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Home My WebLink About0145 MOORING DRIVE h .. �. „ ,.. ,, �, .� ., .. ,� ,� . �� i �� i �� Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 11/11/2014 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for 145 Mooring Drive(#201403722) has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or•exceeds Federal and State Requirements. Sincerely, William McCloskey NOISIA10 41 14d 7 t,33 _ . . 919VISUVO �O Nh Ol • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel pp n # P Health Division Date Issued ��y Conservation Division Applicatjon Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address - 0 0 r 1(VG r t v C Village C1ottkit Owner o na,P j Ke, J r G W Address Sot M e, Telephone Permit Request • �LI , aj � cP,lla Oa58 "a 'Fko ti , Square feet: 1 st floor: existing proposed 2nd floor: existing proposeR T2'jal ne= Zoning District Flood Plain Groundwater Overlay 'Project Valuation 4100 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting 40c umOl ation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) ` + Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes -❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i &W Cf- a.r ..Telephone Number 508 3 98 018 Address T 'D �1 T00 C' trPr License# �C 0 a T T 6 Home Improvement Contractor# Email Worker's Compensation # W W C3 U S 6,53 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO rf26 u1A SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. I I ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOQIATION PLAN'NO: Building Permit Authorization I, Richard/Ingrid Kendrew as owner - - hereby give my permission to aE Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office:S08-398-0398 to take all necessary steps to obtain building permit to perform work at my property located at 145 Mooring Dr Cotuit, MA 02635 Signed Date The Commonwealth of Massachusetts Department,vf Indtstrial'Accidents 4. Office of Investigations' • I Congress Street,Suite 100 Boston,MA 021.142017 www.mass.gov/dint ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print.Legbiv Name(Business/Orgariizatioit/tndividuai)' Cape Salleinc. Address: 76 Huntingtori Ave City/State/Zip South Yarmouth. MA 02664_ PhoneA: 508-398-0398 Are you an employer?Check the appropriate box; Type of project(required),:. 1. ✓� 1 am a employer U ith - . 4. [] 1 ar wa general contractor and I employees(full andlor part-time). have hired the sub-contractors. 6. .(�New construction. l am a.sole proprietor or partner- listed;on the attached sheet.. 7. 0 Remodeling ship and have no employees These.sub-contractors haVe' g. (]'Demolition working forme in:airy capacity.; employees and have workers.., ,in IN workers comp.insurance. comp 9• ❑<Building addition required.] 5. Cl We-area.corporation and.its 10C.-Electrical repairs or additions 3.D I am.a homeownerdoing:all work, officers have exercised their I I J Plumbing repairs or additions comp. right of exet ption per M myself. [No workers' GL 12:0:Roof repairs t c. T52, ��1(4),and we have no insurance required_] ✓ Insulation employees. [No workers' 13.[]Other comp.insurance required.] *Any applicant that checks box 41 must.also fill out:the section below sho%%gngtheir workers'compensation:-policy inform"fion.. t Homeowners who submit this affiidavit indicating:they are doing all work and then hire outside'contractors;must subm a new aflidadit indicating.such. - .Contractors;that check this box must attached an_additionalsheet sho vine the riaine of ii e=sub-contractors andstate whether or.iiot ihose entdies have employees. If the sub-contractors have employees,they must provide,their workers'comp:policy number. !ant an eitiployer that is.proniding workers'compensation insurance for ttty e{»p(oyees. Below is the policy,and job site inforindtion. Insurance CompanyiName: Wesco Insurance Company Policy##or Self-ins Lic.#€s WWQ3085633. . Expiration-,Date: 04/09/2015 MM 1 Job Site Address- 1 t-15 bf i v e City/State/Zip: C 0+\,k I �. Attach a copy of the workers''compensation policy declaratio.n 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.impositton of ohminal penalties of'a itte up to$1,500;00 andlor one-year imprisonment,as well as civil penalties,in he form.of a STOP WORK ORDER and a fne of up to$250.00 a day against the violator. Be advised that a copy of this statement n ay be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. l do hereb terra' under the dins and' enalti O o er ,that the in ortriation provided.above is true and correct. Sianature: __ 'Da 77771 Phone Official use only. Do:not write ht this areq,,to be co,itpleted.by, city nr toion official.' s z Gity,or Town:. Pet mit/License:# Issuing Authority.(ci rde.64 .Board of Health 2,Building Department 3:City/Town;Clerk. A Eleet11cal Inspector S.Plumbing IMPgOor: 6.Other Contact Person _ _.:.. _ Phone;;#; _. DATE(MMIDDIYYYY) '4C<>RU CERTIFICATE OF LIABILITY INSURANCE1 4/14/2014 THIS CERTIFICATE IS ISSUED AS A'MATTER;OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES. NOT AFFIRMATIVELY OR NEGATIVELY AMEND,: EXTEND OR ALTER THE COVERAGE AFFORDED' BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an .ADDITIONAL INSURED,the,policy(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 holderin lieu of such endor§ement s PRODUCER NAME_NTACT^ Colleen Crowley Risk Strategies Compaug AHOY (781)986-4400 FAx - AJCNo:(791)963-4420 15 Patella Park Drive AnnRrgk.ccrowley@risk-strategies.com. Suite 240 INSURE S AFFORDING COVERAGE NAICt Randolph MA 02368 INSURER;A Selective Ins. oE. .America INSURED . : ... .... .. . INSURFRB-Safety Insurance 336i8 Cape save, Inc INSURERC.T4esco Insurance r Company 7 D Huntington:.Ave INSURERD: INSURER E South Yarmouth MA 02.664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL144147524.3: 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.. NOTWITHSTANDIN:G'.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 ANDCONDITIONS'OF SUCH POLICIES.LIMITS SHOWN MAY HAVE'BEEN REDUCED BY PAID CLAIMS. lam'. TYPE OF:INSURANCE POLICY NUMBER MMLDDY�EFF MPOOLIC:EXP LIMITS :GENERAL;LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GEtIERALLU4BILITY PREMISES Is occurrence $ 100,,000 Pa CLAIMS-MADE a OCCUR 1994480 0/16/2013 0/16/2014 MED EXPiAny one person) $ 10,000 PERSONAL&ADV INJURY $. 1,Doo,000 GENERAL AGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMPIOP.AGG $ 2,000,000 POLICY X PRc X LOC $ . AUTOMOBILE LIABILITY Es accitleM IraLIMIT 1 000 000 ANYAUTO BODILY INJURY(Per person) $ ALL OWNED >X SCHEDULED 2082:00 1/6/2013. 1/6./2014 .,BODILYINJURY(PeraccideM) $ AUTOS .AUTOS. . t AVTOS X ,NNOON-WNED PROPERTY DAMAGE $ . ELLA LIAR X _ _.. .. ..:... . OCCUR EACROCt URRENCE $ 1,000,000 AEXCESS CLAINIS-MADE AGGREGATE $ 1,000,000 si 1994480 0/16/2013 0/161/2014 . RETEti $ C WORKERSCOMPENSATION ffcers Included >or X b STA TU- OTRH- AND EMPLOYERS'LIABILITY Y 1 N. ANY PROPRIETORJPARTNER./E2ECUTIVE: overage E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBEREXCLUDED? Q NIA _•.--.- (MandatoryIn NH) kVC3085633 T9/2OIA /.9/2015 El.DISEASE-_EAEMPLOYEE $ 500,000 If yes describe under' DESCRIPTION OF OPERATIONS below El,DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION`OF-OPERATIONS I LOCATIONS I VEHICLES(AttachACORD'1D1,Additional Remarks Schedule,it more space Is required) Issued as .evidence-of insurance. Issued as evidence of insurance. Thielsch Engineering; Inc. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY:OF THE ABOVE DESCRIBED P;OLICIES`BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Li ht Compact ACCORDANCE MIFITT1 THE.POLICY'PROVISIONS. g Attn: Margaret Song PO BOX 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main (Street Barnstable, 44_ 02630 _ chael Christian/CLC ACORD 25 2010f05 e ( : ) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).4 The ACORD;name;and loon are registered marks of ACORD C9�6 VIC' Office of Cawamer Affairs and B4kms Regulation 1O.Pwk Plaza- Suite 5170 Bo t Massa�s 02116. How tR Regbva#m 479 . , Comoraw Eft 3MMIS Tt CAPE SAVE M. WILLIAM MDOUJMY �i,i �� c�� } SOUTH YAfkM0VTKwV2664 SCA 1 0 20M-W11 �iE;e tUo�arnvxaiea�IJ�o�C�aA�aadelt6 vaw Aw . �. J!< B�t 1�8316086 rCM RACTOit TMW.Corpomfim SE t: Br Aii as i6s 1i1 MA 02116 CAPE SAVE INC. 1015 - - 7-0 MW NOTON AVtkl SOUTH YARAOdTH,AAA a26134 , Massachusetts-Department of Public S00ty Board of Building Regulations and Standards Construction Supen isor Specialty Licenser CISL-t076 WIUJAMdMC 37 NAiSET ROAlil< s '@dent Y9.01081b ltA J..�.�..1y ► ,r1K�� Exp iration Commissioner 15 c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2-y Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee d 0 C� r� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address e Village ��> b Owner C�g� ►`�c�C�x� Addresses C�^\ Telephone �� - S Permit Request Ul �( f Square feet: 1st floor:existing ILA",® proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 11 S'o C�3 Construction Type \-_,�)Qcvz Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Y' Two Family ❑ Multi-Family(#units) Age of Existing Structure �� Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: U'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) i Number of Baths: Full:existing 22-2—_ 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: O'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: rYes 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑ ew size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: f ,� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes ❑No If yes;site plan review# . Current Use Proposed Use BUILDER INFORMATION Name L�� O �'�� Telephone Numbec� Address `'E� �v� �,--� �C` License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE v FOR OFFICIAL USE ONLY r t j PERMIT NO. DATE ISSUED MAP/PARCEL NO. 1 ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION Lt i2l2'G4� FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL n FINAL BUILDING 3 ' 1 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofMassaehusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 01111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plulootbers Applicant Information ' Please Print Legibly Name (Busft=s/Orsanization/Individual): .L�/ics�� ✓��7°-�� w.- Address: A Moot%!!2A r � City/State ap: • C6• u 1-V . A A- Phone M. Are you an employer? Check the-appropriate bog: Type of project(required): I.❑ 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 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 �• ❑ Remodeling ship and have no employees These sub-contractors have S. Demolition workinWor me in any capacity. workers' comp.insurance. 9. ❑ Building addition [N kers Comp.insurance 5. ❑ We are a corporation and its ] officers have exercised their 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑ Phimbing repairs or additions myself:(No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurancce required.]t , employees.[No workers' 13.❑ Other camp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'oompensation polieyiaformatioa.• ' t Homeowners wbo submit this affidavit indicating they are doing all work andffieuhire outside contractors must submit anew affidavit hrdicactmg'r3uab. tcontractors that check this box must attached an additional sheet showing the name of the sub-contraators cad their workae comp.policy information. ram an employer that Is providing worker9'compensation Insurance for.my employees. Below Is the polkv andjob site Informadion. r.