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0064 OLD SHORE ROAD
--_ , f �� �` �� ` .. �� �. 1 I ' � ,� r ,. � c i Cep b c� �� BTU/T' "Ye+� r � �elti� - - � 3ak-�Nlz' � � y � ;p0 /� �, �49�� Town of barnstable Regulatory Services �- �TNE t° Richard V.Scali,Director ti Building Division anaivsrAai.E, * Tom Perry,Building Commissioner v ,� 200 Main Street, Hyannis,MA 02601 ' Office: 508-862-4038 Fax: •508-790-6230 Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and Abate: Cotuit Solar and all persons having notice of this order. As owner/occupant of the premises/structure located at 737 Main Street,Cotuit;'Map 036 Parcel 046 ,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,September 26, 2014, to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinances: Warehousing out of the rear building not allowed. 2. COMMENCE immediately,action to.abate this violation., SUMMARY OF ACTION TO ABATE: Move business within 30 days. And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the"ground thereof] within thirty(30)days of the decision/notice of this order(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. By order, Thomas Perry,CBO Building Commissioner Q/FORMS/viozonel oFz ro,,, Town. of Barnstable . *Permit OExpires 6 months from issue date Regulatory Services Fee t BAMSMB E. Thomas F. Geiler,Director y _ Mnss i639. A.�� Building Division PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 JAN 2009 www.town.barnstable.ma.us Olft�il1/I��7 ..V94 wfim- PERM'IT Fax: 508-790-6230 APPLICATION RESIDENTIAL ONLY Not Valid without Red X,Press Imprint Map/parcel Number 0.—5--5 Property Address , Id 6 �. Residential Value of Work.? 006 Minimum fee of$25.00 for work under$6000.00, Owner's Name&Address 0 A r(f �l old s � e ud Contractor's Naive Telephone Number Home Improvement Contractor License#(if applicable) OWorkman's Compensation Insurance Check one: Uam a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance CertificatLmust be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to t Wt0 n(,f 5 y,Re- oof(not stripping. Going over t;xisting layers of roof) � Re-side 0 Replacement Windows/doors/sliders.U-Value (maximum.44) "`Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission: - A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revise020108 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: bid Is City/State/Zip: CD�j� [� , Phone.#: 7, fq Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with . 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction .2:❑ I am a sole proprietor or partner- listed on the attached sheet. 7. .❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p n' $ 9. ❑Building addition o workers'-comp.insurance comp.insurance. 10. -Electrical repairs or additions required.] 5. 0 We are a corporation and its ❑ P 3. officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions . myself. [No workers' comp. right of exemption per MGL 12.�Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-rontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of _Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains-azidpenalties of perjury that the information provided above //is t ue and correct. Si tore: Date: Ll Phone -7-7q t/ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing-engaged m ajoint-ente nse- nd-mslu3m`ahe le al-re resen-UW—ve fa degas arrthe-:-_--- ___.. g g_ g g rip g g P �� _._.. receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly..The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The:Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext-406 or 1-877-MASSAFE Fax#617-727-7M Revised 11-22-06 www.mass.gov/dia SHE r Town of Barn-stable Regulatory Services 9 BAIM. . HAM F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.tow n.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A Builder as Owner of the s ject property hereby authorize to act on my behalf, in all matters relative to work authorized by building p 't application for. (Address of Jo Signature of Owner ate Print Name If P perty Owner is applying for permit please complete the Homeowners License,Exemption Form on the reverse side. Q:FORMS:O VMERPERMISSION Town of Barnstable `P �n�P�04 THE Regulatory Services sAtttssrwsr.e. ; 'Thomas F. Geiler,Director MASS. Yq, 1639.. .`eg Building Division PIED a Tom Per ry,Building Commissioner -200 Main--Street,-Hyannis;-MA 026,01 _........ www.town.barnstable-ma.us Office: 509-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTTON L61Please Print DATE: 1I1rr 7 JOB LOCATION: 9-1/Id 50 ( /I; number t,,',0 street �J L� (%;]lair, "HOMEOWNER": l�U` va -S� ! Z C � 5-z` J 76.3] name home phone`# work phone# CURRENT MAILING ADDRESS: O b ' V -ho s MIU5 , DZ 6V tyhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,Hiles and regulations. The undersigned homeowner;"certifies that he/she understands the.Town of Barnstable,Building Deparhnent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si f Hom owner 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 ad 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 bomeowner is fully aware of his/her responnbiSitics,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 can t amend and adopt such a form/certification.for use in your community. Q:for ms:homccxempt µ Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fees. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bainstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 �� Property Address 6 4 0 L-O S lko R--E- PD (_._C77V 1 Residential Value of Work 4 1 i e D n Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Cd N dt--P'lb GAS �{ p Lb S EFo 2 E D P.O, f3 a X 8-7 Contractor's Name S�' Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: ❑ am a sole proprietor U N 2 2��7 .am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2/Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roofl �e 2Re-side s lacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations b�C,op'stvation,etc. ***Note: Property Owner nAst sign Property Owner Letter of Permissio A copy e H=ent Contractors License is requireof 7 : SIGNATURE: �' ';1 ... Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations ? a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers'Compensation Insuran.ce.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . Co-N R—IN-0 Address: 6 t-D S 64-'64-e ep City/State/Zip: Co e�x:sT- m A ® � � 2Q Phone.#: . ,i Are you an employer? Check the appropriate bog: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I � Yer 6. ❑New construction . employees(full and/or part.time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have employees ❑Demolition workingfor me in an capacity. employees and have workers' • Y P t5'• 9. Building addition [No workers'comp.insurance comp. insurance.$, pq cued] 3.{�"I am 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ,_ , a a homeowner doing all work officers have ❑ gP exercised their 11. Plumbing repairs or additions • myself [No workers comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . 13.0 Other comp. insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who subnut this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby rti under th pat and penalties of perjury that the information provided above is true and correct Si mature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town off City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the inMrance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,it necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should wiite"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Depalment of Indus6al Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.mass.gov/dia i oFVE 1pN, Town of Barnstable Regulatory Services RAMSrABLE, : Thomas F.Geiler,Director HAM 9�A039. Building Division ren rater Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ---------------- HOMEOWNER LICENSE EXEMPTION / Please Print DATE: � l 2� JOB LOCATION: I� L. s CO T-Uzc-� number street village p .'HOMEOWNER": CD N R � Cy�S �� 5 8 r-L( 2-S ^� l `t`9 6 Y LF z name home phone# work phone# CURRENT MAILING ADDRESS: P,6 • 9 O X ` El '_6_r-vS-_3' /-c A- G 2G 3 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ervisor. 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 nt in inspe tion pr dures and requirements and that he/she will comply with said procedures and requipiments. 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 t 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map S Parcel Permit# Health,Division `� , I '�2� 4 4,4o Date Issued Conservation Division sXL Application Fee Tax Collector Permit Fee Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 . ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 6 y o(-D S l-a0-C I Village Owner Co-n(Q-Ab 6z—ys�F-K Address 946 P-C Telephone Y 2-' Permit Request fit~ QL ®� 1C' P � =�` � i� Square fee . 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 5'Z) Historic House: ❑Yes dNo On Old King's Highway: ❑Yes Cg o Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other N'©nP F_ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing a new Half: existing new Number of Bedrooms: existing 6 new V Total Room Count(not including baths): existing 2 new 2 First-Floor Room Count Heat Type and Fuel: dGas ❑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. BUILDER INFORMATION Name CwJ fLO \� Telephone Number y 2 Is " V 2 Address d Y 0 L-D S fd o RF P , License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P J N P S R SIGNATURE DATE FOR OFFICIAL USE ONLY PhMIT NO. DATE ISSUED ; MAP/PARCEL NO. ; ADDRESS_ '' VILLAGE OWNER _ 4 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH, P-1 FINAL GAS: ROUGH- J FINAL - V z, FINAL BUILDING t� G) - i y DATE CLOSED OUTmo n .3 • � w. K� N ASSOCIATION PLAN NO. I, i _ __ • The Gromrnonwealth of Mastsachusetts _ — Department of Industrial Accidents' 6001 Washington Street .Boston,Mass. 02111'. Workers'; Com ensation,Insurance Affidavit-General Businesses • '',NL .+. •�.j•. ;;Sins.. •yt;r-''•Fi.r'`�..• .t..• 'tr'., .;�+,' � • address; � J• �� s�. ..� •� . ]. J state;' �`G� a . wor site location full address I am•a sole proprietor and have no one Bp.siness Type: []Retail D Restaurant%Bai/Eating Establishment working in any capacity. 0: ice[] Sales�including•Real Estate,Autos etc.) t.• t ❑I am an em to er with e11171171111111170 in Io ees(fu & art time): Cher / %/%//////%%% �o%n/I�/mom em loge%s working on this job.. %%%/////%////%. I am an��loyer providing y orkers come Y . p , :-' ,r:t, :it.'.'t{t}1:f'• -. 'F: 'i�:.�'"••.,. '.t••::'.�'''^' } "t.i.f;l�''!, ••ti•f'•`r• '�:7•6 :1:�'.t,,?• .tt:�:t:' •� coin-tin •name: ••'�f' ,! 'J.t•-:�,..; .s ,••+. ,�:iF•,�,. i• �• '1 .r •!�''.'lt•.. 1.;•. r_t .� t .r� .'9 ••:u•' �. ;•S'.•c:•A.i'+^.J.i.` ",•,.Y•'.{•• :'.lYi,•�::- Jf ,'••.'.:?:='+i:):• j.3,G't.jt''N,Ti. ''r.:..- ��.:�%:.:!: ';�,t. ! rl• ' 8t1 Tess' Jr:• :rr {••t:' !'.`:C)'• ;:�'• ? ,• ;, i; .i:.: r1: s :•i i• •ti �;;:: •;:• r�i.' ''r .i y:t'�,•t:� •':V•.Y.7+ . '�.••h C.,:i`rs.s• 'J14i••', 't ..,.',,.., .,�A.y. .�, •,.f..,. •t. .�• ,�rY?.l',..y ` �' .. bone. .i!'t•r fC' '' J•;.: .7,'• t} i'•j•JL�:;(; t. •r. ,,: '' •i:1•�J!'t•'•�.: 'r:'• •`�'J''J.�'�' •!,. •LL11,,r Jj' •: :K,: e•'•J' '� .,. 1 ^ .N•,. :'• _'f• .. '1 tl t'`' 'r: ::':y"1.4 'll•fii W..Y•.'.. 1 oLLC•••Tr- .i ' '' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' ,compensation polices: .1,.' '„1. •�w•t �t�•• •.,�: !•r�•'•. ,4� •1',, ' '•� �,�:', ..,v..'..�}•.':1 - •:'r:'J:.7'•1..Y..�r�,y t :ri.t'Y.�'�'�...`., .1 COIII 'nflmEf: •;,7t� ••- � ,+ 4 t.r.,.•tiJ '1:'^ ... •''_, 7,f", .,'7}• r • + " ••'':'' .- ' �� .'', r)y'.�. ,'(.•.rt' 'r:'••.h .i•: •:h;f'f, d 3 t ':• �•—.�f'r ,�i. �••i�t�3. .j•�r25s7 :. :to' ':4''r' J •�;:, �. 1 :r.ry:.' ' Bad '•j• r4'. .t.v '� .i.�:,.� 1• ..1" .i.'i• "�S.r. '.r r: 'ril •i ,'t, •• h•. r ..'C�, '� " � t 'r':'" ,4"'''`�+•' '}.C: 4"I' r• i7 :•' mot• ,.: '�•'•..ir.�,' ,'7: •'t "t: ci a±, '�, ;•� :• .' .•; •'.'j"ir•;�:'.�=.tiri:w. i,::y.��;. t ,,,,, ;r •�J, i.�•k•'r: n.t;-',i,} r, �' ''r• '.•}','' ,' .�:.'� _.4ti:.`+�•n''•r:•t; v+.1:.' '�,;'• ;%,:;•:' ,t•::.: -t:' +0 C :$t'' ), •1•:,:r?`:,y: ::r:.•' •i!i� ',tom{i.J�•'r•',t ••: Ids.urance-co. •t�.:fie .:(:� 4. .t' •i x�!: •'L :?, �'.;.:. f1', r•{•• ': ..t J'.' +"� �•':t.'. coin ari• tiflil�C:•+".:r . .. •', '.• . .i+ �J rJ,• aaar .• i i• ,. • f, !rs..' i.*;1,•r. ,'�•5: i.•t!�'��'':tJ .7'•LL`t.'+.lY •i•6j•.,i � R 4 CI _ :r•' .:r .Ja: ''i..,'h .i. .r.�.• j,�-Tr.' �.yy•t•.t: '.}:;'i'• 'c`".!''.'!:'' r 1•f�-:•".:,,?:.. ,` .r.' .!:'::i•;:•' ••'t.%•'•:; •:i:,' :ti.;r: .t '� ,J4„1.;. .,OZ1CiV+�->'. /.. �/ F allure to secure coverage ss9 required under Section 25A of MGL 152 can lead to the imposition of eriminalperAties or a fine up to 51,500.00.and/or one years'imprfsanment as well as civff penalties�n the form of a STOP WORK ODDER and a fine of S101T.00 a day against Tne. I uncleratand that g copy of this st2temeut maybe forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby c ify rider the ains and nalties of perjury that the information provided above is frue_and correct Date �y' Signature . . • • - - �d �- Phone# Print name_ �ial use only do not write in this area to be completed by city or town omeial pgrmitilleense# []Building Department city or town: []Licensing Board ediate response is required ' ❑Selectmen's Office ❑'check iflmm p ❑$ealthDepartmant , contact person: y phone ; ❑Other ' ' i (r:v9ed Sca:2rA3) Information and Instructions. to ers to provide workers' compensation fof their. Massachusetts General Laws ch4 Ater 152 section 25,requu'es all errs?. y P , to ees: As quoted from the `law", an employee is.defined as every person in the service-of another under airy contract Y lied, oral or written. of hire; express or imp Iv er is defined as an individual,partnership, association, corporation o s her ad gal e i employer, w the receiver or An emp y oint enf rise, and including the legal repres the foregoing engaged in a') �P trustee of an individual,PartQ�s�P,• association or other legal entity, employing employees. 'However_the owner of a dwelling house 1'aysng'not'inore than three apaztrnents and who resides therein, or the,occupant of the dwelling house of other who en�loyspersons to do•maintenance, construction or repair work on such dwelling house or on the grounds or an errant thereto shall not because of such.employment.bedeemed to be an employer. building aPP cha ter 152 section 25 also'states fhat'•every state'or local licensing agency shall ivithhold al h for h issuance d who hal renewal MGL P operate a business or to construct buildings in the.c6mmo Y PP. of a license or permit to °p ' the insii not produced acceptable evidence of compliance with enter into anrancy contract the performance of public work P of its political subdivisions shall y coirmaonwealth nor.any• P 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 company dame, address and phone numbers along with a certificate of insurance as all affidavits_may be submitted supply to the Department•of Industrial Accidents-for confumation of insurance coverage. Also'be sure to sign and date the affidavit. The afdavit should be returned to tha°ity is or town Shouldou have anyt the Cquestio for nsregardin�the'`Iawe or if is yo are requested, not the Dep j•tment of Industrial Acc en y required ,o obtain a workers'•conpensationpolicy,please call the Deparlrizent at the niunber'listedbelow. City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Departmen house aradin the a spaceed a at thdlicant Please f t'ne affidavit for you to fill out in the event the Office of Investigations has to contacty g g PP be sure to Olin the Perrrntlhcense number which will be used as a reference number. The.aMdavits'rnay.be.returned to Of FAX unless other'arrangements have been made. the Deparbmentbj�. The Office of Investigations would like fo thank you in advance for you cooperation and should you have ai questions, please do not hesitate to give us a-cali' is address,telephone and fax number: . The D ep artmen _ - •• . . . The Commonwealth Of Massachusetts Department of Industrial Accidents Office of WesUNUM 600 Washington Street Boston,Ma. 01111 fax#: (617)727-7749 phone#: (617) 727-i ext:"406 I Tbybm of Barnstable Regulatory Bervides 133 . SrAZA s Thomas F.Geller,Director .�,'a39, k��� Building Division �MA Tom Perry,.Building Commissioner ' 200 Main Straet, Hyan�is,MA 02601 Off ice: Fax: 508-790-6230 • Permit no, Date AFPmA'S�T HOME n1PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERJM ATPLICATZON ' • MOL 0,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, • •inaproYement,xemovel,demolition,or constmetion of an additionto any pie-existing owr;er-occupied bu0cling containing at least one but not mora than four dwelling waits or to stractores which are adjacent to suah residence or builftgbe done by registered coniractois,with certain exceptions,along with other requirements, Wo Es rk: S.LAB timated Cast Type of r d° Address of Work, 6 0 tip S , Data of Application; C1 Zakf I hereby certify that: Registration is not required for the following reason(s); []Work excluded by law , []Job Under$1,000 ' []Building not owner-occupied G?Owner pulling own permit Notice is hereby given that: , OyWR9 PMTMG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED COyMiCTORS FOR APPLICAB,•I;E HOME IMPROYEMENT W ORKD 0 NOT HXYE . ACCISS TO THE AIUIT1tA.TION PROGRAM OR GUARANTY YWD UNDER MGL c,14ZA, SIGNED UNDERPENALTIES OF PER.TURY -Ihereby apply for&permit as the agent of the owner, Data ontractor None Re�istradoal�to. OR , Owner's Flame =CUR Appeoft 1 Table J&W b(continued) prescriptive Packages for One and Two-Famity Residential Buildings Heated witb Fossil Fuels MAXIMUM MINIMUM Glazing =U.valjjJR-va1=' Well Floor BasementER-valule Heating/Cooling r . 