HomeMy WebLinkAbout0180 SANTUIT ROAD
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`oFtH¢t �* The Town of Barnstable
BAE. Department of Health Safety and Environmental Services
MASS.
t639• �0
prFOMP�� Building Division ,.
367 Main Street, Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen `
Fax: 508-790-6230 Building Commissioner,
Inspection Correction Notice
Type of Inspection Zi^AK)
Location)1b '�a ti LA Q A Permit Number Z 3 11-4
Owner }\v,. 'E h Ako cu r) Builder 4VC'\ "7
ci
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
y ' f
I `1"a C.e,l\\/-.: 1.Y 1%12)
r U 1
Q_ f\rpyA o L e- -/4 e3 w_,12- 4 Z
Please call: 508-862-403 for re-ins on.
Inspected by
Date
i
r7oro- ��g��
j &-f-�-
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# �
Health Division qg'Q0 i 0_5 h0`-g CM— v; 'Date Issued 11 )1710S V4 _
Conservation Division 0� FeebZS oo_
Tax Collector 1V
Application Fee oo
Treasurer
Planning Dept. Checked in By
Date Definitive Plan Approved by Planning Board Approved By
Historic-OKH Preservation/Hyannis
Project Street Address / o
Village �. `
Owner ress
Telephone 4 An ® S799 4 _
Permit Request ' - I ` //�
Square fgAist floor: existing proposed 2nd floor: existing proposed Total new
� �T
� Ea '
atio �6 Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size t 61M Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family (, " Two Family ❑ Multi-Family(#units)
Age of Existing Structure KC:lz Historic House: ❑Yes 5Pkn On Old King's Highwa ❑Yet; 2+ta'
Qn
Basement Type: l ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 1:3 Basement Unfinished Area(sq.ft
vl
Number of Baths: Full: existing '.. new Half:existing c new
Number of Bedrooms: existing new W
Total Room Count(not including baths): existing new First Floor Room Cou t o
Heat Type and Fuel: Q�asLJOil O Electric ❑Other
Central Air: 0 Yes EV11350'*_ Fireplaces: Existing W6 New Existing wood/coal stove: ❑Yes woe
Detached garage:❑existing ❑new size el Pool:❑existing ❑new size -"",Barn:0 existing ❑new size
Attached garage: existing ❑new size Shed: U4Xxisting ❑new size Other: -
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes If yes,site plan review#
Current Use � � l 44,_ Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address d 1 4D License#
4 IQ Home Improvement Contractor# Al "
Worker's Compensation# ;
ALL CONSTRUCTION DEBRIS RES TING FROM THIS PROJECT WILL BETAKEN TO
� SIGNATURE DATE
FOR OFFICIAL USE ONEY-
PERMIT NO. '
DATE ISSUED �
MAP/PARCEL NO. r r
ADDRESS VILLAGE r
OWNER
DATE OF INSPECTION:
FOUNDATION f
FRAME
r
INSULATION
i
FIREPLACE i
ELECTRICAL: ROUGH FINAL
!
PLUMBING: ROUGH FINAL '
GAS: ROUGH FINAL t
FINAL BUILDING r
DATE CLOSED OUT
ASSOCIATION PLAN NO. ;
1 ne t-ommonweacrn of massacnusetts
Department oflndustrial Accidents
Office of Investigations
A
' d 600 Washington Street
Bo n,MA 02111
www mas&gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
N3tllJ�e (Business/Organization/Individual)' `. Iha-AV
`j
kdaress:
0 � / 20
r
C>< /State/Z>
\t p: J Phone#' �
Are you an employer?Check the-app opriate box:
1.❑ I am a employer with 4. El am a general contractor and I Type of project(required):
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8. [] Demolition
working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition
[No w ers' comp. insurance 5. ❑ We are a corporation and its
r rred.] officers have exercised their 10•❑ Electrical repairs or.additions
am-a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers',comp. C. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.] t employees. (No workers,
comp.insurance required.] 13 ❑ Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:
t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
t am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a.fine
of .P 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 verification.
i do hereby certify u the pains and penalties of perjury that the information provan' s true and co
•-._ ture:� �_ - Date:•
Phone#:
Official use only. Do not write in this area,to be completed by city or town official:
City or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#•
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, V
express or implied,oral or written."
s`_`an?n��dual,:parmership,.enterprise,and including the legal representaassociation, corporation or other legal entity,or any two..or more
An employer is defined a
A the foregoing engaged in a joint tives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howfn.er lbe
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 woikron such dwelling house
or on the grounds or building appurtenant.thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority.
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a-workers'
compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials .
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
er which will be used as a reference number. In addition, an applicant
Please be sure to fill in the permit/license numb
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in ' (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for:future permits.or licenses..A new affidavit must be filled out.each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to giye us a call.
The Department's address,telephone and.fax number:
The Commonwealth of Massachusetts .
Department of Industrial.Accidents
Office oI Investigations
600 Washingim Street- .
Boston,MA 0211 L.
Tel. #617-727-4900 ext 406 or-1-,877-MASSAFE
Fax#617-727-7749
Revised 5-26-05 www.mass.gov/dia
r
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
Eo. ra Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or-construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
,---Type"o fVJork '�/5�/��9 !�" Estimated Cost
A'ddr�eessss of Work:.--, Ma 0
Owner' %am:
Date of Appli¢atio `
Thereby certify that:
Registration is not required for the following reason(s):
OWork excluded by law
❑Job Under$1,000
OBuil ' owner-occupied
caner pulling own-permit-7-___,__--,
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
Da e 4 �---�- Owner's'_ ame -
Q:forms:homeaffidav
r
Table M7.1b(eo�iaasel)
r prncriptire paeUgen for Oaa and Two-Family Ratdeatiai BnildiW Heated Idth FW9 Fuda'
MAXIMUM MiINIMLTM fieat<aglCooitttQ
.GIeziag Gianag t.eliirsg 94►el1 Floor Basement p�metw �pm� =denr/
Areal('!a U•value= pwaid R values R value9 R.YaUW R Ya14W
Faso
5701 to d500 Rghtfug Degrso D Nomml
13 19 10 6
. Q• 12°/. 0.40 33 6. Norsaal .
R 12•!• 0.52 30 -19 19 f0 6 iS13E
g 120W 0.50 33 13 19 10 R
036✓_ 38 NIA
._ T_ _ l5/.._. _ �13� 25 NIA -
<— -
�. 0.46 31 19 19 t0 . :NIA BS:AFEJ$
v. .. ..:.,•15'!. • O.4#:. . 3a 13. . 23 NIA b 95 AFM
QSi .- lS•!• 0.52. 30 i9 19 10
13" 25 NIA N/A Nonaal.
g 12% 0,32•, 38 NIA °�
y i8Y• ' 0.42• 38 19:' 25 NIA
19 10 t3 90 AFVE
8
y ,' IS'/• 0.42 38 1 19 10 b 90 AFUL
AA 18% 040 30
�v
• 1.-ADDRESS OF PROPERTY; • - • .. _
__
ALLS _
2, SQUARE FOOTAGE OF ALL E RIORYJ 4 ;
R
3, WAREFOOTAGE OF ALL'GLAZING: ^ '
4. %GLAZING AREA(#3 DIVIDED SY#2)w;
o
5. SELECT PACKAGE(Q--AA-see chart above):
.. .NOTE: OTHER MORE.INVOLVED METHODS OF DETERMINING ENERGY p-EQUM MATS
ARE AVAILABLE, ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q•facros•�30303a
780 CMR-Appendix J
Footnotes to Table A2.1b: doors, skylights, and
+ (31 ' g area is the ratio of the area of the glazing assemblies (including sliding-glass
ss Wall
basement Windows if located in e walls that
of the total glazing area may be xcl enclose conditioned space,but ud excluded the U-alue doors)'to e regy1 ment.
area,expressed as a percentage,Up to 1/
For example,3 i of decorative glass may be excluded from a building design with 300 if of glazing area.
:After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC)'test procedure, or taken from Table 11.5.3.a, U-values are for
whole units: center-of-glass U-values cannot be used.
The.ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
Insulation thickness over the exterior walls without compression, R 30 insulation may:be substituted for R 38
_ insulation aaaR=3'8 insuihso—maybe`Wibltitutpd'for`R=49=insulatlon.
