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0042 MADISON AVE
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", TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �Z 0 � 9 � �.� Map Parcel ��Rp�plicati3on Health Division t Date Issued Conservation Division- �A � )b� , y Application Fe Planning Dept. Permit Fee 8 Date Definitive Plan Approved by Planning Board _ DEc Z/Z-K�I3 Historic - OKH _ Preservation/ Hyannis Project Street Address Lf 2 /L1&di5 ,4 V(? Village ett- rt/^I/l��f Owner kC f u K T,A A4 w C.' Address Telephone / 7 6 - 2 2-1 12 3 Z Permit Request "e !22-f oi, � o2c�v,64 Square feet: 1 st floor: existing A6Yproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation iS�l�D� Construction Type iaJ Lot Size ®.f 4*e Grandfathered: ❑Yes .�No If yes, attach supporting documentation. Dwelling Type: Single Family .4 Two Family 0 Multi-Family (# units) Age of Existing Structure 62- Historic House: ❑Yes r$No On Old King's Highway: ❑Yes 3.P4o 0 a C Basement Type: .N.Full ❑ Crawl ❑Walkout ❑ Other w Basement Finished Area (sq.ft.) �/ 2 Basement Unfinished Are; ft) 3 C1 -n Number of Baths: Full: existing 2 i new to Half: existing ljhew§� o Number of Bedrooms: 2 existing anew - w Total Room Count (not including baths): existing new First Floor loom CIVt .' Heat Type and Fuel: IYGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes .2(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4�'No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes .i'No If yes, site plan review # Current Use Proposed Use e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i �� � 5��jr4at!C-f /< Telephone Number -79 Z2-3 - 3 3 Z Address Z l��c�Gi°S"e, License # GL0k41,-1'i v "4 D Z Home Improvement Contractor# f�t/ r's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Lwy- - S iJ ,t FOR OFFICIAL USE ONLY x APPLICATION# , r DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE Z OWNER DATE OF INSPECTION: ' rFO.UNDA4TI0W_ ; ._ q .-A; 7 ,. 'gavos u FRAME INSULATION.._ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING . Z /S ��l s4is DATE CLOSED OUT ASSOCIATION'PLAN NO. 271e Commmiweaith Of jf=11dMd& .DVart*=t of iid�sb�ial�tccid s O,,1 trf IirtpMtatioas ' .600 FY oit.S�eet Bostaa,MA 02HI wwW.vaMgmf&k T . Worlce& ConTeIIsafian Tusu mice Affidavit B iriTCont�ar tr�rs�EFectriri R�*+ *s A,gpiicant I>afartarafi= Please Print T, , Name % �ll �-t f` � K �'�✓' Address: �2 I�oi S y .P�I.�Pl Ll f�� c �stat�rz : r� 2G 3 2Phme ilk Are you an employer?Check the appropnate bum Type of projed(r.cqdrci�- 1_❑ I am a employer with �/4- ❑I am a general confraetflr and I * ?rave hued the sub-c d- ❑?dew consft=Eon employees(fallwAkrput-ime), 2.❑ lam a sole proprietor orpartuer— listed anthe attached suet 7- ❑Remndeling ship and have no empploy= Tbese sab-ooatrac urz have & ❑DexndFdon wcddng:orme in any capaety. employees and.have wad= 9- []BmV=g addition INo wads'comp.insamnce C°mP.inswxnce., 5. ❑ We are a corporatioaand its 1 ❑Ekchwat 1 pmm cr addi iom 3 I am a hameownes drug all work afficecs have exercised their 11.�Flumbing repairs or adchfaans supself[No worYeta c=p xigbtoftiaa Pe MGI. 12.[]RoafrePaas insurance regained.]t c.152.