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HomeMy WebLinkAbout1350 SANTUIT-NEWTOWN ROAD i I f �+L�Y lam-, I f F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel I�J Application #ZV u , b� Health Division Date Issued ,.- Conservation Division Application Fee if Planning Dept. Permit Fee 451. V O Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address So Sa�,�,.o - ��� �� • Village (o-I-"4 Owner 1)Xit CTse",;� + (1-6kt 1,w,a.,., Address s ` >is:Uof!s T7 Telephone 611 6 S 3 "66 -?>8 Permit Request Jv,,% �� 1,r.,v^_.. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑-_Yes U:No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other , Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new fd' I � Number of Bedrooms: existing _new r` Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number (7—6S Address T­yu.S+- VrAh,% MA License # Home Improvement Contractor# Email )n pre_S�&Qr ya (, [.0-'n Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE 14lb 15 r ' FOR OFFICIAL USE ONLY APPLICATION # GATE ISSUED MAP/PARCEL NO. w ADDRESS VILLAGE eL OWNER B. DATE OF INSPECTION: FOUNDATION ty y FRAME MR) ZJl )6 IV INSULATION ;E FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING S 4 DATE CLOSED OUT ASSOCIATION PLAN NO. Bk 29 312 . P:u 13 g .9 74 12-04-201 1 a 09 = 37cx DEED RESTRICTION WHEREAS, fAiC�(:Zt\ Pre-s�MC-f\ of (owner's name) �S ��S�►ops Cure s� dri v c V a\\hAr� MA (address) is the owner of I I S0 J6W A r U CZ located (address i MA (hereinafter referred to as and being shown on a plan entitled "Subdivision of Land in C 0 'As, k MA, Property of M�c�Gt\ Pre) t%c,, et al, duly recorded in Barnstable County Registry of 'Deed Deeds in-P44 Book 6 R Q , Page Or on Land Court Plan Number WHEREAS, MkAek as the owner of said lot has (owner's name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in, any home built on said lot as a pre-condition to obtaining a disposal works construction permit-in compliance with 310 CMR 1-5.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of' bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deeds NOW, THEREFORE, ic1��{' t�M � does hereby place the (owners name) ' following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. J350 may have constructed (address) y d upon the lot a house containing no more than 4�r-e-e (3) bedrooms. Mtc�ac I ('�Pr�rn�.n agrees that this shall be permanent deed (owner's name) restriction affecting located on MA, and being shown on the plan recorded in Plan Book 3 q y , Paged 3 Or on Land Court Plan For title of see the following deed: Book aSc qS , Page 3 a Or Land Court Certificate of Title Number Executed as ealed instrument day of 1� Owner's signature L _ Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss 201� Then personal yppeafedAq a ve-named known to me to be the person who executed the foregoing instrument and acknowled ell the same to be free and eed', before me, Public Notary 01 My commi sion expir ""11LLEr,V" � M p° to ti deedr BARNSTABLE REGISTRY OF DEEDS �ANEILLE SLAKE Notary Public.Commonwealth of Massachusetts John`F. Meade, Register � � MY Commissiori Expires January 16.2020 •� = r .The Conimorrivealth of-Vassachusetts ` Department of Indruftial Accidents la Office q f 1m esligadons -- '3 600 Washington Street Boston,?CIA 02111 - wivin Bass govIdrll Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information `' Please Print I.ecgbIy" Name(Business/oiganiiaEianmffiidual) �(1�� Yi'f f"�A m G/1 Address: City/State Zip._ (C.tfLlk NA A (j a Co 35- Plione-,u-- �'e I� (o S- co 3,-1 Are jrou 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 r * have lured the sub contractors 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet 'I-. ❑Remodeling slip and have no employees. These sub-contractors have g. ❑Demolition worling for'me in any capacity employees and have woricers' ) 9. ❑Building addition[No workers.'comp.insurance comp_insuranc�e.l r ed-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all urark officers have-exercised their ME]Plumbing repairs or additions. my-self [No workers'comp- right of exemption per MGL 12.❑R ofrepairs insurance required.]i c.152,§I(4X and we have no employees.