Cefling R��calties present the sum•of cavity—.__.
insulation plus insulating sheathing (if.used):For ventilated ceilings, insulating sheathing must-be:PIaced between .
the conditioned space and the ventilated portion of the roof. use Do not include'
4 Wall R-values represent the sum-of the wall cavity insulation plus insulating sheatliiag'( �•
structural sheathing,.and interior drywall.For example,an R 19.regnirement could be In
EITHER
• exterior siding, s S
by R 19 cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to
wood-fram a or mass(concrete,masonry,log) 'Wan constructions,but do not apply to metal-firame construction.
The floor requirements apply to floors over unconditioned spaces(s ch as unconditioned cnwl5paces;basements,
or garages)-Floors over outside av must meet the ceiling,requirements.
4 The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
s.of conditioned.
racet the same R=value requirement as above-grade walls. Windows and sliding g..
basements must be included with the other glazing. Basement doors must.meet•the door.U-value requirement
described in Note b, -
''The R value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
If the building iitil'ins elgctric resistance heating use compliance approach 3,4,*or 5..'If you plan to'install more
than one piece of heating equipment or more than one piece of cooling equipment,the c#1prdent with the lowest
efficiency must meet.or exceed the efficiency requued by the selected package...
For Heating Degree Day requirements of-the closest city or town set Table 15112
NOTES:
a)Glazing areas and.U-values are maximum acceptable levels.Insulation R-values are minimum acceptable-levels.
R-value iequirerrients are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-the a no greater
procedurer than .Door
-alues m the ust be tested '
and documented by the manufacturer in accordance with U-value ratingfor that door is not available, include the
value
in Table 11.5.3b. If a door contains glass and an aggregate
f the door with your windows and use the opaque door U-value to determine compliance of the door.
glass area o
One door may be excluded from this requirement(Le,,may 1 sva a wall component iincludes two or more areas with
c)If a celimg,wall,floor,basement wall,slab-edge,ore P
different•insulation levels,the component complies if the area-weightedcomponents
vents complye -value Is if the areaeater th9n or e0al to
-weight d avenge U-
Glazing o rd
the R•value requirement for that component.Gi g P
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). .
43
r
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $50.00
Alterations/Renovations $50.00
Change of contractor/Builder $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot=3 I x.0041=
11
plus from below(if applicable)
ALTERATIONSMENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0041=
plus from below(if applicable) .
GARAGES'(attached&detached)
square feet x$32/sq.&= r-------� x.0041=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit,
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
Projcost
r
i`O N OF ARNSTABLE
CERTIFICATE OF OCCUPANCY
h
PAL'.{_E i 1 O<}v 13B GEOBASE D 904
ADDRESS 180 SANTu "T' ROA,:i,:g
ColUIT PHONE
ZIP
LOT I BLOCK -
3A LOT SIZE _
. ..DEVELOP.MENT DISTRICT CT
�E ? �iT TYPE 6624 D S€RIRTTON S N ��� L
SCOO T ME
� {� E PE MIT C�31 54
h.
CIONTP.ACTOP.S P-ROPE T . _
c t t S tib of
cjrrA �fq{ry �np �2� s
3;/fie N
D.
00 t
Nw
���' CE���a�. �AT� Off: � x, z ►:
w
: t
DATE ISSUED
TS5 x0 ' AN A.� 3 ' " ..
THIS PE' MIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR.SIDEWALK OR ANY-PART THEREOF, EITHER TEMPORARILY 0.. iRMANENTLY.EN-
CROAC' . TS ON PUBLIC PROPERTY,NOT SPECir-iCALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY ..JES AS WELL AS DEPTH AND LOl''.ATfr;N OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS,THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2,PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE,WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 Ad0G 1
22Y�1 e V t�2 2 x fiC 6`0 211gl os
3 1 HEATING INSPECTION APPROVAL ENGINEERING DEPARTMENT
2 BOARD PF PEALTH
OTHER' SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT W{LL BECOME NULL ANfu _.,.ID IF CON- INSPECTIONS INDICATED ON THIS TllC�1IG�flf nTl�r111A1'\Af11111 A\/1�I1 T1\r I�T_�� ITWILL,ww.i .w •.NU LLAhU ... .u.w1.... �... � �� ..... IS
L
M
Town of Barnstable
OftHE�pW
P� o� Regulatory Services
t Thomas F.Geller,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.townb arnstable.ma.us
Fax: 508-790-6230
Tice: 508-862-4038
HOMEOWNER LICENSE EXEMPTION
lease
1j DATE: ! [ � —��
' B LOCATION• �� I'
JO sheet village
n er
.gH0bM01WNER": ,�- � �G work phone#
name i me phone#
CURRENT MAM NG ADDRESS:_
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwell ngsi 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 t=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
re onstble for all such work performed under_the building permit. (Section 109.1.1)
bility for compliance with the State Building Code and other
The undersigned"homeowner"assumes respond
applicable codes,bylaws,rules and regulations. ,
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspecti procedures and requirements and that he/she will comply with said procedures and
re /
�ature-of Hom`eowaer �
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 Mates that: "Any homeowner perforating work for wbich a building permit is required shall be exempt from the provisions
ction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
of this section(Section jam-Licensing of constru
work,thaTsucb 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 homeweaer hires unlicensed persons. In this case,our Board-cannot proceed-against the unlicensed personas itwould 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 fmnvccr fication for use in your community.
n•fnr,nc•hmmeexemnt
TOWN OF BARNSTABLE
CERTIFICATE OF ,OCCUPANCY
PARCEL ID 020 138 GEOBASE ID 904
ADDRESS 180 SANTUIT ROAD PHONE
COTUIT ZIP -
i
LOT 1 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
PERMIT TYPE BC441 TIfLEIPTION CERTIEICrILOFW6ACUPANCYGE PERMIT #63154
CONTRACTORS: PROPERTY OWNER Departmentof
ARCHITECTS:
Regulatory Services
TOTAL FEES: $25.00
i BOND $.00
CONSTRUCTION COSTS $,0011
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE p�
Mass.
1639. e
BUILDING DI IS 01�1
BY
DATE ISSUED 03/15/2005 EXPIRATION DATE v
K-.
TOWN OF BARNSTABLE
TEMP CERTIFICATE OF OCCUPANCY.
PARCEL ID 020 138 GEOBASE ID 904 '
ADDRESS 180 SANTUIT ROAD PHONE
COTUIT ZIP -
1
LOT 1 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
I
PERMIT 66241 DESCRIPTION 60 DAY TEMP CERTIFICATE OF OCCUPANCY
PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of
ARCHITECTS: Regulatory Services
TOTAL FEES:
BOND
$.00 1NE
CONSTRUCTION- COSTS .
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE
• HAR MBIX,
MAM
1639.
ED MA'S O°
BU DIN D -ISION
BY
DATE ISSUED 01/07/2003 EXPIRATION DATE /07 . 3
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M A�C(, C
DATA
"TOWN n ',,BARNST'AALE # ,
BUILDING PERMIT
" CEL ID 020 138 GEOBASE ID 904 - `
SS 180 SANTUIT ROAD PHONE
COTU'T ZIP -
1 BLOCK SIZE
DEVELOPMENT DISTRICT CT
PERMIT 631.54 DESCRIPTION NEW 3 BDRM SING.FAM.�' h"E
" R.MIT TYPE 'BUILD TITLE NEW RESIDENTIAL' BLDG �I T
TRACTORS: PROPERTY OWNER
� IITECTS: _ - Dkpartment of
�; -- Regulatory,Service
OTAL 'FEES- $654-25.
BOND
$_00
CONSTRUCTION COSTS $165,888.00 _-
101 SINGLE YAM HOME DETACHED I PRIVATE, *')F'
BUILDING�IVISION
BY I afn,���f t ----
DATE ISSUED' 08;23J2002 EXPIRATION, DATE �-
TOWN OE �ARNSTA`BLE
BUxLDING :. ERMI
RCEL- ID 00 1,38 GEOBASE IDmoo./ f. r
180 SANTUIT, ROAD w' '' ZONE
COTUTT
BLOCK ! LOT SIZE:
DEVELOPMENT . .DISTRICT CT
T , 63154 DESCRIPTYC7N' NEW 3 BDR I' -=i << M.HOME
T TYPE . BUILD TITLE, 'NET "RESIDENTU _<, PMT
'RACTORS PROPERTY OWNER �� g �`
Department of j
HITECTS:' �� ; f I
�. Regulatory Services
TOTAL 'FEES: $654, 5
,
I BOND tr $.00
C GNSTRUCTION" COSTS $165,888.00 t
.101 SINGLE FAM HOME. DETACHED I. PRTVAx
BUIELLDING 61VISIONBY
, .y
DATE ISSUED 08/23�`''004 EXPIRATION DATE -"` v
��:. .1
THIS PE' IT.<CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR.SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY O �RMANENTLY.EN-
CROAC S ON PUBLIC PROPERTY,NOT SPECIACALLY.PERMITTED UNDER THE BUILDING.CODE,MUST BE APPROVED BY THE JURISDICTION:STREET OR .