§1(4�andwe have nD -[Na woda'ss' 13-❑Qll c comp-insurance redrrinAl •Any appEcart Best chedabox#1 astakc Mlo=*t secdaabebra'shuning M&wo e&mpm=dmFdP KUL H xbo sabmit this ATdavkinfficating they m1nd aww sfdnk indictor;5CC7_ �Coa�cmathstchecl�Brisbmc n@st attuhed et additional street shmrmgt}n:n:mc of�e sab•�actacc rend slue tchetLa nr�ttbase eatitesI�x employees. Ifthe lzm wnp1Wwr%tfieytmstpmY1de ftdr wa kmemmR Pormyzn w Itrtn mr aiirptayer tlrrd•ispmvidi�frrorkera'eamEerzsrrfiau utsnrrmc8 for my enrf!ayaea Galata is 8iepaircp ttird,�eb sti`e irc,formrafimtr. Insumace Compaay Nat= Folicg;#or Sdif--ins.Iic.#: FxpimtivaD Jab Site Address Cky/SUW2�p: Attacli a copy of the warkers'compensafion policy derhration page(shvwing the peEcy member and ezpn atian da". FzRum to secure coverage as required uncles Section 25A of MOL a 15Z.can lead to the impositina of criminal penalties of a fine up to 3MOD.00 andlor one-pear inxp isoamrst,as well as civi penalties is the foam of a STOP WORK OBDERand a fine. . of 4p to$250-DO a dap against the violator- Be advised brat a copy of this statement maybe forwarded to the Office of Itrveatigatinns of the DIA far fiLu ance coverage vedficatian. Ida hereby cor fy undff thelxrins tted�,pel�a3Yies o pier uy 6iatiLa 2r forirlafmnpr idaa trbatcsis hqe tmd carrad Date- �FhoFie#E O, use mljz Do imt wifta is t,&ia m eey to bit compIated by eiEy arum aiffu&L My or Town: PErffitlLicense# kvuiugAuffw&y(ch&on* L Bawd of Had& 2.Dmildicg I?eparbncut S.Ck#yfrm m Chwk 4 Electrical limpector S.Pi MAft motor 13i.Other Curt boa: Phone& 6 r Town of Barnstable ; Regulatory Services otr Richard V.Scali,Interim Director Building Division * Hwnr�s�+sia. Tom Perry,Building Commissioner KAM 200 Main Street, Hyannis,MA 02601 A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: l �/G`�/•rLD �'S .. . JOB.LOCATIOM "1 Z l-l Q(�i,`i Cl !� 1p �i��[ �r�/j�.� �� � number / street � village "HOMEOWNER":-/ j1K", S&-fe!41*/?ijPe 97"f 123—3Z3 name / home phone# - work phone# CURRENT MAILING ADDRESS: 7 Z M&d s o4 Ave city/town state zip code The current exemption for"homeowners"was extended to include owner-occoied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or-farm structures. 'A-person who,constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be reMonsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection uir procedures and ements and that he/she will comply with said procedures and requirements. Signature of H eowner Appioval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems;.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as'part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. IF�RMSlbuildin¢nermit formAENPRESS.doc �TME Town of Barnstable Regulatory Services k RAANRTAR_i.R_ auSS& �, Richard V.Sca14 Interim Director 3g6 Building Division Tom Perry,Building Commissioner 200 Main Sheet,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 4 Property Owner Must Complete and Sign This Section j If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date l il '" MEMBER REPORT Level,Sunroom Roof:Flush Beam PASSED F O R T E 2 piece(s) 13/4n x 11 7/8r 1.9E Microllam® LVL Overall Length:20'7" h da'I r".'a t T � -e" e;� �J.y. c 20' All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual " �Actual @ Location Allowed'': - Result`'`4 ,rLDP Load Courtin 7 a T anon(Pattgrn)� �' System:Roof Design Results �. �,.° Member Reaction(Ibs) 2279 @ 2" 8881(3.50") Passed(26%) 1.0 D+1.0 Lr(All Spans) Member Type:Flush Beam Shear(Ibs) 1815 @ 1'3 3/8" 7107 Passed(26%) 0.90 1.0 D(All Spans) Building Use:Residential Moment(Ft-Ibs) 10327 @ 10'3 1/2" 16063 Passed(64%) 0.90 1.0 D(All Spans) Building Code:IBC Live Load Defl.