•Tq l Insm'ance Company Name: Policy#or pia$.Lac. : : Job Site Address: City/State/*- 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$1,50QA0 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 fi=aace eoveaage verification. I do hereby certify under t at an p na es of perjury that the information provided above is true and correct. Sir tore: - Date: c Phone#; officuti,AR or*. Do naft ma,to be ewnpleved er, Cityor Town: Permit[License# I Issuing Allthorlty(elrcle one); 1 1.Board of health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector l 6.Other ` Contact Person: Phone#: Information and Instructions Massagbusetts General Laws chapter 152 requires all employers to provide workers' compensationfortheir 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,.&9 or written" An employer is defined as."an individual,partnership,association,corporation dr 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 worts m such dwelling house or on The grounds or building appurtenant thereto shall notbecause 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 ofpublic work until acceptable evidence of com:liance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fM out the workers'compensation affidavit completely,by chedlrmg the boxes that apply to your situation and,if necessary,supply sub-aontractor(s)name(s),address(es)and phone mnmber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited LiabMV Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an MC of 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 it workers' compensation policy,please can the Department at the member listed below. Self-insured companies should cuter their self-insurance license number on•ihe appropriate line. -- -- Chy or Town 6MCId is ebottom. space at th provided a t s rovr printed le gibly;. The D artm en has 1 and Please be sure that the affidavit is complete grin gffily� ep p has to contact u re the applicant the Office of Investigations �� aPP off affidavit to fill ordinthe event yo Please sue to fiIl m The ermit/licease mnmberwbich wMbe used as a reference number. In addition,'an applicant P , , That must submit multiple permitllicense applications in any given year,need only submit `one affidavit indicating current should write all locations in or the applicant s �y oh information(if necessary)and under Job Site Address" app _..,_( I cY P , town)."A copy.of the affidi vrt tat has been of5cialty stamped or marked by the city or town may be provided to the applicant as proof that•a valid affidavit ism file for future pem its or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit notrdated to any business or commercial ventare (le.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 dunk you in advance for your cooperation and sbouid you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: e Co=onwea of MawsmEnsetts D went of Industrial Accidmts Office 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1 o77-MASSAFE ' Fa;.#617-727-7749 Revised 5-26-05 W-wvmiasssovldia °pr Town of Barnstable Regulatory Services �SAMSTABM Thomas F.Geiler,Director AAM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IldPROVEMENT 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: `0_0_c V Estimated Cost l� Address of Work: Owner's Name: �C�aQ•� ac'C`�-� Date of Application: \ �� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Un $1,000 ❑B ' g 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. SIGN-ED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. V', Date Owner's Name Q:forms.homeaffidav r. �.I 'o� .ii '� .'l' `, s A j,k f• - :�� ::�: r'ie''-;. �J.,•kl��ld' `�k. r , ,,.. .a .,;,, .�,,; 2,�•; ;.iv:; � •,'a,% ,`n "',�• : L��l�, .it F Ms «cn. ( Lt °� d�- , 1 1 a a j � �ab�-..,•S `i.yC'.,n. i 1 `:c '� . � S 4 1..r --1 .,�.1. ��i I��1 * �. �Y0 1� �� / •��1{ .�e \,• fir_ 1 t/4 �r. ,. ,li i;..;�'(I'�i''r``. �� . » ^1 •F. � F , r„ d { ,.. IL LOT 102 s . O \ . 1; '\ _ - _ \ hr \ HSE \ o \ L01' 10�3 �\ \ 0 u 1 � LOT 104 LOT 129 E.S. ZONE.- "RF" Thi9 ' MORTGAGE INSPECTION Benk'Use Or't FLOOD ZONE "C" OWN: _GQT !T___ -____-- REGISTRY OWNER: KF_MV_P_L'br JF--S----- ------ EED REF: ._ 30 64,Z� __------BUYER: _RYCJl'IBD_Z-&JWBQLrLY Af 1rEd�Q.RFsW____-- - )A'I'E: JL I5.12Z----------- PLAN REIN': _M8_F_L67_e_ ___---SCALE:1 = HEREBY CERTIFY TO THAT THE BUILDING �ya�M OF 04j r. YANKEE SURVEY HOWN ON THIS PLAN IS LOCATED ON THE GROUND n5 ter. PAUL �� CONSULTANTS HOWN AND THAT ITS POSITION DOES __.__ CONFORM * A. 0 THE ZONING LAW SETBACK REQUIREMENTS OF THIa 3 MERTHEW 143 ROUTE 149 OWN OF $BRS-ST.&Z-------------AND THAT No.32098 ? MARSTONS MILLS, MA. 02648 F DOES_f0_T_ LIE WITHIN THE SPECIAL FLOOD HAZARD , 9ECISi[.�Ev ��, TEL: 428-0055. ,REA AS SHOWN ON THE H.U.D. MAP DATED-7/?.f�- -- ��,�< <A��,S`' FAX 420-5553 a e 250001 0021 D THIS PLAN NOT MADE FROM AN ST2UMENT 1029,? BJS PALM. A. .M I'FFi Pi__ ----- S�V'Y' NOT T TO AF USF•D FOR FI?NCFS. FTC .... ter- •.,• t 1 ;.: - .. 'C\C. -1a'S` �0�1 C ✓1e� � `-� �c� �a� —�T'- Zk 1v"S 1 0 W�......�d- � '� b"" G / )f-1v4n eiS w1e1�vl% 4'1'v 4 " a4C\e,JV\Jbl�� , " C2) Zk 1a S $tRw. %61 i I 1 4{f f { f l i e Town of Barnstable �DFTHE 1p�� NP Regulatory Services RAMSTABLU,A; Thomas F.Geiler,Director 9 MASS. 0 i639• a Building Division sect 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 lPlease Print 5-1 DATE: \ uu JOB LOCATION: I`I ] U V \GU C V� `v Q,T� 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 dwellinjzs 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 mspe lion procedures and requirements and that he/she will comply with said procedures and requirements. Sign ure 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 form/certification for use in your community. Q:forms:homeexempt i _- �, �` �U� �L �N� i�l.,�—t�� ' �«��- To � G � � �U?'�LL t4 IAA � < <� � �,-� �- _ � � �� ; � � � . �� Q � � �` �� ' F c�� u�� t Plug/ ��t � Vv ��L �� ' � � /� � C� i i. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION *Aap y bZ�{ Parcel j12- Permit# Health Division ./1 1 a/a/rJ x— /off y Date Issued L /vim Conservation Division �2,10 �g Fee 4/A9�J� Tax Collector Application Fee Treasurer d Planning Dept. - =ChecWiS W,,SEM, EM Date Definitive Plan Approved b Planning Board �N RO pp Y 9 � d�Y,:2• , --- EDROOMS Historic-OKH Preservation/Hyannis Project Street Address Village Address 1`'t 5 MOO `v1 »C Telephone t-IZ2��yySC� Permit Request To 0�s�fJ��\ ok— k- t. xZ�- Square feet: 1st floor: existing 13z',A proposed 35Z 2nd floor: existing proposed =- Total new V A Valuation 3T 000 Zoning District Flood Plain Zov e-C Groundwater Overlay Construction Type tx)00 C�_ Lot Size a.cc\e_s Grandfathered: ❑Yes 01�10 If yes, attach supporting docu entatio Dwelling Type: Single Family D� Two Family 0 Multi-Family(#units) Age of Existing Structure ZS `-t�' Historic House: ❑Yes Q-40 On Old King's Highw . ❑Yes / co Basement Type: ❑Full ❑Crawl W'Walkout ❑Other Basement Finished Area(sq.ft.) 3 l_ip Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z- new Half: existing new Number of Bedrooms: existing �`s� new t Total Room,Count(not including baths): existing new, 1 First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑ Electric O Other Cenfral Air: O Yes 0'No Fireplaces: Existing New, - Existing wood/coal stove: des ❑ No Detached garage:0 existing ❑new size Pool: O existing 0 new size Barn:0 existing ❑new size Attached garage:O existing O new size Shed:Carexisting ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded Commercial ❑Yes �Jo If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATIONT3 If Name �C�� c�� Telephone Number Address mot) Vas. _S�)l' . License# - ce� Home Improvement Contractor# — Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /Z Z 1d5 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION:. FOUNDATION FRAME INSULATIONc(N4 FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH x FINAL GAS: ROUGH FINAL t. FINAL-BUILDING 7 yG Lt9RrT/l r-OK-Fip DATE CLOSED OU ,�.3. try � 0 ASSOCIATION PLAN NO. C co �:i I The Commonwealth of Massachusetts Department of Industrial Accidents } Office ofinvestigatfons 600 Washington Street, a Floor Boston,Mass. 02111 Workers' Compensation Insurance Affidavit:Buildin lumbin /Electrical Contractors name: addresstfi�'9`\•^1 � , gyp, city state 6$ zip: ��Shone workArite location full address): I am a homeowner performing all work myself. Project Type: eBuilding wConstruction[]RemodelI am a sole ro rietor and have no one Workin in an ca aci Addition ❑ I am an em loser rovidin workers'com ensation for my,employees working on this job. '.�:• -i.:..��}gp��S�•'k� 3•�}�'ftz'r3' .. _ •'b� fi&•, �f•� a>[ 4 is-...s r' 0�3,•[,tr�c�; x..:.';rl K� •k;13,PY ! ..C'� k o��' �l'�.,.''<v {'�.:.'_ Y �.:1, t•�^r:', tk' ,t' t'<~'�•. �M'(: :l.• ...4• a; 3 > o;ga,,. •:vice::.,>+•,•ro,:;. •!a'':`%:::<::.:t;'�:• :'p.'�+'J; " ..` '" :'1:�a� '`f. ,.Y>.� 'cF�ib•{�w�1' .s,-. f, c�`�r•.�,i f .�'e,,:n E.�.`.�[• S>a;4:.q�:,;�:. ; ;i. .: .�' .'L'Yirdl•. x: �• "*:�::",Y:.�S+'�".5�" m.rv. :�.,r .Tr':^ •..a. . n..,:' ::L. 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Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP W ORK ORDER and a fine of 5100.00 a day against.me. I understand that a .copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u er e p 'ns nd a Iti f perjury that the information provided above is true and correct Signature `"� Date 1 2— Print name \G�11 d �`''`�t�'`� Phone#�� 1 U"Z official use only do not write in this area to be completed by city or town official city or town: permit/license# ElBuilding Department' OLicensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; [_-]Other (revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal.of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have. been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and . date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail'or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 i y Town of Barnstable °^ Regulatory Services r. r Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 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: \ o^ ��t. X ��/ '� Estimated Cost Address of Work: Mo 0 i'L V��Cr Owner's Name: Date of Application: 9 2�2�0-y— I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑ ilding 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 Contractor Name Registration No. OR -2-VZA 0,5— 1�� V_-�� Date Owner's Name Q:forms:homeaffidav 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 'THE MASSACHUSETTS STATE BUILDING CODE Manual Trade-Off Worksheet • Permit q Builder Name Date Checked By Builder Address Site Address 14-6 MoChelp o t>I? UE CO?V/: �' Zoneof12 013 ❑14 Date 1 :W Submitted By Phone PROPOSED REQUIRED Ceilings•SkyliAts and Floors Over Outside Air Required Insulation x Net Are U-Value Description R-Value U-Value UA (TabkJ6.L2fi) xArea UA ;X3� ceiling o O �c (Table J622a) = O r�^ Floor Over Outside Air (fable J6.Za) z. :.. . _ . . .-Total Area WalK Windows:and Doors lion R-Value U-VwaftQalu7e Ara e- UA U-valve x2Are UA fe (fable J622b.e d) L" 6� 3?•S S 7 6 - Windows -- 40n- (NFRC a Tablc J1.S.3a) Doors. -- � (NFRC or Table J 1.53.b) u Sliding class Doors -- ( C y' a- 1�.r NF7t orTabie J133a) � fe Total Area Floors and Fotmdations lasutation Insulation R- x Are or Requik Description Depth Vann: U Value Perimeter .-UA U-value x Anea =CAA . Floor Over Unconditioned (Table 22 2 >Y ®`� . �� J622e) 1633 Js2 [1. [ J C Basement Wall (Table 16221) fe UnbeateQ Slab able J622 ) in. Heated Slab I (rAk J6.2.2c) is " fe roar hopesedVA nut be kn• raid � .rand ciao or equal to rorad(orA4aftQ Refock dVA rMpmed UA d Z•� qt Re4 uind uA Swemenr of Compl'm=Tie proposed bua ft dart rrpnse and in ----+Adjusted Am doeratrenu rr covmWeer wok&%t bodit pranx ipedficallom and odw calculations submitted with t!