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0045 MARINER CIRCLE
-.� / � _ � it Town of Barnstable n a BUlldl g m kn . _ Post This Card So That itis-Visible from the Street-App roved Plans Must be Retained on Job and this Card Must be Kept IIAMNSM WA MARK A� Posted Until Final Inspection Has Been Made. 1659. Permit Where a Certificate of Occupancy is Required,such Building shall Not be�Occupied until a Final Inspection has been made. Permit NO. B-20-1257 Applicant Name: MICHAEL DELUGA VILLAGE CRAFT BUILDING & Approvals REMODELING .Structure Date Issued: 06/10/2020 Current Use: Foundation: Permit Type: Building-Pool-Above Ground Expiration Date: 12/10/2020 Sheathing: ... Location: 45 MARINER CIRCLE,COTUIT Map/Lot: 023-044 Zoning District: RF Framing: 1 Owner on Record: BARGER,JAMES C&COSTA, MONICA Contractor Name:- MICHAEL DELUGA 2 Address: BOX 219 . _..m-. Contractor License: CS-050234 Y . .. Chimney: COTUIT, MA 02635 N Est. Project Cost: $4,000.00 Description: install an above ground pool in the middle of gthe back yard € Permit Fee: $ 125.00 Insulation: J. 5 i f Fee Paid. $ 125.00 Final: Project Review Req: Code compliant barrier required. Date:"' 6/10/2020 i — Plumbing/Gas r Rough Plumbing: Final Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.__. _-_ __. Rough..Gas:.-- -- - - -All work authorized by this permit-shall_conform to the approvedapplication and the`approved construction_documents for which this permit has been granted. i Final Gas: -All construction,alterations and changes of use of any building and st ructures shall be in compliance with the local zoning by-laws`and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical j Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing _ 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 Appli cation Number......... .................... HARNgrABLE, « SCANN MASS. Permit Fee.... ............Zoning District........................ 1639.RFD MA'S& TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by.... .........On.....�j. .......... BUILDING PERMIT B ILDING .DEPT. Map...t1)07 3............ ........PuCel..10).Y. . ............................... APPLICATION MR 8 2028 Section 1 - Owner's Information and Project LocatTAWN OF BARNSTABLE A /11 fy)J,� C Project Address Village M' Owners Name. Owners Legal Address City (/CState Zip ly Owners Cell # E-mail Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 - Type of Permit ❑ New Construction [J Move/Relocate E] Accessory Structure n Change of use El Demo/(entire structure) El Finish Basement ❑ Family/Amnesty El Fire Alarm Rebuild El Deck Apartment Sprinkler System ❑ Addition ❑/etaining wall ❑ Solar ❑ Renovation Pool EJ Foundation Only Other-Specify Section 4 -Work Description 12 1 II f mw 4 Ita- �gffq 6 arnot n-6t Jee4 Y- CJ-n 1 6-r L hig F Last updated: 1/31/2020 -a Application Number.................................................... J; Section 5 —Detail Cost of Proposed Construction Square Footage of Project p �, Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method- ❑ MA Checklist ❑ WFCM Checklist ❑ Design i Section 6— Project Specifics ❑ Wiring ❑ Oil Tank Storage y ❑ Smoke Detectors ❑ Plumbing [ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom a Water Supply ❑ Public :-❑TPrivate Sewage Disposal ❑ municipal ❑ On Site g p P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ❑ No Section 7— Flood Zone S i Flood Zone Designation Within or adjacent to a wetland, coastal bank? ' Yes ❑ No ❑ Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed I 1 Rear Yard Required. .Proposed I Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 t E WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 t (800)876-2765 NCCI NO 40959 k POLICY NO. I WCC-500-5006114-2619A PRIOR NO. WCC-500-5006114-2018A ITEM t 1. The Insured: Michael Deluga a DBA: Village Craft Building&Remodeling Mailing address: 568 Santuit Road FEIN:"-"'2146 Cotuit, MA 02635 { Legal Entity Type: Individual Other workplaces not shown above: 2. The policy period is from 12/23/2019 to 12%23/2020 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here: MA - i B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. i The limits of liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit 1 Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code` Estimated Per$100 Estimated No.t Total Annual Of Annual I Remuneration Remuneration Premium i . INTRA 000355380 INTER SEE CLASS CODE SCHEDU E Minimum Premium $500 Total Estimated Annual Premium $3,709 GOV GOV r Deposit Premium $957 STATE CLASS j MA 5645 State Assessments/Surcharges $3,356.00 x 3.5100% $118 i This policy,including all endorsements,is hereby countersigned bye—'� �— 11/25/2019 Authorized Signature Date Service Office: i Malcolm&Parsons Insurance Agency Inc 54 Third Avenue P O Box 527 Burlington MA 01803 Stoughton,MA 02072 t WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. Commonwealth of Massachusetts 8i Division of Professional Licensure Board of Building Regulations and Standards Constrtotlibti'Supervisor CS-050234 Expires: 07/0912020 s MICHAEL DELUGA 668 SANTUIT RD ,.». COTUIT MA 02636 Commissioner Office of Consumer Affairs b Business Regulation HOME iMpROVFMFNT �ONTRACTOR Reaistratlo 105548 0 711 612 0 20 MICHAEL DELUGA D/B/A VILLAGE CRAFT BUILDING&REMODELING MICHAEL DELUGA 568 SANTUIT RD. Undersecretary --�ary COTUIT,MA 02635 Registration valid for individual use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 Boston,MA 02108 Not valid without signature r i The Commonwealth of Massachaseft Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 wlww.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/E,lectricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individ ):�� ) to V Address: p� 7 City/State/Zip: Phone#:C 6�� ` V � i Aa,v4u an employer?Check t e appropriate box: Type of project(required): 1. am a employer with 4..❑ I am'ia general contractor and I 6. El 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. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in an aci employees and have workers' YP capacity. $ 9. El Building addition [No workers' comp.insurance comp.;Herman required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.ElPlumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance regui od.]t c. 152,§1(4),and we have no employees.[No workers' 13.E]Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below sliowing their workers'compensation policy infomratiolL t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. , lam an employer that is providing orkers'compensation insurance for my employees. Below is the policy and job site information. C Insurance Company Name: Policy#or Self-ins.Lie.#: f(� r/ Expiration Date: z Job Site Address: ` � stir t r City/State/Zip: C'`Z�' 00, 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 hereby certify undor the p ' d penalties of perjury that the information provided abrve is and correct. Simistore: 1 Date: Phone#: o�0z Official use only. Do not write in this area,to be completed by city or town gf}iciaL City or Town: t Permit/License# Issuing Authority(circle one): j 1.Board of Health 2.Building Department 3.City/T6wn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r i i r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri 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 worst 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 workuntil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." - Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials r Please be sure that the affidavit is complete and printed legibly. 