4 s Wail Equipment Efficiency' Anew (/.) R-value R-value R value° Package $701 to 6500 Heating Degm Days' Q 12% 0.40 38 13 19 10 6 -Normal ' R 12% 0.52 30 19 19 10 6 85 6 Normal rmal ' $ 12•/. 0.50 38 13 19 10 N/A Normal AFUE T 15% 0.36 38 13 25 N/A U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 1 25 N/A NIA, 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE }� 18% 032 38 13 25 N/A N/A Normal LAYA 18% 0.42 38 19 25 N/A N/A Normal 18% 0.42 38 13 19 10 6 90 AFUE . 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: °" S S.�• 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 2 ®l 5: SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS. ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: = YES: NO: ~ q.forms-f980303a 780 CMR Appendix J Footnotes to Table J$.LM I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to M.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a.raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-franie or mass(concrete;masonry,log)wall constructions,.but do not apply to metal-frame construction. 3 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement 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 pace 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 J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U.values must be tested and documented_by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b: If a door contains glass and an aggregate U-value rating for that door is not available,.include the glass area of the door with your windows and use the.opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). -c)If a ceiling,wall,=floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with. different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to . the R-value requirement for that component. Glazing or door components comply if.the area-weighted.average U-_ value of all windows or doors is less than or equal to the U-value requirement(0.35.for doors). 43 f Town of Barnstable Regulatory Services ,�, Thomas F.Geiler,Director �p,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma:us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I�f Loq JOB LOCATION: 64 ©i.A St:a=,C number street village "HOIv1E0WNER": c®6N �- name home phone# work phone# CURRENT MAILING ADDRESS: Qx• [�,o y 6 9 B 2-6 3 5- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official.on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department inspec ' n p o dures and requirements and that he/she will comply with said procedures and r quir ts. Si ature 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 ai TOWN OF BARNSTABLE li BUILDING PERMIT ®� PARCEL ID 035 106 GEOBASE IV 2142 ADDRESS 64 OLD SHORE ROAD PHONE COTUIT SIP LOT 4 BLOCK LOT SIZE DBA -DEVELOPMENT. DISTRICT CT PERMIT 79283 DESCRIPTION LIFT BLDG & .P.OUR SLAB & PILONS & REPLAdE PERMIT TYPE BMISC TITLE MISCELANEOUS° PERMIT CONTRACTORS: PROPERTY OWNER t ARCHITECTS: Department of Regulatory Services TOTAL FEES: $75.00 BOND .00 Of , � CONSTRUCTION COSTS , `_. $.00 : 753 MISC.. NOT CODED ELSEWHERE 1 PRIVATE 0 1 • BARNSI_ABLE, k 03.989 BUIL G DIVI I N BY DATE. ISSUED t ;/16/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY_ANY STRtT,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPEQ7FICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION:OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE,APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED i FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- ' 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. an i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS , I 2 2 2 i Y i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i 2 BOARD OF HEALTH I OTHER: SITE PLAN REVIEW APPROVAL 1; L y"'Ous� �Frith unreSistered e"aCwrs araM �i WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AN F Gam' 5� NS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED �Xjj SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA TION. NOTED ABOVE. TION. i TOWN OF BARNSTABLE BUILDING,PERMIT APPLICATION- Ma Parcel b f r Per p t'# �� `�'I j/0'�- �I.3 7C Health Division Date Issued 7 .1 Conservation Division L.00L f)4� 9�3 a �3 i fee �� Tax Collector T Treasurer — 1�L . �- SEPTIC SYiT E � FOUST 5E INSTALLED IN CbIMPLW4'�Z: Planning Dept. 11VlTH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL DOD�7 TOWN REOULM"i.-:ir. , Historic-OKH Preservation/Hyannis Project Street Address 64 s Ro IM f ID Village Low Owner Address X 81 Co `+ Omx -4 3 5 Telephone y 2-1 - 8 4 y 2. �. K S Permit Request EZ-£•, crt' S t�D, -R D D S L-P-fa 4 CA-ev PSG k-cco D t -sc-G-ed,;q Square feet: 1 st.floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 41 6 D Zoning District _ Flood Plain Groundwater Overlay Construction Type _S-_Tck V , I Lot Size 1 0 6 f Ilc.9E-S Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑" Two Family D Multi-Family(#units) Age of Existing Structure N 40 Historic House: ❑Yes Y o On Old King's Highway: ❑Yes 2 No Basement Type: ❑Full l0Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing� new Half: existing new Number of Bedrooms: existing Total Room Count(not including&Ah existing new First Floor Room Count Heat Type and Fuel: ❑Gas, ❑Oil ❑Electric ❑ -,her—'-, Central Air: ❑Yes ❑No Fire a es�: E.x-istir�g j New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing O new ,size�� Pool: ❑existing ❑new size Barn:❑existing ❑new size 9 9 9 ,. 9 9 Attached garage:O existing ,❑-new size Shed:dexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 4 Commercial,-Cl Yes D_No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Corr 1114�,O GV-S�E'k Telephone Number ° $ -`f 2 �'.ca, d3ox 8 Address � License# M ok ®2 3 S Home Improvement Contractor# Worker's Compensation# , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO !J o�► c SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO: DATE ISSUED ' r MAP/PARCEL NO. � '� .-, "�, . .Y - _ .. *! • , A " ts ADDRESS VILLAGE OWNER DATE OF INSPECTION: .] r- , ;. r FOUNDATION 0 - - FRAME INSULATION - - FIREPLACE -� y -- -� ♦ -^ -' • ` ELECTRICAL: ROUGH FINAL w PLUMBING: ROUGH FINAL + GAS: ROUGH •- - FINAL ' FINAL BUILDING' DATE CLOSED OUT - ASSOCIATION PLAN NO. 6 4 o LD ` - 1 cm 4 f 3 f - _ 4 �c s� Vco�v o Fco�vLR4� j r The Town of Barnstable • ��arerear.E. • 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 pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost ?0 0 Address of Work: 6 Y 0 L D S No X'F �D Owner's Name: CO N?A-0 &i-YSE Date of Application: 4 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 rw not owner-occupied ner 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 Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts == -- Department of Industrial Accidents � � = = Ofllce ol/oeestigatloos - 600 Washington Street Boston,Mass. 02111 WorkersIC om ensation Insurance Affidavit name: /�►f '� (��F S�� — location 6 4 O L 1) S RE F2 ci Ca`cv� 4.M A 62 ,hone# SD8 ^ y2� $ Yy2 Ef I am a homeowner performing all work myself. ❑ lam a sole et or and have no one worku in a� acitq Iam an 1 ding workers' compensation for mq employees.working on this job.:: :;:;;;:;::;;::;:;:;:;!:;;:;:::;;:?;;;;;;:::;>:;::;:?;::; cum all II tldre _ d .. II ;.; ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers'co ensation polices: :>:<:>::::: ram an name :: ................ .................:....:................................v:::::::•:::::-iii:::w.v::::::,:.............:.v'•.:•.i4'-:--::•:vi:v..;.iii::v?.::. ..is-::-:hiiii v:::::::::v::::::::: i:t:iii: 'i:+;..;.:f:::-::i}Y:::::i}iiiiii?ii:t::`:;.r;nj>iiS:::: i::: ;:S4%:iii}i�:::!:':'F.t:?isf}iii?':jiiisii:::?:iji::>::ctj:ji;.:i;.ii:>ri11 :::ii;.i:ij.:?vi>fill:iris:i:;:isi::i:<v:;{:;i:}i::i:i:iiii::ii::!:iiii:; :::'.t. ....{: ..... ........ .............................:is v'�.�:•::.iXi::•;:.:::4:::w._.