Type of License: ly Master -tle ❑ Master-Restricted .Ity/Town ❑Joumeyperson Signature of Licensee 'ermit# ❑Joumeyperson-Restricted License Number: /o / ee$ ❑ Check at www.mass-goy/dul ispector Signature of Permit Approval I The Commonwealth of Massachusetts IPnni Forms t Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 NMW.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): D Aji Address: 2 L 4 - City/State/Zi -o`-4 v tst 4 rq4 11 r?53.tL Phone#: 5 ®,0 3-6 �///4 Are you an employer?Check th appropriate box: Type of project(required): 4. am a eneral contractor and I 1.�I am a employer with I❑ g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. .MRemodeling ship and haN,e no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' g ❑Building addition , [No workers'comp.insurance " comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work . officers ha%,e exercised their 11.❑Plumbing repairs or additions. myself. ' right of exemption per MGL �o workers comp. 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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-contractor;have employees,they must provide their workers'comp.policy number.- I am an employer that is providing workers'compensation insurance for my employeem Below is the policy andlob site information. P Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: / ~ 2` y —3 Job Site Address: l�h S City/State/Zip: 4 �iP/I �" Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER-and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebv certi , er the ains and enalties o er ury that the in ormrrtion provided above is true and correct Si afore: -- -- - - - -- ------- -- -- --- -- --- - - Date: Phone#:_ d Jr l� . 0 Official use only: Do not n7ite in this area,to be completed by city or town of cial City or Town: Permit/License# 1 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector"5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. t Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter.152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe 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 I 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 time event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02 1 1 4-20 1 7 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Revised 7-2010 Fax 4 617-727-7749 www.mass.gov/dia V �T Town of Barnstable Regulatory Services KAM Thomas F.Geiler,Director . t6;q. Building Division `'-Tom Perry,Building Commissioner 200 Main Street HyanniS,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, vat° as Owner of the subject ptoperty y y`'�5 / % t�G f hereb authorize-_ to act on my behalf, in all'matters relative to work authorized by this building permit (Address of Job) Pool fences,and alarms are the responsibility of the applicant.. Pool ` PP s are not to be filled'before fence is.installed and pools are not to be utilized until all final inspections are performed and accepted. S e of Owner ign e of Applicant Print Name Print Name Date Q:F0RMS:0WNERPERMISSI0NP00LS' Town of Barnstable o�TMe l� - , ' Regulatory Services W •. Thomas F.Geiler,Director i�+aiasrA13M �A�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. HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. , HOMEOWNER'S EXEMPTION • ' The Code states that Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,'that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a formlcertification for use in your community. Q:forms:homeexempt ' rK•tee t s3 n DIVIISM OF PROEES£lC)NA i.,lCENSURE F3G7ARD Or, ry 4 d1� m o ke f UAT ae ME � �R� �r t°+'+�'��.