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0125 CHILDS STREET
7"W" q, o o if 51� 11 10 'Au � 11 . I ., , .., . f 10 �V?10, k)o I'M I WIN d 3- z Vy Vt whVIV, Ir lips, A km P 'I,UZZ WK, I ff" Pj 4 1., 11 W '41 kk �x CA u 'j '16'il I.MV�o. 11�r ,",' Kk rl"P, I" ,a", I" i I I P Ow Mot 13 sly "PNI 421- PAX J4 I"1 11 144; w LAW We .0 ��"v lip jnk !;.." I, , e -I,,,'fir 41 it'd 10 who 1P 91 tr 'MIINIV v tA pi, it ge� Qg ,Y, ."'. -1, AfM 4e,4 �7 ""t '46 M it, i:X-J) 7 fro r, I; -,.ff� I Tirli Ist X _( �� I t ? 0' _t� 1411".1 if W� 4 "'. ,A.." )., 4 I I I&MKOV .'' "�40' All to -Y tic WW�, W a VON. -IT �K 4 411q, 11% W imp I" I.J I* wox, IT U,X, 74� r. Ovir "I i,� 1 N N - I , 1% -nlq-v , j , , Ww j Ot/1'j- 14, TV, 7,1 all 41, "41 *31 , '.", I T 1. X, 111k, rh AMA, Aft 7 16,"Z r4l SP ,PiOrY "M I N 1-410-1- A i #*,:t, 7'.4, top .1,It V 9" MIA Fj� "j.4 5 IN 15, pop 11 11 11" �! �)._ '..It Y , . �11 T11twor , mp� Vim ql� 4 ,tv ,Or WIN& P-04. Wil i.A�rjy, Z., P.1,1151 Al. A f WT L, 'Aoki Z, ,. 't , �*I)55�%P!P ,� in J,�I 1", ii`t MANS"',% A W, WX t,�T z V` if ii�' M ( ,03 1 SA jq kill" N"w" RN IF 41" IF 1 61 X" 41 f, Z rN "P.5 'I" ", "" - I h V,�, _'.v 1 4, lowwa - tfL�% v,7Px A I � ZA 44 Am M� a, "�� "'OL 1 R"'S'S 5 v. Aif, + Ah 6, ,71' Aim f,j 2 I've ,IF At, S'A pyl PON It ej So Jus fj�- Town of Barnstable Zoning Board of Appeals variance- Bulk/Min Lot & Minimum Lot Width '94 ' F -2 D A =? Appeal No. 1994-07 Summary Granted with Conditions Appeal No. 1994-07 Applicant & owner Dale Morgan Property Location: Lot B-1, west off north end of Childs Street, Centerville MA, with 70 + ft. of shoreline on the east end of Long Pond. Assessor's Map/Parcels 2Y2�4, ' 0.69 Acres Zoning: RD-1 - Residential D-1 District Zoning overlay District: AP - Aquifer Protection overlay District Applicant's Request: variance to section 3-1.1 (5) Bulk Regulations, Minimum Lot Area and Minimum Lot Width. Activity Request: To permit construction of a new house on a lot with only 0.69 acres Procedural Provisions: Section' 5-3.2. (3) : variances Background Information: According to the Assessor's Records the lot is indicated as Map 229, . Parcel 054 with .69 acres, commonly referred to as Lot B-1 and located off North Childs Street, Centerville, MA, with 70 + ft. of frontage on Long Pond. The lot is vacant except for a small boat house (no detailed information on the assessor's card) adjacent to Long Pond. The petitioner is requesting relief from the bulk regulations to allow the construction of a house on the undersized lot. PROCEDURAL SUMMARY: The petition was filed in the office of the Town Clerk and at the Zoning Board of Appeals office on November 19, 1993. A public-hearing, duly noticed under. M.G.L. Chapter 40-A, was opened on January 19, 1994, at which time the hearing was opened, closed, and a decision rendered. The petition was heard by Rick Barry, Dexter Bliss, Emmett Glynn, Ron Jansson, vice Chairman Gail Nightingale. ' Attorney Murphy, Michael p y, representing the petitioner, requested a variance for separation of lots and from minimum lot requirements. Citing financial hardship for the bank, who now holds the foreclosed mortgage,' hardship due to Topography, lot drainage and adverse location of. existing structure in relationship to usability of lot area. 4 Decision and Notice Comments from the Public: Marty O'Malley spoke in favor of the request because he knows the families and they were well respected. ' Many of the lots in the area are undersized and the proposed development would revive the lot from disrepair and no degradation to the neighborhood would occur. FINDINGS: i' F Based upon the evidence presented and the testimony given at the January 19, 1994 hearing, the Zoning Board of Appeals found as follows: 1. That in the event that the Willard Vs. Orleans case applies and as- Mr. Daluz said if it (the plans for a new house) had been submitted to him he would have had to deny it and request it go before the Zoning Board of Appeals; 2. That since Lot 55 has been assessed separately and owing to topography of unusual shape and boundaries on Long Pond and that the topography creates a hardship in itself; 3. That Lots in the area are smaller than zoning requires and that it , is not detrimental in view of the area. The vote was Unanimous. ; CONCLUSION: Accordingly, based upon the Findings and information supplied at'the hearing, a motion was made and duly seconded the Appeal No.. 1994-07, for a variance be granted with conditions. 1. Conformancy to Board of Health requirements including septic system ' to meet all Title 5 requirements. 2. Conformancy to Conservation Commission requirements-and/or order of conditions to be met. 3. Use as residential property only with 3 bedroom home to be built according to "Plan of Land in (Centerville) "Barnstable, Mass. prepared' for Dale M. Morgan" and dated December 16, 1993. The vote was: AYE: Emmett Glynn,, Ron Jansson,- Dexter Bliss, Tom DeReimer, Vice'. ' Chairman Gail Nightingale. . f NAY: None. ORDER: j . -Appeal No. -1994-07 'for a- variance for separation of •lots and from minimum lot requirements be granted with conditions. , •Appeals of this „ decision, ,if .any, shall be made pursuant to.,M.G.L. chapter 40-A, .Section `. 17, and shall be filed within twenty (20) days after the date .of the filing of this decision- in the office of the Town Clerk. % e r� TOWN OF BARNSTABLE 70NING BOARD OF APPEALS MEETING OF_JANUARY 19,1994 NOTICE OF PUBLIC HEARING UNDER THE ZONING ORDINANCE To all persons deemed interested or af- fected by the Board of Appeals, under Sec. I I of Chap.40A of General Laws of the Commonwealth of Massachusetts and all amendments thereto,you are hereby notified that: APPEAL'`NO. 1994-05 . 7:30 P.M. Lauretta A.Lelacheur has petitioned the Barnstable Zoning Board of Appeals for a Variance,to Section 3-1.3(5) of the Zoning'brdinance, Bulk Regulations; Minimum.Lot Area to permit a 1.4 acre parcel to be divided into two(2)lots of approximately 30,000+/-sq.ft.each.The property is"located on Assessor's Map 287;Parcel 112,commonly addressed as 35 Hyannis,'Avenue, Hyannisport MA. The*property also fronts onto Edgehill Road,and is in an RF=1,Residential F-1 Zoning Dit_fricl. A PUBLIC HWING'WILL BE HELD ON THIStAPPEAL AT 7:30 P.M. APPEAL"NO. 1994-06 7:45 P.M. Paul and,Sheila Fowler have petitioned the Barnstable Zoning Board of Appeals for a Variance to Barnstable Zoning Or- dinance,Section 3-1.1(5)Bulk Regula-. lions,Minimum Lot Area and Section 2- 3.5,Contiguous,Upland Area Require- ment to permit the combination of two existing undersized lots,that when com- bined,do not meet the Bulk Requirements of I acre of contiguous,upland area. The lots to be combined are Assessor's Map 187,Parcel 072and Map 186,Parcel 091, commonly referred to.as Lots 1 I and 23 Thorn"Lane,Centerville,MA,in an RD-1,Residential D-I Zoning District. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7:45 P.M: APPEAL:NO. 1994-,07 8:00 P.M.' Dale Morgan has petitioned the Barn- stable Zoning Board of Appeals for a Variance to Barnstable Zoning Ordinance, Section3-I.I(5)Bul.kRegulations,Mini- nmm Loi Area and Minimum Lot Width to permit an undersized lot to be consid- ered buildable for the purposes of zoning. The lot is located as Assessor's Map 229, Parcel 054,commonly referred to as Lot B-I and located off ChiIds Street,Center- ville,MA,in an RD-1,Residential D-I Zoning District, A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 8:00 P.M. APPEAL NO. 1994-08 8:15 P.M. Charles`Akselrad has appealed to the Barnstable Zoning Board of Appeals.for- . a Speciai'Permit in accordance with Barn- stable Zoning Ordinance,-Section 4- 4.3(l),Reconstruction of Damaged Non- Conforming Buildings and Section 4- 4 2,Change in a.Non-Conforming Build- ing, to permit the reconstruction of a damaged building in conformance with Flood"Area Provisions of the Zoning Ordinance and to permit reconstruction afterthe 12 months limitation imposed in the ordinance. The lot is located as Assessors Map 225, Parcel 005, com- monly referred to as 859 Craigvilte Beach Road,Centerville,MA,in an RC,Resi- dential C Zoning District, A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 9:15 P.M. APPEAL NO. 1994-09 8:30 P.M. Charles and Lisa Akselrad have appealed to the Barnstable Zoning Board of Ap- peals fora Special Permit in accordance with Barnstable Zoning Ordinance,Sec- tion 4-4.3(l), Reconstruction of Dain- aged Non-Conforming Buildings and Section 4-4.2, Change in a Non-Con- formin'g Building, to permit the recon- struction of a damaged building in con- formance with Flood Area Provisions of the'Zoning Ordinance and to permit re- construction after the 12 month limita- lion imposed in the Ordinance.The lot is located as Assessor's Map 225, Parcel 004,commonly referred to as 861 Craig- ville Beach Road,Centerville,MA,in an RC,Residential C Zoning District. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 8:30 P.M. These hearings will be held in the Second Floor Hearing Room,New Town Hail, 361 Main'Street, Hyannis, Massachu- setts on Wednesday evening,January 19, 1994. RICHARD L.BOY,CHAIRMAN ZONING BOARD OF APPEALS The Barnstable Patriot T January 6&January 13, 1994 Ja I runc . � Hyannis,MA • 771-4444- F elcomes Back... Every Wednesday`Night ? A New Variety each WeekM Adults $9.95 Children under 10...$5.95 turing: Shells • Italian Sausage ala• Fettucini.Alfredo a Lot More Salad•Rolls'and Dessert DAYS • GAM TO 1OPM WEEKENDS annis • 771-3220 l s NER Specials e95 es - full Bar & Sat. 5-6:30 , u Thurs. 5-9 CH Specials e9 5 argrilled pizzetta, s, great salads,,etc, KFAST Special 045 bacon, ham, sausage py brown homefries aces you can eat! Osterville 420-1742 ily lam-9pm g•greatest food! 6 llZ nt. Friday HAWN SCRAMBLED Diced lean ham scrambled up a moist with two farm fresh eggs ;g and your choice,of toast . •a 95 t: r MOUTH 6ARNSTA6LE. TOWN OF (kEC) BARASTA3LE. TOWN OF ( CON) 367 MAIN STREET CJNS6RVATION COMMISSION' RECREATION COMM 357 MAIN STREET HYANNIS MA C2601-000U HYAN-41S Ml 02601-0000 1 Pak: R229 C51 . PAR: k229 059. PAF: R229 Cie., KEY: 141283 TAX CODE: 300 KEY: 141366 TAX CUDE:300 KEY: 141359 TAX CO3E:300 ` BARYSTAdLEi TOWN OF (LOG) AU@REYi AUGUST LA6ADIE.- ERNEST b ANITA 3o7 .MAIN STREET W MAIN ST IUCI W. MAIN ST HYANNIS MA 02601-0000 CENTERVILLE MA 02632—U000 1001CZNT W. RVILLE F4 J2632-0000 " PAR: R229 057. PAR: R229 JS6. PA,2: i229 G55. KEY: 141 34 0 TAX CODE: 3-0U KEY: 141331 TAX CODE:Su0 KEY: 141322 TAX CODE:300 a 314YANT♦ JOH,4 R LAPIEk. 60r�hIc L JLAC.<t'U3N. IAYhUkil AVNIE d :3.tYANT SWEET. SDSAN s BRY•ANT.J R %CAPE CJD- SANK i TRUST 9d7 W MAIN ST P 0 uOX 727 P 1, JOX 1130 CENTERVILLE MA 02632-000J CENTERVILLE' MA 62632-000U ATT: SHARON DLARTE—RHODES SJ YARMJUTH MA .02664-0000 PAR: k229 113. PAR: R249 053. PAR: R249 054. KEY: - 141910 TAX CODE: 300 KEY: 156046 TAXSCODE:30U KEY: 15bC55 TAX CODE:360 SAPPET. CHARLES L .9 EILEEN zRYANT. ANNIE - LEBEL. JOHN ' S TRS 137 CHILDS ST 967 NEST MAIN ST P ii JoX `1C11 CENTERVILLE MA 02632-0000 CENTERVILLE MA 02oo[—UDUU` OSTEAVILLE MA 02655—CJOC PAR: R249 055. PAR: R249 056. PAR: R249 C05. KEY: 156U64 TAX CODE:300 KEY: 156073 TAX .CODE:3U0 KEY: 15o332 TAX CODE:300' LAINUi ROdERT J SR TRS ILIFFEi MARGARET M DcC.<twt2i LAiy3ERT J: a WEST MAIN REALTY TRUST 932 W MAIN ST DEC,CER. ROaARIO M 93 HOLLY LANE CENTERVILLE MA U261`2—JOuD 119 CHILDS ST CENTERVILLE MA 02632-0000 CENTERVILLE MA' U2632-000C_ PAR: 8249 OJ4. PAR: R249 007. PAR: R249 108: KEY: 156823 TAX CODE: 300 KEY: 15od41 TAX CUD E:300 KEY: 156350 TAX CUDc:3U0 KCLLEYI JOSEPH C 4 RITA TRS MUNCHERIAN. STANLtY D TR 4UNAELSi JOAN P. _ 1J3 CHILDS ST MUNCHERIAN BROTHERS TRUST 114 CHI,LDS ST CENTERVILLE MA 02632-0000 126 CHILDS ST CENT-RVILLE MA 02632—UJ0,0 CENTERVILLE MA 02o.52-000u Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing- an-action Within twenty days after the decision has been filed in the office of the Town Clerk. Chairman I, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this day of 19 under Lhe pains and penalties of perjury. Distribution: Property Owner Town Clerk _ Town 'Clerk Applicant Persons Interested Building Inspector Public Infcrmation Board of Appeals s Engineering Dept.(3rd floor) Map C Parcel J Permit# �� House# Date Issued. - Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)944 - 1AA. Conservation Office(4th floor)(8:30-9:30/1:00-2:00) v &I PCl'd7ig'B - QC3r' _ - tME _ �selNt J1 -- 19 SEPTIC SY T BE (J TOWN OF BARNSTABOPTa 01 '�cE WITH � Building Permit Application ENVIRONMENAL CODE AND Project Street Address �,� 0/6 /L S-; TOWN REGULATIONS Village Owner 16-1-P, Address S�f �� Telephone `779- 25-1b ermit Request L 7n 9-- 11LJ Q a044012-1Z .-� -Bplbeeo fr1 su t'� 4 m e First Floor Ck)pp r-6,),c /A 00 square feet Second Floor Up /a CEO, square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Z G Water Protection Lot Size 2-7 S9/ Grandfathered ❑Yes KNo Dwelling Type: Single Family fp Two Family ❑ Multi-Family(#units) Age of Existing Structure a W 8,s5 Historic House ❑Yes LJNo On Old King's Highway ❑Yes /dNo Basement Type: �Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) t'.Z06 Number of Baths: Full: Existing�_ New_� Half: Existing New Fi\ No.of Bedrooms: Existing New � "Mal Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: YGas ❑Oil ❑Electric ❑Other —Y— Central Air ❑Yes of No Fireplaces: Existing �- New Existing wood/coal stove ❑Yes [04o - Garage: ❑Detached(size) n/ Other Detached Structures: ❑Pool(size) �JAttached(size) q -P ❑Barn(size) ❑None ❑Shed(size) 00ther(size) boo/ Zoning Board of Appeals Authorization 0 Appeal# J' Ll- 0-7 Recorded Commercial ❑Yes o If yes, site planreview# - Current Use,-9d- Proposed Use Builder Information Name ()L ml Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING /FROM THIS PROJECT WILL BE TAKEN TO C►—�tS T L L— SIGNATURE DATE :7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` T 4 MAP/PARCEL NO. a c ADDRESS i VILLAGE OWNER DATE OF INSPECTION:' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH_ FINAL PLUMBING: ROU( I - FINAL GAS: ROUQ FINAL FINAL BUILDING DATE CLOSED OUT > ASSOCIATION PLAN NO:� _ - _ The Cotntnonli•calth of:1lassachusctts w ' '•i •�:ri - :-��j•::- Department of Industrial Accidents �i `• office oflnvestl9itlons 6(10 !f aWthi von Street • y •� �• ,� Basin. ,Hiss- (12111 Workers' Compensation Insurance Afftd:avit i li�tn i rm on• lo_c_nrinn �+- zit, nhnnc --71"- L/VS-y ($� I am a homeowner performing all work myself. I am a sole proprietor and have no one workin-U in any capacity .