' AL LE ES AS WELL AS DEPTH AND LdGATf(,N OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PER T DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR
ELECTRICAL,PLUMBING AND M FOR
(READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
CH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY POST THIS CARD
, • IT IS VISIBLE FROMSTREET
BUILDING INSPECTION APPROVALS. PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 R�✓�� 1
2rt'Q 24
�� G1� � 2 6,1�' 2 I
P / x 3 � J�,l 1 C�•� "
3 1 HEATING INSPECTION APPROVAL5P ENGINEERING DEPARTMENT
BOARD PF YEALTH
OTHER v SITE PLAN REVIEW APPROVAL J ,
AVE 11s. ID .5 IL
WORK HALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AKIRNMR,13 IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX ' CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. i TION.
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BUILDING
PERM .IT
i•
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HE)p�ti The Town of Barnstable
BA MASS.LE.0
MASS. ' Department of Health Safety and Environmental Services
7
%6}q• �0
pIEOMP�a Building Division
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection t�
Location I P) Saj,' - Ke Permit Number (3)
Owner Builder
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:! J /
�=✓ A T- W a� AI /)P S It2 c Q. - 6� AS k/a"7 e_
Yo3y
Please call: 508-862-48 8 for re-inspection.
Inspected by �
Date
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -13 A—r?
' Map Parcel j ter, `. ,� ;;SABLE Permit# �
1 L' s�`
Health Division Date Issued
MIan " &
Co6enration Division Z " , Application Fee
Tax Collector Permit Fee
Treasurer
Planning Dept.
Date Definitive Plan Approved'by Planning Board 5:--a-U — loe'`^
Historic-OKH Preserva / yannis
Project Street Ad ress �� �
Village -
Owner Address
Telephone .5-0 59
Permit Request J Z2 C.��,( �ZZfz`
Square feet: 1 st floor: existin f 4p� proposed 2nd floor: existing proposet v/Total new706
Zoning District Flood Plain Groundwater Overlay
6Project Valuation 1M.GVConstruction Type
rA
IJLot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#.units)
Age of Existing Structure AI&W Historic House: ❑Yes 2,Mo On Old King's Highway: ❑Yes ZC Wo
Basement Type: ull 0 Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Typeas and Fuel: U, ❑Oil ❑ Electric ElOther �I �
Central Air: 0 Yes ZWo Fireplaces: Existing New Existing wood/coal stove: ❑Yes C -
Detached garage: ❑existing ❑new size Pool: ❑existing 0 new size Barn:O existing 0 new size
Attached garage:❑existing f
g g g iew siz�7% A Shed:❑existing �'w size �X� Other:
Zoning Board of Appeals Authorization O Appeal# Recorded❑
Commercial 0 Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION 508,0, 77
77
Name j/ Telephone Number
Address _ "`License#
"Home Improvement Contractor#
• , , , Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT Wrl(4 TAKEN TO
o
SIGNATURE r1 DATE
v
FOR OFFICIAL USE ONLY
PERMIT NO. !'�'
DATE ISSUED , 1
MAP/PARCEL NO.
ADDRESS P VILLAGE - r
r 1
OWNER r .
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATIONt l l 6
FIREPLACE
rt
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ELECTRICAL: ROUGH FINAL' t ,
PLUMBING: ROUGH FINAL!'
t GAS: ROUGH FINAL,". =i
FINAL BUILDING '
DATE CLOSED OUT j r�
ASSOCIATION.PLAN NO. t
is
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k_ CONSTRUCTION SPECIFICATIONS
180 SANT TIT RD
C®TUIT MA 02635
ALL SPECIFICATIONS TO CONFORM TO MASS
STATE BUILDING CODES 6TH ADDITION
r
ROUGH CARPENTRY
180 SANT UIT RD
COTUIT ,MA
PART1 GENERAL
SUMMARY
A. RELATED WORK SPECIFIED ELSEWHERE:
1. CONCRETE FORMlIWORK;
2. FINISH CARPENTRY AND MILLWORK.
?, GYPUSM WALLBOARD SYSTEMS,
4. PAINTING.
B . GRADE MARKS: IDENTIFY ALL LUMBER AND PLYWOOD BY
OFFICIAL GRADE M 4 RIB.
1. LUMBER: GRADE STAMP TOP CONTAIN SYMBOL OF
GRADING AGENCY, MILL NUMBER OR NAME, GRADE
OF LUMBER, SPECIES OR SPECIES GROUPING OR
COMBINATION DESIGNATION, RULES UNDER WHICH
GRADES; WIIERE APPLIC'A-BL E+ AND CONDITION OF
SEASONING AT TIME OF MANUFACTURE.
2. SOFTWOOD PLYWOOD: APPROPRIATE GRADE TRADE-
MARK OF THE AMERICAN PLYWOOD ASSOCIATION
INDICATING:
A. TYPE, GRADE, CLASS, AND INDENTIFICATION INDEX
C. PRESERVATIVE TREATED MATERIAL: MEETING SPECIFIED
STANDARDS OF THE AMERICAN WOOD PRESERVES A,SSN,`
(AWPA) AND AMERICAN WOOD'PRESERVES INSTITUTE (AWPI)
AS INDICATED.
PART 2 PRODUCTS
LUMBER .
A. DIMENSIONS: INDICATED LUMBER DIMENSIONS ARE
NOMINAL. ACTUAL DIMENSIONS CONFORM TO INDUSTRY
STANDARDS ESTABLISHL+D BY THE AMERICAN.LUMBER
STANDARDS COMMITTEE AND THE RULES WRITING
AGENCIES
B. MOISTURE CONTENT: 19%.MINIMUM AT TIME OF
PERMANENT
• CLOSING IN OF BUILDING OR STRUCTURE. EXCEPT AS
OTHERWISE NOTED
C. SURTACING: SURFACE FOUR SIDES (S4S)
BUILDING INSULATION
180 SA NTUIT Rid
C.OTUIT '-kf4
PART 1: PRODUCTS.
A. BATT INSUL_TION
1. ACCEPTABLE MANUFACTURES
A. CERTAINTEED CORPORATION
B. KNAUF FIBERGLASS
C. ALAN`X7 LLE:SALES COMPANY
D. OWENS CORNING FIBERGLASS COPP
2. CHARACTERISTICS:
A. TYPE,:, FIBERr-LASS'BATTS; NV_TDTH EQLT4L TO
FRAMING SPACING.
B. FACING:
1) DRAFT FACED MEETING ASTM C665-86, TYPE II,
CLASS C, HAVING PERM RATING OF 1.0 MAX.
C. PROVIDE THICKNESS REQUIRED TO OBTAIN THE
FOLLOWING 1l�INMIUM R VALUES IN INDICATE,D
LOCATIONS.
1) WALLS: R-11
. 2) CEILINGS: R-30
END OF SECTION
ti
i
B. WHERE FACE PAPER IS PUNCTURED, DRIVE NEW FAST-
ENER APPROXIMATELY 1-'/ IN. FROM DEFECTIVE FAST-
ENER AND REMOVE DEFECTIVE FASTENER.
C. FILL DAMAGED SURFACE WITH COMPOUND AND SAND
OR DAMP SPONGE SMOOTH TO LEVEL OF PLANE
OF GYPSUM BOARD.
4. FILL CRACKS WITH COMPOUND; SAND OR DAMP
SPONGE SMOOTH AND FLUSH.
5. DUST SURFACES; LEAVE READY FOR DECORATION.
END OF SECTION
B. APPLICATION OF FACE LAYER OF GYPSUM BOARD TO
FRAMING IN DOUBLE LAYER CONSTRUCTION NOT
• EXCEEDING 1-% IN. GYPSUM BOARD TOTAL THICKNESS:
MEET ASTM C1002-83, TYPE S, OR ASTM C954-81, 1 IN.
LENGTH MINIMUM BUGLE HEAD.
C. JOINT MATERIALS AND ADHESIVES:
1. JOINT TAPE: MEETING ASTM C475-81 AND FED. SPEC. SS-J-
570B, TYPE II; PERFORATED.
