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0444 POPONESSETT ROAD
r _ r., M All, Town of BarnstableIRE �� .. s.: " 200 Main Street, Hyannis MA 02601, -508-862-4038 Application for Building Permit Application No: TB-16-3308 Date Recieved: 11/9/2016 ; Job Location: 444 POPONESSETT ROAD,COTUIT" f Permit For: Building-Solar Panel-Residential b , Contractor's Name: CHRISTOPHER J MURPHY State Lic. No: CSFA-083813 .- Address: NORTON, MA 02766 Applicant Phone: (508)-683-9919 (Home)Owner's Name: GROVER,CAREY C&SUZANNE S Phone: "(508)364-5651 . (Home)Owner's Address: PO BOX 1080, COTUIT,MA 02635¢ '° Work Description: Installation of a roof mounted PV solar system consisting of 28 panels. Roof 1-2 requires structural T remediation(addition of rafter ties). Total Value Of Work To Be Performed: $38,451.00 a Structure Size: -0.00 0.00 0.00 Width Depth Total Area` tom. I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the.Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from c6verage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. - I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have." been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted-plans and s specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: CHRISTOPHER MURPHY 11/9/2016 a (508)683-9919 Applicant Date 4 Telephone No. Estimated Construction Costs/Permit Fees+ j Total Project Cost : $38,451.00 Date Paid Amount Paid '"Check#or CC# Pay Type Total Permit Fee: $Z46.10 11/9/2016 $246.10 XXXX-X}X{-)CM Credit Card ., - a - F w ..:... ...c..:..: ..>. .....: .... .. 1327 Total Permit Fee Paid: ; $246.10 a � c "Nk''77, AOstructures Inc. PO Box 413 Carnelian Bay,CA 96140 ' 916.541.8586 www.AOstructures.com'_ structures Design Criteria: • Applicable Codes=Massachusetts Residential Code,Sth Edition,ASCE 7-05,and NDS-12' • Roof Dead Load=13 psf(Roof's 1&2) - 14 psf(Roof 3) • Roof Live Load=20 psf • Wind Speed=110 mph, Exposure C • Ground Snow Load=30 psf - Roof Snow Load=21 psf Please contact me with any further questions or concerns regarding this project. Sincerely, 4�(11 OF Sw. ST.ERRI10j : Andrew Oesterreicher, P.E. No,52117 Project Engineer Digitally signed by Andrew Oesterreicher Date:2016.11.07 09:52:05-08'00' � _ I t , 4 ' i t Grover Residence, Cotuit, MA 2 AOstructures Inc. 790 Carnelian Circle Carnelian Bay,CA 96140 916.541.8586 �— www.AOstructures.com strUCtUt'2S Gravity Loading pg=Ground Snow Load= 30 psf Pr=0.7 C8 Ct I p9 (ASCE7-Eq 7-1) C8=Exposure Factor= 1 (ASCE7-Table 7-2) Ct=Thermal Factor= 1 (ASCE7 Table 7-3) =Importance Factor= 1 pf=Flat Roof Snow Load= 21.0 psf m .. P5=CA _ (ASCE7-Eq.7-2) Cs='Slope�Factor= ps Sloped Roof Snow LoaOt 210.psf. PV eD (Pip�rc>�1=neryMkj , ..., ... Composition Shingle 4.00 Roof Plywood 2.00 F 2x8Rafte Rafters @ 24"o.c. 1.52 Vaulted Ceiling A 4.00 Miscellaneous 1.48 'Total Roof DL(Roofs 1 13.0-psf DL Adjusted to 33 Degree Slope 15.5 psf ATRIA' W Composition Shingle 4.00 Roof Plywood 200 2x8 Rafters @ 16"o.c. 2.27 Vaulted Ceiling 400 Miscellaneous 1.73 Total Roof DL(Roof 3)` ^: 14.0 psf " DL Adjusted to 3 Degree Slope . 14.0 psf 1 Grover Residence, Cotuit, MA 3 ♦ AOstructures Inca 790 Carnelian Circle Carnelian Bay,CA 96140 916.541.8586 - www.AOstructures.com .structures Wind Calculations Per ASCE 7-05 Components and Cladding { OFFROMM Variables Wind Speed 110 mph Exposure Category C. Roof Shape Gable/Hip Roof Slope �,. 3 degrees I !r - Mean Roof Height 20 ft Effective Wind Arev. 19.3 ft ,3 _ DesigitWfr}dPre s"ualcufations� �� Wind Pressure P=qh*G*Cn qh 0.00256*Kz*.Kzt*.Kd*VA2*I > . (Eq_6-15).. Kz(Exposure Coefficient)= 0.9 (Table 6-3) Kzt(topographic factor) 1 (Fig.64), Kd(Wind Directionality Factor)= 0.85 (Table 6-4) V(Design Wind Speed)- 110 mph Importance Factor= 1 (Table 6-1) il qh= 23:70 ` Zone 1 Zone 2 Zone 3 Positive -0.98 .;. . 1.67 -2.48 CIA Uplift ' Uplift Pressure= -23.25 psf -39.50 psf -58.70 psf 10.0 psf (Minimum) X Standoff Spacing= 4.00 4.00 2.67 . Y Standoff Spacing= 2.67. 2.67 2.67 Tributary Area- .10.68, 10.68 _ 7.12 : .. Footing Uplift= .248 lb -422 Ib -418 lb andoff #pltftdCheCl( Maximum Design Uplift= -422 lb . Standoff Uplift Capacity = 425 lb 425 lb capacity>422 lb demand Therefore,OK Eas#eriei Ca ac j,�3.3Gheok 1 y Fastener= 1 -5116"dia Lag Number of'Fastenie 1 Embedment Depth= 2.5 I.Pullout Capacity Per Inch- 250-lb - Fastener Capacity= 625 lb 0 Cd=1,6=.1000 lb 1000 Ib capacity>422 lb demand Therefore,OK I Grover Residence, Cotuit, MA 4 AOstructures Inc. 790 Carnelian Circle Carnelian Bay,CA 96140 916.541.8586 structures www.AOstructures.com Framing Check (Roofs 1 &2) PASS I w=81 plf Dead Load 15.5 psf PV Load 3.8 psf Snow Load 21.0 psf2x8 aff ra 24 aC Governing Load Combo=DL+SL Member Span=6'-0" Total Load 40.3 psf Member Size S(in A3) 1(in A4) Lumber Sp/Gr Member Spacing 2x8 13.14 47.63 SPF#2 @ 24"o.c. PEN.",a 1W-kB- .Gx Checdin Stress3r33y .,. ' Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.2 x 1.15 . Allowed Bending Stress= 1388.6 psi Maximum Moment = (wLA2)/8 = 362.707 ft# r = 4352.48 in# Actual Bending Stress=(Maximum Moment)/S =331.3 psi Allowed>Actual-•23.9%Stressed - Therefore,OK Allowed Deflection(Total Load) = U180 (E=1400000 psi Per NDS) = 0,4 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*LA4)/(384*E*I) = 0.036 in = U2000 > U180 Therefore OK Allowed Deflection(Live Load) = L/240 0.3 in Actual Deflection(Live Load) _ (5*w*LA4)1(384*E*I) 0.019 in s . U3790 > U240 Therefore OK Member Area= 10,9 in,^2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1468 lb , Max Shear(V)=w*L/2 = 242 Ib Allowed>Actual-•16.5%Stressed -- Therefore,OK Grover Residence, Cotuit, MA 5 AOstructures Inc. 790 Carnelian Circle Carnelian Bay,CA 96140 structures 916.541.8586 www.AOstructures.com Framing Check (Roof 3) PASS w=52 plf Dead Load 14.0 psf PV Load 3.8 psf Snow Load 21.0 psf Governing Load Combo=DL+SL Member Span=12'-0" Total Load 38.8 psf y Member Size S(in A3) 1(in A4) Lumber Sp/Gr Member Spacing 2x8 13.14 47.63 SPF#2 @ 16"o.c. dll� tre$$ MTy Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.2 x 1.15 Allowed Bending Stress= 1388.6 psi Maximum Moment = (wLA2)/8 = 931,661 ft# = 11179.9 in# Actual Bending Stress=(Maximum Moment)/S =850.8 psi Allowed>Actual-61.3%Stressed •• Therefore,OK .,,. . , 3 33; Allowed Deflection(Total Load) = U180 (E=1400000 psi Per NDS) = 0.8 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L"4)/(384*E"1) = 0.363 in U397 . > U180 Therefore OK Allowed Deflection(Live Load) = U240 0.6 in Actual Deflection(Live Load) _ (5*w*L^4)I(384*E*1) 0.196 in U735 > U240 Therefore OK Member Area= 10.9 inA2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear.= Fv*A = 1468 lb Max Shear(V)=w*L/2 ` 311 lb Allowed>Actual••21.2%Stressed •• Therefore,OK • Grover Residence, Cotuit, MA 6 , RIDGE BOARD 2x6 COLLAR TIES @ 48"O.C.MAX (USE 2x8 -COLLAR TIES WHERE MORE THAN 7 NAILS. _ 12 ARE REQUIRED). SEE TABLE FOR NAILING SLOPE REQUIREMENTS: RAFTER RAFTER TIE ` CONNECTION TABLE TIE NO.16d SLOPE SPACING SINKERS Z 4:12 24" 6 CEILING JOISTS 48" 11 PERPENDICULAR TO RAFTERS STUDWALL 24" 5 WHERE EXISTS Z 5:12 48" 9 A COLLAR TIES AT RAFTERS 24" 4 Z 7:12 48" 7 Z 9:12 24" 3 48" 5 BEAM WHERE 24" 3 2x COLLAR TIES OCCURS(SEE PLAN) Z 12:12 @ 48"O.C.MAX 48 4 LU526 HANGER,U.O.N. CEILING NOTE: JOISTS 1.LOCATE TIES AS NEAR AS PRACTICAL TO THE TOP OF CEILING JOISTS. 2.COLLAR TIE AND RAFTER TIE CEILING JOI5T g COLLAR TIE AT BEAM ARE INTERCHANGABLE TERMS. 3.RAFTER TIE CONNECTION MAY BE(3)16d WHERE RIDGE 537 COLLAR TIE DETAIL IS SUPPORTED BY BEARING TO SCALE WALL OR RIDGE BEAM. OT 537 AOstructures Inca PO Box 413 Carnelian Bay,CA 96140 1 916.541.8586 structures www.AOstructures.com November 7, 2016 To: Direct Energy-MA 15 Avenue E Hopkinton, MA.01748 Subject: Certification Letter Grover Residence 444 Poponessett Road Cotuit,MA.02635 To Whom It May Concern, A jobsite observation of the condition of the existing framing system was performed by an audit team.of Direct Energy-MA at the request of AOstructures, Inc..All attached structural calculations are based on these observations and the design criteria listed below and only deemed valid if provided information is true and accurate. On the above referenced project,the roof structural framing has been reviewed for additional loading due to the installation of the solar PV addition to the roof.The structural review,including the plans and calculations only apply to the section of the roof that is directly supporting the solar PV system and its supporting elements.The observed roof framing is described below. If field conditions differ,contractor to notify engineer prior to starting construction. The roof structure of(Roof's 1&2)consists of composition shingle on roof plywood that is supported by 2x8 rafters @ 24"o.c.. The rafters support a vaulted ceiling and have a max projected horizontal span of 6-0",with a slope of 33 degrees.The rafters are supported at the ridge by a ridge board and at the eave by a load bearing wall. The roof structure of(Roof 3)consists of composition shingle on roof plywood that is supported by nominal 2x8 rafters @ 16"o.c..The rafters support a vaulted ceiling and have a max projected horizontal span of 12'-0",with a slope of 3 degrees.The rafters are supported at the ridge by a ridge beam and at the eave by a load bearing wall. The existing roof framing system of(Roof's 1&2)are judged to be inadequate to withstand the loading imposed by the installation of the solar panels.Structural reinforcement is necessary.Add new rafter ties @ 48"o.c. minimum per the specifications of the attached detail The existing roof framing system of(Roof 3)is judged to be adequate to withstand the loading imposed by the installation of the solar panels.No reinforcement is necessary. The spacing of the solar standoffs should be kept at 48"o.c.with a staggered pattern to ensure proper distribution of loads. Grover Residence, Cotuit, MA 1 Vc 1 1 r ,c.oOp i EAJ*� - TU .t s CONSTAbbtlON CO_ LLc 54 6A Higgins CrowNl Rd,WEST YARMOUTH,MA 02673 ' PHONE: 508-778-011 i FAX: 508-778-5010 WVVW.TUPPERCO COM Date. `- Town of Barnstable _ Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 508 -6230 fax . . . 