'Ihe Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will b6 used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents' office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 IvMASSA.M Revised 4-2407 Fax#617-727-7749 www.maw.gov/dia Application Number........................................... Section 9— Construction Supervisor k VL Name Telephone Number i Address City � � State Zip L License Number License Type Expiration Date !� A-6 Contractors Email V °� L( >J Cell # byyyy��, Ca I understand my responsibilities under the rules and regulatioor Uviensed Construction.Supervisor in accordance with 780 CMR the Massachusetts State Building Cod I understand the construction inspection procedures,specific inspections and documentation required by 80 CMR a Town of Barnstable.Attach a copy of your license. Signature Date ; Section 10 — Home Improvement Contractor Name Telephone Number Address P6 9A. Zo City Z�ILJ State Zip Registration Number l6 0 Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b 780 CMR an th own of Barnstable.Attach a copy of your H.I.C... Signature Date l Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name r/ 9 Telephone Number 45o' 6' 9C7 E-mail permit to: V 1//4 cps Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization I as Owner of the subject property Yhereb Y authorize to act on my behalf, in all matters relative to ork author'zed by this building permit application for: (Address of job) Signature of Owner C511date . 'I Print Name a ,1 1 Last updated: 1/31/2020 Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans'Must be Retained on Job and this Card Must be Kept SAMSTABLM a+nsa Posted Until Final Inspection Has Been Made.. f63q , 'Where a Certificate of Occupancy Permit i h � f upancy is Required,such Building shall Not be Occupied until a'Final Inspection has been made. Permit NO. B-20-1257 Applicant Name: MICHAEL DELUGA VILLAGE CRAFT BUILDING & Approvals REMODELING • Structure Date Issued: 06/10/2020 Current Use: Foundation: Permit Type: Building- Pool-Above Ground Expiration Date: 12/10/2020 Sheathing: Location: 45 MARINER CIRCLE,COTUIT j Map/Lot �023-044 Zoning District: RF ] Framing: 1 Owner on Record: BARGER,.JAMES C&COSTA, MONICA Contractor Name: MICHAEL DELUGA 2 Address: BOX 219 ,._-Contractor License: CS-050234 COTUIT, MA 02635i `. Chimney: Est. Pro e't Cost: $4,000.00 Description: install an above ground pool in the middle of the back yard Permit Fee: $ 125.00 Insulation: Fee Paid` $ 125.00 Final: w _ ,Pr_oject-Re-view-Req--Code-compliant-barrier required. - Dater' 6/10/2020 Plumbing/Gas Rough Plumbing: Final Plumbing: T Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this 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 for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration,of the work until the completion of the same. - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough* 1.Foundation or Footing 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 `Y� �' �_ >> C��. l -� i 13/� � f �c �' � .r r �� ���1� s � i.�- �� �.. r-v �' �� �r ���1� i 1 d NAME OF POOL: SIZE OF POOL:-- DATE OF PURCHASE: NAME OF POOL WALL: L5—A " 5Ao of e. NAME OF LINER: a Oven D D �•� e • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f ' � 2 f Map Parcel Application 01�`��lIf Health Division on- ) Date Issued ( /—z& ! �� Conservation Division Application Fee Planning Dept. Permit Fee ,/9L 76 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �� �' '�. cam-' Village Owner �Aoy Address 4er 61cle Telephone_ ys Permit Re uest r ( / n Square feet: 1 st floor: existing proposed' 2nd floor: existing proposed Total new Zoning District R r Flood Plain C Groundwater Overlay WF Rpm zo,x Project Valuation 37 e0a - Construction Type 1,2 j ss Fs�w�a r Lot Size 20400 Grandfathered: ❑Yes f3'No If yes, attach supporting documentation. Dwelling Type: Single Family 2- Two Family ❑ Multi-Family (# units) Age of Existing Structure W14 Historic House: ❑Yes YNo On Old King's Highway: ❑Yes rl2 No Basement Type: F..rull ❑ Crawl ❑Walkout ❑ Other N o �ast/►m 'T S e2. 5��ry,�� lc -� Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing eb- new Number of Bedrooms: existing knew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel -FA Gas ❑ Oil ❑ Electric ❑ Other YU o N-e- Central Air: ❑Yes No Fireplaces: Existing e -`=New Existing wood/coal stove: ❑YesLP�No Detached garage: ❑ existing &'new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing Hnew size ; Attached garage: [.:':'existing ❑ new size _Shed:® existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded LM Commercial ❑Yes Wr'N"^o If yes, site plan review # ' Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name myp kw 'addi.UcJ .7Nc Telephone Number SL)CIP ,T p7?j6 Address License # -L-S to at,�p rfi,4 Home Improvement Contractor# /o Y .3 Worker's Compensation # W 11�-1-371� 3 1/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 Cv ° 0�''-l,2 a/L FOR OFFICIAL USE ONLY APPLICATION# -DATE ISSUED ' MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 1 + As �w�f�uorvEy ne'f FOUNDATION &lQx6 I&Qmcl r-A-Av, ®,�- FF s-- -iZ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 'rTRE `o o a -z table .' Regulatory E6r ices f z xsrAgc� Thamas.F. Geiler,Director $wilding Division nomas Perry,•CB 0,•r3ru7diag Commissioner 20D Main S'h cct; Hyannis,NfA 99260 I • tvwsp.Eo•s�n..barrtsta6laata.tss ' • Fax: 508-790-623D' 'Officct 508-862•-4a38 PL. W � . .2o I"2,o 3 7�5 Owner: �p^peT6, of MELP/P.arccl: ©'Z `pmjcctAddress 4I5 "1tgR/N&X detecee wilder: Alprz PW - The fallowing items were noted.on rayiewing: /S 4 O c Al .. zeF f� lltl6 is loel L� 1.G E 13 lei Regiewe:d by: D I k I The ComrirollweaUll of M,assachysetts Departw?;(of Ij.;4f.ff tat Acd4e 1s . Office oflnvestig47tions 690*ashjngton$tJ eet I Boston, MA,0.2,11.1 Yyww,nsass.gov/dla Workers' CoInpensation Insurance .day�tY �3ailclers/Con.tractors/E)eGfriclaps/I'lum;bccs Pleas a' Netme(13tuincsstor�;anizntion/lndivldual)*. Morton{Buildings, Inc. ,Address: 252 West Adams St: , P• 0 Box 399 ..'City State/Zip: Morton, IL 61.550 . -261-7474 -- Phone / . 309 Are yeti an eTPIIQyer?Check the.appropriate box _ ^^ Type of prp jcet(regtdred):' . am a ern pIoyer with_3(ADD _ 'i. El 1 um a general contractor anti I employees(full'andlor part-time).": have hiietJ the sub-eontr ctors 6. 2 env construction 2.01 am a sole proprjetur or partner- . listed on die•nItacIled sheet. t 7, ❑ Rcmodefing ship and have nq employees .1.h6e sub-con trte{ors have 8. ❑ 13ctnoli(ion rvork.i.tig' for.we:Jjr tiny capacity. workers c6ln insurtutee. p' 9.• ❑ Iluikling addition' .[No•weirken'.corilp. insuririlee 5; ❑ We are a corporation and its required.). ofiicem have exercised their 10.0 J Icctrical repairs or additions. . 3:[] 1 am a lionleowuer.doing al.l'work right of exemption per M'Cil, I I,❑ Plumbing repairs.ur additions i niyseIf.[No workers'comp. c. 152, §1(4),and we have no insuntncc re uired. t 12.