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0063 OXFORD DRIVE
� �x.�o� ���� �= �� � � 1 i I l a� i '��alo� � t ..-.> Town of Barnstable �"'E�►q, Regulatory Services QM) /01VIV?e Richard V.Scali,Interim Director r * sntwsznsie, • 9 Building Division i639. Tom Perry,Building Commissioner d*: 200 Main Street, Hyannis,MA 02601 ` c www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 t� PERMIT# 6) FEE: $ 13,:5 r SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less b 3 Yf uro Drive, ,d Location of shed(address) Village 0 Nep 6)r4 YV Property owners name Telephone number l6, xlZ- 042- 1 a� Size of Shed Map/Parcel# ,*nature Date e Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District'Commission jurisdiction? y If over 120 square feet,you must file with 61d King'§Highway Conservation Commission(signature is required) fX1 Sign off hours for Conservation 8:00-9:30&3:304-30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE_MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 Town of Barnstable Regulatory Services Richard V. Scali, Director BA STABLE. ; Building Division BARNSTABI,E MAC WMS-A5LE-U ERYILL•EGNR-MS*I5 Thomas Per CBO NF5T"'"P._S1639-201 "n " . 16;q. A1� Perry, � iasv.zma �F01A°� Building Commissioner �Dg 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 27, 2014 Hagop J Heroian PO Box 409 Richmond, MA. 01254-0409 RE: 63 Oxford Dr., Cotuit, Map: 021 Parcel: 049 Dear Property Owner, This letter is in response to application number 201402637 submitted to build a new shed at the above referenced address. Unfortunately, the application can not be approved at this time. The property is the subject of a prior building permit (application number 201204979) that has yet to have all of its final inspections (electric and building). Once successful completions of all required inspections have been completed, application number 201402637 may be revisited. Please do not hesitate to contact this office with any questions. Respectfully, Jk y L. Lauzon Lo Inspector ieffrey.lauzon ,town.barnstable.ma.us (508) 862-4034 Dd�- to �— - I. a C7x�o�rd 31t;v e 40 r wide C6 bku2 09 G7 74 50. 4'57. 8S 41 ° jj I I i .Cat 69 �D�t4' Q : i .Cot 7Il .-I i. 1500 ('J/2 t 4tone 267 I : i —Po,t 70 100S 4 , 23,2 's ; � '' /1,U Cape �rtginee%"'r� 49 Ratbot Road . 2 Y' �Jyao�rita, ..hlc. 02601. :.' :. 3d � Sco.Ce 1n.- 10� Date*. 841-'86 I J'dt, 60' I .Pot 59 � s 1.: ............ i ; �zd pav �ilz No Sca.Ce _ , -6 t 6 I p-rtILI 1'fl i 6�,r,a 1,41 2' z i Sketch /) an of .Card in Co•tu i t, Ma. o�c gunk �•. Stephen tat N _G.s �1w wn on:� per o °.;._rK I tncl aeco�ided:in p Ccn bhp. '211 'pg. 560 r £-Ceuat i o" aJi,own ate, on an ad4amed datum. r,--e; eociccZ Tr ea�,tFc i �at . Fl ev�t: aic .tc�i - gem per: p-s940 _. ' Aade 7=29-86 Wit. 9. tl;clCecwc .)h.e.foundation shown ors th✓r,. ptavc .ice Coated on Alo water encounte, e Vhe ytowsd ai shown heteon, and me t-,, the yet I Deice. 2 min peh 1 back tequucea eAt6 o? the gown of l3a2►�.tab Ce. - - g h h 1 ; g 2...,Q.�;: _• .:..... . ate-�-J0-87 �...... ...... ... .. ,_ ...... .._ ... --��'----------- • top '.4 � 44 7... �. j rnedt,ruts n�edu.un � ` Cwld I q ar2d 1N OF •4;q f t"� j I JOHN/J � 'yti► aL2N OFg fxA�i� 1 . N 32490 pss 9fCISiER��OQJ�a t s�� �> �• I y t caN Assessor's office(1st Floor), . Assessor's ma and lot number � 9 �A A,�" SINE T P sysTn�.��u �,S7 7IS o 0 Board of Health(3rd floor): ate, ; � � cob 7 r• ego `w Sewage Permit number n — / ��® C" 1iVI��'6' E°� Z DAR13TAnLE i Engineering De artment 3rd floor): �r,� " MASIL House number a i639• 0,11'� Definitive Plan Approved by Planning Board 1 wAEGUL.A`�ONO APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only. TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ? Al C Lei S -0-- z c- �- TYPE OF CONSTRUCTION () IP�1�iv► 114 rcA 19 %D TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location (�, t�X�OQ,it7 b2 ( l)&-u i t /79p' Proposed Use Fk0del�OA Room, �Se4 1E-E iV 57 Zoning District Fire DistrictLTy t v Name of Owner F&AIVl L C f e P We ylu Address /a 3 OX FO je10 1)s2 i Vr CO&u.@!tr' )% Name of Builder b,901D �• 4 MMA12 .3 Address (o 06 Ctdos x UP ✓A01142 P4 Name of Architect Address Number of Rooms Foundation !y/l9 Exterior U;!,841i�- S� O ►flu Roofing ., � Floors i'✓2 CPC Ik1✓V G Interior 7 i Ale- -I- �Se•� 'E��11'lf�j4�/' l Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 90 E f STEPHEN, FRANK No 33549 Permit For ENCLOSE DECK •y a„ Single Family Dwelling Location 63 Oxford Drive Cotuit Owner Frank Stephen Type of Construction Frame ` b Plot Lot Permit Granted March 7, 19 90 R Date of Inspection 19 Date Completed 19 r vy y 1 9 E.'•�. f�.•J 1 rr ` 0, F..1 i .•'1T F: f ' E - , 5 1 ' a ' 1 r , pF THE>o TOWN OF BARNSTABLE 305 � Permit No. ........6....6 .... r BUILDING DEPARTMENT a.asn I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ........A... CERTIFICATE OF USE AND OCCUPANCY Issued to FRANK STEPHEN Address lot #70 63 Oxford Drive,. Cotuit USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SI4ALL NOT BE OCCUPIED UNTIL SIGNED-BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June 21 $$ Building Inspector a'����•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 rseaI t TOWN OFFICE BUILDING rut 'g�01uY►�� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: a 1r MF An Occupancy Permit has been issued for the building authorized by Building Permit $k...... (O. »...... ....... _ ... issuedto .5 ................................................ ............................................_...................... ___.. » _. Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A I m / L DATA TOWN OF BARNSTABLE, MASSACHUSETTS DUILIJINU 1' LKMI 1 A16-21-049 DATE X'= ^-!- s 19 t3 j PERMIT N'4. 5 APPLICANT (lua i1;iti.!c:_'cl bulldb-' s ADDRESS iT t''d`�'s')- �i•t C r)(i�1i'� 1 C;S•'_ i��:'� ��Cl2? 2 (NOJ (STREET) (VCONTR'S LICE.NSEI OF PERMIT TO tea-)-ll 1147`'lilll`a (_i ) STORY__- �I',1-`= 1.