2. JOINT COMPOUND: MEETING ASTM C475-81 AND FED SPEC.
SS-J-570B, TYPE I; VINYL BASE, READY MIXED TAPE
EMBEDMENT AND TOPPING COMPOUNDS.
D. ACCESSORIES:
1. CORNER REINFORCEMENT: GALVANIZED STEEL WITH 1-'/"
WIDE FLANGES, SIMILAR TO U.S. GYPSUM COMPANY DUR-
A-BEAD NO. 800.
2. METAL JAMB, CEILING, AND CASING TRIM: MANUFACT-
URER'S STANDARD "U" AND "L" SHAPED GALVANIZED
MEMBERS PROVIDING EDGE PROTECTION AND NEAT
FINISHED EDGES; SIMILAR TO U.S. GYPSUM COMPANY
NO. 801-A AND NO. 801-B, RESPECTIVELY.
PART 3 EXECUTION
A. GYPSUM BOARD, SINGLE LAYER INSTALLATION:
1. CEILINGS: APPLY GYPSUM BOARD WITH LONG
• DIMENSION
AT RIGHT ANGLE TO FRAMING. TERMINATE ENDS AND
EDGES OF GYPSUM BOARD ON FURRING MEMBERS.
2. WALLS:
A. APPLY GYPSUM BOARD VERTICALLY OR HORIZON-
TALLY AT CONTRACTOR'S OPTION.
B. STAGGER END JOINTS IN OPPOSITE SIDES OF PARTI-
TIONS.
C. TERMINATE LONG EDGES OR ENDS OF GYPSUM BOARD
ON FRAMING OR FURRING MEMBERS.
3. FASTENING: SCREW ATTACH GYPSUM BOARD TO STUDS
AT
16 IN. O.C.
B. GYPSUM BOARD JOINT TREATMENT:
1. APPLY JOINT COMPOUND TO JOINT AND ANGLES IN
GYPSUM BOARD AND EMBED JOINT TAPE. APPLY TWO
ADDITIONAL COATS OF COMPOUND OVER TAPE, ALLOW
DRYING BETWEEN COATS, FEATHEREDGE AND SAND
OR DAMP SPONGE SMOOTH EACH COAT.
2. WALLS AND CEILINGS: APPLY THREE COATS, MINIMUM,
COMPOUND OVER FASTENER DEPRESSIONS; SAND OR
DAMP SPONGE SMOOTH EACH COAT; BRING TO LEVEL
PLANE OF GYPSUM BOARD SURFACE.
3. FASTENER POP:
A. REPAIR FASTENER POP BY INSTALLING SECOND FAST-
ENER APPROXIMATELY 1-'/ IN. FROM FASTENER POP
AND RESEAT FASTENER.
SHINGLE .
,80 SAThD_
COTUIT , MA.
PART 1: GENERAL
A. INDUSTRY STANDARDS °'..
1. ARMA RESIDENTIAL-'ASPHALT ROOFING
NI
fl1llTT: A T,; 1 9fiR-E F-VION_
2. NRCA::. THE STEEP ROOFING MANUAL, 1985
EDITION. '
B. QUALITY CONTROL SUBMITTALS:
SLIPPLIED'OR INSTALLED ARE ASBESTOS FREE.
PART'2: PRODUCTS
A. REGULAR THREE TAB FIBERGLASS BASE SHINGLES
1. ACCEPTABLE'PRODUCTSr
A. V__0R>GlA'-PACWTCCOR P.- FPOTTV�-14 COLAS, P .�T�.
B. CERTAI Ew.D CORP.; LANDMARK 25."
• ' C. TAMKO ASPHALT PRODUCT;ELITE GLASS SEAL.
B. ROOFING BELTS,.rTNDEP��Y��NT: MEETING ASTM D226-87`,'
TYPE I, 15 LBS.,PER SQ , ASP-HALT SATURATED'ORGA�NIC>
i
3 Imo. WIDE', IMPERFORATED.
f f 14T A IT.�_'• TI(� _I_�7_P_ _PIi i A �_`.A V A__?V V_V_," T.&]LTC 1PI i2Ii ll3TTPIe Il Pf�
DES T�e1 '�+ GOOF DI'M asrI�axr�a11L r 3f y
D. WATEPPPOOF UTNFDERLAYMFLNT:' A ST?yI 1970.,-MINIMUM 40MIL.
TITIC'EK, Sti'P, Iye`—&"T—TT411 2T_NTT! Iff1I: TAAW:12_A4_f_lyytI+`-y BITS -cull—SOUS
SHE9m MEM R_-"mI`tTE. PRO VrODE PRIME4 H. VHEEN
..
RECOXIMENDED -
RAT U�NDEE _T:.d YM ANT !C A_NUnA CTUR7d R. ..
1.yACCI PTABLE M&NUFACTURERS:
A. CERTAINTEED, "WINTER GUARD" UNDERLAYMENT
R. W. R. C-R-ACF. "ICE AND A6TAT-OR RAW-RIP. �.
C. GEORGIA-PACIFIC; "TOUGH;-GUARD"
E. RIDGE VENTS:
A. AII?VENT, INC'.; SHINGLE ?ITT 11.
B. G.A.F."BUILDING MATERIALS CORP.;`COBRA RIDGE.
V-P,Nrp
C. OIIDYH , PENJAMIN INC!.; ROLL VENT
• Tl_ T92TMI.TN3L�s:l2'OOIt'VTf:NT7T.ArPT�l1lT CV�e{&'.iLT� ��2TlltiT:I1l�"ii'.t L
I
2 CHARACTERISTICIS.
r
A. TYPE: AIR.VENT, INC. SHINGLE VENT II
B. MATERIAL: HIGH-DENSITY POLYPROPYLENE, NON-
WOVEN MODIFIED POLYESTER, OR OTHER UV-
STABILIZED PLASTIC.DESIGNED TO BE INSTALLED
UNDER ASPHALT SHUNGLES AT THE,RIDGE`.
C. LENGTH: MANUFACTURER'S ST,4NDARD 4 FT.
LENGTHS.
D. COLON: CHARCOAL FINISH.
E. PROVIDE MANUFACTURER'S STANDARD
CONNECTORS,
END PLUGS, A_ND HOLD DOWN STRAPS, -AND
ALUITAINT UAT I NAILS.'
I�
BOARD
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Za3 r.IW1SJh_18iz a_a 13_e a�Jtz( iz� g 11 z. 161333J Al .{zJh iz_1 zl 21 cy i ,
as s`3'3.yY3AIN li. �.'33.Jii'$.8_73:Js6S.5. i A 3 3SiJ iJ'Yi3 3'SSiY YS a.1 i3_r i. i'"i�R �
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s sT.a'3 �- d-p"ti➢ -p-TFTT-.pq$T-i" 5-1-1-0 `➢9Tomroi?atAMIlYn-DiAT.
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T''�� T_ r ^�'r Op�T�a=�-ya���_S�E ,/l) -T8 ♦ Tl �aA'STT—g'9* ..
.• z6 �.�. _�3 F.3 �`._Y ivi i.v�6g tiff$ E�`�f§ a .Tifi.-_ __-- _
B. APPLICATION OF FACE LAYER OF GYPSUM BOARD TO
F Ire G Ix; Tl ya-lza a.Ayug CONSTRUCTION NOm
EXCEEDING 1-% IN. GYPSTJ-M BOARD TOTAL TMCKNESS:
7 IA ET A S�Fyllkl C-}SESS2-83. TYPE S- A Qrf=44 i'Cb!;A_Ql T Ta IV
LENGTH MINIMUM[BUGLE DEAD.
C. JOINT MATERIALS AND ADIIESIVES:
ANT-D T�'T+ _ ISM .P'_ SS_I-
570B, TYPE II; PERFORATED. --- - - -'- -
2. JOINNT COMPOUND: MEETING ASTM C475-81 AND FED SPEC.
SS T_570B TYPE-1• S.T:NYL BASE,SE rV A IF)w
EMBED v3ENT AND TOPPING COMPOUNDS.
D. ACCESSORIES:
I- i'O-RIVEa? T2_T+T+T_IT �SbI2f!E16f�L�ilT '� ('_AT.VFdI lZlW.T- 4RTRFT. VYV -'/"
TIDE FLANGES, SIXIILAR TO U.S. GYPSU?4 COMPANY DUR-
A-BEAD NO:.800.