7 90 Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for per application issued on ( �a-Q�r has been ins ected b p y a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Permit =-r r Address: �i� . Richard Tupper � � l o ` ` License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 0j5*1,qAO Health Division Date Issued P 2-o q Ve Conservation Division Application Fee U Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address SS Village l Owner Address "�qq D S Telephone 66 4— 6b 6 Permit Request �� �"'J�5 Q�fj' l en-1 000A I'C e5mi-ft aidlcbrralass ,.,Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a b 0 '00 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 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other p Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) D 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: )l Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ] No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: L !' sting O.new ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: s 3" C3 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ' Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use rn APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I -"Telephone Number _17 lot It 1 Address License# Kn' 'MA Home Improvement Contractor# l �J Email Worker's Compensation #U)( Z°6®0 155q Wt,,�t) � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 5 A '° , SIGNATURE DATE 14 FOR OFFICIAL USE ONLY 'APPLICATION# -DAT9 ISSUED MAP/PARCELNO. ADDRESS VILLAGE 'E OWNER d DATE OF INSPECTION: E FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING T D CLOSED OUT r - AS:S'f3GkATION PLAN NO. The Commonwealth of Massachusetts Department of Industridl Accidents Office of Investigations 600 Washington Street Boston,MA 02111. www.massgov/dia Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L,ey:ably Name(Business/Organization/Indiyidual); Tupper Construe.tlon:` Co.. LLC Address: 546A Higgins Crowell Rd City/State/Zip: West Yarmouth, MA 02:673 Phone# 5 681. 77a ol11 Are you an employer?Check the appropriate box: Type of project(required): l..El 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-contradtors 2.0 I am a sole proprietor or partner hsted.on the.,attached:she �t`a 1. ❑Remodeling ship and have.no employees These sub-contractors halve: 8. ❑Dernolition working for me in any capacity. workers' comp.Ansuranc1 .e 9 ❑Building addition [No workers' comp.:insurance. 5. ❑ We are a corporation and ts;: _. required,] off cers have;exercised their: 10:❑Electrical repairs:or additions 3.❑ I am a homeowner doing all:work rightof exemption per M 'J. 11;❑.Plumbing repairs or additions myself. [No workers'comp:: c. 15, §1(. ) and we hav no 12.❑Roofrepairs insurance required.]t employees. [No workers'.: 1.3.*EA Other Weathecizatian comp.,insurance required] . 11 *Any applicant that.checks box 41 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 66htractois must subirirt a newraffidavit Indicating such: !Contractors that check this box must attached'an additional sheet showing the name of the su -contractors and their workers'comp.policy information: I am an employer thatis providing workers'compensation insurance for my employee, Below is the policy and job-site information. Insurance Company Name: AE I'C' Policy#or Self-ins. Lic.M. WCC. 5 0 0.5 5 5�3 Q 12 0.1,4A, Expiration Date 1.0/3/15 Job Site.Address:qqqP 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. t52 can lead to the imposition of criminal.penalties:of a. fine up to$1,500.00 and/or one-year imprsonment,.as weh.as cixil:penalties in;the form of a STOP WORK ORDtR and a`fine of up to$250.00 a day against the violator: Be advised.that a copy of this statement map be forwarded to the Office of Investigations of the D1A for insurance coverage verification I do hereb certi under the pa' enaltie$o er' Y 11'_ P j fP I 'that;the information provaded abor u true and correct: Signature: �. .. Date, .. a- ' Phorie#: (5 0 8) 778-0111 Offuurl uselonly. Do.=not write.in.this:area;w be:completed'riycityortown:o�c at City or Town: Permit/License#' Issumg.AU. .ority(circle one): 1.$card of Health 2 Budding^Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ContactPerson:. ._. :__ . . _ _. Phone#: . ( I , 49 T)ATE(MMIDD/YVYY) �►� CERTIFICATE OF LIABIL. 1 I Sty 4t�C 0/24/z014 THIS CERTIFICATE IS ISSUED AS A{NATTER OF INFORMATION ONLY AND CONFERS NQ RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE::"DOES.NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEIND ORt ALTER THE COVERAGE AFFORDED BY THE POLICIES BELow. THIS.CERTIFICATE.OF INSURANCE"DOES_JVOT CONSTITUTE A CONTRACT'BETWEEN'THE ISSUING 1NSURER(S), AUTFitjRIZED` REPRESENTATIVE OR PRODUCER,AND THE.CERTIFICATE HOLDER: IMPORTANT..If the certificate holder is an ADD17IONAL INSURED,the poiicy(ies)must be endorsed tf SUBROGATION IS WAIVED;subject to. theterms and conditions of the 6c ,-.certain y q 0 y Iw 6es ma re"ulre an endorsemerit A s3atemerat on:this certificate d®es.not cnttfer rights to the certificate holder in lied of such endorsements) PRODUCER CONTACT . .NAME: LQIS F-'t; aid ..-... -. ...._ . Southeastern Insurance Agency PHONE (508)997-60fi1 K A No::t504)9"D 2731 439: State Rd. :A ones lfitz@southeasternias.com P.O: BOX. 79398 IIdSU S AFfORDlNG COVERAGE. NAIL$. North Dartmouth h!A 02747> •. INsuRERaArbella PrQtecti'on. Irisurance' 1360 IrIsuRED (NsURER a Eost:om. Insurance Brokera a Inc Tugger 'Construction Co LLG' INSURER c . 27 'Roberta Drive iNSURERD: ..INSURERS' _. ... West Yarmouth MA 02671 , 1 lrasDRERF: 7. COVERAGES CERTIFICATE`NUMBER:2015_ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEIBEEN ISSUED TO.;1HE 1NSUREO NAMED ABOVE FOR THE POLICY PERIOD;. INDICATED, NOTWITH STANDING"ANY`REQUIREMENT.TERM;OR CONDITION OF ANY CONTRACT Oj2 OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.MAY BE ISSUED OR MAY'PERTAIN;'THE INSURANCE AFFORDED BY THE'POUCIES'DESCRIBED HEREIN IS SU_.BJECT TO:ALL THE TERMS,.. EXCLUSIONS AND CONDITIONS OF SUCH Po0aE8aIM(TS`SI4OWN MAY HAVE$EEN REDUCED BY PAID CLAIMS. OL ..,: POLICY EXP - ETR' TYPE OF INSURANCE U POLICY NUMBER M Y E MdUD LIMITS _. GENERAL LIABILITY EACFIOCCURRENCE: JOAMS 2;:Ot10,0,4Ui X. COMMERCIAL GENERAL LIABILITY N il S: ;DDi000 A CLAIMS-MADE ❑X OCCUR 500008743 1/1/2014 •1/1J2015 MEDEXPIAn oneye(son) 5 5,000: PERSONALBAINIIQURY $ 1i000,o00 S GENERALAGGREGATE js 2o000,000' GENT AGGREGATE LIMIT APPLIES PERi PRODUCTS-COMNOPAGG:':S 2'.000,000 xi POLICY(: PRO- LOC __ .... ... _...._. . .. ,S . . AUTOMOBILEUABILTrY` - .. -:_.:- - - _ COMBINEO.SINGL.E UMIT Ea accufent S 1,:000 Q00 ANY AUTO 80b)LY wimy-per person).`S A ._ ALL OWNED SCHEDULED; 020D09389 2/1/2013 . /1I2014 BODILY INJURYfF AUTOS :AUTOS. .. - . ...... . .. :..... . PROP GE Ix HIRED AUTOS X AUTOS 'NED ... _ .. . . thansuredm0t�alfMstBIa tEmit S 250 000 AUTOS PeraccnQent % UMBRELLA LIAB OCCUR '. EACH OCCURRENCE: '..5-- _ A EXCESS LIAB HCLAIMS(V}ADE AGGREGATE'... '..S OED :. RETENTIONS 600D58368 1/1/2fl14' 'iJl/2015 5 $' WORKERS COMPENSATION X <V4LSTRTU 7C OTH= AND EMPLOYERS'DABBd1Y Y/N ANY PROPRIETORIPARTNER/EXECUTNE �.L.EACH ACCIDENT 5 I,ADO 0D0 . 9FFICERIIAEMBER EXCLUDED?: �.NIA CC50Q5593012014» 0/3/2014 0/3/2015(Mandatory in NH) .:_ ... E:L.0)SEASEt-EA`EMPLOYE $. 1.,00.0 000 If yes.desuibe under DESCRIPTION Or OPERATIONS below- E.L DISEASE-PDUCY LIMIT:, :5 1 .000 000 .DESCRIPTION.OfOPERATIOA15 rLOCA710N5r VEMn Fe(ItttaviACORi}7at,Atl�%gal RfttlanlS.ShceOUIC,It/iiorC space:is eeputred)- - ;: CERTIFICATE HOLDER CANCELLATION SHOULD ANY`OF THE ABOVE DESCRIBED POLICIES'8E:CmC ILED SEFORE THE.EXPtRAT1ON DATE:.`THEREOF; NOTICE WILL ;BE DELIVERED_ 10 IPTE3t?RMATIONi PURPOSES ONLY ACCORDANCE WITH.THE Poppy PROVISIQNS'. TUPPER CONSTRUCTION CO LLG _.. .:_ " 54,6:.A HIGGINS CROWELL ROAD AtIMR12ED,REPRESENTATTIIE WEST YARMOUTH,. 14A 02673 Lora $ tzGerald/L L AGORD 25(2090J05). tO 9988-2010.ACORD-CORPORATION;r:All rights reserved: thism i'mnnsi ni Yfan'Ar1hp 1"_xmil Inns aeu rani-I.—i w m k.m-'Arun[ - ('�" Y e§da;.RMi'A7.s YrKYaL^.e.+m..2aAYf:-n,Me � 1 pe: t KL9- ale'Sy,.i yd LF: .. . i✓�({Y F�wild R� tINV 7r- 4A J�A IS sow- r t—�' +n -� E..BLi L`,,$"'m u) rrs-5`°6� w.tF viB '1 &£�"mot v' a y' Sie32s ef '3 "''?,-r'".t;;tP3 kftef'cshfl: 4t-:i LLC- krnzrMkO 7fj.---E* lit E x e Sw Upper Al— ' -:Ya+aS a i�.r+t'3y���•s�..LT't��J` 4-3`#�-- .�.�iI7 L.