•••:i'1.i I %• 11,,o J..y1i•i/�yUjEBERNG UNITS- " (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) -1'7 63 ZONING AT (LOCATION) ' -'t ror !l) ll%t.A._iJ:'..: is ',�ii(:i_l1.'lL DISTRICT - (NO.) (STREET) BETWEEN AND (CROSS STREET)' '-"•�, (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR 139� � . ')ll MI VOLUME ) ESTIMATED COST $ it PERMIT FEE (CUBIC/SQUARE FEET) OWNER F l%:l i:. >.i:- !.i;1 L: •>- q ADDRESS BBUILDING DEPT.( 1 j THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED 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 THREE CALL APPROVED PLANS MUST 8 INSPECTIONS REQUIRED FOR E RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE I CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: PERMITS ARE REQUIRED FORELECTR4,C;AL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN IRE INSPECTION TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 I y J 2 (4 y u� .t/2' 2 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT -- BO D 0 EALTH t� - i WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'N!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK 15 NOT STARTED WITHIN SI,' MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOD' 11 PERMIT 15 ISSUED AS NOTED ABOVE. NOTIFICATION. �'� C� gozd Ha i ve 40 wide typ.oi - i Wen, 4 .G7 } . 4 3ti i rh Q N N s'8 2 51 2 i ra r 7 49.9 m y r 1500 �s'1-6 'x 6 �p it I \ rrJ/2 tone b � 267 -Pot 70 gpd 2 3,2 S �� ' '' ` /!U Cape � q 9 Ra tboit I`�oaiZ i /Jyc ivu�, "(blc• 02601 48,/' ,70 �o S kale l . . 40.1 r 2 rr bcfiz 8-21-186 }_ i is , i , ;fir r - i jitp- No ipto /500 ! I b -6 <� '6 ip,it r, ¢O.O i cc' i Sketch Nano f —Pared 2n Cotu t t, MCZ; i V �St1Then tot, 70 ,cam. wn on a� 444 o ' I tvzd �cecoaded :in pten bF• 271 pg. S6: j" j £tetra t i o". shown cute on an ad4a reed datum. j ! r e• A-en a2rr�.tc� e f oaf o T l I. ge ` Arade 7-29-86 ! ' Wit. 9. it dCean The o n ahown on .thrice. ptan ii -located on No wa-teit encountered. the c�wwld ai �zown hereon, and wx,&i the.aet- { pert. 2 nun per 1 b oFe';down,o�. 13a .tab Ce. 9p l � p2: . i L ' 4'�.9 .. 4k._ ,date-4 /0- _ Iitec�t tUK R2e�UJ. tm i ! i dared i 4 N Of 4tgs _ - ! o`' JOHN` �` `►�` �ZH OF NlgJ,I,��i , o of p ! ss ClSTEP�' ! Assessors offioe fist floor): , t f T X° a E t Assessor's map, -and lot number s-�� "..........�.... s; ' • GEPTIC.SYSTEM MU " Board of Health "(3rd floor): �-- a .� ;• � s � A LE � " • � GT Q. D I� C01�I� . Sewage Permit- number. WITH TITLE ......lz..�... , ' Z BAHd9T11DLL, i Engineering Department (3rd floor): (l / N } `N ONME L CO �:3......... (� . $Ian NT14 • House -number ................ .............:.: .. ' o yaY d� --" r TOWN REGULATi®I APPLICATIONS PROCESSED .8:30-9:30 A.M. and. 1:00 2:00 P.M. only TOWN OF 'BAMNSTABLE - BUILDING '.'INSOECTOR - Y APPLICATION FOR PERMIT TO-.( LX T..... L ,ffLl�i.... +. i;�.�Y....��(!✓ �{i,? .. TYPE OF..'CONSTRUCTION �� �� cr�?u L�yr �?.... ........... . .. ............ .. .............. .............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby a7pplies for a permit according to the following information: Location ........f-U .......!�� • . .. ..��.X_ P. ' ......�r',..t:V.. ... . ... V.1.. i..m.Co ...................... Proposed Use ... .� . �.c...... �.0 1` Y... ...ay.: . .��..... _ ..:............................ 4 Zoning District' ......` ....Fire District'.......:.f�..� T� r Name of Owner G� .: 5.. .,pG�./l-z./'�..............Address / Name of.Builder V. /. .f, ....Pi�i. / 5.-/'��Address �. ..1!!! !?�..7 ... .�-...G.r.. 4..U��L 7.74. • Name of Architect V '1.s (ll.l.......... CiT-PS.. .� �V�.Addressrii�.. k���. ...f7`. . ��j/.S„�'., !•i1.?.:., _ ,. ���--//.- Foundation ..� 5 ........ Number of Rooms, ..........Q...........................�....................... . .......�.... �... .4:If'`�.:...�'..,............ ° ... I Exlerior ....YJ..�.!�.. ..... ./+ f n..f.........................::.........Roofing ...... /� ... ..... . . . .......................•... Floors ..., .. .C..�................................................... ...Interior C �? �v Ci9' .. ......... .. .......fin Heating .....�� .�. !.G.......t! , .................... .Plumbing ...... 1 .................. L... Fireplace .......:........Approximate Cost ...0...� � ..4...,,.,,•..••„• . ................ ................................................. ,:..... Definitive Plan Approved ,by Planning Board �� —l"7 )9- --- -- Area ,... J Diagram of Lot and Building with Dimensions ' Fee !....1�z........... SUBJECT TO APPROVAL OF BOARD OF HEALTH /6 0 r /s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............... .......... �l/�1'`� ........ ....... Construction Superv,isor's License . .... .... STEPHEN, FRANK - No 3065`�i.. Permit for ...One...Stor7......... ktj .yin le Family) • ' location : Lot #F70 , 63 Oxford' Drive' r w Cotuit ........................................ ....................... ......... Owner Franke Stephen Type of Constf'uction ..:.Frame....`.................... �. t. .• ' i` l ... ..f� ................................-......... .... - ..... Plot ....t........:.............. Lot .... r.' . .: x•: ,: Permit Granted ......Ap.ri.1...2,3.,.- ? 19 87 Date ofllnspection ..........................(..}.... 19 Date Co lete . . � ..�: r19 ( �� .. 11 -+ ,/per � • `�,. ff- . � ` � �- - � �w r 41 �"! i ��"' ��,1►F ,✓• .. .� � � _ �-. _; .. f ��r• Ivy r.r, t ' _ • T` •' �4 s ij� • � n �, ,I I � � ` r { Assessor's o'rfioe (1st floor): _ // / TMETO Assessor's map and lot number �C.... ... � 7.............................Board of Health (3rd floor): Sewage Permit number `�`.. � Z BARNSTABLE, i Engineering Department (3rd floor): / ,C� / 'oo rb39- \0� House number .............................................(n..a�............ov..(. i°7� a• 0 ypY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .......W va. .....> �?. .......... ....1/..i�� . zl! ....................................... ..................19-- G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: I Location '7 Proposed Use ...S I..✓/...�/ .....:! �. �.0 y......... /. f,��/.