2. METAL J A IC!7 T2 ('!E, .II\TCv! AND CASING SIN T1111 : 3iff Vl\TUFAC�'✓r_
S''�� TDAIgD �I3" AND "Ll- SHAPED GALVANIZED
�iI2ER'S
-XIIEM[BERIS PROVIDING EDGE PROTECTION AND NE ArV
FTNISKITED T_+DiTF.S; RTA4 1T.AR TO TT.q,:GYPSUM f_".OMPANV
NO. 801-A AND NO. 801-B, RESPECTIVELY.
PART '{ EXECUTION
A. GYPSUM[BOARD, SINGLE LAYER INSTALLATION:
i. CV ILI `;'ri'S: APPLY G Y PSUNI vvn�a i i j1�'T H LON o
• DIXIIENSION p T�Ts s3 A�
rhA�T7''�RI�4_��a[Y ��� H fNGLE`�`O FORA IN . ��.�8"CNIl t�d_r'�i_l1 �ajfg.':�LtiDS i''a_N'D
S•1JfyGFf.'j OF-GVDSIJ Vi BOARD O`E i'1.J1� G ,,Mlt iz�iL�S. .
2 WALLS: .
?l.T S:
A s -
TALL'Y AT Coi TT7E>iumv iE),yQ-aom—rOnv.B. STAGGER END -01NI TI IN OPPOSITE SSIDES OF P A i:?TT=
' O TI! .Nt_
S.
.� - RX-a.ays.:. O€� _v r� 1"34 �S• Rrs
�� z vL_� � :9zi27
ON R A "11I 1TG OR FTTli?7?IN f:\1EA_rII'Rai':RS
n� (31: ("P_r�"' 3� �`-irr iG' r3 a s s- 9-%A T?TN In fl
�_ Sg1 T3A S4_-558..ivci ° .�sE fla_a .:Y__/ R J<_s 3-
v y r T.-w j BOARD X-ARD Ti-.r�.vv_�rarI-U_!j
ApI7L.V T"TNTT C+ll�$Y3C�S��O7 TO t& IT17rl' A717L1 A71T�`T .QQ'' Y71T
s-i"T-- er _ ra rt A��-. •
iDDrsg..vn S 3..�'!��A!°a te 5'.? d-fO-i.-Tl3fjUZ_4-D 9-AXrT.-T-_D Fn S T-1-T7 r�r rATTT
t 3 3<�3.. sal VV 3.,i -,- a .ii'z.1 —v i 8"�P 19 v "X__ Z_-J,zI y . 713LEv p.T
DRSTIi71�Cp ETi7[7EE74 CATS T_EArVXT 7I?TLS—_-b-_ A�-!'J1L _AT-J3A
T3 _+A 7_ _ _T_;1'-T?�� �- a rs-T€
�3 TVA a r,!Q! A % i% .iT-VY mac. S• �3�PLA-��_T23e'Ti' ! �?�—I �Z xJs T�rrA.f_TTaR
0;0?Np0UNT" OVER FARTT_+.N?ETZ DEPT2ESSIO-INS' SA_N"., O;
;I z sa�aa rva�, i_c r gF gi'A i s; r r A r�,. ;r�rsa rC �O 1
_.P - _ - ... IC OAT; -__ _ -
T3s A 8 m f-m_ £'i_SF3ec€--I`T I:)-r<A 9 at T=31-p A d-.r,.
i 3JY Nye 1.33' ix.a L �7-�_-= .a a9 fiS3Y37 -D
FASTENTER POP:
E9 eTi cT _ a EiP--tom ?3`'A$� z. 1 r �._1 IS C-0 _ .-A-
E.
tiA:� ._`. "3.=.. _.��..�.� ,-;..�-
• ArV_W A7 I®41.TNT Ti a €XT A 3<N' ?a�:I?P.3P
A T
B. '"THERE FACE'PAPER IS PUNCTURED, DRIVE NEW FAST-
ENER a pPuO IX e TELY i_?i IN FROM DEFECT I V 1 VA SZlV-
ENER AND REMOVE DEFECTIVE4, FASTENER.
C'. FILL DAMAGED SURFACE WITH COMPOUND'AND SAND
OR:SA%l M SPONGE .S`A,SS:SSTH TO 'l.'Pi ST3"i`'r. OF PLANE
lATE
OF OYPSLTV BOARD,
4. FILL CRACKS WITH CO_-MPOUND; SAND OR DAMS'
5. DUST SURFACES; LEASE READS' FOR DECORATION.
END OF SECTION I
GENERAL COORDINATION
A. THIS SECTION SHALL NOT BE INTERPRETED TO RELIEVE
SUBCONTRACTOR OF HIS SOLE RESPONSIBILITY FOR
SUPERVISION AND COORDINATION OF ALL CONSTRUCTION
PROCEDURES AS PROVIDED HEREIN AND IN CONTRACT
CONDITIONS.
B. SUBCONTRACTOR REQUIREMENTS:
1. BE RESPONSIBLE FOR SUPERVISING AND DIRECTING
WORK, USING HIS BEST SKILL AND ATTENTION.
2. BE SOLELY RESPONSIBLE FOR ALL CONSTRUCTION
MEANS, METHODS, TECHNIQUES, SEQUENCES AND
PROCEDURES, AND COORDINATION OF ALL
PORTIONS
OR WORK UNDER CONTRACT.
3. BE RESPONSIBLE FOR ACTS AND OMISSIONS OF HIS
EMPLOYEES, SUBCONTRACTORS, AND THEIR AGENTS,
AND EMPLOYEES.
C. SUBCONTRACTOR SHALL NOT BE RELIEVED FROM HIS
OBLIGATION TO PERFORM WORK COMPLYING WITH
CONTRACT DOCUMENTS, EITHER BY ACTIVITIES OF
DEVELOPER OR ARCHITECT IN HIS ADMINISTRATIONS
OF CONTRACT OR BY INSPECTIONS, TESTS, OR APPROVALS
REQUIRED TO SUBSTANTIATE CONTRACT COMPLIANCE.
D. PROVISIONS OF THIS SECTION ARE CONSIDERED MINIMAL
FOR ORDERLY AND EXPEDITIOUS PROSECUTION OF
WORK.
SUBCONTRACTOR WARRANTY FORM
t�
PROJECT:
LOCATION:
OWNER:
WE, (COMPANY NAME),
SUBCONTRACTOR FOR (LIST
TRADE) DESCRIBED IN SPECIFICATION SECTIONS)
(LIST APPROPRIATE SPEC
SECTIONS), DO HEREBY WARRANT THAT ALL LABOR AND
MATERIALS FURNISHED AND WORK PERFORMED IN
CONJUNCTION WITH THE ABOVE REFERENCED PROJECT ARE IN
ACCORD WITH THE CONTRACT DOCUMENTS AND AUTHORIZED
MODIFICATIONS THERETO, AND WILL BE FREE FROM DEFECTS
DUE TO DEFECTIVE MATERIALS OR WORKMANSHIP FOR A
PERIOD OF YEAR(S) FROM DATE OF SUBSTANTIAL
COMPLETION. THIS WARRANTY COMMENCES ON
(DATE OF SUB COMPLETION) AND EXPIRES ON
(EXPIRATION DATE).
SHOULD ANY DEFECT DEVELOP DURING WARRANTY PERIOD
• DUE TO IMPROPER MATERIALS, WORKMANSHIP OR
ARRANGEMENT, SAME SHALL, UPON WRITTEN NOTICE BY
OWNER, BE MADE GOOD BY UNDERSIGNED AT NO EXPENSE TO
OWNER. NOTHING IN THE ABOVE SHALL BE DEEMED TO APPLY
TO ABUSED OR NEGLECTED WORK BY OWNER.
FOR:
BY:
TITLE:
I
DATE:
END OF SECTION
•
r�
Bk 15433 Po204 067077
08--02--2002 & 1 1 Z 03Q
QUITCLAIM DEED
M.Leonard Lewis and Ann Marie Lewis,Trustees of the Halcyon Trust,u/d/t dated April
3, 1986 and recorded with Barnstable County Registry of Deeds at Book 5055,Page 009,of
Boston, Suffolk County,Massachusetts,for consideration of One Hundred Sixty Five Thousand
and Lynne ingelson, Husband and Wife as Tenants
($165,000.00)Dollars paid,grant to Kurt Engelsen,with quitclaim covenants,certain real estate, by the
o� l Say.�uI 1 �u�d� Go-11.:,1- , Mfg Entirety
together with any improvements thereon,if any,in Cotuit, Town of Barnstable, County of
` Barnstable,Commonwealth of Massachusetts,bounded and described as follows:
Being LOT 1 as shown on plan entitled,`Plan of Land Cotuit Barnstable,
Mass.Property of Ernest W. Kitchen Scale 1 inch=60 feet April 1974
X Whitney&Bassett Architects&Engineers,Hyannis,Mass.",which plan is duly recorded
at Barnstable County Registry of Deeds in Plan Book 284,Page 098.