�e �r. � � � Y 1 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at P opm f&4-� 11 t) Cx- r (Pro a Address) � (Pr6perty Add ess) r hereby authorize (Subcon VCO an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Sig ture G Date Town of Barnstable �THE Regulatory Services Thomas F.Geiler,Director t Building Division TOTH F " i * n�trvsrwsr.E. t v$ 1M� `�g Tom Perry,Building Commissioner iOrEo 200 Mai Street, Hyannis,MA 02601 ;,1. 21, f;l www.town.barnstable.ma.us Office: 508-862-4038 ; Fax508-790-6230 Approved t�.a Fee: Permit#: .g� I � HOME OCCUPATION REGISTRATION Date: , � ��Name: J� � Address: 3 l% /(� Village: a7il Name of Business: 0 Type of Business: Map/Lot: f 47 riopo INTENT: It is the intent of this section to allow tVresidents of the Tomi 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 Boise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no uncrease ii traffic above normal residential volumes; and no increase in air or groundmater pollution. After registration with dne 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 16thin that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelluig which are not customary inn residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of nornud residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or otherparticular matter, odors,electrical disturbance,heat,glare,hunudity 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 Custoinzuy Home Occupation,and not vit in the required fi-ont yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than`oiie varl or one pick-up 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 Horne Occupation.: • No sign shall be displayed undicating the Customary Home Occupation. • If the Customary Home Occupation is listed.or advertised as a business,thee street address shall not be included. • No person shall be employed in the Customary Home Occupation 1•1410 is not a permanent resident of the dv,elling unit. I,the undersigned,h e read and agree with tine above restrictions for my home occupation I am registering. Applicant: t� Date: 02/ l Honreoc.doc Rev.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your information: Business certificates (cost$¢40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: Fill in please: APPLICANT'S YOUR NAME/S: �'' 'i °' .�r e � BUSINESS YOUR HOME ADDRESS: C� Y G �a 'V1 {ilia' 1 n(Cr j1#9 ..A TELEPHONE # Home Telephone Number S�9r— �. B! -, NAME OF CORPORATION: NAME OF NEW BUSINESS - TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YE NO ADDRESS OF BUSINESS G -t' z- . MAP/PARCEL NUMBER � (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in.this town. . 1: BUILDING COM MSSIO 'S OFFICE This individu I n€or of a p rmit requirements that pertain to thim opcQW6lsY.WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Au rize Si tur ® COMPLY MAY RESULT IN FINES. MMENTS G F 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized.Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual.has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** . COMMENTS: t k TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION Map 9 Parcel ws Permit# �� 7 Health Division �'7� ./�� - n V Date IssuedTr� l Conservation Division ,y Fee. •�; Tax Collector �� T� y� ��`Y �3E SEOTIC.SYS ' Treasurer( `/�Y)� �c���� INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. . ` EIdVIRONMEHTAL CODE AND Date Definitive Plan Approved by Planning Board �r TOWN REC6I®�710NS �' Historic OKH Preservation/Hyannis ;3 "' r - Project Street Address /t!/� S CGl' �T✓� Village f` ' • Owner /. � : v��/7_�dMV t�-c�DU: Address 60X, mrye Telephone ` Permit Request Square feet: 1st floor: existing M40 proposed,�� 2nd floor:existing proposed -700- Total new Estimated Project Cost / ` Zoning District Flood Plain �.Groundwater Overlay Construction Type Lot Size /"l3 Aces Grandfathered: ❑Yes - U-1101, If yes, attach supporting documentation. Dwelling Type: Single Family Ul Two Family ❑ Multi-Family #units v Age of Existing Structure awes Historic House: ❑Yes "O On Old King's Highway: ❑Yes O Basement Type: W ull ❑Crawl ❑Walkout ❑Other • Basement Finished Area(sq.ft.) /00® Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half: existing oZ new O Number of Bedrooms: existing new _C2 Total Room Count(not including baths): existing new 62 First Floor Room Count Heat Type and Fuel: VIdas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 8*No Fireplaces: Existing New Existing wood/coal stove: 12'Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size -§ Barn:&-e isting ❑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 !� C�� Telephone Number Address .011 AOX License# r Home Improvement Contractor#' r Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO av 4 ' SIGNATURE - DATE r FOR OFFICIAL USE ONLY EMIT NO. 'X7 DATE ISSUED MAP/PARCEL NO. 4,- r ADDRESS VILLAGE OWNER ' DATE OF INSPECTIO ? t' r FOUNDATION ` f { .' "• " ` 1 FRAME %© `c�� V-06' � . " �, ,,_" t .• F _'• r 4AW INSULATION FIREPLACE ELECTRICAL: ROUGH ; FINAL f r PLUMBING: ROUGHS FINAL' GAS: ROUGHS ; FINAL ' FINAL BUILDING: DATE CLOSED_ OUT s r� ASSOCIATIONf � -• • 4�' '. � ' PLAN NO. d ex"4divel Offi;&,/ol JP"Ar/d9aA* °M s+e y`e �G(V(J���G�TiIY�fiLl/LV V/��TiGCC/tIJ LIiGL(A�/�/ ARGEO PAUL CELLUCCI �ytP/ _ eli t10�!/i T307 KENTARO TSUTSUMI Governor �y c��� _f f 02'08 Chairman KATHLEEN M.O'TOOLE eIJ I�700 PiuO THOMAS L.ROGERS Secretary TEL: (617j 727-7532 FAX: (617)227-1754. Administrator October 1, 1998 1,6// Ralph M Crossen Inspector of Buildings 367 Main Street Barnstable MA 02601 Docket Number: 98-123 Property Address : 444 Popponesset Road, Barnstable Hearing Date: -,October„15, ,,1998 Hearing Time : 12 00 PM The Appeal for the subject property has been scheduled to be heard on the hearing date and time indicated above . The hearing will take place at the National Guard Armory, 14 Minuteman Lane (Room 13) Wellesley, Massachusetts 02181'. A MAP. IS ENCLOSED FOR YOUR CONVENIENCE. The State Building Code Appeals Board requires your presence or that of your representative at its hearing relative to the above mentioned case . Please bring with you a copy of the record, including any plans, sketches, drawings, etc . , that will help to give the Appeals Board grounds to adjudicate this appeal . The State Building Code Appeals Board hearings are held pursuant to 801 CMR 1 . 02 ' Informal Fair Hearing Rules . Sincerely, THE .STATE -BUILDING CODE. APPEALS BOARD IT Patricia A. Br nan Program Manager 40 D N G t Yr Ro Brook:, l y I : s ARMORY H � L ao. , 9 0 y* dd 1 o v h CAPT R Pond S s � C h.F:. QMi i �d ® 1993, Del-orrne Mapping PP 9 LEGEND Scale 1:10,937(at center) Population Center o Interstate Highway ' Mag 16.00' 1000 Feet O State Route Railroad Wed Jun 11 11:38:34 1997 Interstate, Turnpike ___ _ River 200 Meters ------------ County Boundary Open Water , r. Street, Road Directions to the National Guard Armory in Wellesley, Ma. Hwy Ramps Traveling toward the West on Route 9, Minuteman Lane is 1800' feet Major Street/Road from Route 128 (95) on the right. Traveling East,make a"U"turn at the State Route lights 800' feet before Route 128. Minuteman Lane is 1200' toward the west on the right. The conference room is inside the door on the right as you . enter the property. (See map) t � 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS i.� lilt, APPENDIX B r O olg Yalx* wiLLiAM F.WELD KEN'TARO TSUTSUMI ���08 _ CT.. _ Ge.<me. KATHLEEN M.OTOOLF THOMAS L.ROGERS S.<...w TEL:(617)727.1200 FAX:(817)M-1754 Admi.haM STATE BUILDING CODE APPEALS BOARD-SERVICE NOTICE Gi-tAa!IF--K as the Appellant/Petitioner in an appeal filed With the State Building Code Appeals Board on 6`-� O , 19 CFO HEREBY SWEAR UNDER THE PAINS AND PENALTIES OF PERJURY THAT IN ACCORDANCE WITH THE PROCEDURES ADOPTED BY THE STATE BOARD OF BUILDING REGULATIONS AND STANDARDS AND SECTION 122.3.1 OF THE STATE BUILDING CODE, I SERVED OR CAUSED TO BE SERVED, A COPY OF THIS APPEAL APPLICATION ON THE FOLLOWING PERSON(S) IN THE FOLLOWING MANNER: NAME AND ADDRESS OF PFRSON/A . NCY SFRVFQ METHOD OF SERVICE DATE OF SERVICE e� HA4 u sTr T Signattue:AP LLANT/PE TIO R On the Day of /`//�� � 611�� 19 � ,PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED a►�e/ �20 yt<ii (Type or Print the Name of the Appellant) AND ACKNOWLEDGED AND SWORE THE ABOVE STATEMENTS TO BE TRUE. NOTARY PUBLIC MY COMMISSION ENP RES < 2/7/97 (Effective 2/28/97) 780 CMR- Sixth Edition 631 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDIX B 0f-&0/9 Soggy WI111AM F.WELD �� �r OZf08 ICpMAROTSVCSUMI Gwvnr ••v Orwr KATHLEEN M.OOMLE - THOMAS L ROGERS TEL(A17)7V-= FAX:(617)227.175/ "�""i°•'� STATE USE ONLY Fee Received: STATE BUILDING CODE APPEALS BOARD Check No.: APPEAL APPLICATION FORM Received By: DOCKET NUMBER: DATE: (State Use Only) The undersigned hereby appeals to the State Board of Building Regulations and Standards from the decision of the: Building Official from the City/Town of: $4.KLA 126LA5: Board of Appeals from the City/Town of Other Municipal Agency/Official entitled: State Agency/Official entitled: OTHER: Dated: &UGUh 19 21�'ZP,having been aggrieved by such(check as appropriate) Interpretation o Order o Requirement Direction o Failure to Act o Other o Explain All appropriate code sections must be identified. All written supporting documentation must be submitted with this application. Parties