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0153 ELLIOTT ROAD
. r u o , e F f ,JI '�l ` 4111,k-47 Department ent of Regulatory Services t Ii l-I BAItN3T,ABLE �r..y BUILDING DIVISION BY << Ar. .'.A .. F .1 f;F;t.-. r E.•, t. IAFI,t r r . , --- lip BUILDING INSPECTIC tq APPROVALS %I..UMEINv INSPECTICN APPROVALS ELECTRICAL INSFEC?Iv": APPROVALS L HEATING INSPECT;ON APPF40VALS ENCiNEERINC '—r[.PA�*k MEN' _ — BOARD OF HEALT._._— ,, _....._ SITE PLAN FEVIEW APPROVAL N T PROCEED U', '_,L i�PERMIT WILL BECOME NULL AND VOID IF: CON- "A `nE C' IC,N r: C it if,ti4 ( "'1r)HH1A of rrrlj'vf:L}iHE STRUCTION WORK IS NOT STARTED WITHIN $IX j r, al,rs QF 4}.V"rRU I MONTHS OF DATE THE PERMIT IS ISSUED AS i E'PHONE � 1 NOTED ABOVE. T iON TO 39kAd HST MI1 1390d t'0690Zb80sl OZ:bT 600Z/ZT k7T / TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Parcel 3G Permit# `� � (l t , Health Division r5 —j00 1 16 A A-10 A Q0 ���`� Date Issued l — Conservation Division Application Fee Tax Collector Permit Fee Treasurer SEPTIC SYSTEM MUST BE Planning Dept INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 = EWIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address _ 5 3 4,&4 Village Cejt3 Owner SG-C K 1 ew It Address Spa kn P Telephone ���Z�7 :Z v Permit Request X ZZ' Square feet: 1 st floor: existing!0 proposed d 2nd floor: existing 7(f0 proposed a Total new Zoning District Flood Plain Groundwater Overlay Project Valuation eConstruction Type Lot Size Grandfathered: ales ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2 Two Family ❑ Multi-Family(#units) Age of Existing Structure D Y Historic House: ❑Yes O-W On Old King's Highway: ❑Yes Basement Type: M Full ❑Crawl v❑Walkout ❑Other Basement Finished Area(sq.ft.) a 7d S P Basement Unfinished Area(sq.ft) /V'70 Number of Baths: Full: existing Z new Half:existing new C� Number of Bedrooms: existing new d Total Room Count(not including baths): existing _ 77 new G First Floor Room Count y Heat Type and Fuel: aYGas ❑Oil ❑Electric ❑Other Central Air: Cl Yes AVo Fireplaces: Existing I New D Existing wood/coal stove: ❑Yes Flo Detached garage:❑existing ❑new size Pool:❑Qeexisting ❑new size Barn:❑existing ❑new size Attached garage:Gaexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Wlo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name &�Pltl_ /� Telephone Number Address jZ License# p K! Z Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Jam/ ✓w/IX'/8-l D l' SIGNATURE DATE A161 pf FOR OFFICIAL USE ONLY Q PERMIT NO. DATE ISSUED MAP/PARCEL NO. i ADDRESS_ VILLAGE i OWNER r-DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH(r c'. c> FINAL GAS: ROUGHn FINAL FINAL BUILDING a - r T. D DATE CLOSED OUT r ASSOCIATION PLAN NO. ti j r J i J L s . Town of Barnstable °;. Regulatory Services `- t Thomas F.GeUer,Director Building Division ED-MA TomPerry, Building Commissioner 200 Main Street, Iiyauniss MA 02601 www.town barnstable;maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section . If Using ABuilder' jj j c- e1 c` ,as Owner of the subject property hereby authorize; <�'�n 2�—E S� to act on my behalf, in all rriatters relative to'work authorized bythis building permit application for;, (Address of Job) Signature of Owner Date _ o Print Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE , New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 2 square feet x$64/sq.foot= 3 x•0041= plus frombelow(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= 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$96Isq.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 Sivirnming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Proicost Rev:063004 ^� The Commonwealth of Massachusetts Department of Industrial Accidents 600 Plashing ton Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit General Businesses address, zip- one y1` state: '• ' VRm_' a=S_oij1'3_eprU�riVor t ln full ass: e• Retail❑Restaurant/Bar/Eating Establishment and have no one Business Typ : o Office[]Sales(including Real Estate,Autos etc,) working in any capacity. ❑I am an em�to er with eu ]o ees full& art tine. ❑Other / / /yy/, �/�� // ��//%/ //////r/%//%y//�//fl// e�e/s worl�n on this ob I am an employer providing workers' compensation for my.!P y , g I ; company, M V. ,. .,, -''•:: a+•' i.•C is i:•.;S �': �i, ,t•!� at• ,y:f5: .5,5, ,'!':{'�•,i r• a IN city: � , .,, . .. ... '•.; F'• ,,i:; . !insurance.co:� .• .'. ..' : �:: . ..�. •' / %// %///• �: .....: . ....: ... listed bel I am a sole proprietor and have hired the independent contractors ow who have the following workers'. . compensation polices: 4:: ;. COmY9II IISID : : t "•, :r.' Y o. .t,` �j• ..5 1 'r'I r4 i r •• :.t'•::j. •.'. i .. address j •,,.4 hone# eta r C3tV:. ,,.••u. ''!'J`•{; 51'"' 'e'f. • ' ,� tr .1� '. �� ���/// ev siirance co �/j////� / /r { r•.. .v..�f �d': it±:•S:t'.i'�� ..t' �4. .Y' .j i' 1 ;`J•• _ - _ - cam' IIsaie: address: '.� ,•� . . •,r:5, A 'honed!