�� .............................................................. r T o � I. ZoningDistrict � ..................................;:..........Fire District ......... ...............:................................................. Name of Owner � / / ����l�!'P/�rl �� �l/CiG �„��,frl,,,lY! , ........................... .......-!_.. ...�........................Address .................. ..................................e............... Name of BuilderCV./ fi!7.T-f. .. ....A��.(!t.�. /IS. l?LAcldress �. ...1.!!!c P.•1.T..:S.T... :.�/rl!/�iCI�,S,. ?G. b/51 Name of Architect w..<..STo./L�." J�„9... ?.Address d�G?.1.�.! ��?.G�,... GU2� �Q�G�i;ST,L✓r IyT� . Number of Rooms ..........7.................................................Foundation CJC� .../ SJ........ f�:.............. Exterior .........Jn. :L.:....51 .l Roofing J Floors ... ...k.{.7..................................................................Interior Cat FQ ..... .................. ................................................ Heating ..C........,�?GI..... ..................Plumbing .................................................................................. Fireplace ................ao.......................................................:..Approximate Cost .. .l�:.(JD z1 47. - Definitive Plan Approved by Planning Board ll �rT� 1_----------19; Area . .............................. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH J ys OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - J - j Name .A-,�-4j .............I................. ! 'z>........................... Construction Supervisor's License �1 v STEPHEN, FRANK / A=21-049 J No i 06-56f.. Permit for ...One Stork........_ t Single :Fami1X Dwelling Location ..Lot.. #70, 63 Oxford Drive. Cotuit ............................................................................... Owner Frank Stephen Type of Construction .......Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ...April 23 , .19 87 Date of Inspection ....................................19 Date Completed ......................................19 .t... Ox�o�td �4.we D wide 4.9 q , ;o.-1. 4,577.frs ¢q.o 94.47 49.E w ;. 4 w .Cat 7! 24 PROOosBD A rP lo' 9 0/2 i done 1 -26 7 -Pot 70 l00:>> tqu Cape F 49 I-laitbot 1?0a byaamlos., Me:. 02601 49./ i7o.c�o '' a cScaje l u 140.1 .tot 60 �,o S9 i �AtogiCe No ' 5caLe � • .41 w " I1 i wp eke rh tan o andin 90-t 9k S hen , ei !o•t..7.0 ..cam. 4hownon a and teco4dcd' ' ptar; Gk, �7l P�• 56r. i Neva .so►za. ahown atie on.an ad4amed dcttunn.- --••"•'e. r7 �J�fie I,SOa/�i�()��IV�iLIL-an. 'w 1 Made ' 7.-29-86 Pete. 2 Min eA J ET I 4f9 9 P 2 g _ 1 n � 4 �. .�•. •tO `}7.4 t0 4 7.F-•- . h[P.CLLcI/11 I![eLGC.1.UK i I 1 "Old dand , Y • � '(�Esl ,,� w 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � L Parcel 0 �1 Application #aLQ 0 �. Health Division Date Issued a 'L It'Z Conservation Division .., Application Fee d Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �U(/ Historic - OKH _ Preservation / Hyannis Project Street Address L 3 0 Village v °� Owner N A � \�k Ce 4 iR� Add ss d(� !� �'v-r? Telephone q q� b o L to Permit Request L1lb l"' C ��"l rpow1 <- eo Square feet: 1 st floor: existing f1I proposed 1 Z® 2nd floor: existing proposed Total new f L0 Zoning District Flood Plain 410 Groundwater Overlay Project Valuation � 00b Construction Type Lot Size ° 5 I p gtms Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure �" 5 Historic House: ❑Yes 16 No On Old King's Highway: ❑Yes No Basement Type: �N Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) O Basement Unfinished Area (sq.ft) f�OQ Number of Baths: Full: existing new O Half: existing 0 new Number of Bedrooms: 3 existing SC new Total Room Count (not including baths): existing Ifl new,First Floor Room Count Heat Type and Fuel: W Gas ❑ Oil ❑ Electric ❑ Other central Air: 9 Yes ❑ No Fireplaces: Existing New Existing wood%coal stove ❑Y s No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑'new size_ ss3 Attached garage: ® existing ❑ new size'_Shed: ❑ existing ❑ new size _ Other: j y -- i� -� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 5 No If yes, site plan review # Current Use l e s o vjj lgcl - =-v Proposed Use APPLICANT INFORMATION t'i++` ''� (BUILDER OR HOMEOWNER) Name Q 0 ' �� �"� �r® �_� Telephone Number Address Q)< r �1 U� License # S � 1 0 �O 6 / 2- T),,i���5 � o Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��r.•- � a d'. F. %P FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. a ADDRESS VILLAGE OWNER ' s DATE OF INSPECTION: I` FOUNDATION iN Sa oa FRAME lI L-t� INSULATION FIREPLACE ' t ELECTRICAL: ROUGH FINAL r- } PLUMBING: ROUGH FINAL #: GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` . � . �WC Guide kn Wood Construction.in High WindAreas: 110 nimh Wind Zone Massachusetts Checklist for Compliance (780CMR 5301..2.].1)/ Chuck � � Compliance 1.1 SCOPE Wind Speed (3*au gust).................................................................. ----------------110 mph Wind ExposuneCutegory---------------------- --------------------.B 1.3 APPLICABILITY NumberofStories ..............................................................(Fig 2)............................ Z- utohoo 52stories Roof Pitch ------------------------'(Fig2) ----------- MeanRoof Height ..............................................................(Fig 2).................................................14 ft :5 33' / Building Width,VV . (Fig ----� �� .^�* ft �0I . ----------------- ---' --------� j�� - 8uUd�gLong�. L --------------------'(F� 3)------------. ft sNI _&�~ Building Aspect Ratio 0-880 ---'------------(�g4)-----------.���4-.�. y2:1 Nominal Height of Tallest O"""�"2 (Fig 4)................................................_j%7_:508^ �~~- 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 21 FOUNDATION Foundation Walls meeting requirements nf78OCK8R54U4.1 ' Conorote--------.'-------------'.--------'.---------... ConcreteMasonry .................................................................... _____________________. 2.2 ANCHORAGE TOFOUNO/QlON`' 5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing ' ���e4) - m�-------------- ----------'-'��'-� BnhSpacing from ond��nkofp�� ---------.