may present written material at the hearing. However,the Board reserves the right to continue the proceeding if such material warrants extensive review. State Briefly desired relief: Ar'�-}-11 -"�t�l�F-1 b-Ss oG. l 1.1 �. a�►"(� `6•ZS•�(fS APPELLANT: ADDRESS FOR SERVICE: ��a' rc, bU"S�T •�_ 2�, 1 CE2 b Telephone No. SlVS a'Z$•�ZG✓q' ADDRESS OF SUBJECT PROPERTY: t2fr t>14 t�gS)�T Y-t�Lb APPELLANTS CO TION TO SUBJECT PROPERTY: Ll SIGNATU O APPELLANT/REPRESENTATIVE (NAME-PLEASE PRINT) 2/7/97 (Effective 2/28/97) 780 CMR- Sixth Edition 679 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE DESCRIPTION OF BUILDING OR STRUCTURE RELATIVE TO THE MASSACHUSETTS STATE BUILDING CODE 780 CMR 6th EDITION): (Check as appropriate) Check Here if Building is a One or Two Family Dwelling`O Proceed to section entitled"Brief Description of the Proposed Worle' -Do not complete the tables below DESCRIPTION OF PROPOSED WORK(check all applicable) New Constructiotc Existing Building❑ Repair(s) o Alteration(s) O Addition ❑ Accessory Bldg. ❑ Demolition u Other o Specify: Brief Description of Proposed Work: USE GROUP.AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business o 2A ❑ E Educational O 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B O M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use o Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADD1111ONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index(780 CMR 34): Proposed Hazard Index(780 CMR 34): BUILDING HEIGHT AND AREA BUILDING AREA Exisung(if applicable) Proposed Number of Floors or stories include basement levels Floor Area per Floor(st) Total Area(sfl Total Height(11) Brief Description of the Proposed Work: 680 780 CMR- Sixth Edition 2/7/97 (Effective 2/28/97) CHI—TECH ro school Street A GGOCIA'r"�CJ cotuit, ma 02635 �1� 5 InC.I-- tel: (508)420.5335 architectural design fax:(508)420.5304 i August 25, 199.3 Mr. Ralph M. Crosson ` Town of Barnstable Building Commissioner 367 Main Street Hyannis, MA 02601 Re: Carey Grover Residence 444 Popponesset Road,Cotuit, MA 02635 Dear Mr. Crossen, This letter will summarize our conversation regarding the above referenced building. The issue was ceiling height requirements.. The existing second floor is being renovated to accommodate 2 new bedrooms. The existing house was designed by a prominent architect and has historic and aesthetic significance. Because of these considerations we can not remove the roof. We are adding two new dormers onto the existing roof line. When we are finished we will not meet the current Mass State Building code for allowable ceiling heights. According the code 780 CMR-sixth Edition Section 3603:8.1 Habitable rooms shall have a ceiling height of not less than seven feet six inche for at least 50%of their required areas. We can not meet these dimensions because of our existing ridge location. We are asking for a waiver from this requirement. If you have any questions or comments please contact us at your convenience. r Thank you for your attention to this matter. V trul yours Tim thy J. uff President z W The Commonwealth of Massachusetts Executive Office of Public Safety Board of Building Regulations and Standards One Ashburton Place- Room 1301 Argeo Paul Cellucci Boston MA 02108 Kentauro Tsutsumi Governor Chairman Tel: (617) 727-7532. Fax: (617) 227-1754 ' Jane Swift Thomas L. Rogers Lieutenant Governor Administrator . Jane Perlov Secretary STATE BUILDING CODE APPEALS BOARD Date: May 19 1999 ` F Name of Appellant: . Carey Grover Service Address: 444 Popponesset Road �. P. O. Box 1080` f y Cotuit,MA.___ 635 .vc _, a ii,• . Docket Number: 8-123 `'-': F Property Address: 44 Popponesset Road arnstable(Cotuit)Ma. 02 5 Date of Bearing: October , We are pleased to enclose a copy of the decision relative to the above case ',wherein certain.variances from the State Building Code had been requested. Sincerely: f STATE BUILDING CODE APPEALS BOARD Patricia A. Brennan, Jerk Program Manager a; t' . . _ cc: State Building Code Appeals-Board Building Official A STATE BUILDING CODE APPEALS BOARD u Docket Number: 98-123 Date: May 19, 1999 All witnesses were sworn at the commencement of the hearing. 4 The appellant appeals the denial of a request for a waiver of the ceiling height requirements of 78.0 CMR 6r'Edition, specifically section 3603.8.1. which he received in letter form from the Building Official for the Town of Barnstable dated August 25, 1998. The appellant request relief from the requirements of Section 3603.8.1 Minimum ceilings heights for the ceilings on the second Boor ofthis single family home which is being renovated to accommodate 2 new bedrooms. The appellant showed the Board a set of plans (on file) of the proposed renovations and testified that the existing house was designed by a prominent architect and has historic and aesthetic significance. The appellant testified that if they were required to remove the roof in order to meet the ceiling height requirements of Section 3608.1, it would be a substantial financial hardship and further would take away from the appearance of the house. Following testimony on a motion by Mr. Daniel O'Sullivan and seconded by Mr. Stanley Shuman the Board voted unanimously TO GRANT THE,VARIANCE as requested since a substantial financial hardship would occur to raise the roof line of the house, and in doing so would only be adding a few inches trying to comply the ceiling height requirement of Section 3603.8.1 of the 6" Edition of the State Building Code. The following memb rs voted in the above manner: aurice Pilette Stanl Shuman Daniel O'Sullivan Chairman a fv A complete administrative record including the audiotape of the proceedings is on file with the offices of the Building Code Appeals Board. {. J A true copy attest, dated 1992 atncia A. Brenn , Clerk Program Manager Any person aggrieved by a decision of the State Building Code Appeals Board may appeal to a court of competent jurisdiction in accordance with Chapter 30A, Section 14 of the Massachusetts General Laws. . . The Town of Barnstable Department of Health Safety and Environmental Services •Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen F, Fax: 508-790-6230 Building•Commissioner i Permit no. Date , 7 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: r e �/�� Estimated Cost Address of Work: Owner's Name: % Date of Application: 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 er 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 1 hereby7;;I� permit as the agent owner. Date o tractor N ,/ Registration No. R D e Owner's Name q:fomu:Affidav _��\ �- The Commonwealth of Massachusetts � _ =_-� , Department of Industrial Accidents Of es01ffiresaffatfoos 600 Washington Street -"= sJ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit / j i name: L_&.'_," ( JA .� = location: (+4&V & `L�F_ -V- ew- . city lle� hone# ❑ I am a ho eowner performing all work myself. ❑ I am a sole rietor and have no one working in capacity Ia/////%%%%% %%/%%%%%%%%%%%%%%%%%%%%%%%//G%/%%%%%/ %%%%%%%%%//G%%/%//G�%%%%i�////%%O��%%%%////%%%/O�%%/%%%/%%//////%Dr �//0l////j am an employer providing workers' compensation for.my employees,working,on this job. : . . m an name.. 1?.' :::::>::::>:;;: �gyw�, ::. - .; . i' :'.::::#M��.::. :. 14 i::::::.: v.i::'.:..i .. !::: :.; hone#is: . ..::::: ::. ...:::. . . .::::.:::::::..::. ....:................. . . ...... ram°.::.: ::. .::.:::..... .::..... .:.:.:::::::: ::: ..: c._:: .,:a. :.; :G'.::::::'::;.":.ti ?<::i:::i:>3i:i:i:i:ii:ii<.i: insurance co :..;.. ❑ I am a sole proprieto nerr,general contrac or, or homeow circle one)and have hired the contract=listed below who have `. the following workers' compensation polices: .... ........ ... .;:;:;;;:'..;;: m an name. . .: ;::;:...:::::::;':'::::;:.... . ;::>:..:':>:::: :<:::::::r::;::>::>::>::::>::::»::::>::>:<:::;:>::><::::;:.>:.'.: COI Y • :'::«::>::< :::�:<:::::<<';:;:<2�:::...%?<:....'a;.:..:><:'>'.'>:: >:>:>:>::':>........>: :S:tii;Y:: :::`:::.....: :{: : :%>:::::>:.:....: :::: :< > z: »>:i:::<z::: >` -. :ii 3:ii>; address !.:::........::!::.::::::::.:.;.:.......::::....... ^..... :...... ....::: . ... ................................................ :..... .............................................................................::::::::::::::.:::::::::.::::.n.::.:::-:::::::..:..................... �%i:.Fx...... s. >,:.. 