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0015 SANTUIT ROAD
��= j - Town of Barnstable Building P ' �` .' ; . � . �' .�'. "+' m-3he Street�A ' coved:Plans=-:Must be,Retamed on�Job;and th�s;Card�Must be•Ke t �.i": a+texsr,.et.�. ost,,This Posted Until Finalilns ection HasBeeh Made t _' ' 16+�{T" 4 s .v p � �`. r Where a,Certca#e of Occu ane;,is..Re:u�red,suchs:Bu ldm 'shall:No#be Occupiedun#�l a:Final•;Inspec#ron hasbeen made,_. Permit Permit No. B-18-148 Applicant Name: TYLER AND TRAYWICK BUILDING CO LLC Approvals Date Issued: 01/23/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/23/2018 Foundation: Location: 15 SANTUIT ROAD,COTUIT Map/Lot 021-084 Zoning District: RF Sheathing: Owner on Record: FOTI,VALENTINE P&CHRISTINE GContractor Narne: SANFORD R TYLER Framing: 1 A. 2 Address: 31 ROCKY WOODS ROAD g, Contractor License CS 060982 HOPKINTON,MA 01748. Est Protect Cost: $3,600.00 Chimney: y Y Description: REPLACEMENT WINDOWS UVAL.49-.51 �� �RerrnitFee: $35.00 .4 Insulation: Fee Paid: $35.00 Project Review Req: �� �� Final: Date 1/23/2018 ,* Plumbing/Gas Rough Plumbing: _.Building Official " 'r,9 Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized b this permit shall conform to the approved a I canon and the a roved construction documents f which this permit has been ranted. Y P PP PP PP P g � Final Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for 0 Nfispection for the entire duration of the A work until the completion of the same. Electrical I Service: The Certificate of Occupancy will not be issued until all applicable signatures qy the Building and Fire Officials are provide&& this permit. Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing , ,, ._ ,,,.. „•,,.. ...,� 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of BarnstableBuilding• r Post Tfiis-Car>d So That rt Is 1/is�ble,From the Street-A roved Plaris Must be Retained on Job antl,this,Card,Musfibe Ke t •1 s �Posted'Unt'tl Final Ins ectonHas Beeri.Made r_ Pp, H y3 p • + 'Where a Certificate of Occu ancy as Requaed such Building shall Not be Occupied un#il�a�FinaI nspection has been made � � 1 P .. „ Permit NO. 13718-148 Applicant Name: TYLER AND TRAYWICK BUILDING CO LLC Approvals pate Issued: 01/23/2018 Current Use: _ Structure Permit Type: Building-'Siding/Windows/Roof/Doors Expiration Date: 07/23/2018 Foundation: Location: 15 SANTUIT ROAD,COTUIT Map/Lot: 021-084 Zoning District: RF Sheathing: Owner on Record: FOTI,VALENTINE P&CHRISTINE G Contractor Name SANFORD R TYLER Framing: 1 Address: 31 ROCKY WOODS ROAD Contractor License CS 060982 2 .: HOPKINTON, MA 01748 Est Project Cost: $3,600.00 Chimney: Description: REPLACEMENT WINDOWS UVAL.49-.51 Permit Feb: $35.00 Insulation: Project Review Req: Fee Paid:, $35.00 Date: 1/23/2018 Final: Plumbing/Gas Rough Plumbing: .. .: Building Official '; Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a uthorized;by-this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for.-which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoni g by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streets road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. � Electrical l � Service: The Certificate of Occupancy will not be issued until all applicable signatures�by the1Building and Fire Officials are provided o�n this permit. 17 Minimum of Five Call Inspections Required for All Construction Work: � � 1.Foundation or Footing ',r, Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A): Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT L(S To n f Barnstable t` *Permit#w o ues 6 months from issue date Regulatory Services MAS& Richard V.Scali,Director sG39 �� m _ Building Division --Paul-Roma,Building-Commissioner - -- — -- 200 Main Street,Hyannis,MA 02601 I M www.town barnstable.ma us Office: 508-862-40`8_ =m-s Fax: 508-790-6230 ( s APPLICATION - RESIDENTIAL ONLY t� Not Valid without Red X-Press I»iprint Map/parcel Number 1 Property Address I S S0nA L)4''_RA CoAo+ , [8'Residential Value of Work$ 3W,o` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address VOJ&41AO, � 6f156-1 e r4 i 31 `CZo�c•y ujo-,�4S D(" L4 n T Contractor's Name S (d I CI I Q� Telephone Number -7 N-!tl-gQ92- Home Improvement Contractor License#(if applicable) (l� 3GS 'Email: 5 p-QrMA(er-6o eVCrQ(yj A& Construction Supervisor's License#(if applicable) CS — 060 q$2- ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ° ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value a Q' a (maximum.32)#of windows 3 #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requi ed. SIGNATURE: ~` QwPFILESTORMSUilding permit formsT)TRESS.doc 01/25/17 1,. - a 11- 3 4 Boston, 0211.1 Wk-kwe Campenmfim 1nm=ca Affidawi-BuRders/C mtracigrsJFlec&kansO•t,�ers , AM3flCaH#InfWm2f PleasePxin FAY Na=f�3nc;.R�c}t�, rn,FFr,r3"cu-3tta +Y1 0(C%��l�l�f• , Addrem Cit P Ste: J5 G�M�L 0( d�`12 Pho�,. . 7�( � � Areyou an employer?ffiedkttteapprupriateba= ' Type of project r L❑ I am a employer n i 4_ ❑I ata a gerc�ai cot�rsctOr a I employees(frd anfor part-time,* laveliredthe sub-coact= 2,.� I am a sole orgarfaer- Tisfed oa the atfar�ied sheer. 7- ❑�° r sfiFp and have no employees gab coa�fra has�e ,❑De=16oa wcddng fmmein any capadiIF eMplayew andbave workers 9. [:]Buslefing acMitiaii [No S4 D� Mtnp- COMP-im¢ctr ma--# ] 5.❑ We arequke& re a�arafion.and ifa i{k�El,eical repairs ar adcoas 3-❑ I ama home doing a1I woik Officers have$x�ed f LEk 1L❑Fh=bingiepaim or adcrititms o wDem s' �fexeg per . 17 Rc&repairs nrj-qgf C.e t F- {r I and•we have no .'. ��-[No 13.E f?ibCr inr 1�D�CtQ camp- ] ' •day epp Brac cbecUboz it ma em ff arassvrbosulmaftfbir, i &2yKMdo-iM.WRU. MA then MMMCUUidec OUIM =3Mt9aBMitaaetiv tin sadi. 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OVcfid weweF}� D-a not Mft in fkb=a,trr be.zarug&ed by city arionm Offaid" C".i€Ir-tzr+'F� a. Fe�ri�.icease ' Tea p (cfide e►ne):. , L Bbard of g Dei artza Forma C[rrk e 1 S.I big large r -- -Information and cons .. .��. . • M=s=b=ft Gin gLaws M ryes aU emgioyex tD'providewozl C& forties,� - PM==ttD ffiis ,an�Tapr�is defined aa¢--eYezyPrason 1n$ze s�eice of�af�ier�dez aay oflme, • express or i�plfec�•oral or written." . Tager is df"med as iadxvidaal,pin .assAcam,coxP or otheg IegaIY, �Y two or maze of 1ho ftregviag®.gaged is a1ajd .ardmaTarringthe Igj =of a deceased employs,or fbz to However�a ocial2on�o'�es �P Y�- re�ceiY�ar of�individual,pa1-�ship,ass legal may,�g ownerof a dwellmgh=mhaPmgnotmomtbmtlx=apartraecs andvzho residesflsem,orthe occopal3t afire- dw•mTmg horse of der who eMpIops P eisons tr do i®at IFaa wow on such&MIlmg hoszse or on.the grommds or bniZmg appm-E f=cb sbaUnotbec mw of surds eMploymedbe deemetifo be an employee;'° MGL doSptPa 152,§25C(6)also SWM fiat-every sty or local H=sing agency shaR witlihold ffie issuance or reaew.21 of a$cease or permitto operate a lMsiness or to consfr•act bzffdings za the eoinmonweal$i for any N applicantw'ho has not produced acceptable midesice of cdmpTzanm wn the hm rrazEe,cove. agere� Ad ffidrmjbr MC'rL chapter 152,§25 stares-Teter flie _ nor any of ifs poIrtieal subdivisions shall njt3 any=3ft&d for$u pace ofpublio war$u:Lt'acceptable evidmm of compliinaewn the msorance.. reCLC ft==fSof-Ibis&apt M havelieuF WMIedto$heCMkE d6n&.arAZIAY:. AgpIicaafs Please fill om± fie wodsxas'compmsafion affidavit compIettly,by the booms tat apply to yo=sitnafran azul,if , necessary,sgTlY soh- ad s)name(s),addresses)and phme,=mber(s)alongv&'ffi=DMtEcstl-'(s)Of fhaa the ms�_ Lja t r y Companies(LLC.�or Ir>ad�d LiabfiityPm- hips(LLP)"M&no employees membeas or parineZ:4 stennt rbqrftcd to cmg waodccrs'eompeasaticm msurmlre_ If m LLC cr T T p does have employees,apolicgisn�ed. Be a.dvisrdthAffiis atfidaykmaybe s�YifedtofheDepaft=tof Indn-staal Aceideds for co�ion of b=.m u;e covmmgc Tsa be sure to sign and dales ate The a$idavit should be reinmed to$e ci y ar town t�the appHca icu for she:pence or license is being zEgoestEd,not Department of ' Bdasbig,4 m dmts 9MUIdyou have any gncsfions rdgury g the law or ifyou are required to obtain a warziaras' compenpoTep,PleasecaIItiDepar�e�atthenumb¢1is-fedbelo�: Self-insmndcompa�Ssshovldert�ieir self-;,,crnan ce lieease amber on$�.e safe line. city or Town Omdals r Please:be sox that the affidavit is comple#e andF��egibly. The Deparimenthas provided a�sgace at the botiznn • ofthe a$da�kfor yauto fra avtintha ev tiie Office offmyesh�has to camtactyoQzegmiUngf=sppH=Mh Pjease,besureto ftIliathep�fffir�� nm beswhirhwillbeusedasarefsen=number Inacldiiioo, �ph� f33lt must submit mDkTIe pmmtUcz ce apphb&=m any g mnYcar,need-only aRbm3t one affidavit mdi g c mt policyizft ,at;=(ifn=ssmy)anduaciea"TobS`mA_d&resei eagplicamtshorLiwzde �Y ( °r fawn)„A copy of�affidavitthathas bcea.oTadaIly stamped cr mazimdbythe city bePro � vided to fhr- ' HA of that a valid affidavlt is on file for Ed= pc®its or lic=w A ne4Y affidavitmars�t be f Diet agp e i cm as pro year.V1h=a home owncs or aiiizna is ob idiog aTiceose or pemlit not relsixd to aay business or cxzmznercial - (ie.a dog licenscorpenttob nlcmv=ei--.)saidpmsonisNOTxrq dtocampldo Ibis affidavit 1beOfficeofln �g v wmzuhketolbankyolimadvmmfaryourcoopmaimandsbDuidyou hive,anYQm=h=• please do nothesiiEte to give vs a call ZheDepartme�sadrlre�s,inleph�eand�azzrmaber:_ , - ", ' " T�a COMMcavulth Of&RsmChMSEM - - - , D ®t cfli&Esfdal Amideda Bustw.M&oil 11 -TO.41P 617-7 mt406 W 1- 77 MASS Fax#617`2'-'7� Kevised424--0T r 46m: Marina Brock marinasue6l@yahoo.com. Subject: Form - Date: Jan 16, 2018,e6:22:WOM To: -sanfordtyler60@v6rizon.n4 AI- Town of Barnstable Regulatory Services ` R'ehard V.ScI%Director I3UH&M9 Division p Pant Roma,Building Commissioner r 200 Main SU=4 HyanniS,MA 02601 www.town.bsrnstable ma us Office: 509-962-4038 Fax: 508-'190-6236 Property Owner Must Complete and Sign This Section ; If Using A Builder I, t i k,Y1 g7l 6k4 as Owner of the subject property hereby authorize_x n 4,7 rx- i3a le,- to act on my behalf, is all rnattess relative to work authorized by this binding per ait application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. mature-of 6-wner Signatur of Ap hcant plint Name Print Name s s y.. Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 assa Boston, Massachusetts 02108 Home ImP rovement.Con 9 tractor Registration �t Type: LLC Registration: 177365 : TYLER AND TRAYWICK BUILDING CO LLC'; ; Expiration: 11/24/2019 P.O.BOX 80 WEST HYANNISPORT, MA 02672 s �r t 211 Update Address and Return Card. ` h SCA 1-0 20M-05117 HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:LLC before the expiration date. If found return to: Reclistratlon Expiration Office of Consumer Affairs and Business Regulation 177365 >`: 11/24/2019 10 Park Plaza-Suite 5170 TYLER AND TRAYWICK BUILDING CO LLC Boston,MA 02116 SANFORD TYLER �CGP --^ v 67 CRANBERRY LANE:' WEST HYANNISPORT;MA;02672 Undersecretary Not V tld without Si ature i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-060982 Construction Supervisor . SANFORD R TYLER PO BOX 80 " < W HYANNISPORT MA'026T2 �/1L--tin r Expiration: Commissioner 10/12/2018 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma / JJ11 p a. Parcel U Applications U Health Division Date Issued Conservation Division O Application Fee Planning Dept. Permit Fee '70 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village C-41A f: Owner VfA �n- ,n e 1�(�-�' Address Telephone t 7k` c-�-Z 7 V 7 V!©P�{NV O11 i `�A- 61-7 9' Permit Request Altoi4 1Do Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Q�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 LXNo On Old King's Highway: ❑Yes ANo Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)`, �4~a 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 ount ' a 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 - S (BUILDER OR HOMEOWNER) Name - Telephone Number Address �A License # C rod q 0r7 Ova n V)I'S bCA4 / Home Improvement Contractor# Email Son r��'I-rl �/�V4 Home Compensation # D- D�OS3 ALL CONST UCTION DE R� R SULTIN FROM THI PROJECT WILL BE TAKEN TO ^) SIGNATURE DATE : FOR OFFICIAL USE ONLY W APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE . OWNER DATE OF INSPECTION: FOUNDATION 5q;,j 15 5 LL FRAME l' 2-f1% a . INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL k GAS: ROUGH FINAL y FINAL BUILDING u— 1012,4I S ak) tl l e11 DATE CLOSED OUT ASSOCIATION PLAN NO. 6vve61e Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cdriractor Registration Registration: 177365 Type: LLC {" E ` ._..... �='.ar Expiration: 11/25/2015 Tr# 247073 TYLER AND TRAYWICK BUILDINGC�OlL=L'.CF- :_ ;j SANFORD TYLER P.O. BOX 216 _. .,_.... WEST HYANNISPORT, MA 02672 "Update Address and return card:Marls reason for change. • -...-..j j:-_ sCA 1 t) 20M-05/11 E] Address Renewal Employment Lost Cart C��Ze CQU9YL9/LUJELUBCLIC`e o�'C�/Gladeccc�ccoetGt I• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: 177365 Type: Office of Consumer Affairs and Business Regulation xpiration: =_-41_l2.5f2015, LLC 10 Parlc Plaza-Suite 5170 -_ -- Boston,MA 02116 TYLER AND TRAYINI6}{-::0I DING' O LLC SANFORD TYLER 67 CRANBERRY LANE':.'.•._ WEST HYANNISPORT, MA 02672 --� 'Undersecretary. Not valid ithout signature l Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor ='° 1 ,w License: CS-060982 -- Sr.ri, SANFORD R TYLR PO BOX 80 W HYANNWORT T Expiration Commissioner. 10/12/2016 V x ; Massachusetts Workers' Compensation Insurance Plan BerkleyAcadia Insurance Company NCCI Carrier Code 33391 Administered by Berkley Assigned Risk Services ASSIGNED RISK SERVICES P.O.Box 59143,Minneapolis,Minnesota 55459-0143 Phone(605)945-2144 Fax(866)215-8118 Toll Free(800)634-4589 www.berkleyassignedrisk.com policyservices@berkleyrisk.com INFORMATION SCHEDULE Renewal Of No. WC-20-20-005315-00 1. The Insured: Normal A/R Policy Number: WC-20-20-005315-01 Risk ID: 1056197 Tyler and Traywick Building Company LLC PO Box 216 Tax 1D#: F 45-3633951 West Hyannisport, MA 02672 Policy Period: From: 4/19/2015 To: 4/19/2016 Endorsement Eff. Date: 4/19/2015 Date of Mailing: 3/17/2015 Changes as set forth below are hereby made,with respect to the estimated remuneration, premium and/or rates. PREMIUM BASIS RATES ESTIMATED ESTIMATED TOTAL PER$100 OF CLASS 4/19/2015 -4/19/2016. ANNUAL ANNUAL REMUNERATION REMUNERATION CODE CLASSIFICATION PREMIUM State: MA Tyler and Traywick Building Company LLC 648 Craigville Beach Rd West Hyannisport MA, 02672 $45,150 4.86 5437 'CARPENTRY-INST OF CABINET WK OR INTERIOI $2,194 $45,1501 0.08 18810 1 CLERICAL OFFICE EES-NOC $36 MA Manual Premium $2,230.00 Supplementary Disease $0.00 Waiver of Subrogation Factor $0.00 Number of Waivers $0.00 Increased Limits 1.01 $22.00 Increased Limits Minimum $28.00 Deductible Factor $0.00 Subject Premium $2,280.00 Experience Modification $0.00 Merit Rating $0.00 Modified Premium $2,280.00 Contracting Class Prem Adj Pgm $0.00 Standard Premium $2,280.00 Supplemental Disease Exposure $0.00 ARAP $0.00 Quality Loss Management Prg $0.00 Loss Constant $0.00 Expense Constant $338.00 Terrorism 0.03 $27.00 Short Rate $0.00 Minimum Premium Adjustment $0.00 Former Self Insured Charge $0.00 ' Total Estimated Annual Premium $2,645.00 Page 1 of 2 WC990001A . t3t- 'lO LOCATION S WALE PERMIT NO. '4&3 1 -1 VILLAGE ,) N\V c"s INSTALLER'S NAME i ADDRESS . C N!�iH Q c� N-'T I V F BUILDER OR OWNER IQ GATE PERMIT ISSUED DATE COMPLIANCE ISSUED O i r, i ICU JI av _ r E 2 - - - - k® 41 i L_+., i� l I i i 1 { I I I I -{ _I- ' ._.�..�....-___A- i--"--T•--�_---.1..__'C-_'_.a--i---FI_�. I� I' '' - TM�._-.I._ _ I , I-.1_-l- � I-� - r- I` ,it-.__�--^_i 1 � I-_�-_ i 1` ! ! { I � I I -_j__ri � . ►-----I -I--�.�� ' i� -I_....j�T�I�I� �r��°1.-�-�I° ►mil__, i�� $�I�� f � Iu' I I �_� 1 � I j L_ ► . i I. t I I I I f _ L__j _ _.�� ! --� _ { �i r _ - , _I. - I_ I ,I I �-I_ i- H I x'j I _� L � � I I � l-I_.►_ �_ � ,.a----C-_ -_I !_ I_ _ � _i_- -_l{,.. ._i_.._� Ti_ �--- 1_-_-i_ I _ �__ I __.f-__I-_ _ � �.__� ' I I � i -i- � - I I I � I �� j I I I l I ! � ' l _� ► � i i k I�,�_� ► I _I,�► f�1_ _ � { I. -I � ��i I b _ I _ �i- �� ... I I I 4 � I I '"I I I { _��,.._. 1 ly ,I I •-�,.1--•I� •--••--� I•--�r-•. ` � -�� TI-_. . I _ Y 1 i f 1 1 _ �- i �- J , 11 'i TME ra�ti .,Town of Barnstable y; Regulatory Services MASS. Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . Property Owner Must Complete and Sign This Section If Us in g A Builder , h0 1 � n p as Owner of the subject property hereby authorizerdTV I to act on my behalf, mall matters relative to work authorized by this building permit application for. 006 (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final irispections'are performed'and'accepted. Signature of Owne Signature4oP(Appka�at Print Name Print ame . ate Q TO RM S:O W NERP ERM IS S IONP OO LS Town of Barnstable Regulatory Services TKE r � Richard V.ScaIi,Director Building Division F Tom Perry,Building Commissioner " 1639' ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION • Please Print DATE: JOB LOCATION: number sheet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations_ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION ' The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack'of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities.require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\Wp \FORMS\building permit fbnnslEXPRBSS.doc Revised 061313 ' ttte c.omrnonweaan ofmassacnuseus Deparfineni of Industrial Accidents Office of Investigations ` 600 Washington Street ` Boston,ETA 02111 www.mas,r gov/dia Workers' Compensation Insurance Affidavit:BOders/Coretractor&TIecfficiam/Plumabers Applicant Information Please Print Legibly Name(Business/Organirafion/Individual): L s Address: p City/State/Zip: UYrdhn1,,--,06Y+ Ph6ie#: C Zy p Are you an employer?Checkfhe app opriate bo Type of project(required): 1.❑ I am a employer with 4. [] I am a general contractor and I employees(full and/or part-time).* have hired �the sulr 6. 0 New construction, 2.