�:i:.v:-iiv:•i:{:ii:•}:•}}ii:?:4:?•:5......:::::::::::.::.......::vi6:�i:L:•i:?::v:::::T:iti?i:w::.�..::v:::::::i•:•:•.�..::::• .... ................................ .........................................::::::.v:.non::::.�:::.:�:::v:::p;:v::......+.........:...:...•:v:... ?.}};^::::::rr.:::.?:???•}}:??•!}i!:{?ryvry'•::•:i....... iiiyii:<:''iii�ii':}ii:':�: one: ..........::....:.:::.:...:.....: ::::::......................::::::.:.:....................:.. :::::....:......::..::;:........ }.,. ... . ::.::,.:...:... . . address :;.:•::.:<;:;:;::. OII .................... Kh a ii:3:v' ?3>;.::;i::'i'•"::?l(:::.:::_?;:;:yk::%HEM :>?:•+.'i'ii:`!�n'ir+A.•.+ti,.' .:....::::......................... ::::.....::::........:.::........:::-:. ....................v...................................................................... ....:::::....::::4}:::?w}:�:viiv::^:• ?:ti:}:ti?•h!:::::::::::::.:::::::::'':::?:.':::::::v:.:v:i..i:rr.:::v:v.::�r.:::.v::::.::::::r::v:r:. o Fafiure to secure coverage as required under Section 25A of MGL 152 can had to the imposition of criminal penalties of a fine up to$1,500.00 and(or one years+imprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereb c fy under the p and penalties of perjury that the information provided above is&w and correct Sipature � Date 1 2 Print name Phone# otflcfal use only do not write in this area to be completed by city or town official city or town: permitMcense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑fie! Omsed 9/95 P1A) i The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Li (f 1 JOB LOCATION: G y o LD S Rb(LE C 6 �r y number street village "HOMEOWNER": CO N F—P Slr--?— SD$ Y 2. S ' $ �f 1+Z_ :5-0 a- Y 2- name home phone# work phone# ,1� CURRENT MAILING ADDRESS: IT •O• R o X 23 1 C MA Oi6 3 5- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said r ce ures an requ' ements. Signature of Homeowner If 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:EXEMPTN I f of Town of Barnstable *Permit# 7 7 Expires 6 months om Issue date ,► , : Regulatory Services Fee %639. � Tbomas F.Geiler,Director Building Division X PRESS PERM17 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 S F P 14 2004 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNS•TABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY e Not Valid without Red X-Press Imprint tp/parcel Number 3 l n )perty Address `-1 0 L 1) S Residential Value of Work 2 t O&-o Minimum fee of$25.00 for work under$6000.00 vner's Name&Address Co N A-t 6 iF4 PIP. retractor's Name s Telephone Number (4 2,I `f t 2. ime Improvement Contractor License#(if applicable) nstruction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ham a sole proprietor �I am the Homeowner ❑ I have Worker's Compensation Insurance urance Company Name )rkman's Comp.Policy# ,py of Insurance Compliance Certificate must be on file. rmit Request(check box) ['Re-roof(stripping old shingles) All construction debris will be taken to D U M PAS`!—f ❑Re-roof(not stripping. Going over existing layers of roof) [g/Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Not Property er must sign Property Owner Letter of Permission. H ement Contractors License is required. orms:expmtrg ise063004 ,r L( o � e TOWN OF BARNSTAE L 's BUILDING PERMIT PARCEL ID 035 106 GEOBASE ID 2142 ADDRESS 64 OLD SHORE ROAD PHONE i COTUIT ZIP i LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 60932 DESCRIPTION ELEVATE EXISTING SHED,/ASSOCIATED WORK DUESAM' PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL., FEES: $50.00 BOND THE CONSTRUCTION COSTS $600.00 Qi► 434 RESID ADD/ALT/CONV PRIVATE P ;�''E�"._ f� * BARN3TABLF, • MA83. i639. ED INI�A Y " BUIL , IN-G. DIVISION BY ���1 DATE ISSUED 05/08/2002 EXPIRATION DATE 2 < TOWN OF BARNSTA$LE � . ✓' ,` s< q x r,. BUILDING PERMIT PARCEL" ID 085 106 GEOBASE .ID 21,'42, ADDRESS,;.. "64 OLD SNORE ROAD,; PHONE M. _ .COTUIT ZI,P IOT; 4 BLOC{ LOT SIZE DBA ` DEVELOPMENT DISTRICT CT PERMIT 60932 DESC9,IPTION ELEVATE EXISTING SHED/ASSOCIATED WORK DUESAM'. PERMIT TYPE BREMOD TITLE RESIDENTIAL A'LT/CONV CONTRACTORS:' PROPERTY OWNER Department'•otMealth Safety ARCHLTECTS: and Environnerital Services I, TOTAL..,FEES $50:00 ' BOND ' 4.00 Ox THE ' CONSTRUCTION .COSTS $600.00 4j 434 RESID ADD/ALT/CONd! PRIVATE P ' ' BAR Rr + NSTABLF, MAS& 1639. -BUIL DIVISION s ' BY DATE ISSUED 05/;08/2002 EKPIR iT CON .DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY,_STREET,ALLEY OR,SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN. CROACHMENTS ON PUBLIC PROPERTY,NOT.SPECIFICALLY`PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL.CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF'OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY.• ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3' 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION.. NOTED ABOVE. TION. I\ ti� BUILDING � PER MIT � 10 2-4 Exempt Uses The following uses and structures ate permitted in all zoning districts : 1 . Municipal and water supply uses . rr 2 . Municipal recreation use, including recreational activities conducted on town-owned land under the terms of a lease approved by Town Council . In the case of such a lease, any improvements or changes to such town-owned land shall be subject to the review of a committee of five (5) residents appointed by the Town Manager or Town Council, at least two (2) of whom shall be from the precinct in which the land is located. 3 . The use of land or structures exempt from the use provisions of the Zoning Ordinance pursuant to MGL Ch 40A, Section 3, and any other r statute. A) Where such exempt uses are subject to reasonable regulation of bulk, density and parking regulations by MGL Ch 40A Section 3, reasonable ,r regulation shall be deemed to be: the Bulk Regulations of the Zoning District, except that church steeples may be permitted up to 75 feet in height; Section 4-2, Off-street Parking Regulations; and Section 4-7, Site Plan Review. B) Where the proposed use does not comply with paragraph 3A above, the �. Zoning Board of Appeals shall by a Modification Permit, modify the Bulk Regulations of the Zoning District and/or the parking requirements of Section 4-2, Off-Street Parking Regulations, where such regulation would substantially diminish or detract from the usefulness of a proposed development, or impair the character of the development so as to affect its intended use, provided that the modification of the Bulk Regulations and/or parking requirements will not create a public safety hazard along the adjacent roadways and will not create a nuisance to other, surrounding properties such that it will impair the use of these properties . C) A Modification Permit shall be subject to the same procedural requirements as a Special Permit, except that approval of the Modification Permit shall require a majority of the members of the Board. 4 . Agriculture, horticulture; viticulture,(a uacult rle and/or floriculture on a parcel of land five(5) acres or less in size, shall be permitted subj_e_ct to r the following req ement_s—in Resident.iar1 Dist rl i_cts :� A) Seasonal garden stands for the sale of seasonal fruits, flowers and vegetables shall be permitted, only for the sale of produce grown on the premises. B) No person shall be employed on the premises . I C) No more than one temporary, on-premise sign may be erected, not to exceed two square feet, to be removed during the off-season. Any structure for agricultural, horticulture, viticulture, aquaculture and/or floriculture use, shall conform to the setbacks of the zoning district, or a minimum of 25 feet, whichever is greater, except that the keeping of horses in a Residential District shall be in compliance with the requirements of that Zoning District . (This section replaced the pre-existing section 2-4 by a unanimous roll call vote on Oct. 7, 1999 of the Barnstable Town Council in item 99- 160A) . II - � R Assessor's office(1st Floor): r Assessor's map and lot number rA P La's to-VA'VWz YSTE MUST BE os TWE To Conservation(4th Floor): rj 00 'li3 rd floor)- _ INSTALLED IN CC+NIPL.IA�C 0 � 1 Board of Health(3 f ) WITH TITLE 5 t DAUSTABLL Sewage Permit number Engineering Department(3rd floor): jENVIR®N ENTAL CODE AN °° 1639. House number ! TOWN REGUL,ATI®6iRS Definitive Plan Approved by Planning Board 19 4 i APPLICATIONS PROCESSED 8:30 9:30 A.M.'and 1:00-2:00 P.M.only t ti { TOWN ,, OF BARNSTABLE BUILDIING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF,CONSTRUCTION S+--tUy, r ' S i.. 19 73 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location b 4 0 ® S H-6 P-� F-P. Ca T-J_T- Proposed Use V�t+g�-� s`i°� � Zoning District Fire District Ca w a: T C_a" Name of Owner - Address Name of Builder C'oNIP-hb GtE.)'SF-F- Address 64 OLD S H-o fZC EL>. DA-v s3� I�CIc••��-- � cc tc cc « Name of Architect CB N RA- GF--y S ER, Address Number of Rooms Z' Foundation F �- hs Ptd-+ l i Ra c Ira® G Exterior `�` � "y`°�' � Roofing Pry PEFk�-`T Floors PL. tc—x--� 6- L-YL jpo Interior PoS t� Heating N o ,a Plumbing o"V, Fireplace x tN o Approximate Cost A 12 0 0 0 �I Area Diagram of Lot and Building with Dimensions Fee �r / 1 � - y Z$ 3 24 - 1`PrS S 6 u-v H - _ � � fv�1 tom► 2or OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abov construction. Name Construction Si ipervisor's License GEYSER, COJRAD & ERIC R No 36266 Permit For Build Garage °s Accessory- to Dwelling Location 64 Old' Shore Road Cotuit a� r Owner, Conrad & Eric Geyser t Type of Construction Frame Plot '� Lot - f! ' October 27^ t Granted 3 Permit 19 �^ # Date of Inspection: Frame Z/. 