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Falbue to seem a coverage as required ceder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Bne up to S1,imoo and/or one years'imprisonment ens well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify a pains Mperjury that the information provided above is trw•anal coned Signature Date - / 3Z47 Print name • U Phone# 9�6'1_� official use only do not write in this area to be completed by city or town official . city or town* perndt/iicense# - ❑Building Department . CRAcensing Board ❑checkif immediate response is required ❑Selectmen's Office . ❑Health Department contact person: phone#; — ❑Other Ormed 9/95 PJla 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 coati-- , 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 c- trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal. of a license or permit to operate a business.or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation 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 permit/license number which will be used as a reference number. The affidavits may be return io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Invesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 A4Pwxfa 1 TaWtJ3=b(eoadaaed) Pmc6pd►e PadraM for One and Two-Family Realdeu al Baildingr Seated with Food Fads MAXIMUM MINIMUM GLriag Glazing Ceiling Wau Floor Bases Slab Heanng/Ccoling Am'(%) U-value= R values It value' &vaius� Will P �— a p � IGvalue' Wvaluer 5"1 to 6500 Heating Degree Dare' Q 12Y. 140 38 1 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 121's 0.50 38 13 19 10 6 85 AFUE T 15'A 036 38 13 23 WA WA_ Normal U 15% 0.46 38 19 19 10 6 Normal V 13% 0.44 38 13 2S I WA WA 2S AFUE w I39A 0.52 30 19 19 10 6 83 AFUE X 18% I32 38 13 25 WA WA Normal Y 19% Q42 38 19 2S WA WA Normal t 19% 0.42 38 13 19 10 6 90 AFUE AA18•/. 0.30 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: O � 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. % D 4. %GLAZING AREA(#3 DIVIDED BY#2): / �,J 5. SELECT PACKAGE(Q—AA-see chart above): r NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE.'ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR AppendixJ Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. :After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accdrdance 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-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame constriction. a The floor requirements apply to-fl)ors 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 piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a ROTES: a)Glazing areas and U-values ace maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the lass area of the door with our windows and use the opaque door U-value to determine compliance of the door. g y 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. GIaekig or door components comply, if the -rea-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Within 20 days from the date hereon, an appeal may be taken on this decision in Superior Court TOWN OF BARNSTABLE,MASSACHUSET' Ot/ 0 q o Dat . Y J 19q0 You are hereby notified that the Zoning Board of Appeals has filed its decision with the Town Clerk,at the Town Hall,Hyannis, MA on the petition of �[ variance for a: ❑ special permit ❑ enforcement action ❑ comprehensive permit on has been withdraw n--gr*e,�;-=with restrictions—denied. _ . ZONING BOARD OF APPEALS Clerk M `'y ' V _. - �= 4 a t 020126 120 GROVER,CAREY C&SEXTON,SO %GROVER,PAUL E B0 1 9 � C�14,1 f �"'C( COTVT MA 02635 '9 USPS 1995 i i i l _✓/ze i�omvrizoreurea/,C� a`',.G�crcfiu:�Gi, DEPARTMENT OF PU81iC SAFETY 1 CONSTRKT-ION SUPERVISOR _ICENSF' Expires: si thdate: J CS =`04)693. 89123j1999 99i2311958 — Restricted Tb 16 yx g ,r STtVEN Pn 'MtEIHENY PO BOX 282 COTUIT, MR 026.3:6 - i . s£9Zo dw llnloo 1S NIVW £ZS/BSOI X08 8CLLVUISINIV40V I . ANN130W 'd N31(31S S8301In8 AN3H133W 8 83AO89 00/0Z/01 uotleaidx3 idnOIAIONI - adAl I 980011 UOTIPIIST688 8013V8103 1NMAOMI 3WOH "'°D°°)1''�' IV LoT'►e L,S t / 1 Z38.DC ' i j 6 Lor 7Z 48 + 7z Y V71 Q LoT►/ 7,3 N n i i S3► A-9 /ZZ �B.7s� o�E55 P°P CERTI FI ED PLOT PLAN LOCATION .$9.?!!�syxt �.G-y„��'oTuiT),,. SCALE /.�:�o.� .... DATE •r• PLAN REFERENCE . .l-j.,67 !C Lo7 v7L A .. .. .. . ` I CERTIFY THAT THE - SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF } N !ABGE WHEN CONSTRUCTED. DATE MAC.ZS /yf3� f CAeEy/ Geovt� - /�E?7�o.� REGISTERED LAND SURVEY R MAScheck COMPLIANCE REPORT f rj? ;tr4l Q Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 a rr Checked y/D CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-1-1999 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 123. Your Home = 122 Area or Insul Sheath,. Glazing/Door Perimeter R-Value R-Value U-Value'T __ U'A -3------------------ +----�------------------------------------------------- CEILINGS ;. i . :.1; :� �. 681 30.0 0.0 It-_.-._. - 24 CEILINGS „ 436 ' 21.0 0.0 20 WALLS: Wood Frame, 16" O.C. 660 15.0 0.0 51 GLAZING: Windows or Doors 83 0.320 . <_ 27 ------------------------------------ -------------------------- ------- - -- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted: with the permit application. The proposed building has been designed. to meet the requirements of. the Massachusetts Energy Code. 1,17 The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date t:: _ Z'i MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 11-1-1999 Bldg. Dept. Use CEILINGS: [ l 1. R-30 Comments/Location [ ] 2 . R-21 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 Comments/Location r WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.32 For windows. without labeled U-values, describe features: i�.. # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations >c or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter_ side of all non-vented framed r ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ . ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC •< system must provide a means for. balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic= means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- { L MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE: 10-19-1999 DATE OF PLANS : Dec, 10 , 1998 TITLE: Additions & alterations PROJECT INFORMATION: Grover Residence 444 Popponessett Road Cotuit, MA 02635 COMPANY INFORMATION: Archi-Tech Assoc, Inc . 6 School Street Cotuit, MA 02635 COMPLIANCE: PASSES Required UA = 166 Your Home = 149 Area or Insul Sheath Glazing/Door Perimeter R-Value R=Value U-Value UA -------------------------------------------------------------------------------- CEILINGS 436 30 . 0 0 . 0 15 CEILINGS 681 21 . 0 0 . 0 32 WALLS : Wood Frame, 16" O. C. 660 13 . 0 3 . 0 47 GLAZING: Windows or Doors 83 0 . 320 27 FLOORS : Over Unconditioned Space 869 30 . 0 28 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined us ' g the applicable Standard Design Conditions found in the Code . The HVAC quipment selected to heat or cool the building shall be no greater th n 1250 o the design load as specified in sections 780CMR 13 a d J 4 . Builder/Designer Date �O •`�• �� :;-,r��.._w r....-- '.;",fir--�,v+�,.��;,F{-.w;,.� :... �,,,[t:::',•'e`ktash'".k>-;Pe-s.:.Fir+++n+?s.+r^..x�'yf�+a�wa'-r.++wi"e*`Y'3r�`r'a""v..-... .s:_.__--._,...:.t.F ...sv.'c._ .. y. L, ofTME� TOWN OF BARNSTABLE Permit No. .3..278.8...... o BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash X ZI �toLuv HYANNIS,MASS.02601 Bond ........... CERTIFICATE OF USE AND OCCUPANCY Issued to Cary C, Grover r Address Lot #72, 445 Poponesset Road Cotuit, Massachusetts USE GROUP' FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY-THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS,AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December , , 19...89.............................13...... ..............Building Inspector............. TOWN OF BARNSTABLE BUILDING DEPARTMENT Y �aas�T TOWN OFFICE BUILDING rut HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: /�2-/3 An Occupancy Permit has been QQissQQured for the building authorized by BuildingPermit #.._ .2 »!.°J.o.... ................................................................................................. ................................... issued to .' !.»� ..� .................................................................»............».....»»......... ».»»..»» ..» { Please release the performance bond. 5 n z Al Z38.oC ' - i i i 67-� Lor 7Z 7z 4 Gam' GG � l� �Td73 N ` 71� 1 A-9 40�w�AE �ZZ ,Qo 7�.75 � D 1-//i s CERTIFIED PLOT PLAN LOCATION SCALE . ../. •�:,�o.` .... DATE PLAN REFERENCE caw/ /�'. .. . !. .. . . . . . P`tN OF..p ;�•. . � I CERTIFY THAT THE KELLEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND No. 26100 4 AS SHOWN HEREON AND THAT IT CONFORMS TO THE �11 SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. REGISTERED LAND SURVEY R THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IMF��� DATA ARNSTABLEMASSAe_C.HUSETTSWKOFB ,.. ._.nc:a•.� .,.: BUILDING' EA 'T. + S APP.LICANT U '`Jvt _ _;1, 5-DATE r 19 PERMIT NO. ° d 9 ADDRESS 7.6 . •.). +INO,J y -(STREET) (CONTR S LICENSE) PERMIT TOE}Y3�. cll 7;i..:i l F-s.1 i:iC 3 .1':yjt•°. <.t?.,.fff 1,_. L''i a.;t'+ :', d NUMBER OF y s },$� =k: - (TYPE OF IMPROVEMENT) ( NO STORY,, TORY J - a.'s(,'t.: ... .» s, ';* ,,,,g -" "' DWELLING UNITS (PROPOSED USE) x AT (LOCATION) .:�tJI ir'J. 'r c �. i�/7l)4Yii.* 3 .� 1:'i 1'1 r L1.,.. ZONING ! tfi (NO )'. ,�i/i #olus (8TRev) DISTRICT i r r� BETWEEN r AND (CROSS STREET) - - .(CROSS STREET) - �;" SUBDIVISICSN" y LOT { " LOT BLOCK. SIZE �, BGILDING IS TO BE ' ; FT..WIDE BY FT, LONG,BY - FT, IN HEIGHT AND SHALL CONFORM-IN CONSTRUCTION' v� TTO TYPE rt _ USE GROUP BASEMENT WALLS OR FOUNDATION 1 (TYPE). AMARKS:' - :7�JLIa C1:.:.- :; .i�J^.l4�? • w AREA OR J. r VOLUME ti p aQ�.:•i C • • 11.9 r '.i t: l « I .' PERMIT t o (CUBIC/SQUARE FEET). ESTIMATED COST' FEE `I �tJ �YOWNERxy �:}rLi LaL 1/ :CsZ:GS O�'t #r' 4K ,ADDRESS 4 c-ed�arwc,?6d ko. u a C:C). :tll BUILDING`DEPT, By T +, .THIS•PERMIT^GONV.EYSNO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR. PERMANENTLY •ENCROACHMENTS ON PUBLIC PROP.ERTY�,'.NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE AP- - �PROVED,�BY,rt,THE JURIS01CTI0N. STREET OR .ALLEY GRADES.-AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY'-BE'OBTAINED FROM-TrME`�DE'.PARTMENT OF.PUBLIC WORKS: THE.ISSUANCEOF,'.THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE'CONDITIONS A,NYA�PPLxCABL;E.,SUBDIVISION RESTRICTIONS: j .MINIMUMp OF .THREE. CALL;. APPROVED PLANS'MUST BE RETAINED :,ON JOB AND THIS WHERE APPLICABLE SEPARATE a .�rINSP..6CTIONSzREQU.IRED FOR-_ k ALL:CONST•RUGYION.:WORK,•>, CARD KEPT POSTED UNTIC'FINAL INSPECTION HAS BEEN PERMITS ARE- REgUIRED;!FOR ..?ONS;OW'FOOTINGS.- , -Hc{i` i ELECTRICAL P L U M B I G AND _ 2.�PR(OR,TO COVERING STi7UCTURAL t•,,v G.0 -'^ C.Y S R - MEGH'Nlvlcq�, FF SR5 gUIRED,SUCH BUILIJING`SHAL;LNOTBE OCCUPIED 'UN?IL ,i«ta MEMBERSIREADY TO LATH-). _ 3 .FINAL INSPECTION BEFORE FINAL INSPECTION HAS.BEEN MADE, OCCUPANCY.- ' POST THIS CARD SO IT IS VISIBLE FROM STREET iW �+ BUILDING INSPECTION APPROVALS " PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS,' r t yam. Z T F H rr1 1 Q�6 2 er vtS i � 3 t r 3~ � - L W�C.I � V��I►NAM.�i �� - - .. - t • HEATING INSPECTION APPROVALS ENGINEE G DEPARTMENT - I'A PI J! OTH _ A 7-0 /- ER Z eL I m a BOARD OF HEALTH 989_ OTV -------------- q.., :r, WORK SHALL•NOT,PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VAFIODUS STAGES OF I WORK t5 NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED'ON THIS CARD CAN BE y' CONSTRUCTION. . 1 PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TEIEPHONE'OR,WRITfEN x a�' Y 111 NOTIFICATION. ssor.s.ojice (1st- floor): D/ O0 OFTMETO Assessor's map and lot number .......... ..... �.-........5..:..��... �a Board of Health (3rd floor): A P P R 0 V 'i �! -"' Gi..: �� to Conservati t� Sewage Permit number- ......... �, .,.. Engineering Department (3rd floor) NAM 263 xX House number ................ ............�{.7.5..............`.' .-.. c U� D;finitive Plan Approved by Planning Board _'_____________19________ ���} sym MUST APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 'P.M. only INST vA`M�i IM CWUMCE TOWN -OF , BARNS nL Eallo r�coo BUILDING- L.N SP E C wN REGu�►'noNs ..APPLICATION FOR PERMIT TO A ... .. .....C'a :....6 . . .. ..... . . . TYPE OF CONSTRUCTION ...... ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....Y.!✓.... ... �..... ....... ... . .....� Proposed Use . �. ..... ..... ..... . .. . ..... ,....... Zoning District .............� ...�.........:....................................Fire District ........ ............. ... ....... Name of Owner ... .....f,,+i........ JoL-',�c Address ..1.'!. ;( 0Q .... 4.�M r Name f BuiIder . Addres ...... ....ealeur.44 ............... Name of Architect .... / .... 6 .-...:.Address .:......:.:. ..:. .................................................... Number' of Rooms .....:. l ..:...f .. .....Foundation ... .....'�?adZ ... ................... Exterior .......r f /.1! Raafiri g ........ Floors .......[. ! .......................... ................:.........Interior ........ .�1A.... .......�%/ .................. ................ Heating ......r . ...... . f17-A/14�.../Jy...0/.i�.Plumbing Q ..... Fireplace ..:....Approximate Cost .........:.. .�j:,Q�®.. / .................. Area ..... :. .. Diagram of Lot and Building with Dimensions Fee -........r. ..... 6/®® Ff CFO a(Va O 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. Nam - .e ....... ......... . .. ................ ��=/ Na Construction'Supervisor'•s Licens :.......:.C>P.�V .'• ?. GROVER, CARY C. - 32788 permit for MOVE -HOUSE & BLD. GARAGE __- , x ' Single :Farmily..Dwelling s Lot #72 445 Po onesat Road Location ............... ,............................. ...........s...... Cotuit- ............: .............................................................. F ;. i Owner ......CarX... .!...Grover....:.... f _ .• . C Type of.-. `•Construction' ...."...Fra. me ...:............................. z ................................ '1`' 11 Permit Granted .....Ar 89 ... ?................�...........19 r Date of Inspection ....................................19 Date /Comp leted .............19 T Ir "61 Q i� • - �� Ei i L'Q:d.:Pl'4:i'wt�'•�E..:•Xi j•�7�. �,,. ,. .. 7-. 'k1C�'� } `C't {.� P.t;���• Tt,. �+JU[.: t .se..''+77 - 4.+•a.F r-.+'L.�7«!";F'd:�...E^Y ..a�,�" � �L:33L: ��,�" 'ba �' '1�{ 3t., w � .r, -k,•.. Assessor's office (1st floor): _ 1NE Assessor's map and lot number .........L� ?�'...a.as.....C. "- �oF Board of Health (3rd floor): �/ Sewage Permit number ... .,7..`....�a`�.. ��! . ...... c,.%' • Z BAS39'f4DLL, • i Engineering Department (3rd floor): a r i6a as • .f -_. OQ 39• House -number ............................... '.`!:�..............., Definitive Plan Approved by Planning Board ______________________________19---------- APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M:-only SrPTIC SyST L u8'Ln;,_. 0MPLIANCE` - -- TOWN OF BARNS BUILDING IHSPEC.4`g9 EGULATIONS N® APPLICATION FOR PERMIT TO Al.ve..., i,r. : .��e.•z..... ..... `?.. TYPE OF CONSTRUCTION ............4�.f.•r?�.^! %rz �4/X./, l_ .. ......... �,............. f :_ 19., - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ... ?' ..... .'..tv7/... ��rt ,rk :fir........ ! ....� ._. /`> �� �!..... ... l ;Proposed Use ...............� .�� ...........;............................................... ............... Zoning District ..........,... -.:..............................................Fire District �'f-::...................................... Name of Owner ..........Address ,� • r" a d1 1. , ......a7 ......(- sa 1%4'. ,� ,r� 11. �? it •;` / Name of Builder ?:/ le.7.w. '.- .!(.!� ...........Address , ... r. .... .� .a�,:. ...... ... Name of Architect ...... ��......Address .................................................................................... Number of Rooms ........?y '??`a........ti?..��>� �/ :....Foundation .... ?l .i?+".slr/...r�!�!?..!r�t,l1;/�� Exterior ti�./..ai;f�=�.....�T-"7�1� `1��r.X; !!:.�..Roofin ......................... / .... .. .. ... Floors ...........6_fall o............................................................Interior `�� r?''�Lk _. Heating .... .l�__, �p is ..� ! 'J..F�t '. ;F.f.Plumbing ........ Fireplace .........�..... :.e�. . ...................................... Approximate Cost .............� ................................ Area ......:.::. ' (%?..... ...: " Diagram of Lot and Building with Dimensions Fee \ \ 40r Sk 70 20 \t 9 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 4 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .' s {,r .....C ;,,,,,`. •`••I/•;tea: !(.................... Construction Supervisor's License/,!.......�^•�r-1: /' GROVER, CARY C. A=019-005 No ..3.278.8.. Permit for „Move House/Bld. Garage .................. Single Famil�elling Location ...act--V2, A-4-5 Poponesset Road Cotuit .....................................................................I......... Owner ....Cary C....Grov.er... ............................ Type of Construction .....,Fr.ame .............................. ............................................................................... Plot ............................ Lot ................................ Permit Granted ......April 11 , 19 89 Date of Inspection ....................................19 Date Completed ......................................19 /O0/ /�9� r*�YDUSPAI"-.AI CIDENTFS OSTOj`Q, 3\IASS/�C1-3 US):j7S 02111 -WOP aRS'COMPENSA3-ION INSURANC£AFRDAVIT (G cnscc/lacrtni cc) wick a principal plsccofbusincu/residcno:ac �GrylStacc2ip) do hereby ccrtifj; under the pains and pen2j6a of perjury; than j] ! 2m an cmplc.vcr proviaing chc following workcrs'compcn=rion coverage formycmployccs working on t ip job- _ Insurance mp2ny, I'olu_yNumbcr �) I am z Solc propricior snd have no oncworking for mc. j) I 2m 2 sole proprietor,gems-<l cona.-aor or homcowncr(ardc onc)=nd h:vc hued chc eonuaaors listed bolo, "ho hzvc the followingworkcr:eompca bon inn=n(—polio= N=mc afConu2aor Insurzncc CompznylRolicr N=bcr ?�amc ofContraaor Insurance Company/Policy Dumber I,,7:zmc of Contrsczor Insurance Cemp=ylPOlicy Numbcr . I 2m a homeov��ncr performing all tfic work mysdL x07 PI«<bc:•.: cL_t. ,�c1<c<o�<r:r.?cczrp10ypersca:to20raiucs:tocc,cctrcnsct:ocotr<psit�-or3cctaa L..cllinb ornot raor<Lr tLr« L<L*=-Co. -Cv zlso r<siLcs or or-tic�soc,als ipptirtGZaLt t5crcto tK Dot�co<r-v�.of P<r .i;t to be cr_pl-ycfs t_&r tic C7 -Co c�<c �pcs;:_i,oz/,ct o flc C I o2,«cz 1(5)).appl�t.00 by:Lemcc,-z<r foe a lk<cs<cr perr�it r..:y<YiLccc< s=<1<r_1 s; ti,cr`cr-:loycr t oLct Lac Got)<ts'Corzpcosation Act- i rnc<ras<cn_< = copy of rc a ic:�a;lcl to 6.< NYr(ie:tion:,ttL th=t f_-�lir<to:<cer<c:`::�<;:rce��rcd ur.2<r Sccvor,?Sh e(1•:GL]52 t:r�k:L to trc ir:pes;t;on o(�;inin�l per.=)u<: eor-46ne of a f ne crop to S]500.00�.Llcr icrr ennct of up to one y<_:sl vY:l Pc==t;;�is tic(cr-�e(:Step Z1erl Ore'er s�= f,n<o(S 100.00 a trey- 'n t r.K { Si-ncd thin LiccnZcclPcrmirtcc Liccn:orlPcrrnirtot I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M X-� L 1 C&n�:-JAI 1 i-IL DATA a � I h 1 ` e �. i t i v ,, • 1 �' _..__...__... � 4 1._. � _ I f .`__ i i f ( (l � If i �... ..f_..�_... _._� � � I _.,... I s E 1 � I � 1 E 1 s � _..._. � __ i 1 i, d. j � �� � � � i r �I i t � i > � � ? i __._��........__._..1 ----___ i I �;: '.. _ �,.. _, _ 1 i �`I � 1 I` � I i i , ; �l i i t. __.___..__._-- _—__ ____ -- ..... ..