❑Roof repairs q ) cnrplo)'t es, (No workers' comp, insurance required.) 13.❑ Other *.Any applicant that checks oX!!t must Also fill out the scctton below showuig ilwir woriters'cvutlxnsativa pulley iufpnnot.ion. t 1 tamjsownct7 who submit tiria alTlduvtt inillcathig they Arc doting aA work And ales hire outside contmetors must suyinit n new ulriJavil indigniag such. k-ontritaors that city k this box must attachal an additlonal shecc showlitg rite Hants of tbo subcontractors acid lhuii worKcrs'w(LIMI aOtpoil in tnfoting iuc. T ou irrnrarr errrployer that ,ls•providing ivarkers'comperrsarlorr lrtsur�rneejnr my en,{,fayees. 13eiotr is the-Pollcy rmrl Job site i�{Jormatton. Insur<ntce Company TFturte:T Zurich American Ins, . Co.. T*Vicy #or Self-ins..Lic. t!. WC 9376311 00 Fxpiration /— }qf?Site AcicJress: AG u�7OlJ Attach it copy of 4he workers'compensation policy deeNratiou page(showing the policy ntrrn.ber and expiration dn(e). i rRihtre to secure epveatge•as required under Section 25A of MGL C. 152 can lend to the imposition of criminal perialties of a Title up to$1.,5o0.U0:and/or ono-year imprisontrl.eilt,as wellals civil penalties.in tlic form of a STOP WORK ORDER and a fine of up to$�,SQ.00 a dtiy against the violator, Fie advised thut!a copy of this statement may be forwarded to die.Office ol` Jnvestigatitins ofthe PTA for insurance croveragc veri'fieatinn.' t do ltereby cerilJj,u lh`e�04,mnnd pennllles of perjr<r) that Ilre lnforriraltort provlded.attot�e Is true-and cnrrerl, Si nature: — ngc"ral rrse`i7gy, DO hor tvrire-in this area, to be rornpleferl by c(h,or tptt�rr P�cia/. I I iI),or. I'pwn: I'crmit/l,iccnsc# ISst0hg'Autllority(circle one): j f. iToard�tFfcalth 2.I3uililing Ueparlrueni 3. Cityrroc vtt_Cterk 4. 6',Fectrical lnsF►eclor S. 1'Inmbinl Inspector i 0. S)Iher C.S;nict F'ersoti: + Phone#: 1 . i I I TME To NMof Barnstable _ --. , � }•, � -- --- •Regnla.tory Services — -- ---- -. . .F i .. 1�g Thomas F.Geiler,Director 1 Building Division Tom Perry,'Building Commissioner . 2 . 00 Main .Street Hyannis,MA 0260I vPvrw.town-barnstable.mams Office:. 50 8-8 62-403 8 F F= 508-79M230 } Property Owner Must Complete and Sign This Section If Usk A.Builder as Owner of the subject pzo .pay hereby authorize Ctb act on rap behal in aI1 matters re dve to work autharized by this building peatnit (Address of Job) � 5 Pool fences and alarms are the responsibility of the.a licant. 'Poo pp .. ls. are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. • 1 Signa e of ez ; S. tore of Applicant Name Print Name . Date QFORW:OWNERPSR MSIONPODIS --- --- ------ _:. ---- ----- - Barnstabl -- ----------- - - ��.a,�,� Town--of e • Regulatory Services �. • Thomas F.Geller,Director '0 t�`e� $II1�dLBg NVISIOIl Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE MMMMON Please Print DATE:_ I5S l P JOB LOCATION: L,f- number sheet village "HOMEOWNER': kA '', name home phone# -6 work phone# CURRENT MAILING ADDRESS: -------------- ciwbwn 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 supervisr P ,provided that the owner acts as DEFINITION OF HOMEOWNER Persons)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 useand/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 perfonaied 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 Boil De rrtittimrirn inspection procedures and re partrnent quitementc and that he/she will corrrply with said procedures and re ements. Signature f omeowner 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 EXFWTION The Code states that Any homeowner perfom ing work for which a-building perrnit is requited shall be exempt from the provisions of this section(Section 1 o9.i.1 -Licensing of construction Supervisors);provided that if the homeowner en work,that such Homeowner shall act as supervisor." gages a persons)far hire to do such Many homeowners who use this exemption are unaware that they are assuming the Rules h Regulations for licensing Construction Supervisor,Section 2.15) This lack of awareness oftenlities of a supervisor(see Appendix Q, re 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 enure that the homeowner is fully aware of his/her responsibilities,many communities requim;as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last several towns. You may can t amend and adopt such a fonn/ceriification for use in p�of this issue is a form currently used by . your community. 2---fomnsdromeexempt Massachusetts- Department of Public Safctn Board of Buildinu Regulations and Standards Construction Supervisor License License: CS 67465 WAYNE A DAVIS 100 SCARLET RD PLYMOUTH, MA 02360 �--G- -�� Expiration: 10/25/2013 ( nuni..i,ucr Tr*: 4563 Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration :_ . Registration: 104193 Type: Private Corporation Expiration: 7/13/2012 Tr# 297707 MORTON BUILDINGS INC. l � WAYNE DAVIS i —— -- 10 Commerce Way #10A ; ; , — -- --- -- --- Norton, MA02766 ;� =Y - ---- --- - -- Update Address and return card.Mark reason for change. —` Address ❑ Renewal I] Employment L Lost Card )PS-CA1 Ta 50M-04/04-G101216 Coonz"7O1LOPC� `-l�gulati n License or registration valid for individul use only `L\ Office of Consumer Affairs&Business Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 104193 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/13/2012 Private Corporation 10 Park Plaza-Suite 5170 /•' Boston,MA 02116 MORTON BUILDINGS INC. WAYNE DAVIS 10 Commerce Way#10A g Norton, MA 02766 Undersecretary Not void without signature Wa �e Dauis Office:(508)285-2718 Y Residence:(508)759-4185 Manager Fax:(508)285-2719 Norton Commerce Center II 10 Commerce Way,Ste A OBUILMORTONNorton,MA02766 DINGS® &Mail: � wayne.davis@mortonbuildings.com MORTON BUILDINGS.INC mortonbuildings.com L ® 252 W.Adams St,P.O.Box 399•Morton,Illinois 61550-0399 Office:309/263-7474 April 27, 2012 Barnstable Building Commissioner Mr. Thomas Perry 200 Main Street Hyannis, MA 02610 Mr. Perry: Wayne Davis is an employee of Morton Buildings, Inc. since 5/1/97. He and all of our building crews are covered under Morton Buildings, Inc. workman's compensation insurance. Please fill free to call me with any questions that you may have. Sincerely, P,t, � k Patrick H. Mooney Manager of Risk Assessment&Compliance Morton Buildings, Inc. Frrvllanry— Cinro 701IZ �OF IKE ray 'Town of]Barnstable Regulatory Services EAMSrABLE. MASS. Thomas F. Geiler,Director .oIFDM'',�p 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 roect bj as Owner of the subject e -- _- J property riY hereby authorize J,�n!;4„;,�a�,;, /�o lam,,, 3 at/�O,d,� , Liao act on my behalf, in all matters relative to work authorized bythis building permit application for: . �.� 17?y n ItiP g C-A. L14 1714 D.2 G 33 (Address of Job) Signature f Owner Dat Print Name QTORMS:OWNERPF-RMISS ION Wayne Davis From: Mike McCormick Sent: Friday, June 08, 2012 3:32 PM To: Wayne Davis Subject: AWC Guide to Wood Construction in High Wind Areas Wayne, The above subject item which you forwarded to me is for a structure that is be constructed in accordance with the prescriptive requirements of The Massachusetts Residential Code. That code is a prescriptive code for platform and balloon-frame construction for light frame buildings. The project we were discussing does not fit that construction type and was designed in accordance with the Massachusetts State Building Code 8th Edition, which is allowed in Section R301.1.3 of the Residential Code. Let me know if you have any additional questions. ,Michael L. McCormick, P.E. 4Ilied Design Architectural& Engineering Group, P.C._ 100 S. Pershing _ P.O. Box 110— �llorton, IL 61550_ 309.263.6278 i A 6YC Cnide to Wood Comstmaim in High Vind Areas: 110 ncph 6Yirrd Zone Massacliusetts Checklist for Compliance (780 Cn'fR 5301.2.1.1), - Lr 1 Check Compliance 1.1 SCOPE G _ Wind Speed(3-sec. gust).................................................................:;................................... ...... 