1 19 y r `a ; Insuiation 19 Fireplace 19 q�q Date Completed cS6 19 a, k., ; `j� �� 6.,, .. . _ -•f' r !i. £` ALI it s t 7 r d HOME OWNER'S EXEMPTION The code states that: "Any Home Owner ,performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1.1 - Licensing of Construction Supervisors) ; provided that if' Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q nd for Licensing Construction Supervisors, Section 2. 15) .Ru This les alack eoflations awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed perso:: as it would with l _, ensrd supervisor. The Home Owner acting as supervisor is ultimately responsible. To- ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. a TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE ( o �2-q /-73 JOB LOCATION L� S R-o P_F 71_D • Co Number Street Address Section Of Town "HOMEOWNER" b:�-j P-N-D G L(`j Z Name Home Phone Work Phone PRESENT MAILING ADDRESS P' 0 BOX 91 2-e 3 S' City/Town State Zip Code The current exemption for "homeowners" was extended to include owner- occupied dwellings of six units or less and to allow such homeowners to engage an 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 to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum 'nspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127 .0, Construction iE�'i'm■ ii Ri ■ i-''�i'C/°.� ' ' '■//i: : :l�i":�"oi■■""�'■■:1"i ■■:0 loom:::■■ ■■. ■■/■■� ■■■ Neu ■rM�' ■ ■C'm■/..■MMOM "p'C".�.:■'■�'■.■�'■■i■N,'u�:■w ■ ■ u■CCC■: ':'i'"■�■ :: ' ':: INN �■ .. .� �a�m•�,4 ':■ ■■■: ' ! r1: ■ ■ ■■ ■■■ ■ ■ �` I■ ■ ■ H■■■■uE m ■ ME ■■■■■ m •.:� ■ ■■"�'_■■■mom ■■■uE■■MOM■■E■■.■ ME uMOMRs ME! ■■■■■.■:�MMUUNEMU .. ■/.0 ■ HE■ N■■■ ON ■ ul ME so No �.. ....:... :MIN MEE MIN No IN ON .. • C . ": ': :C'n'i:':""iECC■'hli:■■■'■:0 v � ��.EE . ::: Rv ■■E .:.:� no ■ ulan . . . . .■ ■R■■ ■ ■ .. ME . ■ ON ME SUN! MO ■!■■■■■N. 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U � 1 � si,4K./ C y � , t 2 It r 2-9 u .00 SUBJECT z9 ' • � r Q Z4' -' 3 � i� 4 SLOPE hPQ. l.r� i ga ' TlkN Y, pze-pMV-e�Q /13 1{23 - 43gg2- �, - � I - - - - - 1 , WT� -t- �8'-rFouNDA-�o�Ab�- t � P—t - - - _ IL L I- E 9 e On- MEN ME ME ME ME SEEM! so MEN MEN! M ME OEM= ME ]ISMS Now MM M 0 No so � e MEN ME on on a 11111 MEMM JOSE M Him I ME Ill on 0 so MIN a 0 an MEN on 0 M 0 no In on 0 0 ENO q' a ON No Elms u No ON 0 n I ONE so 0 -MEN--- me III mull- ills on I ME M III in nM o 00 oMSnIE IoIMIE N lea' o UMn 0 BINsSmR i loln O RN"oE nI 6a 0 ismn s M 1 � o � OFTME ram, Town of Barnstable Regulatory Services * BARNSTABLE, y MAss. g, Thomas F.Geiler,Director rfo nu't" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 27,2005 Conrad Geyser 64 Old Shore Rd. Cotuit, MA 02655 RE: 64 Old Shore Rd Cotuit, Map : 035 Parcel : 106 Dear Mr. Geyser: This letter is to follow up on a conversation had with you some time ago regarding permit #79283 issued by this office 09/16/2004. As discussed, the application fee was paid at the time of submission, however; the permit fee itself remains unpaid and ,therefore, no inspections done. This shall serve as notice that you have until July 11, 2005 to make payment or be subject to fines and penalties for violations of the General Ordinance Chapter III Article IV Section 7 as well as the State Building Code. Thank you for your anticipated cooperation in this matter. By Order, Jeffrey Lauzon ' Local Inspector Q:zonings BUILDER INFORMATION Name--fbh& MINE Telephone Number._ GOB Address 11� 1 License# r 052ffik/I1U,E MA ou Home Improvement Contractor# Worker's Compensation# -QF>K 18s03tf ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO E� SIGNATURE (^, /, /o DATE f C ! 5 a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma S-1-9( °rG�" - N L Parcel II E ,i IBt:.0 Permit# 32�� Health Division 16107 Date Issued 11 )2�6[03 Conservation Division 8 03 L We v Application Fee Tax Collector / /0 1 �----- Permit Fee ,3 1. Treasurer /o�03�0 �� , , ,tlaCri SEPTIC'SYSTENI C U� T Ce AA!STALLED IN COMPLIAMCL Planning Dept. VWTH TITLE 6 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANC TOWN WN REGY L�kTiANS Historic-OKH Preservation/Hyannis , ,r��nP Project Street Address b Lt 0 Village Co Owner Lo" 2.-9 S1E~2 Address 04 M- Telephone 2 0 Permit Request T_"St-A-U_ Ti)b.v V. so'CAck, 6P0 chA—v > �' G /1V69 ~ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District f Flood Plain Groundwater Overlay Project Valuation Construction Type e Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. V Din,elling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes )4_No On Old King's Highway: ❑Yes �fkNo .1 I 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 Cl Other V 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- TProposed Use j - BUILDER INFORMATION Name 6ALarq i ULIX elephone Number 6®lq— Address ®, Q License# N-Dt&)1t1 N\A Q'2-53+ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU U all 7 . M A 'Al �� '��,� 03 }' FOR OFFICIAL USE ONLY Y! CD y }• .PERMIT NO. { �,DATEZSSUED } ~� MAP/PARCEL NO. ADDRESS r VILLAGE ! OWNER DATE OF INSPECTION: FOUNDATION f - FRAME INSULATION'S • `� FIREPLACE - 'f K ' t ELECTRICAL: ROUGH FINAL r 1 r PLUMBING: . ROUGH FINAL '- GAS: ROUGH FINAL FINAL BUILDING 4 DATE CLOSED OUT_' - ASSOCIATION PLAN NO. _ f r The Commonwealth of Massachusetts Department of Industrial Accidents oftyce 011HY85080fts 600 Washington Street Boston,Mass. 02111 Workers' compensation Insurance Affidavit name•`�v+� i�o tv�ulR-1�+ �,� � �l�i�0� location 11 OkK l, N ci hone# ❑ I am a homeowner performing all work myself. ® I am a sole rietor and have no one workin in z capacity ❑ I am an em Ioyer providing workers'compensation for my employees warldng on this job. >':�isiLL?%:v:::;:;y?'''•'>?�:;.; :::rri+':':i+?:;:}::::::i::%:i{?:�i:t';n:;+::}:{'r-:};:ji:�}iji�iii: ,+v' .....'::::':::':;:;::'G ?`` }:7' ? 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I do hereby certify under the pains andpenalties of perjury that the information provided above is inn.and eorred , Signature"" Date (0~O 3-03 Print name 'T W f NC 1Y11kil) Phone# 6 428 �i b official use only do not write in this area to be completed by city or town official city or town. perndt4icense# OBnilding Department ❑Licensing Board ❑checkifimmediate response is required ❑Selectmen's Office []Health Department contactperson: phone#; _ ❑emu'. orvued 9195 PJA.) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an 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,neitherthe 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. FNENNI 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 maybe ;u submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and •I.q. �k date the affidavit. The affidavit should be retumed 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' compensatioa 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 retuned 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. INVII The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of fovestlg0ons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °FtHE, � Town of Barnstable Regulatory Servides sA MABIX Thomas F.Geller,Director 9�A39. a � Building Division TfD MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT, HOME IMTROVEMENT 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: BJ VnIZO p 0112CLS Estimated Cost 410 0 Q(J.0 Address of Work: p Owner's Name:i Div n ALA (VEY-669 Date of Application:,p — 0&— ®� / I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 E]Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. ' SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date ( Contractor Name Registration No. OR Date Owner's Name QSorms:homeaffidav Town of Barnstable Regulatory Services Y � * s"R''STAB Thomas F.Geiler,Director 9�p 039.' A,��' ,Ep Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ON R4D 6&Ysz, , as Owner of the subject property hereby authorize'���1✓LM � act on my behalf, in all matters relative to work authorized by this building permit application for: L —� (Address f oos b) Signature of wner Date G - Print Name Q:FORM&OWNERPERMISSION - ilrT(.rcicl�rl�lU.cl :f�fo Board ol' l3uildin ; 1Zegula iol1s acid Standards _ One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration r Registration: 137653 Type: DBF. Expiration: 12/13/2004�. T.J. DESIGN THOMAS WINEMAN 11 OAK LANE OSTERVILLE, MA 02655 Update Address and return card. Mark reason for change. Address Ilenerval 1snipiopnew I.ost card ' � ✓�re %�os�em�onq�l!