�_ ...�.._._..... . f _, 0 0 CUSTOM BUILDERS P.O. Box 159 • Cotuit, Massachusetts 02635 • 508-420-5 63 Y _ c i i i J` 3 z ' L 4,`^ DEPARTMENT OF PUBLIC SAFETY ONE ASHBORTON•PLACE a f4 ..vxc}1`r: BOSTON,MA 02108 LICENSE, CON ST.R: SUPERVISOR EFFECTIVE DATE LIC-NO, t A , 05/31/1993 047693 V ; CD ft 'G STEVEN P NCELHENY g F ,k ',,,•,,,. w �tt4 APO BOX 282 ; ter: .,COTUIT MA 02635 fit cp NOT VALID UNTIL SIGNED BY UCENSEE AND OFnCWIY co 1'" 2� STAMPED-OR•SKINAWAt Cp 1ME COMMISSIONER y� ems► o ao 0 ,r, - - w• ion c" -�-pd I = ,tl L '•! ,, t •. o �e, C t f r BIQNATURE OF CENSEE t d '^"t"�` s T"/ Y f r�j ly. *1 r a { " h o - .....f o+�.. { J• I t e' > nth t 531 yy1 L r f �'m„--•-+...'--e.... .,�c,..-.. 4�'=� i, �-.r� Z PL5'�;N ilk, Fj�t f 1 II 1 L { a y 3 >r. .•1 i .1 7}.:1 c a tr 4 I •, � 1 -1 1�, f1 � t1 r 'f -/•, tit .. t1' f � r" J ., �-� �r y �, � r t' r'1 ;Iiri'�r w'i: y i "•, r�t RF , - I��� �' -a} ,1 r( 1 I _ � t( ✓ of _ 1 .p _' 1. h I ij ♦ N Assessor's office st Floor): Assessor's map ann I number p! ,�D SEPTIC SYSTEM MUST 8 `�ME �t � INSTALLED 0N C®MP�AN Conservation 9�^`'"' i "�e��� Board of Health(3rd floor): WITH TITLE 5 r. ' Sewage Permit number �. ' ENVIRONMENTAL��DF � Mass. 9 S Engineering Department(3rd floor): �y TOWN REGULAMONS House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2.W P.M.only F TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO t TYPE OF CONSTRUCTION /f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following i ormation: r Location—_ Proposed Use Zoning District ` T Fire District Name of Owner Address Name of Builder Address Name of Architect. f Address `—�— Number of Rooms Foundation c&/af k, Exterior Roofing �/ Y Floors lcl Interior 77/��7V ,/ 1 Heating Plumbing Fireplace . /(OEM Approximate Cost /C3�oT.00 I Area I Diagram of Lot and Building with Dimensions t Fee(321 c�U� I I C � r A/ rq _ 1 ti l _�--- t i 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 GROVER, CAREY & SUZANNE No 3c. -Permit For BUILD ADDITION Single Family Dwelling Location 444 Poponessett Road j Cotuit Owner ,Carey & Suzanne Grover Type of Con lruction ' Frame _ y ' Plot _ 4 Lot ` f Permit Granted March 8 , 19 9 4 I L Date of Inspection 19, Date Completed 19 - r p 00 u. $ r 1 ;. sc :; '• y t x� 1 r The Town of Barnstable • =narrsrnsi.E. • Department of Health, Safety and Environmental Services 'OrFDrrIP'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 25, 1998 Mr. Timothy J. Luff President Archi-Tech Associates 6 School Street Cotuit, MA 02635 Re: 444 Popponesset Road, Cotuit Dear Mr. Luff: I read your letter of August 25, 1998 and must deny your request. You may create habitable space for bedroom use either by compliance with Section 3603.8.1 or by a BBRS variance. If you would like to appeal this,we will help you in any way we can. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn g980825b i °F SHE? The Town of Barnstable BAMSTAB9�A MASS.: ���' Department of Health Safety and Environmental Services rFc �A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: Archi-Tech Associates ATTN: Tim Luff FAX NO: 420-5304 FROM: Ralph Crossen DATE: 8/25/98 PAGE(S): 1 (EXCLUDING COVER SHEET) (original to be sent by mail) �-ARGH I-TECH 6 School Street A550GIAT 5 cotuit, ma 02635 IYIC. tel: (508) 420.5335 �YChlteCtUY�� de51gf1 fax:(508)420.5304 August 25, 1995 Mr. Ralph M. Crossen Town of Barnstable Building Commissioner 367 Main Street Hyannis, MA 02601 Re: Carey Grover Residence 444 Popponesset Road, Cotuit, MA 02635 Dear Mr. Crossen, This letter will summarize our conversation regarding the above referenced building. The issue was ceiling height requirements. The existing second floor io being renovated to accommodate 2 new bedrooms. The existing house was deo'igned by a prominent architect and has historic and aesthetic significance. Because of these considerations We cannot remove the roof. We are adding two new dormers onto the existing roof line. When we are finished we will not meet the current Mass State Building code-for allowable ceiling heights. According,the code 780 CMR-sixth Edition Section 3603.6.1 Habitable rooms shall have a cefling height of not less than seven feet six inches for at least 50% of their required areas. We can not meet these dimensions because of our existing ridge location, We are asking for a waiver from this requirement. If you have any questions or comment!5 please contact us at your convenience. Thank you for your attention to this matter. V trul yours Tim thy J. ufP President 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ONE AND TWO FAMILY DWELLINGS-BUILDING PLANNING 780 CMR 3603.7 ROOM DIMENSIONS 3603.9.2 Access to attics:An opening not less than 3603.7.1 Floor area:Every dwelling unit shall have 22 inches by 30 inches(559 mm by 762 mm)with at least one room which shall have not less than 150 ready access thereto shall be provided to any attic z area having a clear height of over 30 inches (762 square feet(13.95 m )of floor area.Other habitable rooms,except kitchens,shall have an area of not less mm)-Where doors or other openings are installed in than 70 square feet (6.51 m2). Every kitchen shall` the draftstopping, such doors shall be self-closing have not less than 50 square feet(4.64 m)Habitable and be of approved materials as specified in this rooms, except kitchens shall not be less than seven` section, and the construction shall be tightly fitted feet(2134 mm)ireany horizontal direction. - around all pipes,ducts or other assemblies piercing the draftstopping. . 780 CMR 3603.8 CEILING tMGHT 780 CMR 3603.10 MEANS OF EGRESS REQ 3603.10.1 Means of egress: Egress from all 1603.8.1 Minimum ceiling height: Habitable dwelling units shall be by means of two exit doors,'= rooms,except kitchens,shall have a ceiling height of not less than seven feet six inches(2286 mm)for at remote as possible from each other and leading least 50% of their required areas. Not more than' directly to grade. Such doors shall be provided at 50%of the required area may have a sloped ceiling the normal level of entry/exit. In addition, all other less than seven feet six inches(2286 mm)in height ` floors within a dwelling unit shall have at least one with no portion of the required areas less than five"` means by which a continuous and unobstructed path.. feet(1524 mm)in height. If any room has a furred to the exit doors,by means of stairways,corridors, ceiling,the prescribed ceiling height is required for hallways or combinations thereof,is provided. '` at least 50%of the area thereof,but in no case shall Exception: In split level and raised ranch style,£ the height of the furred ceiling be less than seven.;; layouts, the two separate exit doors required by,i feet(2134 mm). ti 780 CMR 3603.10.1 are permitted to be located.p Exceptions: on different levels. a.,"Crtd: r 1. Beams and girders spaced not less than fotir "`'m feet(1219 mm)on.center may project not more 3603.10.2 Exit doors:One of the required exit doors than six inches (153 mm) below the required required by 780 CMR 3603.10.1 shall be cia 4 ceiling height. .,r side-hinged swinging door. The second exit door,a. 2. All other rooms including kitchens,bathrooms may be provided by a side-hinged swinging door or.: and hallwaysshall have a minimum ceiling height sliding type doors. Side hinged swinging doors; - of seven feet(2134 mm)measured to the lowest Provided to meet this requirement may swing projection from the ceiling. ,w,} inward. 3. Basements not used for habitable spaces shall 3603.10.3 Door hardware: Double cylinder dead have a minimum clear ceiling height of six feet eight inches(2032 mm)except for under beams, bolts requiring a key operation on both sides are girders, ducts or other obstructions where the Prohibited on required means of egress doors serving clear height shall be a minimum of six feet four more than one dwelling unit. inches(1931 mm). 3603.10.4 Emergency egress from sleeping rooms: 3603.8.2 Height effect on room area: Portions of Sleeping rooms shall have at least one openable a room with a sloping ceiling measuring less than window or exterior door approved for emergency five feet zero inches(1524 mm)or a furred ceiling egress or rescue in each such room.The units shall measuring less than seven feet zero inches (2134 be operable from the inside to a full clear opening mm) from the finished floor to the finished ceiling without the use of a key or tool.Emergency escape shall not be considered as contributing to the windows, under 780 CMR 3603.10.4, shall have a minimum required habitable area for that room. sill height of not more than 44 inches (I 118 mm) above the floor. 3603.8.3 Stairway ceiling height: Stairway 3603.10.4.1 Minimum size. All emergency headroom clearances shall be in accordance with the escape windows from sleeping rooms shall have provisions of 780 CMR 3603.13.3. a net clear opening of 5.7 square feet(0.530 m2). The minimum net clear opening height shall be 780 CMR 36039 ACCESS TO CRAWL 22 inches (559 mm). The minimum net clear SPACES AND ATTICS opening width shall be 20 inches(508 mm). 3603.9.1 Access to crawl spaces: Access shall be Exception: provided to crawl spaces by an opening not less than 1. Grade floor windows may have a minimum,', 18 inches(457 mm)by 24 inches(610 mm). net clear opening of five square feet (320.r mm 2) ;. 