Together with a fee in Trudy Lane as shown on said plan.
Subject to an easement to the New England Telephone and Telegraph Company et.al.
dated July 11, 1975 duly recorded with said Deeds in Book 2208,Page 347,and to all other
t encumbrances and matters of record to the extent in force and applicable.
a
Subject to Voluntary Restrictions,dated February,27, 1996,recorded with said Deeds at
Book 10075,page 341. Said covenant shall run with the land.
---------------------
BARNSTABLE COUNTY
RE13 OF OEEDS REGISTRY OF DEEDS
R EG # 01 COUNTY EXCISE TAX
BAPWgTASLE
of n
�'rbwtZ ��`�RI
FEE J564'M
TAX $376.20
Cp *564 30 TOTAL $376.20
1 CHECK $376.20
CLERK 1 NO.032034
TINE 10:53 1111
y
Bk 15433 Ps205 067077
For Grantors'title, see deed from M.Leonard Lewis and Ann Marie Lewis,husband and
as tenants by the entirety,dated May 2, 1986,recorded with said Deeds in
Book 5055,Page 015.
WITNESS OUR HANDS AND SEALS THIS DAY OF AUGUST ,
2002.
L Ll L"
M. Leonard Lewis,as Trustee of
the Halcyan Trust and not individually
W' ess Ann Marie Lewis,as Trustee of �
the Halcyon Trust and not individually
THE COMMONWEALTH OF MASSACHUSETTS
SUFFOLK,SS. August ,2002
Then personally appeared the above-named M.Leonard Lewis,Trustee ofxl
Trust,and acknowledged the foregoing to be his free act an fore me.
otary .c >��
My co scion expires. 4 220�
i THE COMMONWEALTH OF MASSACHUSETTS
SUFFOLK, SS. August a
Then personally appeared the above-named Ann a Lewis, st o a
t Trust,and acknowledged the foregoing to be her free act d deed
BARN STABLE COUNTY
T try iC
REGISRY OF DEEDS
H 001 A TRUE COPY,ATTEST My scion expir ,
JOHN F. FA 99
6ARNSTABtE REGISTRY OF DEEDS
00
COPY
- Effective Date:
August 6th, 2002
Western Surety Company
LICENSE AND PERMIT BOND
KNOW ALL MEN BY THESE PRESENTS: BOND No. 14439860
That we, Kurt Engelsen
r
A of the Town of Marstons Mills State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of
Massachusetts as Surety, are held and firmly bound unto the
4"
r _1 'town of Barnstable Massachusetts, State of , Obligee, in the penal Ii
sum of One Thousand Six Hundred and 00/100 DOLLARS ( $1,600.00 )
lawful money of the United States-, to be paid to the said Obligee, for which payment well and truly to be
made, we bind ourselves and our legal representatives,jointly and severally by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH,That whereas, the said Principal has been
licensed One family dwelling at 180 Santuit Road Cotuit, MA 02635
by the said Obligee.
NOW THEREFORE, if the said Principal shall faithfully perform the duties and in all things
comply with the laws and ordinances, including all amendments thereto, pertaining to the license or
permit applied for, then this. obligation to be void, otherwise to remain in full force and
effect until August 6th 2003 unless renewed by Continuation Certificate.
This�bogay� be terminated at any time by the Surety upon sending notice in writing, by certified mail,
to th c rT of e roplitical Subdivision with whom this bond is filed and to the Principal, addressed to them
at tliePahti bdu:ision named herein, and at the expiration of thirty-five (35) days from the mailing of
S. adn all ipso facto terminate and the Surety shall thereupon be relieved from any liability
0H r on ts$Wi s of the Principal subsequent to said date.
ated 6tIPL2 day of August 2002
qa V�
Principal
Principal
Countersigned WESTERN U E T YY C O M N Y
By Resident Agent By St phen T.Pate,President
ACKNOWLEDGMENT OF SURETY
(Corporate Officer) n
STATE OF SOUTH DAKOTA ss
County of Minnehaha
On-this 6th- day of August 2002 before me, the undersigned officer,
personally appeared Stephen T. Pate who acknowledged himself to be the
officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to
do, executed the foregoing instrument for the purposes therein contained, by signing the name of the
corporation by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
}yy�i�a'-sbhhhh�s56566abiaobihhSh�a} _
s B.THOMAS s ' .
s SEAL L NOTARY PUBLIC SEAL s Notary Public-South Dakotas SOUTH DAKOTA S
' r Form 532-9-95 S S n
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S My Commission Expires 6-2-2003 S
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Western Surety Company ,
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North:Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin,Wyoming, and the United States of America,does hereby make,constitute and appoint
Stephen T. Pate of Sioux Falls
State of South Dakota its regularly elected President
as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed,all of the following classes of documents to-wit:
Indemnity,Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law or
equity, policies iggemnifying employers against loss or damage caused by the misconduct of their employees; official, bail, and surety and
ag8a Yr N8e P,.
fidelity bgFl�� �e ,t�y�4in all cases where indemnity may be lawfully given; and with full power and authority to execute consents and
waiver. Ito i y or ckYang�e or extend any bond or document executed for this Company, and to compromise and settle any and all claims
or c@mar4d ma or 4xj"singagainst said Company.
rn Suretyorilpa, further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
C -1$ny duly adopted an in force,to-wit:
�ev on 7. All Odrt $_ olicies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corp6fatbenan Vmpany by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as��the3g[Qa ewbirectors may authorize. The President,any Vice President,Secretary,any Assistant Secretary,or the Treasurer may
appoint Attorneys-m-Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its '
President with the corporate seal affixed this 6th day of August 2002
ATTEST '•,, WESTER SU E T Y COMP Y
Q f.�7�te,� By
Assistant Secretary Stephen T. ate, resident
STATE OF SOUTH DAKOTA -'
ss
COUNTY OF MINNEHAHA
On this 6th- day of - August 2002 before me,a Notary Public, personally appeared
Stephen T. Pate and A.Vietor
who, being by me duly sworn,acknowledged that they signed the above Power of Attorney as President
and Assistant Secretary, respectively, of the s6id WESTERN SURETY COMPANY, and acknowledged said instrument to,be
the voluntary act and deed of said Corporation.
s B. THOMAS s
s s
s S L NOTARY PUBLIC s SOUTH DAKOTA s
S` My Commission Expires 6-2.2003 S Notary Public
+hyhy5hhhyhyhhhhhh5hhhhh +
Form F1975
Town of Barnstable
p1HE Tp�
Regulatory Services
snxNsznstZE Thomas F. Geiler,Director
y ntnss. �*
1639. A.• Building Division
TfD MP'1 Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 4/ —O-Z_
JOB LOCATION: / ` 6 ` ,'`V ' ` 7
n /mber street Q village
"HOMEOWNER': 5?!)6 �700� �F�J
name home phone# work phone#
CURRENT MAILING ADDRESS: G }
ci /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
s_pervisor.
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 proce es and requirements and that he/she will comply with said procedures and
require s.
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
r 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
RESIDENTIAL BUILDING PERNIIT FEES
APPLICATION FEE
New Buildings,Additions $50.00 -
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONSIRENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.ftt
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>150 sf- 1000 sf 75.00
>1000 sf-1500 sf .100.00
>1500 f-S as new building permit:
_ quare feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00= �'
(mmsber)
Fireplace/Chimney _x$25.00= ZS
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving S150.00
(plus above if applicable)
Permit Fee
projcost
T.bw.Itz.ih
procripihe P:ckasrs
ford aa aad Tws-F'sms2!'Ra"mulialSd1�t�
M/L/LMTJ T+ ..y�P• M�I/1g.