[No workers' 13_❑Other comp-insurance required.]; •Any applicant:that checks box Q mast dw fill out the section below showing their waidcers'compensatiaapolicg infotmad= 1 Mmeowners who submit this af5dz%,t indicating they Ra daing all wart and then,hire outside c==tors must submit a new affidavit indicating such. '-Contractors that cbeck this boot must attached an additional sheet showing the name of tha sub-contractors and state whether or not tbose entitties have employees. If the sub coatactots bare employees,they mustpmuzde their workers'comp.policy number. I ain art errrplofer tliat isproi rdrtrg workers'conrpe-risaliott insurance for my employees. Below is the pollcY and job site' informadDIL Insurance Company Dame: R Policy,&4 or Self-ins.Lic. F-xpiratioa Date: Job Site Address: City/Statelzip: Attach a copy of the workers'compensationpolicy 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 chril 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 oflhe DIA f insurance co ge verification. I do Hereby certify h is all Ialties ofpegury that the information prmdded a bm a is here and correct Sitmafure: " Date: Phone : COS, ; -'.Ofjzcial use only. Do not write in this area,to be completed by rate ortown o dat City or Town.: PermitUcense if Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/rown Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and lustrue.fions ' Massachusetts Geheral Laws chapter 152 regnies all employers to provide worker,'compensation for their employees. p h,this stgttL,,an employee is defined as."_.every person in the service of another under any contract of hie, express or implied,oral or " An emppooyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more Of the foregoing=gaged in a Joint eninrprise,and imclnding the Iegal Fepresentatives of a deceased employer,or the receiver or trastee 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 mairtP.nance,construction or repair work on such dwelling house or on the grounds or budding appu�tisereto shallnotbecause of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the ins rran ce. requirc,mcnts of this chapter have been presented to the contracting authority. Applicasits Please fia out the wodcers'compensation affidavit completely,by checl the,boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their cerdEcate(s) of insu once. 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 requ-ii : Be advised that this affidavitmaybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date fhe affidavit. The affidavit should be retmned to the city or town that the application for tale permit or license is being requested,not the Department of o , 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-fi.nu ed companies should enter their self-m�ce license nrmbe oon the appropriate line. City or Town Officials f Please be sure that the affidavit is complete and pried legibly. ahe Departmenthas 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 pen: it/Iicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications nr any given year,need only submit one affidavit indium current p olicy information(if necessary)and under"Job Site Address"the applicant sho,ild n,rite"all to cations in ( Y or town)_"A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the " applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permitnot related to any business or commercial venture (ie. a dog license or permit to bum leaves eta-)said person is MOT=Ffted to complete this affidavit . The Of 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 nlnober. Thu CG.nM:kGn tlr of Massaabimtf�s IIegazi�ent of Izidn�ial Accidents Office of j vestigatio.u% Goo wash you Sft-c�et ' Boston,YA 02111 Td.4 617 727-4900 cxt 406 or 1-9 -IASSAF Fax 9 617-727-7749 Revised 4-24-07 v_mas,-:;.gogIdia Town of Barnstable ., . Regulatory Services rg� Richard P.Scari,Director F B dug)Division. t a�Bx�uR*p Tom Perry,Building Commissioner XAMM' zs3- `a 200 Main Street Hymuds,MA 02601 �'TEn www town.barnstahle.ma-us Office: 50 8-862-403 8 Fag: 508-790-M O HOMEOWNER LICENSE EXEIY TOM /j-2 ��o fDATE / JOB LOCATIM / 7 S C) Sc,VLA't V N f—C, nnmbcr shut namr bomcphonc# work phonc# CURR_ENTMAMING ADDRESS: q city/WWn zip cock The cunt exemption for"homeowners"was extandad to include owner-occ�ied dwellings of six curls or less and to allow homeowners to engage an individual for hire who does notpossess a license,provided that the owner acts as supervisor_ • D��nzlorr og Han�owN� P erson(s)who owns a parcel of land on which helshe resides or intends to reside,on which there is,or is intended b be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who contracts more..than one home in a two-year period shall not be considered.a homeowner. Such`homwwnee'shall submit to the Building Official on a form acceptable to the Building Official,thathe/sha shall be responsible for all such work performed underthe bnUdinE permit (Section 109.L1) The undersigaed`..homeowner"assumes responsibility for compliance withthe State Building Coda and other applicable codes, bylaws,rules and regalations_ The im rsi `Ih meown s that he/she understands the Town of Barnstable Building Department minimum inspection prose he/she will comply with said procedures and re�emenfs- . a�ofHomcowmcr ` Appraval'ofBm7diag Official a Note: Three family dwellings