►e ion RequdlYd CA SuilderlDerigner Company Name T Dati 76022 780 CMR-Sixth Edition 2120198 (Effective 3/l/98) f ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: Site Address. Applicant Address: City/Town: "-U 7- Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days(HDD65)from Table J5.2.1a: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area sq.ft. g. Floor R-value R- c. Glazing%(100 x b=a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE . Component Performance: "Manual Trade-Off"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Pone 12 El Zone 13 El Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b. Glazing Area' sq.ft. c.Glazing%(100 x b=a) % . ❑ ADDITION with Glazing% (c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceilin ' Wall Floor I Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 I R-10 R-10,4 ft i Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every,unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM"addition (greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) IMCMR Appmd1X J Table J8.2.Ib(eontlaned) preeriptire Packages for One and Two-Family Residential BuildlzW Heated wlib F?"fl Fnela MMM • MA}C�MUM Wail Floor .Basement Slab •HeauaglCoolurg Gla-Sag Glaang t-esling Wall pmiuretet Equipment Mciemcyl Ares!(%) U-valuer R valuer R value Rvaluj R value R value Pie 5101 to 6300 Heating Degree Da NcrcW 12/. 0.40 38 13 19 10 6 Q ° 6_ Normal 0.32 3D 19 19 JO 6 iS Aftfifi g 12'/.' 0.50 38 13 19 10 NIA NIA tavrrasl 38 13 19 10 —a —Nomlai- - ---- - 0.46 38 19 19 NtA BS:AFEJE 0.44 38 13 23 NIA tl 83 AFUE .. W lS'!a 0.51. 30 i9. l9 10 19: 2S NIA NIA Normal. X 18/e o22. 38 NIA Normal y •�13% ' 0.42• 38 19 2S NIA 8 90 AFUE y .. • 18% 0.4i 38 13 19 10 a 90 AFUL AA 18% 0.50 30 19 19 10 1.-ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3. SQUARE FOOTAGE OF ALL'GLAZING: c � - 4, %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTS: OTHER MORE INVOLVED UMTHODS THIS OF DET RMMG ENERGY REQUIREMENTS ARE AVAILABLE, ASK US FOIH BUILDING INSPECTOR APPROVAL: YES. -NO: q•fcrms-f98a303a 4 - 780 CM&Appendix J Footnotes to Table J4.2.1b: lass doors, skylights, and + aping area is the ratio of the area of the glazing assemblies (Including sliding-g 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 fe of decorative glass may be excluded from a building design with 300 ifof glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (MC) test procedure, or taken from Table J1.5.3.a. -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 insu7a�ron n ay be'sttb titnted`fbeR-49•insulation; Ceiling R-Yaides-represent fhe SUM••ofAvity—._.-. 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, use Do not include Wall R-values represent the sum-of the wall cavity msrrlation plus insulating sheathing(' d). tenor siding, structural sheathing,.and interior drywall.For example,an R 19.require1.ment could be met EITHER ex g wire eats apply to 1. by R 19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathmg. Wall req m pp Y wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 9 lie 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 mcer the same AR 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 described in Note b., The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes eleetric 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 J5.1:1a NOTES: a) Glazing areas and-U-values are maximum acceptable levels.Insulation R-values are minimum acceptable-levels, R-value requlrerr ents 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 eqr al to the R•value requirement for that component.Glazing or door components comply if the area-weighted avenge U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 - Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET NEW LIVING SPACE Z square feet x$96/sq.foot= i .. . x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE _>-- - -- -- - square feet x$64/sq,foot= x.0041= plus from below(if applicable). QARAGES'(attached&detached) square feet x$32/sq.&= x.0041= ACCESSORY STRUCTURE>120 sq.ft.. >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.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) } Deck x$30.00= 30,100 6rU0 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.60 (plus above if applicable) Projcost Permit Fee - R av-nFInnn r Town of Barnstable Regulatory Services w, Thomas F.Geiler,Director Ec ° 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 this.building permit application for: c Co d, 04 Oz�3S (Address of Job) Z 2— Signature of Owner Date Print Name Q:F0RMS:0WNERPERMISSI0N i Town of Barnstable OfTNE P� o� Regulatory Services _ Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Maier Street, Hyannis,MA 02601 wvmtown barnstable.ma-us Tice- 508-862-4038 Fax: 508-790-6230 - HOMEOWNER LICENSE EXEMPTION fPlease Print j DATE: ° -JOB LOCATION ' Oo t street village number "li0ME0WNER" name , home phone# work pbone# Ct1RRENTMAMVG ADDRESS: l O6 city/town state zip code The current exemption for"homeowners"was extended to include oMM2c Mjed 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 re onsible for all such work verformed under the building vermit. (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 minim=inspection procedures and requirements and that he/she will comply with said procedures and re 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. HOMOWNER'S EXEMPTION The Code states that: "Any homeowner perforrnirig work for wbich a building pert is required shall be exempt from the provisions ction Supervisors);provided that if the homeowner engages a Person(s)for hire to do such of this section(Section 109.1.1-licensing of constru work,thafsuch Homeowner shall act as supm+isor." mmy 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 2.1) This lack of awareness often results in serious problernc,particularly when the homeovvner hires unlicensed persons• In this case,our Board.caanotproceed-against the unlicensed person as itwould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the bomeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the bomeowaer certify that helshe 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/cert1f1cati0n for use in your community. A•{n+•me•hmmeeYEIDDt � (.¢.-• /�??R,.:1.i J"a,,�e IS,Y.: ,•.��. .li.i•':�r�+?��°u t'lt �4;3,-_r3>i-N'..� � F �y., r .r �•,�, •��-. �1i '�� l,�r�'N�t�6,{ f� ..r,' ;'s S;. � "'"cn' J k t_� ,z�'ati.`. 4�'�s� _ GG i f n"'•�' s> 'i d.i' ' 4 4 s "+Ti" J. r. ix •,ti N a.a a 00 LOT 102 0 0 X�, - _--- --- _ 'LU7 103 �,, oz LOT 104Ck \ 0 5 bp LOT 129 This MORTGAGE INS. ECTIO N For FLOOD ZONE. "C" ?ES. ZONE.' ' $enk Use OrijX I'OWN: _CQT 1T__— ---__-- REGISTRY OWNER: If�yIN_P_L'b'IL�IP_.�------------- I)EED REF: _ k /123_--------:--BUYER: IGtL�iR11_E_ 1ZOBf1TKY DATE: _1��15.1� ------------ PLAN REF: _'l_' L07=9-------SCALE:I"= 30 I HEREBY CERTIFY TO P�Y�I11111� TE BUILDING �},� �,� of h, 1. YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS or PAU1. . CONSULTANTS SHOWN AND THAT ITS POSITION DOES __.__ CONFORM A. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE, 3MERITHEW �,, 143 ROUTE 149 TOWN OF ---$B$lY$T '-----------•--- AND THAT MARSTONS MILLS. MA. 02848 1T DOES__LV_0___ LIE WITHIN THE SPECIAL FLOOD HAZARD �, 9EGISiI.�E° �` TEL' 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED_7,/?� " --• ` Jf!Orgr �'S\>P FAX: 420-5553 Community—Pan e 250001 0021 D THIS PLAN NOT MADE FROM AN-198TRUMENT 102.92 B✓S ----- SURVEY. NOT TO AF USED FOR FENCES. FTC_. `oFTMero�� The-Town. of Barnstable y -- .n BARN ABLE. Department of Health Safety and Environmental Services 7 MA55. m �EDMAy� Building Div4sion . 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: tVX Map/Parcel:' CUJ/ /-2 J Project Address: I qS_ M e e-r` P r- Builder: Ow ne r^ The following items were noted on reviewing: - o Xtaod_' 6-MI A`e_9LLI t�'4e� ba5e-y%ke.v slab — s ��_ v R-3 0 �y�S h'a�'i D Vl r'n •�(Ou d- Q� ter• c:r K S�f'`. 0 Reviewed by: Date: Boisw Triple 1-3/4" x 16" VERSA-LAM®2.0 3100 SP Roof BeamlR1301 BC CALC®9.2 Design Report-US 1 span (No cantilevers 1 0/12 slope Thursday, December 22,2005 14:13 Build 141 File Name: Roycroft Kliehne Kendrew.BCC Job Name: Kendrew Description: Structural Ridge over M bed rm Address: 145 Mooring Drive Specifier: Bill Campbell City,State,Zip: Cotuit,Ma Designer: Customer: Roycroft&Kliehne Company: Shepley Wood Products Code reports: ESR-1040 Misc: 12 2 22-03.08 -- ----- B0,3-1/2" B1,3-1/2" LL 111 Ibs LL 111 Ibs DL 18241bs DL 1824 Ibs SL 2675 Ibs SL 2675 Ibs Total Horizontal Product Length=22-03-08 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 101T% 90% 115% 133% 125% Trib 1 Standard Load Unf.Area Left 00-00-00 22-03-08 15 psf 30,psf 08-00-00 2 ceiling Unf.Area Left 00-00-00 22-03-08 .5 psf 10 psf 02-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos.Moment 24647 ft-Ibs 38.2% 115% 2 1 -Internal Completeness and accuracy of input must End Shear 3938 lbs 21.56/6 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl.. U444(0.59") 40.5% 2 1 output as evidence of suitability for Live Load Defl. U735(0.357") 32.7% 2 1 particular application. Output here based Max Deft. 0.59" 59.0% 2 1 on building code-accepted design properties and analysis methods. Span/Depth 16.4 n/a i Installation of BOISE engineered wood products must be in accordance with. %Allow %Allow current Installation.Guide and applicable Bearing Supports Dim.(L x W) Value Support- Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 4610 Ibs 51.9% 50.2% Spruce-Pine-Fir ask questions,please call (8 B1 Post 3-1/2"x 3-1/2" 4610 Ibs 51.9% 50.2% Spruce-Pine-Fir 00)232-0788 before installation. BC CALC®,BC FRAMER®,AJST", Cautions ALLJOISTO,BC RIM BOARDT",SCIS, BOISE GLULAM'T" SIMPLE FRAMING Member is not fully supported at post BO. A connector is required at this bearing. SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing BO analyzed for bearing only,column analysis has not been performed. PLUSS,VERSA-RIM®, Member is not fully supported at post 81. A connector is required at this bearing. VERSA-STRANDTm,VERSA-STUD®are Column at Bearing B1 analyzed for bearing only,column analysis has not been performed, trademarks of Boise Wood Products, L.L.C. Notes Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. Member Slope=0,consider drainage. Connection Diagram . �b-+- I+d rt - c le a minimum=2" c=6" b minimum=3" d= 12" e minimum=3" Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are:16d Sinker Nails Page 1 of 1 Z -d IC09 298 BOS A31d3HS 0161 :90 g0 ZZ oaa Double 1-3/4" x 9-1/2" VERSA-LAM(g) 2.0 3100 SP Floor Beam1F1301 BC CALC®9.2 Design Report-US 1 span(No cantilevers 10/12 slope Thursday, December 22,2005 13:41 Build 141 File Name: Roycroft Kliehne Kendrew.BCC Job Name: Kendrew Description: FB01 Address: 145 Mooring Drive Specifier: Bill Campbell City,State,Zip: Cotuit,Ma Designer: Customer: Roycroft&Kliehne Company: Shepley Wood Products Code reports: ESR-1040 Misc: NT, I). I .. ��_ .� . _ .� 4;� . �1......l. l--fir_ � � l� ._ M, I B0,3-1/2" 61,3-1/2" LL 14 Ibs LL 508 Ibs DL Ibs DL 1458 Ibs SL 1943 43Ibs SL 1943 Ibs Total Horizontal Product Length=03-08-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 11511/0 133% 125% Trib 1 Standard Load Unf.Area Left 00-00-00 03-08-00 20 psf 10 psf 01-04-00 2 Ridge Conc.Pt. Left 01-10-00 01-10-00 111 Ibs1824lbs2675lbs n/a 3 Attic Unf.Area Left 00-00-00 03-08-00 20 psf 10 psf 11-00-00 4 Roof Unf.Area Left 00-00-00 03-08-00 15 psf 30 psf 11-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos.Moment 4815 ft-Ibs 30.0% 115% 2 1 -Intemal Completeness and accuracy of input must End Shear 2961 Ibs 40.8% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U2545(0.0151 .9.4% 2 1 output as evidence of suitability for Live Load Defl. U4108(0.009") 8.8% 2 1 particular application.Output here based Max Defl. 0.015" 1.5% 2 1 on building code-accepted design properties and analysis methods. Span/Depth 4.1 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1l2"x 3-1/2" 3908 Ibs 44.0% 42.5% Spruce-Pine Fir or ask questions,please call ° ° (800)232-0788 before installation. B1 Post 3-1/2"x 3-1/2" 3908 Ibs 44.0/0 42.5/o Spruce-Pine-Fir BC CALC®,BC FRAMERfl,AJS-- Cautions ALLJOISTO,BC RIM BOARD--,SEW, BOISE GLULAM-*' SIMPLE FRAMING Column at Bearing BO analyzed for bearing only,column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing 81 analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, - VERSA-STRAND-,VERSA-STUD®are Notes trademarks of Boise Wood Products, Design meets Code minimum(U240)Total load deflection criteria. L.L.C. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. Connection Diagram L"1 b d—� a I I I • • a minimum=2" c=5-1/2" b minimum=3" d=12" Connection design assumes point load is'top-loaded'. For connection design of'side-loaded'point loads, please consult a technical representative or professional of Record. Member has no side loads, Concentrated loads are not considered in side load analysis. Connectors are: 16d Sinker Nails Page 1 of 1 E 'd 11309 298 809 A37ld3HS d6I :S0 SO 22 oaa i noisw Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamIF1302 BC CALC®9.2 Design Report-US 1 span No cantilevers 1 0/12 slope Build 141 Thursday,December 22,2005 12:49 Fife Name: Roycroft Kliehne Kendrew.BCC Job Name: Kendrew Description: FB02 Address: 145 Mooring Drive Specifier: Bill Campbell City,State,Zip: Cotuit, Ma Designer: Customer: Roycroft&Kliehne Company: Shepley Wood Products Code reports: ESR-1040 Misc: TT 09-os=oo _ -- -— --- —-- B0,3-1/2" -- ---P LL 1170lbs B1,3-1/2" DL 631 Ibs LL 1170 ibs DL 631 Ibs Total Horizontal Product Length=09-09-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area Left 00-00-00 09-09-00 20 psf 10 psf 12-00-00 Controls Summary value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 3986 ft-lbs 28.6% 100°% 1 1 -Internal Completeness and accuracy of input must End Shear 1400 Ibs 22.2% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. LI900(0.124") 26.7% 1 1 output as evidence of suitability for Live Load Defl. L11385(0.08") 26.0% 1 1 particular application.Output here based Max Defl. 0.124" 12.4% 1 1 on building code-accepted design Span/Depth 11.7 n/a 1 properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3 1/2"x 3-1/2" 1801 Ibs 20.3% 19.6% Spruce Pine-Fir or ask questions,please call B1 Post 3-1/2"x 3-1/2" 1801 lbs 20.3% 19.6% Spruce-Pine-Fir (800)232 0788 before installation. BC CALC®,BC FRAMERS,AJST"', Cautions ALLJOIST®,BC RIM BOARDTu,BCI®, BOISE GLULAMT'° SIMPLE FRAMING Column at Bearing BO analyzed for bearing only,column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, VERSASTRAND-,VERSA-STUD®are Notes trademarks of Boise Wood Products, Design meets Code minimum(L/240)Total load deflection criteria. L.L.C. Design meets Code minimum(L/360)Live load deflection criteria,. Design meets arbitrary(1")Maximum load deflection criteria. Connection Diagram t_ a I - c a minimum=2" c=5-112" b minimum=3" d=12" Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 b 'd TE09 298 809 1137d3HS doa SO SO ZZ oaa 80i86' Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamlF1303 BC CALC®9.2 Design Report-US 1 span I No cantilevers 10/12 slope Thursday, December 22,200512:49 Build 141 File Name: Roycroft Kliehne Kendrew.BCC Job Name: Kendrew Description: FB03 Address: 145 Mooring Drive Specifier: Bill Campbell City,State,Zip: Cotuit,Ma Designer: Customer: Roycroft&Kliehne Company: Shepley Wood Products Code reports: ESR-1040 Misc: --�- - 1 11-00-00 80,3-1/2"43 Ibs B1,3-1/2" LL LL 770 Ibs DL 6 Ibs DL 436 Ibs Total Horizontal Product Length=11-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description . Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Standard Load Unf,Area, Left 00-00-00 11-00-00 20 psf 10 psf 07-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 3047 ft-Ibs 21.8% 100% 1 1 -Internal Completeness and accuracy of input must End Shear 969 Ibs 15.3% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. L/1038(0.122") 23.1% 1 1 output as evidence of suitability for Live Load Defl. L11626(0.078") 22.1% 1 1 particular application.Output here based Max Defl. 0.122" 12.2% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 13.3 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3 1/2"x 3-1/2" 1206 Ibs 13.6°k 13.1% Spruce-Pine-Fir or ask questions,please call B1 Post 3-1/2"x 3-1/2" 1206lbs 13.6% 13.1% Spruce-Pine-Fir (800)232-0788beforeinstallafion. BC CALC®,BC FRAMER@,AJS7m Cautions ALLJOIST@, BC RIM BOARD-,BCI@, BOISE GLULAMT" SIMPLE FRAMING Column at Bearing BO analyzed for bearing only,column analysis has not been performed. SYSTEMS,VERSA-LAM@,VERSA-RIM Column at Bearing 81 analyzed for bearing only, column analysis has not been performed. PLUS@,VERSA-RIM@, VERSA-STRANDTm,VERSA-STUD@ are Notes trademarks of Boise Wood Products, Design meets Code minimum(L1240)Total load deflection criteria. L.L.C. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. Connection Diagram I�br d i a - C a minimum=2" c=5-1/2" b minimum=3" d=12" Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 S 'd TE09 298 809 A33d3HS dOZ =SO SO 22 oaa TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map a ®�-`� i Parcel �12 1 SE'PTgC SySTEI� ^yS�° permit# Health Division „�,,�ro INSTALLED IN C® PLIA-,J to Issued 2�/ � po VI WITH TITLES ENVIRONMENTAL �- ConservatiOn-bivision VIRONMENTAL CODS te l Tax Collector "` ULlam MR Treasurer �D f Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Cofi� r Owner Address -V*A!&7 Telephone !S5�6 ) y"Za 4 wSO Permit Request 'T© Co+n.,��'� o.� ac1��c�► �Q.t �. .�.��v a Sr�w�.\.1 t�cc,.+� Square feet: 1 st floor: existing R proposed 2nd floor: existing proposed Total new Xi,/Or ��ae _ z� + Estimated Project Cost 3,&o oning District Flood Plain <—P Groundwater Overlay Construction Type TAN can�JenNktMa, Lot Size 1Z5 Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: 'Single Family Cd Two Family ❑ Multi-Family(#units) Age of Existing Structure 1-7 Historic House: ElYes 12r-No On Old King's Highway: ❑Yes Uo Basement Type: ❑Full ❑Crawl ; 0//Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ro Number of Baths: Full:existing Z, new Half:existing flZ new Number of Bedrooms: existing new Total Room Count(not including baths):existing5- new First Floor Room Count Heat Type and Fuel: UrGas ❑Oil ❑Electric ❑Other • Central Air: ❑Yes 61"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes d"No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:.tff existing ❑new size 22,7 Shed:&11existing ❑new size B X 1Z Other: Zoning Board of Appeals AuZN horization 0 Appeal# Recorded O Commercial ❑Yes If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT'NO. 1) e ? ± DATE ISSUED MAP/PARCEL NO. ' ADDRESS `" a, - `` VILLAGE - OWNER- DATE OF INSPECTI '{ r , '• _ 4 FOUNDATION FRAME INSULATION� � �4 ;,' ,. • • F e ` FIREPLACE 'ram" —� t - •f. d _' •`M ELECTRICAL; ROUGH FINAL PLUMBING: ROUGH FINAL GAS: 4 ROUGH FINAL FINAL BUILDING, r t • i DATE CLOSED OUT ASSOCIATION-PLAN NO. - ' A « f+<} , f, ibN� 't'i, }, ys Y• i n.; Y. t :i � 1/ 1 '4 .I -,��_`fl�� I/�a�!■w��riva, r'1 3 {. x N h rn '. 4 � � v�(�i� r IV1 ra t ! I •E I..\ �Q� � �I•�� R'` 00 \ �{. ! LOT 102 ` O \NIV 63 A1• �. o�, � I : , - - -_--__----- -_____ �. r -- - -- --- = =_ DECK LOT 103 oz \ i �i. Lk , LOT 104 o_. 0 �I � 3 LOT 129 V G i " " This ' MORTGAGE INS.P ECTIO N P"'" F°r FLOOD ZONE "C" TES. LONE.' RIB' Bnnk Use Or'i ['OWN: _C0T 1T___ -- REGISTRY OWNER: JCS'y ------------- DEED REF: _ 3ORB1L , ---__---BUYER: J31Ctl�IB11_ _&1?Dl>?pTfi3_At XE4YVRF,- '_------ DATE: -12115VIK------------ PLAN REF: -T',T-F_L�7- -- -----SCAI,E:1"= 30 ---FT. I HEIIE13Y CERTIFY TO PL"-QUTLL E BUILDING �}�� h ;` �, YANKEE SURVEY 31IOWN ON THIS PLA N IS LOCATED ON THE GROUND AS or PAUL ��. CONSULTANTS .SHOWN AND THAT ITS POSITION DOES _____ CONFORM A. PO THE ZONING LAW SETBACK REQUIREMENTS OF THE, 3 MER THEW �•} 143 ROUTE 149 AND THAT No. MARS`I'ONS MILLS, MA. 02648 'TOWN OF ---BfI.�LY� i.----------'-�__ �3 a IT DOES-�QT-_ LIE WITHIN THE SPECIAL FLOOD HA/,ARD 9EC1S1TVF° ��`� TEL' 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED-za/ --. J%ny,�� iA,;,� FAX AX 420-5553 C om i 1 u n - a el H250001 0021 D THIS PLAN NOT MADE FROM AN 19STRUMENT 10292 BJS PAUI. n .M Ifir PT - --- SURVEY. NOT TO RE USED FOR FENCI S, F'I'C� 'ICY. •. _"" h" `' i .. Ste = Flu YAM �' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner 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 pit-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- CoX�Jesr C lkl-t-e=AM �.�-��+=ated Cost Address of Work: t�"� too � h�- t Ce, Owner's Name: Date of Application: cl, `� I hereby certify that: Registration is not required for the following reason(s): ®Work excluded by law oJob Under S1,000 ®Building not owner-occupied [30wner 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 Contractor Name Registration No. (o Z Date Owner's Name fhS q:fornu:Affidav + ` r MCUR Appsaiaj Tab1a•1SZ.2b preeripttre P2etta6d for One and TwaFaaoilF Ruidmdd Building Sated with Faso?Fads MAXIMIJIM W111VI14U m Wall Hoor 8aemmt Slab Axml '/gj) U value= &vWue� R vala &tidues Wall FIB �Pmm EMd� R.vdtm' it-Value 5"1 to 6500 Hadn;De6tee Dare' Q 12% 0.40 3E 13 19 10 6 Nom d R 12% om 30 19 19 to 6 N� 3 I29A 0.30 33 l 13— 119 10 6 AFUE T 15% 0,36 3E 13 23 WA WA Namd U 15% OA6 3E 19 19 10 6 Nafami Iti.. — 13 w . ivn . "AFM W ls% 0.52 30 19 19 10 . 6 S AFUE X Iv/. om 3t 13 25 WA WA Nommi Y IVA 0.42 3E 19 13 WA WA Nomid Z IVA 0.42 33 13 19 10 6 90AFUE AA IVA WO 30 1 19 19 10 6 9O AFUB 1. ADDRESS OF PROPERTY: I y 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 40 �I 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): � S NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROV YES: NO: q-forms-t980303a 780 CMR Appendix J Footnotes to Table J5.11 b: s, and Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, Skylight basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the grosss 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 fl of decorative glass may be excluded from a building design with 300 if of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used 11 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 me condiuonea spimc nuu die wraidiatcd fo:i:,r.:.fthe mof. t 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 ETTHER by R 19 cavity insulation OR R-13 cavity tasulation plus R-6 insulating sheathing. Wall requirements apply to wood-fame 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 500/a below grade must meet the same R-value requirement as above-grade wails. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described 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.I a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation -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 J1.5.3b. If a door contains glass and an aggregate rating valuer that door is not to determine compli�ancleg include the of the door. glass area of the door with your windows and use the opaquedoor 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 Department o Office 01/0e599479oos 600 Washington Street `G Boston,Mass. 02111 Compensation Iasa��i,��% name: i' \Crgf 'E�Z✓� d location city �� v ti� 5� hone# I am a homeowner performing all work myself» ❑ I am a sole rietor and have no one worl� in a� acity ' I am an employerprovi~ding workers'compensation for my employees working on this job. m � .... -.-.... sn n :;:::;i:2;i:'i<':: .... > .;:><i i: <:i:i cOIDD Y :2ri:':%:i:�:` ..........::<`•:: :i::::r: r;::::<`::%;: :: ::i:$::5::?:: %::c_:r::r:::::`::5::::22:;:::>;;:::�;: ::.:j?•':•ti:iiiiiii:4i:iv:ii:?i+•:-:iii::•::fill:{!4iiii:": ti•:iiii:•}:ii-r':::iii::iiiiiti`viiii:?:?iii:i::r:iii`v'i:•ii:•i::iii::'v:•fiiti:: i:•}iS:ti i:•:'Y:if�iiT:i^:!: ............ :::.�::::::...:::::.:::::::::nv:•: i:i:i.isv:::::::::v:::::::::::::::::::::: v.v:.�::::.�::::: ::::::.:::.�:: :•.v:•::::::.:�:. .... NIX, :•:•:::.v:::::::::.�:•:::::.....:.............. j::1�.v..ii:!;:�:?}:}:.,�,t't{:;:�:;i:i;�v:i:'.:; (+:!;::i{:;:!tiy;:tij::y:vii::•- Sri'::i::rir::{:?i: :i :i i:i:i::;: > :;;:: :........ .. .................. dolm. :�i'3.:...'i":'<i:i ii7 :�r:till'�:>3:�}.'i:<�s>i:':C�;,>:> �3i�i;" �?`:i�:'i `i;i;y ;;:`i;?;� >[G:'•SS >[�°�i'i5 r::Y°;i:i:'• i<:iii<:c%::•`:�:�:�rR: :i:;%`<�3 ri.•"i�:� ;'..: :: .,phone#.>':: .:. .... .. :. ...--... :-> ........................... .................................. insuranceca :. :.:::. .:.:::::::...:::::::..:.::.:.-:..:;...:.:....::.:::...:.... .: o icv ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comoanY n . ............... dress: : ::.:::......................... :::::::::.:: ?;.::-;:::??.};;:•: ad .: :. :::.: .. . . .. .. .... __.. . ............:...............:::.�::....::.::.....:...... .............. ..............-.....::.................................•:x:•::.:: ......... ......... . .............................................................::•:::....�....�:::.�:::::•::::::::.�::: .v� insurance.ca .. . ...................................................._._.....,.. . ..,.:.. :,:,......... .. ..::::.:...::::.:............................................. ..... ......... .... .................................... ........-......... ...... .........................................:: ::v.:...................... .....:::::.::::..:. ::::::..............................................................................:..................:::.v....;.....:•.�:.........::::.:..+...;..;..........,...;.;....+..-........::.. .................................................::.v::::::::::.v.v:w::::::::::::•::v.v:::::::•:•:::�•:::::::::::::::......::.v.:::::.:...::::.v::•....:.:.v.:•.::.:::v:.v.v.::.:.:•::::.::w::.:.:..:::::::::::::::::::,.}::::::�r.•:}} ...........................:...v:::::.:v:::.v}:.v::::vm:.:v.v:::v:w:.v::::::.vnv::.v::::::::::.v._:::w::::::::::::::::::::v::::::::::.v::r::::::::::::::::::vn-::v::::::::::::::. m:•}:::... :�:>:>:}::::?•:��::::•:::::::�:::::.......................................................................................v:::::::.v:::?.}i}ism:4}:4}:J}}iii:!:?:•}}:4:•}}:•i}}i}}}}}:?•}:^:J}::4}}}}}}}:G;??•}}:4:t?•:?,:n•}:::::.}:i:i.. .:.,....... .. ..::.:.:v::::::-:.v:.v:::::.v:::.::v::::::.v.:v:•.v:::w::+.....................:v:::.v:..-.:.....::.v;...w::v:: ,.....:w:::•:::•::::.....:::.+....;..::::.:n::•:.::}.:::•.:. .... ... ............ ................................................... ....................:::w:}:::::::.v:}:??w::::::v.v:::::::::.v;}:::::::^}:•}:::::vvv}wv:::::::::::..:::::•:v:?•..f.....:..:..!C•.Ir...:.h•\N:r:.}.x..-............. rnmnanY>name:'.<:..:::::r:::::.::.::::::.::::::. ::::..:::..::.::::. . ::.::.,.::,:.:...........,..:.,................... .,,:,.........,:.,....... ...... .........:::..: ::.,•:::::::::.. ...Fn.A mrr'w add ress: 6a e ne#. ci tv- ........-... Fafim a to seem.-overage as required under Section 25A of MGL 152 can lead to the imposition of criminal penailies of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me I understand CW a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby cer* P ' en olpeJury that the information provided above is&w•and coned Signature Date Print name �tC 1. f d d`c� Phme# �IZA-`lid ---------------- ------------ C y do not write in this area to be completed by city or town official permltlilcense# (]BWlding Department (]Lkensmg Board mediate response is required ❑Selecdmn's OIDce_ ❑Health Depattmmt: phone#; ❑Other (tewsed 9/95 P)N Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any cgtrac: of hire, express or implied, oral or written. .fin 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to,construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance..with the insurance coverage required. Additionally,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 contacting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Departni 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peii1ft/liceose number which will be used as a reference number. The affidavits may be reta:med io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lmlesduadons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 • The Town of Barnstable Department of Health Safety and Environmental Services Building Division nAz3 ST.4 367 Main Street,Hyannis MA 02601 MASS. 639. pAA'1 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION 1 Please Print DATE: JOB LOCATION: 145 M00 V% "t �('t.� _ L.�C3�•.+•� nnuumbe-r` street village "HOMEOWNER": _ �C��ungtc� 2a�c�cea� 2�`-'1,414 SZ) 42(6"3^1 q name home phone# work phone# CURRENT MAILING ADDRESS: Mc C o a 'br X y-2 A- d2to 3'S city/town state zip code The current exemption for"homeowners"was extended to include owner-occu0ied 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 supervL isor. 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 om 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 requires ats�1 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 to amend and adopt such a form/certification for use in your community. Q:FORMSIXEMPT • x- ! i ;. I t i f I } �C 1 I A.-A L .. All I j_ i 4 I I I `II '��c.,�r,iJt`c,. i I I I -� l ` I I-- ! I- � t! ................_1.......... Lv .......... 11-T I en�r_Acj C-0-C i I I � ! � � ! 1 f f I � 1 � j i � i I ' � IL ---------- jq Ir 1------ ...... Ifi rr 7-1 Vv l s zo fill. l -!-- -: - .......... I � L. I � I � j I I I `. . 1c, I � I i i ,• —I Co�nec e� I S�IA�,� j I ii I I � I i i j {- ------Lin kp Six -4- - 44-1 i.-J d 1,s. I i Q . A A L 19, 1 all z-,tA , �0,1!tc 4�k t t c CQ\ Pf 71-7 F L v Sl I 5 1� 41. fit A-V 7�41 6 . A Q T7 I �d P- VA . I I l ! j ! � ! I l i I I ' ! I •I { I. �,a�: �� I��I�ai I i : I I I j i I I- I ! I i -- ' t f n _ ` ! tl� I i ; f111 Alla1 S 1 ; ,_ ._!� �►!_C'�--Jt a i._ '._._,_ I I_. i '� i I ! '! I •�'�lt�� 11�1 �i�'y a . I I I � II I I i II � I i ► ; - j Cdds - - I I I I i I ! I I ! : : ! l i l I I 2x,c,Il -i--- -- - - - -- ! ! I I i I ; I � � I lk I_ ' --�-- ai �•.� +�.1 r ♦`. 1 �� r r � .K Ic I_r•..� �bJn n 1'C.3 -ri--- I. I I a I i I I -- - -- -�-- I IL-----i 1�__+ I I c�1i�_II ��!c�'L_^'b3.�•�y_ G;�I 41 j I � p I� j. I I I I � I � I ! I •I � I I 'i I I ! I i I I I I ' I , I I I j I I I I � I i I - I . j ( - - II } I ; I � ( I �10 c � I _ ! _ ---- �- Q-- ( � --I --i- - -'--- I" - - -- ( I i j I ' I . I , i I i � I i I I i i , I I I I I I C I i I i I I I I I I I I i i —i �o.�c.ce� S1'•A�.� i �---.. --L.__ I i I.. ._i. i I i i i I I I j I i j i c. P I ' I \ I I I I I , I I i I -j - _I '• . •:Z(151v1q.�'�o�n � I ._. � i � � i I I II--- I I ' I P I iov. .- I .-__--."!itIi,LIIIII-,.-..�..-flIIiiI!IIi ja9C_��('.�il�iIl'IIrIIII h n—•.�-J-VC`IlIriIllI!c l_C�l_ (.Jl�IiIii R Al iili!IlII I -pH �� c _----- Ii,III O FC^-_-.�.... ik�° c�� .� � 71. - .fLA'W � II I Ii --_ .,I --- j TOWN OF BARNSTABLE ' Permit No. ------------------------ I Building Inspector sav�*uc Cash OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be 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 Address Wiring Inspector Inspection date Plumbing Inspector a " `�^`� j 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. I9.... _ ........................... ......... ..................................................................._... Building Inspector 3 ' 9 12St O G t 41 1� lay Z9" 2 1 W D3tL i.4,gt ,a _ a U o Ch t'ST, 4 i o �+ FooAj0 cl z d W oz°ao_�i z Y'Nw —. z w>r < y;Jtnyi so Ls?d O y W wlbk i QQ w �5 s� PLAN SHOWING FOUNDATION LOCATION C0TUI TO MASSACHUSE TTS OWNED-BY: C-e-OAIZ "C-S P-*,&VTti `"rll.0 K-r is SCALE: i � d DATE. 'SG rG� 0;1 0D NORMAN GROSSOAN------ REGISTERED LAND SURVEYOR I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED , tN of M, ON TZHE LOT AS SHOWN AND CONFORMS TO THE TOWN OF BARNSTABLE ZONING REGULATIONS REGARDING IK1FtMlgd �^ SETBACKS FROM STREET LINES AND LOT LINES . 127�3 8 6R1275 y p o NORMAN GROSSMAN R.L. S. DATE GMp Sum i t[[' ssor's map and lot nurrAapf.............. ........................:....... *THE Sewage Permit number .(?V.......Y�?/ ........... ,.......................... House number .......... . .........9...................I................... ...... IN C*1 MILE, M 039. TITLE 5 4 11 AL CODE TOWN 'OF BARNS G f%=ULATIONS BUILDING , I,N.SPECTOR APPLICATION FOR PERMIT TO .........&AZ41W.' ......................................................................................... TYPE OF CONSTRUCTION ...... 'e7'.4400W. ... ..... ............................................ ................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- .................... .... ........ Location .../20-Y ...... .............. ...... .. ....... ......... ........................... ProposedUse .......................................................................................................................................... Zoning District .........A0000c— ........................................................Fire District .... ....................................................... Name of Owner f.7o014211.94Address ........ ... .. .. . ... .................................... Name of Builder ............Address .... ........................................ -7777-�Name of Architect ..................................................................Address .................................................................................... /7 .441 -,e Number of Rooms ...........1,4&...........................................Foundation ... ... .............................. Exterior ...J4..e4. ..................Roofing ... ............................... Floors ... ... ... .. ..... .....................................................Interior ...... .... . . .. ....... ................................................... Heating .. ............. L 9 . ........ ......4..... .....................Plumbing ..... ... .../� ....................................................... Fireplace ..............di ............................... ...............Approximate Cost .......�24, siliqv .................... ......... .... . ....................... Y/?*** ----------- Area .......................................... Definitive Plan Approved by Planning Board Diagram of Lot and Building with Dimensions Fee ........... /.!��.............. ......... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH . ..... . ..... . 43-..w 'oe I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. OV Name ..A. . . ... .................................... Cedar Acres Realty A=24-1,21 sewaqe #79-424 ` too 2.l:E.Ee$...... Permit for ...QnP•..sto•ry...dwe-14 i nq ........................................... ................................ Location ..lot.. .......1.45.... Moor..Fa..{��.; .....................�.Q.t N.t.t............................................. fi• ' frr j '� �^ }.. Owner ........�Pdar...Acres:..Rea.l•tv................... � ,,• ., _.r f a 1 Type of Construction ..........:..fl-ame.................. . . I ................................................................ ........... Plot............................. Lot ................................ ` l` : +� �`• : #_ �r. ._.__p Permit Granted .........S.ept.......20,�'`•• j.19 79 .J Date of Inspection .....................................19 '' 1 Date Completed ....r! f..61 . '........ 19 PERMIT REFUSED ........................ .............................. .r 19 .... .............................................. ...... . . .................... ...... r ! r, � r � C- rsC3 Approvl<............. ................................ 