�Lo G b j1 a -" n\eI I ��ig`i,y a.. r•r� �,-h. ?bp�tH�Fa M4� 4 NO, M� l�� I�afi}", p+:.�• ,�'a;, o����'�raa' co�, r�'""��e ACORD. CERTIFICATE OF LIABILITY INSURANCE 09/1 MIDDIYY 09/14/201 2 PRODUCER (781) 344-8578 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C.L. Hollis Insurance en Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 27 Glen Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton MA 02072- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:CNA DRT HEATING & AIR CONDITIONING DBA INSURER B:TWIN CITY FIRE P.O. BOX 666 INSURERC: INSURER D: BUZZARD BAY MA 02532- 1 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I I LTRNSR R DD'L TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD DATE M MDD M LIMBS LT A GENERALLJABILTTY 4017719112 09/12/2012 09/12/2013 EACH OCcuRRENCE $ 1,000,000 RW X COMMERCIAL GENERAL LIABILITY PREMISES EaEoccurrence) $ 300,000 CLAIMS MADE M OCCUR / / / / MED EXP CAny oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICYF—j JECT LOC A AUTOMOBILE LIABILITY 4016640007 05/04/2012 05/04/2013 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS / / / / BODILY INJURY $ X SCHEDULED AUTOS (Per Person) X HIRED AUTOS / / / / BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE / / / / $ RETENTION $ $ B WORKERS COMPENSATION AND OMCTr,6573 09/13/2012 09/13/2013 X O EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERNEMBER EXCLUDED?y / / / / E.L.DISEASE-EA EMPLOYEE$ 500,000 It Yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONBIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ( ) - (508) 790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT TOWN OF BARNSTABLE FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE BUILDING DEPT INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE BARNSTABLE MA - ACORD 25(2001108) CACORD CORPORATION 1988 INS025(otoa).oe ' Page I of 2 i. Town of Barnstable *Permit# GZ EVlres 6 months from Issas date Regulatory Services Fee Thomas F.Geiler,Director X-PRESS pERM0T Building Division MAY 19 Z008 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 1- )F BARNSTABLE www:town.barnstable.ma.us E"RESS PERMIT APPLICATION RESIDENTIAL ONLY 508-790-6230 h-7 Not Valid without Red X-Press Imprint Map/parcel Number " t ;rResiden Addresstial Value of Work v 'a[ i� inimum.fee of$2 or work under$6000.00. Owner's Name&Address Contractor's Name // / // ��j� Telephone Number Home Improvement Contractor License#(if applicable) �{f Construction Supervisor's License#(if applicable) ❑Work,man's mpensation Insurance ' e'Ine: :a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance :nsur,ance Company Name Norkman's Camp.Policy# 7opy'of Insurance Compliance Certificate must be on file. 'ermit Requ (check box) C 7Re-roof(stripping old shingles) All construction debris will be taken ❑Re-roof(not stripping. Going over existing layers of root) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) c *Where required: Issuance of this penrdt does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy o 011ie royement Contractors License is required. IGNAIIM:- Ivx low. :Forma:exptntrg Construction Supervisor Home Improvement License Number#008267 Contractor Registration:#114813 Home Phone#508 420-5131 CELL PHONE#508 280-0802 ESTIMATE JAMES DANFORTH P.O.BOX 973 COTUIT, MA. 02635 Tom Hale 41 High Street Cotuit, MA. 02635 April 12, 2008 Work to be completed on the house roof as follows. Remove the existing two layers of asphalt shingles. Install 8" aluminum drip edge. Install ice and water shield 3ft. up onto the roof, also at any valleys. Install 151b. felt paper over the remaining roof sheathing. Install a '30-year Architectural type roofing shingle using Certainteed Woodscapes. Install a ridge vent on the rear roof ridge. House and -shrubs will be covered with tarps while work is in progress. Removal of rubbish Material and labor $5,280.00` Certificate of insurance will be issued prior to the start of the job. DATE OF ACCEPTANCE CUSTOMDER SIGNATURE CONTRACTOR SIGNATURE ,P� a� .