❑ I am a sole proprietor or partner- listed on the affached sheet 7. []Remodeling ship and have no employees These mb-cont actuis have 8. Demolition working for me in any capacity., employees*am have workers'- (No workers'comp.insr�ran ce comp.insurance.$_ 9. El Building addition required_] S. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.El I am.a homeowner doing all,work officers have exercised their • 11.D Plumbing repairs or additions myself- o workers com . P' right of exemption per MGL � 12.[]Roofr airs in su=oD required_]t c. 152,§1(4),and we have no employees,[No workers'. 13.[]Other comp.msurance required_] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy iafarmafion. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. $Contrau-tors that check this box mast attached an additional sheet showing the name of the sub-contractors andsbt:whether or not those entities have employees If the suh-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providuzg lvorkers'con pexsa6on insurance for my employees. Below is&a poRg and job site information (PAM�60is4e-y-e� bY. Insurance Company Name: �dQ Ins a , Policy#or Self-ins.Lic.#: �()('- ��()_ ���� � - ExpiradoaDate; o Q Job Site Address: "i aJ City/StftTap Attach a copy of the workers'compensation policy declaration page.(showing.the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine vg to$1,500.00 and/or one-year imprisomnent;as well as civil penalties in the form of a STOP WORKORDER and a tine of up to$250.00 a day against the violator..Be advised that a copy of this statement maybe forwarded to the Office of . investigations of the DIA for insurance coverage ymification. I do hereby cent under the mid p perjury th&the information pravUrd abov. is true and correct S `� Date � CS Phone#: Official use only. Do not write'in this area,to be completed by city or town officiuL City or Town: Pebuit/License# Issuing Authority(circle one): 1.Board of Health 2.BuildingDepa tment 3. City/Town CIerk 4,Electrical Inspector. S.Plumbing Inspector 6.Other Contact Person: Phone Information and Ins- tructions- Massachusetts General Laws chapter 152 requires al employers to provide workers'compensation for their employees. .i' Pursuant to this sfafUfe,an employee is defined as"_.every person in the service of another tinder any contract of hire, S express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of.a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more titan three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair-work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter-152, §25C(6)also stars that`.`every state or local licensing agency shall withhold the issuznce.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 entry into any contrast for the perfaffiauce of public work until acceptable evidence of compliance with the insurance regnircments of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation inm-ance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial .Accidents for confirmation of in.srrrance 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 Department of Industrial Accidents. Should you have airy questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their . self-insuEr-ance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license comber which will be used as a reference number. In addition,an applicant that must submif multiple pemsit/limnse applications m any given year,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Address"the applicant should write"all locations m. * (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture Cie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have arty questions, please do not hesitate to give us a cal The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Iadustrial AQ�Udents Office of lavmtiatiora& 600 Wasbi Owl Strut. Boson.,MA 02111 T4,#617-727-4900 ext 406 or 1-977 MA-SSAFE Fax#617-727,774-9- Revised 4-24-07. v .ma$s_gGWdia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4. Map Parcel (0 t 8pplicat'ion # O 6 Health Division Date Issued l d Conservation Division ,"ZApplicatiori a-Pee -_ Planning Dept. Permit Fee�;� Date Definitive Plan Approved by Planning Board K�n4n Historic - OKH _ Preservation/ Hyannis v Project Stree ddress Village Owner (1 hrlsa'iry- 9 A laAi- rv.1,� Address ;:3 � 1R� IAJbQaA fPALO HIPL(YALU {WA' Telephone g' Permit Re uest i -- �U��2da�i' �os40Y-1- Levlzvo, Square feet: 1 st floor: existing L3&proposed_�2nd floor: existing prc ca ed« Total new aQ Zoning District Flood Plain U Groundwater Overlay � ( Project Valuation go Construction Type Lot Size c Ld cJ Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Uro" Two Family ❑ Multi-Family (# units) Age of Existing Structure -3 Historic House: ❑Yes P(No On Old King's Highway: ❑Yes/,IONo Basement Type: a'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 1 Basement Unfinished Area (sq.ft) 13- 7 Number of Baths: Full: existing_ Z new Half: existing new Number of Bedrooms:. existing 1 new Total Room Count (not including baths): existing new C�_ First Floor Room Count Heat Type and Fuel: ©'Gas ❑ Oil U.Electric ❑ Other Central Air: 2 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes YNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: UJ�existing ❑ new size A_I Shed: ❑ existing ❑ new size _ Other: � W- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use / I� �'N /i�4 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name . e ©/L Telephone Number 7! 7`" ! l w<_ Address - License# d5`1- �lwJiS f�� z 7-�L- Home Improvement Contractor# r_7�� 6 Email S' .Ur "- Worker's Compensation # wefl 02D-do -D0S.3/S--40 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR G DATE /3 A FOR OFFICIAL USE ONLY ." APPLICATION# DATE ISSUED MAP%PARCEL NO. ry i ADDRESS VILLAGE OWNER i! DATE OF INSPECTION: FOUNDATION IZIP/ FRAME q 7los INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 26)I� DATE-CLOSED OUT ASSOCIATION PLAN NO. � f ` ITW Commonnwah%a,f Hassttchust r . Deparhnmt a,; fadjtstridAccidents -- - Q� tce t{f" +vesti��r�dio�rs 600 WzmhingtcmStreet y wt>kwana-mgovIdirr Worke& Compensation Insurance Affidavit:Builders/Conti-actors/E�tricians/Plumbers AppIkant Please Pant Legibfy Name($usmesa/Organ>�ou�ividuat�_rL � i�l/��JUi�/nsy �e L1sL/-p Qty/Stat Zip: //. a�6"/�✓�j` ®� P110ne47 Are you an employer?Check the sapp�ropriate bo= Tare'of project OrejuiredJ_ L IJ'I am a employer with_ 4_.❑ I-am a general contractor and I 6_ ❑New ernplQyees(full andlorpart-time)-*.: have hired.tbe m b=coniractors ❑ deling I am a sole proprietor orpartner listed on the attached sheet - ❑ � drip and have nQ employees These sib-contractors have g- ❑ Iition employees and.have workers' worming for me in any capacity_ _ Zl� ilding addition Q workers' COrttp_invxance comp_rnsuran[ 5-❑ Vine area corporation and its 10�electrical repairs or additions 3_❑ I am a homemmer doing all work officers fxav�e exercised their I LEI Plumbing repairs or additions myself o work=' right of exemption per MGL 1 Roof repairs insurance regnired-I h .. c.152,§1(4),and we hafs6 n - eavloyeeg_[No Workrss' 1 _❑Other . comp-msuran a required'-] *Any sg b—t thae&s bOX'91 most also M out the sectiaa belaw sMwmg[bea vDdes'm=pmsadon polic}'s�t�tim Hnmeow.ahat dh sabmnt this afEdavit it g they a�doing aT3 tteaie sud$tea brig oatside coatncturs most subMa a mW afdzt mir;rR n mCTI- ctoa thm rhpck this box must attarhed sn additional sheet showh3g-the nsme of fhe soh-oaaftsctos and state whether orxwt$xise Matities have _pkYe_ Tf the sulrc_t-ct_hire employees,they must F—Ae their—k-e comp.policy number. Iran art employer that is prmrid k9 ttrnrkers'conrperrsr.60n instarartw for MY'RnrplLYee, Belaty is$re porky rurd,}ob site informradam j Insurance CompauyName. C—Z o'V Policy#or Self ns.Lim CW— 00 Expiration.Tate. %S - Job SiteAddmss: stJ iJ� , Cityf3ta6elZtp__ k�/rJi/ OO��o3 Affach a copy of the workers'.compensation policy declaration gage(showing the policy number and expiration.date). . Failure to secure cavgerage as requireduuder Section 25A of MGL c 152 can head to the imposition of criminal penalties of a fitae up to$1,500.00 and/or one-yearimpe as well as civil peaalti=in the fore of a STOP WORK ORDER-and a fins: of up to$250-00 a day against the violator_ Be ad6sed that a copy of this statement may be forwarded to the Office of 1mvestigations of the DIA fpr insurance coverage vacation Ido hereby cacti its andpenalties fFeriut}'thatthe urformatian protrzded abM, " and correct_ Si�att>re: 1 Date_ Phone#_ / iWki ii use anly. Da not write in tkiF area,to be wmpL by city or town affieiaL City or Town-. PermigLicense# Fssuizig Auffiaritg{circle oney- L Board of Healthy. 2.Biding Department I Cif, To1sn Clerk 4.Electrical inspector 5.Plumbinj lr4ector 6.Other, m Contict Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuantto this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or.more of the foregoing engaged in a joint enterprise,and including the legal representatives of deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.- Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the pedbrmance of public work until acceptable evidence of compliance vrzta the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situa±.ion and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cert_ficate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation ofinrrance coverage. Also be sure to sign and date the affidavit The affidavit should be retimmed to the city or town that the application for the permit or license is being requested,not the Depai meat 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 ntmiber listed below. Self-insured.companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the permiVEr-ease number which will be used as a reference number. In addition,an applicant that must submit multiple pemitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations mi (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number The Commonwealth of M ssachust<t is Depa-dmcnt Qf Industrial Acckdanis Office of kveWptxans 6W Washingtan Stet Boston=IAA G2111 Ta A 6I 7-727-49-QO Qxt 406 or 14 -MASWE Fax##617-727-7-149 Revised 4-24-07 v,v;w- nas&gavaa Ae-OZP DATE(MMNDNYYY)CERTIFICATE OF LIABILITY INSURANCE 4/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNONEACT BerkleyAssigned Risk Services McShea Insurance A "F �,: 800 634-4589 (INC No.): 866 215-8118 1550 Falmouth Rd RT 28 Ste 2 E-MAIL PolicyServices@berkleyrisk.00m Centerville,MA 02632 INS u A FFORDNG COVERAGE NAIC# INSURER A INSURED INSURER B: Tyler and Traywick Building Company LLC INSURER Q. Box 216 INSURER D. West Hyannisport,MA 02672 INSURER E: INSURER F: COVERAGES - CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AIDDL 1 5U511 POLICYNUMBER POLI YE F LIMITS LTR INSR WVD MMIDDIYYY MM/DDIWYY - GENERAL LIABILITY AUTOMOBILE LIABILITY $ WORKERS COMPENSATION WCSTATU• 0TH- - AND EMPLOYERS'LIABILITY YIN TOR Y LIMITS ER _ ANY PROP RIETORIPARTNERIEX£CUTIVE N E.L EACH ACCIDENT $500,000 A OFFICEIMEMBER EXCLUDED? NIAEj WC-20-20-005315-00 4/19/2014 04/19/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONSbelow E.L.DISEASE-POLICYLIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Coverage Election Category Elect.Status Name State(s) All Entitles/Locations Officer Include Sam Traywick MA Tyler and Traywick Building Company LLC Officer Include Tyler Sanford 648 Craigville Beach Rd West Hyannisport,MA 02672 CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sea Dar Construction AUTHORIZED REPRESENTATIVE 46 Waltham Street F Floor 2 A Boston,MA 02118 Signature: ACORD 25(2010105) BRAC 3139 i 1 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-060982 SANFORD R TYL`R PO BOX SO W HYANNISPOI€T6P ' .�,.G...•,11�6t�• Expiration Commissioner 10/12/2016 w - 5 , Office of Consumer Affairs and Business Regulation. 10 Park Plaza - Suite 5170 Boston; Massachusetts 02116 Home Improvement Contractor Registration ''T_ .; Registration: 177365 t f '1 Type: LLC 1 : = err Expiration: 11/25/2015 Tr# 247073 TYLER AND TRAY WICK BUILDING,.QO-1f6 .i,`. SANFORD TYLER "' P.O. BOX 216 WEST HYANNISPORT MA 02672 Update Address and return card.Marls reason for change. SCA 1 0 20M•05/11 Address Renewal Employment Lost Card �� //// // V h_'e, IY/I3C6YLCUeCCG�l2 Lt�(���CCJJCCC{It,e, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date:If found-return to: F�egistration 177365 Type: Office of Consumer Affairs and Business Regulation xpiration 11/25/2015: LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 TYLER AND TRAYWI.. K`B:U1YLD,I:Nd)-6 LLC SANFORD TYLER - :' 67 CRANBERRY LANE' ;...:•==.:'": ;- ga�����z WEST HYANNISPORT, MA 02672 Undersecretary. h Not valid ithout signature �W ti Town of Barnstable Regulatory Services * RI MASS.� Richard V.Scali,Director Building Division . Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usine A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for.. �� S r�1� 7"� r14.�r M 07435 (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signatu&of Applic Print Name Print Name — Date QT0RMS:0 WNERPERMISSI0IIP00LS Regulatory Services pfr-ME rM Richard V.ScaIi,Director Building Division t Tom Perry,Building Commissioner r� 1M 200 Main Street, Hyannis,MA 02601 QED a www.town barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION - Please Print DATE: JOB LOCATION: number sh7tet village "HOMEOWNER": name home,phone# work phone# CURRENT MA LING ADDRFSS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervi or. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be resLonsible for all such work performed under the bui.IdinV permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations_ - The undersigned"homeowner".certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION # The Code states that: "Any homeowner performing work for which a building.permit is required sha l be exempt from the provisions of this section(Section 109-1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes &ReguIations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFELES\FORMS\building permit fonnsUIPRESS.doc Revised 061313 �77L f r A WC Guide to Wood Construction in High Wind Arens: 110 niph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)........................................................ ✓ Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8).................................... .. "?.... ........... . Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..................................Z It o in. Sill Plate Spans ........................................................(Table 9)...................................Zft n in.s 11' Full Height Studs (no.of studs)...................................(Table 9)............................................ ......... . Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(fable 9).................................. ft e) in.512' c/ Sill Plate Spans.........................:.................................(Table 9).................................. It U in.s 12" 7 Full Height Studs(no.of studs)....................................(Table 9)........................................................ 1- T Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension,W W� 17=6° i rr Nominal Height of Tallest Opening2 ...................................................................u........(�f s 6'8" ✓. Sheathing Type..............................................(note 4)........................-----------.....yZRAU..l'Dx ✓ Edge Nail Spacing Table 10 or note 4 if less........................ in. V Field Nail Spacing..........................................(Table 10)................................................ in. ✓. Shear Connection(no.of 16d common nails)(Table 10)..............................s..� Percent Full-Height Sheathing.......................(Table 10).......................I........................... °70 V 5%Additional Sheathing for Wall with Opening>68'(Design Concepts)..................... Maximum Building Dimension, L "' Nominal Height of Tallest Opening Z...............................L... �..�.....:.. IF r 4(I5 6'8" a/ Sheathing Type..............................................(note 4)---.................................-114k-+:t...... 4ox ✓ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. v Field Nail Spacing..........................................(Table 11).................................................min. ✓ Shear Connection(no.of 16d common nails)(Table 11)......................................3..p ft-••••_ Percent Full-Height Sheathing.......................(Table 11).................................................... !S" 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... . Wall Cladding Ratedfor Wind Speed?.............................................................. .......................:........................................ 5.1 ROOFS + Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) V Roof Overhang ...................................................(Figure 19)............C�ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=J�j plf ✓ Lateral.............................................(Table 12).............................................L=J_7 4 plf Shear...............................................(Table 12)............................................S=12—plf Ridge Strap Connections, if collar ties not used per page 21.....(Table 13)..............................T=j-plf Gable Rake Outlooker.........................................(Figure 20)............... ft 5 smaller of 2'or U2 V, Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U=�lb. Lateral(no.of 16d common nails)...(Table 14).......................................L=2s3 lb. Roof Sheathing Type.................................elp,.I........(per 780 CMR Chapters 58 and 59).................. J/ Roof Sheathing Thickness.......................................... ........ . �in.a 7/16"WSP . . ........ ........... ... .... Roof Sheathing Fastening................................a .....(Table 2)... ... �e -6.....Ft.e(d................... ! Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3: The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-gra0e. AWC Guide to Wood Construction in High Wind Arens: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust)........................................................................................................,...........110 mph Wind Exposure Category........................ .......................................................I..............B 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................. I" stories s 2 stories RoofPitch ..........................................................................(Fig 2) ...........................................�CZ 512:12 MeanRoof Height ..............................................................(Fig 2).................................................fT ft s 33' BuildingWidth,W...............................................................(Fig 3)................................................(7, ft s 8a V BuildingLength,L ".............................................................(Fig 3)..............."..............I.........I........30 ft 5 89 Building Aspect Ratio(LNV) ...............:.................... ...........(Fig 4)...-.................. :....:...,.-.......(, a 3:1 c/ Nominal Height of Tallest Opening2 ...................................(Fig 4)............................... 5................6�; s 68° 1.3 FRAMING CONNECTIONS f General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...........................................................................::................................................. V ConcreteMasonry...................................:.................................................................................................. �A 2.2 ANCHORAGE TO FOUNDATION'•3 5/8'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only m Bolt Spacing-general...........................................(Table 4)................................. . �. Bolt Spacing from endCoint of plate ............................(Fig 5)..................................... 6 in.s V-12° �- Bolt Embedment-concrete...............................:.........(Fig 5).........................-............I.......... P3 in.a 7° ✓ Bolt Embedment-masonry.................:.......................(Fig 5)............................................ in.z 15" /it PlateWasher..............................:................................(Fig 5).........--•--......................... 2!3"x 3°x%* �V1, - 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)....:............::................` Maximum Floor Opening Dimension...................................(Fig 6)............................_ft 512'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)............ ........................... L Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall..........:.....(Fig 7)....................................................—ft s d Maximum Cantilevered Floor Joists /• Supporting Loadbearing Walls or Shearwall................(Fig 8)..................... Y Floor Bracing at Endwalls.................................. ................(Fig 9)...................................... ........................... Floor Sheathing Type .................................... .Y.........(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness.......................... .........(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening..................................................(Table 2)..�d nails at Lin edge/Lg in field . 4.1 WALLS Wall Heiht Loadbearing dbearing walls............................. ............ ....................--••--••----............(Fig 10 and Table 5)..............:.............�ft s 10' Non-Loadbearing walls................................................(Fig 10 and Table 5).............................&_ft s 20' _ Wall Stud Spacing ........................................................(Fig 10 and Table 5)................... 16 in.s 24'o.c. Wall Story Offsets ...........................:............................(Figs 7&8).......................................:.... 0 ft s d 4.2 EXTERIOR WALLS' „ Wood Studs Loadbearing walls..........:.............................................(Table 5)..............................2x_.v/ - I ft in. ✓ Non-Loadbearing walls.:.....°.......:.................•...............(Table 5)..............................2x__,� --4-ft_+._in. 7 Gable-End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................................. WSP Attic Floor Length................................................(Fig 11)..........................I.................... ft tW/3 - A . Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................. 17 It Z 0.9W 2 x 4 Continuous Lateral Brace @ 8 ft.o.c. ..(Fig 11)............................................................ Double Top Plate Splice Length ....... ... ..... ... ............. . .. .. ........(Fig 13 and Table 6) .............�ft . Splice Connection(no:of 16d common nails)..............(Table 6)................................................................................._._El—L ' 4 Assessor's: map and lot number A=21-84 ......... ..::.......................:...... Sewage Permit number .........81 75................................... SEPTIC w�EP 0 91s SYSTEM 6 eFIRLI -15 = BAHB9TADLE, i House number ............ '........ ................................................ INSTALLED IN COW-1 tQ. m WITH TITLE 5 '"fin was a�0 IN �k �,L CCU``E �'.N-1 TOWN' OF BARN Y ' ��, �2.11# BUILDING INSPECTOR Enclose deck APPLICATION FOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .................... Single family dwelling/frame May..16..................19......85 TC THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................l. ... ot #.41. .............15. .....Santuit. . ...Road.,...Cotuit. .. .... . . .. . .... . ...... ........ . .... . ......................................................................................... Proposed Use Rorch................................ Zoning District RF.........................................................Fire District .................Cotuit ............... ........................................................ Name of Owner ........John E. Newton ... ,, ,,,,Address 15 Santuit Road,,, Cotuit .................. ..........A ..... .... ....................... Nameof Builder ......Owner ...........................Address........................ .................................................................................... Nameof Architect ............... ............................................Address .................................................................................... Number of Rooms ...........1.....................................................Foundation .............sono tubes........................................... Exterior _Tex 1-11 Roofing as halt ....................... ..:........................................................ �. Floors carpet..........................................Interior unfinished........................................... Heating ............................none...............................................Plumbing ................none......................................................... $2,500 Fireplace none ..............Approximate. Cost ............. ............:............... ....................... Definitive Plan Approved by Planning Board ---------------- ----------------19--------. Area a..Diagram of Lot and Building with Dimensions Fee /�.. . ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name v...... ...... s License Construction Supervisor' O(��1e . NEWTON, JOHN E. , 27893 Enclose Deck No ................. Permit for ..................................... Single Family Dwelling ............................................................................... Location ....,,Lot...4.1 1.5...S.a.n t.u.i.t....Road Cotuit ...................................................................:........... Owner. Jo.hn.-..E......Newton............................ ...... .. . .... .. ....... Type. of Construction ........Frame. .... ...................... .. .. . .................................................................. ............ Plot ............................ Lot.................................. Permit Granted ..M-:!Y...I.Tr.....................19 85 Date of.Inspection ....................................19 Date Completed 6...19 Assessor's map and lot number 'A-21-$�...... " E Sewage Permit number £31-75 I ��P��♦� t 15 Z BJflH9TADLE, i • House number. .................................................I.............. I 9 Mas6 039. MPS or. TOWN OF BARNSTABLE BUILDING INSPECTOR Enclose deck APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION Single family dwelling/frame ....................... ................................................................................................... May..16..................19.......S 5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..lot #41 15...Santuit. . ..Road.,...Cotuit .... ...... . ...... ......... . .................................................... ProposedUse ............Ranch..................................................... ............................................................................. i s Zoning District ..........RF.........................................................Fire District ..................Cotuit................................................ i Name of Owner John E. Newton „•„•....Address ..........15..Santuit,•Road, Cotuit ........... ................................ i Name of Builder .Owner Address Name of Architect ...............N/A............................................Address .................................................................................... ....... Number of Rooms 1 .....................Foundation sono tubes ........................:.................... .............................................................................. Tex 1-11 .........................Roofing asphalt Exterior ............................. ...........................:..................................... .............................. Floors ...carpet unfinished ........................................... ..............................................Interior ......................................... Heating ...........................hone..............................................Plumbing ................none......................................................... ...... none $2,500 Fireplace ..................................................................................Approximate Cost ........... ..................................................... Definitive Plan Approved by Planning Board ------------------------------- llz)......•/�. f C,7ff !1fU .Area /�.:.%. Diagram of Lot and Building with Dimensions Fee o SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. ,6 Name .� T .... Construction Supervisor's License d�J�� .................. NEWTON, JOHN E. A=21-84 27893. Enclose Deck No .. ......... Permit for .................................... ...........5 in.9 Le...Fznily..Dw.e.11ing......... Location .......Lot...41,...15...S4;1 t.1A i t..Ad., ...................CQtgil............................................ Owner ......John..................... tp.n....................... Type of Construction .......FXAMe....................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......May....1.7...................19 85 Date of Inspection ....................................19 Date Completed ...................................n.19 —/0 -2- i o•�" TOWN OF BARNSTABLE Permit No. _-----.--_- ., ------------- Building Inspector cash 1 --------------—------- —- OCCUPANCY PERMIT Bond ----__ - "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19......__ .................................................D.................._......._.........._......._......._ Building Inspector 1,.10 r'•'�rZFsAG� C�rL11.fdFl� _ ___ _ . .____ (�L7. r t:L 17 Low _ io .4 3 , 33o G.P=tom ���T-Ic T -1tC = 330,. tSG % • cS.P.t�, ro :o USE t o00 IG A L . I SPo�A1. PIT - t3 Z SF � 2.S � �i�>o G•P.D.'' se r rm- AWA G'.RD pp CROP a� TOTAL •�ES161J = 3 p.PD A444 2 h 'T-oTQ L ID,&%U-( V=L.nw MOCOL.QTIOLJ O&TE : 1"10 2JlrtIw"be LlgA._ S . a BED. 4®NY! 14 t 14 V is �,n Neu.:•. s:w"�,�vF. ,�;,.• l � £ f J. ..ay A. }; n P7115 / Top V%Ao a foo.o 4 . 4. AS 4C-IoC� ��F •r� �, ` 4fP� r. .. luv.• 97,o L.o a n p S✓rr;.c�(„ 4'�P� DIST. IW. G,a�, fG.8 '; ': c k Z' 'Box a 96•G SEPTIC o / '. Cam- PST .r MOD WtTs.O vi 'e w r � 5•t'o..iE 92.5 N tSV-TlF1ED pL.DT t LoCATtO" (5O TV i T ' :88 u 46 bATt✓ 2I25'g' i PLAt:! 1Z�F' �c�1GE � - - 1J Uory u �G c tz T t l-� Tt••l AT T 1-1 �w�c.Ll (i 5 t-lt.�t=L�IJ �CrlPL�IS W 1'Y'1-1 T►-1� �jiD� t_1►.ii } c UlQEA TS- �..oT Al A1.It� ';ETI'_>ACtC_ VrQAF-W 17F T14G s ��J/ � � � 1 -To W U or-- r! r k?�,. K-a C�A�rE ? 25 � . RCGt6c'c.R�D LAt.IG SuZv�Ko�=� -slats h�.nl-t t uoT ti;Ascv: v� aN osTEczvt�t-L- C.) MAs�.. rt�c:•Il-�{ ,� TNC: Us+t= �r�, Slacwua ApPt_I;I:A.h.tT I I'L C:C'_ u--.Ls-- %) LOT l_I we � V(4 f� EJtu7-01 J , . Iz57 --- LLD, 00 t2S E - _ 'A STY IT A ?. { Ilia.2•sn48 '� E 40 C.S .� Q lFl LOCATION_ (:�aru tT , f CMIZT11=Y THAT TN1= rpVQ'1:�->Ajjo4 50OWL3 �EZr--0t 3 COMWLYS WIT" TWG- 51VE.UWC-- P Awr-> . SETBACK QEQU.IILEA/IcWTS O>= THE :L L bT 41. t pA'r E . . . .. t�EGl4['C-1Z�D 1-Al..tp . SUev�.YoszS Tt4l5 VLAW IS 1.1OT eASsr) vim! AW ° _ OSTE2VIC.LG o �r�r'�SS. IaJS«c1.tr�El•tT 5U2vc�{-¢, T;a� t�s=s='�5�'I'S S,aGe�uc� APPL.IGA.�IT �, KtT eC USUo To DeTce.Mo4tZ LOT l waS- 4,essor,s, map and lot number .............................. ............. THE i P-0Sewage Adrrbif number ....14'u,...... . ..................................... SEMC M 7 M MUST House nu'mber .......... ............................. .........I.............. ' SY NSTALLE10,IN COMIS LIANA 39WITH TITLE T YAY a` TOWN OF B-ARN'S � ,tleODEAND tNTIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..................BUILD DWELLING .................................................................................................. TYPE OF,CONSTRUCTION ..................... I INGLE FAMILY DWELLING .................................................. • February 25 811.................19.... .TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........................lot #41 Santuit Road,..Cotuit.................................................. . ................'... ....................................................................................... Proposed Use ...............Dwell.ing.......................................................................................I............................I......................... ....... . . ...... Zoning District .............RF......................................................Fire District .........�?tu ..... .....i.t....................................................... Name of Owner ..........,.J.6hn..,E.....Ne.wton.......................... Address ..................409-Main...S.tree.t.,...C.otui.t.,... ....92635 .. ...... ... .. . ......... ...... ......... . ........ .. .. ........ . Name of Builder .........Owne.r...........................................:...Address ............................... .......................I........................... . ......... .. Nameof Architect .......N/.A....................................................Address .................................................................................... Number of Rooms ........4........................................................Foundation .........Poured ..................................... ................................. Exierior .........................W..00d Shingle..............:.................Roofing ............... Shingle................................... ................................... Floors ................... ........Carpet..............................................Interior ...............P11W. .All..................... ............................... Heating ........................Electric ? ....................... ..................................Plumbing .............L&qth�i..................................................... Fireplace ..................... Xqiqp/, ood..Q ...rp4j...s. QV.Q.......Approximate Cost ............... ........ .............F... Definitive Plan Approved by Planning Board --------------------------------19----- Area ....�0�............. ........... Diagram of Lot and Building with Dimensions Fee .......!7.6.,P....r................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name '�..... . � . . . _ . . ' � ^ - . . . ' ' . ` . . . . . . ' . . . , � - ` ~ � ' ' - - . . � , � ' Y Newton John E. 2945 one story single family dwelling cotuit John E. Newton ell W PERMIT REFUSED � —' . . .., . . ' - ...' � ............................................ ' nnApproved ................................................ lV ' ^ . � --------'-------~~^^'^—^—^'—'—^' ----~--'---.,..—.---...—.—.....— � ` — | Assessor's map and lot number_.,.`........................................ �. f t R L . fJ a? 4 THE r0� y Q Sewage Permit' nLmber .:1(. ......7j.................................. Z EARN -TODLE, i House number .......... :. ......................................................... 90o K a �e TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TOE L.Tv'FLLIt�?G ............................................................................................................................. TYPE OF CONSTRUCTION ..............................A;?E/SINGLE; F*fILY•,I)`wJF lING............................................. February 2��.............19...81.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........................Q.........��:......`.dntllit Road a..C'atil t.......................................:........:... ProposedUse ...............I.aelZin.............................................................................................................................................. Zoning District .............................Fire District COtUit R:F......................... .. ................................................................ Name of Owner ...........::r,0�'n F. Nm4tcm Address ...............fig Ivfaln Street, Cotuit.* r>:h. 02635 Nameof Builder .....'(lUr ..- ....................................................................Address .................................................................................... Nameof Architect .......`,l ..........................Address.......................... .................................................................................... Number of Rooms .......4.........................................................Foundation Poured Concrete ...........................................................I.................. Wood ShinCle Asbhalt �in leExterior ................................................................................. Roofng . ........Floors ........Camel I�rs�n a1,1. ...................................................Interior .................................................................................... 9 Heating Fl�'et." e ....Plumbing +'gib Fireplace ......................NonP4.nod..or..co.al.Rf rn��........Approximate Cost ..............0O,00(L............................,........ Definitive Plan Approved by Planning Board ----------------------_---------19--------. Area a` Diagram of Lot and Building with Dimensions Fee � �� 5 d . . ......................... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH --BC AJ Q • I hereby agree to conform to all the Rules and Regulations of.the Town of Barnstable regarding the above construction. Name�� ����....................................... ... Newton, John E, A=21-84 J . 22945 one story Noy.................. Permit for single family dwelling .............................................................. Location 15 Santuit Road ............. .......................................... Cotuit ............................................................................... Owner John E. Newton .................................................................. Type of Construction frame .......................................... Plot .......................... . #41................ March �25 81 Permit Granted ............. ..........................19 Date of Inspection ....................................19 Date Completed .........:............................19 PERMIT REFUSED ............. 19 . . i .?� f..... ........................ ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Home Energy Raters LLc BTorrey @EnergyCodeHelp.com Box 989,E. Sandwich,Ma 02537 888-503-2233 Duct Leakage Test k. Address 15 Santuit Rd Cotuit- Date — Feb. 2G, 2013 Contractor Hefting and Cooling Concepts Test Type -- Rough In - Total Leakage Conditioned floor area =1460 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the `Maximum duct leakage CFM < 87 CFM (1460/1 Go A 87) Duct 10akogg tested = 57F1I This Home complies with Section 403.2.2 Of'thb 2009."IECC Code Test Mode -Pressurization Test Pressure = - 25.0-Pascals Equipment_ - Series B Whhe'apotis Duct Bl6 t&' Duct Leakage as Percem6de'b� ',Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC r, Commonwealth of Massachusetts I Sheet Metal Permit Map 1 Parcel IOPir Date: 1 i 113 " Permit0y i 3oo4 0 Estimated Job Cost: $ f y b��' JAN 2.2 2013 Permit Fee: $ Plans Submitted: YES y N Plans Reviewed: YES NO OF�ARN�T Business License# �� (osS 7O Xp� License# (3 Business Information: Property Owner/Job Location Information: 'Y1 l7nii y1ct�o� ►�n ci` �131�i Name: 1 e� Ca 1 CD v, Name: =�— Street: TO Pao x a `�� Street: 15 SG n�v, R City/Town:`- 1-1 r'''o Aj, rn�i �z��3 City/Town: C u, Telephone:SE)g LM9 VL&C/ Telephone: 5a� q3 S �I09q Photo I.D. required/Copy of Photo I.D. attached. YES NO to Initial J-1/ -1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family. Multi-family Condo/Townhouses Other Commercial: Office Retail, Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft. y over 10,000 sq. ft. Number of Stories: Sheet metalwork to be completed: New Work: V Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: i3Ty 1�aTu�� G�S `�of ryace- ='CO jpS.yl.��10y1 \ NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes JNo ❑ f you have checked Yes, indicate the type of coverage by checking the appropriate box below: k liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Oassachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only .Owner ❑ Agent ❑ Signature of Owner or Owners Agent ` 3y checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections _ Date Comments FinalIrispection ` Date Comments Type of License: 3y aster itle ❑ Master-Restricted ;ity/Town ❑,Joumeyperson Signature of Licensee 'ermit# ❑Journeyperson-Restricted License Number: :ee$ ❑ Check at www.mass.govIdol nspector Signature of Permit Approval ,� .. NI The Commonwealth of M_ assachusetts Department of Industrial Accidents Office of Investigatiotrs 600 Washington Street- Boston,MA 02111 s www.mass.gouldia Workers' Compensation Iusnnt mce Affidavit: Builders/Contractors/FIectridans/Plumbers APPEcant Information Please Print Le ' 1 Name(Business/organize ='Individual): 11 b024 �c►ID��� Ci►1 Address: L7 'City - �J c rn�. ](y�{j Phone.#: S b is Are you an employer?Check the appropriate bow -Type of i o ect re e I am a neral contractor and I P .i ( � d):: 4. 1.❑ I am a employer with ❑ 6. ❑New construction p�ploy-cs (full and/or part time).* have hired the sub-contractors 2. I am a'sole proprietor or partner- listed on the'attached sheet 7. ❑Remodeling ship and have no employees These sub-cofactors have g. Demolition working for me is any capacity, employees and have workers' 9. addition [No workers' comp.insurance co�..insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner ill work officers have exercised their 11. Plumbingrepairs elf o warkers� right of ex or additions myself. [N amp. ght exemption per MGL 12.7 Roof repairs insurance required_]t c. 152, §1(4), and we have no employees. [No workers' . 3•❑ Other comp.Tnsnrance required.] *Any applicant that checks box#1=st also fill out the section below showing then•workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Ccru actors that check this box Est attached m additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they mustprovid'e their workers'comp,policynumber. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site in Insurance Company Name: Policy#or Self-ins.Lic.A Expiration.Date: Job Site Address: Cit y/Sp: Attach a copy of the workers'_compensation policy declaration page'(showing the policy number and expiration date). Failure•to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimival penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Iavesti ons of the DIA ft mince coves e verification I da her certify un' theairs-and penalties of perjury that the information provided above is true and correct. Signature: s • Date: � � a � •� �� Phone# Official use only. Do not write in this area, to be.completed by city or town official 71sper�_tcr] City or Town: PermitUcense#IssuingAuthority(circle one): .-1.Board of Health 2.Building Department 3.City/Toven Clerk 4.Electrical Inspector 5.Plumbing In 6. Other Contact Person: Phone#: cl CA IKE Town of Barnstable Regulatory Services MASS Thomas F. Geiler,Director s6;q. 1� o " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601- www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder ' as Owner of the subject property hereby authorize- Y)Ajn2.ho to act on my behalf, in all'matters relative to work authorized by this building permit ry)4 (Address of Job) Pool fences and alarms are the responsibility of the aPP licant. Pools are not to be filled before fence'is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner S' ature f Applicant aDuV hU Print Name Print Name Date. Q:FORMS:OWNERPERMISSION'OOLS Town of Barnstable Regulatory Services sAxivsT.