(�g5)------------. e / h' 12" Bolt Embedment-concrete.........................................(Fig 5)................................................... Lin. 2!7^ A-- Bolt Embedment-masonry.........................................(Fig 5)........................................... i � 15^ PlateWasher...............................................................(Fig 5)...............................................�t3^x3^xW 31 FLOORS Floor framing member spans checked ...............................(per 78UCN1R Chapter 55)--mAwY�Wg4........ Maximum Floor Opening Dimension...................................(Fig 0)............................_0 #s12' orU2cxW/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)................A4, A................ w~- MaximumFlomJoistSetbacks Supporting Loadbouhng Walls nrShounwoU................(Fig 7)-----------..A..���� .......___ft ud *~^' Maximum Cantilevered Floor Joists Supporting Loadbeehng Walls orShoanwaU................(Fig 0.................................... ft :5d �^-~ Floor Bracing ukEndwaUu...................................................(Fig Q).........�m����������� �w���----- Floor Sheathing Type ........................................................(per 78UCMR Chapter 55)......A111~4.............................. Floor Sheathing Thickness .................................................(per 788CMR Chapter 55)'9*r?W��f7... 4_in. LIA F|oorShouthingFautening-----------.MIR.....(Table 2)'__d nails atjn edge/ infield _1eL_ 4.1 WALLS Wall Height Loudboahng walls........................................................(Fig 1O and Table 5)........................... 07 ft 510' _6�~ Nun'Loadboahng walls................................................(Fig 1O and Table 5>...........................X ft :s 20' Wall ----------------'�-'V�g1OandTab�5}-_----�a��_�� �24^o�� _ Wall Story Offsets ........................................................(Figs 7&8)............................................_&> ft :5d 4.2 E&TER1ORVVALLS` Wood Studs Loadboohng walls........................................................(Table 5).............................. ft in. Non-Loodbeohng walls----------------�ab�5)-------.--'2x_6_'_���_���. Geb� EndVVaUB�u�g ' � Full Height EndwaU Studs............................................(Fig 10.................................................................. VVSP Attic Floor Length................................................(Fig 11)................................... ft�0/3 Gypsum Ceiling Length (if VVSP not used)...................(Fig 11)...................................x?//�___h�O-QVV 2x4 Continuous Lateral Brace @O ft.o.u ' (Fig 11}.............................. .............................. Double Top Plate Splice Length ........................................... -- ...(Fig 13 and Table 8)................................ - Splice Connection (nn. of18d common nails)..............(Table 0)..........................................................��_ ` � | / A,WC Guide to Wood Construction in High Wind Areas: 110 rnph Wind Zone Massachusetts Checklist for Compliance (780 CIVYlt 5301.2.1.1)` Loadbearing Wall Connections �d,,.c,utr,[ Lateral (no. of endnailed 16d common nails)..............(Table 7)........................................................ Non-Loadbearing Wall Connections Lateral (no. of endnailed 16d common nails)...............(Table 8)............�©....'�RE.E........S.;NERS r/' Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)................................... D ft b in. <- 11' tom' Sill Plate Spans ........................................................(Table 9).................................. & ft_e5 in. <- 11' t� Full Height Studs (no. of studs)...................................(Table 9)...................................................... 4- - Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................. D nn, in. <- 12' Sill Plate Spans...........................................................(Table 9).................................. O ft_O7 in. <- 12" y- Full Height Studs (no. of studs)....................................(Table 9).......................................................� Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest O enin 2 Ivor..,* 0C4k"'!4.............9<-.6'8" �` 9 p g ..... ....................... Sheathing Type..............................................(note 4)....................P.c.Y.WO!............. Edge Nail Spacing Table 10 or note 4 if less ........................ Field Nail Spacing..........................................(Table 10).............................. .................. in. !� Shear Connection (no. of 16d common nails)(Table 10)......................N/ ......................JMWI Percent Full-Height Sheathing .... Table 10 ..................................................101!>% t� 5%Additional Sheathing for Wall with Opening>6'8" (Design Concepts)..................... Maximum Building Dimension, L Nominal Height of Tallest 0 enin z vN- < Sheathing Type..............................................(note 4)................AWY..W!R P................. ���.••Edge Nail Spacing Table 11 or note 4 if less ........................ in. !� Field Nail Spacing Table 11 ................................................. 1Z in. Shear Connection (no. of 16d common nails)(Table 11)........................................................_1�, Percent Full-Height Sheathing.......................(Table 11)................................................../.GO % ✓ 5%Additional Sheathing for Wall with Opening >6'8" (Design Concepts)..................... y' Wall Cladding Rated for Wind Speed?..................... Div i►rPgl 5.1 ROOFS I Roof framing member spans checked?.......................(For Rafters use AWC Span Tool, see BBRS Website) t/ Roof Overhang ................................................... (Figure 19).............. •75'ft<-smaller of 2'or L/3 �- Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift...................................:............(Table 12)............................................U= Z Of Lateral.............................................