�\ Board of Bmlding Re+ulafio(rs and Standards License or re;!stration valid f8r indrv►dul'use only WDME IMPROVEMENT CONTRACTOR before the expiration date. if found return to Registration 114813 Board of$wilding Regulations and Standards Ex iratroa One Ashburton Place Rm 1301 ' P 10/27/2009 Tr# 26085� 2 r ,P 13uston;A.1a.02108 } s I tTy e DBA> •JAMES p DANFORTHIREMO -.` ' JAMES DANFORTH=: / / • /� ,1105 OLD POST COTUIT,MA,0.2635 y Adrninr :rator Not valid wrthoutsig ture ,. ��_d� f aauoigsiwwo3, ,. M 509zo dtN llnl0� CL6 X08:Od, S3Wbr ' a� i 00 P?3 i;sON ` L809Z au'al 800Z/OZ/g0 WIS sa�idz3 s - set -- .4 �•i '1 "• , 19Z800 SD iaqutnN '�� 2i0SIA2i3df1S NOIlOfRi1SN00 •�1 �; 3�.. �" SNOIt`d'll1'J,321 �JNlallfl8�O OZI`d0.9 � �k • The Commonwealth of Massachusetts Department of lndustrid Accidents Of flee ice of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia workers'Compensation InsuranceAffidavit:Builders/Contractors/Electricians/Plumbers ApplicantInfOrm110A Please Print Legibly NaMe(BudnMd0rgmdzation&d1vidad): Address•T /�� /a tT7llf City/State/Zip: Phone.#: 7�/I Are you an employer?Check the appropriate bog: Type of project(required):. 1.QZi= loyer with 4• ❑ I am a general contractor and I 6. Q New construction (fuII andlorpart time).* have hired the sub-contractors 2. I an a'sole proprietor or partner- on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Q Demolition worlang for me in any capacity. employees and have workers' 9. 0 Budding addition [No workers'comp.insurance COS. '$ required.] 5. Q We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Phm3bing repairs or additions myself [No workers'cOnip. right of exemption per MGL 12.Q Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant thatchecks box#1 must also tall out the section below showing @icirworldcs'compeosatian PoticY fi&n atten• t downers who subrpit this affidavit indicating they am doing all work and then him outside contcacturs nwd submit a new off davit indicating'such. #Cdatraetors thatchwk this box must attached inn additional sheet sbowmg the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have omplayeas,they must provide their workers'comp.policyaumber. - I am an employer that is providing workers'compensation insurance for my employees Below tslhe policy and job see information. Insurance Company Name: Policy#or Self-ins.Lic.#: EVirationDate: zip Job Site Address: City/ ' 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 imprisonm=4 as well as civil penalties in the farm of a STOP WORK ORDER and it fine of up to$250.00 a day against ft violator. Be advised that a copy of this staatemeut maybe forwarded to the Office of Investi¢ations of the biA for insurance cov_eraite yegificatinn. Ida,hereby ce :ender th •and p aloes of perjury that the information provided above.is true and correct Date: _ Official use on y. Do not write to this area,tb be complet y city or town olficiaL City or Town: PermitfUcense# `Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Phone#• Contact Person: Town of Barnstable *Permit 70 # Expires 6 mont s from issue date Yr XC PRESS PERMIT Regulatory Services Fee Thomas F.Geiler,Director