-w., ..wy w-...� .�_w�.+.i'rw�..r.��ca..".�.w'�17�.+�'�`A _ ...�...��.+�•r••p�'w".=..�.�..�•.•.'.•..—�..w.+"•��� [j I am an entplover providing workers' compensation for my employees working on this,job. cotim-mv name: •tddrecc• nhnnc#- incirr•rrtcc••o nniicv� [l I am a sole proprietor, general contractor, or homeowner(circle otte) and have hired the contractors listed below who the following workers' compensation polices: comnam• n• ine, atirlresc• cin•• nhnnc#- nniicv incur•rncc cn ._.. com nov nnmc! atldresc- city• nhnnc#• incur•rnce co noiicv# �_ i%tt2ch8dditia_n2ishcetifnecci_sa7.+::��s.. ,-- ^'....�:::��:i: -.. . ;= .'. •'....",:.,,'.'"r.. "'""": .,,_ Failure to secure cuveraee as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a line up to 51S00.00 andif- one cars'imprisonment as weil as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day attainst me. 1 understand that cop!'of Misstatement mad•be forwarded to the OlTcc of investigations of the D1A for coverage verification. 1 do herehr cerrij•under r/re pains and penalties of perjury drat the information provided above is true and correct. /l Si=aatun Date Print name Phone# '•of6ciai use univ do not write in this area to be completed by city or town ofriciai city or town: permit/license# r•113ui1dint:Department ` C]Ucensing Board C C check if immediate response is required QS r-Mr t oc s rtmec ►r. l_ ntt�,uh llcnanment F information and Instructions Massachusetts General Laws chapter I52 section 25 requires all employers to provide workers' compensation employees. As quoted f Qom the "la��". ait efnplm•ee is defincd as every person in the service of another un cr contract of hire, express or implied. oral or written. An emplrtrer is defincd as an individual. partnership. association. corporation or other legal entit}'. or any two the forcgoing enuascd in a joint enterprise,and including the legal representatives of a deceased employer. or receiver or tntstee of an individual . partnership. association or other legal entity, employing employees. How, owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of t d'wc1ling house of another who employs persons to do maintenance , construction or repair work on such dwel` or on the ;,:rounds or building appurtenant thereto shall not because of such employment be deemed to be an er. MGL chapter 152 section =5 also states that ever,% state or local licensing agency shall withhold the issuanc. renewal of a license or permit to operate a business or to construct buildings in the commonwealth for ar applicant who has not produced acccptabie evidence of compliance with the insurance coverage required Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for thf pertormancc of public work until acceptable evidence of compliance with the insurance requirements of this cl; been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situatio: supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for contirmation of insurance coverage. Also be sure to sign and date the affidavit. 'I7' 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 re to obtain a workers* compensation policy. please call the Department at the number listed below. • -. Cir• or•towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bo. the affidavit for you to rill out in the event the Office of Investigations has to contact you regarding the applicam be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be ren the Department by snail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any qt please do not hesitate to _ive us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts s. Department of Industtial Accidents •, Office of Investigations 600 Washington Street Boston.Ma. 02111 "E r . The Town of Barnstable MAS&• s�trrsrnsce. • Department of Health Safety and Environmental Services 1659. ArFD MA'S" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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 of Work:/ob. r�o.� /,�Gj fo Est.Cost //Z 000, Address of Work:�j �� Owner's Name (' A Date of Permit Application: 3 1-7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: TT 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. OR �1 Date Owner's Name • l TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE •raj 1-719 7 JOB LOCATION /L ST �,� ' - Number Street address Section of town "HOMEOWNER" Ae-. U t- -7 Z Q- �1 S'l -. ' ::S- -. ' Name Home phone Work phone ' - PRESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one 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 Officia on a form acgaptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE LIM APPROVAL OF BUILDING OFFICIAL ct Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION = The code state that: "Any Home Owner performing work for which 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 a Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are- unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wner� actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 5=0" a�•o" i J I � J I I i � II _ L � - a r Po 13'-p• G` Fe ��.. --� p 'hill ` I �' 3:8v I . r� i 1 i x OPEA D QZ � � I r ♦ f� �; � 1 6R y 4. ;� r� �• FFi> ft � q�4 L . EY gineering Dept.(3rd floor) Map gZQ Parcel Permit# l -7 3 6 6 //- House# ���� ��Q Date Issued b ' � • 5 -930 1-0 -4.30) Fee :00) 4 c r Of iNE 19 BARNSTABLE. MASS- QED IAA-s TOWN OF BARNSTABLE Building Permit Ipplication TProject Str t Address Village Owner Address Telephone — / Permit Request First Floor quare feet Second Floor square feet Construction Type Estimated Project Cost $ c—,'20 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family LT Two Family ❑ Multi-Family #units) Age of Existing Structu a istoric House ❑Yes On Old King's Highway ❑Yes No Basement Type: EfFull ❑Crawl alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing v`Z New Half: Existing New No.of Bedrooms: Existing aZ, New Total Room Count(not including baths): Existing_ New First Floor Room Count 1 Heat Type and Fuel: aoa p Oil ❑Electric ❑Other Central Air ❑ �Yes Fireplaces: Existing New Existing wood/coal stove ❑Yes 31<0 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) 11;2_1 Q Barn.