(Table 12).............................................L=9 plf Shear...............................................(Table 12)............................................S= 2 plf Ridge Strap Connections, if collar ties not used per page 21..... (Table 13)..............................T=-_plf v Gable Rake Outlooker......................................... (Figure 20)..............i ft<-smaller of 2' or L/2 c/ Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)...................... ..........U= lb. t/ Lateral (no. of 16d common nails)...(Table 14)....................Al .l$...........L= lb. y Roof Sheathing Type..........................................:........(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness............................................ ...............................................Y/Z in.>-7/16"WSP Roof Sheathing Fastening ...........................................(Table t).......................................................... �G9W r/ Notes: 1. This checklist must be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a O 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 3301.2.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double a top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment k .. WC Guide to Wood Construction in High Wind Areas: HO mph Wind Zone Massachusetts Checklist for Compliance (780 CNrR 5301.2.1.1)1 -MEN THIS EDGE RESTS ON FRAMING USE 8d NACS AT 6'os- fl 11 II 11 II 11 1 J I 11 11 1 - u 1-I J I 11 I I 1 11 11 11 1 11 I r II 11 11 1 11 11 11 1 H 1•I . JI it 11 � I • 71 II Il 1 IL `S 11 IF,r 1 O JY 1•F F' Ir Ji I IL � 1f I fir. 1 I r ILZ 1 7 L I 1 11 11 if � fl If 1 - i 1 � 1t � 11 Il 1 I I d is II -j JJ �r � 1 W 1 I I I I J I J II -0 I 1 11 1 t 1 � II rl 11 1 LI ll L MAR-SPACING PANEL • y. See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment 1 AWC Guide to Wood Construction in High Wind Areas: I10 mph fvind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)1 Uj a za I t` ' 1 spy I I 1 + i FFiAhAIF{G ME=MBEM i i EDGE1;rERMBXAM 1 I r F 1 1 ik +I 1 Z 1 I 1 1 1 I ` 3,MIN. j 1 T--77 1 1 r 1y 1 1 .F __ ------- ---__ 4-1 .i_ STAGGERED 3*Mltd XML PATTERN PANEL PA Ne EDGE V DOUBLE NAIL MGGE SPACING DETAL Detail Vertical and Horizontal Nailing for Panel Attachment vi. � .r ' `oz ofarzxstable . . � regulatory S6r�dces • � x _ c� Thomas F. Geiler,Director . LLZIdIIIg I I.510I1 D 'Thomas Perry, CB0,-Bugff g COrprui Toner 200 Mait St 6l-t Hyauais,MA 9260I p�•4q.Eo�r'n..barrLstablaata_vs � ' Officcc 508-862-¢D38 Fax: 508-790 7-3D' FLAN REMW Zo( / �zr CIA?, O Wnez- A&R of t9'N M&PIP.arcel Project Address (03, Dxforeb 60s. C'r Builder- r �� The f6gowing items werB noted.on reviewing: Co Ns n zrr--b ib w t nth e nD 6 E}nA� bE -K UAW J 20 all ZFtc -4e: souo-fuG" mkx t' o,c. MAX W14 of saefr T O IV T Lw-rl" Lp.)GClP ���P� �gl�rNt T &0 �cf� Reviewed b The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 y _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Napa (Business/Organization/Individual):. - n / ' t Address: >6� C /§tat Z p '�. c r-Phone —Y � /(o 60 ?�.G --- ..� 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 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-attar-hod sheet: 7. 0 Remodeling h t b-contracors have' ship and have no employees These su 8. 0 Demolition , working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' compsurance comp.insurance. t .in . T�q#ed.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions Cam/` officers have exercised their 11. Plumbing repairs or additions . 3. I am a homeowner doing all work ❑ g P ��m � ' right of exemption per MGL myself. [No workers comp. 12.0 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.shov&g their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 'I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: - Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and,a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t pains and penalties of perjury that the information provided above is true and correct Si a�trire: _ Date: 1 l • l Phon r 6 7 Ocial 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#: . EVE tj Town of Barnstable Regulatory Services BARNSTABLE, * Thomas F.Geiler,Director 9 MASS. Apr 1639. A.O� Building Division - EO MA't 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 i DATE:__ I �o AZ 7 1 7, o JOB LOCATION: Nhrl? number AA_�/ �� u r e u I village "HOMEOWNER"AA Kc r6 11 IV name home phone# work phone# CURRENT MAILING ADDRESS: 1✓ W I ®.I owD A city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellinj4s of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures,and requirements and that he/she will comply with said procedures and requi-e ents. _ Signs re 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 j several towns. You may care t amend and adopt such a fomi/certification for use in your community. Q:forms:homeexempt j �TMErti Town of Barnstable Regulatory Services • 3ARNSTABLE, 9 MASS., g Thomas F.Geiler,Director �A 039. �� rFo,r,N�6. Building Division Tom Perry,Building Commissioner 200 Main Street;.Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 I 38' _.._._......... Top of 2"x 8"joist decking— Step down to deck 6„ 2' 12' 12' 10, 2' Floor height __ _.___. __._..... _ at back door Simpson H2.5A 2, Metal Tie ., nME M ZME uA f Double 2"x 10" beam T ---Simpson EPB66 7' imbedded in concrete o secure beam to Column 4' its support column below grade 20' _ "-12'Sonotube Length to field g) dimension 2 59' 14' Existing house - 24' $ ;Q � Llvirrgra.rn Floor 1 � i t New Entrance 10 Foyer Heroian Entry-room & dec 63 Oxford Drive, Cotuit, MA 02, ........... --- — _ P By Dan Palanza, July 7th,2012 ^,� / danpalanza@gmaii.com 9 i i i I Existing house ,r MON i I ❑❑ :` -- Fo er Deck Fqi lnda pon i U. j 'Finor Livingroom i Floor 1u fib' I Foyer i Floor i • 10, Entrance i Foyer Heroian Entry-room & DE 63 Oxford Drive, Cotuit, MA 0: 12 By Dan Palanza,July 71h, 2012 danpalanza@gmaii.com F r j 2"x 10" rafters 16" O.C. Rafters fit to existing roof at assembiy.