• ' •.,•.r. //%/%/%% 171117117117111171111171, // /rj// Fallure to secure cove1,500-00 rage as ell Evil mer Section 23A ofslties the form cf as STOP FyORK OGLItgDERpand a fine ofosttion i5100.00 a day a;sia+tmI Sdatand.thatand/or one years'imprisonment as w p copy of this statement may be forwarded to the Office of investigations of the DIAfor coverage vetitication I do hereby certi der th p s ti of per ry that the information provided above is true 4V cor er Data Signature l� y : Phone# Print nameMIZ ' �• his area to be completed by city or town offida] official we only do not write is t • permit/licease# ❑Building Department g3 City or town: (]Licensing Board ❑Selectmen's Office ❑check if immediaterespouse is requited C]HealthDepartment .. phone d ❑Other V. contaetperson- (re5•fted aept 1003) .. _..•�-,...•»�—.,h•=°tom•-, Information and Instructions Massachusetts General Laws chapter�152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service-of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association,corporation or other Iegal 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 152 section 25 also states that every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate.of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit shouldbe 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•"lave' or if you are required to obtain a workers' compensation policy,please call the D.eparfinent at the number listedbelow. City or Towns Yleasebe sure.that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the . affidavit for you to fill out in the event.the Office of Investigations has to contact you regarding the applicant: Please ..: . . . be sure to fill in the pa-nit/license number which will be used as a reference num m ber. The affidavits• aybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would hlce to thank you in.advance for you cooperation and should you have any questions, please do not hesitate to give us a call. %/a % WN //% //% The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial-Accidents ogn at imstlgatlons 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 p*ISE r� Town of Barnstable V1 Regulatory Services saxivsTasr.E, Thomas F.Geller,Director 4�A MASS.. a Building Division QED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date O 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: 43D� Z /� ` ted Cost ��•`� �,` Address of Work: . Owner's Name: e�rA_ Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []owner pulling own permit Notice is hereby given that: i OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: L Date Contractor Name Registration No. OR Date Owner's Name Q:fotms:homeaffidav Boa d o Be d' I( H Real.. ` pVE�ENT hoas�d sta°dar / � � CANT ds l yq r l�`�1D��ttoR �1gst R4CTpR Rp RBpRSIDE /, � j -��006 ' 101 RpSEM F •. �t r, CENT _... Admiais -_.. • -- trator 8.0q,01D®F . + "License-SC®NS_j j--G REG�LATI,ONS NLmber:�5, N SUPERVISOR 0573 ON dae., 8 x 94 x p /fl2�g¢2 i r� s D6162/2^A05 Re hrTc eA r j Tr,no: 82, ppjBERT(, WALu`�l1` a r f CENR SER'Y LN R1%►LL-E, Nlq 02632`.. �a,.y is r ator Q -� v FAN MPORTANT ACTION THAT INCREASES LIVING SPACE / BENO SQ. R PER LEVEL MAY REQUIRE THE b INOF ADDITIONAL SMOKE DETECT S. �Zr — ,�e a NOATE PERMIT IS REQUIRED FOR INS F SMOKE DETECTORS—THE ELECTRI AL PET SATISFY THIS REQUIREMENT. a-- - s IHE Tpy� The Town of Barnstable , NdY O,' '• 9AR LE.MASS. Department of Health Safety and Environmental Services 9 MASS. 0a 039. ' pTFo Mp1' Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner:E I i S c, n( 1% E 4 �e Map/Parcel: 2 q 8 3 U Y Project Address:J .3 LL 11 f;4 Builder:Rb1�RV-+ W CI S k The following items were noted on reviewing: I ''z�) !! f rDli :fi r e C Cvu p �r G Te c� S F1 (,�e.;- C'1\f\ 0 "3 6 01 �,x::. .gip•- " r'n Reviewed by: ' R " Date: " 47 p �r q:building:forms:review Assessor's map and lot num ev........ ge—..X—e THE � _ �.�. SEPTIC . Y,STEM'�MU��4, ropy Sewage Permit number ......: ..........F. 4 PLIA INSIAtiL IN COM t • �-- .......'............... WITH TITLE 5 9 eM9T�LE.� House number . . .,........ rnea aNVIRONMENTAL CODE 0 MPY \00 a• TOWN OF BARNS'TAME-1-hTIONS BUILDING INSPECTOR . APPLICATION FOR PERMIT TO ..... ......... .... ....... .. ... ........... ...... ..................................... TYPE OF CONSTRUCTION ............10PO.. . ....... ........................................................................................... ' ...................A. /.......•19 TO THE INSPECTOR OF BUILDINGS: 'f The undersigned hereby applies for a permit according. to the following, informatio : 1 Location r.Z ..... �� .... ........................:..................................... ..`......... .............................................. Proposed Use .... ... ... . ... ......... . ........................ . .................. ........... ..........I............................ . Zoning District ........�..�.......... ....................................Fire District...................................... � C�G� . ............,..... ............. Name of Owner .... .. ................ ...... ..... ... ......................Address f!!�f......... ......�..