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HomeMy WebLinkAbout0209 ELLIOTT ROAD Vr# n' • ,� F Y.. - 't, - G t. �. SL ti.. °S Wi. .'M '., .. .. ^. 4V.0 1 :. 66 G w " a r I - FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 62601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: Building Commissioner or s inspector of Buildings 9 ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL Hyannis; MA RE: Insured: ILOMAKI, Ari V. &Tawndra R. . Property Address: 209 Elliot Road Centerville, MA 02632 Policy Number: HOM00350620 Da Type of Loss: Water ' 1; Date of Loss: 6/19/2012 99 File#: 115233 Y Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL,Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. S. W. HARDY Adjuster 6/28/2012 Town of Barnstable oFt"elf Regulatory Services Thomas F.Geiler,Director . L/,;Z#/(3 g EAMSTABLE, ` Building Division 9 MASS. 1639. `m Tom Perry,Building Commissioner, ED MA � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 r , PERMIT# FEE: - SHED REGISTRATION 120 square feet or less C LL V a Rc b C ti�C�Y�-y 1 L L Location of.shed(address) Village 9 ) Property owner's name Telephone number x - 1 � Size of Sh Map/Parcel# v Li � a k Signature Date -pi O. Hyannis Main Street Waterfront Historic District? r Old King's Highway Historic District Commission jurisdiction? res Ln i"" („> M Conservation Commission(signature is requiredf— Sign off hours for Conservation-4 00-9:30&3:30-4:30 ,PLEASE SE NOTE; IF YOU?SIZE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 oFt ra,,, Town of Barnstable 0 Regulatory Services • swxxsrnst.e, + v MASS. Thomas F. Geiler, Director oi o. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 28, 2008 Mr. & Mrs. Ari Ilomaki 209 Elliott Road Centerville, MA 02632 ;E Re: Family Apartment Dear Mr. & Mrs. Ilomki: Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office reconfirming the status of the apartment. You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the family apartment. If you have any questions, please call Lois Barry, Division Assistant, at 508-862-4039. Sincerely, Tom Perry Building Commissioner Enclosure x jfamapt Town of Barnstable Building Department - 200 Main Street � • * Hyannis, MA 02601 9$A 16 (508) 862-4038 rF0 MA'S A Certificate of Application Number: 87221 CO Number: 20070291 Parcel ID: 228139001 CO Issue Date: 12127/07 Location: 209 ELLIOTT ROAD Zoning Classification: RESIDENCE C DISTRICT li Village: CENTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO ARI &TAWNDRA ILOMAKI FOR MARTTA ILOMAKI Building De Wment Signature Date Signed TOWN OF BARNSTABLE ' . BUILDING' PERMIT PARCEL, ID -228 139 001, � GEOBASE ID 14014 ADDRESS 209 'ELLIVTT-)ROAD !41,t PHONE CENTERVILLE ZIP - LOT :A BLOCK LOT SIZE DBA.. " DEVELOPMENT DISTRICT CO PERMi:T 874121 1' DESC:R:IPTION ATT 2BAYG'AR/FAM APT ABOVE PERMIT' TYPE B ✓ TITLE BUILDING PERMIT ADDITION 13 7:..d 07 CONTRACTORS: ANDERSON, RI.CHAR,D W. Department Of ARCHITECTS: P Regulatory.Services TOTAL' FEES° $449.90 B0ND_ $.00 �tNE CONSTRUCTION COSTS ' $91,536.00 a1► •434 RESID-ADD/ALT/CONV 1 PRIVATE 0 • ,` ' wuvsrABr.E, • e. MASS. BUILDIN ISION BY .� DATE• ISSUED ` .09/29/2005 EXPIRATION DATE K ' Department of Regulatory Services wwsrasLE, 039. ED Mpl A . BUILDING DIVISION BY rti w Department of Regulatory Services . tryTy : � A � � � ✓�+�� Lei MASS, k 1639. BUILDING DIVISION BY �w 4 � + `{ ` THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- . 'CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS .PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 4Y 1 MINIMUM OF FOUR CALL-INSPECTIONS REQUIRED • '.FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 11:FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION p 2:PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR y `(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL,NOT BE ELECTRICAL,PLUMBING AND MECH-, , '+ 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. ' 4.FINAL INSPECTION BEFORE OCCUPANCY. • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECT1,10N APPROVALS !yC`if 1 l� �1 VWX 2 f�ff. Q 1A } . door 0'ti�)f 2 f j 2 3 � d 1 WING INSPECTION APPROVALS ENGINEERING DEPARTMENT c0IlkX � - 2 BO D OF HEAL065 z17l OTHER: SITE PLAN REVIEW APPROVAL -:WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS ` . THE-INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS•STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- ' TION.. NOTED ABOVE. TION. 1 a � •_ - - �:i 1 1. .. _. .. - .r 3 i TOWN OF� BARNSTABLE ti Building ­ Application Ref: 87221 BARNSTABLE, Issue Date: 08/10/06 Permit y MASS �A i639• �� Applicant: rFI7 MAC A Permit Number: B 20060865 Proposed Use: Expiration Date: 02/07/07 [Location 209 ELLIOTT ROAD Zoning District RC Perriiit Type: FAMILY APT W/CONSTRUCTION Map Parcel 228139001 Permit Fee$ 60.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 449.90 License Num OWNER Est Construction Cost$ 97,536 � Remarks � APPROVED PLANS MUST BE RETAINED ON JOB AND ATT 2BAYGAR/FAM APT ABOVE THIS CARD MUST BE 1,MPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A. CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH. Owner on Record: ILOMAKI,ARI V 8r TAWNDRA BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL } Address: 209 ELLIOTT RD INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: PC Building:Permit Issued By: 1 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY'OR SIDEWALK ORA PART THE TH TEMPORARILY OR PERMANENTLY. a ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLYGRADES AS WELL.AS DEPTH AND LOCATION OE PUBLIC'SEWERS::MAY BE OBTAINED FROM THEDEPARTMENT OF PUBL]C;WORKS. ti THE ISSUANCE Of THIS PERMIT DOES'NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: T 1.FOUNDATION DR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6:FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). y .,�y,�y,_ A� �"' n. .i� Y s ups ;;s. ;;a.: ,'�, rti<• rg.. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 10 . 3 F 1 Heating Inspection Approvals Engineering Dept I Fire Dept 2 Board o e Ith i R. W Anderson & Sons, Inc. SANDWICH MA 02563 .. .a. PH le 7., gilt �';... _;wA r'1Bd�p. x?U�s.a� April 211s, 2006 Town of Barnstable Buildings Division -- 200 Main Street Hyannis, MA 02601 Attn. Jeffrey Lauzon re: Map/Parcel 228 139 001, 209 Elliott Rd., Centerville Dear Mr. Lauzon, The Building permit for construction of this house was pulled in our name,R. W. Anderson& Sons, Inc. We have been responsible for all phases of construction through the"Weather-tight" frame, including roofing aiid siding. By original agreement with the:owner of this property, Mr. Ari Ilomaki, 771-9169,he will be taking the responsibility for finishing,this addition beyond this point. This includes all mechanicals and beyond. Would you.please remove our name from the permit and add Mr. Ilomaki instead, and refer all future inquiries to his attention. Thank you. Sincerely, Richard W. Anderson, cc: Ari Ilomaki CUSTOM HOMES ADDITIONS (508) 888-5720)FAX 833-1751 �oF�METp�;� The Town of Barnstable Y BARNSTABLE.o` Department of Health Safety and Environmental Services MASS.: 0 t �0 ArFD M �, Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection F+`,1e Location J tl9 E I NA iO-�— Permit Number Owner Builder One notice to remain on job site,one notice on.file in Building Department. The followintg-items need correcting: f C% ft)nT STCL a 1\ ��adS 5ar,�2 I�ha � anc sPr.snre7y �GS ►+P P tA ow'& re X),%4�4 n C2 � n� Sl a I s15!n G Abobs Ca..l t r1a5A �e- r e �Ume cy 1_0a�� '� �g't-6r1 L--'—. 1)/S r s Pn-Pry T�J 4 4 r-*q.e -�Ytn' G nr A-i'eeA— Yuy5A- �v35�n�Ct v��cde� C l)6Wt 04C Ckc.CeSS Please call: 508-862-4Q- 4or re-inspection.-- Inspected by U Date Lo/�-/04 W TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map U Parcel / 3 o� Permit# Health Division 2 or `{7 f Date Issued 9'2 9 0 S Conservation Division J, ,�9/� � 3^ Fee Tax Collector Application Fee Treasurer Planning Dept. Ch � YSTEM MUST BE CTAI�t;I� . Date Definitive Plan Approved by Planning Board A TITLE 3 �RYIKVN --NW CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 09 �0a_� Village Ln-lfr" Owner. /t►'i '- ���d�� l I d�Q � .Address Telephone Permit Request �MSWL-k Ghm, o _ Square feet: 1 st floor: existing proposed existing proposed -75 T al new Valuati4,E�7.&O-Z) '0 Zoning District Flood Plain Groundwater Overlay Construction Type 0© Lot Size 4C. S Grandfathered: (J Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family #units) e Age of Existing Structu r �3 Historic House: ❑Yes No On Old King Highway:'s Hi hwa : ❑Yes Iz No ` Basement Types Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) d Basement Unfinished Area(sq.ft) c9— Number of Baths: Full: existing new c;L Half:existing ® _ new Number of Bedrooms: existing / new o2 'JQ -v% 1 % 3 - e Total Room Count(not including baths): existing new y First Floor Room_Count r w�t 7: w • Cr3� R� :�; Viz. Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other ��- Central Air: ❑Yes ❑No Fireplaces: Existing �_ New Existing wood/coal Move: ❑Yes �4'. No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exi ting ❑cnew size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Aq eals Authorization ElAppeal# Recorded❑ Commercial ❑Yes `�J No If yes, site plan review# Current-Use X (sue �10�'ILP Proposed U00 ' II,,� J • ' (BUILDER INFORMATION Name -WGl. `� - c� �� �d Telephone Number 8_ ?op ? 5-7 Address l I License# 607 7 T Home Improvement Contractor# I O W D Worker's Compensation# J-00 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJF.CT WILL BE TAK TOa'' C ' ' ✓� G✓v 2 V�-� Gw w�C, 01C.5 S A SIGNATURE DATE 0 /^sAl, 0 - FOR OFFICIAL USE ONLY PERMIT Nn. DATE ISSUED- . + MAP/PARCEL NO. ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: FOUNDATION OK, FRAME INSULATION h $ FIREPLACE • ELECTRICAL: ROUGH FINAL co MW i PLUMBING: ROUGH n ; Zt FINAL GAS: ROUGHO -mi FINAL FINAL BUILDINAO rc ar yV.. •a., - :,C� 0 ZE :E M 0 y = cr ro 0 DATE CLOSED OUT in y ASSOCIATION PLAN NO. r RESIDENTIAL BUILDING PERMIT ' 'ES _APPLICATION FEE , New Buildings $100.00 ._ Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.0.0 FEE VALUE WOR SHEET NEW LrMG SPACE D square feet x$96/sq.foot= x.0041= Plus fromeow kil RPPIUUUUIVJ ALT 'ItATIONS/RENOVATIONS OF EMSMNG SPACE square feet x$64/sq.foot= x.0041- plus frombelow(if applicable) GARAGES(attached&detached)' D square feet x$32/sq.ft.= 2 'Z .0041= 2 ACCESSORY STRTJCTURE>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-s=e-as new building permit: square feet x$96/sq.foot- x.0041- STAND ALONE PERMITS Open Porch _�j*y111x$30.00 a . (-umb� • % Deck x$30.00= (numbe)r Fireplace/Chlumea► ______x$25.00= • (number) Inground WnamingPool $60.00 ; Above Ground Swimming Pool $25.00 Relocstion/Moving $150.00 Q �y (plus above if applicable) permit'Pee�� / Proicost ' • ��ICE USE ONLY j PROPERTY ADDRESS. 'ALCULATION FOR PERMIT COSZ TYPE OF ROOM ETC . NO 2 ADDITION 4 ALTERATIONS BATH 2 BED ROOM 2 .6 4 "2o CERTIFICATE OF OCCUPANCY 2 = 14 4 COMPUTER ROOM DECK OPEN DECK WITH ROOF DEMOLITION Z-D DEN DINING ROOM 7 s�6 FAMILY ROOM FIREPLACE FOUNDATION ONLY GARAGE NO. 'OF BAYS GREAT ROOM KITCHEN LAUNDRY ROOM LAUNDRY ROOM LIVING ROOM MUD ROOM. • OFFICE PORCH CLOSED PORCH OPEN REROOFING. ,*' .. SHED STORAGE AREA ' SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE UROUb O SWIMMING POOL INGROWUND WINDOW,REPLACEMENT oFI►Er Town of Barnstable ad Regulatory Services =a?NT"BLE, ' Thomas F.Geiler,Director mass. 9�j0�F039. � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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 adj agent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Ad&A y A/ Estimated Cost p7 0 D U 0 , 00 Address of Work: 00 C1 F,1 C)4— / -O Owner's Name: I�K; 4 0,kj '-I Date of Application: 11 S 10 S 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 APPLICABLE HOME IMPROVEMENT-WORK DO NOT HAVE _ ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A... . .; SIGNED UNDER P ALTIES 0 PERJURY I hereby apply for a permit as the agent o th o I / 11- VS- O5 0009/ `� Date Contractor Name Registration No. OR. Date Owner's Name QIonw:homeaffidav r The Commonwealth of Massachusetts ` Department of Industrial Accidents . — Office of Investigations 600 Washington Street, 7`h Floor Boston,Mass. 02111 Workers'_Compensation Insurance Affidavit:Buildin /Plumbin /Electrical Contractors - 71• 'IIY�`arlL lTlv $'LO `i name: address: czu city state: 'L Aq ziv• 1101 01� phone# r��O p (�O / J0 work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction[]Remodel ❑ I am a sole proprietor and have no one workin in an capacity Building :ji ��>-r,... 's'3."S,,i��^r.�].�y,`,,�•� ?;'�� 3�+;Y1•,q° ��,:yts`,+y,.� 'v,�Ka%,} x�Yy• y r..�. nrsrr. �yr .r.�. ..,,Addition . LJ 7 7t•.� f a.v�; .. 'Y :Y,F„C�.,; .. n+ tom ', a>:i�`} Xiu`.•-,•.,,^ r;0.. S n r•,Y.s <`r.r^,v,+�r�vn� I am an employer providing workers' compensation for my employees working on this job. company name address:' city phone#• Insurance co. olic # :•�'L�•"a:sir'e:'c5s�i:�.:k:�`"a�iaitia�ii•3'�:�:•5'�s'§ 't+• "m'�i:i:`r°�54"c:LtiT.Yrt+4�:F�i:� c.:: R`w •"%:+;i-•::.: - - ' • �'.L":%'.(`1`. 3,, ..,b�''e�a+19.�"+'u_� :��'`�`4:4'i::':'bark'r'.3,-'E,�.'>?:isiss::':.t'CW-r;�.�.tcati+k'W�`�'.`'.P•:dr..irtYi Li.-.�. `. �.1]] I am a sole proprieto eneral con rac o ,or homeowner(circle one) and have hired the contractors listed below who have - the following workers'/comp/e�ns�ation polices: �^ company name: I`- 60. ,�}'nd i,,K � y-:4J v/`(�Mn J, (J)C address' low a ' city: _ M hone#: insurance co. I-aM I JAAolic # � 0 oG s ;;, >,•�:...,_•� :,a'a: ..,iivf.�s•:....t+„ ... '�#, o "ri "�ffs�i ,s. ,t-' ,;.;�r.�•�: � >.. _• .. .+.�Y,,.r.t�r:r, ::rs�:�•..vYu.Y..?'w:�:,.�ifa.�:4»:.:.. .:�:�1�::`•.... <:.�.. � '�t{k:n e.�!+'>:"i'e�i.i:i-0;i;?,,;-'�?)¢.!3• ... company name: address: city: phone#• insurance co. olic # ,Y :, _� t ..Y�.t:kgl�,Fdo,iacps` 'e.Ga, ie3s?.. " , s�`.• .`•` :iS'�' ''K.: �.,,:•. „1 v°' .�; Y a�-p.a• ._,.-. Y y'p y�,, ,,�t� 'r� TYn. •'°. :�2!ceck'+7�e''+Tt�+`.�•?Gt�r� "�"''�;:' ;�.sib.,�^ f„'�77n:� ^�`-'�,-'�+��,` Sb CYi Failure to secure coverage as required under Section 25A of ME 152 can lead to the imposition of criminal penalties of'a fine up to$1;500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a- copy of this statement may beWan d to the Office of investigations of the DIA for coverage verification. I do hereby cceerdA unde thd p ies f erjury that the information provided above is true and corre Signature /! Date Print name. 1� �-� Phone# S .S� y� official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if Immediate response Is required ❑Selectmen's Office contact person: phone#; ❑Health Department ; ❑Other (rcviacd Sept 2003) Information and Instructions Massachusetts General Laws chapter 1.52 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 legal entity,or any'two or more of tize foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver br 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 local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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. a� ry�,�. �t"�l"i: �4 Q• `4j2 y'(r .F. ��9};y�;� `bT��.•{s'flv,e' !a"�^'��t�•''Yt �-. +��!:�`•;r:~.. T.'S3 �.. 07�? � :4 �„ fi.,. Yr ,f rho' �'�"• �.'� '�C:s'•`} '' i.�!� y, ••.• ,'s;y. •{s x .t: r' �Y.,,� ,'(.: ..�' ¢.P a' ry s ^,P1•. 'ait:'�>7_.��a' }N.Oa n.8<.', N 'b.. .'b. ' . � �' .�'r.. '$►'.•ci�,.& � ..aFt'�e'?i�fck�y'T31::Ja.•'.fS'Eir: '3. c. �•.+ i_ "'�:;:,` s•�` 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 tsign 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. r +{ R y,yq.� 1' F;5;i+3. ?�'?••'o'' �, 7�.-'.c:Fx'•.�°�r ',ih.+�'::;' {.n.,.T{,_T. a.}'°•,'y7d"fyz��•r .� fir; ?��'$,r'T•S•.i' � �44, i�.�3:'f'• t4`•`.`t"•' {;6 .T+a, r..?8`:1�'.;4. ry •�... ? .� 5y,, :F a � a•: ti• . $} ��' , ;3y tom''"� {t.�-n'•• :.xt h�;tal�r= 'N��s„S' 1ss....r.F.`:?.`•.�i"r :pro'% TT�� �d'��ry�� '�i'r�'�3.+c�,fa�k�ka'�`�x'�A:'z•.="s.^-.2�.`'�-.. s���•T',e'a .:a.,:tt:,•Sa<;;�' ��- t ..,,u::;•.r..:o_�.fd.. a�.c"' o. 'tF.v..t�.�; a:t•x,'.c.. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for.you cooperation and should you have any questions, please do not hesitate to give us a call. `� %"�,'' •:;as:. r•• �rk ��`=_ .,cy' '�ek'^�3�bfr✓.rt°4:M�'"��"* m,N`�'�'kt{:..A:�y�•'.S%'.•'� M'+'zSx'.":frrc rr"Pi 7:ed_R.:t).. s."•''Y`td.. ;�S � .: .:9 �a'�y,•, `!r-.; ,r�;�::..-`•�,.���''`.'[$,. •s,,;A�••:.1:£�,�:r•; .6, �,�F •:,{`, '~A.tre-'v� �rP �yr ^�# � f� +.�{..} n x '�R*`-'+ .yap' 'r •"^r- '..e'y 16�' '��i�}6.ral.��.� ate �i��+•�' a°i'�, a..iv'Eh V7� w.nv �� �ti��. �S The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h,Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 . II Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version;3.5 Release 1 Data filename:F:\Check\REScheck\ILOMAKI.rck TITLE:ADDITION CITY:Plymouth STATE: Massachusetts HDD: 6333 1 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 06/16/04 DATE OF PLANS: 06/18/04 PROJECT INFORMATION: THE ILOMAKI RESIDENCE 209 ELLIOT ROAD CENTERVILLE,MA. COMPLIANCE:Passes Maximum UA=207 Your Home UA= 193 M 6.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 949 30 0 0.0 33 Wall 1:Wood Frame, 16 o.c. 986 13.0 0.0 71 Window 1:Vinyl Frame:Double Pane with Low-E 103 0.350 36 Door 1: Solid 20 0.400 8 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 949 119�0 0.0 45 Furnace 1:Forced Hot Air;84 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculaiions submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. IKBuilder/Designer Date Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to V Up to 1.25" 1.5"to 2.0" Over 2" 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. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts V and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 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 .I.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 NOTES TO FIELD (Building Department Use Only) REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 DATE: 06/16/04 TITLE:ADDITION Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] I 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes-[ ]No I Comments: Doors: 1. Door 1: Solid,U-factor:0.400 Comments: I , Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air, 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. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: - 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating [ ] I g gg equipment must be provided. r ; [ ] Insulation R,values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed _using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] ( 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. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. [ ] � g Pp Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless oven20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. - �"r 1, ✓{26 L��f.L(rI.,L-!GGf%i. - f_s/G�•:iSCG.^.%%de�io BOARD OFiBUILDfNG REGIULATIONS License: CONSTRUCTION SUPERVISOR }i Number CS 007714 Birthdate 05/2:6/1955 Expires 05/26/2Q06 Tr. no: 21636 Restricted 00,' RICHARD W ANDE;R'SON 20 GROVE ST SANDWICH, MA 02§6 Acting Cy mi5 onei Board of Building Regulations and Standards. . HOME 1URROVEMENT CONTRACTPR Registratron_.109503 Expiration 9/16/2006 w- ;{ Type Piiv`ate Corporation RW ANDERSON,'`&tSONS INCr RICHARD ANDS,,,-. 6 WILLOW ST SANDWICH, MA 02563 } Administrator C. Town of Barnstable Regulatory Services s�+rtsrne Thomas F.Geller,Director ,Building Division TomPerry, Building Commissioner 200 Main Street,$ymmis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, }�Q I0171� f IOC G�i� lit �' IcSY)L2��as Owner of the subject property hereby authorize Zr Gk IO . ,l J I�rz�eySrn� �S6nS�,� o act on my behalf; in all matters relative to'work authorized bythis building permit application for: (Address of Job) f , Date Signature of er Bk 20303 Ps 13 �67518 09-27-2005 & 03 - 39D Town of Barnstable Regulatory Services &MMSPABM Thomas F. Geiler,Director KAM. Building Division rEo veer A g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 209 ELLIOTT ROAD in CENTERVILLE, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 1-XI�, Page c:;�S-u , or as Document No. being shown on Assessors' Map 228 as Parcel 139 001, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for'MARTTA ILOMAKI, MOTHER/MOTHER-IN-LAW OF OWNERS ARI & TAWNDRA ILOMAKI associated with the residential use on the same premises. This unit shall be used for a"Family Apartment" (as defined in ZoningOrdinances which would require compliance with h) q p to Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this J 7" dayof r 200 TOWN OF BARNSTABLE OWNE By: c uil mg Commissioner THE COMMONWEALTH C SSACHUSETT BARNSTABLE COUNTY,SS Date Q- 7fiJ Then personally appeared the above-named (owner), 4 r)' 4 Ac,,R le, LIAOQ41' and made oath as to the truth of the foregoing instrument, before me. Notary Public PAT A A. PIVA My Commissi n NOTARY PUBLIC Commonwealth of Massachusetts My Commission Expires August 15, 2008 ElliotiRd209(92705) BARNSIA6LE REGISTRY OF DEEDS r °FI►E t° Town of Barnstable °^ Regulatory Services BARNWABMS& MaAss. Thomas F. Geiler,Director 16.�A�e� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: —r rr, g-[-2'l Map/Parcel: Project Address 2 0 9 F 1 k cA+ R� Builder: R The following items were noted on reviewing: J ,r kl 'q , DY-D v 1 tEV'\ -p-v S (2 U62 M o lee v Reviewed liy: P. Date: GI$F" v `BC CALL®2003 DESIGN REPORT - US �Tuesaay August 02.2005 07:43 Single 14" 13GI@ 9005 SP File Name: Anderson ILomaki.BCC:Level 11J 1' Jop NAme: "_ Horn* F Description:typ left side joist(bed thru living rm) Address: �z 209 Elliot Rd l Specifier. be City,State,Zip:Centerville,_MA Designer. Customer, RW Anderson and Sons Company: Shepley Wood Products Code reports: NER 594,ICSO 5208 Misc: n �._......1-.-...._T.._ L.,.. .....j. _.. .1 . .._. standard Load-.40 paf 110 psf 0C spacing 12" --� .- Bo,3-112" I 81, 1.3W 608 Ibs Lt_ 592 Ibs LL 216 lbs DL 204 Ibs DL Total Horizontal Length-24-00-00 General Data Load Summary Versions US Imperial ID Description Load Type Ref. Start End Type Value O(;S Dur. S Standard Load Unf.Area Left 00-00-00 24-00-00 Live 40 psf 12' 100% Member Type: Joist Dead 10 psf 12" 90% Number of Spans; 1 1 wall Conc.Lin. Left 11-02-00 11-02-00 Live 0 plf 12' 90% Left Cantilever: No Dead 60 pif 12' 90% Right Cantilever., No 2 attic Conc.Lin. Left 11-02-00 11-02-00 Live 240 pif 1Z' 100% Slop®: 0/12 Dead 120 plf 12" 90% OC Spacing: 12" Controls Summary Repetitive: Yes Control Type Value %Allowable Duration Load Case Splin Location Construction Type:Glued Moment 6090 ft-lbs 58.6% 1000/0 2 1-Internal Neg.Moment 0 ft-Ibs n/a 100% Live Load: AD psf End Reaction 785 Ibs 54.9% 100% 2 1 -Right Dead Load: 10 psf Total Load Defl. U440(0.654") _ 54.5% 2 1 Partition Load: 0 p3f Live Load Defl. U614(0.469") 76.2% 2 1 Duration: 100 Max Defl. 0.654" 65.4% 2 1 Disclosure Span I Depth 20.6 n/a 1 The completeness and accuracy of Notes the Input must be verified by anyone Design meets Code minimum(U240)Total load deflection criteria. Who would rely on the output as tP Oesign masts User specified(U480)Live load deflection criteria. evidence of suitability for a Design meets arbitrary(1")Maximum load deflection criteria. particular application. The output Minimum bearing length for SO is 3-1/21'. above is based upon building Minimum bearing length for 61 is 1-3/41'. code-accepted design properties Entered/Displayed Norizoptal Span Length(s)=Clear Span+1/4 min.end bearing+1/2 intermediate bearing and analysis methods, Installation of BOISE engineered wood products must he in accordance with the current Installation Guide act the applicable building codes, To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CAI_C®,BC FRAMERS,SCIS, BC RIM BOARD",BC OSB RIM BOARDTM,BOISE GLULAMT", VI=RSA-1AMS,VERSA-RIMS, VERSA-RIM PLUS®, VERSA-STRAND-, VERSA-STUD®,ALLJOIST®and AJST"are trademarks of Boise Cascade Corporation. Page 1 of 1 d0hlE' SC CALL®2003 DESIGN REPORT- US Tuesday,August 02,2005 07:54 Triple 1 3/4"x 9112" VERSA-LANIO 3100 SP File Name: Anderson 1Lomakl.BCC:Level 1t�1 Job Name: /Ilomaki -- - Description:Garage door header Address: j 209 Elliot Rd } Specifier: be City State,Zip Centerville,MA Designer. Customer. RW Anderson and Sons Company; Shepley Wood Products Code reports; ICBO 5512,NER 629 Mlsc: 1 5 Stagderd Load-i10 paf 110 pot TtibUtey 12 00-00 211 BO 131 5750 lbs LL 5750 Ibs LL 21761bs pL 2176 Ibs DL Total Horizontal Length-09-07-00 General Data Load Summary Version: US Imperial ID Description load Type . Ref. Start End Type Value Trtb. purr. S Standard Load Unf.Area . Left 00-00-00 09-07-OD Live 40 psf 12•A0-00 100% Member Type: Floor Beam Dead 10 psf 12.00-00 90% Number of Spans: 1 1 Ext wall Unf.Lin, Left 00-00-00 09-07-00 Live 0 plf n/a 90% Left Cantilever: No Dead 80 plf n1q 90% Right Can0lever. No 2 attic Unf.Area Left 00-00-00 09-07-00 Live 20 psf 12 a0-00 100% Dead 10 psf 12.00-DO 900lq Slope: 0112 3 Roof Unf.Area Left OMO-00 09-07-00 Live 40 psf 12,00-00 100% Tributary: 12-00-00 Dead 10 psf 12.00.00 90% Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 18989 ft Ibs 90.7% 100% 2 1-internal Dead Load: 10 psf Neg.Moment 0 ft-Ibs n/a 100% Partition Load: 0 psf End Shear 6616 Ihs 88.6% 100% 2 1 _left Duration: 100 Total Load Defl. L276(0.41 WI) 87.3% 2 1 Live Load Deff. U379(0.304'I 95.0% 2 1 Disclosure Max Defl. 0.418" 41.8% 2 1 The completeness and accuracy of the Input must be verified by anyone Notes who woykf rely on the output as Design meets Code minimum(L1240)Total load deflection criteria. - evidence of suitabitjty for a Design meets Code minimum(U360)Live toad deflection criteria. paMcylar application, The output Design meets arbitrary(11 Maximum load deflection criteria, above is based upon building Minimum bearing length for BO is 1-3/4". coda-accepted design properties Minimum bearing length for 9i Is 1V41. and analysis methods. Installation Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 interrnedipte bearing of BOISE engineered wood products must be in accordance Connection Diagram with the current Installation Guide Consult project design professional of record or BOISE technical representative for connection de:ii n and the applicable building codes.. 9 To obtain an Installation Guide or If Nailing schedule applies to both sides of the member. you have any questions,please call Member has no side loads. (800)232-0788 before beginning Connectors are:16d Sinker Nails product installation, BC CALCO,BC FRAMERe,13CIO, a—2" d SC RIM BOARDTM,BC OSB RIM b BOARD-,BOISE GLULAMTM, c 2-314" 8 VERSA-LAM®,VERSA-RIM®, d- 2' • VERSA-RIMPLU&C. e 3" 0 0 f• ,,� VERSA-STRANDTM, C VERSA.STUDS,ALLJOISTO and AJ04 are trademarks of - Boise Cascade Corporation. _T— ""• --• B 0 0 � b Page 1 of 1 BC CALL®2003 DESIGN REPORT -US Tuesday,August 02,2005 07:40 BOISE, [Single l4" BCIV 900S Sp File Name: Anderson ILomaki,9CC:Level 1U 3;1 Job Name: i Ilomaki- Description:typ right side joist(bed thru closet) Address: '200 Elliot Rd Specifier: be City,State,Zip:Centerville,MA Designer. Customer, RW Anderson and Sons Company: Shepley Wood Products Code reports: NER 594,ICBO 5208 Misc: Stgndrard Loaq-4o Pat I r o Paf_OC_Spedng 12r - I a: !, BO.3-1/2° 574 Ibs LL 191 Ibs DL 626 Ibs ILL 229 Ibs DL Total Horizontal Length-24-00-00 General Data load Summary version: US Imperial ID Description Load Type Ref. Start End Type Value OGS Our. S Standard Load Unf,Area Left 00-00-00 24-00-00 Live 40 psf 12" 100% Member Type; Joist Dead 10 psf 12" 90% Number of Spans: 1 1 wall Conc.Lin. Left 14-07-00 14-07-00 Live 0 plf 12" 100% Left Cantilever. No Dead 60 Of 12" 90% Right Cantilever, No 2 attic Conc.Lin. Left 14-07-00 14-07-00 Live 240 plf 12" 100% slope: 0/12 ' Dead 120 plf 12" 90% OC Spacing; 12" Controls Summary Repetitive: Yes Control ° Construction YYPe Value /o Allowable Du►'at;on load Case Spitn Location Type:Glued Moment 5835 ft-Ibs 56.2% 100% 2 1-Internal Live Load: 40 psf Neg.Moment 0 ft-Ibs n/a 100% Dead Load; 10 psf End Reaction 855lbs. 43.9% 100% 2 1-Right Partition Load: 0 psf Total Load Defl. LJ450(0.640) 53.3% 2 1 Live Load Defl. U626(OAS-) 76.7% 2 1 Duration: 100 Max Defl. 0,641' 64.0% 2 1 Disclosure Span/Depth 20.6 n/a 1 The completeness and accuracy of Notes the Input must be verified by anyone Design tweets Code minimum(1J240)Total load deflection criteria, who would rely on the output as Design meets User specified(LJ480)Live load deflection criteria. evidence of suitability for a Design meets arbitrary(111)Maximum load deflection criteria, particular application. The output Minirnunt bearing length for SO is 3.1/2". above Is based upon building Minimum bearing length for 01 is 3-1/2". code-accepted design properties Entered/Displayed Horizontal Span Lengths)=Clear Span+1J2 min.and bearing+1/2 intermediate bearing and analysis methods_ Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or If You have any questions,please call (800)232-0788 before beginning product installation, 8C CALC®,8C FRAMFR®,SCIO, BC RIM BOARDTM,BC OSB RIM BOARDTM,BOISE GLULAMTMI, VERSA-LAM®.VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDTM, VERSA.STUD®,ALL.IOISTO and AJSTm are trademarks of Boise Cascade Corporation. page 1 of 1 AUG. 3.2005 5:14PM SHEPLEY SALES NO.7 SWIM BC CALC®2003 DESIGN REPORT-US Wednesday,AuguWM',200515ao y �. I Double 1 3hr-s x 1.4,VERSA.LAMO 3100 Sp File Name: Anderson ILomakLBCC:Level 10 Al Job Name:Z_—llomakl_ Description: Address: r 209 Elliot Rd Specifier. be Gity,State.Zip:Centerville.MA Designer Customer: RW Anderson and Sons Company: Shepley Wood Products Code reports: ICRO 5512,NI;R 629 MlsC t 2 I 3landard load-40 pa(l 10 psf Tributary 01-00.00 678 Ibs u.. B1 940 Ibs DL 913 Ibs LL 920 Ibs OL Total Horizontal Length-19-00.00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trlb. Dur. S Standard)-oad Unf.Area Left 00-00-00 19.00-00 Live 40 psf 01,40-o0 i00% Member Type: Floor Beam Dead 10 psf 01.00.00 90% Left Cantilever: No Number of Spans: 1 1 wall Unf.Lin. Left 00-00-00 14-10-00 Live 0 plf Ma 90% NO Cantilever. No 2 attic Unf-Area Left 00.00-00 14-10-00 Lived 20 psf 01.ONoo 100%e Slope: 0/12 Dead 10 psf 01.00-00 90% 3 B_3 Conc.Pt Left 14-10.00 14-10-00 Live 534lbs n/a 100% Tributary 01-00-00 Dead 3701bs Na 90% Controls Summary Live Load: 40 par Control Type Value %Allowable Duration Load Case Span Locatior+ Dead load: 10 pf Moment 0514 ft-Ibs 29.3% 100% 2 1-Internal Partition Losd: 0 pf Ne9-Moment 0 ft-Ibs n/a 100% Duration: 100 End Shear 1758 Ibs 18.6% 100% 2 1-Itight Total Load Deft U652(0.349") 38.8% 2 1 Disclosure Live Load Defl. L11464(0.157) 24.8% 2 1 The completeness and accuracy of Max Deft. 0.349" 34.9% 2 1 the Input must be verified by anyone Notes who would rely on the output as Design meets Code minimum(U240)Total load deflection criteria. evidence of suitability for a Particular application. The output Design meets Code minimum(U360)Live bad deflection criteria. above is based upon building Design meets arbitrary(1")Maximum load deflection criteria. code-accepted design properties Minimum bearing length for B0 is 1-112". and analysis methods. Irrsta0ation Minimum bearing length for 01 iS 1.1/2". of BOISE engineered wood EnteredlDlsplaysd Horizontal Span Lengths)=Clear Span+1/2 min,end bearing 1/2 intermediate!rearing products must be in accofdance Connection Diagram with the current Installation Guide Consult project design professional of record or BOISE technical representative for connection design and the applicable boil Member has no side loads. To obtain an Installation Guide or Concentrated loads are not consldered in side load analysis. you have any questions,please caIl (800)232-0788 before beginning product installation. Connectors are:l6d Sinker Nails BC CALC®,BC FRAMERS,SCIO e c 21 d• 8C RIM BOARDTM,BC OSB RIM b 3" L- BOARDIm.BOISE GLULAMTM c=3-301 9 VERSA-LAM®,VERSA4RIM®1 d 12" • �. VERSA-RIM PLUS®, C VERSA-STRANDTM, VERSA-STUD®,ALLJOIST(J)and • . a AJS14 are trademarks of Boise Cascade Corporation. a • 7—I b Page 1 of 1 AUG. 3.2005 5:14PM SHEPLEY SALES NO.744`---P.10 — MONSW , BC CALL®2003 DESIGN REPORT-US y,August oa;zoos 16:50 4Neiinesda Double 1 3/4"x 94"VERSA-LAM®3100 SP Job Name: Cfkmaki File Name: Anderson ILomaki.BCC:Lave!116_3 Address: �(7A9 ElltoYRd_ ___ Description:stair City,State,Zkr Centslvi0e,MA Specifier. be Customer. RW Anderson and Sons Designer. Code reports: ICBO$512,NER 629 Company: Shepley Wood products Misc . s�rmarq Load-40"Il l 1 o psf Tributary o2-01-00 B0 534lbs LL B1 3701ba DL 534 Ibs LL 370 The DL Total Horizontal Length-03-10-14 General Data Load Summary Version: US Imperial ID Description Load Type Ref, Start End Type Value TrIb. Our. Member Typo: Floor Beam S Standard Load Unf,Are Left 00-0"0 03-10-14 Live 40 psf D201-00 100% Dead Number of Spans: 1 1 wall Lint Lin. Left 00.W-00 03.10-14 Live 10 psf 02,01-00 9p% LeftCandlever: No 0 pif ME 90,6 Right Cantilever. No 2 attic Unf.Area Left 00-00-00 03-10-14 Dead 60 pif Na 90% 20 psf o9.OB-00 100% Slope. 0/12 Dead 10 p3f 09•06-00 90% Tributary: D2-01-00 Controls Summary Control Type Value %Allowrable Duration Load Case Spain Location Moment 883 ft-Ips 3.0% 100% 2 1-Internal Live Load: 40 psf Neg.Moment 0 ft-lbs n/a 100% Dead Load: 10 psf End Shear 364 Ibs 3.6% 100% 2 1-Left Total Load Defl. L130951 0,00 2 Duration: 100 1 iurtigon Load: 0 psf ( )Live Load Defl. U52423(Q 0011 0 ) .77g%r, Max Dan. 0.002" 0 2 1 0.2 l0 2 1 Disclosure Notes The completeness and accuracy of the input must be verified by anyone sign meets Code minimum(U240)Total load deflection criteria. who would rely or,the output as Design meets Code minimum(L/360)Live load deflection criteria evidence of suitability for a Design meets arbitrary(11b)Maximum load deflection criteria. Particular application. The output Minimum bearing length for So is 1-1/Z". above is based upon building Minimum bearing length for 01 is 1-1/2 code-accepted design propMtes Entemd/Displayed Horizontal Span Lengths)=CtearSpan+112 min.end bearing*1/2 intermediqte bearing and analysis methods. Installation Connector Manufacturer. Simpson Strong-Tie®Company Inc. of BOISE engineered wood Connection De products must be in accordance Diagram with the current Installation Guide Consult project design professional of record or BOISE technical representative for connection design and the applicable building codes. Member has no side loads. To obtain an Installation Guide or if Connector;are:16d Sinker Nails you have any questions,please aI! (800)232-0788 before beginning product installation, b`3; _d a BC CALC®,BC FRAMER® BCt® c=3-3/8" 8 BC RIM BOARD-,80 086 RIM ' d=12" T • T— e I BOARDTm,BOISE GLLILAMTm, C VERSAAAW VERSA-RIM®, VERSA-RIM PLUS®, • .._e • VERSA-STRAND►m. VERSA-STUDS,ALLJOISTO and AJSTM are trademarks of �, • Boise Cascade Corporation. a • _t 4 b Page 1 of 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r1 � Map Parcel 1 Application Health Division Conservation Division Permit# Tax Collector Date Issued- Treasurer Application Fee ' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address lJ �, Jdu Village Owner Address Telephone Permit Request TLt f. Square feet: 1 st floor:existing proposed 2nd floor:existing -'proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: -----•Zoning-Board-of-Appeals Authorization_ ❑._Appeal#.. Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# T Current Use Proposed Use UILDER INFORMATION Name Telephone Number 6N - 9 1 In Address Jeq l t Uf�al License# 4 ckn&cy►��� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��0 -0(0 FOR OFFICIAL USE ONLY PERNLIT NO. e DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: 1 , FOUNDATION t FRAME Y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT 4 t ASSOCIATION PLAN NO. s r P y i x . �"Et Town of Barnstable Regulatory Services aniwnai aMAM Thomas F.Geiler,Director i :19• ArFDNIP'1A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at (90q C W c)* Rc1 C2nk(V�h-e- FIA- , hereby certify that S is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# issued on 9 a`� 200 S` I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. ((/OPERTY O DA q/forms/newcontr reference R-5 780 CMR rev:080102 1 ne c.ommonweatin gI lnus�su'cnusru� Department oflndustrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www-mas&gov/dia Workers' Compensation Insurance Affidavit: ]Builders/Contractors!]Electricians/Pluffilbers Applicant Information Please Print Legibly Name (Business/ora nizatiowhdividual): J CL,0 n(�,f-6— I yY)ck G� Address: Oq)� City/State/Zip: -•p Cv O Phone# 1(0 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 construction employees (frill and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp.insurance. g• 2'<ilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10•❑ Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11:❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12•Q Roof repairs insurance required.] t . employees. (No workers' comp.insurance required.] 13 ❑ Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowner wbo submit this affidavit indicating they are doing all work and then bire outside contractors must submit a new affidavit indicating such FContractors that cbeck this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp•policy inforn2adon• I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy andjob 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 Rue up to $1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORD 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 Offs" of Investigations of the DIA for insurance coverage verification. I do hereby ce ;fy under the pains and penalties of perjury that the information provided above is true and correct: Si afore: Date: r Phone Official use only. duo not write in this areii, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Cler4� a.Electrical Inspector. �.I'iuinbina Inspector I. 6. Other Contact Person: Phone r• °F114E t° Town of Barnstable Regulatory Services BARN ` Thomas F.Geiler,Director 'MASS. 16 9. 0 Building Division Tom-Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 'to —DLO 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: 0 C,i Estimated Cost 100, Address of Work: �' i OJ C%l'1 '�l Owner's Name: (ZJ V ona(0, 2 J, G1'yy,L l Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied Pwner 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 Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 " II r Town of Barnstable CF THE Tp� ; "o Regulatory Services �,RrtsrnstE. ; Thomas F.Geiler,Director Mass BuRdIng Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstible.ma.us 508-862-4038 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION Please Print iATE: � ! 'JiLi�1 ,� I,, /� IDB LOCATION: �- e ►k V l I(,0— number street village HOMEOWNER 1 CAA 1_)ndal �-bmu. 5� -� -� ►^ ! I-a name II home phone#c.� work phone# ,TRRENT MAaJNG ADDRESS: a 05 C_ ' ( f O K t" city/town state zip co e [he current exemption for"homeowners"was extended to include owner-occupied.dwellings of six units..or less and :o allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as ;upervisor. 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 of 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 woik performed under the building hermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,.rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and reGuIrrmcnts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1=Licensing of construction Supervisors);provided that if the homeowner engages a persons)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 homeownerhires 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 t i =i Assessor's map and lot number ......................................... SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE �- WITH ARTICLE 11 STATE M r- Sewage .Perm number .... ..........................................:..... SANITARY CODE AND TOt��iN �t I Q��F THE Tp�♦ `, TOWN O F B A-R I�TWxinv�- 33AWiTAM YI MABB 'lsrjlC w a oMpYa. r . : - .. BUILDING INSPECTOR , ; 7 �7NRovq� "' `" APPLICATION; 1`01 PERMIT TO .�+OK�.:�.,. .......�. ..\� .yl . ..4�.4rF>! TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tothe following information: Location ......�QC........ 11,A�..�. . .. 1/1.1�✓x/t��l�!�t.....!!�L�►��?.�........... Proposed Use ..0 e........ A .A(K. . .tJ�,Dbir��I Mir ..................... .......... ................� 0— ..... ..qr e......................... � Zoning District ......�..0......................................................Fire District aA11.k.!/� �'i' ....�................. f c e . Name of Owner lr.6u� �?..1......IFLL1•.b. .(........Address ...... :.��Sl��t..... ......... ..�... ,.... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ...................................................................Address ........�........................./..........................y........................... Number of Rooms .......�7....................................................Foundation ,.. 001.4-......ti(.rRM IrP...l.. .................. L Exterior44.h..... .kV1.`4...................Roofing .. .... ra+���............................................. Floors ..W....%A)...................................................................Interior .................................................................................... Heating ............6c,.....o.leR1..........................Plumbing .................................................................................. L Fireplace .......i&r.s .11........................................................Approximate Cost ...... .y .................................. Definitive Plan Approved by Planning Board -----------_______-----------19________. Area /Y... .t�......... ................ Diagram of Lot and Building with Dimensions Fee �a`............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH zX T V�` 7F / 1 10 i o 2Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ...�:..... ................... ' Elliott, Robert 8&° ' ' ^ . . ' - - �No - — Permit for —&��'..���X��---- ----.wm^°g°e..^°°~°°y...=e^°=n................... . ' . 209 Elliott Road Location -----.------.--..-----. Centerville --.--..---.....---------..—..—_.— Robert S. Elliott Owner .-----------~--_--~'—.—. . . . . . . frame ~ . Type of Construction .......................................... ----..~-----.----.----------.' . . Plot ............................ Lot ................................ ' ` ^ - - . March 22 78 'Permit Granted ....................................... . . ' ' . no�e of Inspection --lq . . ' 10ota Como��e� ../��,i,��.. ]� . ` PERMIT REFUSED . ' . . . —.�— lA ........................ ..—.. ~ ..................................... - — . —_—.-_-...--~..�--.----.—~.^—' � . . ' .................... ' -. - -----. �� l9 Approved. . ------------ ..,:----.---. . . --------..�-------.--�... . ------ ' . . Assessor's map and lot number .......................................... Sewage "Permit number ..`........................................................ p `� yOF'If NErO�♦ TOWN OF BARNSTABLE Q i ..tS SALE, i "b9 M BUILDING INSPECTOR �o pY a• APPLICATION FOR: PERMIT TO .. ...................................................... TYPEOF CONSTRUCTION ...........%.!................................:...................................................................................... _ r ...................:...........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....................................................!................................................................................................................................. ProposedUse .....'..................................!......................................... . .....................................I............ .....I......................... ZoningDistrict .......?................................................................Fire District .......................!.....I.............. .'........... Nameof Owner ................. ............ ...................`..................Address .......................:............'...�.......................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect .......................................:..........................Address .................................................................................... Number of Rooms .........:........................................................Foundation .........: �- Exlerior ............................ ...Roofing .........:....:....... ..:..�.....:................... Floors . ' .Interior 1 Heating .... ....`..... .....................................................Plumbing .................................................................................. Fireplace ...................................................................Approximate Cost .................................................................... ............... Definitive Plan Approved by Planning Board ----------------------_---------19________. Area ............... Diagram of Lot and Building with Dimensions Fee ... /.......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ✓ r l7— XL.I s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....• ........................................................................ I Elliott, Robert S. A=228-139 � /. No ...!.2..........0033 . Permit for ........Q11P,.S.GP.>;y........ = sin le famil 209 Elliott Road Location ................................................................ t Centerville 4 ............................................................................... Roberi S. Elliott Owner .......................... M ................................... ' frame Type of Construction ........................................... 4 ................................................................................ { Plot ............................ Lot ..... ........................... 4 Marc`h 22 78 Permit Granted ............. .........................19 Date of Inspection ......................19 { Date Completed ......................................19 4 I PERMIT,,REFUSED y ...................... .... ........ 19 r ......................... : .. .......... ........................................ C ..... ............. .... ...•.•••.•..•.........................•... ........ .................. ... . ..�: .................... 1 Approved ................... ............................ 19 ......................................................... .................. TOWN OF BARNPSTABLE° Permit No. 20033 ��• o ------------- Building Inspector N/A Y neei�T.0 Cash N/A OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No. building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Robert S. Elliott. Address 223 Elliott Road, Centerville 209 Elliott Road, Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT FILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19......_ ............................................. ................................................................_ Building Inspector 1 q Et i � f F;. J - • $.k Town of Barnstable OFTHE 1p� - do Building Department Services Brian Florence, CBO • snx►asrnatis, x v MASS" $ Building Commissioner s6;y. �0 ATEo nor►+" 200,Main Street,Hyannis, MA 02601 www.town.ba rnstable.m axs Office: 508-862-4038 �l11�08-790-6230 Town of Barnstable Famil A artment Aff d�avOli 20 Y P r,70M r 19 I being on oath depose and state as follows: p My name is � �--�,oM� � I am the owner/resident'of the property located at: a0 L-1,1.0 l"� Ra K CCi�;fw�t��L The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: f:t AA. Name &relationship to owner: L-UOV-rNP, 1 Z M ff1 The Family Apartment will be the primary year-round residence for the above-identified family members.. In the event that the listed,relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply,with all conditions imposed by the ZBA Special Permit, and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain:The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to u e the p-' penalties of perjury this 'day of 2019. 50< ,-77/ - /C Idd Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/13 f Town of Barnstable Building Department .. Brian Florence, CBO t ELAMSTnsi.E. ems. �, Building Commissioner � c►3�a�0. 200 Main Street,Hyannis, MA 02601 Fc klyDk� www.town.barnstable.ma.us T Office: 508-862-4038 &fix: R-790-6230 Town of Bamstable Family Apartment i avit I, being on oath, depose and state as follows: My name is � �<-� �u.� I am the owner/resident of the property located at: ELL( rx"C MKO The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: pW '� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: T he apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to un p ' s and penalties of perjury this day of fC13 a 2018. Sign a 'e Phone Number Print Name \ -L1.o Mo,\Al 1 q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Richard V. Scali,Director °* Building Division BAMSTABM * Paul Roma,Building Commissioner �pr i639' 200 Main Street, Hyannis, MA 02601 En� 4 www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows ` My name is \1 "W)Kv1 am the owner/resident of the property Ylocated at: Cj The following members of my family will be the sole occupants of the Family Apartment atthe aforementioned address: Name &relationship to owner: Name&relationship to owner: NLA N �11. 'f-L®Mmo -- The Family Apartment will be the primary year-round residence for the above-identifiedr'°' family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also ` understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the'Building Commissioner immediately in the event of the sale of this property. If there is no longer:a-Family Apartment at this location,please explain: The apartment has been dismantled'. The apartment has been transferred to the Amnesty Program(Appeal No: ) Other Sworn to er theIs,,d enalties of e this da of 2017.p PrJ�' Y �� Signa e, Phone Number Print Name All ll q':forms/famaffid.do c .rev 11/08/12 Town of Barnstable Regulatory Services . oFTME rw,� Richard V. Scali,Director Building Division n 9 MAM ' Thomas Perry, CBO,Building Commissioner - 1639. 200 Main Street, Hyannis, MA 02601 _ wwwaown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790 623( r Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is A9' �'�J°���\ I am the owner/resident of the property located at: k01-T 9-0p\1J The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: -V P\ 'f-k­0 N'1 P\\L I � �A��� Name &relationship to owner: P\VQ-Q\ --r-LA M �� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pa' and enalties of perjury this S , day of R P� 2016. _U9 Signature ; Phone Number Print Name q:forms/famaff.d.doc rev 11/08/12 r I Town of Barnstable of r Regulatory Services T, moo„ ,Richard V. Scali,Director BARNSTABLE, . Building Division 3r: �Ar 039. 1. Thomas Perry,CBO, Building Commissioner Ep nor 200 Main Street; Hyannis, MA 02601 www.town.barnstable.ma.us =:- c Office: 508-862-4038 Fax: 508-79fl�623 ' Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is i I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: A Name &relationship 4o owner: -0 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building . Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately,in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the' ms 'penalties of perjury this `)JJ� day of IANI?-6 W 2015. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oFTME loy, Richard V. Scali,Interim Director Building Division BARNSTABM " Thomas Perry, CBO,Building CommissionMAM er, aka A a 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DF, . Fax 508=790-6230 J"'r V Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: '� l:s L-lr"1 tjA tQ), y� ' The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: VL Sf\ TJ-0 NNV t Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to and a gains and penalties of perjury this ~1 Z day of A,� 2014. // a 54- 1117/ - %q_ Signature Phone Number Print Name Ag-1. -1C IA MW Y q:forms/famaffid.doc rev 11/08/11 Regulatory Services -- �TME Thomas F. Geiler, Director * Building Division Thomas Per CBO Building Commissioner Mass �, r3'�. g Apr16.39. 200 Main Street, ,Hyannis,MA 02601 : .town.barnstable.mawww .us Office: 508=862=4038 ; Fax: 508-790=6230 Town of.Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: , ( . My name is . �'` I am the owner/resident of the property located at: The following members.ofmy family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: MA _Tt �- Name &relationship to owner: Zupmp* r The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no.subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is noaonger aFamily_Apartment at this location, please.explain:_ The apartment has been dismantled: The apartment has been.transferred to the Amnesty Program(Appeal No. ) . Other. o Sworn to under pains and penalties of perjury this . dof 2013.` 4.., Phone Nurser n Signature, . l - Print Name (_oPe ,� q:forms/famaff d.doc rev 11/08/11 Town of Barnstable Regulatory Services oFTM� Thomas F. Geiler,Direct9ropIpj OF B p0@ qs Building Division f "E' � ' MASS. Thomas Perry, CBO,Building Cori ni io er g } .`200 Main Street, Hyannis, MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 °l' ." i;s Fax 508-790-6230 Town of-Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is f OA V ,6L J-`fta I am the owner/resident of the property located at: j I'17-o The following members of my-family will be the sole occupants of the Family Apartment at the aforementioned address: - Name &relationship to owner: — -I h LatZ - Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. 'In the event that the listed relatives vacate said apartment, I will immediately. note the Building Commissioner in writing. I understand_ that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family.Apartment.I also understand that I am required to comply with all conditions imposed by the 2BA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no.longer a Family Apartment at this location,please explain: The apartment has been dismantled: The apartment has been transferred to the Amnesty Program (Appeal No. ) Other S orn to under the pains and penalties of perjury this day of 2012. Signature Phone Number Print Nam n KTJd bra j` q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of rq, Thomas F. Geiler,Director i 6iry Building Division BAMSTABM ' Thomas Perry, CBO, Building Commis�s ontr Ar i6;9' 200 Main Street, Hyannis,MA 02601 C Ep Mp`l _ www.town.barnstable.ma.us � §� ,:., �,.:�,.�-ter✓ '- ., m. i Office: 508-862-40381 . ° Fax 508-,790-6230 Town of Barnstable Family Apartment Affidavit'.. I,being on oath, depose and state as follows: My name is AO nKy_", I am the owner/resident of the property located at: IMP C.Ctii�.�-V1�� l The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner VE'S N `to fNyj Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified, family members. In the event that the'listed relatives vacate said apartment, I will immediately notify'the Building Commissioner in writing.,Punderstand that no subletting or subleasing ofsaid Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning,Ordinances Section 240-47.-1 Family Apartments. I agree to not,y the Building Commissioner immediately in the event of the sale of this property. - If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred.,to the Amnesty Program (Appeal No.- ) Other Sworn nd the pains and penalties of perjury this day of 2011. ' s Signature *+ `Phone Number Print Name F Town of Barnstable Regulatory Services °FtHe rqy� Thomas F.Geiler,Director Building DiWis'i'onf P, R;;' t� LE BARNSTABLE, Tom Perry, Building Commissioner 9� MASS. 3. 200 Main Street,HyannisMA`02601 F ( ArEp �A www.town.barnstable.ma.us Office: 508-862-4038 DIVISION, Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is `�` V ' �Luot P� � I am the owner/resident of the property located at: aR �Koplb The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event.that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building ' Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in-the event of the sale�of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No.. ) Other sworn/'to Xtheai, and penalties of perjury this day of.3�)0%L- 2010. ; SUS - Sign ture Phone Number Print Name AA Q/bldg/formsdamaffid Rev:12/08 Town of Barnstable Regulatory Services �1HE t� Thomas F.Geiler,Director Building Division * saxxsrABLFE " Tom Perry, Building Commissioner � t Mass. 9�A 1639• ,0� 200 Main Street,Hyannis, MA 02601 � tn�� TEn Mp'ta www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is am the owner/resident of the property located at: a0 9 lC LlI0\ '(ZO Ply The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: MA'RJ MU IRALN� Name& relationship to owner: VEs r" I1 U J`^V_11AN\J P S\AE 'The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. ` I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that.I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at,this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ). Other Sworn to un r e ai nd penalties of perjury this , P`� day of t� )26 2009. SignatirrF Phone Number Print Name AV V: TL9'P__AV 1 Q/bldg/forms/famaffid Rev12/08 Town of Barnstable Regulatory Services �pFtHe tpN� Thomas F. Geiler,Director_ jrl; it ° Building Division BARNSTABLE, Tom Perry, Building Commissioner JUL ` 9�a 039• � 200 Main Street,Hyannis,MA 02601 P/� .- 3:28 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is -�- � I am the owner/resident of the i property located at: �d 9 �L�.l jS\�D The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �S>R / r -- Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no,subletting or subleasing of said Family Apartment is permitted. I understand that I am required.to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family-Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to r the pains and penalties of perjury this day of 2008. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:l/03 Town' of Barnstable Regulatory Services MUMSTAB9 MASS. Thomas F. Geiler, Director 039. A Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 28, 2008 Mr. & Mrs. Ari Ilomaki 209 Elliott Road Centerville, MA 02632 Re: Family Apartment Dear Mr. & Mrs. Ilomki: Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office reconfirming the status of the apartment. You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the family apartment. If you have any questions, please call Lois Barry, Division Assistant, at 508-862-4039. Sincerely, Tom Perry Building Commissioner, Enclosure jfamapt - 7 4d� '� '. �* `•.. 1A,. a ai,sp'n. .. s mp 'd *,Ao Appeal or Permit No: 87221 Appeal ,wx�Building Permit Status , ! Family Apt ;", ,,g' ° a id+,r^;^"� �!� '"r ; 'd�,'.�J �,a7' a io`��(i�°t�� �a' " a �tt� " I��HY��Pt4r „ '��M't4'P�'�'�i iti� :.d��'$rNp�"P.� �.�. Last Applicant � ,Ilomaki lAri&Tawndra z P Addr2.. .209 Elliott Road g Nilage. Centerville MA 02632 �' « , N Aff Received,a Map Par 228139001 Zoning "i'r 1 -�✓ RMh'� 5 Decision CO12/27/07 " Notes, ;Apt.Martta Ilomaki(mother) Y � v Close d 09-27-2005 ai 03 39ca Town of Barnstable 'THE r f , Regulatory Services RAMSTABL& ; Thomas F. Geiler,Director 9�A 16:59: ��� Building Division rE�iMp'ts, Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT ' I(We), the undersigned, being the owner(s) of property situated at 209 ELLIOTT ROAD in CENTERVILLE, MA, holding title under a deed recorded w;th the Barnstable County Registry of Deeds.or Barnstable County District Registry of the Land Court in Book 1 a f3D,-, Page c>S U , or as Document No. , being shown on Assessors' Map 228 as Parcel 139 001, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for MARTTA ILOMAKI, MOTHER/MOTHER-IN-LAW OF OWNERS ARI & TAWNDRA ILOMAKI ass6ciatedPwith the residential use on the same premises. This unit shall be used for a"Family Apartment (as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room,or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land.- Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. �1 �1"�i WITNESS our hands and seals this of / day of 200 S TOWN OF BARNSTABLE OWNE By: G 011 GrIj aA �J)%alz uil ing Commissione1ARRACHUSETT THE COMMONWEALTH OF BARNSTABLE COUNTY, SS Date Q-J 7,C Then personally appeared the above-named (owner), ! I` yL I_0_Q1g_ and made oath as to the truth of the foregoing instrument,.before me. Notary Public PATRICIA A. PIVA.. My Commissi n .NOTARY PUBLIC Commonwealth of Messachusehs. My commission Expires August 15, 2608 NSTArk REGISTRY OF DEEDS ElliottRc1209(92705) 8�� �ry IMPORTANT - UPGRADE REQUIRED SMOKC rilETECTORS REVIEWED STATE BUILDING CODE REQUIRES THE UPGRADING OF �2 v SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN BUILDINGS D T. SATE ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL FIRE DEPARTMENT DATE` PERMIT DOES NOT SATISFY THIS REQUIREMENT. BOTH SIGNATURES ARE REQUIRED FOR PERMITTING CONT. RIDGE VENT I I r SHINGLES T-CH EX- ) =ELT PAPER I ?IM TO I EXISTING _ _ _ i i i t BRICK R.C. CLAPBOARDS STOOP .(EXPOSURE TO MATCH EX.) ON TYVEK HOUSE 1-,IRAP i C� FRONTJ�LEVATION i I , i I I I I I I I � h I I. i y I. I I j., ,. I 7. I ! , I �• = i I I I I i .. I _I I.' I I : 1 I I I I j i i j l l i l 1 II i l l I I I I I sa .I I I I : I IIIiII l 1 . I I III 0 0'\I zzx � < � i (PT\ ;uZ 01 rnr �nn —! m 3i_bn 3i_In 9'_On II'_On C6 i u S.C. = SOLID CORE I I I INTERIOR DOOR SCHEDULE H.G. = HOLLOW CORE 2x4 WALL THICKNESS UNLESS NOTED OTHERWISE SYM. MFR'S UNIT WIDTH HEIGHT THKNESS CORE PANEL REMARKS I BROSCO OR EQUAL 3'-0" b'-e" I 3/5 S.C. 2 PANEL �I IL ° 2 MATCH EX. DOORS b'-a" 13/e S.C. y� 1, 2-b I 1111 � \J/ O UP W-11" 3 2,_b„ b'-B" 13/6 S.C. .. q f cPv y" GARAGE BASEMENT B 2'_6° b'-B" 3/9 s.C. i .. r f 5/B TYPE' G'. T qn 7 - 21_b,r ON ; b'-9" ALLS-4rCLG.� 41 q 3'_p° b'-B" 1 3/e S.G. FIR' _ RATED . r-"• �.J\ 'lo BROSCO OR EQUAL 2'.-B" b'-e" 1 3/8 5.c. MATCH EX. DOORS 2'-a" b'-B" i 5/5 9.G. FIRE R-ATEo' _ 0 . 12 9-O' 7-O' , O OH DOOR� �) 13 - OH DOOR t` HARDWARE NOTES: TO BE DETERMINED BY OWNER. f DC Pd PRE HUNG SOLID JAMB, UNCASED-TYP. BASEMENT/GARAGE PLAN 4'"0" SCALE:114'=r4r , 101_Ol II'_2n 10'_V. 1 WINDOW SCHEDULE I it u of Q E--L:- SYM. MANUFACTURER'S UNIT ROUGH OPENING REMARKS N ET J n W H i� A ANDERSEN TW2032 2'-2 1/8"x3'-4 ANDERSEN C235 4'-0 1/2"x3`-S 3/8" - £\ � •e _ Y BEDROOMB :o C ANDERSEN TW2446 2'-6 1/8'k4'-9 7/8" -20'-0" '-to ® ' D ANDERSEN A21 2'-0 5/8"x2'-O 5/8" C„Sti S�' BATH N IJ O n O 6 - H NOTES: I - _ 1. ALL ANDERSON WINDOWS B DOORS TO BE 400 SERIES-WHITE 6 C I LIVING - o O I O PULL DN. Z ~ ' 2. PROVIDE INSECT SCREENS AREA O 1 I STAIRS S. HARDWARE TO BE DETERMINED BY OWNER Re' iv BATH L-J F �: - m I ' Z6tt S f - I CLOSET I HALL t .. DN. .Y _ _ Nam_ I 6,_O" I 3,_q" f Z O NEW CASED THESE DRAWINGS AS SHOWN ARE FOR ILLUSTRATIVE PURPOSES ONLY. I I II OPENING I{ CONTRACTOR IS TO SITE VERIFY ALL EXISTING V5. PROPOSED CONDIT1ON5 PRIOR TO AND DURING "O CONSTRUCTION AND TO MAKE ALTERATIONS AND/OR ADJU5TMENTS TO WORK AS IT I PROGRESSES TO PROVIDE FOR A COMPLETED PROJECT IN COMPLIANCE WITH DESIGN c,• - l PARAMETERS AND MINIMUM STANDARDS SET FORTH IN MA STATE BUILDING CODE AND A O OA ii APPLICABLE TOWN CODES/ORDINANCES. CONTRACTOR TO VERIFY ALL DIMENSIONS PRIOR TO BEGINNING OF CONSTRUCTION. - DATE oc/i REV_ISIC_1' . W-10 DRAN W � I FLOOR PLAN ' ' SCALE:,/4•=,'-0' .. .. �. . � ..;{l . • CONT. RIDGE VENT 71 0 o.. I 0 o ASPHALT SHINGLES I (TO MATCH EX.) o ON 15# FELT PAPER o ALL TRIM TO ❑ - ❑—t-F-i MATCH EXISTING _ _ —ly_----- — — W.G. SHINGLES Z, ,�__ (EXPOSURE TO MATCH EX.) 00 1L ti— ON SIDES EK HOUSE WRAP 4J_I ON SIDES 6 REAR BRICK / — - R.G. CLAPBOARDSELLISTOOP — _ o (EXPOSURE TO MATCH EX.) Z- ON TYVEK HOUSE WRAP ,.FRONT ELEVATION- o - 2 SCALER/a—1'-0• _. U) a-- — a .REAR ELEVATION . cl 4• MATCH EX. e: FFFI �w O C,I I- - RH -- z C',2 u —® EX DECK I I _ SHO FORO WN CLARITY E I A DATE cs,(�a/Q•a� , REVISIONS RIGHT SIDE ELEVATION SCALE:t/a• r-0• 1z1, :.:1 ] . DRAWN B'. LEFT SIDE ELEVATION �� {} DRAWING SCALE:114•-P-0• - "E y. 5'_0" 9-g FULL HT. HALL ,I _j L — a ° Uri h p C DFN �Ir s �D II o r �FE FLOOR 2. �r Z EO e I UZ° >oN II o A m o r� II I x� I I �Zi m I i N� ill I I- - - o- - Li > 0 N�I� �A IAru r A (Dp m-{ p� z e :i40� fop i or Fo �a 4zig 'm� oj OZ n E D Nm9 zm. NV �<N r DDr C U U Fn F my o �Am A O D A lD `IAA Z�Z_n r p< IF I II III—h "" o II lol uU) a _ _ G) Ia CA _ _ .. — I - _ �X� I _ DN Z I_ o N C N70 .D Zm 3'o t I A I �— I — p Z L.b \ I _ i m A < _ — — Z � lr — — - — 0 0 I _ I X r ==ZL_ IF N l I f n17 NEW ADDITION FOR III u) �°7� . o m THE ILObIAKI EESIDENCE IT7 WB 209 ELLIOT ROAD DESIGNING & PLANNING o a - - -- CENTERVILLE,_.MA•. . _....._._. \ TEL 508'760-201 :. N DEN NI pp pmrOvD Zz fziOg�" m Z'ZC . • X�t N ° (DZmr� n 1' zA-4 N z : T r 4) A�-01 - N A Q' :t r . r tpn X IIIIIII' . - 181=III IIII=rill x D .i n D L O On ica_ § me 0 sad m O nya 0 Z G�A UK f A ow x 7z 16) Cg R m m - -i 0 ro P IIIIIIIIillll, $^ �"�uam IIII mp °Ipa�i XPi r �nT NAe-r(�i 8 - m WW vam Nf TZ T pA �Z1p DT r Cf �P •1a pZ 22 rE3 CC) Q FF0 p mr 4 N ma pi D°,3 IN A Liy -40 rrt'N �Z<A Cox ogg "1 1 < tnn ys'JO� i D-D1'.��pmN Zm I cnEg ° fit. 0 P m 5 - IIIIII IIII IIIIIIIII 1 07 = - O i C a U) c m m ASK U O r T Di 10 0 < ag n � I I MI IIII=III, .cyyc". or T u rz � a I a DT -1I �m I1111 aso� -'Al3}�i :8 TOzm �<Zi sD nn 23 • � >� rE -Ci0 Q Op i� r -Itn oo� m m 'm� `n F� 1 Z C 5 i B Da 1 I I 1 I I 'I A NEV ADDITION FOR e ls THE ILOMAKI RESIDENCE �y�Y 111�L 1L 209 EJ?,TOT ROAD al `F o DESIGNING & PLANNING — - - � _CENTERVILLE, MA. _ PO BOX 73 508.760-2003 j 7 u'o. Ii W. DENNIS, MA 02670JEL 1 I i r •vim,.... e. --%,,,127 OUTL ET P!PE•- CENTER VILLE INV=1.98' e f a c E ST PI REST pvw TOP OF WATER 6.15' A.M. 228/197 A.M. 2281139-2 s�ucF' � :� v ,,� G. Y 8 1 0 190.9. g,^ v nnu�PLi gl -49 Q No. 2 E , 1�pA 40 N83 51 2 • � FORMED� POND � �� LOCUS S ���. TOP OF .WATER 6.2' _.r w - 22 81139 39 1 2- � J. . M 2 G �C PIPE. , ® v 'AREA=55,063- S.F INV.=8.62 A�y ;��F'y f , i \ •/ { - A/; dli, 4' it MAAL RSH ,�� �. LOCUS MAP A.M. 00 227 5 / —=` -=�' f \ al,. , / PLAN REF 331130 DEED REF 144791251 MARSH UPOLE ASSESSORS MAP 228 PARCEL 139-1 ZONING.• 'RC T _ 4 :'15.3 SETBACKS. 20-10-10 ' _ 1 _ _�. D „AP„ 16 C. -0.,' I ,I'' G P 18 BENCHMARK I F�Nc ♦ ' , o ',�x s.s TOP OF TAGBOLT ON HYDRANT, SITE PLAN OF LAND p EXISTING I �— \� ELEV-=20.28' (N-G. VD.) LOCATED AT LEA CH (TO BE REMO VED� ,f209 ELLIO T ROAD 8 I • nn•• nn s '� ti Y J Y I .,►,: _ CENTER VILLE; MA. O J ,'J EMI=KO72 o �50� �•;;;; ,�;, r.- ,,�� e a..- PREPARED FOR. , � . ��� OUSE':"' \. ``��' Iry, �� o' j . EXISTING O p ✓s- , ;;,¢`209 y RI & TA WNDRA ILOMAKI SEPTIC LOCATION Q�J , O JW , (�44.20.6 A ,,,,,,,,, ( NOTE'• ,��. . SHOWN PER TIE CARD ' ""•""""�J °'1'' f � p� O 5' REMOVAL IN ALL DIRECTIONS , 6� FF.ELr '` OJ% AROUND LEACHING TO RECEIVE SCALE: 1 .=30 PROPOSEl3� y. 25 5/ ;'QG� CLEAN SAND FILL PER 310,..CMR 15.255 REMO VAL OF UNSUITABLE SOIL TO ADDITION _ , 22 9 APPROXIMATE DEPTH OF 36'— ED. SAND f ,pp IE TO EXIST. 0 ?.�[•• �`� O 719 BE INSPECTED BY HEALTH DEPT. MARCH 15, 2005 , . PRIOR TO BACK—FILL fig• D /0 F�ELEEV'��� I�••.. '' REV t �® _AUGUST.25,-`2005 z Tp®, ij� �' } v� .I. REV. mr 3.z }�Y w `� REV ! - '46i �' 4 >'�. 0 w� v i; A.M. 248 57—003 �. 'PROP ; �' g�'' o a �" u / 4�w i l YANKEE SURVEY CONSULTANTS SA UNA;° ,;% 4�V•y1,o,Qf°vosd�;'� .; W 4, UNIT 1, 4 oB INDUSTRY ROAD P. O: BOX 265 . '�-� of,'�� ' 'i3:� wv� MARSTONS MILLS, MASS- 02648 02,o 2 0 , BENCHMARK-• �� f TEL,• 428—0055 FAX 420- TOP OF, CONCRETE BOUND 0V i ELE V.=?O.84' N.G. V.D. � ( i�. h \ i � y w SHEET JOB # 53727 GM I OF 2 OUTLET PIPE CENTER VILLE F INV.=1.se' of PINE • � TOP OF WATER 6.15 A.M. 2281197 BRUCE. yGcn A.M. 2281139-2 ! . .. G. �.. 190 98 MURPHY '22 1 �c9< No.749 ��oA9 �OQ' k N83 51 ` E -- FORMED s� s' Al/T PNIR�� �A.,&AAA, t POND LOCUS sp a �pD5 TOP OF WATER 6.,2' c9 `�N of Mass WOODS � (2123105) C ® STEPHEN .. J. A. M. 228/139-1 a Do�'LE � PIPE C5 G4 Q� e- =37559� s 1 m �/ \ AREA=55,063f SF . INV,=8.62'� MARSHY ; y . LOCUS MAP A.M. 2271005 / AIL l PLAN REF 331130 AILDEED REF:` 144791251 �. MARSH UPOLE ASSESSORS MAP 228 PARCEL 139-1 / �_ �:� _ �� ZONING. "RC' TREE 7- 14 SETBACKS. 20-10-10 �/ l ��Q _ w 16 ----- i G.P.0.D.: "AP" 18 BENCHMARK EXISTING I �' � _�- �� 16.5 TOP OF TAGBOLT ON HYDRANT SITE PLAN OFF LAND (To BE REMO D I / j ELEV,=20.28' (N.G, V.D.) LOCATED AT __ > ,w209 ELLIO T ROAD ,X 8. „ ��ti -'� �o 0 i CENTER VILLE, MA. A'ALKOUT 'C . 0 I PREPARED. FOR- EXIST/NC � ' / O �. •lS. .:::::#209 � �;..�•� '4'w •� _ SEPTIC LOCATION :. """ `� ARI; & TA WNDRA ILOMAKI ° O ,:::•:::::::: . e `J:Q'20.6 � • alp, SHOWN PER TIE CARD 0 ' �j J !�J Q 0 yy ' , NOTLr- _ r `C ♦ ' ` % �� '0� 5' REMOVAL IN ALL DIRECTIONS', , ♦ sr,... FF,E nj/ c z5.5 AROUND LEACHING TO RECEIVE SSCALE. 1 =30 1 O � PROPOSER %0 CLEAN SAND FILL- PER 310 CYR 15.255 , 1 ♦ %ADDITION •. / 'w� REMOVAL OF UNSUITABLE SOIL 7YI J '22 9 APPROXIMATE DEPTH OF 38! ED. SAND TO EXIST. O° / To BE INSPECTED BY HEALTH DEFT. MARCH 15, 2005 '\r ` ,, ,b 4J�cS•� /OFUEIE.E'I� 0' i► :; �0 PRIOR 7YJ. BACK-FILL �o r fig• / / .•_...f: _ REV A UG UST 25, 2005 qo�i ,I�, REV x23.7 Y �� REV r \ - A , w4 ti . _o / �' A,M. 248157 003 �q f. PROP. ; o , , a U w W \ w w5 /� 60 ��,t, R ;' q q / YANKEE .SURVEY CONSULTANTS c, SAUNA.° 4 ,y1`�f so'; wJq , UNIT 1, 40B INDUSTRY ROAD ` �� . � ,'� ,�D<✓�� �c� •.��"i ,i' c,�,GTr�G �' x' o ,I� F 0. BOX 265 '23•' w 4 MARSTONS MILLS MASS. BENCHMARK 02648 q v -5553 'a� TOP OF CONCRETE BOUND V ! A TEL` 428-0055, FAX 420 o. ELEV. 0.84' (N.G. V D) � � -23.4 ! dN SHEET 1 OF 2 JOB #' 53727 GM -- 7 8.8 -==-----; --- ---- --- 22.8 w------------ 19.9 21.6 s=:w 24.5 70P OF FOUNDATION 20' MIN. . 10' MIN. CONCRETE COVERS "' 4" SCHEDULE 40 P.V.C. MIN. PI7tirH 1/B PER FT 2"LA YER OF 1/8"-I/2" EXISTING CONCRETE'COVERS CONCRETE COVER WASHED S719NE y ` WALKOUT 16(PROP.) 16 PROP. _ SLAB EL=17.2 s MIN. 16.5 6 AIlN. i i i /� i 6 ' i . i i 6 Af/N i . . i ' r 5`�''XIST i1�IN. CLEAN =j s" MAX �6" MA x RISER ' ' • ow SAND 9 A1tN. FLOW LINE EXIST. 1 10" 14" FLOW LINE 00 TJ A INVERT MIN EXIST. EXIST. CAS INVERT 110" ,. ° INVERT BAFFLE _1515' MIN 14" 6" SUMP LEVEL o ° a a o 0 0 0 0 0 0 00 (PROP.) EL.-__ ADD CAS INVERT INVERT o 0 °o ° EL.=15.4 BAFFLE EL.= 14_15 H_20 EL:=13.9 _ 4' .4 BOTH INVERT INVERT H 20 EXISTING lNVER7s EL. i4_55 DISTRIBUTION EL.=L _ INSTALL THREE (3) ACME 21. 0, ,000 GAL TANK EL.=14=8 PROPOSED BOX 500 GALLON LEACHING CHAMBERS 1,500 GAL: TANK TO BE WATER TESTED 33.5' X 12.8' TRENCH FORMA TIO • O H—,20 IF MORE THAN ONE OUTLET- PLACE ON 6' STONE NEW 10 MINSOIL °ABSORPTI0IV WALKOUT E =17z Do BI,E wATO .1- 12" SYSTEM. (SAS) E NO TE' 4" SCH40 PVC PIPE (OR EQUAL MINIMUM 5' REMOVAL IN ALL DIRECTIONS P!7>rH 1/4 PER Fr W h ,.P• °,., TOP OF.STANDING WATER IN POND IN REAR OF'LOT (2/23/05) ELEV.= _6.2 AROUND LEACHING 70 RECEIVE 6.2 ' CLEAN SAND FILL PER 310`CUR 15.255 .- a 2; • OBSERVED WATER TABLE (2/23/05) ELEV.=__---_ REMOVAL OF UNSUITABLE SOIL 70 _ INVERT L TLET (2/23/05) ELEV.=-1_9-- APPROXIMATE DEPTH OF 36"-MED. SAND CULVERT OU 70 BE INSPECTED BY HEALTH DEPT PRIOR 70 BACK—FILL OBSERVATION . HOLE 2 ELEV.=-15-z _ �..' _ � OBSERVATION HOLE 1 ELEV.= la.z__ PERCOLATION RATE ?_ MIN./ INCH AT _4Z_ INCHES PROFILE 0 F DEPTH HORIZ TEXTURE. COLOR OTT OTHER DEPTH HORIZ TEXTURE COLOR OTT OTHER 0-12" A SANDY LOAM-. IOYR 412 A SANDY LOAM 10YR 4/2 SEWAGE DISPOSAL SYSTEM 12'-36" -B LOAMY SAND OYR 516 12'-36" B LOAMY SAND 0YR 5/6 NOT TO SCALE 36"-120 Cl MEDIUM SAND 10IR 6/6 PERC. 36"-132 Cl MEDIUM SAND IOYR 616 GENERAL NOTES WATER ENCOUNTERED ® 120 = EG 6.2 WATER ENCOUNTERED ® 108"= EL 6.2 'SOIL TEST _ P./� 1O,91S 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 17� t '. TITLE 5 AND THE TOWN OF _BARdBLJ8LE____ RULES AND SOIL TEST DONE BY. BRUCE G. MURPHY, RS. REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) TWO COVERS ON SEPTIC TANK SHALL BE BROUGHT TO 'DATE OF SOIL TEST: 0212312005 ` WITHIN 6" OF FINISHED GRADE WITNESSED BY: DON DESMARAIS ' 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN' CAL CULA TIONS. 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 4 USED UNDER OR WITHIN to FT. OF.DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS . .' 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . . . . NO BE MORTERED IN PLACE. ; TOTAL ESTIMATED FLOW N 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ..• INSTALL THREE (3), ACME 440 GAL/DA Y p DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 500 GALLON (H-20) LEACHING CHAMBERS ( I10__GAL/BR./DAY x _4__ BR.) OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. " WITH FOUR FEET OF DOUBLE" PROPOSED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VATION CONTRACTOR' WASHED STONE SIDES AND ENDS SOIL CLASSIFICATION . . .. . . . . . 1 IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS - 33.5' X 12.8' DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. 74 GAL/DAY/S.F. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . • SITE CONDITIONS PRIOR PTO COMMENCING WORK ON SITE. +� NOTIFY YANKEE SURVEY 24 HOURS LEACHING CAPACITY (AREA X RATE) 454 GAL/DAY 8) PARCEL IS IN FLOOD ZONES__"A� B &_'C".. PRIOR TO INSPECTION RESERVE LEACHING CAPACITY . . . 454 GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP _2z6 AS PARCEL _139_I_. • (33.5 X 12.8 X . 74)+(33.5 + 33.5 +12.8+12.8 X . 74 X 2) 53727 SHEET 2 OF 2 JOB NUMBER__ ------ ------------- p; �r i A ,. Iry /x 1{r 1 { /r too _ a , ,Zv LT�4 I, i ; z iNy= `1.3 R k - r 72z- 5T E +,���,, 10�-�C �Wit... '+��►,�K. ''=' �"�. � D i° R�►+►► P 1 T"a ,4 x.4 d'C'C.F �. :. 1 ^V \ R''"�/ L— 4. X Z S = 1000 a a.,,.I t>a y "Tc�`�►,�., (���t d�.r..► � 5 0 -z cam.� t� 7c>TA, �z L..C,N I.1