containing 35,000 cubic feet or larger wMbe required to comply with the State Btnlding Coda Section W.0 Conshv.ction Control. HOMEOWI='S EXEM r'tON The Code states that "Any homeowner performing work for which a building permit is required shaIl be exempt from the provisions of this section(Section 109_U-Licensing of construction Supervisors);provided that if the homeowner engages a persoa(s)for hire to do such work,that such Homeowner sh2n art 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 215) This rack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot .proceed against the unIimnsed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is My aware of his/her responsibilities,many communities require,as past of the permit application,that the homeowner certify that he/she understands the responsibr7ities of a Supervisor. On the last gage of this issue is a form currently used by.several towns- You may caret amend and adopt such a form/eertifrraiion for use in your community. Q.\VrFaEST0R2MMRCrMgP=Mhfar %EX?MS too Revised 061313 T Town of Barnstable Regulatory Services E RIANCT��.4 mess. $ Richard V.Smli Director 4� �tim Building Division TomPerrp,Building Commissioner 200 Main S`freet;Hy=I*MA 02601 WWW.toWj:Lbarustable ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A Builder L ,as Owner of the subject property- to act on my behalf, in all matters relative to work authorized by this building permit applicatio=i for. (-Address of Job) ' '`Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or iiilized before fence is installed and all final ' inspections_are performed and accepted. S gaat= of Owner Signature of Applicant Pii=Name Pant Na me Date . Q:F0RIVM.0W MUERMMSIONP00IS t Ci S QJUI h rl a U �I S See,1 7 ~ Noote- ^ 1 ---- -------- Ar oloo, o L) 2_ Town of Barnstable - *Permit#; Expires 6 months from issue date Regulatory Services Fee _ 5_ _�— BAANSTABM MAss Richard V.Scali,Director i639. ♦� Building Division Tom Perry,CBO,Building Commissioner ease 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us 2015 Office: 508-862-4038 M7 0 -790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAUM2Hff BARNSTABLE 1 Not Valid without Red X-Press Imprint Map/parcel Number n r Property Address t/ ( J� Diuf T" ,ll� residential Value of Work$ �f Minimum fee of$35.00 for work under-$6000.00 Owner's Name&Address Contractor's Name /Y Telephone Number-(Z& 4 Home Improvement Contractor License#(if applicable) l.7 0�[�O Email: _ y _n?/` ��(/e•C� i V Construction Supervisor's License#(if applicable) C s _ 1 P (e73 � ❑Workman's Compensation Insurance Check one: am a sole proprietor ❑ I am the Homeowner ❑ .I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ,19,Re-roof(hurricane nailed)(stripping old.shingles) All construction debris will be taken tolt ❑ Re-roof(hurricane nailed)(not stripping. Going over ., existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑. Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. SIGNATURE: Q:\WPFILES\FORMS\building perit f RESS.doc n Revised 040215 Synergy Home Improyements 91 Portside Circle East Falmouth Mass 02536 (508)564-1247 g.synergy@live.com Contract Proposal#20151028 Proposal Submitted to: Mike Preshman 1350 Santuit-Newtown Road Mashpee, MA 02649 ROOF REPLACEMENT Part A-Procedure 1. Remove all asphalt roof shingles, underlayment paper, and fasteners from roof 2. Ensure all sheathing*, flashing, and drip edge 'Sr secure and in quality condition 3. Repair or replace any portions of flashing if needed 4. Install ice and water membrane along all eave runs of roofing 5. Install new layer of underlayment tar paper on roof 6. Install new architectural class asphalt shingles on roof complete 7. Dispose of all construction waste *Due to lack of visibility prior to demolition(shing4le removal) any unforeseen damage to plywood " sheathing on roof(due to rot, etc) in need of replacement may be subject to extra charges. In the event such a circumstance occurs Photo/Video footage will be provided. Part B-Schedule It is projected that this operation will be completed within one(1) working day(s). Delays may ensue due to circumstances beyond human control such as substantial sickness, extreme weather conditions(snowfall, rainfall ,etc), and acts of god. The perspective start/finish dates for this project are as follows: production shall take place on or about(between the dates) Wednesday, December 9th, 2015 and it is.estimated the project will be completed on or about Friday, December 18t'', 2015. Part C-Project cost The total cost for this project, all labor, material, and disposal "included is offered at a price of. Six Thousand Four Hundred Fifty Dollars and Zero Cents.. $6,450.00 Part D-Payment Schedule 1. Deposit..... $ 3,225.00 2. Progress payment...... $ 0.00 3. Final payment(completion).....