(size) ❑None ❑Shed(size) ❑Other(size)�� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE D ATE BUILDING ERMI IED F E FOLLOWING REASON(S) . The Commonwealth of Afassacbusetty Department of Industrial Accidents ' ' i• A � t" 1 13 ` 0Jllce ollnvestlgat/ons "•�` i' ' _-r' �'` 600 !f ashinrtu►r Street Boston, Alas. 02111 Workers' Compensation Insurance Affidavit AJ name c • // nhone# 7 C ` 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ._.la.:_�'....�--•••--a!"'�' LR�,=Ts7e.,.,,x.,,.,,,i,�,..�,,,a�?,•.„ �. --..--.M.....-�.--•^-»7---_ ^_ "!`..,��'.'�_.,-�;'.r.-Rf+•-'...._..•�• I m an employer providing workers' compensation for my employees working on this job. contliany name• - address: city Phone#- insurnnee co Policy# I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comp•tny n•tme- •tddress• cih•• phone#• insurance co policy# I- - .e. - ._... „esi�«- .s,-vt:_--•y,... ,.,T.�.,•.�-+:� - •;r-•--:..rr+-,•c}�-•,,;-sT:rr.+w--• ►.7r::.:-"n.;. :a:�-•tr.-;Y:,n.�'`!�;-: --•---..._.�. -- -.:tea= .r•--- — - rr comp•im• name: address: city phone#• insurnnee co policy# :Attach additional sheet itnecessaty _ t !:" 11 :'y�Yi�a` --`='t:"_�asiors3r�a''"'"T"�m''tl►i1 ,.a" sbo`r^'iC�rtMe`~tw.cr.�+a. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00.andior One years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification. I do hereht cc 1 runlet the pains at penalties of perjun•that the information provided above is true and correct. Si�natur•/ Date � lb— Print name Phone#, 7 7 T ofriiciaf use only do not write in this area to be completed by city or town oRcial • city or town: permit/license# rlBuilding Department Licensing Board p check if immediate response is required �Sclectmcn's Office C311ealth Department contact person: phone N. MOther Imised 3;95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an enrploree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An empint-er is defined as an individual, partnership, association, corporation or other legal entity, or ally two or more c 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 haying not more than three apartments and who resides therein, or the occupant of,the / dwclling house of another who employs persons to do maintenance , construction or repair work on such dwelling hous: or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall -withhold the issuance of- renewal of a license or permit to operate a business or to construct buildings in the commoni'ealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha\ been presented to the contracting authority. Applicants Please fill in tite workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. .. ....... .. 7777... ♦.. .. 7:5'�^.«+f. .Y• City or Towns Please be sure that tiie affidavit is complete and printed legibly. Tile Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. and sho uld you have any questions.. The Office of Imesti_attons would like to thank you m advance for you cooperation � . q please do not hesitate to give us a call. . r-auv-w-..— -.— -�..�wm+.-...•vn..t.�...v+.-:-tom.. ......�,�... w—.-....�w.�.s.vie!agat+e'r•�_-'-wn��w7171 The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents M+ Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 l The Town of Barnstable , M Department of Health Safety and Environmental Services 659. P Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Fax: 508-790-6230 Building Commissioner k For office use only 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,alo with other requirements. Type of Work: _ Est.Cost Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLEGUROVEME ARANTY FUND UNDER MGLO 14NT WORK DO NT ZA� ACCESS TO THE ARBITRATION PROGRAM OR SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Da a ®rle (SOT E-3) /S34 co ti 32 ..� (6) PROPOSED FLOW DIFFUSORS WITH .4' OF STONE ALL AROUND `.` !a t FR M OF p 5• v w o . t i HOUSE ORN f ER IS 53'* OM EDGE OF W D ' 0 10 '� c o (LOT B ) ° L 2 �. pROPOs� 1 1 is -- ,•• Q � � `� ; ! _ ram., pWEW� 1 rZn� i 4'•:P�vEn ea►,I..3�M •;.4 � � TO�/�I►6.000 21 I •« 2-_ �N.; [p� a may �`_ , D ! i N 2 ,�� (LOT 81) ;�. - 27591 -sq.ft 3O' w i I • 0.63 Acros ° r i - O. BENCHMARK: 75.00 o • `� CONC. BOUND FND AT Cl 45.61 o `` ND SURFACE ' �_ O20' O.W..(PO AT EL-26.0 • - _ -F 20- WAY t ,. :.PROPOSED DRM U.P. #-A {{ N/F ESTHER L FUNKMAN 7 (LOT 12) f • BREAKOUT: 42.12 - 36.0 (150%) _ 7.2' FROM EL 42.12 SEPTIC PR OFILE 127' engineering Dept. (3rd floor) Map Parcel S Permit# t'--.3V It OR House# _: ,� s Date Issued C'7 Board of Health(3rd floor)(8:15 -9:30/,1:00-4:30) " Fee ),2 6 y� Conservation Office(4th floor)(8:30-9:30/1:00,2:00) Planning Dept.(1st floor/School Admin. Bldg.) ��r+E G7 ✓( Definitive Plan ApproPlanning Board 19 e; f i bj cqp�wc� OM 1i639. ♦q� Cnn�ef�c s� TOWN OYBARNSTABLE Building Permit Application Project S ddress 1 L,aS Village Owner m I C /4e 1/P i\ ' Address Y2, L,h S S 7— Telephone — •Permit Request i 6 \Q20 / j '1 J an m ra._--t-1 ✓p— C eo /o rl a Pub h c ..First Floor square feet Second Floor square feet Construction Type Lyoc Estimated Project Cost $ X Zoning District D Flood Plain Water Protection Lot Size J? Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure � C)hj Historic House ❑Yes -L;pNo On Old King's Highway ❑Yes �Wo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing10New First Floor Room Count Heat Type and Fuel: 0,Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes P No Fireplaces: Existing-02New Existing wood/coal stove ❑Yes �No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) I�Attached(size) ❑Barn(size) ❑None ❑Shed(size) - IVOther(size Zoning Board of Appeals Authorization Appeal# qy— 21 Recorded bj Commercial ❑Yes �*o If yes, site plan review# Current Use Proposed Use f,, Builder Information Name I `�.► I k— Telephone Number— g—q'S��7 Address L(55, 1 j— License# ✓1` -eP t L M j a Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE O� BUILDING PERMIT DENIED FOR THE F LOWING REASON(S) r • FOR OFFICIAL USE ONLY PERMIT NO. - - DATE ISSUED J , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ FOUNDATION Lfi 1 1 0. FRAME INSULATION. . t s ' _.FIREPLACE , . ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL re GAS:.-. ROUGH FINAL .r4N, AL BUILDING i MATE CLOSED OUTI t AgSOCIATION PLAN NO. ' • ` � TOWN OF B ARNSTABLE BUILDING DEPARTMENT A HOMEOWNER LICENSE EXEMPTION Please prin . . .. DATE JOB. LOCATION f a. cf,1 LL_ss Number Street address Section of town "HOMEOWNER" Name ' Home phone Work phone PRESENT MAILING ADDRESS a h uL<z �-T— GO'-( ti-p City/town \ 6 3 State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two 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 Officia on a form acceptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility -for compliance with the Sta- Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum ins ection and that he/she will co m ly with said procedures andocedures requirementsrand eirements HOMEOWNER'S SIGNATURE Jill APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control .e . HOME OWNER' S EXEMPTION The code state that: "Any Home Owner performing work for which a building Permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner, shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 0, Rules and Regulations for .licensing Construction Supervisors, Section 2. 