/n n/'..lt'iruac/uae!!e . Board of Building Regulations and Standards License or rcgislralion.valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return im Regis 3765 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration: 12113/200 Boston,111a.02108 e: DBA T.J.DESIGN THOMAS WINEMAN 11 OAK LANE " OSTERVILLE,MA 02655 Administrator Not valid without.cignalnre oLI> sal c Ro�� SsP� E-t�/er�'ser) 11 � Ili ?: i ; j . 1. A-IC PA►,JEJS ! �, �-- �N► R<►c awunrriN6 �Y I f I �.1.E.v,�-r��N F�-'� �'►�W��ST � ( j :_fit.: ACING ICAST . : 'A World's Most Powerful Photovoltaic Module with ASE's Crystal Clean'" EFG Cell Technology . The ASE-300-DGF/50 is ASE's Flagship Module used in a wide range of applications,including the toughest military, utility and commercial settings.It is also becoming extreme- ly popular in large pumping systems that require higher volt ages.As the world's largest and most powerful PV module, installers,architects and owners credit the ASE-300 with significant cost savings and peace of mind.Give your PV system the ASE 300 advantage. f ` Design and Installation Advantage We designed the ASE-300-DGF/50 to save time and cost. •The uniquely high module voltage(Vp 50.5 volts)allows system integrators to"fine tune"a system by providing s just the right number of modules to meet the specified power. •Large area requires fewer interconnects and structural members. •Module-module and source circuit wiring can be incorpor- ated in the module. •Unique ASE quick-connects reduce source circuit wiring time to minutes.We offer connector options to suit your needs. Reliability Advantage •Advanced proprietary encapsulation system overcomes the decline in module performance associated with degradation of traditional EVA encapsulant. •Weather barrier system on both the front and back of the module protects against tear,penetration,fire,electrical r conductance,delamination,and moisture. •Our patented no-lead high reliability soldering system ensures long life,while making the module environment- ally benign for disposal or recycling. Quality Advantage ASE Americas'quality program is focused on meeting wry, f.J6y or exceeding expected perfomance and reducing system losses: •Each module is individually tested under ASE Americas' calibrated solar simulator. •Module-module wiring losses are included in the rating. •Each of the 216 crystalline silicon cells is inspected and ASE-300-DGF/50 power matched. Certification Advantage pA at •To provide our customers with the highest level of confi- Y f~ -1 A, v dence,the ASE-300-DG/50 is independently IEEE 1262 and IEC 1215 certified.It is UL Underwriters Laboratories listed with the only Class A fire rating in the industry. " 4 Available Versions �- ' The standard power rating is 285 watts at STC with versions f - ° at 300 watts and 265 watts also available.We offer a variety ' ' of wiring/connector options.Modules without frames are ' also available. ASE Core Advantage "" ASE's patented EFG process(Edge-defined Film-fed ASE-300-DGF/50 connection box Crystalline octagonal Si tubes are Growth)produces silicon octagons of correct thickness with bypass diodes,U-V resistant drawn from the melt.There are no and width.Energy,hazardous waste and material intensive . cables with quick connects. losses due to sawing. wafer sawing is replaced by highly efficient advanced t . laser cutting. _ Designation: DG=Double Glass 3 F =Frame /50=Nominal Voltage at STC Electrical data The electrical data applies to standard test conditions(STC): s Irradiance at the module level of 1,000 W/m2 with spectrum AM 1.5 and a cell temperature of 25°C. !1 r✓ *. Power(max.) Pp(watts) 285 W 300 W 265 W Voltage at maximum-power point V' volts 50.5 V 51.0 V 50 0--- --— Current at maximum-power point Ip(amps)_ 5.6 A 5.9 A 5.3 A " Open-circuit voltage 7 Voc(volts) f 6 0.0 V" N„-" �60.0 V,,, .,� R, 60.0 V°„ .. Short-circuit current Isc(amps) 6.2 A 6.5 A 5.8 A .' The quoted technical data refer to the usual series cell configuration. The rated power may only vary by t 4%and all other electrical parameters by t10%. NOCT value(800 W/m2,20°C,1 m/sec.):45°C. " ) Dimensions and weights Length mm(in) 1,892.3(74.5") _ Width mm(in) a 1,282.7'(50.5") Weight kg(lbs) 46.6 t 2 kg(107 t 5lbs) Area 2.43 sq meters(26.13.ft sq) Characteristic data Solar cells per module 216 Type of solar cell °R Multi-crystalline solar cells(EFG process),10x10 cm2 Connections 14 AWG w/Single Pole Quick Connectors Optional Connections—16AWG - w/Double Pole Quick Connectors.Conventional Junction Box module comes with 6 built in bypass diodes Cell temperature coefficients Power TK(Pp) -0.47% /°C Open circuit voltage 4 a s T Nod {. 70.381 /,,'°C , _K _oc — r g, , ,. . .,a ° . , " Short-circuit current TK(Isc) +0.10% /°C .. r Limits .u Max.system voltage 600 Vpc U.S. 700 Vpc Europe c Operating module temperature `40::.+90°C" x e �f Test wind conditions Wind speed of 130 km/h(120 mph) The right is reserved to make technical modifications. For detailed product drawings and specifications please contact your distributor or our office. "• Certifications and Warranty The ASE-300-DGF/50 has been independently certified to IEC 1215 and IEEE 1262,UL 1703(Class A Fire rating).It meets Electrical Protection Class II and EU guidelines,e.g.EMC according to DIN EN.The ASE-300-DGF/50 comes with a 20 year power warranty(see terms and conditions for details) *; _ 4 a Current/voltage characteristics ! 1892�! with dependence on irradiance and module- ' x A A ao .fi r t temperature. _ , Cj wad --914.4—it 489 Amps + :B B: _ yl � •.. ...IIII( I zs w/m2,2s°C `' •A B Cables Module data& }, co r'* s t000 W,mz,so°c�_ =hazard labels -co N 3 _ `D f Diode hous�n g o-" 2 _ •A g Sack mounting holes IB F5OOim2,zs°c ` B B o 10 20 SO 40 50 60 70 volts A=Side mounting holes o=10.5 B=Back mounting holes o=10.5 (all dimensions in mm) 7 e ASE Americas,Inc. Photovoltaics from your specialist dealer: 0 4 Suburban Park Drive o Billerica, MA 01821-3980 USA Phone 800-977-0777 978-667-5900 AmSjrE9=:=====0 e-mail:ax 978-663-28 � www.asepv.com a- sales@asepv.com - �,.' When to Choose Top Mounting•CT Ser><es Clamps ` Select top mounting clamps if you prefer to install modules last—in other words, T ° if you plan to secure the footings and attach rails to the footings on site prior to . t attaching modules.This installation sequence is well siuted for: "� •Plug and Play modules •Flush mounting—especially flush mounting onto standoffs. p Top mounting clamps do not depend on the spacing of module mounting holes.In roof mount installations,therefore;rails laced parallel to rafters can be aced to P spaced lag directly into the rafters without the addition of special supports.Note that top mounting requires 1 inch of space between modules and that rails must extend CT Series 1-1/2 inches beyond the last module on each end mid and • , - end clamps T Sizing Chart A:Select Salarftoant Rail Set(SMR) +Top Mounting Clamp Set(CT) Number of modules to be mounted per row #/'— Module make and model 2 4 S b 7 8 ASE yA3E300 SMR106+CT2E SM 8+CT3E '.SMR21 4E AstroPower AP65,AP75 SMR48+CT2C SMR72+CT3C SMR 6+CT4C SMR120+CT5C SMR144+CT6C SMR156+CT7C SMR180+CT8C APII0,AP120 SMR60+CT2C SMR84+CT3C SM 120+CT4C SMR144+CT5C SMR168+CT6C SMR192+CT7C AP150 SMR72+CT2C SMR106+CT3C SMR132+CT4C SMR168+CT5C SMR 192+CT6C BP Solar 275,380,585,SX75TU SMR48+CT2E SMR72+CT3E SHR96+CT4E SMR120+CT5E SMR144+CT6E SMR168+CT7E SMR180+CT8E 3160,4160,5170,SX150 SMR72+CT2E SMR106+CT3E SMR132+CT4E SMR168+CT5E SMR204+CT6E MSX120 SMR84+CT2E SMR132+CT3E SMR168+CT4E SMR204+CT5E SXI10,SX120 SMR72+CT2E