� 12" r,i/''yam 4"X 12" Beam over wall opening __.-2" x 6"Wall framing in new foyer area _ F 6, Sills bolted at 6 spacing Foyer Concrete Slab a - [L. 1 r I I I I I I [ w n in C" Concrete Footing --_ Heroian Entry=room & Deck 63 Oxford Drive, Cotuit, MA 02735 By Dan Palanza, July 7th,2012 danpalanza@gmaii.com Pg. 3 _................._._....__.._ ... .. .._._....._...._._. _.r — I .' C7cgNV 0zd 13 e 1 40 wide C13 o Un 09 G7 yF9 9 i so.4 4*57 SS q- .a _i _..6 9 _ + �u .C'o t I i .Cot ! .z $ n� a�.h v 1500 �s'I-6 �� b �pit .Co•t 70 IOOa .5�9 d 2 3,2 ,} ; S9 !qu Ccpe £'xc�.�ne�u n� 49 Ratbo t ;ad . Ry Ak. 026.01 Date 8-21 '86 i J'o t 6 0 .cot S 9 fI I_. :ul !pro?i e . No Scate / 500 -6 hG 6 Ip,it !.1+/2 t .tone i Sketch. P tan o? .Caul in Cotu i t, rSJhen 0 11 !I ,Cps. 70 pt44 tnd tecotded',bs ptan 6k i271 pg. S6• l C�evat i.oni. 4hown ate cd on an rmed da ,cm, -R ,evtt: l oaic .tc� e toc✓cd rec�,tFi I I qe,�t.Pit #p-5940.. _. lade 7-29-86 !. Wi t. �. t4 elCecwc )he.jounz6ti,on _ihown on.-th rill. ptan . i x cated on No wateh encoun teted the q wwl l a4• ahown he Leon, and meets• Vie s.e t- i peat. 2 nu n p Ph 1 " �aek tecywucpanevtt� o,� the :down.o� 13a2rr.�.tab Ce. SIP I �7 P2 i top47•4 to ' Kse.cLulm rnP.c�t,c.utt � nand ; land,�P` as a� set I � JOHN" „`i� ��' AL�11OF Al4x 4114 ell, s s \ N32490 "h n4 able �ermit01 Town of liar st > 6, pvmksuedate fi Regulatory SemeeS FeeY. . , saenvs�s. 1A"m Thomas F.Geiler,Director 63� s IAw Building Division. 9 =Tom Perry,CBO, lEilding Commissioner 200 Main Street;Hyannis,MA 02601 www:town.barnstable:ma.us Office; 508-862-4038 Fax:'S08-790-6230 EXPRESS.PERMIT.APPLICATION `- :RESIDENTIAL®NI;Y .'Not Valid vkkmt'Red X-Presslnrpzint Map/parcel Number `�1 Property Address Residerttial_. Value of Work j�� y y_U - NdiWimnm fee of"5 00 for work under$5000 00 Owner's Name&Address 70 trQ/�rV Contractor s Name jV Telephone Numlier x k Home Improvement Contractor License"#(if applicable) F' Construcdon.Supervisor's License#.(if applicable) ' �Workman's Compensation Insurance , Check one: I am a sole proprietor t f f I am the Homeowner ❑ I have Worker's Compensation Insuranceuw Insurance Company Name a . TA8L 4- Workman s Comp.Policy# Copy of Insurance Compliance Certdicate:must zccompaay eac6i.permit. Permit Request(check F z P `®°Ro-ioof(hurricane nailed)(stripping old shingles) All construction debris will be taken to t dtr [�Ra-roof(hurricane Waited)(not stnppurg Gong over existing layers of roof) �] Y . Re-side #of doors 0:Replacement Windows/doors/sliders:U-Value': (maxiinum.35):#of windows{ •Where te� Issuance of tWs t does mot t Hance with otlber town ent pemu exanp �mP dapertn► regulations,ie Iiistoiic,Conservation,etc. :, *x*Note -Property Owner must sign Property owner Letter of Permission A copy of the Howe..mprovement Contmctors-License&Construction Supervisors Lrcense.is Wed �.. SIGNATURE: C.\Usersklecolik\AppWta\Loca drosoftlWi lows\Temporary Internet Files\ContenkOuaook\DDV87AAZ\EXPRESS.d6c Revised'092110 r The Commonwealth of Massachusetts Department of Industrial Accidents ` y Office of Investigations 600 i Washington Street'. Boston, MA 02111 www.mass.gig v1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Re r10 I G nli Address: . •ll 3 . O N JO rq PY11'1 Q d City/State/Zip: 0 V i A Phone#: �`I ' �/ OZ Are you an employer?Check the appropriate box: Type of project(required)- 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New-construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- I isted on the'attached sheet. 1 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5.❑ .We are a corporation and its required.] officers have exercised their ]0.❑ Electrical repairs or additions 3.Lff I am a homeowner doing all Work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] l3.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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 pager(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 cert y der the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: 1 Z'01 Phone#: L11--y M W04 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 S. 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�Wee 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 bdildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have.been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit 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 write"all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file.for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: �`r y The Commonwealth of Massachusetts, +� �. ,A r 1 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia ` 0 ° o t ,off IB3aanIl�7n®� IIDfidn�n®Tm Tom Pen 7,llad®g C®tmiticmer 200 Main Street, Hyannis,MA 02601 c�.rtc�.�mms4alfLvle.�.aas Office: 508-862-4035 Fax: 508-790-6230 HO ,�0VRM 1LnCIMSly ZXzDWn01e �rint DATE: II,_ � JOB LOCATION: V� Oxdorl) b oyi/ t CD,0,1 number sheet Village "HOMEOWN�: �0,6, 11 efOtgr\) q 13,q q b /�Q-L b SQm name home phone# work phone# CURRENT MAILING ADDRESS: �7 A ©l�� 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,myAded that the owner acts as sum. pff9ff4'1<'GK 07 HGM0V/RI1g1.3 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 uncial on a form acceptable to the Building Official,that he/she shall be responsible for all such work pgdgrmed under the building,germit. (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 un gned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pr d Owaelits and that he/she will comply with said procedures and requirements. S' 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. HOMO 9i?IMIS FMRff Il'II0F1 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 hue to do such work,that such Homeowner shall act as supervysor" Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a su4xngsar(see Appendix Q,Ruler&Regulations for Licensing Construction Supervisors,Section 2.15)This lack of awareness often results m serious problems,putcarlarly wben 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. C:\UaeraWwoUik\AppDataU.ocaU&crosoft\Windows\Temporary Internet FikslContcetOuttook\DDV87AAZ\EXPRESS.doe Revised 072110 Town of Barnstable BARNSTABLE, Regulatory Services • - 9 MASS. .6,9. 