15) . This lack of awarene, often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home '*Owner act_: as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier responsibilities, ma communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 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M✓R PNJ A j•Jt ACE �'rd la<, ! n,.: , e s t<r x w.".`�.s.,.,:::.G.a-f_�Y-' _ .a,•.,,,,�� .,.,r:.:� ., .. %;'. �;,' $I -r Yu, t a „�,�Y x,'r,, M .^ ,9A 2 t-:t . .,..s. 24, , ci Cnyi :I Pc I_Z 4A TFI GL. ,1 P'COIVrN Ny� (T if ST 0.VG T,V r:AI_. 0R POST ,11,OG SUS f I i ..._.. .__- .._._... .. _.... .—.—_.. ___ solo A'IOP IJ 'I'r;cil�cv P a.. f.�Ci �I dTb fN°WA•� A1Uf cow( �. I �` , ,. L°Af�FRtuCN „ , r I I I;'il. _._JIB •!,� IT I � =- �I` .i I I II I •� � I li ill I _ ------ _ ......._. -- 1 � II' I II _�4 li Ij� 4I j j u. !I F-I --r-= - _ Ati� Ac. lmti,CE � I t. �I�A�•.�r: A.r.1 lGu�_ �prr TOWN OF BARNSTABLE Permit No36b ...... �t BUILDING DEPARTMENT I 'gun I TOWN OFFICE BUILDING Cash i679• HYANNIS.MASS.02601 Bond X CERTIFICATE OF USE AND OCCUPANCY Issued to Dale M. Morgan Address Lot B1 off Childs Street, Centerville MA 02632 m USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I ... . . ..... ....JulY..11.�. ., 19.94............ Qt ... I+ Buildin�rtnspector ; �.��..� °•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT t ssaaer : TOWN OFFICE BUILDING rua jai '639• �� HYANNIS, MASS. 02601 �OIIpY�' MEMO TO: Town Clerk FROM: Building Department DATE: 7// �Y An Occupancy Permit has been issued for the building authorized by BuildingPermit $ ..... lO `P. ... ........................................ ............. _.... . .. ...:.......... . .»...... ......._..� .... issued to .........;CP, ��;1�`l�...._......................................................................... _. Please release the performance bond. �s I • �' _..ya.'�'�%,�..:<.,7s:' "'I'-v, ,;.,(..tr" .a - ;7s ,+� .F-- ..:,• Y :3:TY"v f ""'-, e.q"`..:� �..1:,,,,.s r r;F' -a4?`?`..;Y.)` 1 I TOWN OF BARNSTABLE, MASSACHUSETTS ,BUILDING PERMIT , DATE h 'MY_' ,9• PERMIT NO. - APPLICANT ADDRESS '..1• r ;)'� _ _ +? _ ,( (NO.)F (STREET) CONTR'S LICENSE) t3l„t_"l.iC.Y�. �M ___ t. . iir"NUMBER OF i. PERMIT TO STORY - — DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED U5E) AT (LOCATION) Lot B1., l25 Childs S{�:rec,t:, Center Lj— i ZONING lZI:�_1 D)STRICT L� ' (N0.) (STREET) BETWEEN AND .(CROSS STREET) (CROSS STREET) 1 n., SUBDIVISION LOT LOT BLOCK SIZE I<' BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I TO.TYPE USE GROUP BA`EMENT WALLS OR FOUNDATION _ (TYPE) REMARKS: Sewage #94-98 AREA OR t3C..:c;i VOLUME 185G �• i�"' ESTIMATED COST S:-Li,AR$;25 150 00(i FPER EEMIT 48/217 } (CUBIC/SQUARE FEET) D OWNER `^lam • Mora ciY1 ADDRESS P•0• Box 137 j ) - �.1?c:::'.:11,"_;L�Ci '- BUILDING DEPT. /J•. BY --�P i `^ FROM THE DEPARTMENT OF PUBLIC WORK9. THEISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL ME A;- INS RE INSPECTION TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL-INSPECTION BEFORE " OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 71 n 41 •'-fa,w,p z 3 HEATING INSPECTION APPROVALS ENG EERING EP TMENT .� 1 \Gj.O'. `�'�V]�Lam• �� �'�1•{ � 1 Q yy�� ♦ BOARD OF HEALTH . iN t iArKJ 7Vti ���A N► � ♦ / /J tER "ll ITE PLAN REVIEW APPROVAL / 1 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. l LOT B2 �\ s ✓ �o pA0 / 13 �0 LOT B1 0 �Gy C,9 27, 591 S.f. 5�P/ CXF tihwP`1000p _ / , 0 / 2 / xl' / \ / REF: VARIANCE * 1994 -7 F /q AON # 93-475 CERTIFIED PLOT PLAN LOCATION : LOT B1 CHILDS STREET (CENTERVILLE) BARNSTABLE, MASS. PREPARED FOR: SCALE : 1 = 40 DATE : 4121194 LOT Bs PB 209 PG'123 DALE M. MORGAN REFERENCE : ASSESS.MAP 229 PCL.54 I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. Of A r. down cape engineering inc. aw,� CIVIL ENGINEERS v LAND SURVEYORS Av 939 MAIN ST. (Rte. 6A) YARMOUTH. MASS 02675 1 DATE REG. SURVEYOR ol n � a —777 f a � a r , N. CIO - .i e 7-^rY! �}S .;s;x.,a.ti .+�-.Sd;� :K: +y, 'i.s t ':e--::i;:•- :'.-,::._ rs-•. i I . I - . I o© I Tl� FEEIM EM �w- i r R ..:a:,.?.".y �.;•.,:::..��:'._.�:,......,.,:,:,..4a:n-:'..s•:.a:n,... _ ..I.: •:Y:;w ,v�-c. .. uv._. :.t��: „y:, .:a-�l:M:+:3:' . , ' II ... .. _ n4':•�^]�',i..�i.... "14 :^J:r�r' I.v �':iY t .o-x.%,l_n {H I' EE Li .I at Ja,� ,izi I I, I f III .. . II I I �. •. � '. ° ' II � I I 'I. .. f f �. - � � � r � .. S _ .. � �r�- ' ,. - I I� t 1 . 1 .:,� .. 1� .. _ ' .j. � - ,. `� - , � ' .. r N • a ,a ' a ..0;(•t .0;9 9., y y vs i N , 1, ..h;$\^ vH ..O•i� .. Iw (W N - i..•ouae% I a go � Id•� n • yy � y t f — , o s� I _ a1�Q•• --- - J = IiIiII � a � ..MAW �m 13.0 s • . I� ii °1 3=a^ • 0 V = - e � r z V r n --- �- • I __lll Bi�co Outr cJJlckF"Gor. FooriNG '7-9`N16N (A C• ^/ c�scc5Pcc5��— J C-1 PAD ry 3�a conic. COL, 9P C> o y-axio GrRT FlLLf� uf SEE Foot PfrN. e.. I Y O N/611 8'COr✓L. MALL Foorin/6f CriP.� } Ivz vJt. SLr.G 5LOP6o -ro Poo25. Ir_5'I__ / 'i^eo. Irk• 9'G zo. Fns�n?DAII2[Ls A^� .v s>t IOR� I D665 A$ONALT .ROOF OVER y �Il �i2Dn iLy. .dn4 FA FTER�j �/L'bL i Il 'Ia+jDwTE ALL FE/LCODE 112.9 CLL. I "I 9 F�$clA - - —� IAr F IT HEADERS .rLLA ibOA aL SID I.7G - .. aXID'y�Ic•oe I ' PLATE. .. IuguLATE ALL:PE12CODE- - ,^ IS F $HOE .... .. d IO' G/L• - .2x1O NCA DEQ _ ... -3XID GI127: J;�j axe. P.T- SILLS ' - - IaTaEADy-�F'MIN. .Ij Rrsf RS @Sj4/' A. 7:F"CO/L. I-'ALL NCOu C• WALL, tJ�ll'kd-(off.$-fir 3' /LSLB(,pNT• TOOT CONC. COL.'FILL D a j 3DX3o' hlo" PA Df T RAM I A>6c5F/'7-in A - - iu DOW + ExT ERfD.Q ODOR CHEDULE � _. 4+ uvMB¢R �'R O. GLASS I LiTE o+HE2 - . A 3446 I 6 -O—F FRONT I .. F .3•x6 F—s) I .. N 13°x 3°FIxED I _. - .. Z :C.TG3 ARGIL i .. 6 J Assesspr's office(1st Floor)- nu •Assgssor's map and lot r�taer �( ! �J' g=p�apoi THE>o` llA�--�'�li, - ,� rnRn. L S�P E pia 4t Conservation(4th Floor): �`'' `b INSTALLED No CXAR Board of Health(3rd floor): eh �. $�aS Sewage Permit number y--Cl WIT r TULE 5 .o �y ME . Engineering Department(3rd floor):', Aa /�.�/ ° ENViROMW L CC House number G �k�'" G N r��® UL et M N Definitive Plan Approved by Planning Board i tg APPLICATIONS PROCESSED 8:30;9:30 A.M.and 1:00-2:00 P.M.only TOWN O�F B A R NfS���LAaB�� �► R U?aAj � `� BUILDING I N S P E� I�Qp�BE WAS INS ALLEIN ON AND CE PFR1lISt L WRITING �% 41 CI 0 PLAN. STRiG1 APPLICATION FOR PERMIT TO C U n TYPE OF CONSTRUCTION ti? wr�d �iVW-e . `L 19 �y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 166 t3 / C7�- /(/S 516 , ecA-&e -V /4 Proposed Use ;n. l fa %l;� �w e l tr• �� Zoning District _ Fire District �- Name of Owner f✓e /�Or 1�� Address,F.0" -rG 1-3d? Name of Builder is ree#j dr%e.- 7e Address 7 d, 60 : 1d , ee$L&rV;11e r 141 ocw Name of Architect : l7kaf�a�6�'e `I d 1Lasr� Address �e A-&r-V 1Le Number of Rooms Foundation `-0ured e6x.0 re 6-- Exterior laP/poarcl �z�.