110 mph . WindExposure Category....................................................:....:........ ................:.......:....................:...............B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories Roof Pitch..............................:............................................(Fig 2) ........................... <_12:12 ............... Mean Roof Height ..............:.. (Fig 2)............................................ _ ...(Fig 3)............:......:..:.: _ < Building Width,W .............._.. ..... ft _80' ............................................................. Building Length, L ..............................................................(Fig 3)........................ ........_-ft 5 80' Building Aspect Ratio(L/W) .......:..............:........................(Fig 4)..,............................................... _<3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ 5 6'8" 1.3 FRAMING CONNECTIONS . J General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION ` Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........................................:.....'?: ............................ . Concrete Masonry . 2.2 ANCHORAGE TO FOUNDATION1'3• 5/8"Anchor'Bolts=imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ........................................:.(Table 4)....................:. in. Bolt Spacing from endrjoint of plate................:............(Fig 5)...................... .... in.—<6"—12" .......... Bolt Embedment—concrete.........................................(Fig 5)...... ......... . .......... .. Bolt Embedment—masonry.........................................(Fig 5)............i............................... in.>_15" Plate Washer..:.............................................................(Fig 5)..............................................>3"x 3'x 1 3.1 FLOORS Floor-framing member spans checked ................I...............(per 780 CMR Chapter 55)................................... ' Maximum Floor Opening Dimension...................................(Fig 6)................................................... ft:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearing Wallss or Sheanaall................(Fig 7)...................................................._ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Wallsor Shearwall................(Fig 8)..............................................:..... ft :5 d Floor Bracing at Endwalls........................I..................:...........(Fig 9)...........................................:.......... ......... Floor Sheathing Type .........................................................(per 780 CMR Chapter 55)........... ....................... Floor Sheathing Thickness ...........................................:.....(per 780 CMR Chapter 55)........................ in. Floor Sheathing Fastening..................................................(Table 2).._d nails at in edge/_in field 4.1 WALLS Wall Height Loadbearing walls ....................(Fig 10 and Table 5)........................... ft 10' Non-Loadbearing walls............:...................................(Fig 10 and Table 5).......:..................._ft s 20' Wall Stud Spacing ..........................::............................(Fig 10 and Table 5)................... - in.:5 24`o.c. Wall Story Offsets ... ..(Figs 7&8)............................................ ft 5 d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls .....(Table,5) _ i Non-Loadbearing walls....................... .........(Table 5)... ........... .....2x - ft_in. - Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)......................,.......................................... WSP-Attic Floor Length................::.... ....:........:(Fig 11)..................................... ................... ft zW/3 'Gypsum Ceiling Length(if WSP not used)....:............:.(Fig 11)...........................................: ft i'0.9W - and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)........................................... or 1 x.3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)..................I................. Splice Connection (no.of 16d common nails)..............(Table 6).................::...................................... AIVC Cttide to Wood Construction hi High 14"ind Areas: 110 tnph 1-Vind Zotte Massachusetts Checklist for Compliance (7s0 Ci.•TR 5301.2.1.1)' Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................._It_in.s 11' Sill Plate Spans able 9 Full Height Studs (no. of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................. ft in. <12' Sill Plate Spans...........................................................(Table 9).................................._ft_in.-< 12- Full Height Studs (no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest OpeningZ ............................................................................... <6`8' SheathingType..............................................(note 4)...................................................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10)................................................. in. Shear Connection (no. of 16d common nails)(Table 10)......................................................._ Percent Full-Height Sheathing....................:...(Table 10)..................................................._% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... Maximum Building Dimension,L Nominal Height of Tallest OpeningZ.............................. ' SheathingType..............................................(note 4)..................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in: FieldNail Spacing.......................................:..(Table 11)................,................................. in. Shear Connection(no.of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing.......................(Table 11)............................................:....... % 5%Additional Sheathing for Wall with'Opening> 6'8'(Design Concepts).............. .. Wall Cladding Rated for Wind Speed?........:..................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19).............. ft_<smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift .(Table 12).......................... = p ff Lateral.............................................(Table 12).............................................L= plf Shear............................:..................(Table 12)............................................S_ plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker..........................................(Figure 20) ............