16 Building Division pTFD MPy 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection i Location �� DX�$7c� �/ C.?' Permit Number 2® f 2 0 crr 7 c/ Owner C--kt Builder -,5,*7vc 42 One notice to remain on job site, one notice on file in Building Department. The following items need correcting: /nlldG1u /1� t( oN �e-e A..b (N 71- it cD , C� o - c (M r f`.f SU 4u SC- /1cS /yEC� G�/�6�E ji4-rG . 7'o A-&2-'E o C G� rR09W AV/C-6 X74- ®R 2, Kv- o s Please call: 508-8862--4038 for re-inspecti n. Inspected by Date •Engineerih.g Dept. (3rd floor) Map d Parcel Permit#" Ty 9 House# Date Issued g' ( 95 - B9ard of Health(3rd floor)(8:15 -9:30/1:00-•436) 3 ee N. PJ 0 conservation Office(4th floor)(00-9:30/1:00 2:00) +arn irrgDept.(1st floor/School Admin.Bldg.) r &EL e mi ive a ed by Planning Board 19S�P�1 ����� iN 'SALPLBANCETOWN OF BARNSTABLEE14VIRON ODE AND - Buildin Perini A TOW,OW,N REGULATIONS Project"Street Address Village'f Owner G 4 'f`. /9�6e_i 1� k ; k " Address Telephone �C q ko /Q /70 Permit Request 19G�C' First Floor t G square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 4, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ANo On Old King's Highway ❑YesAf No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) kwtsw epr`& • Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: J Gas ❑Oil ❑Electric ❑p Other Central Air ❑Yes ❑No Fireplaces: Existing ( New Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address License# _ u Home Improvement Contractor# 01 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING MI DENIED FOR THE FOLLOWING REASON(S) • FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. 14 ADDRESS VILLAGE r ;µ ,` s ► r,9 i i OWNER DATE OF INSPECTION: FOUNDATION FRAME a ! •. INSULATION —•� a ; FIREPLACE ELECTRICAL: f ROUGH - FINAL PLUMBING: ROUGH _ ' FINAL GAS:,,-, ROUGH x FINAL . FINAL BUILDING DATE CLOSED OUT o r ASSOCIATION PLAN-NO.r I • . The -Town of Barnstable . . _ . � �$ Department of Health Safety and Environmental Services Buil.ding Division 367 Main Street,Hyannis MA=601 = Office: mg-7904M �b ission- . Fax: ZS-790-Q30 BuiIdiag Cam For oMce sue only Permit no. Date AFFIDAVIT SOME IMPROVEMENT'CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION b1GL e: 147.A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-ezisting owner occupied building containing at least one but not more than ibur dwelling units or to structures which are adjacent to such residence or building be done by registered contractors. with certain czceptions,along with other rcquirements * 0 /7 Type of Work: •I�' � � E=t.C � G Address -� MOO � Owner's Nam G Date of Permit Application: r 6 I hereby certify that: Registration is not required for the following renson(s): ork ezciuded by taw Job under S1.00L _ uilding not am er occupied Owner pulUng own permit Notice OWNERS .PULLING THEIR is hereby PULLING that: OWN OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME WROVEMENT WORK DO NOT HAVE ACCESS rO T=ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGYID UNDER PENALTIES OF PERJURY i hereby appiy for a.permit as the agent of the owner. Date Contracto. Registration No. OR Dare Owners Name r _.;._ .._:....... . The Commonwealth of Massachusetts =j` z Department of Industrial Accidents ' 600 Washington Street r Boston,Mass. 02111 Workers' Compensation Insurance Affidavit �s rats F� �location: r, hone f I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one worldng in any capacity /%// ❑ I am an employer providing workers' compensation for my employees working on this job. cons any name: address: rip,. phone#: insurance co. piicy# ❑ I am a sole proprietor,general contractor, o homeowner circle one)and have hired the contractors listed below who have the following workers' compensation polices: - cons anv name• eddress- dty' Dhone#' . n w.. ;. :.a..:....: insurmtee eo. e cons anv name, address: dtv- phone#r :.... insurance co: Failure to seeute coverage as required under Section 2U of 1IGL 152 can Ind to the imposition of csfmnui pendtin of a flue rap to SI.50LOO and/or we yam,Imprisonment as wall as civil penalties in the form of a STOP♦VORK ORDER and a Me of 3100.00 a day sgainst me. I understand that a copy of this statement may be forwarded to the Ofte of Investigations of the DIA for coverage vesillcatiam !do hereby c the patter and penakier o t e information provided above is trap.and meet SignatureIZ7 - 1'riatname ( phone# ..... ....... ....... Cd e only do not write in this am to be compieted by city or town olIIdai wn: pence icense 0 ❑Building Department ❑Incensing Board fnce ff Immediate response is required ❑Halt a epn's umen(]Health Deparnnmt erson: phone#• ❑Other (MVNM 9/95 PJA1 L- Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovees to provide%vorkers' compensation for their quoted from the "Law",am employee is defined as every person in the service of another under any cc=-- ees. As qu , �P .lov of express or implied. oral or written. , hue, exp __ .. An employer is defined as an individual. partnership, association, corporation or other legal entity,'or any two or more of dic foregoing engaged in a Joint enterprise, and including the legal representatives of a deceased emplover,,or the receive: . trustee of as 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 to tin maintenance , construction or repair work on such dwelling house or on the grounds o: 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 renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to yoursrtuatiaa and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is '.being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pcm*/Iicense number which will be used as a reference number. The affidavits may be returned 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.io not hesitate to give us a call. The Departmeat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Invesduatfons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat 4069, 409 or 375 4 2 —F-- e i 4.5.3 46 g 5 2 50 � e 45.1 x� r,' �50.7 5 —=''4 7� 4 .5 48 4 4t j\4 ��53. 