(in) 0.085 @ 10'3 1/2" 0.675 Passed(L/999+) -- 1.0 D+1.0 Lr(All Spans) Design Methodology:Aso Total Load Defl.(in) 0.936 @ 10'3 1/2 1.013 Passed(L/260) 1.0 D+1.0 Lr(All Spans) Member Pitch:0/12 Deflection criteria:LL(L/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 12'9 5/8"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. eeanng i Loads to SuO"(Ibs) SU OrtS#' `"Total Available R ured Roofrjr � { ; P ts k eq Dead Total r Accessories �P II 1-Column-SPF 3.50" 3.50" 1.50" 2074 206 2280 None 2-Column-SPF 3.50" 3.50" 1.50" 2074 206 2280 None c . kTribu�ry Deatl 4 d N Roof Llve xP�R. � Loads Loeabon F� y X%idth^1-Uniform(PLF) 0 to 20'7" N/A 190.0 20.0 �r � We erhaeuser Notes x "=t e a `''' n I'"# �s w r9Ma, ;i h n y ,�tr7 n'�ei�A; SUSTAINABLE FORESTRY INITIATIVE Y. ��, � �� ;. n Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for Installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software Is not Intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,Input design loads,dimensions and support Information have been provided by Plan Dated 11.12.13 12/20/2013 8:57:32 AM Forte Software Operator "'k Job Notes; .` Forte v4.1,Design Engine:V5.7.0.245 J Andrew Shakliks Timur Sakharuk Mid-Cape Home Center 42 madison Ave (508)398-6071 Centerville MA ashakliks@mideape.net Page 2 of 2 \ \ \ \ EX. \ SHED �h TANK PROP.4::j \ 0 3 SEASON 2 �� 0 ROOM 0 '� LF 1p3o' MBLU 247-097 EX. PROP. DECK 42 MADISON A VE DWELLING gyp' EXTENSION CENTERWLLE, MA ryo PROP. l 10, COVERED 14 S0, PORCH W/ STEPS rb LOT AREA 22,228 SF f , EX. DWELLING AREA 1163 SF 'V EX. LOT COVERAGE= 5.2X SO PROP. LOT COVERAGE= Z9 SF SEPTIC FROM ASBUILT �. ON FILE AT THE TOWN HEALTH DEPARTMENT CER TIFIED PL 0 T PLAN SAKARUK RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN of MA 42 MADISON AVE. HAVE BEEN LOCATED BY A FIELD SURVEY. ��P Ss9� BARNSTABLE, MA �+ yG DRA WN: RBS o DATE: 11-8-2013 ROBB �, JOB #: SO42 c SYKES SCALE:1"=30' DWG. CPP No. 35418 y EASTBOUND LAND SURVEYING P.O. BOX 442 508-477-4511 ROBB SYKES, RLS DATE FORESTDALE, MA 02644 A + n .......... \ ..-....--.--... nf�.r' - rrFrf.fF,frff.f.frfp'fJfFft rfrt fr,r •ffF �.,.., f f rF r ff firf/-.f t rf fA-A'f /.'r JAf 1lf ) frr,F`.+',lrfF"f°-,t{{,r J f f "f J,r/,�^r r f f'f J .r'f r`1'1 f !�t F� o 4. f{�f rfir r FJ,rFF�/ffr'„rf•,.'�i'!{flff�f) f f f`.f f t{-,f`f r1 rrrfft r r .f r a � f f.r! f f F Afffff f t f `� r,�ftrr.f'rf•?t)i')`f'`�frr`f♦ tlFlrrl lffff'�ftr frfr rffrfffi'`frf °'.: ) J yf ff F ffrf frf flrltf !!IF r / .r f I t f/f f)f f f! fff !f frff/frFfrtA rrl rrrl rt f fr!fff{ f 'I tfltfr rff ,ftr fffrfftf rflfrf/fft 75 sq ft ff Fr/r >v,�t t F r r r rbcf Cflf`1 ffr rr Fr rW Fr'`"f frr'{r f rlffff r fff`frfr F !x f F 1 f^. ,r ! r"r,rr rt flr.f rf {rr f1! rr F•ff`f f rt f f I r"frff ff€" 1 f rIF �+ F f fF f F r.f SD F,rff!f f,F�ff tf! r t♦ !r r ,Yr f i' {r/ frr f ff r:•f:f J. ! r� ,f a °�Irlf if f)rfrf `i't�t'' -. F rftfff`rfrlf f{ rrf s •,f,. SD f f f! fF, Jffr f,f- r^`fx',r Jf ! 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Fff f//f),f'J.rrf Ff f I rf rf! f f ff It F ytf f.F/ Fc ,rA f f r FfAf l�Ix.{`!``,f frfrlf�rrf rfrr�fr r.�'ffff f'' �f f:tf�_ _ frf f!r frf)fr fffirr fF SD r CDff ffff r If!lfJr�rfr� : N 172 sq ft rrF rFr f,r rr frlr J rFfttftr{rfrr rrF.f ' Ff F f r rr !rrl{.'