19 ...........f _C° ............................................................. ........................................................................ Assessor's map and lot number TN E Sewage Permit number ..........Y�.�......................... MARNSTAXLE, House number ........................H.;K........................................ 0 rose r, 56 039. mi-I I'. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........e�................ .......................................................................... TYPE OF CONSTRUCTION ..... 1?)�4Ve W . ....... ....... ....................................................... .......... ..................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... IZ,3 Au. .............. . ... ................................ Proposed Use .... 3f................................................................................................................ ......................... Zoning District ......... ................................................Fire District .....4�4a- ;4 ................................................................. �,4 Name of Owner .................Address ...... ................ ......... ......................................... ...................................Name of Builder <j ZA!��............... ....*.............Address .... Nameof Architect ..................................................................Address .................................................................................... ..........Number of Rooms 4.4 ..........................................Foundation .............................. tit Exterior ...�Z�,...... ..................Roofing .... ............................. ....................................... Floors ......4,. ............................................................................Interior ....... ............................................................................. Heating ............. .... ......e n.0. .W. .......................Plumbi g ..... ......................................................... Fireplace ...............4f)6 !................................................... ...................................................................Approximate Cost .......�24, Definitive Plan Approved by Planning Board -i ----------19-V. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............—)./........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 3c, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 0, Name .................................... Cedar Acres Re9-,, tY ;=24-121 Sew'aqe #79-424 No ..... Permit for Qr1a...s.tary...dwe.I.N.-nq ............................................................................... Location j.Q.t..#1103.......1A5..MQ.Qr.j.n'q...Dr..,...... ................................JC.Q t UI.t.................................. Owner ...POA r..A.r,.req..Rea lty....................... Type of Construction ...Cedar--A-r-res--Rea41-y .......................................... Plot ............................ Lot ............................. Permit Granted ......... . Sep t 2.0.......19 79 Date of Inspection ....................................19 Date Completed 1K....................................19 .................. PERMIT REFUSED . . ....................... .........................j.. ............................... 19 ................ . ............ . .................. .. ......... .... .................... .............................. .... ............... .............. ......... . . . ... ....... .. ............... 11....................................... ................................ Approved ................................................ 19 ............................................................................... ............................................................................... g _ ;_t Town of Barnstable T 0- C RK zoning Board of Appeals B A - = :a . Special Permit - Family Apartment .93 Lam' _ P 4 :1 5 Decision and Notice Appeal No. 1993-67 Summary: Granted with Conditions Appeal No. 1993-67 Applicant: Richard E. Rendrew Address: 145 Mooring Drive, Cotuit, MA 02635 Assessors Map/Parcel: 024-121; .37 Acres Owner: Richard E. and Dorothy M. Rendrew Zoning: RF [Residence F District) Zoning overlay District: WP - wellhead Protection District. Applicants Request: special Permit - section 3-1.4(3) (E) .Family Apartment, which references section 3-1.1(3) (D) . Activity Request: The applicant is proposing to remodel the basement for a family apartment within an existing one story residential dwelling. . Procedural Provisions: section 5-3.3 special Permit Provisions. Background: This decision concerns the appeal submitted by Richard E. Rendrew to the . Zoning Board of Appeals for a special permit to allow for a family apartment to be located at 145 Mooring Drive, Cotuit, MA. The request was made in accordance with section 3-1.1(3) (D), "Family Apartments" of the zoning . ordinance. According to the Assessors Records, the lot, located in Cotuit just north of the Cotuit Fire District well field, is 0.46 acres. It is developed with a one-story single-family ranch style dwelling with a gross area of 1,104 sq.ft., and contains 2 bedrooms and 1.1 Baths. The structure is served by public water, gas service, and. has a private septic system. According to the sketch plan submitted with the application, the family apartment unit is to be developed within the basement floor. with the inclusion of storage space as part of the apartment, the area would be 562 sq. Ft. rather than .498 sq. ft.. as shown. Procedural summary: The application was filed in the office of the Town Clerk and at the Zoning Board of Appeals office on Oct. 26, 1993. A public hearing, duly noticed under M.G.L. Chapter 40-A, was opened, closed and a decision rendered by the Board on November 18, 1993. The petition was heard by Board Members; Gail Nightingale, Ron Jansson, Emmett Glynn, Dexter Bliss and Chairman Richard Boy. Decision and Notice - Appeal No. 1993-67 ti special Permit - Family Apartment The applicant was represented by his son, Richard D. Rendrew .during the proceedings. He explained the intent of the proposal which was to have a special Permit to develop a family apartment unit within the. basement of. the existing dwelling that was recently purchased. The house, purchased three months ago, is a three bedroom split level home and he wishes to make an apartment downstairs. He and his wife and daughter will reside upstairs and his father downstairs. A letter is in the file from neighbors who are in favor of granting this appeal and three neighbors spoke in favor of the proposal, no one spoke in opposition. Finding of Fact: Based upon the evidence submitted and testimony given, at the public hearing of November 18, 1993, the Zoning Board of Appeals unanimously finds, as follows. 1. special Permit for the Family Apartment is allowed in all residential zoning district of the town. 2. Testimony has been heard from applicant that they understand all of the implications of the Family Apartment and has agreed to meet and maintain the property in accordance with section 3-1.1(3) (D) Family Apartment of the zoning ordinance. 3. The square footage of the Family apartment does not- exceed that which is allowed by the zoning ordinance. 4. Support from the immediate neighbors has been heard and it proposed family apartment would not be detrimental to the surrounding neighborhood. conclusion: Accordingly based upon the findings, a motion was duly made and seconded that, Appeal No. 1993-67 be granted in accordance.with Section 3-1.1(3) (D) of the zoning ordinance, as sought and with the following conditions: 1. The home and family apartment shall comply with all Board of Health regulations. The vote was as follows: Aye: Gail Nightingale, Ron Jansson, Emmett Glynn, Dexter Bliss and Chairman Richard Boy Nay: None order: Appeal No. 1993-67 has been granted a Family Apartment. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, and shall be filed within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. f Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringin_g..an action within twenty days after the decision has been filed in the office of the Town Clerk. Chairman 1010 I, Clerk of the 'Town of Barnstable. Barn tab"ount , UassilchusAtts. hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this day of 19?Lunder ti pains and penalties of perjury. A - D is tribution: Property Owner Town Clerk �Town Clerk Applicant Persons Interested Building Iaspecaor Public Infot-.ration Board of Appeals ,q .�v??"pr ,�,,M$Xf�WTP q�+''�`°'�'zp'r`"G.. '.: >.;. �._.....-•--. •--.--._ — .^.•_-.a.... - �,., �4„+,�nw' n� -- r .,....,..... _...... .,r;,<:,;rt-t..,� �.'.".,'•�;.;;:'�-,^-.-mv- ,*r�r.. P*nn„�°7::,. ��y- �,�^:(_^ X,T`�C'�Ar��i .+rr�Fltn#.;1=»+�+�..=:X:..x.. .. .. - T T _ . . � ,,» tas�+Me«,� .�� ,c�.s�-'�°'�, i�'+k�n4�='�-'�'"+n�='�17- ,F"`� '�:�.�;�• .z. .. o Town of Barnstable Building Department Brian Florence,CBO • snxxsznI= Mnss. $ Building Commissioner TOWN OF BARSTABt ibgy 10 '°rFo 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Z018.F P14 2: 59 Office: 508-862-4038 Fax: 508-790-6230 7v r , Town of Bamstable Family ApartmentAffiddVit I,being on oath, depose and state as follows: My name is !2sC aajCc- `a`e CU'3 I am the owner/resident of the property located at: c�yCc--� c; y The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: (N� Qti:�vB� Name &relationship to owner: �R_'5L 0 u7 V-� 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 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 e pains and pe alties of perjury this_ day of T-c_- 6 2018. Le'ZA Zz Signature Phone Number Print Name t.C. eJ q:forms/famaffid.do c rev 11/22/2017 Town.of Barnstable - - -- Regulatory Services of Richard V. Scali,Director TOeN OF ANS 'ABtE Building Division "B Paul Roma,Building Commissioner FF__� 21 }fq+tl7 / 3 163q. �� 200 Main Street, Hyannis,MA 02601 - ED Mld www.town.barnstable.maxs Office: 508-862-4038 f)pgjcT it 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 owner/resident of the property located at: ` : I'' V , C The following members of my family will be the sole occupants of the'.Family Aparhnent at the aforementioned address- • - Name &relationship to owner: Name&relationship to owner: fi 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 andlor 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 un a pains and enalties of perjury this day of hr 2017. Signature Phone.Number Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFt"Eti Richard V. Scali,Director °* Building DivisiofiTOWNI OF P ARNSTABLE 9B"x'',', ; Thomas Perry, CBO,Building Commissioner 200 Main Street H annis MA{02601 1 AM 1 ; E rED MA'S A y wwwaown.ba rnstable.ma.us Office: 508-862-4038 --_ ---Fax: 508-790-6230 ,T1I1 ' Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is am the owner/resident of the property,located at: r.A7-J, a The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: � c:�.1 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. 