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors . Uplift ..: ......(Table 14).......................... Lateral(no.of 16d common nails)...(Table 14)........................................L= . lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness.....................................:..... ............................................._in.>_7/16'WSP Roof Sheathing Fastening............................................(Table 2)......................................................... Notes: 1. _ This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. . Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-gr6de. AIVC Gidde to Wood Coiisfructioll ill High I-Vied Areas: 110 nlph 11"hid Zone Massachusetts Checkiist for Compliance (780 CNIR 5301.2.1'1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: L Panels shall be installed With strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a)new house or horizontal addition—required if project.is 1 mile or closer to shore (generally,south of Rte. 28 or north of Rte.6) b)vertical addition—not required unless there is extensive renovation to the first floor c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AW(,)website. . r WHEN THIS EDGE RESTS ON FFVWING USE 8d NAILS AT 8-o c ....--Ir _—--it u r ¢zN - t 11 n 1 0 t u IrH I -1 t: 1 , a FRAN11C.MEMBERS t 1 rLU !• u I EDGE RiTSFIMEDIATE' - 1 w Q u r f+i 1 l 1 1 Z t I1 .al V U Kc ;r:' I 1 • ,U u n 1,.. 1 U 1 N 11 ----11 - < —------- -- --- ---- -11._ DOt)91EEDf>£ — — --- t`•' I STAGGERED 3'MMJ b1A1L SPACAJG I NAIL PATTERN PANEL +' PAWL EDGE .DOUBLE NAIL EDGE SPAC414G DETAIL See Detail on Next Page Vertical and Horizontal Nailing 1 Detail far Panel Attachment � vertical and Horizontal Nailing for Panel Attachment PRO J'E T NAME:. PERMIT# PERMIT DATE: Z12- M/P. LARGE ROLLE.-D PLANS .ARC : t oX /D/ SLOT Data entered in MAPS program on: BY: " v-f 0 LOT 39 BUILDING i , , UNDER 1 , CONSTRUCTIO ,,,,, , ,,,, , ,/;#45,,,,,/„,,,', Jy ,,,,,,,,,...... F ON -10 PER TC) 'N OF BARN-TABLE �0 � o, A tJ'.' € CARD, � LOT 38 20000.0 SQ. FT. 's 0.5 ACRES LOT 37 LOOD ZONE C FO UNDA TION• CERTIFICA TION RES ZONE. RF WN COTUIT SCALE- 1`-30 PLREF° TUBE 167 ELEV N/A . SETBACKS- 30'-15'--15' A,4® YANKED' ' LAND c 1 CERTIFY Y19 THE BEST„OF MY P �✓ UR V�'Y CO., INC. KNOWLEDGE THAT THE MUNDATION STEJ. 119 ROUTE 149 LS SHOWN ON THE PLAN AS ® Do}'Lt ®€ MARSTONS MILLS, MA 02648 1T EMTS ON THE GROUND. ` ® TEL• 508-428-0055 FAX 508-420-5553 JOB DATE.•81612072 NUMBER 54822 ` TOWN PARNIHABILE fit_-� 9: 4 : QIVE'n Y Town of Barnstable Regulatory Services Thomas F.Geiler,Director + snxxsrnBM • MASS. Building Division 1639. Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINOUIRY REPORT Date: y Rec'd by: Complaint -Ngffe: E^iiC._ Map/Parcel x3 Location ►yam, leas: Gt�L ywr/ Originator Name: 4TD 44a44A16 Street: Village: State: Zip: Telephone: Complaint Description: ; I( Lid a gm FOR OFFICE USE ONLY Inspector's Action/Comments Date:o Z-Z O /. Inspector: >e �' a �� d? (;1e //fie f-r ex r)?& ^r�0� �i /�r d,ryap lOs3o.y-ss1. ��L Additional Info.Attached Q:forms:complaint xr Town of Barnstable IKWE ,,� TOW aE BAMRSTABLE .Regulatory Services f Thomas F.Geiler,Director PH MAY 31 4: ' &AMS ABLE, MASS ' 'Building Division E' 00 i639 `�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us D114T 10 Office: 508-862-4038 Fax: 508-790-6230 a E PERMIT#20 16� �P FEE: $ 1 SHED REGISTRATION 200 square feet or less fn Cy Location of shed(address) Village loci►�_� ©. ca 'F `YN ace q Property owner's name i Telephone number Size of Shed Map/Parcel# f , rv�J F � a �Signat�ureC � Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway 1 Conservation Commission(signature is required) , Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST11 BE ACCOMPANIED BY A P LOT PLAN Q-forms-shedreg. C�� REV:05201 OU '�-7-77 F F � r � `' 4yn sf f ,�y'•�"�j„ Q 2.-�ati,"�? � �as,� '&•�� •z�;tadt �� yQj al x r-Y ...•<: .. is b 2 ti � a ' r l`� Q 1' - T 1 . tax- -U � -0 TI'll VON Z�z -Oki qTw _. fi►tlRiNAiV �ROS��N w�4EC�5T�R�� L!tl�0 StlR�/E•�'t3.R . � :' �.�, l H RE Y CERTIFY ThtAT.T . FOWPATl0N IS. LO ON 31N 0T AS S. WAI AND -CONFORMS TO fiNf T.I. _QFBARIUSTtd9LE 'QIV�NG' RFGt1LAT1ON REGARDIA1�if ��� � SETBACKS F0`M STR�ET CAVES AND LOT. LINES � ���ss��n �. MDRMAN:: -GPOSSh" R I..S DATE oFt r�,y, errm #Town of Barnstable *Expires 6 month rom issue date yT �� Regulatory Services Fee ( 0 * snftxsznsLE, ' 9� Mass. Thomas F.Geiler,Director 16;q. ♦� HIED MA'I A Building Division Tom Perry,CBO, Building Commissioner (� 200 Main Street,Hyannis,MA 02601 �1 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 V,� Property Address L I esidential Value of Work 42,L�0 • Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �9������ C� �lc� Y�A Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable). Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS PERMIT , Check one: ❑ I a sole proprietor APR 1 4 2010 L�+r am the Homeowner ❑ I have Worker's Compensation Insurance t TOWNOF BARNSTA , Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 0*'Re-roof(stripping old shingles) All construction debris will be taken t071�r)Ii5(z ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is reqW.. uired. SIGNATURE: Q:\WPHLESTORMS\building permit formS\EXPRESS.doc Revised 090809 1 Town of Barnstable �0*THE Tp�� Regulatory latorY Services xxszns Thomas F. Geller,Director v MASS. 039. ]wilding Division p�Eo �ra Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wrvw.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village r ,l' I „HOMEOWNER": �./i^ �Cl l Sd 25 ��G� C)2 R�l name ��--' home phone 11 work phone R. CURRENT MAILING ADDRESS: E,yi CK Q city/town slate' 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. r 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. - _� �Sg awre 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 par of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeexempt,DOC �FiHE r 'Town of Barnstable i Regulatory Services sn MAS ate Mass. Thomas F. Geiler, Director r $ En_19*� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by i bl g permit application for: (Ad ss of Job) . Signature of r Date Print ame If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the. reverse side. Q:FOPUMS:OWNERPERMISSION "i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street c Boston, MA 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers .Applicant Information Please Print Legibly Name (Business/Organization/Individual): �- Address:- L't5 City/State/Zip: t��C��'� H-A 64(�3 AOne#: S62 L(4(—13 C(S Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction -- . * have hired the sub-contractors- . employees(full and/orpart=time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition No workers' comp. insurance comp.insurance.$ r red.] 5. We are a corporation and its 10.