** $ 3,225.00 **photographic transmission of progress will be provided if homeowners are not present at the worksite Part E-Acceptance of Contract Proposal By signing below I, Mike Preshman, owner of the property at 1350 Santuit-Newtown Road, Mashpee, MA, agree to all above stated terms listed on this contract propos 'Gi' Ix Y20 -26 Signature/date Signature/Date Geoff Bright Mike Preshman Geoff Bright Synergy Home Improvements Massachusetts Department of Public-Safety �.% Board of Building Regulations and Standards License: CS-1.08673 Construction Supervisor GEOFFREY BRIGHT 91 PORTSIDE CIRC I i EAST FALMOUT)i M- 5 = Expiration: Commissioner 02/08/2019 • t ; Re Construction,to Superviso Unrestricted to: less th stricted-Build space.in 35,000 cubi in gs O any use group whichc cubic meters ontain of enclosed Failure to possess a State Buildin current edition of DPS Licensingcause for revoc the Massachusetts in anon Of this• n visit: license. WWW MASS.GOV/DPS f Office of Consumer Affairs& Business Regulation-Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) ' Y Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting. Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button.. Search by Registration Number 174288 -�Search You must click the "Search Registrant" button to search by name or location. t Search by Registrant Company name Search by Registrant Last name City/Town _.._ _ !Search Registrant State Zip code Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Wednesday, December 9, 2015. Search Results REGISTRANT RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS NAME INDIVIDUAL. NUMBER DATE SYNERGY HOME BRIGHT, 174288 91 PORTSIDE CIRCLE 01/23/2017 Current IMPROVEMENTS GEOFFREY EAST FALMOUTH,.MA 02536 ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. https:Hservices.oca.state.ma.us/hic/licenseelist.aspx 12/10/2015 (013 ` ne Commorrivealth o,f lvassadlusetts �•� D r-ftneirt o•f Industrial Acciderds - _ Qe of.investigations b00 Washington Streety. Bastonp M-4 02111 t►arvetr rnassgrn�fdirr Workers' Compensation Insurance Affidavit- B•mlderslCantractnrs/EIectricians/Plumhers Applicant Information Please Print feebly Name(3usinessrOrganin ion1ndividu )= -SL4n el,,aL4p U Address: O f C atyfstatr_(Zip._ 5 T. 1±sg! Phoneme _M , Are you an employer?Check the appropriate box: Type of project(required): 4. I am a general contractor and I 1_❑ I am a employer vpitfr ❑ 6. ❑New construction• ,�loyees(full andtor par#timed* Have hired.the sub-contractors 2�L}�I.am a sole proprietor orpartnea- listed on the attached sheet._ 7. ❑Remodeling �L s� .p and have no employees These sub-confractors have �P '�°1 $. E]Demolition wading for me in any capacity- employees and have workers' c insurance l ❑Building addition [No *r o workers' comp.+ c lta*�ce amp' ' 1�0.❑Electrical rewired_] S. ❑ We are a corporation and its repairs or additions 3.❑ lam a homeawner doing all work officers have myself �o exercised their 11-❑Plumbing repairs or'additions -workers' -kers' right of exemption per MGL • 12.❑Roafrepairs i*+m=ce required_]F C.152, §1(4h and we have rna employees.[No workers' 1313 Other camp-insurance required-]' •clay applicatYt fat checks box pl nm4#also fLU outthe sectio¢below sbntsing the¢•wetness'campensatinu policy inf�on_ I Homeowners who submit this afidmit i &mtng they axe thing all wa l aa4 then hits outside contactors must submit a new affidavit indie=ag such. tCdn=ctors that shed this boat mast attached=additiansl sheet showing the nalae of the sub-caattzam.and state whether or nut those entities bay employees.Ifthe sub-contactors have employees,theymarsrpmvia their workers'comp.pal'uy number. I acre air eertpLoJ�er that is pro�ading�vurkers'cantperesa�i�xn ireszararzce f yr ai}s enrpIuf es Below is the policy and job site tr fornuatiom Insurance Company Name: Policy or pelf-ins..Lic_ ForpirationDate: Job Site Address-- CitylStateJ2p: i Attach a copy of the workers'compensation policy:declaration page(showing the policy number and expiration date]. Failure to secure:coverage as required under Section 25A.of MGL c 1572 can lead to the imposition of criminal penalties of a fine up to$1,50D.00 andlor one-year imprisonment,as well as ci%al peualties.in the form of a STOP WORK ORDER and a fine of up to$250-DO a day against the-vzolator. Be ad,,dsed that a copy of this statement may be forwarded to the Office of Investigations of the DIA far insurance coverage verification I do hereby ,ne er thepabi a rea , of prdury that the informahoru prmri&d a is aetd c8rrect Simature: PA4 Date: r/� ro �l Phone; OZ Official use only. ,Do nat asrrte in this area,to be completed by tfty ortown o f rciaL City or Tomm: PermitUcense AE Issuing A.ntharity(circle one): . 