�� Nameof Builder ....................................../............................Address ................................................................................... Nameof Architect •..................................................................Address .................................................................................... Numberof Rooms ................. ................................................Foundation ..............�f......... ............... ............................... Exleriory�-r:'. ........ ................................Roofing ....................... ..................... ... .....�..:........................ Floors ......................................................................................Interior ......... Heating .............. ...:............................................................Plumbing ........................!. . ............................................ Fireplace .........................................................Approximate. Cost ........ 0Oj�!.V...:........................ . ...... Definitive Plan Approved by Planning Board _________1__ 19a— Area ......,........o.o................../ y .Diagram of Lot and Building with Dimensions Fee / "............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH (j ^ OCCUPANCY PERMITS REQUIRED FOR NEW DWEL I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding th above construction. Name ...... ....... .. .. ....... ... Construction Supervisor's License J NICKULAS, LARRY D. i4o Permit for ...1.1..Story . ......... ................ ..........Single Family ... ..... ................... .. .................. Location ....L.Qt..2.3.... 153 Elliott Road ..........:................................ ................. rville................................. Owner ......j�;A"KKy..P.....N.icku.I.as........................... ........ . .... Type of Constructio'n, ......Frame........................... . .................. ............................................................ Plot ................... Lot ................................ Permit Granted ... November 4,.....................................19 85 Date of.Inspection ......................................19 Date'Completed ....... ......I qPC > V ;b. 0 p 2 M C) Cr r.) 0 y. // Assessor's map and lot number r.....�Me- ..'.....(� Q0f?HETp�I. ' Sewage Permit number .......... _ tQQg 'House number Z BJHB9TAILE, ....... .......................... i MAM ape,039. 'FC YPY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... (,�-.. - '' -�•..•, � � ; TYPE OF CONSTRUCTION </ ......................... ...........✓.. .......19 f .� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following, information, It Location � `ff.....•r. '7 ... .. .... :�.. .,.. ..... Proposed Use ....... T..%�' ...........ilC� :: ...................................................... r .. /J X . "� . Zoning District ........ , ...........,.................... Fire District ty`' LA Name of Owner Address ...: k Name of Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ................f..,...............................................Foundation ..............v..............f.....................................:.......... Exterior ..............:ri':a':- :. .r ^.'�...............RoofingS� e.......................................... Floors --'"'"" .Interior > '� ................................................................... ................................................................. Heating ................f.1............................................................Plumbing .............................> ................................................... Fireplace ....Approximate Cost : ? Definitive Plan Approved by Planning Board __________ 19�� Area ......:!r :..`.:... ............... pa .Diagram of Lot and Building with Dimensions % Fee �— .. SUBJECT TO APPROVAL OF BOARD OF HEALTH v Air, OCCUPANCY PERMITS REQUIRED FOR NEW DWELL LL INGS. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.reg d nar ii g f eh above construction. Name .....................',�'J�, A ,�-"a'.. -2�... .1� Construction Supervisor's License 4!. .'...`........ NICKULAS, LARRY D. L1t=228-4-3-9=2 No ...28625... Permit for ....1 Story .............. Single Family Dwelling ... ..................... ........................................................ Location .....Lot 7, 153 Elliott Road ................................................... Centerville ............................................................................... Owner Larry D. Nickulas ................................................................ Type of Construction ......Frame ................................................................................ Plot ............................ Lot ................................ November 4, 85 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 6 Lap ~ . r r r to TOWN OF B A RNSTABLE Permit No. ------28625 ----------------- Building Inspector; s.aa�ra Cash -----------_—__--:_---- ew k° -- '"' Bond` OCCUPANCY PERMIT _____ - 1 � Issued to Larry D. Nickulas Address lot #7 153 Elliott: Road, Centerville Wiring Inspector Inspection date Plumbing Inspector- 1 Inspection date _ Gas Inspector Inspection date Engineering Department �` ,- �� Inspection date Board of Health 1 � , i E Inspection date THIS PERMIT WILL NOT BE IVALID, 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. ....... L/ J\ Buildin Ins ector e l TOWN OF BARNSTABLE BUILDING DEPARTMENT ! DAH33T : TOWN OFFICE BUILDING ,639• HYANNIS, MASS:'`02601 �OIUY A'. MEMO TO: Town Clerk FROM Building Department . DATE: An Occupancy Permit,1as been issued for the building authorized by. Building Permit #:» ,. fv � ....»» . ...... ......... �r� try �,Cs ? »07 issued to ......� »._.»» ».... ... ....»..» Please release the performance. bond. i Z_ r i xo�'�4 lie) 0j/ca / u I Vl I 3 p I - 33 11 N Z v ol 32'= i 3a-vol CERTIFIED PLOT PLAN Y IN SCALE, I "- DATES fi l� /C/<vL.9 s CLIENTi CERTIFY THAT THE °�N��7r �N --� 613TERED REOISTERED SHOWN ON THIS PLAN 13 LOCATED 40B NO. S/3 6 ON THE GROUND AS INDICATED AND SIN LAND CONFORMS TO THE ZONING LAWS ENGINEER >3URdEYOR DR,8Y, �I Excc-7,r OF ®AkI+dBTA®L , AIA8.63 4�Nt7i-D 712' M A I N 3 T R E.F:T Cbi.gYs HYANRIS, MASS. / / La HEET,,.OF DATE REG. LAND 8URYEYOR TOWN OF EARNSTAELE BUILDING PERMIT APPLICATION A t" Parcel 3 S Permit# L J: 42 Health Division Date Issued �Z SEPflC SYS SCE Conservation Division " V MUST BFNS'i'ALLEDINCOMP IDE Fee a k �V Tax Collector ' WITNWM 6 Treasurer n ENMRONMEWALCODERND Application Fee TOWN REGULATIONS IV Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address S' C..C, ►o TT_ Village ( ,e-�•Qrv; CLe- Owner �o iJ 1=.� � e-. Address 153 C t-o D+f- Telephone S���_r_-r, -O) --- Permit Request (--Fc ' o aJ 4-- 1-LI ems A4;o 2 e 4t2- 4 q A44,�! , Cs� v eA r Square teet: 1 st flloor: exi ting proposed SU 2nd floor: existing proposed _ Total new ..42V Valuation Ali Zoning District Flood Plain Groundwater Overlay U-.)P Construction Type Q ; L Lot Size" t 5-c?, ? "` Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. t CD LA.) Dwellingype:angle Fa ily 01_ Two Family ❑ Multi-Family(#units) • Age of Existing Structure ZD Historic House: ❑Yes '(No On Old King's Highway: ❑Yes ' XNo 3 Basement Type: kFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ww Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new D Number of Bedrooms: existing new 0 Total Room Count(not including baths): existing new First Floor Room Count S Heat Type and Fuel: ❑Gas O Oil ❑ Electric ❑Other T Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Xexisting ?:new size $X Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# ' Recorded❑ Commercial ❑Yes *0 If yes, site plan review# - ~ Current Use ��si pec�rinI- Proposed Use d D ` c. `BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESU LTT7 FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ZP DATE ' FOR OFFICIAL USE ONLY ra , PERMIT NO. DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION m 5 �5ona�✓ I��LZ� FOUNDATIO FRAME 0� INSULATION .r �/fl� la ycw GC Y�lIk FIREPLACE j tr #o g - ELECTRICAI� trj R Q A FINAL, J m PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 19I - DATE CLOSED OUT ' ASSOCIATION PLAN NO. r Department of hidastiial Accidents y' Office.of Investigations' ' . 600 Washington Street Boston,MA 02111 ' .•�a www.mas&gov/dia Workers' Compensationjlwuralnce Affidavit: ]builders/Contractors/Electricialis/Plurrabers ADDHeant Information Please Print Lep'ibly g Name (Bnsiness/or nization/Individual): Address: �5,3 V0 Ar r.> -- City/State/Zip: { e:r�•'� C.L� l/�F�' Phone#• �f��"� 3 q_ 3• Are you an employer? Check the appropriate box:. Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New contraction employees (full'and/or part time).* have hired the sub-contractors 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 mein any*capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp.insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their 3.�I am a homeowner doing all work right of exemption per MGL lY-❑ Plumbing repairs or additions elf: o workers' co c. 152,§I N,and we have no 12,myself:[N comp. ❑ Roof repairs insurance required.]t employees. [No workers' 13.[3 Other comp.insurance required.] •Any applicant that checks box#1 mustso fill al out the section below showing their workers'compensation policy infoanntion: 'r> t Homeowners who submit this affidavit indicating they axe doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurance-Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby ertify under the P 'ns and penalties of perjury that the information provided above is t e and correct: Signature- Date:'.Phone#: E only. Do not write in this area,to be completed by city.or town offcctal, n: PermltUcense# hority(circle.oneHealth L.