�srs, : Thomas F.Geiler,Director y XAss. 039. �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state - zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A ` person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned „homeowner assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State BuildingCod Section e 127.0 Construction Control. HOMEOWNER'S EXEMPTION r The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages-a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15)_This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by .several towns. You may care t amend and adopt such a form/certification for use in your community, Q:forms:homeexempt 1 CAMMONWEALTH OF MASSACHUETTS i SHEET METAL WORKERS 9S A MASTER-UNRESTRICTED; . s ; ISSUES THE ABOYE`CICENSE TO I i� . NUNZIO L NAP OLITANO ; :r 76 .CA-1F' ST W YARtiDUTH MA 02673 3207Cy 4132 06%28/14 181012 1 V Certified Plot Plan in Barnstable , MA, Address : 15 SANTUIT ROAD jPrepared For: Tyler & Traywick Building Co Assessor's Map: 021 Lot: 084 Baxter Nye Engineering & Surveying Community Panel. Number 250001 0752 J, Dated 07/16/2014 Registered Professional F.I.R.M. Map Zones: X Engineers and Land Surveyors Plan Reference: Plan Book 271 Page 56 Lot 41 78 North Street, 3rd Floor Deed Reference: Deed Book 26758 Page 197 Protective Covenants: Deed Book 1852 Page 186 Hyannis, MA 02601 Deed Book 2315 Page 181 Phone - (508) 771-7502 Fax — (508)-771-7622 Owner: Valentine P. & Christine G. Foti Job Number: 2014-084 Scale ; 1" 20' Date : 10-31-2014 NOTE: LOCUS LIES IN ZONE: RF. OVERLAY DIST: RPOD PARCEL 021-071 SALTWATER ESTUARY PROTECTION N/F DUGGAN PARCEL 021-070 MIINIMUM REQUIREMENTS: BK 13927 PG 065 N/F WEARE _LOT AREA 87.120 S FT N 31 53,20„ BK 10436 PG 256 E LOT FRONTAGE \--150 FT 125.00' FRONT YARD 30 FT SIDE/REAR .YARD 15 FT PPa0 6 S PARCEL 021-084 20,000± S.F. 800� N ' APPROXIMATE ONLY PARCEL 021-083 PARCEL 021-085 Z EXISTING SEPTIC N/F LARSSON NIF DOHERTY BK 24544 PG 219 BK 8169 PG 308 (OP9 O O En O � I O _ /^ O O _v= TT s I O co O co PROPOSED 13.83 / / 3T O ADDITION 3.67 / _ rn b l / EXISTING LGASJ o I j DWELLING #15 / M / TOWN 0i' EXISTING DECK AND STEPS / ', rLEC� TO BE REMOVED 17 5, / L 15.9' . � I 1i1�1f51L.r�� 0 PAVED DRIVE W N \ 0 X S 31'53'20" W ,SANTUIT ROAID 0 WID TH VARIES I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON ISrc IN COMPLIANCE WITH .THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK ,-A A OF ru,q�� REQUIREMENTS AND IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED ��E f , WITHIN A SPECIAL FLOOD HAZARD AREA. ; ; sIJANE THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. F MA��®N ' s, i w No.43337 r REGISTERED PROFESSIONAL LAND SURVEYOR BAXTER NYE ENGINEERING & SURVEYING DATE Certified P-16t� Pl an in B.ar n s tab ] MA :Address 15 SANTUIT ROAD Pre "tired For: Tyler- Tsai `wick Building- Co t Assessor's Map: 021 Lot: 084 { Baxter Nye , Engineering & Surveying Community Panel Number 250001 0752'J, Dated 07/16/2014 Registered Professional F.I.R.M,• Map Zones:-°X Engineers and`,L'and'Surveyors Plan erence: Plan `Book 271 Page 56 Lot 41 78 North Street, 3rd .Floor Deed Re = ference: Deed Book 26758 Page 197 Protective Covenants: Deed Book 1852 .Page 186 Hyannis, .MA 02601'' Deed Book,2315 Page'181 Phone.r (508). 771-.7502.' Fax (508)—"77i-7622 Owner: Valentine P. & Christine 7G. Foti JobyNumber 2014-084 SCgie 1 = 20' Date, : .10-31-2014 NOTE: - LOCUS LIES IN ZONE: RF. : I' OVERLAY DIST: ROOD PARCEL 021-071 - SALTWATER ESTUARY PROTECTION N/F DUGGAN PARCEL 021-070 BK 13927 PG 065 N/ E , > MIINIMUM REQUIREMENTS: " F WEAR . �, BK 10436 PG 256.., LOT AREA 87=120 S FT N 31 53 20 E LOT FRONTAGE ': -150 FT _ 125.00 FRONT YARD' ' .'30 FT SIDE/REAR YARD 15 FT 6 ` PPO� y PARCEL- 021_084 20,000± S.F. 800� N s , APPROXIMATE ONLY PARCEL o21-083 PARCEL 021-085 Z EXISTING°SEPTIC N DOHERTY N/F-LARSSON BK 24544.PG 219 BK 8169 PG 308 O O O O . O (n O P �. 13.83 0 / 3T O PROPOSED ri " 3.67 r ADDITION M k1l EXISTING LGASJDWELLING #15EXISTING DECKACAND'STEPS TO BE REMOVED LLECJ5' . .. • 0 PAVED DRIVE- w Z X X 125.00' SA'NTUIT ROAD sa { oti WID TH. VARIES CERTIFY THAT TO THE BEST- OF MY KNOWLEDGE `THE EXISTING STRUCTURES SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK ��AOFtlq�`� REQUIREMENTS AND IS LOCATED IN RELATION TO THE MONUMENTS SHOWN -AND IS. NOT LOCATED � � WITHIN A SPECIAL,FLOOD HAZARD AREA: q' " SHAME THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH.PROPERTY LINES. Efd�+�.LONNo.48 � 1/ REGISTERED PROFESSIONAL LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE � T € SMOKE DETECTORS REVIEWED vs.' N.:-t2-5'-YP_RD _._...fNiN t;OOM_.__..:._.. O NEW ADDITION ' 51Gw ee.nor t'"' BUILDING DEPT DATE�N �BA FIRE DEPARTMENT I)A.TC POTH SIGNATURES ARE REQ?WRED FOR PERMITTING JET 7 I 10 LJ -- o I � ,a i 26g �KPORTAK Y e UPGRADE REQUIRED elpLo STATE KUWNG CODE REQUIRES THE UPGRADING 8MOKE DETECTORS FOR THE ENTIRE DWELLING WHEN �6 ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED 2 r 3=0" r NOTE: A SEPARATE PERVITT IS REQJIRED FOR THE E J INSTALLATION OF SMOKE DETECTORS—THE ELECTRMk b se L__-! Rul>vowN PERi�IT�O S�f�Qi SATISFY TH!G RrC�` IREMENT. 3Sd.5GS P - L1UV _0p1:R.Y0 A LIVING ROOM \j . _----� 73now Iv ��.N -tawtrtttaN. 1 . to'S" " I IZS' I 1 i I, 55%sF� =gX.uS.TING OW6- STO ui`( :15i.5gDEYAse:::.BE4+D .. -vc.¢tcv--ru-.:FtELR-- Is�to 72'lo" 3ft8' General Notes: \\`,ttiltlPs�7ftrt/ s - I.All work to be performed in accordance with Massachusetts State Building Code,780CMR1 Eighth Edition,IBC 1009,and applicable codes included by reference.Framing to be in �f�p� .. accordance with the American Wood Council Wood Frame Construction Manual,110 MPH •••••S� L' fl- Zone.Allwork to be asapproved ordirected by local authorities havingjurisdiction. .2.Contractor[o secure all permits,and to arrange Cor inspediuns by local authorities having jurisdiction,as may be required. �^ '� 2 9 3.Work to be left in clean condition,ready for use and occupancy.All debris to be disposed off �1'laE i It— O site in a legal manner. w • MASS. • ate, t 241 4.Contractor to install or upgrade all plumbing,electrical,healing and venting systems as w• • •C� + required,per code.Install and upgrade all fire protection systems per applicable codes,or as may •••• •�• i� be required by local authorities having jurisdiction,including smoke and carbon monoxide ••••••[�� detectors. ` Of � ."fLAVEe_..;..J°s.g0� YEVLS.ED: tU-It3-14 , Andrejs R.Strikis Architect (� 85 River View lane,Centcrvt-lle,MA 02632-Telephone,(508)790-0920 Floor Plan with New Addition /� r LS Santuit Road,.Ciituit,NIA 02635; L 1 1 W 4YGDti ZY►E ":00N' STZE:._._: snooR No..__.. .. ErFR-�oERSEa1- —nilZct�------ --. ;Mt ER. 41_0.1 6-11' 15511LEt oR asn. i� LEA ® o � I : r------— —--——--tea I --ty :. Er2, T- S-'q AT_f O N ...-:: � I I - -I1 / A k t I ��-----I--�-'III} $ IFH Cl LKNEAv__ 4V,�. --------- � - ------------ ---_-_---------- +I - -- QSIT ; . — ------------- -- - - - Ss. ;r ,may ± • �' i ��A-T� "�LF�L�TIO.I�1 ____ __- _���.I.. `mil-Dom..-�L�V-A?1UN— '��,,, ••••••''• of G� 1 Andrejs R.Strikts Architect 85 River View L—,C.WMIle,MA 0263i-T.]*.-;(509)790-0W Elevations A215 Santuit Road,Cotuit,MA 02635 — — ---------- L^ --- wH I I _-.-Tn-,azar�r- <T uc•,_1i111➢ti_ i I I I I ° I I I 1Ueet I I I _._ I I I • — I I I I , n u t -- ... ......- o S C T VILLE t MASS. ; Z-r�-xarrcer,�-16 o-c:- OF '�Mtr�errs REY3�-tea-C8.=14: _ s Andrejs R.Sirws Yf,, .I:Q Architect 85 River Vic.Ism,Ce.mvitl,MA 02632-Tdephom(SM I90.0920 Foundation and Framing Plans 15 Santuit Road,Cotuit,MA 02635 A3_ S[F -E UZ6 'WATE2 EXTt~`FAa4'R441c ______.. �EYOa>z� 1 it, _.-GYPSIIi�--we,rLson¢y-FwISH,TOP — r ., t ;1 JN: _C_L�PgQggp-:--.5 r�tt:tt.:_:�i'.ffLLI1D1.hCL.�.._FaoNT f - -� ..-_1ZA13-iL-.pL00�%._.OWN£C.i-O�.PT10N ✓ 11 'v J f J ��F"�---�-,P� ti i _ __. _. _=:ELI ISTINL_:BASEb1ENT WIDO�f(:.':6E lOMD - I I _- -�-- - ,_NOTEz:_:.CtiSULATE:.41:L-_P1Ul"AO:CKG L�N�GS �1•. _7�tt7a=:;�..2-.#4a�fII.P. .._. I .FIEF+=_Af.7.�i3_-LPT[:H.=�_ ._ _---- 1 S�Y1SlN �:".c•RFSNL:-S[/:CE� 11 n LNG. o W It II111 __. - 1 aF:,-.-g 4. +!• I o ,,lo\1 j.Aly tlff;i"N 30%0° >� p � : I �, ` o ae NL fJEW-A"T-r(-aNA `� E ILLE S a . � MASS. r OF of rv"s6v-..---10.l-e Andrejs R.Suikis Architect 8 83[five View Lam.C=-A q MA 02632-T 308 790-MO Section_' 1 S Santuit Road,Cotuit,MA 02635, Foundation' Certification Plan in Barnstable, MA Address 15 SANTUIT ROAD krepared For: T ler & Tra wick Building Co Assessor's Map: 021 Lot: 084 Baxter Nye Engineering & Surveying Community Panel Number 250001 0752 J, Dated 07/16/2014 Registered Professional F.I.R.M. Map Zones: X Engineers and Land Surveyors Plan Reference: Plan Book 271 Page 56 Lot 41 78 North Street, 3rd Floor Deed Reference: Deed Book 26758'Page 197 Protective Covenants: Deed Book 1852 Page 186 Hyannis, MA 02601 Deed Book 2315 Page 181 Phone — (508) 771-7502 Fax — (508)-771-7622 Owner: Valentine P. & Christine-G. Foti Job Number.. 2014-084 Scale 1" = 20' Date 12-05-2014 NOTE: LOCUS LIES IN ZONE: RF. OVERLAY DIST: RPOD PARCEL 021-071 SALTWATER ESTUARY PROTECTION N/F DUGGAN PARCEL •021-070 MIINIMUM REQUIREMENTS: 8K 13927 PG 065 N/F WEARE LOT AREA 87 120 S FT N 31'53'20" E BK 10436"PG 256 LOT FRONTAGE �--150 FT 125.00' FRONT YARD 30 FT SIDE/REAR YARD 15 FT 6 PPO� 5 PARCEL 021-084 oo� �1A J 20,000f. S.F. P1, _ APPROXIMATE ONLY PARCEL 021-083 PARCEL 021-085 Z EXISTING,SEPTIC N/E DOHERTY N 8K 2 S 4544PG 219 8K 8169 PG 308 00 rn O � N 0 O 00 co T-1 _ - �_._ 0 4+ 13:83' o / 37 O M3.67 _ M b EXISTING L-GAs o DWELLING #15 a jLLEC_j 17.5' / 15:9' . EXISTING ADDITION Oy FOUNDATION LOCATED 12/04/14 T.O.F. EL. 52.79 (NAVD88) E. y Nj t PAVED DRIVE w - N � 03 \ O .t X X \ 125.00' — — S 31-53'20" W — SANTUIT ROAID, O� WID TH VARIES I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK o�OaOF&,1A REQUIREMENTS AND IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. SHANE M. THIS PLAN IS .NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. 0 MALLON Cn c� No.48637 ®`cSsx v REGISTERED PROFESSIONAL LAND SURVEYOR BAXTER NYE ENGINEERING & SURVEYING DATE �0 SU��