1.Board of$eaIth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person• Phone#: Information and Mst-uc-ions , • y Massachusetts General Laws chapter 152 re:�all employers to provide wormers'compensation for their employees. p tc,this staZrte,an.mvIayee is defined as.'—every person in fare service of another under any contrast of hue, express or implied,oral or " An wTlayer is defined as"an.individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint entmpase,and including the legal representatives of a deceased employer,or the receiver or tivstee of an iadividnal,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than.t3uree 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 dweIIing house or oa the grounds or building appti�thcmto shall not becanse of such employment be deemed to be an employer." MGL chapter 152;§25C(6)also stems 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 inssuxauce.cov-ex-age regata-ed." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter Mtn any contract for the performance ofpublic wont until accepfable evidence of compliance with the i„sura„ce._ requirements of this chapter have been presented to the contracting_mithozity_" Applicants Please fill out the workers'compensation affidavit completely,by checking iha boxes that apply to your situation and,if s address es and hone number(s)s along with their certificate(s)of necessary,supPlY.snb-contractors)name(), ( ) P r() incr-rrance. Limited Liability Companies(LLC)or LimitedLiabi-ay-Partnerships(LLP)with no employees other than the members or partners, are not requi ed to casy workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of fiLsuran ce coverage. Also be sure to sign and date the affidavit- The affidavit should be retumed to the,city or town that the application for the permit or license is being requested,not the Deparhnenf of hidustri al A ccidmts. Should you have any questions regarding the law or if you are requiired to obtain a workers' lease call the D artment of the number li_s-fEd below. Self-insured companies should enter the;r compensation policy,p ep . self-insTMan ce license number on the appmpnat-,line. City or Town OfFacials t Please be store that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till otrt in the event the Office of Investigations has to contact you regardhrg the applicant_ Please be sure to fill in fire permit/license number which will be used as a reference number. In addition,ao.applicant that must submit multiple permit/license,applications M any given year,need only submit one affidavit indicating current: p olicv bifb=ation Cif necessary)and under"Job Site Address"the applicant should<Fate"all locations is (ciLY or town)_"A copy of the-aft davit 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 fotm-e 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-t. a dog license or permit to bum leaves etc.)said person is NOT regtured to complete this affidavit The Office of Investigations would like to thank you is 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. ti CGmMmweaith of Massachusz-t#s Ikepadmtnt c&1ad sal Agents stf��4tQn t Baste YA GI I I I Tf,-1.4 617 t27-49W cxL 4-06 or 1-a77-MA-S E Fax 9 617-727-7749 Revised 4-24-07 mash gavldia 'Y 1 L,OT 7 ' u I � 1 1 1 IZ, 11 1t II L41Jtt"v17E 1 0 18.4r� ± ✓ l I � CERTIFIED PLOT PLAN ONETa CERTIFY PLANTHAT ISTHE -LOCATED ON THE FOR GROUND AS SHOWN HEREON AND THAT IT LOT 7 NEWTOWN ROAD MARSTONS MILLS, MA. CONFORMS TO THE MINIMUM SETBACK PLAN BOOK 394 PAGE 3 . REQUIREMENTS OF THE TOWN OF BARNSTABLE WHEN CONSTRUCTED. PREPARED FOR DANIEL HOSTETTER p�10 OF ar SCALE: V = 30 DECEMBER 29, 1995 NOTE: THIS PROPERTY LIES IN FLOOD ZONE"C , 5 WELLER & ASSOCIATES P.O. BOX 119 YARMOUTHPORT,MA.02675 (508)362-8131 The eoninionwealth of Massachusetts Department ojlndustrial Accidents :z {F office of/oyest/02110 is ' •.� ivK Ill 600 H'ashington Street Boston,Muss. 02111 Workers' Compensation Insurance Affidavit Anpltcant tnformation: Please PR11YT'lebLv name• �,1A���f�/tf� Incntion• 1�-il� , U r, �r phone#, t4 2� 3�d 10 1 am a homeowner performing all work myself. , ri 1 am a sole proprietor and have no one working in any capacity •Y.;. [ .E..;( J.11lWait,H.e2Jf! ....�A.. _...., i�e]'ayyrn,. l: ir. rJ I am an employer providing workers' compensation for my employees working on this job. orn ccompanycompanyname:T t`K- �Jrnbeer l address: A mc,,n rat,+ . city: /V,A Phone#: insurance co, policy# 17, ,. ,.. . .,.. 0 1 am a sole proprietor, neral contracto , or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: r� address: : I city- phone#: a insurance co. 1)olic} # ^c ti — y�nr�-•.t •.:a��ae� ? -^r• �s;:;, ,ate 1 _ r tRYszcsrr^?r+ ys= .^ j'<.::`- _.:::..,;r3 _.._-..�=as._sa:�.._ i�•..