❑ Electrical repairs or additions am a bomeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c, 152,§1(4),and we have no 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided ab ve is(rue and correct. Si ature? T C Date: C Phone#• S��':zzz_ '4 r) `�S Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or mord 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, constriction 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 sihiation and, if necessary,supply sub-contractors)name(s), address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or"Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.' Please be sure to fill in the permit/license number which will be used as a_reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's*address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia s /�/�� arc � .s► �- Assessor's map, and lot number -... -'��..:...... •�'� ' .. SEPTIC SYSTEM u cF THE to r_ . . Sewage Permit number/ ro..� `" , . INSTALLED IN CO P . �L� w WITH TITLE 5 House number, � �s ................................... ...... 9 e ants ea " � l: YammY� ENVIRONMENTAL TOWN `OF .BARNSTXHIIr i - k UUILDIN,G JISPECtOR APPLICATION FOR PERMIT TO .. fir....f 7Ar`�i r w E Cr►Z G 116...................................................... ... TYPE OF CONSTRUCTION ......... r .... v Ql !.. . :4 . 12rc�`... .�✓!t� ...:..... .. .. � . ..'............... • a. ...................../. 3 .... , .......19.�a?. Y r, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accord ing to the followi g information: Location ��� ...`''ail ! ............ C.r��r .......... �t?.�w.l J. ................ .............. .............. ProposedUse .......... al.........................................................''� � . ................ ................ ................................................ Zoning District .............:..........................................................Fire District ................... Name of Owner ......!"✓✓d'!2!C�. ....... . ................/ .................Address .........✓��``" ............ .. . Name of Builder' ... �?.^ ............................................� Od :..Address J � .. � y� '"� Nameof Architect ..:Address............................:.................................. .................................................................................... Number of Rooms .. ...........Foundation OxleGi9 l / Roofing -Exterior .................... i,......... .......... .. ...........:. ........... . .. . ................ Floors t!..�' / �...'.:. �.. .................................' Interior ....... x.y! J !.?�'1.......t?P....?;u1e.... .......................... ./............. 6 '� r • Heating ....4`'e�s.:1W. .. !.:................................. `o ........X o''�Ei .......Plumbing ...............11/0.eM6- ........... Fireplace ..........�!Q�'...... .. .....,. _...........................:............Approximate Cost .... ......� ......... ................... Definitive Plan Approved by Planning Board _ _ ___-___ ..V..`.....cpej . --- -- 9 ---'. Area S.. ' Diagram of Lot and Building with Dimensions Feed SUBJECT TO APPROVAL OF BOARD OF HEALTH / • i y ) J d OCCUPANCY PERMITS REQUIRED FOR'NEW DWELLINGS ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. lName `.......... ............... .... ............................ '-WATERS, -FRANC IS ADDITION No .................23954 Permit for .................................... Sin g�,f�j:amijy...qVgj :R .ji g............... .............. ........ Location ..45 Mariner Circle ................................................... ......... Cotuit ............................................................................... Owner Francis Waters .................................................................. Frame Type of Construction .......................................... ..................................................;............................. Plot ......................... Lot ................................. --1 Permit Granted ......April 13, .................................:,,l 9 82 Date of Inspection,......................................19 Date Completed ............... ...19 Assessor's map and lot number ........../ --� MINE rC Sewage Permit BARNSTMAB�LE, i House number . ..'...................-.................................................... f 90o i639 00� /r '� r i°�F0 Nay p� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ...........r'.7i9h ......C,..2c'� ........................................................ TYPE OF CONSTRUCTION ...................L? .� v .. . 1 >9��CE.....L 1rF`/.................t�..' .5................... i' .....................` .................19.21 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ys ��i2sh/6N_ fE Location .........................................................................._............................................................................................................. ProposedUse ......... f ,'t....... .���%f9r ..........���......................................... ................................................... f ZoningDistrict ............Fire District ...........:.. .............--............................................... ................................................................. Name of Owner ......AYl ....... ,° ?..`..!....................Address ..........5.�. .... ............................................................. /Cli �/�'7or��6 5J l�>4rirU f�ot�no� �,v, /ryar�o, Name of Builder" ............................ Address ................:.................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......................� .....................................Foundation ...../�Q r4y✓ 1 �e <aIA44 �E�rg� 5h!t f!... ....................................Roofing ..:. ................ - 1 Exterior ........�........................... { g ........... ..��!s' E':.......�......r....,............. ! v Floors .... ..y.... 1y ........... Ei�v� .Interior ........ .......... Heating FX� ��w^c ,2a�1........ �'.'�.'.: .............Plumbing ...................1S.�s �t .................................................... ................................. Fireplace .........:A<9� .........................................................Approximate Cost ..... �+.. *. 1 . .................................... Definitive Plan Approved by Planning Board __---_-_____ f ��` ... t`. ---- - 19 - - Area .:.................. ea v Diagram of Lot and Building with Dimensions Fee ........... ""' r............... .}.i, SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 r ' I 3 r� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 11 Name ............, ....................r,............................................. WATE' FRANC IS A=23-44/ 23954 ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location •• 45 Mariner Circle Cotuit Owner ..Francis Waters ............................................................... Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted April 13, 8219 Date of Inspection ....................................19 Date Completed ......................................19 i 3 e� /0C/,7r - l 0 -.zv� -� A$sessor s map and lot number .. ......-.y.y�:�� .............. *THE Sewage rah♦ Sewage Permit number ... SEPTIC SYSTEM MUST B . INSTALLED IN COMPLIA �l u� TITLE V HAHd9TeDLE i House number `7 -� n,l l7 + IIMn ................ ....................................................... ENVIRONMENTAL COOS A 039 TOWN OF BARNS'�'"AffUr TIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .... . ......11.. ................ ................................................... ......lr:./.. ....t:7,...............19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according 10 the following information: Location ......a......... ... .