`Frr ff ,rff! !f°EfffAff i`ffJ t fF ft rff- A rrf.f"1 f r F, fff f.r f rrf Fe' . : � ............................................... ... '✓ ff fJ rff}. r''rfF r ffrr�1.xr f. i SDSD fr`rf r r. RrF ^Ffrrff�t r FJ r/{rf rrf Pco � tl�ll�" �+J }j} t F 1�F rff frff 1 F frff r! ff ® 27 1 ff`rf fAff?ftf%f lft�`1{ff fft rfi`f. � •:. �®' f f�F A f�f.!f�f F Yrr ff'flfF^f -' fff'`f rn `f 11{A llff 1x '`tfff'fl f frff, !f!flrFff`^r 1rA'rI f< ' 152 sq ft r t! ffrrr rrff t °rrf rfrr A'-f f ffff,. r f f f f ff f l) rf l; O .1r ft fr fff r fJf A!rf frfff{`�,..+. F 97 sq ft x 53'-0" �� rn � so►� AVE, GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS: 110 MPH WIND ZONE SAKHARUK CHECKLIST k;, OK? 1.1 SCOPE Wind Speed(3-sec.gust)........, ...:... ........................................................................................110 mph —X_ WindExposure Category:..................::...........:...............:........................:......:........................................B X 1.2 APPLICABILITY Number of Stories ...........M.... ::..::.. ........(Fig 2)............_2_stogies <_2 stories X_ Roof Pitch ...............................:..........`..:........:.....:...............:....(Fig 2)......:..............=4:12_.512:12 —X_ Mean Roof Height ...............`......................................................(Fig 2)..............................._16 ft <_33' —X_ Building Width,W......................................:...:.:...............:..........(Fig 3).......::............:...:.... 19 ft 580' _X_ Building Length,L............:........................................... .........:..(Fig 3)...................:........:.._20 It <_80' -X— Building Aspect Ratio(UW) ..........;.....:...................:.....................(Fig 4),:.............................._1.05_5 3:1 y . —X_ 1.3 FRAMING CONNECTIONS General compliance with framing connections?.........................(Table 2).....................................:............. 2.1 ANCHORAGE TO FOUNDATION Type of Foundation................. ........ . ::.::........................(Fig 8)... ....... Stemwall_.:. , —X_ Foundation Anchorage Proprietary Connectors r Uplift................:..................:...........................(Table 3)...........................U=—157 pif 4_X_ -Lateral......: .::...(Table 3)............ .,.......L==132 pf Shear.............................................................. X (Table 3).............:.............S=_395 plf _ _X_ 5/8"Anchor Bolts Bolt Spacing........... ...., (Table 4)........................... 45 in. —X . Bolt Embedment.... (Fig 5)................:............ —7 in. ` _X_ Washer Size .... (Fig 8)..._3 in.x 3 in.x_1/4 in.thick _X_ 3.1 FLOORS Floor framing member spans checked?.:................................... (IRC or WFCM).. s .'..... `...:..... t...::... X_ Maximum Floor Opening Dimension................:. (Fig 6 -N/A.ft 512' , Maximum Floor Joist Setbacks q. Supporting Loadbearing Walls or Shearwall.... .....(Fig 7)................. ...... ..... ft'<_d _N/A_ Supporting Non-Loadbearing.Walls.::............. .....::......(Figs 8 and 9)...:........................................ _N/A_ M Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall.................(Fig 10)........................I......... ft~<_d N/A. Supporting Non-Loadbearing Walls or.Non-Shearwall.(Fig 11)................................._ft <U4 ' _N/A Vertical Floor Offsets...................................................... .........