2. Windows in sleeping rooms of existing dwellings which do not conform to the 2/7/97 (Effective 2/28/97) 780 CMR-Sixth Edition 477 yjj Assessor's Office(1st floor) Man o: Lot Permit# Conservation Office f4th floor ' -3 4 Date Issued Board of Health 3rd floor Engineering Dept. Ord floor House# ot7 SEPTI UST BE Planning Dept. (1st floor/School Admin.Bldg.): INSTAL E Definitive Plan A roved b Ptannin Board NVIRCN a MODE AND (Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) TO WN REGULATIONS TOWN OF BA LE Building Permit Application Protect Street Address Villa a Fire District (hvner Address Tele one Permit Request: / ' i Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use 'Proposed Use Construction TyX Existing Information Dwelling Type: ingl F v Two family Multi-family Age of structure Basement tune Historic House Finished Old Kings Highway. Unfinished Number of Baths No.of Bedrooms i Total Room Count(not including baths) First Floor Heat Type and Fuel AA6160 Central Air / la Fireplaces s - - Garage: Detached Other Detached Structures: Pool Attached B rn one Sheds Other Builder Information Name Rzz f Tele hone number 7 J3�✓� Address 01S'0 License# Home Improvement Contractor# Worker's Compensation # 14//1,7 000030®60 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 a,.,, Pro'ect Cost 00 Fee SIGNATURE DATE r BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T t 1 FOR OFFICE USE ONLY 3/20/95 019.005 f ADDRESS 444 Poponessett Road VILLAGE Cotuit Carey C. Grover ' OWNER i DATE OF INSPECTION: � FOUNDATION C RANE INSULATION I FIREPLACE 4 / y ELECTRICAL: i ROUGH FINAL - PLUMBING: ROUGH FINAL t , GAS: ROUGH FINAL ` FINAL BUILDIGN 7q. DATE CLOS Q ASSOCIATE P) ` { ' APPLICATION FOR PERMIT TO INSTALL AND REQUE � / FOR ELECTRICAL SERVICE _ Inspector of Wires, { � - Wiring Permit # COM/Electric # 321213 Town of �i�y#Tr/ F Massachusetts Building Permit # Date •3' ��_9 Customer: _ ( on(Street#) Lot# " •-in the village of - ,q 7V77 utility pole number or underground number Customer's billing address Temporary New installation Change of service Starting date 4 Job description 114 R}'dd/ ,�!'�'1✓�/ Service entrance voltage Amperage Phase p q 5n Wire size(cu.,,or al.)- Conductor per phase Number of meters Water heater Off peak: Yes No Estimated load: Electric,heat kw, lights kw,Range dryer- Motors, H.P.&Phase Ready for first inspection `��— g § Ready for finaj inspectio Electrical Con for Lic p � M Address O. ,r D.t' O 7 r 1 f �ewa Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE t INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in Service and Meter } v Off Peak Meter Final Approval Disapproved' r 'For the following reasons a CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been,completed and has this day been inspected and approval granted for connection to your service. Inspector of Wires s WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue 'M. CA 46 . INSPECTOR'S NOTICE DEPARTMENT OF PUBLIC SAFETY ty c C COrny10NWEALTH ONE ASH©ORTON PLACE 1 SG �r OF oc a r3OSTON,MA 02108 'P MASSACHUSETTS �p T EXPIRATION DATE 1 EFFECTIVE DATE LIC-N0- 05131 /1995 RESTRICTIONS t c / ?.; / ! j 1GR 2 F,1MIlY 110!Q: T ;'1Lc.1 Hr.tiY r .,T•cV :1 F,t1 ;.i 0 1( ; , ... rV f�n NOT VALID UNTIL SICNED DY LICENSEE AND OFFICIALLY PHOTO(o�,STIN��Pn oNLn FE�/ ` IAMISSIONEn STAtAPEO-Or1-SIGNAT LINE OF TI�E GO HEIGHT: DOB: ,! SIGNATUPE OE N:EN 56 1MS DOCUMENT MUST -� c nn,roONTHrPEnG::NG1 TnE N.1l O:-y t^,fir F•I ��✓n-.r "/.� ;I- <.1-IE nS-1'961I 1r I It""S PII:N1 (� ✓�ii�miuonarv��/���l�aua��irNc/Id �\ HOME IMPROVEMENT CONTRACTOR Registration 110485 Type - INDIVIDUAL Expiration - - 10/20/96;, GROVER L HCELHENY BUILDER5'�' STEVEN P. HCELHENY G� Go BOX 1058/523 RAIN ST AOMIMSTRATOR COTUIT HA 02635 . 1 ,. - - °� The Town of Barnstable • =AiLYSTABLE. MASS. � Department of Health Safety and Environmental Services nat" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME BOROVEMENT 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: ,5�,� Est.CostOCt? Address of Work: Owner Name: Date of Permit Application I heretn•certify that: , Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 Building not owner-oocupied O%Nmer 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. b OR Date Owner's name 11/02 94 1;:02 '0617 7 12, DEPT I?NTD 9CCID (QC ri -.i aUaf,artme�l o��nd��trcal�cccdenL� James J.Camnbell &Ion. 9X-1J & 02f f 1 Commissioner _-....-. Workers` Compensation Insurance AM t (Qamsedpamim") with a principal place of business at: (ckystaftizip) do hereby certify under the pains and penalties of periurjr, that: () I am an employer provid'mg workers' compensation coverage for my eraptoyees worldng on this job. insurance Company Policy Number O I am a sole proprietor and have no one working for the in any capacity. () I am a sole proprietor, general contractor or homeowner (cirde one) and have fined the contractors fisted below who have the fallowing woricers' compensation policies. Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () [ am a homeowner performing 211 the work myself. Ci.`-I't C. of Ct 01ji,for .. r . _ CCCerebe VfftllC L�<:�Cf 2nC 2i . ``�"�� �' (C c C, C•CUCn 2:f,Cf,j'!C.L k2C to:�1.^..PCSiticn C1 mrz-,n;I pcn21peV COnsistrc of;fine of bF 10�1,��C.43:1 2r.C.0 C in fcr-CrzSTOP WORK ORDER ar,GafireclSiCO.Cr -C`y; — L-14 19 Licensee/Permittee Building Department Licensing Board Selectmens Office F Health Department TO VE%Ir=Y COVERAGE INFOKMATI011 CALL: 617-727-4900 X403, 404, 405, 4 75 Ee'-.--5:_.-_ BUJ I ZINC PE?';I si �. 1 v Aw • w GoT 1 LoT'"LL / 'r C7 � Z3B.oL ' 67a Lor '7Z 48 5qp 4- 7z •� Y ��� . tg tiG � Q 1� Lord 73r N r D E �ZZ•y3 � E 55 . otj Re V. P F CERTIFIED PLOT PLAN LOCATION .89! s7xJBGGy CC©�uiT� SCALE . ./.f� �* .... DATE !`I,9,e. PLAN REFERENCE . .1--j.,&7 !C LoT 7Z 1.�.J, -` � ;f'' . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . ( I CERTIFY THAT THE EQ�STI�/G Qvic�f.�� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND G " ` AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE � CA�eEy G,2ov - /�E77Pa.v REGISTERED LAND SURVEY7R i J..sl R(S 1a,y� �p� C ;. t•`.,� "O LOW./,T YI rooPLLI 8 • . _ r i+ ICE r .I - -• __ ,... mc.. � lam{[;y • I -- _ I r a, __ ,SOUTH ELEVATION :� WEST ELEVATION - i _ ��.a_�a��.� _ �.,. ,� t ` I I A 4" 1' �1L .. —..._ -_____ I ... �.. .� -- I . I - - _'�d.aOLp•YP P.IGT.PLe-OR . : , : h . _ { s I @K16TILQ,gi6T.R.O:OfL" I L- F 41 - � t • , �I _ EAST ELEVATION - 1/,C 1'-(r f. . LL t 313 il�. xig k ri"T _ SECTION u Ni ri I I I W s II 1 — ems c_L� I _ Z _. �" it ( W. 0Z yl vl tpl-a,-�- J� '_'l Ge ..41_pA 141-q,�.., -2 _�.�-01 2.1-107 •}e. .. !4 ^✓ .. _ W .. .BEDROOM I �I '=---, -. bEQB�M .- � � I, � _ - .- � UjQp uj .. Lu 7 : %COL I r ,y I � 12 O 7D- _ �: -- ___ - - _ .. .i i .• =men l4'= I1_ol I I r I , 1 4j. ��' �. ' SECOND FLOOR PLAN FIRST FLOOR PLAN 1M„ 1,_� ltu as Il Pu t ��Iw.�T srlwlgt.a. _... .Uy..M.1lpynq Q laW I.-ftN /IOOr In LLI 7 . . 41 I dNTGn Mou - - :__ V - WEST ELEVATION _ SOUTH ELEVATION co -17 Ltc.sanlb_.c - .� .J J J _ - �: ! - EAST ELEVATION + GG 4 � 0 I L Itl� -'-- 10-�' } g-4t_ I' SECTION LU l o �" o 2 2-4� C-�I-._ I GI 4'-01_ 141-.q1_� .Fd Z -�7, 21-10� 4�' • � ... � .. rl � V V Q �� - .. ✓ h BEDROOM i ! �_.� W � \� W t W J8 W nuL j�. 0 ,1. �,, /� Z•,1• �_ei lei - -' ---- - _ BEDRmm I i Lt. f " � 11 11 No'1:c.N11 Wn.00•y� —_..._ i � _. � _ � �� � " 1C W✓ T!•1►..bm SECOND FLOOR PLAN �� �! 3j o FIRST-FLOOR PLAN �: 11 i/,--i'-T t - t , s` w : .-- - -7� T _ 1 tt W EST..ELEVATION SOELEVATION UTH 1 /4„ r 11 _ 0„ � � Il I _ i EAST ELEVATION 1 /4" _ 11 _ 0„ SECTION , I _ W o I I , i 1 I i V u Q , � t ,00 . > ILL0-Ul O IT i 1 I � FIRST FLOOD P ._ANSE O Q FL / R rPjAN 1 /4" = 1 ' - T 1 /4" = 1 ' - 0" V10- ZO 7— Ct-, (— ) 4)IA?-V.T w,g /4- 7—e All, -0 7- 7.f 06, 7e -r y(.T 7 4.0 7 7/ y llwTcl' IWO- /4/-20, x TOP OF FOUNDATION AOC X -,Q CONCRETE COVER 61 CONCRETE COVERS F.9 rAZ W- AW a 4 CAST IRON 12 M X • 12"MAX V OR SCHEDULE 40 PV.C. PIPE 4"SCHEDULE 40 PVC-(ONLT) 5 PIPE - MIN.PITCH 1/4"PER, LEACH 77 s'a- Ail ruA "ITCH 1/4"PER.FT PIT PRECAST �" <�= f,�r TES'T 'h ; p ,'-1 D e•u N E! if & -i .*... LEACHING NVER�x u L. Ip 40 �L I PIT OR EL. INVERT INVERT, SEPTIC TANK DIET. ui -�0,0' ;1- EGUIV, T X EL.J/ ------------- INVER EL�f.0- I - GAL . INVERT 6 a�. lel 1�s.IV 'ex 14 EL. INVERT, uj UJ 3/4"TO I Vi' uu.0 WASHED uj STONE C '0 PO � ` E T T -�2 • -*-22 G'DIA. t4�4 DIA. ,,7r5?,rQ - Iw PROR LE OF -de-&U--ND WATER -fAi-LE- SEWAGE DISPOSAL SYSTEM 0- Zc ,- so NO SCALE p- SOI L LOG WITNESSED BY : DATE 7129lf4. TIME. . . . . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 1 R.ff$t.j ENGINEER ELEV. y, .7s ELEV. 76 00 DESIGN DATA , C4 -�/Z,eS -010"o , NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW GALLONS/DAY BOTTOM LEACHING AREA SQ.FT. /PIT/,,--.)-z>. SIDE LEACHING AREA so / FT./ P I T/4�,-/D. GARBAGE DISPOSAL ^✓O . (50% AREA INCREASE) TOTAL LEACHING AREA -Y SQ.FT 12' Ire l?-0,-S, PERCOLATION RATE e MIN/INCH S l T E P A N T I - - - /vO WATER LEACHING AREA PER PERCOLATION RATE/0-9-9,SSO.FT/,-Z-0 ENCOUNTERED f NUMBER OF LEACHING PITS .,e. 74 ee, F C R 'Poe p APPROVED BOARD OF HEALTH CAPEYG PO V FP DATE AGENT OR INSPECTOR Z) nF I IF e(2-1-4;',5 14 /Sd6 E ri, L EY No. 2-100 "ecq S 0,Z 6 PETITIONER C L