�............................................................... ProposedUse ............. ............... .............................................. ZoningDistrict �` ' Fire District ............ .................................................................................................................... Name of Owner ... .. �/�/.. .,E....Address ................... Nameof Builder .. Q...............Address .................................................................................... Name of Architect /._ .........Address Number of Rooms ......................ICJ.......................................Foundation ....... ��....� ............................. `,l Ca mac S Exterior . .................................. ... .........................Roofing ..... .. . ....................if...... .................................... Floors .... ..............................................Interior ... ...................................................... Heating .... < /..!.:......�..:.... .. ...... ............................Plumbing ................/. /c3..... ..................................... Fireplace ...................//...........................................................Approximate Cost .......��..�P...U...! .."................................... / i Definitive Plan Approved by Planning Board _______� _ _J -----19 Area ...... ................... Diagram of Lot and Building with Dimensions✓ Fee 1 S.............................. SU ECT TO APPROVAL OF BOARD OF HEALTH j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. // ` Name .. ... .... ..'e...�................ CEDAR ACRES REALTY TRUST "No ... Permit for .One.... StorX ... ......aing.le„Family,,.Dwelling.............. Location 14Q.t... $...45..Mariner Circle Cotuit ............................................................................... Owner ...Cedar. . ...Acres. . ...Realt. . . .y...Trust..... .. .... ..... ..... . ..... .. . .. .. .. .......... Type of Construction Frame .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......October 31, l9 80 Date of Inspection ....................................19 Date Complete ......//............................... °y S S PERMIT REFUSED N > ~ 19 Cr �. iJ................................................... ro mr r�. .�.Q.r................................................... . r; Approved ................................................ 19 ............................................................................... ............................................................................... .2 dO — Assessor's map and lot number ............. 0-V-, ................ *TNE IV 0 11 .. Sewage Permit number 6..1.....2—............................... MAUSTABLE, ,House number ........................................................................ NAG& 039. 0 M03 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................?A-�. ................ ...................................................... TYPE OF CONSTRUCTION ................................................... ........ .... ..............19/1'. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 4/ 4 Location .......................... . ................................... .........;...................................................................................... ProposedUse ............................11.......�4&e.................................................................................................................................... • ..Fire District Zoning District ..........44......................................................... tom': ......... ............................................ Name of Owner ... •� !;'.....Address .................. ....... ........... ....F�........................ Name of Builder ...............Address .................................................................................... .... ... Nameof Architect ...................................................................Address ..................................................................................... Number of Rooms .................... ......................................Foundation ....�&z// ........... ............................................ Exierior /,04. ..... ............ .............Roofing .....( To Floors A, Interior)r ....... .... .............. ........................... ....................................... �4 4, Heating ................. ..... .. .................. ......... ... ............................Plumbing ................. ....11......................................................... j I I I Fireplace .................... ...........................................................Approximate Cost .......... A- ........... ....................................... Definitive Plan Approved by Planning Board -----19 Area . ... =. I.................Diagram of Lot and Building With Dimensions Fee ......... ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .............. A=23-44 . CEDAR ACRES RFALVY' TRUST14 7(7 No .2 2 6,31... Permit for .One...StorX . Single Family Dwelling ............................................................................... Lot #38 45 Mariner Circle Location ................................................................ COtuit ............................................................................... Owner Cedar...A...res. . ...Realty. . ...Trust... .. .. .. ....... .... .. .. ............. Type of Constructi n Frame Plot ................... .�..........Lot ................................ Permit Granted .......October 31, 19 80 .. .. . Date of Inspection .................................19 JDate Completed ..................19 4 PERMI ; REFUSED .................................. ..... .. ..... . 19 .......... ... .�. ................. .......... .... ......................................... .................................. ........................................ ............................................................................... Approved ................................................ 19 ....................:.......................................................... ............................................................................... r ``��''"` •e TOWN OF BARNSTABLE Permit No. --------___-----___ 1L Building Inspector 1 7►arrr►sr ' Cash -------------- eO 'r0 Y►Y L\� ! OCCUPANCY PERMIT Bond ---_—_,� "No building nor structure shall be erected, and no land, building or structure sh 11 e used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to ,E'ddr iicres Reaj.ty mist Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19......__ .............................................................................................._........ 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MARINER CIRCLE 01 RF 200 01CT 07/09/95 1011 ' 00 118C IRD23 044. 