Glariag Cdliat Wau Flow Sam== Pt Fed
Q �s 1; g Rrvalue' YlLu
Area'(%) CT-value= A-�1uc' R-yalua� ! mr
UM
Par�Cs?e 5101 to 6300 SSE p p Noru=al
13 19 10 . 6
Q 12'.4 0.40 31 6 ]ernoral
03Z
30 19 !9 10 tS AF1JE
. g• IZY. 19 10 ' �
pF120,4 030 3i 13 -.Ii WA1S•/6 Cod 3i 13 71 6 Normal
v 15y. 0.4b 31 19. 19 !0 .tS AFUE
JE 13 Z? AVA ?VA
v 1S/0 0.4.4 6 !S AFVE
• 0.52 30 19 19 10 Norrrsai
75l. A
w ru
13 23 ?1/A Naram! '
D32. 3t 14 IirA WA
y 1 E'J. 0.42 Jt. 6 90 AM
13 19 10 90 AFUE
Z IE% 0:42 30 19 19 10 6
AA iE•/. 0-50 30
1', ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL E'ERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING: Q:15 Q
4, %GLAZING AREA(#3 DIVIDED BY 02): s
5: SELECT PACKAGE(Q--AA-see chart above)::
DETERMINING ENERGY'RBQUTAEMENTS
NOTE: �OTHER MORE INVOLVED
US FO'I3'IIS INFORMATION-
ARE ODS OF ' . .
ARE AVAILABLE.
BUILDING INSPECTOR APPROVAL:
YES: NO:
g40=4980303a
i
Footnotes to Table'J5.2.Ib:
Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass'doors,g opaque doors) skylights,
and
basement windows if located in walls that enclose conditioned spareaa m be xcl ded.&om the U-value requirement.
area. expressFd as a percentage. Up to 1% a the total glazing design with.300 fts of glazing area-
For example;3 ftz of decorative glass may be excluded from a building gn
= After January 1, l999, glazing U-values'must be tested and documented by the rnaaufacturci in accordance with
Council C) test pracedurs, or takea'from Table 11.5.3a. U-values are for
Fenestration Ratio CNFR
the Na�ional' Fen >z •
whole units:,center-ef--glass U-values cannot be used.
The ceiling R-values do not assume a raised or oversized fetus ConStiuctIob If the insulation achieves the full
for R-38
insulation thickness,,over the exterior walls without compression, R-30insulation ues r �=tithe um of cavity
insulation and R-38 Insulation may be substituted for R-49 insulation- Insulating. ��ust be placed between
insulation plus insulating sheathing (if.used). For,ventilated ceilings,. ,
the conditioned space and-the ventilated portion of the roof.
� sheathing (if used). Do not include
Wall R-values represent the stun of the wall cavity.inmulatioa plus insulatmg
exterior siding, structural sheathing, and iaterior'drywalL For exataple,as R-19 requiremeai coue met 'apply o
-byex R-19 cavity insulation OR R 13•cavity insulation plus K-6 insulating sheathtn& WaU requirementsPP Y
wood=fraliie or mass(concrete,masonry,log,)wall constrttctidsls,but do not apply to metal-frame construction.
ash as unconditioned crdwLspaces,basements,
The floorrequirements apply to floors'o�er unconditioned spaces(s
or garages).Floors aver outside air must meet the ceiling requiremeats-
`TF-e entire opaque portion of any individual basement wall with as average depth less than 50%.doo be ow grade must
conditioned
ntci, the same R-value requirement as above-grade walls. Windows and sliding glass
b:.,ements must be included with the other glazing• Basement doors must meet the door U-value requirement
d-scribed in Note b.
The R-value requirements are for unheated slabs,Add an additional R-2 for heated slabs.
If the building utilizes electric resistance heating use compliance approach 3 r S. If you
n with thelloivest'
than one piece-of heating equipment or.more-than one piece of cooling equipment,.the eq pme
efficiency must meet or exceed the efficiency required by the selected package*
For*Heating Degree Day requirements of the closest city ortown see Table J5.7.1a.
NOTES:
a) Glazing areas and U-values arc maximum acceptable.levels.Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural camp c3.5. Door U-values must be tested
b) Opaque doors in the building envelope must have a U-value no greater door U-value
and documented by the manufacturer in.acegtdaaea with U- r proceduretest door*' nott a available, include the
is
in Table 11.5.3b. If a door contains glass and an aggregate
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.'
One door may be excluded from this regtlirement'(i.e.,may have a U-value greater than 0.35)•
c) if a ceiling,wall, floor,basement wall,slab-edge,or crawl space Wall component
mpo n R incluue des
twogrea or more r than or areas with
different insulation levels,the,campatient compiles if area-weightedm$
the R-value requirement for that component. Glazing or door components comply if the area-weighted.average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).•'
43
0
TRUDY LANE
N 81053'35"W
175.00'
o
tih
22.00'
36.00'
� bb'
FUTURE EXISTING
H+ GARAGE FOUNDATION "I
--- r�
�p LOT 1
43,567 SF.
366.41'
S 83046'05"E
Ycertify that the foundation shoumon PLOT PLAN OF LAND
thisplanisasit actually existsonthe LOCATED IN
ground and that it conforms to th C OTUIT,MAS S.
Bamstable zoning re lations M PREPARED FOR
yard tba ��� DAVID � KURT ENGELSON
f CHARLES
— — — — — — S. SANICK, coo 1DATE:AUG.30,2002 SCALE. 1 `40'
23485 date.Aug.30,2002 CAPE & ISLANDS ENGIN RN EEI 9oT 9 0
F F Q
flood zone canon h OSTE�� MASHPEE MASS.
Y
azard) sso ��
trud lane NAl ANC
s
Co4at'4-
TRUDY LANE
N 81053'35"W
175.00'
22.00
36.00'
+ I FUTURE EXISTING sP
N i GARAGE FOUNDATION
O
�1
LOT 1
43,567. SF.
366.41'
S 8304605"E
Icerdfythatthefoundationshownon PLOT PLAN OF LAND
this plan is as it actually exists on the LOCATED IN
ground and that it confonns to th COTUIT,MASS.
Barnstable zoning re lations Q PRE PARED FOR-
yard tba DAVID KURT ENGELSON
s CHARLES
c_ _ _ _ t S. SANICKI y 1D0ATE.AUG.30,2002 SC2kLE. 1 "=40'
28085
9 Q CAPE & ISLANDS ENGINEERIN
date.Au g.30,2002 oT
F y FCISTER�� MSPEE,MASS.
Crud lane Bood zone c[non-hazard] �s%o AH
NAL�p j
Co4w
�uv.dcd
. o �,
I
�. -4Lf:y��'4F.,+ '="-1.nr.�:.T'-r,��fi;d +�+, -^r�,'.•,�„rr .. Y"+�• ...f ... .�-7 u +..�^.a'-. - ..,R,.'*_n. 1 ...h
— r..J'"r w^1'pyyer}+;��.�.✓�I'"�' Le^...!^.Y"'i.�.�a,.Y'�..�.•�,.5 �.
HET The Town of Barnstable
BARM�Le.g Department of Health Safety and Environmental Services
039. �e
"�Fn�1a+• Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner,
j �
Inspection Correction Notice
Type of Inspection I 1=1
Location f R;-N C<.�,�1. i- 5Z! (�`;;� Permit Number
Owner Builder
One notice to remain on jobsite, one notice on file in Building Department.
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Please call: 508-862-4038 for re-inspection.
Inspected by �_ Ili _ ,,�
Date' 1 D- Z 7_ — D
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f Massachusetts
The Commonwealth o
-� Department of Industrial Accidents
-- -- Office ORMestMAW911s.. = -
600 Washington Street `
�. Boston,Mass. 02111
Workers Co m ensation Insurance Affidavit
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t• am a homeowner pezforming all work myself.
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Fai]ure to secure coves;..aY requirednnder Section25A bf MGL 152 cattlead to the imposition of criminalpenalti'es of a 8nenp to 51,500.00 and/or
one pears'hnprlsonment as well as dvIl penalties in the form of a STOP WORK ORDtR and a fine of S100.00 a dap against me. I mtdersfand that a'
copy of this statementaay be forwarded to the Office of Investigations of the DU for coverage verincation. -
I do herehyzerti e' ai -and-penalties-Of-P.erjury the the-infon� admpr-o�iderLabnve_isscu
nDate .
'Signature _ .. . - '.. ,•••
r' C'rplione#
Print name
ofHdal us a only do not write in this area to be completad by dty or town offidal
•,—pern6Ucense# C3Building Department
city or town: ❑Licewing Board
❑Selectmen's Office
❑checkif immediate response is required OHealthDepartment
` phone#; ❑Other
contactperson-------------
r!.vi.e{i 9/95 PIN ,
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
I- oted from the"I'aw", an employee is,defined as every person in the service of another under any contract
employees. As q
of hire, express or implied, oral or written
association, corporation or other legal entity, or any two or more of
A_l,�employer is defined as an individual, Partnership,
rise, and including the Legal representatives of a deceased employer, or the receiver or
the foregoing engaged in a joust enterp
ociation or other legal entity, employing employees. However the owner.of a .
trustee of an individual,partnership, ass ...