� • �, .� arC,� , ��-� 1.e s Roofing Floors Cara E/V My/ Z4wj.d'e p;xe .Interior Heating l f i,J 6Y qa5 Al ;F�u rie s Plumbing Fireplace b r;c K Approximate Cost a f " Area ZXo Diagram of Lot and Building with Dimensions Fee tiv tea' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnkreathe ve construction. Name va 13 9-1 Construction Si isor's License MORGAN, 'DALE M. Nb 36656 Permit For _l z Story 2 r ' Single Family Dwelling Location Lot #B1 , 125 Childs Street Centerville Owner Dale M. Morgan ' Type of Construction Frame Plot Lot Permit Granted' April 2 7 ,' 19 94 4. Date of Inspection: - Frame 19 Insulation 19 r Fireplace 19 Date Completed 1i w - 19 A t r _ I The Cuntinattlrealth of Massachusetts y fill __= Department of Industrial Accidents -- _ r—���•� -! • :: �, Owe, ollayest/gagags � - ::, 'r AQ` 6011 If a.vidn.;tun Street Boston,Afars. 02111 Workers' Compensation Insurance Alridavit `eRn�iic�nt�formatiom Pie-se PRi1VT}law name! 0GJ In tion• I l L J S i-e rite. C e nhone# 0-f—aam a homeowner performing all wort:myself. ❑. I am a sole proprietor and have no one working in any capacity 0 1 am an employer providing workers' compensation for my employees working on this job. comnanv n�mr• • address: city: nhone#: insurance cam. policy# I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who hav( the following workers' compensation polices: comnanv name! address- city, Rhone#- insurance rn nnficy# 1:�.s'y': �"-:-'%:-•• - :. ""''u:..4:.:.,,•s.-s-r•.,-•�-.ls-Msr�•r��• .-�av[s+„�,l�,;ac:+w:r. *►�'."-r+- .vR,,,-?�'+---".v* r�mpam•name• address: ct•• phone#: insurance co nolicv# Attach additidnal•sheet if neeeisary :•� -'•t%�"��^:_t'_'�"��" Failure to secure coverage as required under Section 25A of 51GL 152 an lad to the imposition of criminal penalties of a fine up to$1.500.00 and/or one rears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day aping me. 1 understand that a copy of this statement maybe forwarded to the Once of Investigations of the DIA for coverage verification. I do herebt•cerrify under the pains and penalties of perjury that the infornwdon pnn ded above is true and correct Signature li I A 1 ate Print name - one# o&ial use only do not write is this area to be completed by city or town official city or town: permit/license# rnBuilding Department Licensing Board ' D check if Immediate response is required QSeleetmen's Office (311alth Department contact person:• phone#; MOther Y•Ifrl1F�:�Y..-....ram ..w .� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an emplwce is defined as every person in the service of another under any contract of hire; express or implied, oral or written. An emplgrer is defined as an individual, partnership,association. corporation or other ;;.gal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer• or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than 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 1.52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the common %•ealtlr for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionalh•. 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. .�w.+r!r:.ew�'p��R!+••.r."•�"'�.wr` ..a 1 i.ra. a.: i^...^aa:• �' D'•f:�.7::{'An �..�h'•;.. • ��`•��•..� w• - 1,).•.77ii L: •T 1 '.�.�f.fii it•.1:4 •..•,.. 1•1 y�•,.:r .�: 1..• •yit �..�• .y.^ �^•.ly:.:. �•w'�•I;l•Y• . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affrda�•it. 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. '•.+7�•Mwr�aYRAA1:••@.!R7 •sue►w..n,o+ , ., _ _ - �.�...�:-:' M.: ,`• -w:a's •TM7 � _ • _- -- .... ... �.'..- ...:..... .. ...., :.�.......� .: •. "".�•+i':'iaf:iwTL:.'i. '!'iw:'r'�$MU .Sii7H! ..�•• �1u�s';.�..!!��1 .lI• City or Towns ?lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of :he affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please 3e sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to .he Department by mail or FAX unless other arrangements have been made. ?lie Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, )lease do not hesitate to give us a call. S--.-�+--"-"•�•-.:'�—i'!�!r•a��.. - + - •y..-.:: �s::...<•� :« .ifs: .,.:�:••� _ _ 1'he Department's address,telephone and fax number. The Commonwealth Of Massachusetts - Department of Industrial Accidents Office of Investigations „•... 600 Washinaton Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 The Commonwealth of Afassachusetty Department of Industrial Accidents ` 1 OffIC8Of1109Sflgallons 600 !f us!rng,ton Street Boston.,M&s. 02111 Workers' Compensation Insurance Affidavit .t�PPlic•tnt information•• Please PRINT le��jy�•�—M^-� Incat' n. L t�• I IChone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity , [J 1 am an emplover providing workers' compensation for my employees working on this job. conmanv name, t r , address• a I city nhnne ft• insurance cn noiiev# [1 1 am a sole proprietor. general contractor, or homeowner(circle ate) and have hired the contractors listed below who have the following workers* compensation polices: comnanv n•rrne• atitirctc• - citn•• phone 0, - incur•rncr cn nniiev H cnmpnny nirnr• addresc• rite phone it• insurance co policy tt Attach additional shct:t if nrccssa - ^- + --+% !^ r '��'�' -' •'• ' "`�• -: -•.c -.—rY .::Y.._s....«..:. �- --�-,y :_:__:__r,�---�+------.__.•_�--._...._.—„�. �._..- _--�-:a.�•r.,:�e•.,.a.:-ten. Failure to secure coveraec as required under Section:5A of 111GL 151 can iced to the imposition of criminal penalties ol•a line up to SI 00.110 andiur one i cars' imprisonment as weil as civii pCnaitics in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that n Copy of this statement ma. be forwarded In the Ofrrce of Investigations of the D1A for coverage verification. I c10 herehr cenif r n(ler the pains and penalties ojperjun•that the information provided above is tru )td correct. Si_nature Date Print name Phone# ' olTiciai use only_ do nut�t•rite in this area to be compacted by tiny or town official city or town: permittlicensc# r•113uilding Department ❑Licensing Board ❑check if immediate response is required - ❑ Selectmen's Office t.. - ❑ticaith Department phone#: notircr contact Person: _� . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for employees. As quoted from the "law an etnpl({ree is defined as every person in the service of another under any contract of hire. express or implied. oral or Nvritteur. An empinrer is defined as an individual. partnership, association, corporation or other legal entity•, or anv two or me the foregoing en�-a,_ed in a,joint enterprise,and including the le-al representatives of a deceased employer. or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However owner of a dwelling house haying not more than three apartments and who resides therein. or the occupant of the dwcliing house of another who employs persons to do maintenance , construction or repair work on such dwclIin`_ ii( or our the :rounds or building appurtenant thereto shall not because of such employment be deemed to be an empiov: MGL chapter 152 section 25 also states that even-state or local licensing agency shall withhold the issuance o►- reneival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation anc supplying g= company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not tire Department of Industrial Accidents. Should you have anv questions regarding the "law" or if you are require to obtain a workers' compensation policy. please call the Department at the number listed below. . City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P1 be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to _Live us a cz-11. Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7 749 Phone T: (617) 727-4900 ext. 406, 409 or 375 ' CF"E r : . .~ The Town of Barnstable • BAILMesi.E. • Department of Health Safety and Environmental Services ArED � Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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. t/ Type of Work:QLX x ( `1?l \ _ Est.Cost Address of Work:�j!> ,/"Owner's Name LN Date of Permit Application: 101 70 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. J3uilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date �wner"s Name ` 1 Efigineeririg,Dept.(3rd floor) Map r:>� 9 Parcel dS Permit# House# J a5�� Date IssuAd Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee l� Conservation Office(4th floor)(8:30- 9:30/1:00.2:00)'=Z 4 P-ietnring-Hept:tlst floor/School Admin. Bldg.) Ftre6etAddress ed by Planning Board , _----- 19 BARNSTABLE. MA TOWN OF BARNSTABLE Building Permit Application P __ - Village—i'17' I Owner r �� Address SG�(_l/-Y1.'P Telephone Permit Request L Om` ennwe C)nde"9=4� �Wffl I L-b� WD�n P-LW1. �A4 rlywf-.�, -�n al ter' 3G.a.n 5 First Floor S square feet Second Floor 35a square feet Construction Type urpa m Estimated Project Cost $ _ )/200, ®O Zoning District A t Flood Plain Water Protection Lot Size o 6 9 Grandfathered ❑Yes p'f4o Dwelling Type: Single Family yy Two Family ❑ Multi-Family(#units) Age of Existing Structure f--'S Historic House ❑Yes r Wo ' On Old King's Highway ❑Yes )EPNo Basement Type: P Full ❑Crawl qValkout ❑Other Basement Finished Area(sq.ft.) 35� Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing 1_ New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ZiGas ❑Oil ❑Electric ❑Other Central Air ❑Yes 4PNo Fireplaces: Existing New Existing wood/coal stove ❑Yes W140 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) PAttached(size)2Cyr • 2 ) L/)( f ❑Barn(size) ❑None ❑Shed(size) $Other(size) Zoning Board of Appeals Authorization P Appeal# 9`�L�--� Recorded Commercial ❑Yes #No If yes, site plan review# Current Use"9M- ► -'Nn C�� Proposed Use <z, Builder Information Name Telephone Number - Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `// / -� A DATE v2 l7 0 BUILDING PE MIT DENIED FOR THEFO,LLOWING REASON(S) j r t e. FOR OFFICIAL USE ONLY r PERMIT NO. , ` r ,.-. _ .DATE ISSUED. MAP/PARCEL NO. ADDRESS _• ` VILLAGE, , E ✓ a.]3? OWNER • 3 DATE OF INSPECTION: FOUNDATION l - • �. FRAME* l INSULATION FIREPLACE 3 r `; ' w-`• J y _ ELECTRICAL:'' ROUGH k FINAL - _? i PLUMB ING: ROUGH FINAL _ ` GAS:,- ROUGH FINAL <<-, FINAL BUILDING DATE,CLOSED OUT, ASSOCIATION PLAN NO. r' r b Parcel � Permit# Conservation Office(4th floor)(8:30-9:30/ 1:00-.2:00) Date Issued a Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) kb fl#42, 0 B `-Pee 402� / Engineering Dept. (3rd floor) House# /. t5 �1ME nning Dept. st BARNSTABLE. 19 MASS e y �, TOWN OF BARNSTABLE Building Permit Application Project�Street Address /off S C i'IC-6- S Village 'Owner Address X Telephone - S✓ i` Permit Request i- i r, h s 4 YD /-.1�ed 4/J n /h f 47ci�G9 eel Q/ First Floor © square feet Second Floor �i�/ square feet Estimated Project Cost $ / SV O. v J Zoning District Flood Plain ,(? L Water Protection Lot Size a 7, -9/ Grandfathered ? Zoning Board of Appeals Authorization +/,l/J/J��/ /1/p , /q9y 07 Recorded Ode t 107�� �g�� Z✓�? Current Use Proposed Use Sg h-,ti Construction Type ti.ov 4 r,.-w ,-?-e- Commercial Residential Dwelling Type: Single Family !/ Two Family Multi-Family Age of Existing Structure !y�ic2,„.,/r/y 3S',egsr Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths - O - No. of Bedrooms Total Room Count(not including baths) First Floor i✓/�¢ Heat Type and Fuel /I�f,� Central Air /l/Z Fireplaces /V/� Garage: Detached /��,�1 Other Detached Structures: Pool 141 A Attached /11114 Barn ��l ZY None All Sheds S/e y/ W611 Other Builder Information Name Telephone Number Address License# t Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONS/TRU/CTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /� ✓:zJy6/e SIGNATURE DATE BUILDING'PERMIT DENIED FOR THE FOL OWING REASON(S) )< 0 b12 L-� 11a4p 4q4i) ° or FOR OFFICIAL USE ONLY 4- f _ - PERMIT NO. DATE ISSUED # MAP/PARCEL NO DRESS VILLAGE OWNER N 4 DATE OF INSPECTION: t - FOUNDATION i .r FRAME' INSULATION ' C, FIREPLACE ELECTRICAL: ROUGH FINAL A ", PLUMBING: ROUGH FINAL GAS: 3 ROUGH FINAL (� s FINAL BUILDING 1 1 DATE CLOSED OUT r , ASSOCIATION PLAN NO. i r Parcel (!Sq Permit# 3 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) S" Date Issued 3 - Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) kb 0I,lMb,2., F4 40-f �`�ee o2 ed / Engineering Dept.(3rd floor) House# _ 1-Z.0 mmng Dept.(1st flooYMMul Xurni 1. BARNSTABLE. ` e MAR& y 19 , te39. rED N1Pr A TOWN OF BARNSTABLE ' - Building Permit Application Project Street Address 5 C C, Ids Village �'l es 4,� Owner /C 449.1 41- Address /-1 j Gam, 46 Telephone - Permit Request v/o w i- 1:f /7 ) J Cf ro heal ti✓�� O/hialJ a /h f Ai// 5- 1Z1- )p 6cZ 6-e- First Floor square feet Second Floor square feet Estimated Project Cost $ /, S V o. v J Zoning District R 1) - Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Alf eg / /Jl0 , /y9y - 07 Recorded Current Use ,et1i,cl•. A,-,/ Proposed Use Sa.•, -e Construction Type woa d ,C>y."--e- Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure fr/,z 3 Basement Type: Finished Historic House I//4 Unfinished Old King's Highway /L/l/� Number of Baths - D ` No.of Bedrooms Total Room Count(not including baths) it//41 First Floor Heat Type and Fuel Central Air Fireplaces Fireplaces Garage: Detached 162 Other Detached Structures: Pool Al "t Attached 4//¢ Barn 44/01 None Sheds Si ire df Other t Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,1?01✓iji�9�/� SIGNATURE DATE J` BUILDING PERMIT DENIED FOR THE FOL OWING REASON(S) ti qs -h ri P-1/)nt a 'SG) i - ce-d-ar Jf 7YA I 70--r7 d 7 +F 4 9 i. +f � � h � �,. `.� t - _ r .� � � ' �' a - K .� � �. ± .wti �. .. ..% � , 1 t . ' i. � y ,,�� �r� i � � .. l,� t? • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 12 r �. l f,I 5�i�e C' �•-v� //C Number Street address Section of town "HOMEOWNER" �5 �t �. /yJv r��,i 77 F 931,( 7 Name Home phone Work phone . - PRESENT MAILING ADDRESS /2 S 0_4.