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: Information and Instructions ers to provide workers' compensation for their employees. ' ' chapter 152 requires all employ pr . sachusetrts General Laws hap eq contrast of hire Mas 'ce of another under any , ' the seen Pursuant to this statute, an employee is defined as ...every person m express . implied,oral or written." « , association,oarporation or otter legal M ity,or any tivo or more An employer is defined as-%n is 4.1'aL...Partuerslpp•: of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,o r the receiver or trustee of an individual,pa rtnership, association or other legal entity,employing employees. Howov..er.tbe 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 woikvu such dwelling house or on the grounds Or building appurtenant thereto shall not because of such employmentbe deemed to be an employer." MGL chapter 152, §ZSC(ti)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." ter 152, 25C states"Neither the commonwealth nor any of its-political subdivisions shall Additionally,MGL chap § (� enter into any contract for the performance of public work.until acceptable.•evidence of compliance with the insurance requirements ofthis 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 snb-contractors)name(s),address(es)and phone numbers)along with their certificates)of anies(LLC)or Limited Liability Partnerships(L•LP)with no employees other than the insurance. Limited Liability Comp ' 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' at the number listed below.. Self-insured companies should enter their compensation policy,Please call the Department 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 bloom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the app licant Please be sure•to fill in the permit/license number which will be used as a reference number. In addition, an app that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy inform(if necessary)and under"Job Site Address"'die applicant should write"all locations in (city or Viva)"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 permitp-or-licenses..A new affidavit must be filled out.each en is obtaining a license or permit not related to any business or commercial venture year.Where a home owner or citiz (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit le to thank you in advance for your cooperation and should you have any questions, The Office ofInvestigatians would]fi please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . -. Department of Industrial.Accidents . . .. .. ,: Office of�nvestjgations 600-WashingfonStreet- . Boston,MA 02111.. Tel.#617-727-4900 ext 406 or•l-877-MASSAFE Fax#617-7274749 Revised 5-2645 www,ma'ss.gov/dia �.� Town of Barnstable Regulatory Services i i Thomas F.Geller,Director • �'���''.�� Building Division Ea r� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL 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. n II Type.of Work: A dd i 2 oa �- - ► �- e•� Estimated Cost ��i Address of Work: Owner's Name: �1 °�'y ✓���a Date of Application: l 2-� 28 OS I hereby certify that: Registration is not required for the following reason(s): C]Work excluded by law ❑lob Under$1,000 Building not owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WI'!'H.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 4ate � DS, Owner's Name Q:forms1omeaffidav ' a Town of Barnstable Regulatory Services BARNSTABLE, « Thomas F.Geiler,Director MASS. , •. Q, i639• 6..0 Building Division ArEo � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION lPlease Print DATE: !Z_ 1 2OG,S- JOB LOCATION: 1 53 t_:::' LL { O++ �l one .QIJ+�ILVi L� Q nnu(mbber/ M street village '/- "HOMEOWNER":_ i )C� /lam 1 `// 1�14 �C� 5©8—Zc/7 3-gyop name home phone# work phone# CURRENT MAILING ADDRESS: S3 1'LL i G f h Rd city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER ' Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) i The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The iAndersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department 3um insp on procedures and requirements and that he/she will comply with said procedures and requ em s. re omeowne Approval of Building Official 1 Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the 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 Permit Number REScheck Compliance Certificate Checked By/Date 2003 IECC REScheckSoftware Version 3.6 Release I Data filename:C:\Program FileslCheck\REScheck\Meadel.rck PROJECT TITLE:Meade Residence CITY:Hyannis STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE:Single Family WINDOW/WALL RATIO:0.19 DATE: 12/27/05 DATE OF PLANS:November 1,2005 PROJECT DESCRIPTION: Alterations and Additions 153 Elliott Road Centerville DESIGNER/CONTRACTOR: GNG Design Onset,MA.02558 COMPLIANCE:Passes Maximum UA= 193 Your Home UA=198 2.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door t -Value B;Value -Faccor DA Ceiling 1:Flat Ceiling or Scissor Truss 675 0.0 30.0 - * 21 Ceiling 2:Flat Ceiling or Scissor Truss 258 010 30.0 8 Wall 1:Wood Frame, 16"o.c. 520 13.0 0.0 27 Window 1:Wood Frame:Double Pane with Low-E 94 0.340 32 Door 1:Glass 101 0.320 32. Wall 2:Wood Frame,16"o.c. ' 528 13.0 0.0 .43 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 576 0 0 19.0 25, Boiler 1:Other(Except Gas-Fired Steam),84 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the 2003 IECC requirements in RBS eheckVersion 3.6 Release I (formerly MECchec4 and to comply with the f mandatory re"irements listed in the RES checkInspection Checklist. Date Builder/Designer t-� z� �S i ice' REScheck Inspection Checklist 2003 IECC REScheckSoftware Version 3.6 Release l DATE: 12/27/05 PROJECT TITLE:Meade Residence Bldg. I fit• 1 Use I I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation ( Comments: [ J ( 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation I Comments: ( Above-Grade Walls: [ J + I 1. Wall 1:Wood Frame, 16 o.c.,R-13.0 cavity insulation I Comments: [ ] ( 2. Wall 2:Wood Frame,16"o.c.,R 13.0 cavity insulation i Comments: I I Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.340 For windows without labeled U-factors,describe features: ( #Panes Frame Type_Thermal Break?[ ]Yes[ ]No I Comments: Doors: [ J I 1. Door 1:Glass,U-factor:0.320 I Comments: I ( Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space, ( R-19.0 continuous insulation ( Comments: ( Heating and Cooling Equipment: [ ] ( 1. Boiler 1:Other(Except Gas-Fired Steamly 84 AFUE or higher ( Make and Model Number I ( Air Leakage: [ ] i Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate airtight assembly I with a 0.5"clearance from combustible materials.If non-IC rated,the fixtdre must be installed with a 3"clearance from insulation. I } I Skylights: [ ] I Minimum insulation requirement for skylight shafts equal to or greater than 12 inches is R 19. Vapor Retarder: [ ] I Required on the waftrin-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] J Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided, [ ] I Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on I the building plans or specifications. r I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R4., [ ] I Supply ducts in unconditioned spaces must be insulated to R-8. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R 2. [ ] I Where exterior walls are used as plenums,the wall must be insulated to R-8. i Insulation is not required on return ducts in basements.. I Duct Construction: C ] I Duct connections to flanges of air distribution system equipment must be sealed and mechanically fastened. [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes. Tapes and mastics muse be rated UL 181A or UL 181B. Exception:Continuously welded and locking type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: ] I Thermostats are required for each separate HVAC system. A manual or automatic means to ( partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the j water heater has an integral heat trap or is part of a circulating system.. Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] ( Insulate circulating hot water pipes to the levels in Table 1: I Swimming Pools: I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock I Heating and Cooling Piping Insulation: [ ] i HVAC piping,conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the L levels in Table 2. f Table 1: Mmimunn Insulation Thickness for Circulating Hot Water Pipes a,atignTlokness in Inches by Pine Sizes Heated Water Non-Circulating Emu= Circulafigg Mains and RuUo,its T�L (F) to 1„ ` i)n to 12 1.5"to 2.0" i?y ; 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. n. elation,Thickness in Inches by Pipe Sizes PaR1 g SYA1 L=s Ranee(F) 2"Runouts Vandj= 1.25"to2" n " Heating Systems Low PressmwTemperature 201-250 1.0 1.5 1.5. 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 MOTES TO FIELD (Building Department Use Only) ?`pFfFiE/p��p� The Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services Y MASS. g 4j +639• �0 ArEDMP�a Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice � f Type of Inspection Ih i , Location I53 F—]f-64 4 Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: Please call: 508-862-43$-for re-inspection. Inspected by Date I )IZ1 33.06' \ TOP OF SPINDLE ELEV.= 98.34(ASSUMED) CENTERVILLE LOT a 2p 1 i N83 3B 43» � \\ �y�°g6 5 ST�ET I LOCUS to IWO sr Cb CS i PUMP AND REMOVE ExzsrRvc csacBPrr . n AR4GE — 98 \ LOCUS MAP Agv � io� \ PLAN RED 3B7/97 & 555/77 DEED REP`78001319 ASSESSORS MAP 248 PARCEL 308 GROUNDWATER DISTRICT "WP" pW 9� \ ZONING.-. .WU>. p --_= 9� =- \ SEPTIC UPGRADE PLAN _ ' E BOX W \\ \\\ LOCATED AT . G 3y \ 153 ELLIOTT ROAD LOT s 6.g o\ DEcx =-__==___ ss \ CENTERVILLE,, MA. ELI A FOR 1000 GAL. _ #153-------_ JOHN S MEADE SEPTIC _— __ A M 24B/30B cZr cr TANK = _ __ = \SEA=LOT s F . \\ ,. REV- SCALE- 1"=RO' . -_--- 11.3 _ OCTOBER 20, 2005 100. E ��5��/' REV O�Y 1 � REV _ - 1 PESCE ENGINEERING & ASSOCIATES 451 RAYMOND ROAD 97 ((� O y PLYMOUTH,'MA 02360 E PESCE®ADELPHIA:NET g6 1B 00 PH.(508)743-9206 \ u 3 SHEET 1 OF 2 ✓# 53962 GM err N L y G IYERAL WORK No"r M1 EA��1� LY THE MEADE FAMILY. ADDITION waa..vaw.w..e a rAIIIIO ,. G.n .�Rn a�G.Ce), ADDITION C 811io¢Road veawac.rnn Ano warecnon. rn 2632 MA . 2. A- ...eo avoawen •. 0263 C. 153 Elliott Road IMPORTANT 3. Ai. RF ' ;...Tp_ ag�P vRa. xu ro w D.r. .... y� py�� 11 /„ - - _ px� ..... :Owx.a . Ce11tVy ♦111�� MA OZV�Z ANY CONSTRUCTION THAT INCREASES LIVING SPACE .aroF.TGF r•M�„ "... r�� BEYOND 1200 SQ.FT.PER LEVEL MAY REQUIRE THE `�" _rn.�r.r _ -- INSTALLATION OF ADDITIONAL SMOKE DETECTORS. a. Gc n ar on Ra..an•,.. wA.o.o,xea.a..nRr� __ _ .NOTE: A SEPARATE PERMIT IS REQUIRED.FOR.THE raow�c+•c.LL.o.oa ' - - - - INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL 3. Au voa[dwu••raanaan.a cR �.Ta�••Tw• - - PERMIT DOES NOT SATISFY THIS REQUIREMENT. ..ems .o,oa ••ca�"w .. Fill , owe ITu ea ae-as•. 7' • GNG"Dunn o Geuu oe•caw •.naovu.. - Au a ., wroseR w .. ... 9 Tno encLRso r oxcm•"oaw. • ® . 40. A—" o . `•"" GNG DESIGN Inc. .,RN3"rAaavaa 9R3ar.a,.,aa Tx•c Toa tea. v r.n �a s Omer`32oo33TIL , . - e A•mn creDu e�"�cTxro Can u ur "• oar, . FAX 508 743 0903 "V• FAX JOB TaJ 0903 a 12. Cenra:c�ron♦ 4••n IDfoftng-dC51$D.com a 43.. Arc DRAWING LIST. GRAPHIC SYMBOLS DRAWING SYMBOLS ARCHITECTURAL ABBREVATIONS LOCUS MAP - - - 'PROJECT DIRECTORY - - OWNER ENEQ-� ,a r _ — CENTERVILLE ARCHITECTURAL w�..'7 ._x. .. - SI /DN - 'FC-i D ZONG CONDITIONS ��ss8e - _ x" e. m.. - - ENGINEERING - A-1 FIRSTSECOND D FLOOR RAN AND A T AND EES LaLi' EOWMD L P ppEApSCE P.E - A-3 ROOF RAN � gTR 45 RAHQA 09J60 A-4 DaERIOR B.EVATIONS ®� a... RWW11l NA ,ev FNwE/FA[5 743-IIXS A-B .ElfQdaR ELEVATIONS - -� �r A-B BUILDING SECTIONS �.. p - ._ _ Old 1 ANDCCAPE ARCHITECT A-7 RDETGORS _ xw A-B INTERIORS - •^'• LOCUS AALA - STRUCTURAL - TUNE SHEEC- - ® r... o..- ...... �y.[T, �4'.... 51RUCTURAL ENGINEER 'S-T FOUNDATION RAN NRN IU. SULTANTS - FIRST FL FRAMING AN RDBERT BOAC,P.E S-3 SECOND FRAMING PI, A N ROOFFRGS T ` PA m III n FK sumwaNAozw • a.. (SOB)ggB-�]qJ 6F GG - (� - . [`NERA1 CONTRACOR nxro.r. NomE 1.x05 E_T SECOND FLOOR LIGHTING PLAN FIRST FLOOR RAN gr J L THE n14DIL DE IF,AMILY ADDITIOIN . - - - 153 R11i.Road - - 02632 - it n n I GNG DESIGN Inc. TEL.509-295-2952 - PAX$09-243-0903 EXISTING FOUNDATION FLOOR PLAN info@gng-designx— t L, 6 I . 1 I I 4 - ------- -- EXISTING r--I---1 6--"I CONDITIONS ' .. EXISTING SECOND FLOOR PLANGG " en EXISTING :FIRST FLOOR PLAN •.. - .. ' N—e ,1,2005 .. EC-1 Floor Plans scnLe:1/e^-r-o^ 1 L . THE DRAWMG KEY Puumne vuruaea: GEEIYERAL 910TE5: lrl lJ tl II IJ ae { D aY owN�a FAMILY >L —o cmam<ma PI w a ADDITION uea vaow v aarr. 153 EM.Road Cmhrville MA 02632 .. ". vue_r aaw a�Lr.acwr acaaa+e n+o auv-wecwr ecaeene• .� . O--- a Teaat ooaaa roDEN necerve �.� •� .. - _ ® Aau1,ova mawtva a vaev vdt ao0rtne. vaavea. _— DECK ' GNG DESIGN Inc. - DINING ROOM 2n oxs9r v�uA o 1511 wca TEL•509-295 2952- . N' FAX 509.743 0903 UUMNG ROOM ( OO n - info@BDB-design.com PI r'-- 4O2. I opoon 3 oar 1 1 402 ertcn :R 1Y I07CHEN 1 t{— O 5 .s I IF___ P4 PS �__ . aI•. e•a ♦ BREEZE I e ' rau tuorvw eaum - - ao.e .. noon w x,vv ' --_-- — FIRST — —_L --- --- FLOOR. GARAGE - - PLANt}-- - - Lcn¢a k 1. - wear.I GC - ro A mne i.are L - RrcaJ.x o ___--_-_ - Seale:114a=1p-0" . - - - - NOvemEer le 2005 1"' First Floor Plan scnl.e:as^=r-D•' 1 J L _ - THE +. .. ... _ - DRAWMG KEY Foment ratnrsrs.. 1xi lJ AD1J FAMILY o ro PB A111)ITIOlV . _ C_7 PI .racer-evr IC.a w iU,MA 02632 r-- — xuxVATgn oeTAx. aenov ] - a - ' .. xe.cea 2 e ea x o GNG DESIGN Inc. m % — -- ---____ _____ _____ __ _ _ TEL308.295-29S2 M RM ', PAX 508-141-0903 info@gnB-desip.mm .. I ] FAIN RN P9 1- , i aao '� I 1'j tauAe wnrxw LL05ET y I i y , i al 1 , sOAGE �SECOND FLOOR _ I PLAN I_ I i , r EF GG . I I Stele:1/4x 1,.0„ Nwembv 1,2005 j A_®p Second Floor Plan SCALE:1/41, ox 1 L J MADE iL M ADE FAMILY ADDITION - - - 153 Elliott Road 'i .. Cmmrvnla.MA .. GNG DESIGN Inc. '2 oaaAmo�aaoa er N.03333 TEL.111115-1931 ____ _ ___ - - I PAX 508-]IS-098] . info@gng-de ign.wm I I l TA I I. I I I 1 — — I I - t _ 1 _ ._.<— A RO-NoOv�rmF PLAN GG S[.W 114" r a1,V18-005"_______ T t! Roof Plan SCALE:1/4"-1'--0" 1 L J THE Ull i S .rlT��l)T 12 -�� =- _ GAMILY. rm,T„Tr, --- ADDITION V oN•-°rm'— --. .. 153 EW,ft Read m.n>m1 orEn awewQV Y.cuua . I F C—Hw MA 02632 ssronrna ove'�a'r'iu'ri��e.w T' - _ - aas ww a I ada w.aw3.cr'.. _ - ____ __ _ - ewu_ cave _•�• Tomwry _—_—_— . I I I I I I I i aees5tn rroo vcre�- .. � I �. � rovoaron�e.uAa•5v'- - I 1' I 1 I I I sewvlorr sucv oo e�rmma . �- ---- ------- -�- - -ram----- 5 a m•T°e'-"'ice vui nro eusT.w.. —-— --- —-— —-—- wroT r IIV, GNG DESIGN Inc. TELL.5505 295--2952® FAX'508-TL3-0903 Elevations Seale:vm'a V-0" 1 iao@ps-aesjgl.-. m - — — — — -—-— -------- --------- — —�- — ----- —-—-—-—-—-—- -- — — — — — —-—-— — - -- - -$v o<. waa.gym m�„Ta ELEVATIONS — — ------- --- ---- a5m' ---------------- EF r-__________________________________ _ IF __—_—_—_—_—_—_—_—_J—_ ---__---- —_—_—.—_—_—___—_—_—_—:—_—_—_—_---_—_—_—_—_ GG - . ra<v canaTaacnoa _ - .. 'November 1,2005 ' ► ��®®1 Elevations Scale:1/4"- ,-o- 2 J s THE . a AUDIT, iaa�.�w. 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I IMLADE - FAMILY , ADDITION - 153 Elliott R..d. 02632 —_— _—_—_—_— _—_—_—_—_—_—_ _- - - - ---------- --- - ' - - - - - - - I- ----- ----j ----- --- -:- - - - - --- - - -_- - -___=_____-- - - - = - - - - - - -� ------ ----------------- - GNG DESIGN Inc. - - - TEL.508-295-2952' FAX 508-7e3-0903 Building Section Seme:va^=r-0^ 1 i.f.@g.g-d�ip.com ------------- -------�'gr-��- --- --- -- — -------- ----- -- --- ---�-m�-mW;_ . — — — — — — —-------------Q — — — — — — — — j BWLDING ------- - - — ---------------------- — � � SECTION — — -- — — ---------- ,- — —------ — R . EF —_—_—_—_—_—_—_.—_—_—_—_—_—_—_—___—_—_.I ___ _—_—_—_—_—_—_—_—___—___— _—_—_—_—_— _ �•. GG' November 1,2005 Building Section s�.le:va^=r-o^ 2 J L THE, MEADS FAMILY ADDITION • .. - - - I53 Elliot[Rg 02632 I1 1 ____________________ _ ,®,lowrt•pllq,vp AMW.T pm'�MAv II .1_____ _ ><1 It - lJ �l cu�ina aeon luaas �e wev® - „ � • ,' � po NoIM Jo�1roW�Ot✓111WC� . - it .. 11 a b , I GNG DESIGN Inc. ' I I I I � �.I :. .. 1 orvserwvprnte;owservolwrm ^ - It - LJ TEL.508495 2932 II _ FA%509-3<3-0903 - r m vo n raoa�.w info@Sng-design.com cOURNING MILL 2: S-T . I L' — -- _— ---- I ave 0.6 i. FOUND�ANTION it GG row. u-------- ------- J ^^� OC[G■ER I,30M • `,o® Foundation Plan'. .scALE:Ld^=r-O' I J El HE OUTLINE SPECIFICATIONS 1�1■ ADE vL.woou FRAMINGFAMILY BqB B BBB.B 9.. ro...uBe..e ADDITION .. .Bb.. 02632 .. � • .. � a ro.BBB•..�� p[ BBBw-au......ae..a mro+B e..Ba. � no'rea: . ' l Fvwtlw BBBb�B-IBr,BW1vM+n•1 mMIBO M BMB W s BM lP-1 .. - I1 - .. .. i�uB®.h��1�rw��BBm.wcs�Wn�•w�m�.+M.r ems w.w�+�.. ��.��-� , - t I I - By!BwB9 fBB'M Bd1y weBo�r..wv TeBP M b Bbl a Bd B.cltw � � _ .� .. - II ewo9Bn ro r - rew B.sa rt + _ - 11 - - cam�wAem wer�ier mu°O�sma :. b GNG DESIGN Inc. - .. II- .' - moxmrAvenuaaxservwwas II - TEL.5OB293-2953 -PAX 308-743-0903 ' I� ..TURNING MILL - n • n u - I CONSULTANTS,INC Erao_{ arAa 8 B _ _ ————— ------- f#7i -—-------- Ian pp yy I t I 1 I 3 • t nu L I"- i .I I mrtsA i I I Ih I I 3 i I FIRST FLOOR III I r FRAIVIING PLAN I I I I EF GG IL------ — ----JI OCfOBER 4 20H FIRST FLOOR FRAMING 1 sk-I J r A.M. 248/309 N83-38'43"W 33.06' 10, ��Dc�Cc A.M. `'h ^�6 / sue' \ ct ' = O�j N t 228/199 iL �\ G lei M. Cd NEW \ GARAGE ;161 �4 --___ D --- ECK #153=_--_ A.M. 228/200 _-==== ==___ 248/308-154ssf sF �\ l - ----__--- �O =____-______- � g Y ' 66�2 N PREPARED FOR: JOHN & ELISSA MEADE (AS-BUILT) CERTIFICATION #153 ELLIOT ROAD, CENTERVILLE, MA. APRIL. 4, 2006 JOB# 1045 SCALE: 1"=30' PLAN REF: 387 97 & 555 77 DEED:7800 319 ��,��e �� MacDougall Surveying ASSESSORS MAP 248 PARCEL 308 0® N��,:��Ss �� 9 Y 9 ZONING: "RB" 20-10=10 FLOOD ZONE: "C" ;o�a ��s-t0F f�yG o & Associates P ° P.O. Box 2428 I CERTIFY THAT THE ADDITIONS ON THIS PLAN EXISTS o STEPHEN ON THE GROUND AS SHOWN AND MEETS THE ZONING 4 U D J. ® Mashpee, Mo. 026�49, SETBACK REQUIREMENTS FOR "TNE TOWN OF BARNSTABLE ® n37559 A ph. (508)419-1086 ., ° ASS °� r fax. (508)419-1087 o email: mdcdougallsurvey PROFESSION AL'LAN D SURVEYOR DATE @comcast.net I The Town of Barnstable ` `Op THE► � WP C %^BARNSfABLE,•` 7 NASS. : Department of Health Safety and Environmental Services �A 1639. MAy0. Building Division 367 Main Street,Hyannis,MA 02601 ►ffice: 508-862-4038 lax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Z 4 � (� Project Address: L�3 it 04 fZ Builder: CD �4 YA Q-,— The following items were noted on reviewing: 1r r'v i cb �ti^h �� rn��� x t d� � ¢�\ e. -+01- ��--� �,la- 19— . mil^ y 1.4 Q `t'e v^ ', r�' Q/a -rC O (IC)d.? Reviewed by: Date:_ - 2 9 q:building:forms review OF THE 1pwti The Town of Barnstable, BAR ASS: 0p E. MA55. : Department of Health Safety and Environmental Services 9 . +a39• ' .. pfFDIMA Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection N �'►Zc+n{. Location 15 3 E1114 - le4 Permit Number 'R9 3 2 Y Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 11 �a Please call: , 508-862-4, 8a or.re-inspection. r I � 1 s Inspected by Date ,d oF1HETti The .Town of Barnstable P� '• BARNSTA9LE. - Department of Health Safety and Environmental Services MA55. a 1639• `00 prEOMP+a - Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection /--rO m Location )5-3 E111- f R� Permit Number R9 3 2 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: "'Cc' I �i r Q)(A P-I'k w C, fs (A`k i �wklf SUO✓0 0r-� 1 • � r { ..e.• t.vl L VL.- Please call: 508-862-Q-38-€or re-inspection. Inspected by Datey�I� . ' TOP OF SPINDLE ELEv 98..�4'(ASSUMED) CENTER VIT T.F.' k LOT 8 33, 06' \ d � 1GG�� / N83'38'43"Hr \ _ �Y pINE STREE T 96 \\ LOCUS / a / ♦ Y , / PURP AAD ROWVE �♦ l ��--.�,�RO OSED� \ MnArG LEA05PIT ♦ G RAGE l — 98 '�\ LOCUS MAP '� ♦ '1 / eo O \ PLAN REF` 387197 & 555177 , /, ti` �' DEED REP 78001319 ♦ o- ,' �4' cS \ ASSESSORS MAP- 248 PARCEL 308 ��� ,__ 9 f 1 \ GROUNDWATER DISTRICT "AP" .9i r,:q W t ' \\ ZONING.• »RBA. - __-______ �� \ SEPTIC UPGRADE PLAN EXIST. -- - - ---- -  t W \\ LOCATED AT' I'V Box ==_===s~_ �O �, 153 ELLIOTT ROAD LOT s 6 9 <0 �•, DECK _ ______- 3 9s CENTER VILLE, MA. EXISTIN �,;% .�`` ________-___ PREPARED FOR. loon GAL ___�153=___ / I JOHN & ELISA MEADE SEPTIC =_ _ _ _ _ _ _ -_- -_ \ A.M. 2481308 TANK ______-__-___--_ \`�R�+�LOT 7 \ SCALE c7� LfID—_ _-____—___ — __ `—�- 15,459E S.F. j ; 3 ___ - OCTOBER 20, 2005 REV 100.9'(A�F ED) ��" ; REV 98 r�' 1• REV O PESCE ENGINEERING & ASSOCIATES . 451 RAYMOND ROAD 97 _ PLYMOUTH, MA 02360 0 EPESCE®ADELPHIA.NET 96 01 moo,,.= PH.(508)743 9206# S• J 53962 GM 3 , SHEET 1 OF 2 r c� '���