5740 3 .\ 20 I {' r ' 44 r --- 2 38 � is — __ _ TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please p int. DATE JOB TION LOCA` ,! ri ` �V 0 � l�l •- ... i � �� V Number Street address Section of town "HOMEOWNER" c ))j � � . Name Home phone Work phone PRESENT MAILING ADDRESS 3 o Y a CJte ro7 c) ri 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 in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be a one or two 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 Officia_ 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures d requirements and that he/she will comply it sai rocedures equirements. HOMEOWNER'S SIGNATURE r APPROVAL OF BUILDING OFFIC AL Note: Three, family dwellings 35, 000 cubic feet, or larger, will be reuired to Comply with State Building Code Section 127. 0, Construction Controlq HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ' provided that if Home Owner engages a person (s) for hire to do such work, that suclitome Owne shall act-as supervisor. " Many Home Owners who use this exemption are 'unaware)that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . -Th-is lack of awarene: often results in serious problems, particularly when the Hoe Owner hires m unlicensed persons. In this aase 'our Board cannot proceed" against the inlicensed person as it would with licensed Supervisor. The Home "Owner� acti: as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/ner responsibilities, mar 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. iL R OOFS OF T T D's ..'Nc. 19N� ESTIMATE SHEET CUSTOMER.................................................................................................................................................. CONTACT................................................................I .............................................................................................. ADDRESS............................................................................................................................................. 'CITY............................................................................................................ CODE.................................................... PHONE(HOME)..................................................................................................... .(WORK)................ .......................................................................................... DATE..................................................................................... PROJECT............................................................................................................................... .............................................................. ................................................................................................................................................. d v k- if ;2 1-K1- I F_ QUALITY ALWAYS .1-800-567-2726 .,................. --------- SUPER ECLIPSE: 35 YEARS-ECLIPSE: 30 YEARS-ROOFMASTER: 25 YEARS-ROOFMASTER CLASSIC: 25 YEARS-TRADITION: 30 YEARS RAMPART: 25 YEARS-CITADEL: 20 YEARS-PRO-STANDARD:25 YEARS-TITE LOK: 25 YEARS-TITE ON: 20 YEARS S coo )sT t�4(2) RS i7 _ 5), ©© R d ► s`F F(2)Ds ���1�1.J1��F �&D /vq 1.4 S �o � � �- U,4 N 1,7,EZ r _P©s i S ('1-k 7 / ©,C, 1000 I)s i L = 1.,300,000 psi values I01' SOutllcri1-YcIIUW Pine #2 (Pressure 'a'rcate(I) Exterior use (e.g. (lec:l(s) oist Size J o is l rr___ Spac;inty i 2x6 W 2x1O 2x.1.2 12" S-6 I I -;' :14-3 17-4 16" 4 7i 1 U-U • .12-4 �15-0 20 6-7 8-1 I 11-0 13-5 24" G-U 8-2 :lU-l. 12-3 3G �ST lvGE'�s N MA A ,. ..-af.. ., wr't-r!r""';f'":• `v' w4far '�++. .,,,,,,,,Fa.. � Tnw:eRr' t'?'�Aar+s..,c.�"'�'u "'.-3 'fi�.''?r.e`rr... . x..i a.. . Assessor's office(1st Floor): �7 Assessor's map and lot number t/ - 0 4/9 �Qyof THE Board of Health(3rd floor): Sewage Permit number n Engineering Department 3rd floor): / .,"� // a"& House number p ( ) to 3 {Y! �4 � °° i639 Definitive Plan Approved by Planning Board 19 E APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only e i TOWN OF BARNSTABLE .r. BUILDING , INSPECTOR APPLICATION FOR PERMIT TO Al r 1_.t-, a e-- c� e-c- �- f TYPE OF CONSTRUCTION A, y'_ 41 14 f C f r -7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationst� Y i�1 ( �� +C E'Zt ', Proposed Use 's E 1 t Zoning District - Fire District T, a r Name of Owner r! f;;1F( f 140 J U Address �� OX F 4Irk t�s,P t rlK It Name of Builder a) ,ft t 53� .rt'�.-i? Address L e'jn t.'ca,/�r�s ?:" r, s >; ;^t `. a Name of Architect Address Number of Rooms Ei Foundation jyl i` Exterior I'.t11.' .r sr<_ r x 4" r K O Roofing r V Floors P-t r<- 3N—o ki j C-a Interior ¢' ✓ f` ''�'s �' f�' � / Heating N/Ao� Plumbing r � Fireplace )6"A, Approximate Cost / Area �'/� (" Diagram of Lot and Building with Dimensions Feeyr OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License!: STEPI.EN, FRANK As 021--049 - No 33549 Permit For Enclose Deck Single Family Dwelling Location 63 Oxford Drive cotu.it Owner Frank Stephen Type of Construction Frame Plot Lot Permit Granted March 7 ,- 19 40 Date of Inspection 19 p i Date Completed 19 I PERMIT COMPLETED 1/1/1 ice% ��9� n ._�-•„+r<,-. : ..�..�.,,�-,. ,'.! r,,,,,,,.., .,..,Y,,,,.,,,,r----.,-..,-.r-'•s,,,�,.y-.. .w,,a+- _._�:.w....l....i..4.- r .f._- l..r.w...._.s,-.-a�K� .y�... OF HE rp� . The Town of Barnstable BARE. Department of Health Safety and Environmental Services MASS. 039• '�ED,r1a+a Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection e-C,, P � Location 6:- '� Wtyk Permit Number Owner 6c"'V Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: P6 S \ r - f (,b CA.a ` r fit ✓Le,.r Y4i L �� � �� 1�ra�N� �X�,►a-w�,c�-�' -tom � �" 't� I?t, �-�c �5 �'c�tiT�l� W � . Please call: 508-790-6227 for re-inspection: Inspected by 12 4- SAtt-.a .'.,-. -j Date - 2., ' Av awy ��, o• a� 2� a x8 NPAoee — �A)Cf— N Kc(P°Seri Ft l l � 3 0 it f y f qD-+ 5 ��