1195' LAND.'OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ'D.UNIT Land By/Date size D.menson LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUED,yyescription N I t H 0 LA I D ES. DORIS A $ MAP- CD, FF De to/Acres E M L A N D 1 250400 CARDS IN ACCOUNT - L 10 18LDG.SIT 1 X' .4� =10 158 34999.9 55299.99 .46 25400 #BLDG(S)-CARD-1 1 74.000 01 OF 01 A #OTHER FEATURE 1 1.000 N BATHS 1 .1 U X C= 100 6000.0 6000.00 1.00 6000 S #PL 45 MARINER CIRCLE CT MARKET ' 7730C D FIREPLACE U x C= 100 3100.01C 3100.00 1.0-0 3100 8 #DL LOT 38 INCOME SHED S 8 X 8 1984 C= 94 10.55 9.91 100 1000 F #RR 0978 0125 JSE A kPPRAISED ,VALUE D 100.400 D EL SUMMARY A U AND 5400 T S 3LDGS 74000 A T -IMPS loco M OTAL 100400 F E 4 CNST E N DEED REFERENCE yy� DATE R—d d R I O R`YEAR 'V A LU I Insi. S.1-Pr'A T Bay Page Mo. Yr.DI AND 25400 A S 7350/349JTI111/90 A 10 LDGS 75000 T 6821/125� IA7/89 135000 rOTAL 100400 U 6821/123: Ib7/89 A 1 R E BUILDING PERMIT X 6 F E F 1982- S Number Date Type. Amount LAND LAND-ADJ . INCOME SE SP-BLDS FEATURES BLD-ADDS UNITS 25400 1000 9100 22631 10/80 ND I r 1 . Class I Un��s' Ts Base Rate Atll Nate A u B11 I Age Norm. Obsv Depr. Contl. CNU 1- 4b R G Fepl Cost N ' "I Rapt Value Slo:ies Heient I Rooms Rme 8elns •fix. Putywall F.C. 01C 000 100 100 58.65 58.65 80 80 14 87 100 87 85046 7400J l.J 6 . 2 1.1 6.0 �D ption Rate Square Feel Repl Cost MITT,INDEX: 1�OD IMP.BY/DATE: / SCALE: 1/00.75 ELEMENTS CODE CONSTRJCTION DETAIL BAS� 100 58_65 1160 68034 a I S FSF 90 52.79 24 1 1267 *----14---*-----------~---4b---------------* STYLE 03 ANCH 0.0, T FFG 30 17.60 303 5421 ! FFG ! ! ES7-GN-A-DJRT +-'JO ------------------ U.O R FWD 85 8.50 144 1224 ! ! ! EXT�R.-WA-LLS--{-all 000-,Fv)CME U_OI U ! ! ! 4 E AT/AC-TYPE-1-OZ 13 vs -------------- U.-al D I i 22 22 ! NTER.F1WfSFf -O0 -------------------0-_0 T ! 26 BASE 24.�LNTFR.LAYO0T- -{7T ------------------U.O U i ! ! ! ! NTeR=OUALTY- -OZ AXE-AS--EXT-E17.--U.OI R i , ! L OD-R-S T7FU C T- -00 A W! ! ! E LO R`_CDVER-- -DO ------------------U.O L D 452 1184 *--7-14---* ! 0DF'TYPF----+yJO --- ------U-:OI Total Areas Aux base= I - E BUILDING DIMENSIONS ! *-----18--�--X CcTTRIZ7�Z 00 U.0 T SAS W 8 FSF S 4 W 6 N 4 E06 *---------28----*-6~* OUYDATI N--- 7 O -- --.------------9�.-9 A .. SAS W28 N26 FFG W14 S22 E14 4FSF 4 --- --- ---------------------- I N22 .. SAS E46 S24 .. *-6~* --- NEIG4fBORH 'D 11-8C-CU713IT-------- L LAND TOTAL MARKET PARCEL 25400 100400 AREA 4254 VARIANCE +0 +2260 STANDARD 25 RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 45 Mariner Circle Cotuit LAND 23 4 C 73 BLDGS. '+ OWNER TOTAL 336a LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot 38 8� BLDGS. TOTAL, OZ LAND . Asa Waters, Bernard & Frances F. 1-16-81 3226 338 ($56, BLDGS. �- 1°'Jt?ReweR. Ir" TOTAL �tf j LAND O263s aJ i�oeG s'� I BLDGS. TOTAL` LAND BLDGS. - TOTAL LAND - I C-,fhf I t Gz 0) BLDGS. —I$T ih A, LAND BLDGS. TOTAL 'LAND BLDGS. INTERIOR INSPECTED: 4 rn -- - - - - - .- TOTAL - - --- -- DATE: LAND ACREAGE COMPUTATIONS - �. BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE - TOTAL HOUSE LOT 61 7 d) %� A LAND CLEARED FRONT OHO G - 0) BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND ' REAR BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAN D BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND a.r ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. 0) BLDGS. TOTAL onc.Walls k/ Fin.Bsmt.Area Bath Room ✓ Base _ Z (: ��(i?�_ BLDG. COST , onc. Blk.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. PURC.H. DATE: )ric. Slab Bsmt.Garage St. Shower Ext. Walls j _ PURCH. PRICE. .. ." rick Walls ALFie�Stairs p Toilet Room ✓ Roof RENT tone Walls Fin.Attic Two Fixt. Bath Floors iers INTERIOR FINISH Lavatory Extra -�— smt. 1' 2 3 Sink ✓ `Y Attic 14 r/z 1/4Plaster Water Cie. Extra EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood No Plumbing Bsmt. Fin. ingle Siding Plasterboard Int. Fin. (Shingles TILING )nc. Blk. G F P Bath Fl. Heat �t� ace Brk.On Int. Layout Bath Fl.&Wains. Auto Ht.Unit ✓ ZZ Z %�/ Zy Veneer Int.Cond. 4�; Bath Fl. &Walls ✓ �� Fireplace I y om. Brk.On HEATING Toilet Rm.Fl. ✓ plumbing ✓ ,�� �8 olid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. f 3 C 2 Tiling a30 Steam Toilet Rm.Fl. &Walls lanket Ins. Hot Water IB F� St. Shower O r oof Ins. Air Cond. Tub Area Total r, Floor Furn. ROOFING COMPUTATIONS ,sph. Shingle 6000, Pipeless Furn. �� S. F. �y�ra• .� - ,. Vood Shingle No Heat 0 S.F. C� d (�`•� _ isbs. Shingle Oil Burner S. F. , pate Coal Stoker S F Co full' ile Gas S F OUTBUILDINGS ROOF TYPE Electric S. F. 1 2 3 4 15 1 6 1 7 8 9 101 1 21 31 4 5 6 7 8 9 10 MEASURED ;able Flat lip Mansard FIREPLACES S. F. Pier Found. Floor Ambrel Fireplace Stack Wall Found. 0. H. Door LIST D FLOORS Fireplace SHIo.Sdg. Roll Roofing ;onc. 6001 LIGHTING Dble.Sdg. Shingle Roof Arth No Elect. DATE Shingle Walls Plumbing mood ROOMS Cement Blk. Electric 112 2&P/ 1sph.Tile Bsmt. 1st TOTAL C Brick Int. Finish PRICED Tingle 2nd 3rd FACTOR ' REPLACEMENT OZ / OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS, VALUE Funct.DBD• ACTUAL VAL. 3WLG. �� I /� f S i 9Fo F / 3 •� `� 1 2 3 4 5 6 7 8 9 S 10 TOTAL., - LEGEND CONCRETE BOUND (FND) ■ CATCH BASIN MANHOLE ® UTILITY POLE <1\ C\ y � 0 400 Feet G \ F\ .SLOT 39 -' LOCUS MAP f PLAN" REF: TUBE 167 t \ 15380 212 DEED REF: ASSESSOR'S MAP: 23-44 ZONING: RF SETBACKS: 30-15-15 ,,,,,, FLOOD ZONE: C elleele",,,,,eel ,, """"' s� \�¢ PANEL NUMBER: 250001 0021 D i • , � - - , " DATED: 07/02/1992 ,,,,,,,,, Qom 11 �J.f'\ OVERLAY DISTRICTS: WP, RPOD, ZONE II ,;;;;;;;#45ss;;;;;;' `�o�� \ MASS ESTUARIES G.� Z�� PROPOSED\ j ;;;;' O� ,fig• - oo � _ BUILDING oo �� •®A .� ------ PLOT PLAN OF LAN D ,,,,,,,,,,, OF►r}�$ '% le ' ' \ f` v p�S,Q�G�S ERFO G���a LOCATED AT: �, 3 - v O \ , a o STEIN_ 45 MARINER CIRCLE PER 70WN t BARNS ELM °'�� ' ° 1 �✓ � ; C O TU I T, MA 3 a 3 �3 LOT 38 @►�41v Su�`�� F 20000.0 SQ. FT. I �`'� PREPARED FOR: s 0.5 ACRES N od = RANDY'' HARNOIS. PERCENTAGE OF LOT COVERAGE MAY 15, 2012 LOT AREA 20000f S.F. EXISTING STRUCTURES 10.6% EXISTING PAVEMENT 2.1% REV: JU N E ZO12 LOT 37 TOTAL STRUCTURES 14.8% t REV: TOTAL PAVEMENT 2.1% Y TOTAL COVERAGE 16.9% REV: G. - - YANKEE LAND SURVEY CO, INC. 119 ROUTE 149 GRAPHIC SCALE MARSTONS MILLS, MA 30 0 15 30 60 TEL: (508)428-0055 FAX: (508)420-5553 yankeesurvey®comcast.net www.yankeesurvey.net y 1 inch = 30 ft. IF SHEET 1 OF 1 JOB#: 54822 SH -t i LEGEND CONCRETE BOUND (FND) ■ CATCH BASIN ® =' ® MANHOLE UTILITY POLE LOT 39 0 400 Feet LOCUS MAP ck, t`'r:ti.; \ PLAN REF: TUBE 167 DEED REF: 15380/212 ASSESSOR'S MAP: 23-44 'ZONING: 'RF $ \ \ SETBACKS: 30-15-15 FLOOD ZONE: C � ... .. ... 1 �`-" \ PANEL NUMBER: 250001 0021 D DATED: 07/02/,1.992 ee CG OVERLAY DISTRICTS: WP RPOD ZONE II ,,,,, #4.. ,, r ,t ,,,,,,,,,......,,,,,,, � °'�'` � \ MASS ESTUARIES ,,,,,,,,,,,,,,,,,,,,,, C- t� PROPOSED ,,,,,,,,,,,,,,,,,,,, Ceeeoeeeleev r 5`Z 60 \ ------eeeoeleee--------- z ` BUILDING ° ,. - PLOT P L A N OF LAND leoeeeoe -0 OF MAC ' "'i, �j\STERF� $(ice QSTE°KEN �� ® LOCATED AT: v ' CIRCLE XI !N �.� T1118 DK�'.W 45 MARINER PER 'iOW�';°DF SA STAB .,_ ° 4 1: .. COTU I T, MA AS ',IJIT CAR LOT 38 ® �qN 20000.0 SQ. FT. 0.5 ACRES o '�6 —�� " PREPARED FOR: °°• s��' ,���° RANDY HARNOIS PERCENTAGE OF LOT COVERAGE MAY 15, 2012 LOT AREA 20000t S.F. EXISTING STRUCTURES 10.6% j EXISTING PAVEMENT 2.1% REV: JU N E 1 , 2012 LOT 37 TOTAL STRUCTURES 14.8% TOTAL PAVEMENT 2.1% REV: TOTAL COVERAGE 16.9% REV: YANKEE LAND SURVEY CO, INC. 119 ROUTE 149 GRAPHIC SCALE MARSTONS MILLS, MA 30 0 15 30 60 TEL: (508)428-0055 FAX: (508)420-5553 yankeesurvey@comcast.net www.yankeesurvey.net 1 inch = 30 ft. SHEET 54822 S