�.���'"`�'1"''. e..�i.�r�� ���+�rT '-_°fir_ _ .::rr�c. =_.s�'w:r,:.,.':._ company name: address, city- Ohone#• insurance co. policy# • ,-�•...st����i:ye.' t;•vp: r w-= .<c`y,G,• c• 1<d+r_ 'xt � arria:-?:.. -�* - ti+.'..__: ;Attach addthonal sheet tf aecess�_�.:��". ,,,�,;,,r,,:a►_.�,,,. tc�r,�,;y�_,��= _.,�.,._ � - .;,,,�,�x.�,,,,; Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NYORK ORDER and a fine of S100.00 a day against me.J understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do berebr certify r der lire pains and penalties of perjuq•that the information provided above is true and correct. Signature 6-- Date Is �eL• �A 9 S Print name Ji H S'��� Phone# �i Z�9 !U6 y y Rua D..* official use only do not write in this area to be completed by city or town official city or town: permit/license# riBuilding Department Licensing Board Q check if immediate response is required 13Selcctmen's Office ONealth Department ' contact person: phone#; MOther Irevlsed V95 P)A) • TOWN OF BARNSTABLE BIIILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION lease print. DATE 6 oem4.9- N ,sue JOB LOCATION ( G, 1 �i'Ce✓j'�u''. �o� 1"(�i '` .. 'Number Street address Section of town "HOMEOWNER" ZQ ( �5 `�Z� ?'2" - `L�? �l'.. .. .. OUA `� Y , I , Name Home phone Work phone RESENT NAILING ADDRESS '�"O ity .totgn State Zip code • The current exemption for "homeowners" was extended to include owner-occupie, 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(sj 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 to six family dwelling, attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"• shall submit to the Building Offic on a form acceptable to the Building Official, that he/she shall be responsi for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the S Building. Code gad 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 and requirement. and that he/she will comply ith id/pro educes and requirements. HOMEOWNER'S SIGNATURE (, APPROVAL OF BIIILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which --Fiiildir l permit is required shall be exempt from the provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a persons) for hire to do such work, that such Home C shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumin the responsibilities of a supervisor (see Appendix Q. Rules and Regulatic. for .licensing Construction Supervisors, Section 2.15) . This lack of awar often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home"Owner* a as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, communities require, as part of the permit application, that the Home 'Ownc certify that he/she understands the responsibilities of a supervisor. On last page of this issue is a form currently used by several towns. You mE care to amend and adopt such a form/certification for use in your communit t A; e o W I >= 0 m I < I i z ! !� r H ;�..__...................._..._......________________._...._____.._ W O 6 ' .. w T li C d Z U . ,�-_ L ti a ,.n r — :,I'.____ .................. .............._1.:...f.._.._...._._.._. L kL /i FOUNDATION PLAN 1.11]i 1 tx 414-57 7 - 4! Foundatbn Plan A100 s � , W a W \� Z � b oo ------------ V�/'YY Q S •...m nwe � �H . I I � � yam.a t . ��FIRST FLOOR PLAN 7 is •. - �,� - ao - ouWING ITEE - • •.♦ • • arvr • � �1� ¢•v er as wv .... 3av j;; - -..,} - First Floor Plan 5HErr Q200 MBF>C '.•c s vX i3�3 i.+�'w^t r� st. f s<��s } •2 t F„b x r �+ �. .'s I o � � k W i E E -------------------------- I - ----------------------------- I ° ° _ �I g I II ^tee--- ' ' --'— iJ � uo•g''. ------ b ij r— ! N. j - '`'�- I """ .. 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Craadracrcro biWm K�r„� 2ff rt 90 r.ar t0 � —m vP.a4 a�b•am e rmm�v<awu.� y ail N{�.I[.uls Mvt rdrY�m9�•9T.M. 1'a'w1w Wc.loc � G 4 2m 9oJr•16'x � 9(nnIaRMI Y� ` VC MprWc els 0 ,� 5 VC W.YnJ.Lm•R-a 4 a 4yarN mvwY arefi.91e•tlm ��iryq ..—' T wse e,.a oreexn e'rpvel mveb n.u,dRon 4 �� � Y.. 1PatP ramJ vwefa famay I..pn�tsub Is'v1P forte re,enu burry 7- A PtavtimmcetlO �•/ \� ♦MLP lniv sa•mr )L T A.Me fe.�.�iaMaren :'WL 1 FOUNDATION SECTION IB.iP ra�J m,oere horny r FOUNDATION SECTION 0 W x 2 FOUNDATION SECTION 3 '0 A40D Scale:l l/2"=1'-Q' � •,I O 3 � � O N � --Pt,.cne nprWo.raae. V tP w.imw.ren.RJo(y4.1 /VpWe Wnp - At ans Rrv..tao�(9v-) yr sx py.me ww.n.m.cro..Rao(ar) ecl 1� ter.eawmw�(9r) 6' 2t,RIa pan t2'N Fau 3Nd.yJdau•to ac(qp.) LY i.6G.ppweoltalsM(0T1 pW.wwi.m�•R-aJ(11fi) .."Ofrt!• . 1�.10 Gr4n•l ierc(t)P) krzrrtgnmel(Irouen(AF) tc aao rJt .1Pnc(pp) O be Rdtar�n 01 1 3 R LLrzregMdG°'9°•(04) 2d 1Ya�s. $$$$1 rtrzrrtpe,ie.pumn(gy.) � P6•<^e�ny(9N <I %6 R •���) mrr eG. 0 888 aes�•(0N I n�rz^m�ve.aa(ar) nr.v,r.«>�weae. e7 v !- Mbmru•s,sm•n,ec.r atD ibm.lauo•ta'oe(ryp) veswr(5R) t12'etVT rT.e.OYra. —__ etrr Weweem�•c-a �.