1 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 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 un a ains and penalties of perjury this day of 2016. k-o '-A- Signature Phone Number Print Name. q:forms/famaffid.doc rev 11/08/12 Town of Barnstable oF1ME r Regulatory Services , cos Richard V. Scali,Direcfo7l�,l 01 F [J'ARNSTABLE &UMS'ABLE. # Building Division 039. a�� Thomas Perry, CBO,Building Comissionwr fit' '� ''m Fn � 200 Main Street, Hyannis, MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 ` ^' " ' 4 t { Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows:. I am the owner/resident of the My name is property located at: MA 1 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �C� `-'�y� ; � �V/1 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 un er the pains an penalties of perjury this 17 day of r 2015. —z Signature Phone Number Print Name q:forms/famaffid.do c rev 11/08/11 Regulatory Services oF'THE Richard V. Scali,Interim Director Building Division 9BAMSrMM Thomas Perry, CBO, Building Commissioner 1639. a`` 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 �� -�v �- I am the owner/resident of the property located at: Ca�wA7 A Ar The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to.owner: f�c�e ✓� rS Name &relationship to owner: u:M.s 4j 8 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 ofsaid Family Apartment is permitted. tis+ 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 un the pains and penalties of perjury this day of �a�rc�. 2014. or Signature Phone Number Print Name " C eve q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services o�TME � Thomas F. Geiler, JOWN. OF BARNS . ABLE Building Division '"a'''AK ` Thomas Perry, CBO Building Commissio IIAR n H -4 8 639- ♦e 200 Main Street, Hyannis;MA 02601 www:town.barnstable.maxs Office: 508-862-4038 DIMIC ik: 508-790-6230 Town of Barnstable. Family Apartment Affidavit I,being on oath, depose and state as follows: My name is f �2 �s I am the owner/resident of the �:2 property located at: AAzo,',t$ MA 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 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 t 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 a pa' s d enalties of perjury this 2 ? day of 2013. Signafure Phone Number t Print Name �`C`�` (`e�-•�➢ t q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFTME Sri. Thomas F. Geiler -, BA TABLE ro' Building Division MW Thomas Perry, CBO,BuildQ t'omrJssRyp : 08 i639' 200 Main Street Hyannis, MA 02601 ` www.town.ba,rnstable.ma us r � wm Office: 508. 862,4038 'E`Q 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 owner/resident of the property located at: � f 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 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 pains and nalties of perjury this Z� day of — � 2012. Signature Phone Number Print Name q:forms/famaf d.doc rev 11/08/11 r Town of Barnstable Regulatory Services of Thomas F. Geiler,Director'; �'.`¢ ti Building Division24 ' BAMSP"BM ' Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 Ep MAy www.tow'n.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 c 'sue c I am the owner/resident of the property located at: ai'ry� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 4�� 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 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. 1 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 been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under t ains a a ties of perjury this 21" day of Z-W 2011. Signaturt Phone Number Print Name ,C� �� r'J Town of Barnstable Regulatory Services pF1HE r0{y Thomas F.Geiler,Director " O) OF BARN-TABLE Building Divi�id BARNSTABLE, Tom Perry, Building oa e p p. 9 MASS. Co"i .�i;a ��il : 55 Qj 16g9. �0 200 Main Street,Hyannis,MA 02601 AIFo www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - i Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state as follows: My name is r �G�'�� 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: . 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. 1 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 and e pains and e lties of perjury this day of 2010. �f2 Signature Phone Number,. Print Name `Q 4a Q/bl dg/forms/famaffi d Rev:12/08 Town of Barnstable Regulatory Services pi TE Thomas F.Geiler,Director ti Building Division s r &UMSfA13M Tom Perry, Building Commissioner MASS $ 039. �� 200 Main Street,Hyannis,MA 02601 �i°TEo +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: M nameiC��( t't i am the owner;resident of the Y property located at: S My O s ( C6-\-J C� 3 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: aC��.c =5''``� Name & relationship to owner: �w �A The Family Apartment will be the primary year-round residence forth ove-idle ifie family members. In the event that the listed relatives vacate said apartment, 1 immedi.*6ely Z. notify the Building Commissioner in writing. I understand that no subletting or le. said Family Apartment is permitted. cv I understand that I am required to file an Affidavit annually with,the Buildi g Commissioner listing the names and relationship of occupants in said Family Apar ent. 1 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 t ns and enalt' s of perjury this day off 2009. p . p J rY Y. Signature Phone Number Print Name •c�cs�. -2� �(�-� Q/bldg/forms/famaffid Rev-12/08 Town of Barnstable Regulatory Services FZHE T°� Thomas F.Geiler,Director Building DiVis on BARNSTABLE, Tom Perry, Building Commkissioner Y MASS. nI�19A C{ L i63q. �m 200 Main Street Hyannis,,MA%2601 prFo ,t a www.town.barnstable.ma.us 05 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath epose and state as follows: My name is I am the owner/resident of the property located at: N✓� �\ j' The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: — �C ��. tPv�; ct 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. 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 andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 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 un e pains and penalties of perjury this No day of Vk� -�N 2008. Signature Phone Number Print Name Q/b 1dg/forms/famaffid Rev:1/03 Town of Barnstable. . Regulatory Services FTNElp Thomas e1Di Division Building g 9saxivnsie,�* Tom Perry, Building CommissionerMASS. : i6g9• A�0 200 Main Street,Hyannis,MA 02601 � ArEO Mp`l L�^ 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 �C ✓� I am the owner/resident of the property located at: 1"4 (V�oc)C, C , The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: R�. Name & relationship to owner: =�OfGK_1 0IVA �.�� S A 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 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 and e e ains and enalties of perjury this day of 2007. Signature ,. __. _. ,....._ __. Phone Number- Print Name Q/bldg/forms/famafd Rev:1/0 3 r Town of Barnstable �G l� Regulatory Services °F1HE roy� Thomas F. Geiler,Director u L Building Division ' BARNSTABM Tom Perry, Building Commissioner 20< 6 M17. ^: y� rrnsa � 1639• 200 Main Street,Hyannis,MA 02601 ArF p tit a www.town.barnstable.ma.us Office: 508-862-403 8 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 owner/resident of the property located at: a " 'd`o `'�� CUNO`- ft A Z 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: �C-fit 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 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 r the ai a d penalties of perjury this Z-`{ day of '� ,J� 2006. Signature / Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable �W Regulatory Services OF 1HE� � Thomas F.Geiler,Director °; Building Division * anx►vsTne[e Tom Perry, Building Commissioner Mass. 039. 200 Main Street,Hyannis,MA 02601 Arev ��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 �C � � "`"_ I am the owner/resident of the property located at: � 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: Name &relationship to owner: cs�d"E-�� a 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 t pains and enalties of perjury this 1`- day of �.bs..� 2005. .., . Y `AZ-°-"4qTZ) Signa re Phone Number Print Name .cf Q/bldg/forms/famaffid Rev:1/03 i 'Town of Barnstable Regulatory Services _ °FTNE•T°�� Thomas F.Geiler,Director E h 0 "AR SABLE Building Division * snuvsznsc a Tom Perry, Building Commissioner�0� %H 2 8 PF1 i- MASS. � i639• � 200 Main Street,Hyannis,MA 02601 ATEO MA'1 A 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 owner/resident of the property located at: 1 y l r `` +7� C ' C��'�`� 1 qV)A c32�-3.r- Map and Parcel Number 0z'4 Z l The ZBA granted me a Special PermitNariance on 1 qI 3— to b Date Appeal No. 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: ra �� 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. F 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 ISworn'to er the pain d p nalti s of perjury this 2_7 day of 2004. Signature `` Phone Number Print Name Q/bld g/forms/famafff d Rev:1/03 Town of Barnstable �C Regulatory Services Ryas. PF BA l a'�+BLE g Y � "� �oFIME_rgy� Thomas F.Geiler,Director TO M OF BARI-61ABLE Building Division 2p3 APR 10 Am to. 4 2 BASNSfABM y Tom Perry, Building Commissioner �� 18 AM �, y , MASS. g 039. 200 Main Street,Hyannis,MA 02601 '0renr,�rp ._ ,VISION 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 owner/resident of the property located at: ,q5 fir-k!f c �a � i �A Map and Parcel Number The ZBA granted me a Special Permit/Variance on 1 Z t Q I f CL 3 `o - Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book' 0QA =Page,Zk " The following members of my family will be the sole occupants of the Family Apartment at the aforementioned,address: Name&relationship c to owner: \'` ' �arc�_ 2r� t'c "�e''` 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 uri the pains and penalties of perjury this day of �SCt2003. Signature \\ hone Number Print Name `C�aCc Ke� c�O C�i�� \-{20j— Ut Lk'S'U Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable - Regulatory Services - °FSKKE r° Thomas F.Geiler,Director Building Division 7JOWN OF BARNSTABLE >wx►vsrasi e t Peter F.DiMatteo, Building Commissioner niasa v ie39. ,.� 200 Main Street,Hyannis,MA 02601 2002 FEB 26 PM 1: 34 �AIED MA'S Office: 508-862-4038 Fax:. 508-790-6230 ISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: � My name is �G� 4VI I am the owner/resident of the wot property located at: OTC��,�� cc3 -+. , Map and Parcel Number O 2`I i 'Z The ZBA granted me a Special Permit/Variance on 12 ` '(o 7 Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 1 Name &relationship to owner: -� 6_yv_,_�4 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 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 and the ains and penalties of perjury this ^2- \ day of � 2002. Signature Phone Number Print Name Q/bldg/forms/famaffid. Rev:010702 COMMONWEALTH OF MASSACHUSETTS m j 1 13ARNSTABLE AFFIDAVIT / I, �C�oi�� ✓��e�'`-� ,being on oath, depose and state as follows: 1.) I reside 2.) I am the owner of the property located at M s- shown on Barnstable Assessors' maps as MAP e2-'k PARCEL 2 3.) 1 Do Do not have a Family Apartment at this location. 4.) On DzC , 199 ' , the Zoning Board of Appeals, on Appeal No. \L"3�- granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above addres • 0A a) NAME \c�.�� vk ^n Relationship to owner: C"�� o- b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 13-i�7 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this day of ce01t 1 144- Signature Print Name COMMONWEALTH OF MASSACHUSET_FS BARNSTABLE of I, ---- \ ------------------ b ir g on oath, depose and state as follows: F E B 2 3 1999 1.) I reside at__r 'S_�oc) C _ � Q ._ ----------------------------- TOWN OF B.>,: i E BLJTEmF 2.) 1 am the owner of the property located ------------------------------------- shown on Barnstable Assessors' maps as 1GIATPAL ---------- __ 3.) 1 Do— ----_----Do not---------------have a Family Apartment at this location. 