SEP 0 5 2006 Building Division "�a� omBerry,CBO, Building Commissioner TOWN OF BARNSTABLET 200 Main Street Hyannis,MA 02601 Y www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number -.'0"3S-7 ® � Property Address 7`�, � A . aU4,�;�X .Residential Value of Worker Minimum fee of$25.00 for'work under$6000.00 Owner's Name&Address / pYVr Contractor's Name -Telephone Number `r'�s5 — �`�> �- HometImprovement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 2 'Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name �JL� Workman's Comp.Policy# -7%!;e�k6/9 ^Y62 S Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ff-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. the Ho a Impro t Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 Department of Industrial Accidents Office.of Investigations: A ' a 600 Washington Street Boston,MA 02111' °'� 5•'J www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly Value (Business/Organization/Individual): -.E-(,�-�.` Address: a ox 1`��l� City/State/Zip: cO+ Phone#: Lre you an employer?Check the-appropriate bog:. Type of project(required):- X.I-am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors❑ I am a sole proprietor or partner- listed on the attached sheet.t Remodelin❑ g ship and have no employees These sub-contractors have 8. ❑ Demolition Working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL 11- Plumbing repairs or additions myself.-[No workers' comp., c. 152, §1(4), and we have no. 12.❑ goof repairs insurance required.] t employees. [No workers' 13.❑ Other camp.insurance required.] oy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' `. ' iomeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew aff davit indicating such >ntractors that check this box must attached an additional sheet showing the name of the sub•contraetors and their workers'comp.policy information. . im an employer that is providing workers compensation insurance for my employees Below is the policy and job site Formation. ,urance Company Name: licy#or Self-ins.Lic..#: 77 h /5 l U's Expiration Date: /0 eJ� b Site Address: YZ. !!Z,A V 74 City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a e up to$.1,500,.06 and/or one-year imprisonment, as well as.civil penalties in ttie form of a STOP'WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. 'o hereby c7ify u pains and penalties f perjury that the information provided above is true a correct afore:. Date:. one Official use only. Do not write in this area,to be completed by city.or town offw4L City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• Information and Instructions - iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. arsuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, rpress or implied,oral or written." �n employer is defined a$�:"an?r�dividual,.partnership,:association,corporation or other legal entity,.or any two or more f the foregoing-engaged in a joint enterprise, and including the legal representatives of a deceased employer,Of the =fiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev..er:the wrier of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik-ou such dwelling house )r on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." AGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or •enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." kdditionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall ,rater into any contract for the performance of public work until acceptable evidence of compliance with the insurance -equirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' co4ensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpart aers; 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 turned to the ci or town that the application for-.the permit or license is being requested, not the Department of be re tY , Industrial Accidents. Should you have any questuons 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 w f ll 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.affdavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof tha .a valid affidavit is on file for:f utmre permits.orlicenses..Anew affidavit must be filled out.each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents > office of Investigations ,. 600-Washington Street Boston,MA 02111 .'Tel.#617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 wised 5-26-05 www.mass.gov/din Fraser Construction Roofing & Siding Specialists P.O. Box 1845, Cotuit MA. 02635 Email: fraser cons tructiongverizon.net www.fraserroofing.com Phone 1-508-428-2292 & FAX 1-508-428-0123 RE-ROOFING PROPOSAL RUBBER ROOFING DATE: July 20, 2006 NAME: Mr. Tom Hale PHONE: C 508-982-6970 MAIL ADDRESS: P O Box 1891 JOB ADDRESS: 41 High St. Cotuit, Ma. Cotuit, Ma. 02635 02635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. ` SUPPLY & INSTALL - .060 EPDM Rubber Roofing SUPPLY & INSTALL - .32 White Aluminum Termination Clean 8s Remove - Debris from work area daily. TOTAL INVESTMENT: EPDM RUBBER ROOF,- $2,399 Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are.,; CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 '/z%for every 30 days the payment is late. r Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done. and charged for as an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead mark-up on total extras. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE.E � HE omeow ri fer Fraser Construction r , a CERTIFICATE OF LIABILITY INSURANCE !D09�1;2/200s PRODUCER (508)588-1250 FAX (50g)5$8-7236 , S �=; Wise & Quinn Insurance A enlr Inc. THi CEO• WICATE IS ISSUED AS A MATTER OF INFORMATION 9 Y f ONLY AN'. CONFERS NO RIGHTS UPON THE CERTIFICATE 449 Pleasant St. ). ! HOLDER.;, klS CERTIFICATE DOES NOT AMEND,EXTEND OR Brockton, MA 02301 ALTER THEE :OV�RAGE AFFORDED BY THE POLICIES BELOW- CISR, Paul .Crowley I INSURERS AFFORDING COVERAGE INSURED Dean Fraser NAIL 4 I INSURFRA: H3"Lford insurance Company DBA: Fraser Construction Co. INSURER B. 71 Tarr-aeon Circle r Cotuit, MA 02635-2443 !INSU�IERC.- �fNSUP.ER D: I iN-SURER E: _COVERAGES THE S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEED ABOVE FOR THE POLICY PERIOD INDICATED.NOT,�VITHSTANDIN{ EMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IN TH R.ESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR N,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN(S SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH GGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIfAS. TYPE Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION RAL LIABILITY f LIMITS OMMERCIAL:GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED CLAIMS MAflE ,C Jr� GN,ED EX P(Any ane persa+) g PERSONAL ItADVINJURY AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATEOLICY PRO LOC {J! PRODUCTS-COMF!OP AGG S AUTOMOBILE LIABILITY JGAI UTO COMBINED SINGLE LIMIT $ (Ea accident) NED AUTOS ULED AUTOS I BODILY INJURY ALTOS I (Par person) $ f WNED AUTOS BODILY INJURY S (Per accident) I ! PROPERTY DAMAGE (Per accident) 3 LIABILITY , TO ( AUTO ONLY-EA ACCIDERTT S OTHER THAN EA ACC S AUTO ONLY: AGG $ RELLA,LIABILITY — EACH OCCURRENCE 3 CLAIMS MADE AGGREGATE g DEDUCTIBLE $ RETENTION WORKERS COMPENSATION