�'. - '. xvrevt ro.tiw.m,•Ra v..srr�y aesarr(giy � amsnrr�p) am Hoa,lwtr•'aos(qp) ad rT.roayx. �t t2M�(aP) a trr cr>•'+(eN - t ver.aG.�.Wtw ���1�8� ��ppooe+r+'eylrxJ tir¢a)pone k+r+�eRW trimRppoee knney(+sP) 6 trz.sRd eyw��(asoM rtrt.rar+M+•BttrsnP) � ye d e %�.ua•ca ve i i awsnG.pysoerow(9N - ��WAW DECK SECTION �t�i)a�i� � • aao we..sr.•ts.c Rm) aeo rt�.wo.•sen. . am 6L.0(qyJ . .. ocewwcrrre ' va.my.r.•�oa _ vr.�a,o.ms•a� - - octane Sections '' 1 /4 WALL SECTION ., 8 TYPICAL WALL SECTION I . f A40 O - .. s � Z � I = y < OC1i��I i1 m ° < m � ----------------------- - - � 'W oWo _��RIGH7 ELEVATION ---------------------------'- d Z Z U �' �Scala 1/4"=T-d' •" ----- - :.::::::.... y mt OrmC3® �00 - Fra2•Right Edationer' FROM ELEVATION ., syar xuwm A00° Scala-V4" T-O" ' a5oo. n�I `E 1 DOOR SCHEDULE • O 1vPE um HUD lPw I All H ¢ RF R i /� ]9WaB-fV• BUMq 6BM♦WBDI ' D f-2aB-? .a'•rJ.rr .1-aFDYht -'{IL1 y E 1-0VSaB-B be.. I )/8aB/8 W: I F ]da]d II (� 4d.)-2 'Garb 1B'FaamMan LO � . CEJ❑ 4 0 E TT G s t 0 oil; O 1.. .Z- z v ------------ ---------------- i �.REAR ELEVA110N �.. --- - --- ---------------- --------------------- o �a WINDOW SCHEDULE OPFNWG AII 1YR UM& HfAD NMBIALL O.1 2-a>/B-a93 bM NWvar GVIG 0D 9vmr { S ]-p - )Yf.fB e z+nr. Mb.an A8]D M BPreer 1 i I p . S ]-0Vf.94 Y] MMrar G0 V.A e.raar 1 'liQ ♦ T2a94 Yr Mbar Cfl-R]0�{1S TIA 9nmw.rr�ry mbrr•w �j �;� a r-0Vl.]3Yr Mbar am �+ Baar•w � ��E�7 ]4Yr Mbar oie Bs BPa•w �� 7 "Ur.]-1 Mbar CRS *L• +�' ��� � ' D 2A)/B•.]4VS Mbar OMD v &'1°1" - .. ❑ � ❑ Duw1NG T'FE . Prollminary Elevetione ' � .• 2 LEFT ELEYA110N A501 Weller & Associates 714 Main Street P.O. Box 119 Yarmouthport, MA 02675 Weller & Associates 714 Main Street— P. 0. Box 119 Yarmouthport, Ma. 02675 Date: February 29, 1996 Daniel Hostetter 770A Main Street Osterville, Ma. 02655 Re: Lot 7 Newtown Rd., Alamton AU wry -- Dear Dan: Please be advised that we have inspected the installation of the concrete frost wall under the existing footing and foundation wall at the northeast corner of the dwelling under construction at the above referenced site. In our opinion, the installation of this frost wall, along with proper grading around the foundation, will bring you in conformance with the State Building Code. If you have any questions, please do not hesitate to contact us. XN Of DANIEL E. Very truly yours, q --z ORiMAN STRUCTURAL n s NO.366Q "° s .F IS SS�pyAl Daniel E. Braman, P.E. ®�►�®® cc: Town of Barnstable Building Department To Date WHILE YOU WERE OUT M r ��i of Phone _"<vC® O 7- Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Messa e 9 Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS PHON CALL;` i FOR - D A T Z 7 IME * P.M. M OF PHONED RETURNED :. PHONE 2 YaUR CALL AREA COD.E NUMBER EXTENSION MESSAGE !�' ? 0 , SE CALL. G�—U/ W.iLLORLt:: AGA1.. CAME TO (..11i{�N2� 'SEE YOU WANTS TO `tot :sFE vau SIGNED I ivei sai' 48003 NOTES ' t r r ���� 1 i f 1 �'� � . � _ . TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 025 010 GEOBASE ID 1373 ADDRESS 1350 SANTUIT.-NEWTOWN ROAD PHONE Cotuit ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 21888 DESCRIPTION SINGLE FAMILY' DWELLING (PMT.#11730) PERMIT-TYPE BC00. TITLE CERTIFICATE OF OCCUPANCY '16014TRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: Im BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY,,µ- * BARNSTABM Or --- ----- - -- - - -- - -- - - - ----- - --MA88. . OWNER HOSTETTER, DANIEL C i639' �� - ADDRESS 4766 FALMOUTH RD ED M1� COTU IT MA BUILDING IASION BY DATE ISSUED 03/20/1997 EXPIRATION DATE '` TOWN OF. BARNSTABLE r g BUILDING-.PERMIT . PARCEL AID 025 010 GEOBASE ID 1373 uI ADDRESS . 1350 SANTUIT-NEWTOWN ROAD PHONE Cotuit ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 11730 DESCRIPTION SINGLE FAMILY DWELLING— SEW,PMT.#g3-287j � '_1119RMIT TYPE - BUILD TITLE NEW REST.DENTIAL BLDG PMT ' cc TRACTORS: PROPERTY-OWNER Department of Health,Safety A?cxITECTB: Wand Environmental Services TOTAI�FEES: BOND $.100 g CONSTRUCTION COSTS $115,000.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P-( ?E. * i!►ANS'1'ABLE, MASS. OWNER BOSTETTER, DANIEL C 039. E� ADDRESS 4766 FALMOUTII RD ° r r -CATUIT MA BUILDING DIVISION ,,;-• , s ; his �,,> ,� , BY 141 x ., .:.. DATA ,zsSVED 11/17/1995 EXPIRATION DATE I � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS f PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR I 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 ,p�� 3'L�- �� 1 '1?��`Q�a� 1 -,�s��Ql /�/✓!�/'�1.3a7`i`7 i FRM 5"13- 9 --�3,9L (GIMP+ AM 3 * 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ? 6 .9-1li6-� g - , s G� on .. v 2 a BOARD OF HEALTH � v- 2 1- 9 to rC hV OTHER: SITE PLAN REVIEW APPROVAL �wr WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. z I$w BUILDING PERMIT i `oFt . o� The Town of Barnstable MRNSTABLE.MASS. Department of Health Safety and Environmental Services 039. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Typeof Inspection P Location I Cu-, ( �LoP�emit Number Owner 2 Builder ,• One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: it It)--: two e&`� h `kd v-s'e �l r e Ke �;tL u �j67 cov-OL�U �j k Please call: 508-790-62 27 for re-inspection. Inspected by -� ftLqJ Date -~- ' `OPINE ip The Town of Barnstable 9 BARNSTABLE.�` Department of Health Safety and Environmental Services MASS. 0 i67q. �0 �fDMA�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 Location �� _ Z y f �,. -U,,-Rermit Number 1 143-0 Owner � C� -� Builder oo*�-Q*ttA One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 1 h P,'L C Oe,l e-t. crvCc- _N 4tt- C, �« K LS v, Go 4,v, L( a-i-T 6� ` `—Gir t h k-fz-,T . 9 0o,v- c... Please call: 508-790-6227 for reeinspection. Inspected by U, , Date i `OFIHE 10 The Town of Barnstable BARE.MASS. Department of Health Safety and Environmental Services 9 g Y63q. �0 PrED nee. 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 w Location ' �� Gvti � �NC,�.✓ d�.Vr ermit Number l � Y Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: zD 2 -no Pm io av\�—L�A (.-e4- E�,�U-- ��j'Q- CIQ �-u l,w D 6 w a rt Please call: 508-790-6227 for reeinspection. Inspected by ?--LA \ _,,.`., Date i 23 Assessor's Office.(1st floor) Map Parcel . /O Permit# ram-~ Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) - _`— �{ OV-63ate Issued Board of Health(3rd floor)(8:15 -9:30/11:00-4:45)T� Engineering Dept. (3rd floor) House# 13�� �'J-3 N�� �e j,9 fNE Planning Dept. s oor/School Admin. Bldg.) f �►°�� <�� � G � �v ABLE. Definitive an AP ro d by Planning Board — 19. TO APOF BARNSTABLE Building Permit Application Proje s Street ress SCt �°'� �'c. Village Owner �i.�„ !7t►S �/'': Address 0 U gri.,Ld �i ��.5 /•• �i� Telephone Sk3 Permit Request , ` ,t.� 6 f vG First Floor 1011 square feet Second Floor 7 2 square feet Estimated Project Cost $/+ Od d Zoning District ! Flood Plain AJd Water Protection s Lot Size 2, � 2 5, �%� Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use v Proposed Use Construction Type 0�C�, e-. Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family Age of Existing Structure 1114 Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths 3 2 No.of Bedrooms 3 Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air AJa Fireplaces Z 06 Garage: Detached Other Detached Structures: Pool Attached / Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# 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 o (' � DATE /1��✓ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) \ : FOR OFFICIAL USE ONLY 4 i PERMIT NO. ' DATE ISSUED - - (MAP/PARCEL NO. ADDRESS r VILLAGE ti OWNER r DATE OF INSPECTION: FOUNDATION FRAME 13 t INSULATION, FIREPLACE ELECTRICAL: <.'ROUGH FINAL ' PLUMBING_ :="" ROUGH ' FINAL GAS: 6 GH FINAL FINAL BUILDING'- ell DATE CLOSED OUT. • F t $ ASSOCIATION PLAN NO. + t , � �i� ',I � � I . � � �p �` I , \ x �W� o y 070 of TEr� T HOLE LOGS o / — LOCATION MAP (NOT TO SCALE) r ENGINEER: , BUILDING ZONE: 2F� DATE: � PERC. RA ��" � U SETBACKS: FRONT = SIDE = REAR = !S ASSESSORS�Q MAP c -PARCEL (0 FLOOD ZONL' r .GY ys 'jpj NOTES �l G 1. DATUM NGVD TAKEN FROM 5 QLA} A 2. MUNICIPAL RATER IS ' - / 3. PIPE PITCH TO BE 1\4"/ft UNLESS OTHERWISE NOTED. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-H l l�. 5. PIPE JOINTS TO BE MADE WATERTIGHT. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE MASS. 7 C , ENVIRONMENTAL CODE TITLE V. r / i ; d l� � 7. THIS PLAN FOR PROPOSED WORK ONLY AND NOT TO BE USED j 1 J7 r�T r r n p n wi r r 7 Fn R .TOT T.INF ILA AA A Y v' 1- A_4L ((1'/IT TO SCALE) B. SCH 40-4' PVC TO BE USED THROUGHOUT SEPTIC SYSTEM. r -a� / � �-- ;t�...�. ibirlfcGfZ 'IG af�T if crF_0-TtG4f - 1 (601 !\ \ ,t fir+✓ v i Ism�� r v;;tom-t f c »,.,c! .yT t,JiiTA L-1►-T.G? : 1 `�, — �U'S• ) MINIMUM 1' OF COVER OVER PRECAST G IF Nil 00( DEPTH OF FLOW= � 1 • ,j .-,• � � l � v•, � TEE SIZES: INLET DEPTH = MIN. 6" CRUSHED OUTLET DEPTH =!a STONE UNDER D BOY r .• ( ---- - \ � , � � � �� 4 _-_ _ _ _ ------- � i l02 73�^ , FOU.,DATION r� SEPTIC TANK -� D BOX ��..�7 • r FACILITY SEPTIC DESIG DESIGN FLOW: BIIRMS 0 �5;2 GPD/BR - _ =� GPD -- ��., . SITE AND SEWAGE PLA 1� '% _ GALLONS SEPTIC TANK _ GPD X ( •S) _ __�1__ IN THE TOIIN OF• d wn Cape engineering, Inc. USE A __ '_?__ C4LLON TANK LE4 CHING: SIZES: _ ==. ------- -57 CIVIL ENGINEERS " ' � _` _ _ LAND SURVEYORS ` p,� g�rE BOTTOM: _ .i �_�-------_ - _ J_ (,.�) - _ 2 PREPARED FOR: Nam- �� .r 8a5�� TOTAL: Rte fin. YARMOUTH, MA - - r USE: E ra_ AT: ti � d K f- `• BOARD OF BEALTB 4_ _ - SCALE: " ✓J DA TE r 1 MA4 ARNE H. OJALA, P.E., R.L.S. DATE AP:r?OVED DATE '