4.) On_--_-1—Z~t --------- 199 ^3>_, the Zoning Board of Appeals, on Appeal No._t granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME---- �c�no�(� — — ----------------------------------------- Relationship to owner:---_ b) NAME--- � '_-� Relationship to owner:----- ------------------------------------------- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relatives) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ---------------- ------------------------------------------- 12.) I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this_1-7--day of F-e-w_0L:LT_, 199_0(____ ignature W _ ---- -------------------------------------------------- Print N ------ -- � _� - ----- ------------------------- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT 1.� ------------------------, being on,oatli�� depose and state as follows: �p1(dw"De 1.) I reside at----t 'S Rio in r F, ------------------- lot 2.) I am the owner of the property located Q UO �� at--------� L.J e ------------------ --- -k shown on Barnstable Assessors' maps as MAP __PARCEL_________________-_- 3.) I -—_ c� ______Do not __have aFamily Apartment at this location. 4.) On— d C_1 6, _ 199�_, the Zoning Board of Appeals, on Appeal No.��_3-' 7 granted me a Special Permit/Vanance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME---- .��a ----------------------------------------------------- Relationship to owner:_______—'rC�¢-�- b) NAME--- s�' 1, - - --------------------------------------------------- Relationship to owner:______ 10` 7.) The Family Apartment will be the primary year round residence for the above-identified family members., ' 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify noti the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) 1 understand that I am required to annually file an Affidavit wi h the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. --__tjn 3_Ce2---------- 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this ---_day of �L��0.r�_, 199 191 Signature ---------------------------------------------------- Print Name oFVE The Town of Barnstable Department of Health Safety and Environmental Services , ,,S,MI,E, : Building Division 1659. �� 367 Main Street, Hyannis MA 02601 ArFD MA'S� Office: 508-790-6227 Ralph M_ Crossen Fax: 508-790-6230 Building Commissione January 7, 1998 The Kendrew Residence 145 Mooring Drive Cotuit, MA 03635 Re: Family Apartment located at the above address Dear Mr./Ms. Kendrew Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time: It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, CA�' Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/29/97 PARCEL ID 024 121 GEO ID 1328 LOT/BLOCK 103 DBA PROPERTY ADDRESS OWNER KENDREW 145 MOORING DRIVE RICHARD E TRS & KENDREW DOROTHY M TRS COTUIT 145 MOORING DRIVE COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 20037 . 6 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST WP (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT 193-/� 7 J �� i y ��' � � Town of Barnstabel � t r Family SEP 3 Apartment Affidavit 2 eu/ being on oath, depose and-state�asl"foll'owa: 1. I reside at �� /�CO,Q L ARC that I have owned since L7�L, and which is my domicile and principal residence. The property is shown on Barnstable Assessors Hap and Parcel Numbe?OA /// Z { - 2. on 19 ,the Zoning Board of Appeals, in Appeal. No. granted to me a Special Permit to develop and maintain a Family Apartment accordance with Section 3-1.1(3) (D) of the Zoning ordinance and in agreement with condition of that Special Permit at the premises above. 3 The following members of my family will be the sole occupant(s) of the Family. Apartment Unit Name: I G��J e1\1 d,ee!- Relationship to owner: Name: O{4 z 4L_ Relationship to owner: CGl-{e- �Y S I understand that the Family Apartment: O /'-/ 0 F �jC�� Q * shall only be occupied by members of my family who are persons related to me by blood or by marriage, * shall be the primary year-round residence for the identified family members, * shall not be sublet or subleased to any other person(s), and * shall, at all times, be in compliance with all conditions of the special Permit issued by the Zoning Board of Appeals, including plans and commitment made in the application and approved by the Board. This affidavit shall be filed annually with the Building Inspectors Office and if the unit shall be vacated by the above identified family members, I shall within 30 days notify the Building Inspectors Office of that and shall immediately proceed with the removal of the family apartment unit. In the event of the. sale or transfer of ownership of the above property, I shall notify the building Inspectors Office and shall surrender the special Permit for this Family Apartment. Sworn to under the pains and penalties of perjury this day of (��CZ' 3, 19 Signature: /Z6-_Y� (Please Print) Name: [ G ��e Phone s �L:7 ' `-7 G �, � / �— �— �� Hailing Address Irl"C r�_ , � s� Town of Barnstabll F fly Apartment Af fidav SEP 2 3 P it e/V ell being on oath, depose and llows: I 1. I reside at �'�� /['LCO,,Q L � that I have owned since 4i_1 and which is my domicile and principal residence. The property is shown on Barnstable Assessor's Hap and Parcel Numberr"��/ l�G 4�(_ 2. On , 19 ,the Zoning Board of Appeals, in Appeal, No. granted to me a special Permit to develop and maintain a Family Apartment accordance with Section 3-1.1(3) (D) of the Zoning Ordinance and in agreement with condition of that Special Permit at the premises above. 3 The following members of my family will be the sole occupant(s)- of the Family Apartment Unit Name• /?C12 t �n!p,��1r Relationship to owner: /�;9_ Name: , Relationship to owner: /La �iL— a t `L -Gl-ye- U r C�e Y 6e e tv r=��u-, r y I understand that the Family Apartment: �d /\/ 0 F RIC D * shall only be occupied by members of my family who are persons related to me by blood or by marriage, * shall be the primary year-round residence for the identified family members, * shall not be sublet or subleased to any other person(s) , and * shall, at all times, be in compliance with all conditions of the special Permit issued by the Zoning Board of Appeals, including plans and commitment made in the application and approved by the Board. This afr'idavit shall be riled annually with the Building Inspectors Office and if the unit shall be vacated by the above identified family members, I shall within 30 days notify the Building Inspectors Office of that and shall immediately proceed with the removal of the family apartment unit. In the event of the sale or transfer of ownership of the above property, I shall notify the building Inspectors Office and shall surrender the special Permit for this Family Apartment. Sworn to under the pains and penalties of perjury this day of 19 Z Signature: Az (Please Print) Name: S 6� //��?2 �. Phone: ^ ��-- _ G�LGd�//-I Nailing Address: �� r U c T T- /�- 0 2-� s (DOSTBIG) . EXIST NOTES: 4 1.CONTRACTOR TO VERIFY EXISTING CONDITIONS&DIMENSIONS IN Exlsr EXIST EXIST 1 THE FIELD PRIOR TO START OF WORK. I 2.CONTRACTOR TO REMOVE ALL EXISTING DOORS&WINDOWS z I AS REQUIRED FOR NEW CONSTRUCTION. 3.VERIFY ALL MATERIALS,FINISHES,&DETAILS WITH OWNERS. z a T IMPORTANT - UPGRADE REQUIRED in-- cnoo X SMOKE DETECTORS REV IEWED n ;�� w EXPANDED EXIST. STATE BUILDING CODE REQUIRES THE UPGRADING OF DINING LIVING SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN Q m F— w ROOM ROOM ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. z w I (FORMER BEDROOM) 1 NhAB41-DING DEPT. DATE F REMODELED .W a M NOTE: A SEFARATE FERM11 IS"REQUiREt3 FOR THE U1 cc/)- oaCO3.' INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL W p ¢o E� N ROOM _ NEWBEAM(FLUS,1� -- PERWI,DOES NOT SATISFY THIS REQUIREMENT, FIRE DEPARTMENT DATE 0 U L" . � (SIZED BY SUPPLIER) BOTH S"IONATUR,ES ARE REQUIRED FOR PERMITTING J¢III' EXIST. WIIi�m KITCHEN I LEXIST.F.R. EXIST. ---- I SLAB, FULL DR U.&PIN NEW FOUNDATION 1 BASEMENT CLOS. TO EXIST FOUNDATION WALL 1 --- - 1 ----- TOP&BOTTOM I _ ' I I---------- ---- V. . 1 I 1 I Exlsr , O b / \ I I I I I �. NEW B"CONC. I - ' I 2'6'x6'6' L—L_L_,.I FOUND WALLS PKT DOOR I I AND2�51 NEW p ' - NEW8"x lir MASTER § coNc Fres BATH NEW I I W.I.C. ; REMODELED 0 ----' DECK s I I I I DOUBLE JOISTS UNDER I O I NEW WALLS ABOVE I FULL 0 m II BASEMENT I I F E I I O (4'CONC SLAB) I I I " ✓t--1 F--/ ANDERSEN ABOVE WALL ANDERSEN - p p 6 { I H I I I O W AN 251 ,I FWG 6068 R : ? x 'i3j11 A Hb A13 - j,-- ------ ----D—N—--- -------- § ANDERSEN NEW AN25, - ( cc tR__-I MASTER— SAAISK EXIST BEDROOM LBOVE J (VAULTED CEILING) A ANDERSEN ANDERSEN 25 C AN� b g F�`^rY^A•My,� 06 _ I E4 I ► II � Q_ 0 — ———————————— a. f':fP:S• •4tl cY.. :•4.i 1:a.✓.;cf'v:Ly l / ,/•\. ANDERSEN'- ANDERSEN ---- BILCO"B" ��/ L .J Tw2442 TW2442 , BULKHEAD r----- /� 1 I NEW PT.2x1OsQ16'oc NOTE:DROP TOP OF NEW FOUNDATION I I W1 JOIST HANGERS zs 11 z-s TO MATCH NEW SUBFLOOR ill THE NEW 2-Ps 2x,as ANDERSEN EXISTING SUBFLOOR.(VERfr f IN FIELD I 1 SCALE: OVL 203D IF REQUIRED). I I NEW P T.4 x 4 POSTS ON 12'DIA CENTERED I I SONOTUBES TO 4V BELOW GRADE /�„— 1,—O„ ABOVE ON I I USE SIMPSON ABU 44 POST BASE GABLE DATE: sa 6•-O' 6'_,-� ----- 11/25/2005 (ADOInoM (aoomor� FIRST FLOOR PLAN sa KENDREW (ADDITION) THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORS OR OMISSIONS ARE FOUND ON NEW ADDITION = 258 S.F- LEGEND. THESE DRAWINGS PRIOR TO START OF DRAWING NO.: CONSTRUCTION THE BUILDING CONTRACTOR O NEW SMOKE DETECTOR WILL BE RESPONSIBLE FOR THE CONTENT EXISTING WALLS - FOUNDATION PLAN C MMENCDRAWINGSSROUT CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE r--, DESIGNER OF ANY ERRORS OR OMISSIONS. CONSTRUCTION TO BE REMOVED J T THESE DRAWINGS ARE SOLELY FOR THE USA Al NEW CONS i RUCTION - OF THE OWNER NOTED.ANY OTHER USE OF, THESE DRAWINGS REOUIRES THE WRITTEN CONSENT OF THE DESIGNER L1Z0 ,2 MATCH EXIST NEW RAKE 8 TRIM BOARDS TO MATCH EXIST Q N TOP OF PLATE ^ W Q z 0 U)w OFm 1 N ® FFH ® 0 �LLLJI 0 LTJ w rF FmQoo C, FIRST FLOORMAI _ SUBFLOOR E! tl NEW LA-rnCEE NEW 4x4P05T5RE R EiEY ` TI®N CONT RIDGE - VENT ,2 . - EXIST NEW ASPHALT SHINGLES TO MATCH EXISTING NEW FASCIA&FRIEZE BOARDS TO MATCH EXIST TOP OF PLATE ® ® - NEW CORNER BOARDS O ® TO MATCH EXIST. NEW W C SHINGLE SIDING TO MATCH EXISTING FIRST FLOOR O W Q ., SUBFLOOR NEW BILCO"B7 _` 1 v BULKHEAD RIGHT SIDE ELEVATION! EXIST. - Lo TOP OF PLATE _ FMI SCALE 1/4.. = i._a.. x_Na� W DATE: 11/as/Zoas FIRST FLOOR SUBFLOOR JOB NO.: KENDRE W ® ® DRAWING NO.: LEFT SIDE ELEVATION A2 1aa ' (EXISTING) � � z zoo W Q F- m m c/) ca<_0 1 4" -- - - ` �c�"� K /41 NEW 2 x 8 RAFTER BUILT OVER EXISTING ROOF I NEW ROOF CONST. 1R1COX PLYWOOD ROOF SHEATHING �ytp'L 1 B+ - -ASPHALT ROOF SHINGLES I 5LB FELT PAPER +ti p� `�� I CONT RIDGE VENT HI R BATT INSULATION 0 1 NEW PARALLAM HEADER 2 x B's @ 16'o c _g BATT I SLOPED S W/4 x 6 POST UP TO RIDGESEAM @ FLAT CEILINGS(R--'O)' 12 -PARALLAM RIDGEBEAM MATCH 1 -SIMPSON H 2 5 HURRICANE CUPS EXIST AT ALL RAFTER ENDS - -ICE/WATER SHIELDAT BOTTOM OF ROOF -PROP-A VENT BETWEEN RAFTERS i TOP OF PLATE - 1R GYP BOARD .. ` - NEW WALL CONST. o STRAPPING w COW ALUMINUM r �. 1 2x4STUDS@16'oc NEW b ® SOFFIT VENTS z 0 0. 2 1R PLYWOOD SHEATHING u 3 3- iR(R=13)BATT INSULATION - MASTER w - - - g,m 4 1R GYPSUM BOARD . ' S WC SHINGLE SIDING BEDROOM a6 TYVEK VAPOR BARRIER 8 G———— r4�T LWOOD SUBFLOOR,EWDECI4NG& LUED&NAILED . FIRST FLOOR RAILINGS - SUBFLOOR Q - z NEW P T 2 x 1M Wl HANGERS NEW 2 x 12 FLOOR JOISTS @ 16-c c Fri �s I a 0 NEW WALL CONST. F NEW 7'BATT O Frl p oc o INSULATION(R=3� Z. _7(2-pLYWOOD SHEATHING 11y�•SL�y�1 - NEW P T.4x a TYP 1R DIA ANCHOR -WC SHINGLE SIDING lL /1 POSTS W/SIMPSON 13ASE BOLTS @ 4w o c -TYVEK HOUSE WRAP !, 1•�( A A ABU4fPOSTBASE NEW m F-4 J A3 A3 FULLx� § BASEMENT. in NEW B'CONIC A ' 4'CONC SLAB FOUND.WALLS °6 o NEW FOOTINGS 1 NEW 12"DIA SONOTUBE.7O 4V 4.0' • BELOW GRADE Lo - - A SECTION @NEW MASTER BEDROOM Z SCALE: 1/4" F-0" DATE: 11/25/2005 (ADDITION) - JOB NO.: ROOF FRAMING PLAN KENDREW NOTES: _ DRAWING NO.: 1.) ALL ROOF RAFTERS TO BE 2 x 1 Vs UNLESS OTHERWISE NOTED 2.) USE SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS