HomeMy WebLinkAbout0010 HILLSIDE DRIVE`�
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Town of Barn'stableR ' EI�PT
" 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: B-16-3585 Date Recieved: 12/6/2016
Job Location: 10 HILLSIDE DRIVE,CENTERVILLE
Permit For: Building-Siding/Windows/Roof/Doors
Contractor's Name: PAUL M DOWNING State Lic. No: CS-074247-
Address: BROCKTON, MA 02302 Applicant Phone: •(508)427-6444
(Home)Owner's Name: JOHNSON,YOLANDA D Phone:I (508)375-6461 a
t
(Home)Owner's Address: 10 HILLSIDE DR,:CENTERVILLE,MA 02632
Work Description: DIRECT REPLACEMENT OF PATIO DOOR WITHOUT ANY STRUCTURAL CHANGE
Total Value Of Work To Be Performed: $1,444.00
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed.by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Davos Contracting 12/6/2016 (508)427-6444
Applicant Date Telephone No.
Estimated Construction Costs`/Permit Fees'
Total Project Cost : $1,444.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $35.00 12/6/2016 $35 00 XXXX XXXX X)C € Credit card
......... 2082
....... ....
Total Permit Fee Paid: $35.00
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in
town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town
Clerk's Office, 1gt FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter.
DATE:
x1 Fill in please:
APPLICANTS,
YOUR NAME: Q �• a S o
mow„ err BUSINESS YOUR HOME ADDRES S�
r ; (50s)8�k-i y7,37 er
3 ' o
�` ' MY'r.;x" F;< TELEPHONE # Home Telephone Number: OS
NAME OF NEW BUSINESS rD — /S TYPE OF BUSINESS F'rn bR�i d r
IS THIS A HOME OCCUPATION? YES NO
Have you been given approval from the building division? YES NO �oZ
ADDRESS OF BUSINESS i Cc, �rV1 MAP/PARCEL NUMBER
When starting a new business there are several things you must do in order to be in compliance with the rules and regulati ns of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of
Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business
in this town.
1. BUILDING COMMISSIONER'S OFFICE
This individu een it ftf any permit,requirelments that pertain to this type of business.
�' o=d ' nature**
COMMENT • .S Un c LCPd�
2. BOARD OF HEALTH
This individual has bW inforMo of the ermit requirements that pertain to this type of business.
Authorized Sig pa ure
COMMENTS:.'�ZD /-4Z
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual h en inf ed ofth f s'n uirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
Town of Barnstable
��rt tME i�
Regulatory Services
Thomas F.Geiler,Director
Building Division
* BZ04 (ABLE,
v iKnss. Tom Perry,Building Commissioner
gj 16;9.
10TEo Myt° 200 Main.Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Name Y D 1 an C1 A )0 . J 0 ► 's bT_ Phone#:��� �3
Address: 1 �� 1 S' �(, �/� cn/L'ry,Jle- O
ge:
Name of Business:_ r-�) b rn► N e-!r- 6 S
Type of Business: Cwkoryi Eve br0 d e r\ Map/Lot: 9 3 U a D
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no-more-than-400-square feet of'space. _
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by,such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included. +
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant Date: L1y
Homeoc.doc v.5/30/03
=+: TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 193 020 GEOBASE ID 11881
ADDRESS 10 HILLSIDE DRIVE. PHONE
CENTERVILLE ZIP -
LOT 1 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 43483 DESCRIPTION SINGLE FAMILY DWELLING (,BLD PMT #39155)
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
'CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:
BOND 1�E
CONSTRUCTION COSTS $.00
Qi► '
753 MISC. NOT CODED ELSEWHERE 1 PRIVATE PIC E�" _ ;
* BARN3fABLE •
MA83.
039.
Fp�l
BVILDINWI_BY Ms
O�
DATE ISSUED 01/07/2000 EXPIRATION DATE
4
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{ y Department of Health, Safety
w
.a. �' t r � aY •r��fi;t I ,'
and Environmental Services
i: * BARNSTABM
MASH&
F= :. BUILDING DIVISION
r ,i� RZ5BY .
s
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 MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON'JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS -ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. -•.1n: t s• ANICAL INSTALLATIONS.
OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY. '
• 60.11 s
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL'INSPECTION APPROVALS
7/fi"
3 fir= z. -a 1 HEATING INSPEC O APPROVALS EN®GINE/E/ NG DEPARTMENT
S 000
V 2 BOARD OFJiEALTH
OTHER SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEE UNTIL PERMIT WILL f _ AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION o F�, - .RTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS.OF(Q9¢� T IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE.':����ti TION. ,,.M
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BUILD. ING .
P,. ,--.,.ERMIT
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CONCRETE
FOUNDATION
TF = 46.9'
LOT 1
10,450 SF
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JOB # 95-038
CER TIFIED PL 0 T PLAN
LOCATION : HILLSIDE DRIVE CENTERVILLE, MA PREPARED FOR:
SCALE : 1" 30' DATE JULY 14, 1999
REFERENCE LOT 1 PB 143 PG 133
GUY COLS T TI
I HEREBY CERTIFY THAT THE STRUCTURE
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON. Of
Off 508-382-4.541 ARNE
fox 508 382-9= H,, .
CwA
,.
LA y
dower cape eagineering, inc. 9 No.26348 e
CIVIL ENGINEERS 1 y I t — <`s 9fCISTER��
LAND SURVEYORS -- — ------ — -------- N --
339 main sL yormouth, me 02675 DATE REG. LAND
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# 3�' 1
Health Division `%%�; ' Date Issued
Conservation Division Fee '
Tax Collector ' "
4 - SEPTIC SYSTEM MUST BE
Treasurer ,� c �_ r _ IN TAILED IN COMPLIANCE,
'����=: WITH TITLE 5
Planning Dept:
ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWI4 REGULATIONS
Historic-OKH s Preservation/Hyannis
Project Street Address �� ��5 foe0_0(i
a k
Village �
Owner s `"' Address 21 7 � (0�1� ✓.Jl .
Telephone '� � '
-7
Permit Request 1Af O®® F0'mA_--0
Square feet: 1 st floor: existing o proposed 2nd floor: existing 0 proposed Q Total new d db bp ,
Estimated Project Costa A b(7 v. Zoning District Flood Plain Groundwater Overlay °
Construction Type A)®0JQ
Lot Size Grandfathered: ❑Yes 0 No If yes,attach supporting dpeumentation.
i
DwellingT e: Single F mil Two Famil ❑ 'Multi-Family #units
Yp 9 Y Y Y( /)
Age of Existing Struc re Historic House: ❑Yes C�No On Old King's Highway: ❑Yes 60
Basement Type: Full ❑Crawl ❑Walkout. F❑Other
Basement Finished Area(sq.ft.) y1 n Basement Unfinished Area(sq.ft) _ I/A d SIB
Number of Baths:' Full: existing 0 new Half: existing !7 new
Number of Bedrooms: existing Q new _
i
Total Room Count not incl in9 baths):: existing new First Floor Room Count
Heat Type and Fuel VN
s ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: 0 Yes dNo
Detached garage:0 existing ❑new size �0 Pool:0 existing ❑new size K0 Barn:O existing ❑new size =
Attached garage:❑existing 0 new size Shed:❑existing C9 new size 0,k0 Other: F"
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes C(/No If yes,site plan review# =
Current Use Proposed Use �;�ra 4C41�&
•
BUILDER INFORMATION
7f
Name- V Telephone Number
Address License# (� nob`i-
,
aKllJ 17F0'7-6 3;L" Home Improvement Contractor# U ��
Worker's Compensation# 410
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 61 Am
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FOR OFFICIAL USE ONLY f ^r
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PERMIT NO. - _
� r - < - t '• .-- a '�, • '�f} �, j y f;'� .. 1� ., � r .• • � . r `.. -1' , h .
DATE ISSUED'
MAP/PARCEL NO.
ADDRESS' f 'VILLAGE
OWNER
� �, �.. 5 ♦ tea: :.
ir
DATE OF INSPECTIOI�'�y' �V rji. r - ' '• A1 - . y . # ,
FOUNDATION
`^ FRAME
INSULATION L r L �/� l`�j 4 {. Te f 1 - 4 ♦ f-
FIREPLACE
t rr � .; w � f •. .. = _ - - -,� � 1 '
ELECTRICAL: ROUGH _ FINAL*
PLUMBING: ROUGH; ` - FINAL' '
GAS: ROUGH': ..� FINAL
FINAL BUILDING
01
DATE CLOSED OUT '
ASSOCIATION PLAN NO.
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THEr. The. Town of Barnstable
BARNSTABLE. • Department of Health Safety and Environmental Services
MASS. g
{679• �0
plfD►u+° Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection
Location l f,y-? P Permit Number �� 1
Owner Builde..� � �. I t
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
f kv e- fi-t �4 V-
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Please call: 508j-862-`4038 for re-inspection.
Inspected by
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MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.0
Checkedby/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 6-15-1999
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 204
Your Home = 203
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 988 30.0 0.0 35
WALLS: Wood Frame, 16" O.C. 879 13.0 3.0 63
GLAZING: Windows or Doors 145 0.400 58
FLOORS: Over Unconditioned Space 988 19.0 47
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
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.
Builder/Designer Date
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.0
DATE: 6-15-1999
Bldg.
Dept.
Use
CEILINGS:
[ ] 1. R-30
Comments/Location
WALLS:
[ ] 1. Wood Frame, 16" O.C. , R-13 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] 1. U-value: 0.40
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ J Yes [ ] No
Comments/Location
FLOORS:
[ ) 1. Over Unconditioned Space, R-19
Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
[ ] 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 equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. 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.
I
HVAC 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.
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only)-------------------------
FE".M COLET T I DEVELORMEHT TRUST PH HE Ho. 502 77.1 6,E.7C-1 h1a.y, 27. 1999 10.:47AM P-3
ENERGY CONSERVATION APPLICATION FORM
FOR.LOW-RISE RESIDENTIAL NEW CONSTRUCTION
Applicant dame: GJa e�,u(,e� 4�jrA4=Address:
�.AppjiCant Addrew City/Town:Use Group:
Late of Applicadoon: / q
Apphcant Phone: S psl�_ __ 7�• AppllCasit$l tl1C:
Compliance Path (check one):
j prescriptive PackAge (for I-or 2-family resideutW buildings not heated by electric resistance)
Fill in all values that apply floor Table 15.2.1b: Pam Number(A through KK):
a. Gross Wall Area jbll .. .• sg1t, g Wall R-Value
b. Glazing R.O.Area /44 �sq.ft, g. Flak It valuo &2 -
c. oiazin Q/o(b-r a) 15 , 4 i- $element wall
d. Glazing U-value , 3 i. Slab perimew
e. CeiWis it value 16 3i J. HI atiag AFM °
31"Component Performance(Manual'lCta, )VJ ( .ii
1.
r. f r_ ,
Climate Rohe(franc l+igoe6. .2) Zone 12 Z�olue l3 0 Tone 14
Attach 2"rade-0jWorbheet from Appendix 3,[aW SAC Va*-Off Wor*tket,if applicable]
XAScheck SoftZoart
A P ttach Coro limrce and Inspection CheckMtr printOuts.
n Systems Analysis R.eaewa k Enu3'Sbazrces°
Attach approved AWysis
Qfaia!'s Name: official's Sigire:
......, -
Application Approved OMof Approval:
Application Dented l cf Dltlial. a r�
R,easen(s) for,Denial:
(over for more) Bus 1J08147
f `
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Omer OffiW851198902S
600 Washington Street
Boston,Mass. 02111
IJ Workers' Compensation Insurance Affidavit
name:
location:
citv J• hone 6
al am a homeowner pez-fornunj all work myself~
, am a sole aroarietor and have no one working in aav ca achy
Q 1 am an employer providing tivorkers• compensation for my employees tveriCing oa this job. �� .
0
comnnnv name:
address: � � (�i't +'1 "��/ /'�'1�'Q/ • .. ,.
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Citv' Lj�p iIORC#L J,
insu nce cn. Cow' I ��l : �� • eiicv#
%/////�/ /.0 /!% ale!!!!!!6!««/✓.<G%/.l<!�l!<!!l!l<i "'
I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who�u
VC
the foIlouing workers' compensation polices:
comoanv name:
address:
city: honeLea
t'h 1 1 .3 ''•
insornnce cmOj ....... oiicv# � g''•>
OAM 4WAW. %�%�///.l!%///.«lG�l«ll<!4�//(l<!O////.�
comnanv name: IG ,:•. ' :, .. ::,::
tik
address-.
insnrnnce co. ----------------
i9. :#a•... oiiev i! Q•Cb. ? : K. >..,,..:mw �.•..x,.
Failure to see�ur coverage as required under Section 25A of MGL 152 can lead to am imposition of crhn sal penalties of a foe up to S1.500.00 andlor
one years'imprisonment as wed as civil penaides in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against use. I understand that a
copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage"relation.
I do hereby certify the paint Wallies j erjzuy that the itjontsation provided aboveis urn mid ireat
Sigmn=e T6Date - 1
_
Print namco (04 i >�a 77C 4o �0/0
0
otIIcial use only do not write is this area to be completed by city or town ofildai.
Sty or town: p /llse tY
C3Building Department
❑ check if Immediate response is required (]I.leenaiag Boatel
❑Selecanen's Oftice
contact person phone ❑$nth Department
P ❑Other
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for•,h
employees.. As quoted from the "law", an employee is defined as every person in the service of another under aav`ct..-�--b.
of hire, express or implied, oral or written. "
An employer is defined as an individual partnership, associate corporation or — �-P . p p, on, rP other legal entity, or nay two or mo�..
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the:ec-V. _-
trustee of an individual, partnership, association or other legal entity, emplovmg employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant ofthe dwelling house or
another who employs persons to do maintenance , construction or repair work on such dwelling house or on the gtour:is C.-
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 shag withhold the issuance or renew_
of a-license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha.,
not produced acceptable evidence of compliance with the insurance coverage required. :Additionally, neither.the
commonwealth nor any of its political subdivisions shall eater into any contract for the performance of.public work uaci
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the corurzc-.:::_
authority.
Applicants
PIease fill in the workers' compensation affidavit completely, by checidng the box that applies to your situation and
supplying company names, address and phone numbers along with a ate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for coon of insmmn=coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you
.are required to obtain a workers' compensation policy, please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Deparanant 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 applic= please
be sure to fill in the permittlicease number which will be used as a reference number. The affidavits may be maned io
the Department by mail or FAX unless other arrangements have be=made.
The Office of investigations would Bike to thank you in advance for you cpoperatiM and should you have any questions.
please do not hesitate to give us a call.
The Deparaneat's address, telephone and fax number.
The Commonwealth Of Massachusetts
' Department of Industrial Accidents
emce of 1011S l MRS
600 Washington street
Boston;RL 02111
••• fax#: (617) 727-7749
phone#: (617) 7274900 e= 406, 409 or 375
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DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
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GUY MR_COLETTI'``
15 IONG`POHD CIR
CENTERVILLE, NA 02632
c_i
BAWMABM
to Mp��
Town of Barnstable
Zoning Board of Appeals
Decision and Notice
Appeal Number 1999-60-Coletti
Modification of Variance Number 1997-124
Summary: Granted
Petitioner: Guy Coletti,Trustee of Waterview Realty Trust
Property Address: 10 Hillside Drive, Centerville
Assessor's Map/Parcel: Map 193, Parcel 020
Area: 0.23 acre
Zoning: RD-1 Residential D-1 Zoning District
Groundwater Overlay: GP Groundwater Protection District
Background:
The property that is the subject of this appeal is a 0.23 acre lot located at the intersection of Hillside Drive
and Shootflying Hill Road and is commonly addressed as 10 Hillside Drive, Centerville.
In November of 1997, the Zoning Board of Appeals granted a variance(Variance No. 1997-124)from the
minimum lot area and width requirements of the Zoning Ordinance to permit the subject lot to be
developed with a single-family residence. At its hearing on November 18, 1998, the Board granted a 6
month extension of time to implement the approved variance, which is now extended to June 22, 1999.
Appeal No. 1997-124 was granted with the following conditions:
1. Access to the lot shall be from Hillside Drive only.
2. Construction must conform to all conditions of the Health Division, Building Division and Conservation
Commission. No variances shall be obtained from the Board of Health.
3. No more than 3 bedrooms shall be permitted. A minimum of 30%of the lot shall be maintained in its
natural state, and no more than 50% of the lot shall be made impervious through pavement and
buildings.
The petitioner is now requesting a modification of Variance No. 1997-124, specifically, to delete that
portion of Condition#2 which states, "No variances shall be obtained from the Board of Health." In its
decision, the Zoning Board of Appeals allowed up to 3 bedrooms. However, in order to allow even 2
bedrooms, a variance from the Board of health is required because the property is located in a
Groundwater Protection Overlay District. According to the application, the Board of Health has already
granted-a variance which limits the house to only two bedrooms.
Procedural Summary:
This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April
16, 1999. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to
all abutters in accordance with MGL Chapter 40A. The hearing was opened May 26, 1999, at which time
the Board granted the requested relief.
A TRUE COPY ATTEST
Town Clark
SAANSTABLE
kY
oven of Barnstable-Zoning Board of Appeals-Decision and Notice
Appbal Number 199MO-Coletti
Modification of Variance No. 1997-124
Hearing Summary:
Board Members hearing this appeal were Ron Jansson, Gail Nightingale, Richard Boy, Thomas
DeRiemer, and Chairman Emmett Glynn. Attorney Mike Ford represented the applicant.
Attorney Ford addressed the Board. He stated that in 1997 a variance for an undersized lot of
approximately 10,000 sq. ft was granted on this property (Variance No. 1997-124). This variance was
approved with the conditions that no variances shall be obtained from the Board of Health and that there
be no more than three bedrooms. The Board of Health has taken the position that even a two bedroom
house requires a variance. Attorney Ford submitted a letter from the Board of Health, dated March 26,
1999, granting permission for a two bedroom house on this site.
Attorney Ford stated that because permission from the Board of Health is required for even a two
bedroom house, which can be characterized as a variance, that a modification of the conditions of
Variance No. 1997-124 is necessary.
Attorney Ford submitted proposed findings to the Board members.
Findings of Fact:
At the hearing of May 26, 1999, the Board unanimously found the following findings of fact as related to
Appeal No. 1999-60:
1. The petitioner is Guy Coletti, Trustee of Waterview Realty Trust. The property is located at 10 Hillside
Drive, Centerville, MA, as shown on Map 193, Parcel 020. The property consists of a 0.23 acre lot
and is located in an RD-1 Residential Zoning District and a GP Groundwater Protection Overlay
District.
2. The decision of the Board in Appeal No. 1997-124, which was in the nature of a variance, contained a
condition that"No variances shall be obtained from the Board of Health." Further, said decision
limited the construction of any house on said site to no more than three bedrooms.
3. The petitioner has appeared before the Board of Health and has obtained permission from the Board
for the construction of a two bedroom house on the site. Said permission is dated March 26, 1999
and could be construed to be in the nature of a variance from the local Board of Health Regulation,
Part VIII, Section 8 for the installation of a septic system on a lot 10,000 sq. ft. in size in a GP
Groundwater Protection District.
4. The elimination of the language prohibiting variances will not deviate from the spirit and intent of the
restrictions imposed by the variance in that the number of bedrooms allowed by the Board of Health
on this lot is less than the maximum number of bedrooms set forth in the variance decision.
Decision:
Based on the findings of fact, a motion was duly made and seconded to modify Appeal Number 1997-124
as follows:
1. Under Paragraph No. 2, by striking the language"No variances shall be obtained from the Board of
Health.", and
2. Under Paragraph No. 3, by striking out the first sentence and inserting in place thereof a new
sentence which reads"No more than two bedrooms shall be permitted".
The Vote was as follows:
AYE: Richard Boy, Ron Jansson, Gail Nightingale, Tom DeRiemer, and Chairman Emmett Glynn
NAY: None
Order:
Appeal Number 1999-60,a modification of Variance Number 1997-124, has been granted.
This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this
decision must be exercised in one year.
2
41,
Town of Barnstable-Zoning Board of Appeals-Decision and Notice
Appeal Number 1999-60-Coletti
Modification of Variance No. 1997-124
Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty
(20)days after the date of the filing of this decision. A copy of which must be filed in the office of the
Town Clerk.
Emmett Glynn, Chairman Date Signed
.4
t �,
SEPTIC PROFILE TEST HOLE LOGS
T.O.F. AT EL. 47.0'
NOT TO SCALE) D.A. OJAIA, SE
ACCESS COVER TO WITHIN 6° OF FIN. GRADE ( Y'
ACCESS COVER (WATERTIGHT) TO ENGINEER:
45.63' MINIMUM •75, OF COVER OVER PRECAST 44 7 WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM WITNESS: JERRY DUNNING
44.5' 3/24/98 I'
RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE PATE:
.. �_ FOR FIRST 2' PERC. RATE _ < 2 MIN/INCH
PROPOSED 1500 \ 3' MAX.
9121
43.72 GALLON sEPrlc 43.47' 43.68 CLASS SOILS P \
, TANK (H— 10 ) GAS 43.20 ,
BAFFLE 43.37'
43.18'
( % SLOPE) �6" CRUSHED STONE OR MECHANICAL
COMPACTION. (15.221 [21) g $ 0.83' 42.35' Q ELEV. Q 43.75'
DEPTH OF FLOW = 4 ( 1
SLOPE) ( % SLOPE)
TEE SIZES: 3/4' TO 1 1/2" DOUBLE WASHED .TONE 1
INLET DEPTH = 10
14"
FILL FILL LOCATION MAP SCALE 1"
OUTLET DEPTH =
18
FOUNDATION— 10' SEPTIC TANK 10' D' BOX 2' LEACHING 5 B 20
FACILITY ASSESSORS MAP 193 PARCEL 20
B
LS ZONING DISTRICT: RD-1
7.5YR 5/6 LS YARD SETBACKS:
ADJ. WATER: 37.35' 36" 40.15' 38„ 7.5YR 5/6 40.58' FRONT = 30'
SIDE = 10,
C REAR = 10'
/ C PLAN REF. — 143/133
/ WELL: AIW; 247 MED/COS
MED/COS FLOOD ZONE: C
ZONj h ADJ:E 0 8' it 79.2" obs. water 36.55'
° � �� 10YR 7/4 86.4 0 obs. water 36.55'
e � LOT 2 10YR 7/4
10% GR.
10% GR.
o /
PAVED w '
SWALE j
b, 0 120" 33.15' 120" 33.75'
34' 6�, NOTES.
GUY APPROXIMATED FROM HYANNIS QUAD
4
W 17• -IN, E SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ) 1 . DATUM' IS
' — 220 AVAILABLE
3g RET. w �� rkb DESIGN FLOW: BEDROOMS 1 10 CpD1 -,• . GPD 2. MUNICIPAL WATER IS ^
-- l r
USE A 220 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH'-Tv BE-,_1/ "--PER FOOT.
v � z UTILITY .
j rea = 288 sq.ft COMP ED G POLE SEPTIC TANK: 220 GPD ( 2 ) = 440 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H— 10
�1 42 PDWELLINC R i 5. PIPE JOINTS TO BE MADE WATERTIGHT.
/ W 43 USE A 1500 GALLON SEPTIC TANK
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
LEACHING: ENVIRONMENTAL CODE TITLE V.
TOP FNDN = 47.0' / 2(25 + 10) .83 (.74) = 43 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
52' PROP. DRIVE � SIDES: USED FOR LOT LINE STAKING.
TH1 45.0' A 25 x 10 (.74) = 185
A ,�w BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC.
j� Jim TOTAL: 308 S F 227 Gpp 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
32 ,�1' ® USE 4 HIGH CAPACITY INFILTRATORS WITH 3.5' FROM BOARD OF HEALTH.
r u 3P.
20' /° P Q� STONE AT SIDES, NONE AT ENDS
i
4 4.5'
3
rHz
LEGEND S/TE AND SEWAGE PLAN
5' REMOVAL OF UNSUITABLE SOIL \ 00 100.0 PROPOSED SPOT ELEVATION
REQUIRED AROUND LEACH FACILITY DOWN Lj� OF 597 HILLSIDE DRIVE
TO MED/COARSE SAND
WITH CLEAN MED SAND LAYER. REPLACE \`� SS 89' 25 0 / 1 OOX0 EXISTING SPOT ELEVATION
W o BENCHMARK IN THE TOWN OF:
ep0f pF R�229 tit / RANT
TAG D BOLT #571 100 PROPOSED CONTOUR
pqV ELEV = 45.88' (CENTERVILLE) BARNSTABLE
/yi��s , � -
' 100 EXISTING CONTOUR PREPARED FOR:
GUY COLETTI
ORi�E
20 0 20 40 60 Feet
NOTE: CATCH BASINS DO NOT INTERCEPT
GROUNDWATER OR DISCHARGE INTO SURFACE WATER BOARD of HEALTH
P4z►'1t55101 REQUIRED FROM TOWN OF BARNSTABLE SUPPLIES MA 1" = 20' FEBRUARY 17, 1999
REGULATION PART VIII, SECTION 8.00: TO ALLOW A SCALE. DATE:
2 BEDROOM DWELLING IN A GP DISTRICT ON A
PROP. LEACH FACILITY GREATER THAN 300' APPROVED DATE to ��C*
1
10,000f SQUARE FOOT LOT TO WEQUAQUET LAKE
FOOTINGS REQUIRED TO BE ON NON—FROST foff
ox 508 362-alai
fox 562-9880
SUSCEPTIBLE SUITABLE SOILS WITH REQUIRED
COVER. DIRECT ALL WATER AWAY FROM I u+ of Mq�
`SH
FOUNDATION. Of �o� ARNE
down cape engineering, inc. �� H
ARNE H. OJ
WALA e++ y No 26348 r.
CIVIL ENGINEERS CIVIL
CIS1 t AE/
No. �riN N ti�
—--
____ LAND SURVEYORS
- - - - _ 939 main st. yarmouth, ma 02675
OJALA, P.E., P.L.S. DATE