AND 6560UR-794X619-1-05 09/2b/2Q05 119/2612046 X $ EMPLOYERS'LIABILITY WC STATU- OTH- A ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT g 50t? �0Q OFFICERIMEMBER EXCLUOED7 U yea,describePRO under � E.L.DISEASE-E EMPLOYE S 500�000 SPECIAL PROVISIONS E.L. i OTHER E.L.DISEASE-Pbucy UNIT -3 500,000 1ESCRR�TION OF OPE4ATlCNS/LDCATIONS I VEMCLES I EICCLUSI£NS ADDED BY ENDORSEMENT/SPECIAL PRO�IISIONS n the operations usual to carpentry, I :ERLIFICATE BOLDER AN L N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Fraser Construction Co. BUT FAILURE t0 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY O Tarragon Circle OF ANY KIND UPON T14E INSURER,ITS AGENTS OR REPRESENTATIVES. C®tUlt, MA 02635 AUTHORIZED IV c CORD 25(2001/08) FAX: (508)428-0123 ©ACOi2D CORPORATION 1988 f 74 LiccrFse or registration istration valid for individul use only Board of Building Regulations and Standards befog l the expiration date. If found return to: lugHOME IMpg.OVEMENT CONTRACTOR gear,!of Building Regulations and Standards = One lshburton Place Rm 1301 RegistrtiiT 2536 Boston,Ma.02108 rcativa 2312007 �fYP e—MA i� - FRASER CONSTAU� DEAN ERASERry�J, 71 TARRAGON CIR°�`°�` _� --` V' Not valid withrsut signature COTUIT,MA 02635 Administrator i - -- '�j f �'Q Con zo-4• _ • J U P.T.WOOD 5T6�5 - ((-- pp x i B a! I a-z•. I O-z• H Q Q '^ c;5 TYPE'c" - ROOF DECK - 1 a-2• 1 a-z' 1 a-4• 3'G• ;q 'T QQz BEDROOM } m 1 z � - � a 0 W10z1 STL.BEAM QlU-S" A - h--- © — - - I m 35 6cv TORAGE 3 is-z•, loi. 1 1 i„ I � 1 •� At BATH O A - STUDIO �Q j KI CHEN 3 BSI• _ `'_- - 1 v r C105. 31 W -4 -- ---- _ D —V.O 3C CIE. - 1:J W10 Y 19 TL.BEAM - • I _ --- -- — ♦�W10 x 30 STL.BEAM kFLUSPO BATH L T TWO CAR "' - ° 5-4uwsrc4lz• O �n GARAGE kp1 oveN Nay 1 �i r - Icr.gr LIVINGROOM p-1 1 s? I s'-s� 5-9J L`J 2 V I � A j � LOFT• I a 1 6 S��• UP � I Iq.l•, 13'. I ,. © -- --� 1 ---------- 1 APPLIED FALSE DOORS WITH y 3 I/2 x 14'LVL�HAVE-SUPp'- P,VERIFY 'a W Z ——————————————— OPERABLE AWNING WINDOWS - - 10'- 1as• Ia-1• Z � ..moww N - c o Y1 Z a Q FIRST FLOOR PLAN SECOND FLOOR PLAN , - a = �_ r y SMOKE DETECTORS'O.'K. a - - - DATE 1/17/03 SCALE 1/4�1'-T { BARN&IAEXE BUILDING DEPT. DRAWING# Al - 4 si" 30'X 30 .. CUSTOM CUPOLA TO MATCH EX15T. .. Z CONTINUOU5 ROOF RIDGE VENTID ttoyyi� O Vl cm CROWN MOULDING OVER 12 Y O i x8 PINE BUILT OUT RAKE BD.OVER I x6 PINE FRIEZE BOARD G PRESSURE TREATED RAIL RED g ND FLOO SHINGLES(R5-R ND a Z RED CEDAR ROOF SHINGLES(TYPJ - I X 4 DECKING OVER FLAT ROOF DECK ROOF ONLY TO I X 10 FRIEZE BOARD PATTERN TO MATCH EXISTING a U Flnre AT DOaAHt • �, gAIE AT OORMfR-_.. �O � RUBBER ROOFING OVER 3/4'CDX PLYWD.ON -----�•- 1�1...,,Z N - wluoow HERD Hr. 2 X 125 PITCHED TO GARAGE OUTSIDE WALLS ♦ ..Do rgaD M' uw m 3♦o Xp s z8 PINE FASCIA BOARD ON LVVVWJ m , w i y W ROOF OVERHANG OVER }.. c O In I x I O PINE FRIEZE BD.W/ 1 x 1 OPINE FRIEZE BRD. O v B®MOULDING u 9-D Fl R L 0-0 Lp., JFGQID FlDpt - , a r PfLLA v Ix 5/I x 6 CORNER BRDS. CLAD ARCHITECT SERIES r CLAD DH WINDOWS W/ a T; m `I X 4 PINE CASING AND CAP,Lij z RED CEDAR CLAPBOARDS N ® © ® p (TYRCAU - Q g 4'TO WEATHER MT.) 9 RED CEDAR CLAPBD5. - ..—.- Flax > m f Flrssr FI00R g 4'BCPOr LIRE-TYPICAL Fl— PRE55URETREATED WOOD STEPS _ FALSE 0 WIDE x 3'HIGH VERT.BD.DOORS - I O WIDE xT HIGH SLIDING WITH FELLA ARCH IT.CLAD AWNING WINDOWS - I x 4 VERTICAL BD.GARAGE DOORS w - FRONT ELEVATION - LEFT SIDE ELEVATION 1/4'=V-17 _ - i/4"=1'-0' r .. z ' - 30'X 30' CUSTOM CUPOLA TO MATCH EMST. ¢ CONTINUOUS ROOF RIDGE VENT FELLA DESIGNER WOOD/CLAD " RED CEDAR ROOF 5HINGLE5 ' • - -FRENCH DOOR.WITH 1 x4 PINE CASING-TYPICAL RED CEDAR SHINGLES 95'EXP. ' TO WEATHER g 2ND FLOOR AND - IRE51111E TREATED RAIL ROOF ONLY I X 4 DECKING OVER FLAT ROOF DECK, To I X 10 FRIEZE BOARD - ,Pure M. .:'- - • _ _ '. , ..—._--- � RUBBER ROOFING OVER 3/4'CDX PLYWD.ON PLATE AT DORMER 2 X'12'S PITCHED TO GARAGE OUI5IDE WALLS ---- f - wluoav nD.M. WINDOW HD.KY. PEUA ARCHITECT SERIES O N 1.10 PINE FRIEZE BRD. N - CLAD DH WINDOWS W/ -, qT 1 x4 PINE CASING-TYPICAL - Z HIM ._.. .. _secouD FtR. - SECOND FLOOR" s _ fa TOP PLATE - PIA1E Ix5/1 xG CORNER BROS. - ®® C W o. 1 x G/5 PINE CORNER.BOARDS ip O -'- ip O O •.� EXP. ARO WEATHEPBOAR OV RED TO WEATHER ..— > �® 0 > g 4'TO WEATHER.(Il'P.) FIRST FLOOR FlR4T FIOLtt T.O.FNDI4. =7 z = v W BILCO TYPE'C'BULKHEAD 1 x4 DECKING ON P.T.STEPS FP.AME W jLj F Ir f a 1- DATE 1/13/03 RIGHT SIDE ELEVATION REAR ELEVATION SCALE 1/4�1'-B' 1/4'=Y-O" - 1/4'=I'-0'_ DRAWING B: NOTE: VERIFY WINDOW TYPE WITH OWNER . - - PRIOR TO ORDERING - - AZ - 4 S - TYPICAL ROOF FRAMING: - - CONTINUOUS ROOF RIDGE - Z 2 X G RAFTERS @ I G'O.C. VENT m O "C". W/R30 INSULATION• 12 2 X 8 RIDGE BOARD W AND 1/2'COX RYWD. 6 < 2 41NE Of STEP ABOVE 'I` SHTryG., > NO RED CEDAR ROOF SHINGLES Q C \ ___E I 10'50NOTU 4 x Z G" WITH CROWN MOULDING 4 z ' DRO TOP 8-DOWN FOR D1 2 X 6 GIG.JSTS.@ 16°O.C. WRAPPED AROUND DORMER5 ' �' AT ALL 2ND FLOOR WINDOWS P.T.2x6 N lER 4. ------- BILC °C'BULWEAD - • a -------II- - Al --II Y TOPPLAT v� �\/` ..,mow.._.-.-'.._."• - :.:.:.., e.^ �: 1 WOW HDR ~I' ROOF FRAMING: N I — ---------- _.� •' UNE OF WAIL BEYOND I ------ ' ----- 1 m k BATH LOFT 2X 125@ IG-O.C.. p D I ^ CUT TO PITCH TO OUTSIDE w m � !? 3 WAl/5 CDX PLYWO.5HTHG. r¢ d 1 i a' i i Yip TYPICAL EXT.WALL FRAMING: AND RUBBER ROOFINGZ BALLOON FRAMED 2ND FLR 3/4 T PLYWD. FLOOR 1,(Tii) •. 91 i'I I 2 X C STUDS@ IG•D.C.W/ X 5 1 .0 OR --- I I - 5 1/2•RBERGLA551N5U1 - _ Q •7 11 I i/// 3MI2 GIRT %/// BM.PKT.1' ---------- --------- AND 112'COXPLYWD.SHTHG. --- BM.PKT. �:•- ..i:•r ... a +-:a a.,...:. I TYPAR HOUSE WRAP 70P PLAT 1 17/8'AJ51 O FLR J5T5. / / ------------------- I I SEE ELEVATIONS FOR SIDING -_ W 10 X 195TEEL BEAM c _ FIRE LIVING G-94 I r I aC 2'k4'KEY WAAT WALL EYW/C%4_REBARS '.TIONS: •. - • "{ZOOM -- 'O CEILING ANDOCOMMONWALLS� ' >3 - 'V = I @ 12.O.C.VERTICALLY(MIN. I i ...0. --- GARAGE Z - yl I �ULI BASEMENT' I I Zdr4 314 TtG PLYWD.S REXISTING 2 X 4 EXTERIOR I TYPICAL FOUNDATION WAIL FIRST FLA --- WALL AT GARAGE TO REMAIN- o I 4 THICK POURED CONC 1 `T111CK POURED CONCRETE I/ Al I O T /) REPAIR ANDBUILDUPIF l : I II I z i 7'-9'HIGH X 8•THICK - NECESSARY �1 S u 5 8 FLOORON-3 MIL P LY,J I STAB FLOOR WITH I I FOUNDATION WALL ON --- - S I V POP,BARRI ER OVER C N I -- m I t I K.6'k6"-IO'xl0'-W.W.M.O I 1 ¢Q. - CONTIN.9'X 16°GONG. -, ISO m COMPACTED GRANULAR?ASE i I CLEAN COMPACTED 1 I p �3'2X12 GIRT --- - POURED FOOTING w O I I O a' GRANULAR BASE �< FULL --- - NOTE: v I z N z e I I I I j --- - VERIFY 6RSTING GONG.51A8- , O N N `- am3 I 31/2°05TEEL LLY I I I � ..BASEMENT --- AND FOOTING AT EXTERIOR COLUMNS ON 2530'x30' I I I g 1 --- GARAGE WALL BUILD UP IF CONC.FOOT] TYPICAL I I I I ell m 4'THICKPOUREDCONCRFTE 'i COLMN5 ON L 2LL P --- NECESSARY . I I I I I SLAB FLOOR ON 3 MIL POLY - r GONG.FOOTING AL 3ld12 GIRT // �M.FKT.1 I I v VAPOR BARRIER OVER CLEAN ( I I COMPACTED GRANULAR BASE I. I I I J o 20-4` i _� i .. j i - 2 I y ( 8-THICK POURED CONCRETE _ I FOUNDATION WALL ON 851 G' SECTION @LIVING/GARAGE ' 1 CONTINUOUS GONG. I I h u I I I FOOTING-BOTTOM TO I I 3 Z 1 I BELOW FROST LINE (4'MIN.) NGALIGN WITH EX5TI DEPRESS T.O.FND.12' = IIIII CONDN.RO,,OF RIDGE VENT TO RELIEVE SLAB 2 X 8 RIDGE BOARD . TYPICAL ROOF FRAMIG L - -- ---- N - I 2%6 RAFTERS IGO.C. 1 - ••L.: ..C.tiv-t., I W/R30 INSULATION. - ------ - --------- ---------------------- DU2 DX PLYWD. j} f AND C _--- (,8 THICKx7'9°HIGH POURED - - SHTHG., CONCRETE.FOUNDATION �2 X G CLG JSTS 7@ I G'.O.C. RED CEDAR ROOF SHINGLES J WA ON 8'x 1G�'CONTIN. WITH OVERHANG CONCRETE FOOTING WITH CROWN MOULDING WRAPPED AROUND DORMERS Q 20-7' 1 7'O' AT ALL 2ND FLOOR WINDOWS i o STUDIO ROOF DECK FRAMING. W 9 2X8'S@ IG'O.C., z CUT TO PITCH TO OUTSIDE _ - WALL W/I/2'CDX PLYWD. zO 5HTHG.AND RUBBER F- 3/4•T.t G.PLYWD.SUBFIR ROOFING W V W 2 X 12S @ I G'O.C.OR I X 1 (1) FOUNDATION PLAN 117/8'AJ5 10 RR JSTS. W I OX 19 STEEL BM. - -- I o Z 1/4'=V-0" A - - SILL PLATE r, TYPICAL EM.WALL FRAMING. 2 XG 5TUD5@ IC'O.C.W W a - 5 I/2'FlBERGLASS IN5UL PLATE BEYOND IQTCHEN BEDROOM z � AND I/2'CDX PLYWD. � SHEATHING F O • TYPAR HOUSE WRAP 0 6° Iv SEE ELEVATIONS FOR SIDING P3/4•TA G.PLYWD.SUBF 5 1/2'FBGL INSUL W t Q PLATE BEYOND 9 1/4-A1510 FLR 8' TOPPIATE �f: ;i 16'O.C. Q 5 - _ 3 2 x 12 GIRT LALLY CROWN MIDG. ND FIR q `COL M145 ONL 2°°3Px30• .c = a Il GONG.FOOTI NG TYPICAL U WIDW HaL 1 TYPICAL FOUNDATION WALL W SLAB FLOOR RED CONCRETE 110 p � �1 7'-9'HIGH XB'THICK � t_ 6'-8 5/e' BOTTOM OF JST. SLAB ftOOR ON:3 MIlPO - - - VAPORBARRIER OVERCLEAN FOUNDATION WALL ON a t- 1 1N. 1 1 COMPACTED GRANULAR BASE CONTI D 9'X I G'CONC. DATE 1/17/03 D1 DTL @ EVE 1 1 D2 DTL @ SOFFIT POURED FOOTING 1'=1'4Y q SCALE AS NO 3 1 1 S2 SECTION @ BDRM . / STUDIO °RAW]"G# ' � z 2 X 8 DECK JOISTS @ IC-O.C.' IA • t Y O E pp ppcK gE p 10 0 - F� o 1' wi x i.. ST. a (F us I z Ix - o - . -2 AM X31 S B US 3 4 W 10 19 STL BEA BE OW ' - � I I I I I I I I I I I I I a 1 I I I I I I I I l I I I - ' I I I 1 1 - �_ I I I 1 1 1 1 1 1 1 1 1 1 Z I I t i I I I I 1 O - - I I I I I I I I I I I ¢ - 1 1 1 1 1 1 1 1 1 1 1 I - - L J 1 L L J 1 L - 3 I/2"x 14'LVL-HAVE SUPPLIER VERIFY - 8'OVERHANG(TVP.AT SOFFIT) - 9 1/4'A15I O FLOOR J015TB OR 2 X 125 @ 19'O.C. - 2 X G RAFTERS @ I G-O.C. 2 X 1 2'S TAPERED TO ROOF EDGE VERIFY WITH OWNER PRIOR TO ORDERING - w W --I W SECOND FLOOR ROOF W FRAMING PLAN FRAMING PLAN Cg 0 W z oC F a WINDOW AND EXTERIOR DOOR SCHEDULE N TlP 0 WOW STYLE PRIOR TO ORDERING WF Z KEY MANUFACTURER ITEM NUMBER CITY STYLE ROUGH OPENING MATERIAL Q A FELLA 2959 ARCHIT.DBL HUNG 2'-5 3/4'x 4'-5 314' WHITE ALUMINUM CLAD = a B FELLA 7282 ACT.-FU(. COICOIFRENCH DR 6'-P x 6-IP WHITE ALUMINUM CLAD. � F- C FELLA 7281 ACT.-FIX 6'PFRENCH DR 6'-P x G-BS/B' WHITE ALUMINUM CLAD INTERIOR DOOR SCMEDULE D FELLA 3G82 LH FRENCH ENTRY DR 3'-03/4'x 6-I P WHITE ALUMINUM CLAD KEY MANUFACTURER BVE CITY STYLE '? ROUGH OPENING MATERIAL m F + E BRp5CO "2' 8'is-6'- LH_IN5UL_.FIRE DR., 2'-10 3/8'x G'-I I EMBOSSED METAL I 5RO5CO 2'-G'x G'-8' DOUBLE G PANEL 32'x 83' S.C.MASONITE DATE 1/17/Q3 F CUSTOM 19 WIDE x T HIGH SU DI NG GARAGE DR Wool) 2 BROSCO 5'-0'x C-8' DOUBLE 6 PANEL 62'x 83' S.C.MASONRE G BROSCO /2'--8•k.6-=8• —`'TH-INSUL-FIRE-DER--r' 2'-103/8'x 6'-I I' EMBOSSED METAL 3 BRDFiCO 3'-01x 6-8' SCALE 1/4 1' RH 6 PANELOR. Sap 83' - S.C.MASONRE `= -0' H FELLA 2959 ARCHIT.DBL HUNG 2'-5 3/4'x 4'-1 1 3M' WHITE AWMINUM CLAD 4 BROSCO Ul 6 PANEL OR. 74'x 83' S.C.MASONRE DRAWING V. ' I PELLA 4129 ARCHIT.AWNING 3'-5 3/4'x 2'-5 314• WHITE ALUMINUM CLAD 5 BR05C0 2'-8'x G-8' U1 6 PANEL DR 34'x 83- S.C.MASONffE - J FELLA 2935 ARCHR.CASEMENT 2'-53)4'x 2'-113)4' WHITE AWMINUM CLAD 6 BRpSCp 3'-PxC-8' 6PNL.POCKET DR 6'-I1/4•xT-0I/4' S.C.MASONRE A4 4 w µ w�.xmm�'e74a'a^e.�.My�+'"^�-R�•�• � . ; ''.". ;...^rH'xt °k !x�' n. . ✓r" ....- ♦ a, r c .. a n tT',,. a. "."y$�`.. "`•"'yn'�.,+r..