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 groiirids or
building appurtenauxt thereto'shall not because of such employment be deemed to be an employer:
MGL chapter 152 section 25 also states that every state or local licensing agency shall t issuance
of a License or permit.to operate a business or to construct buildings in the commo w for any a pplicant who has
„
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the'
commonwealth nor any of its political subdivisions shall enter into any contract for the perfonuance of public work untd
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contractmg
authority. •i.'. r rr•• /i//� . r//!rY/��� % �
Applicants
Please fill in the workers' compensation affidavit completely,by checking the boor t applies t Yadur avits Y be
supply company names, address and phone numbers along with a certificate _ _.
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and +�
date the affidavit. The•affidavit should'be retaimed to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`haw",iiif yqu
aie requiz ed,to obtain a workers' compensation policy,please cal the Depattirierit&C-016 number'listed below.:
21
City or.Towns
ottom oY&
Please be sure that the affidavit's complete and Printed legibly. The Dep provided the applicantace at the.Please
affidavit for you to fill out in event the Office of Investigations has to c y g �
uui�er..lTie affidavits roay 'e'rtE?•..
be surgto fill M., e.petmrt�license numbei rhichwill be used a's a refeieace n
by'mail'or FAX i iule'ss oth&arrangements have beennude.
the Departm ..,�,,.
• e� 'ors.
d should ou have an stt
to thank ou in advance for you cooperation an _,Y
would like .. ... ... .Y _. _�. ....• �•
investigations w Y
esti •�
v
The Office of In g. ..,, .. ,..� ..
please do not hesitate to give us a call.
FMMI
The Department's address,telephone and fax number: , r
The Commonwealth Of Massachusetts
_Department of Industrial Accidents
- Office of lnvestlaVous
600 Washington Street ,
Boston,Ma. 02111
fax#: (617) 727-7749
: phone#: (617) 727-4900 ext. 406, 409 or 375
I _
Affidavit of Substantial Financial Interest
of on oath
1, .
depose and state as follows:
1. 1 am an applicant for a building permit for the roperty IO'CELted at Map Parcel
The address of the property is
2. 1 have % legal or equitable interest in the real property which is the
subject of the building permit application which is identified in paragraph 1 above.
3. Within in the last twelve months from today's date, which is the
following individuals or entities have had a 1% or greater legal or equitable interest in
the real property which is the subject of the building permit application which is
identified in paragraph 1 above:
Name Address
4. Within the last twelve months, from today's date, which is.10 �/ —I have had,
a 1% or greater legal or equitable interest in the following properties which have been
the subject of a building permit application:
MaplParcel Address.
5. Within this calendar year, I have submitted building permit applications for
property in which I have a 1%° or greater legal of equitable interest.
6.. Within the last ten days, I have submitted building permit applications for
property in which I have a 1% or greater legal or equitable interest.
7. -Within this month, I have submitted ,( building permit applications for property in;
which I have a 1% legal or equitable interest.
8. Within this month, I have received building permits-for property in which I have
a 1% legal or equitable interest.
Signed under the pains and penalties of perjury, this day of ' O-009 200 �.
6
2001-om/affin 1
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SYSTEM PROFILE
TOP OF NOT TO SCALE
FOUNDATION FINISH GRADE
EL. 79.5 EL. 78.0 FINISH GRADE OV:=R FINISH
BOXR 7.0
SEPTIC TANK 77.5 FINISH GRADE
OVER TRENCHES 77.0
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OUTLET INVERTS 2 BELOW INLET INVERT 4 WASHED CRUSHED 5 4
PRECAST CONCRETE MINIMUM CONCRETE WALL THICKNESS 2 WASHED CRUSHED
:`.1 d ` INSTALL ON COMPACTED LEVEL BASE STONE
BSMT.FLR. H-10 REINFORCED
ELEV. 72.0 o, 1� o NO GROUNDWATER BOTTOM TH#2
W �j NOTE: EXCAVATE TO =C= STRATUM IN ORDER TO TRENCH SECTION
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r.•°• r. r.• °•' r.'. ,, r.', ,, i + ••�r�,rC•.;,r �,0� DU ,1 ":to r.h�l +'1 `', �— t
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` - n WITHIN 5' OF THE SAS. REPLACE WITH CLEAN,
SEPTIC TANK N c ��� / 4� CLAY-FREE SAND
INSTALL ON COMPACTED LEVEL BASE
1 !, 9" MIN. 3" OF 1/8"- 1/2"
4" DIAM. 36" MAX. DOUBLE WASHED
PEASTONE
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/ �' i ,\_' ' •'o NUMBER OF TRENCHES 1
/ ` 3 c• NUMBER OF DRYWELLS 3
OBSERVATION PIT
PERCOLATION RATE: < 2 MIN./IN
WITNESSED BY: D.STANTON
BARNSTABLE BOARD OF HEALTH.
-,"ems-`_ / titi°� ��° �•E ry,•� o t� DATE: JULY 3,2002
1 GENERAL NOTES: TEST HOLE<� � 1. ELEVATIONS SHOWN ARE BASED ON ASSUMED 011 TEST HOLE#1 o DESIGN'DATA
000 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON I AW SAND AW SAND
i s O� o �� OR SCHEDULE 40 PVC. 10 YR 3/1 10 YR 3/1
<� d ��o dCr, >„ 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING 6" 61' NUMBER OF BEDROOMS 4
MUST BE NOTIFIED WHEN CONSTRUCTION IS I =B= LOAMY SAND _g_ LOAMY 10YR 5/4AND GARBAGE DISPOSAL NO
COMPLETE PRIOR TO BACKFILLING. I 10YR 5/4 DAILY FLOW 440 GPD.
4.ANY CHANGES IN THIS PLAN MUST BE APPROVED 30 3011
SEPTIC TANK REQUIRED 1500 GAL.
BY CAPE & ISLANDS ENGINEERING AND THE BOARD
OF HEALTH. ' SEPTIC TANK PROVIDED 1500 GAL.
goo, �� x� i� N� 5. MATERIALS AND INSTALLATION SHALL BE IN LEACHING REQUIRED 440 GPD.
Ll v .� i COMPLIANCE WITH THE STATE SANITARY CODE
[TITLE V]AND LOCAL APPLICABLE RULES AND =C= MEDIUM SAND =C= MEDIUM SAND SOIL ABSORPTION SYSTEM CALCULATIONS:
REGULATIONS. 10YR 7/4 10YR 7/4
°�66� 6. NORTH ARROW IS FROM RECORD PLANS AND IS SIDEWALL AREA_ 186 SF.
NOT INTENDED FOR SOLAR ENERGY PURPOSES.
186 SF. X .74 G/SF. = 137 GPD._
_76-__` �' 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. - BOTTOM AREA= 441 SF.
8. FLOOD ZONE C [NON-HAZARD]
` —————————76— NO GROUNDWATER 120" NO GROUNDWATER 441 SF. X 0.74 G/SF. = 326 GPD.
LEGEND 120" LEACHING PROVIDED = 463 GPD.
52 PROPOSED,CONTOUR
LOT 1 __ _ SINGLE FAMILY RESIDENCE
—52— EXISTING CONTOUR ;
.31567 SF. ``' � �' PROPOSED SEWAGE DISPOSAL SYSTEM
/ a ® OBSERVATION PIT
PREPARED FOR
i' ❑ DISTRIBUTION BOX
,74_V,� e KURT ENGELSON
LOT1 HSE.NO.180 SANTUIT LANE 0 0 0 SEPTIC TANK
COTU IT,MASS.
SOIL ABSORPTION SYSTEM ' ` ' '`'r � �'
PLAN NO. 072502 SCALE:AS NOTED
RESERVE RESERVE AREA \J�A OF FILE NO. 337BA DATE: JULY 25,2002
DAvtc� y�y�` SEPTIC FILE NO. 71 PCS FILE: TRUDY
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0 0 0 CAPE & ISLANDS ENGINEERING
20 138 1 180 , 800 FALMOUTH ROAD, SUITE 301C
PLOT PLAN 5 5 5 +c c �, MASHPEE,
SCALE: 1"= 30' MAP SEC PCL LOT HSE MA 02649 (508)477-7272