SMR96+CT3E SMR 132+CT4E SMR156+CT5E SMR 192+CT6E SMR216+CT7E Evergreen �• EC94,EC 102,EC I 10 SMR60+CT2C SMR84+CT3C SMR120+CT4C SMR144+CT5C SMR 168+CT6C SMR192+CT7C SMR216+CT8C First Solar FS50D SMR60+ . SMR84+ SMR106+ SMR132+ SMR156+ SMR180+ SMR204+ 2 ea U-MH-4 2 ea U-MH-4 3 ea U-MH4 3 ea U-MH-4 4 ea U-MH-4 4 ea U-MH-4 5 ea U-MH4 Kyocera KC70,KC80,KC 120,KC 125G SMR60+CT2C SMR84+CT3C SMR 120+CT4C SMR144+CT5C SMR168+CT6C SMR192+CT7C SMR216+CT8C KC158G,KC167G SMR84+CT2C SMR132+CT3C SMR168+CT4C SMR204+CT5C Photowatt PW750 SMR48+CT2A SMR72+CT3A SMR96+CT4A SMR120+CT5A SMR144+CT6A SMR168+CT7A SMR192+CTSA PW1060 SMR60+CT2A SMR96+CT3A SMR120+CT4A SMR144+CT5A SMR168+CT6A .SMR204+CT7A PW1250 SMR72+CT2C SMR106+CT3C SMR144+CT4C SM_R180+CT5C SMR204+CT6C PW1650 SMR96+CT2C SMR144+CT3C SMR180+CT4C Sanyo F HIT167,HIT175,HIT180 . SMR84+CT2C SMR120+CT3C SMR156+CT4C SMR192+CT5C Sharp w 80 SMR48+CT2C SMR72+CT3C SMR96+CT4C SMR120+CT5C SMR144+CT6C SMR156+CT7C SMRI80+CT8C 123 SMR60+CT2Ft SMR84+CT3F _SMR 120+CT4F SMR144+CT5F SMR168+CT6F „SMR192+CT7F 165(RWE Schott),175,185 SMR72+CT2E SMR106+CT3E SMR144-CU f SMR180+CTSF SMR204+CT6F Shell(Siemens)AL`^ �T -SMLOO,SMI 10, SMR60+CT2D SMR84+CT3D. SMR120+CT4D.SMR144+CT5D SMR168+CT613 ,SMR192+CT7D ,. x SP6S,SP70,SP75 SMR48+CT2C SMR72+CT3C SMR96+CT4C SMR120+CT5C' SMR144+MC,:SMR156+CT7C SMR18o+CT8C $P130,SP140,SP150 SMR72+CT2D SMRl06+CT3D_SMR144+CT4D SMR168+CTSD SMR204+CT6D .; SunWize , SW85 SW90 SW95 SMR60+CT2C SMR84+CT3C` SMR106+CT4C SMRl32±CT5C .SMRIS6+CT6C SMRl80+CT.7C SMR204+CT8C �SWI IS,SW126 k SMR60+CT2C 4SMR84+CT3C SMR120+CT4C SMR144+CT5C SMR 168+CT6C SMR192+CT7C SMR216+CT8C a ,•: a.q.kXz Ufa Yz� y w + i" a i,, ': r}3 ,.�,t C£ - da?}'� ht 1 d,+,y "' i ,ry F ,r...ft>ri„��s �'fxea� .5,,:;�°�3skr�� .P��.,.., +CT2By SMR96+CT38SMR132+CT4B'zSMR156+CT58 SMR 192+CT66 TSMR216+CT7B ,.r.,Y07 ``` , SMR72+CT2E SMR96fCT3Ez SMRl3.2+/1����4E y SMR168+CT5E y5MR192+C.loEf �p r ';'µ .���L✓✓' ! --+i11:SY3x."APe.:gY `<.&X 'aWXx ' <w>_: S .tY.e'•'.+1svaS)R,+U.Fr}-'' jws4`Cn3r�4. �. ^,G?4�.4+YY!N F[+ii-7Yif'Y�U.4�A(ir 'r ub.. .. EaV�.•.+.P.Y ., rke•y«A,^i+'';}1.^£1:Va { k' y is 3 < Priccs 5S � '��-��� $ � �` ,ip�#z,� �.^o-�yi �+a' • �. kr >;. '9�t� r Y•'�'�� r'.dy��54x, y' � ` `•��s,` ai8 ,"=rl°":, ' yt�a�w�,•*-�.� +8 %F q}k,�,. ,` X f yw *rR.. #��5�<�*'`' �3, .3`} r'-1 Y•.?, :'9" .7, 'S�v.# Pr.'i3 � 'C,F^..P, p. 5 :.4Sic,k° k'<. �'F�k�:W�`,,w'- Z -u hf .,Y, _!'_?. " .,* . . s..7 rx'Y ..'a '3>-- ` •k,"xa�£ �' E:,uz:- �?;.a�— y -. a�z � s:at. .. .. . . , ..- .. ,..� '1 HE STANDAR® IN PV MODULE RACKS - .1P,+ r,t<s ! 1 it �Xr FX"t' ' few � •�.. CiX yly �w n for.�Afi Location�, g A Co nfi ratio n_ . SolarMouizt ' stem (U S upatentw �� � I 7 i �� : .47 t 110 'F.w.° k �,pending) is engineered:for the maxunum r xt ^r �,.K Y. _...,,Y.t . ,;,' 1 y ,.? t w•: r r. d ., =�`. .z. a1 ° flexibility possible°m design irig,�l ocann& and:` i r mstalhng your PVC array" Y �` Or the roof or"On!the�ground;SolarMount' �i1 components assemble-into structures that ,i' � `� 1 ftj." s'� support a vanety,of P�V'array,configurations Design for high profile or low whichever ti* - . ..' +{�r��f s�'+ 3 - W"'. CYyS-f� � s��'♦ � r"'`r �� SY�{�e*`�,y �a% r suits your unique site :without worries that it won't meet code �tr^a r �..k..v^; ,.r 3n:, a ;r •-•^'-�f-••-._4-'�'"�*-.,...,''-.,-..,- -�••,.`.....,,...�,.R«.y, f�. s t p' r , '`. Jv, ':k�, "3 .d trc•"k� - tii t A ..� I,�,�F.. ,y� r•� A q�' kn '� s4 3. . 'L aX 11.. Ate$ T t ♦ iii((T�°, 1 F.1' j:.^R:-�.�:.5� i `^""'E� fA.3' i�;,S•� r �'TT�,i'"t Tz `.`'°,i,'`.�:,e �r.7„f r<t � -.•'^3 � a:�i'F'Sei13�`X�a°3oie��"re1�'�i`':�i§�o a � i" ire � c °r� ♦ S�i'4�e„F a�»t1�`-�'a t e��,g; � � t,,�§> sue^ "�.�..� �e:.'p a�t' ,��. y 4 r* _ Sf, \ �, .T"a'I�h'�y�'M , R}"�,1�{a+. k y-fit'•, M. • i � t TM SOLARMoubff pV ` MODULE MOUNTING SYSTEM F� a O Top Mounting e e e ee directly to • • • ee e e - ee e e e e e a k T3. •ram r��'. �,r` O Rail 7 . ;e Module Bolt Slot © Bottoms Mounting w. V_ Clip slots d � Footing Ns; BOIL Slot x k So'larMount Rails CT Series CB Series O The heart of the system. Four Top Mounting Clamps. Bottom Mounting Clips mounting slots in the SolarMount O Mount your modules to the rail © Use CB Series clips whenever you rail,giy.e.you,uidmate flexibility for from the top.This is ideal for flush prefer to attach rails directly to the module mounting and foot placement. mount applications, such as residen- module mounting holes. Simply fit Clamp modules to the rails from the tial rooftops,where it is most conven- the clip into its rail slot over the top,-free ngwyourseIf from the.con- dent to pre-assemble rails and footings mounting bolt for a secure connection. stralnt of the module mounting holes before installing modules. r= � r� 3 Adjust the clip position anywhere : O chp and bolt modules from th r e k x 'x " f�t� Clamps also free you from the within the rail slot.Alignment of rails bottom to either side Hof the rail The • r. ma � �� constraints of module mounting to In mounting holes is always fooling boltvslot gives you complete k , x ; holes'Achieve a secure attachment easy and convement. w Qom of tootingplacement You'll a �. s anywhere along the modules frame '�. .LkY : W ^x` `YiS•2 -xr. ,��,,s• .rx„�m. 2 -3 zt. w,v� °x..-i }, 'F`-r£'' - a . 1z Y.- . �kf•' always be>abie�to. t thecrafter. sr t • >� 41a +yrr"'y.F { ,r ✓ _ a. k +� k � a �v�i,�� �x`r�f 6�i�E«' ��Fl�xt ,.r,d ,r,� � #i_ 'sY 1 � r�M4. f•�t.. .:z. .. ... ... ,g.6_ Y Y ,.. " A. ," � „sJr °�r,�r&r� a�aac�'4���"�ti ��.. �,S6c�g <=4' 4 ��`� ti. } rW . 0 Strut-in-Tube K, 0 Standoff STF Series TLH ; Series u TU / Series 0 Standoff � STR,SeTres � ® • � �a � � � as �, ' r - • 9 � � � a � � e '". '/ , 5 ,r is • - +a , a as a as a lag �a a v a 9 a® a aae -a e as a' ae • + 0 7 •NO a as • ;�{ ® 'i a141,.11.2 mills!-a- a. a - m P4� , Standoffs and Splices 0 L-Feet0 Splice a, 0 Use standoffs whenever flashed installations are required_the roofs for instance.All standoffs, 3, 4, c. or Strut-in-Tube Style Les L-feet 7 inches tall, are compatible with, g Oatey' 11/4-inch No-Calk'M elasromer 0 Quickly set the precise tilt angle 0 Standard for ground mount collared flashings and other non- required. Two styles are available— installations. Use them in many resi- collared flashings. See www.oatev.com TLH Series for high profile installa- dental rooftop installations as well, for flashing details. tions and TLL Series for low profile. particularly with asphalt composition STR Series raised-flange standoffs Each series offers three leg lengths so shingles, and in many commercial replace standard L feet, and fasten that you can adjust to exactly the tilt roofing applications.. directly to SolarMount rails.STF Series . angle you want—up to a maximum Rail mounting holes are at two heights. flat-top standoffs support strut stringers of 60 degrees—without cutting and In flush mounts,use the upper hole that fasten to standard L-feet, a t�pical drilling at the job site. to raise the modules and promote air technique on large flat roofs. flow for cooling. Where aesthetics are p SP Series splice kits join rails end- the greater concern, use the lower hole to-en to keep the modules close to the roof. d in long low profile installations. �� • TM SOLARMOUNT PV MODUL•E MOUNTING SYSTEM , r 'i � .,�:-. r sa � o t o as, ' a • a a .ae + ao�a a s o a. r • , 1S' • +.prima f�:- ° �;':•5 a.1.. � J'� _° 1 �` ,eta � x ��n:!� �4 - v itTla � "9u � to aa, "9 I• �.l'` 119� J "!a aw 4qn t n wo ;I, �� I �, m� Plan Your Array Code Compliance SolarMount Component Specifications Consult SolarMount Price List The SolarMount system is PE certified and Sizing Charts for complete to meet the Uniform Building Code. SolarMount rails, top-mounting configuration details. Ask UniRac or Our guidelines, Code-Compliant clamps, bottom-mounting clips. your PV dealer for a copy, or SolarMount Installation, provide tilt legs, and L-feet: 6105-T5. download it from wwwunirac.com. standards and installation procedures, aluminum extrusion. all thoroughly documented for your Q inspector. Call us for a copy. Standoffs: Service Condition 4 �:env building P P.. severe):zinc-plated, welded steer. or download it from www unirac.com.: Fasteners: 304 stainless steel. THE OWES—W-STANDARD IN PV MODULE RACKS' UniRac, Inc. 3201 University Boulevard SE, Suite 110 505.242.6411 Pub 030601-Ids June 2003 info@unirac.com Albuquerque NM 87106-5635 USA 505.242.,6412 Fax J2003 UniRac, Inc..