-ds S"' -e C 0-/ //� dz� z City/town. State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acGp-ptAble to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE J APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a '-building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they ar e assumingthe responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Su ervis p ors Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner acti as supervisor is ultimately responsible. To ensure that the Home , Owner is fully aware of his/her responsibilities, ma. communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On th, last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. The Town of Barnstable Nag Department of Health Safety and Environmental Services °13 Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosses Office: 508 790-6227 Building Commis F= 508775-33" For office use only 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,.mmotial, demolition_ or construction of an addition to any pre c� Owner occupied building containing at least one but not more than four dandling units or to SM===which am ad'aaent to such residence or building be done by registered eomractors,with certain Cceeptions, along with other requirements Type of Work:127�s �� [✓�ac�e��� rtk fA v� -► Est Cost • .ld Address of Work: C 2,3— Oaner.Name: w. It Date of Permit Application: I hereby certify that: Regisnation is not required for the following reason(s): Work excluded by law Job under S1,000 Building not comer-ooarpied Owner pulling own permit Notice is hereby given that: CONTRACTORS OAS PULLING'I'1iEiR OWN PERMIT OR DEALING WtIfiUNTtEGD FOR APPLICABLE HOME IMPROVEIuiI:'NT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGM.c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ov��ier. Date Contractor mme Registration No. OR ' n, A Owner's name • TOWN OF BARNSTABLE . BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE JqD JOB. LOCATION Number Street address Section of town "HOMEOWNER" _ ) / Name Home phone Work phone 4 PRESENT MAILING ADDRESS '�{ /�,lQ " City town State Zip cod The current exemption for "homeowners" was extended to include owner-occ•-� ' dwellings of six units or less and to allow such homeowners to engage an i. dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to side, on which there is , or is intended to be, -a one- -or--two family -dwell_=lc attached or detached structures accessory to such use and/or farm struct•.ir_ A person who constructs more than one home in a two-year period shall not r considered a homeowner. Such "homeowner" sha11 submit to the Building Off on a form acceptable to the Building Official, that he/she shall be resmor-_ for all such work performed under the buildi.na permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and require--en- and that he/she will comply with said procedures and requirements. 30MEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL late: Three family dwellings.,35 , 000 cubic feet, or larger, will be requirec. :o comply with State Building Code Section 127. 0 , Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which,a buildi::c permit is required shall be exempt from the provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that is Home Owner engages a person (s) for hire to do such work, that such Home shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulatio::s for . licensing Construction ' Supervisors, Section 2. 15) . This lack of aware:: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the :nlicensed person as it would with licensed Supervisor. The Home '*Owner ac: as supervisor is ultimately responsible. , "-o ensure that the Home Owner is fully aware of his/her responsibilities, m: "ommunities require, as part of the permit application, that the Home Owner ,ertify that he/she understands the responsibilities of a supervisor. On "- Last page of this issue is a form currently used by several towns. You ma": ,are to amend and adopt such a form/certification for use in your community. Ta': ds� 3 . 46 S o.. 'gtyyH-+ �+'-� {S' J..r! ' r�1 t c' 'i�.� Y�:a�=,r �..' � tr T. 1 �•"'',.� t •i .Kra,•.. .. lj flr Nfd ji{3 1 X C •F, (. .hf �O 2' ir4� .k�' .i { ` '� /.. f. ��� V+`-'p h..lj -rc r s } '� .. ..r" ,yr} M Y.r4 ':; 1 �, I .v •J `v„ l • �) ;1 t F !' tit r ��,,}r• :, r �. a :t.1 o. 46 o T 0 <" 1 f..G . � 1 tla.a"ram� r�� 'r \ �• � .�j �TH1. ci 60 LOT ` y Z '0 i mi Also t7591,.sq.ft ' 0.63 Acros , o i BENCHMARK: I i • CON C: BOUND FND. O •75.00 .. . 1 j AT EL'.45.61 O ...'... O 20' R.O.W.. SURFACE i N(POND T EL 26.0-. i 196.1 — --- ' -- ------ '' - -- -- ^' 20' WAY # N/F ESTHER L FLINKMAN . BREAKOUT: 42.12 - 36.0(150%) 7.2• FROM EL 42.12 . SEPTIC PROFILE 127' t T.O.F. AT (1 46.0 RING COVERS TO WITHIN 1 OF FINISH G PROPOSED INVERT AT EL. 43.0 (EL. 46.0) MINIMUM i' OF COVER OVER P (H10 LOADING) SEPTIC DESIGN: (GARBAGE DISPOSER ALLOWED) ��oo (H10 D86) ' DESIGN FLOW.. .3. BEDROOMS (1.10 GPD) 330 GPD I `1.330 GPD/:75 440 GPD DESIGN 'FLOW PROPOSED 1500 ' 42.78 GALLON SEPTIC 42.53 - ry SEPTIC TANK: 440 GPD (2.0) 880 'GPD TANK (H1o) 'o0o00 USE A',1500 GALLON 42.19 : SEPTIC TANK ^o n - 0 ` DEPTH OF FLOW 4' LEACHING. 440 GPD (1.5) 660 GPD REQUIRED TEE SIZES: SIDES: NO SIDEWALL ALLOWED INLET ° 10r MIN. 6" CRUSHED OUT LET DEPTH 19",BOTTOM: STONE UNDER (56*12) (1,0) 672 GPD 2 0' Box v 'TOTAL 672 ...S.F - 672 . GPD USE (6j FLOW DIFFUSORS WITH '4,' OF STONE : ALL AROUND ' FOUNDATION-1 l SEPTIC TANK .17' D' BOX — NOTE:' LEACHING SYSTEM IS WITHIN 250' OF A WETLAND, AND IS WITHIN 14, OF ADJ. GROUNDWATER ELEVATION } NOTES: ,off 508-362-4541 ,,fox 508 362=9880 1. DATUM NGVD •TAKEN FROM HYANNIS QUAD MAP. k 2. MUNICIPAL' WATER IS AVAILABLE 3: PIPE PITCH TO BE 1/4" `PER. FOOT. 4, down Ca a enpneenngi1nC. 4. DESIGN LOADING FOR PRECAST UNITS (SEE SEPTIC CROSS- p 5.; PIPE JOINTS z TO BE MADE' WATERTIGHT. 6 ,CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. CIVIL ENGINEERS ENVIRONMENTAL CODE TITLE V. F 4 " i ; .7..'THIS. PLAN FOR PROPOSED WORK :ONLY 'AND: NOT TO BE US SURVEYORS.,� . FOR LOT LINE STAKING. 8.: SCHEDULE 40-e PVC PIPE TO 6E USED FOR SEPTIC SYSTI wt 93$j na � � y'IA ma 9. D'BOX TO BE WATER TESTED FOR LEVELNESS; ARNt j , + o��� 1.A�15' l BOARD OF BRAI. / t / BARNS 1 ABI "AR1VE""1L`;OJALA, P.E., R.L.S DATE APPROVED DATE _.._ x t3 93-,475 42 N 2o�T r l .4444 DS Locus Tc1AP low- -rr� SctaLE. �v�v �'U \��UC1 , .✓' 4 -` Zc>i.lG 3>l5—letc.T : MAlW. Ler 5ax— 43,5&o s9 T t1i(11.1. LciT' S Zo 4 . \ I k4 i W, t31-D C. . SETOAck S 26p \ \fir �. \ O :r WE71-.6,1-A0 11 . n j C'4-4 w d t 1 tJ � PL_A'N C>+= LA t'j Z> I A.3 I ao aJn cope en9in��r-�hq� roc. <e�.N,TEQ�/i t....L.E. ) P�AIZN S T`,4 S L.,E` Ill A CIwL_ cuGll-►EE.�S I L,fi.UD Su�C�ro12,S ! -i-e. �a - Ya.�r�ouT�+, ►�ce.ss , Pre_SPAR--D ;=-0 e. I tiH Of .�Gtc, 16� Iqg of ¢ LCr ' � 1:► Sr4c�w�, �,.� p Ao- E rat. M c)f�G A Ki d ' H u 'PL-4c�*►.1 ecpo%L 1,09 l" c�AGE 1L3 . I -4-. j OJALA v GIVIL c�i� �26348 0� No. 30792 GP.LCl7ECEt-41f3E� Kcal �993