�11 rights reserved 10 Year Limited Warranty - UniRac,Inc.,warrants to the original owner at the original installation site that SolarMount Universal PV Module Mounting :}stem (the"Product') - - - shall be free from defects in material and worlananship for aperiod of ren(10)years from the earlier of 1)the date the installation is complete,or - 2):30 days after the purchase of the Product by:;.e original owner."this - warranty does not cover damage to the Product that,,,,cuts during shipment, or prior to installation. - - If within such period the Product shall be reasonably proven to be defective, then UniRac shall repair or replace the defective product,or pan thereof,at . UniRac's sole option.Such repair or replacement shall fulfill all UniRac's - - - liability with respect to this warranty. _ 'this warranty shall be void if installation of the Product is nor performed in accordance with UniRac's Installation instructions for the Product,or if - -the Product has been modified, repaired, or reworked in a manner not authorized by UniRac in writing,or if the Product is installed in an environment - - - - - for which it was not designed.UniRac shall not be liable for consequential, - - contingent,or incidental damages arising out of the use of the Product. - - i you CoNQ--k--D G-"sue ox Co 1 u s-�T` tj A 26 U.S. Department of State APPLICATION FOR U.S. PASSPORT OR REGISTRATION FEDERAL TAX LAW 26 U.S.C. 6039E (Internal Revenue Code) requires a passport applicant to provide his or her name and social security number. If you have not been issued a social security number, enter zeros in box #6. The U.S. Department of State must provide this information to the Internal Revenue Service routinely. Any applicant who fails to provide the required information is subject to a $500 penalty enforced by the IRS. All questions on this matter should be referred to the nearest IRS office. ACTS OR CONDITIONS (If any of the below-mentioned acts or conditions has been performed by or apply to the applicant, the portion which applies should be lined out, and a supplementary explanatory statement under oath (or affirmation) by the applicant should be attached and made a part of this application.) I have not, since acquiring United States citizenship, been naturalized as a citizen of a foreign state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States, or before a diplomatic or consular officer of the'United States in a foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down, or to destroy by force, the Government of the United States. WARNING: False statements made knowingly and willfully in passport applications or in affidavits or other supporting documents submitted therewith are punishable by fine and/or imprisonment under provisions of 18 U.S.C. 1001 and/or 18 U.S.C. 1542. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1543. The use of a passport in violation of the restrictions contained therein or of the passport regulations is punishable by fine and/or imprisonment under 18 U.S.C. 1544. All statements and documents submitted are subject to verification. PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENTS AUTHORITIES: The information solicited on this form is requested pursuant to provisions in Titles 8, 18, and 22 of the United States Code, whether or not codified, including specifically 22 U.S.C. 211 a, 212, and 213, and all regulations issued pursuant to Executive Order 11295 (August 5, 1966), including Part 51, Title 22, Code of Federal Regulations (CFR). Also, as noted, 26 U.S.C. 6039E. PURPOSE: The primary purpose for soliciting the information is to establish citizenship, identity, and entitlement to issuance of a U.S. passport. The information may also be used in connection with issuing other travel documents or evidence of citizenship, and in furtherance of the Secretary's responsibility for the protection of U.S. nationals abroad. ROUTINE USES: The information solicited on this form may be made available as a routine use to other government agencies, to assist the U.S. Department of State in adjudicating passport applications, .and for law enforcement and administration purposes. It may also be disclosed pursuant to court order. The information may be made available to foreign government agencies to fulfill passport control and immigration duties or to investigate or prosecute violations of law. The information may also be made available to private U.S. citizen 'wardens' designated by U.S. Embassies and Consulates. Failure to provide the information requested on this form may result in the denial of a United States passport, related document, or service to the individual seeking such passport, document, or service. Public reporting burden for this collection of information is estimated to average 20 minutes per response, including time required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. You do not have to provide the information unless this collection displays a currently valid OMB number. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to: U.S. Department of State (A/RPS/DIR) Washington, DC 20520. DS-11 II Page 4 of 4 ♦ P�ZN OF As CHARLES F. FEWORE ► �'� J " •o ► •U STRUCTURAL � • NO.34359 A :you i T 6�66� SSIONAL N� ac-- 2k LL5 E S ►e- c..- r 'IOU T D `x y - � , J ' I 70 P v� 1 • fI � ' i Y The Town of Barnstable �. Department of Health, Safety and Environmental Services sMUXUABLF, Building Division MASS 0 •� 01 39� � 367 Main Street,Hyannis MA 026 �, y �rFO MIA's�` Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: Name: �'� ��� S 1 -� Phone#: I 2 Address: 4 0 L� Sc R fZD. Village: rV t� Type of Business: / y A C-V Map/Lot: 6 L INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwellingwhich are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersi ,have read and agre with the above restrictions for my home occupation I am registering. Applicant: Date: l Homeoc.doc TO ALL NEW BUSINESS OWNERS: Fill in below. 1 bpi" I NAME OF NEW BUSINESS: TYPE OF BUSINESS A QkCJL-`}u U�� S T IS THIS A HOME OCCUPATION? ADDRESS OF BUSINESS P &e X 91 C-®"T'y-► MA D ?,e 3 5- MAP/PARCEL NUMBER Q I D 9 If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office(Ist floor-Town Hall). 1. BUILDI 1 PE70R'S OFFICE 14TH FLOOR TOWN HALL) This ndividua ' in co pli nce as been explained the procedures needed to start a business ding Inspecto Si 2. GO TO BOARD OF HEALTH(3RD FLOOR TOWN HALL) This individual has a informed of pe it raquiremen oat pertain to this type of business. 4 Health Insp is —,-gARture 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been infor d of any licensing requirements that will pertain to this type of business Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. TOWN OF BARNSTA$7 BUILDING DEPARTMENT- J COMPLAINT/INQUIRY 4tPPORT Date ti,'��� Rec'd B vAssessor's No. Last Name 4 ✓t% First Nar,;e ORIGINATOR Street jl Villa a State Zi Tele hone: Home Work Description: _ COMPLAINT ' INQUIRY c Requestor's Signature COMPLAINT Street Address LOCATION 17117 , OFFICE USE ONLY INSPECTOR'S Date VZ!5V,5�1 ACTION/ — I,ns or COMMENTS — vo 7 o az� FOLLOW-UP ACTIOil F DDITIO21FiL INFO. ATTACHED COPY DISTRIBUTION; WHITE - DEPF_RTYWNT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE FGR.) KIscl f I ••,!' ! A MAIN R! STREET ('•,f'4"1"1 !7'^C' �'�T'�f �" •i "r'4'1 d"� r_. � _ �"'i' 1�i t-i d 1-4 ,_ 1\L L:. i L.�t,.l� ! J.t. 1 V t ! �F d i 1J•� 200 CT K{;;_Y 21425 . . ... MAILING nd ING r'rD - S _ „ _ , P a n 1011 PCs . V~ 00 PARENT GEYSER, CLJI 41\1"I d. E ... MAP - AREA _F!r"I 1'1 V Y i.i 3.e:,i i ! i LJ 0000 wO i U.: ! i"i,`•i 02635 AYE: 1962 EYe=' 1970,_ C7BS CONS ! 'o Tclfy LAND D 2„0450 0 imp 69000 OTHER 1500 . . _ _ LEGAL DESCRIPTION---- � \J= MKT 275000 F _n - C_ArSr rr6 ` u ntir i 204, 500 M3O i v 204500 A C _ IMP 69000 r SO OT` 1500 �L{.Br DO(C) _ Cn.f�p'�.....i 1 f9 0 .0 D...r+CRIPTgON TAX v " CURRENT NT `nt.t""M TAXABLE ,tµ7(�Gy E.."d�JJ lI'�J i,J f t_a!„':+•\"L+ .+. d.. ?�+::`� �� "LSE/.�_,7 i..:i'i EXEMPT11" ! dl.J!`I 1 i�l fl 1 E`l t�t.Ji'i E'�{E* - E::: E-'�� - #Pl J r OLD SHOW ,...y_, RES I Dr;hIT r'I 275600 7C .-{i{a 275000 •�^rt». 'Rt"L_. i�^'{' 4rE_L� rJE"ELJ I�\L:= I-\L.� 1�\L:..::Y d L'+i..i'i 1 .� '.)._:.»+ .. ,,,,,: _ t' {_y � TI'D L.. I_.tr• t 4 OPEN SPACE '!7'i\R 0951 - COMMERCIAL - EXEMPTIONS LAST ACTIVITY C` rbr v ` e i ^2/9n rr" v - R -,5 •� .� t E r••, M. r T r,F�t T ACTION R CARD Rr D "0} KEY 9 n25 1'i t_3.�,_ 1•_��_o �'� t_. i� Y i d. Y i"t�l i Mu t 1 v:M i't !JMt ti.= _r_•.•.: i�•.C.. 4 ._i.^v,._•._� 00000000 PERMIT—NO —rnti _nO MO Y R TYPE n _ r{ —B Y MO yn i r „P pE W;D _MO COMMENT B3:2 10 93 AD 12000 L K 01 94 100 ikL:.si ul.; GARAGE , ii