(Fig 12).............. .................._ft s d —N/A_ .Floor Bracing at Endwalls...... ........ ....:. .....................(Fig 13). ......... X Floor Sheathing Type..:...:.......:....::................................:...........(IRC or WFCM)..: 3/4"T.&.G_. X_ Floor Sheathing Thickness.....................:........ ...........(IRC or WFCM)..........I............ 3/4 in. X_ ................ _ Floor Sheathing Fastening:::..................................................:....(Table 2)................ ....:6X12 —X_ 4.1 WALLS : <• Wall Height 4 t... Loadbearing walls..................:..r:...................................(Fig 14).........................:.._7'6",ft 510' —X_ Non-Loadbearing.walls......... .................... .........(Fig 14)..........................%_T6"_ft 5 20'.R. °_X_ Wall Stud Spacing....................:..................................................(Fig 14).............1......._16_in.5 24"o.c. X : Wall Story Offsets(Fig 14).:....................::..................................._ft 5 20.................................._N/A — — 4.2 EXTERIOR WALLS. Wood Studs Loadbearing walls... . .... .....:............. .........(Table 5).........2x_6. _7_ft_6 in. _X g .....:...................... ( ).......2x_6_-_10_ft—4 in. —X— Non-Loadbearing walls...::.......... .... Table 5 Stud Continuity WSP Attic Floor Length (Fig 15)................................ ft 5 W/3 N/A Gypsum Ceiling Length.....:.. ................ .........(Fig 15)...........:..................._20_ft 5 W - _X_ Double Top Plate Splice Length.:.......:....:...:..... ...(Fig 17). ............._4_ft —X Splice Connection(no.of 16d common nails). ........(Table 6).......................... ............ _7_ X_ Loadbearing Wall Connections " ti P (P P rY ) (Table 7)................. ...U=_156_Of_ _ _X_ U lift ro rieta connectors .... Lateral(no.of 16d common nails) ..., 1.. .:... ...(Table 7) ................. -2 • X Non-Loadbearing Wall Connections `` Uplift(proprietary connectors) ......... ......................(Table 8) ......... ' ..........U= 169 plf _X_, . Lateral(no.of 16d common nails).................................(Table 8)..........:........................ —2_ -X a GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS: 110 MPH WIND ZONE � GAKHARUK ` VVoU Openings ................. ft hn.:510' Sill Plate -................(Table 9 ........ _5_ft _Oim�1� � X Full Height Studs(no.of studs) .�---�--�_'pab�9l--.��_.._--_ __ ,�� 3_ �-_}� Connem�nu�meochendnyhenUerovo0 '� (Tab��................................ 693Uz Lateral(proprietary ' ---'.�-.�'pah�9>-.�.---.�_--.�---330U�] --�- vvan Sheathing Mmmm Sheathing° � . ' Edge Nail 1 ~ Field NailSpacing_ — _ -------------' 0) . --------__.1_--` 8hourConno��n�n nf.1Od 10 . -----_ � ' Moddown pabe10`-' .- .. --- ~- . . Percent (Table 10)......:............................-_�2-% MuxmmmBuuo � 11 ' Edge Nail U --_-�-__�� ��� � Field Nail —..' -_—��---�- n -_-'-. 12_in. � Shear Connection(no.,f10d common nails) 111 .........................................__3_ *umuuwnco ----'--..------pab�11�-_--,,^--. ' X _ . . Pen�n Full-Height Gheu��g---_---(�b�11}---'^--_----_-43-% '_X- - ` VVuU Cladding Ro�d�vVV�dSpeed?-_�_---------'�-------�.�_-_------ . �_' 51 ROOFS Roof framing member spans -----------� -----'----� ' ' - ' --_�- Roof Truss nr Rafter Connections otLnadb4aringWalls ' Proprietary - . . ' Lateral � . ��ooc----.--_�-_.-.-�~^--�-��yumel ---- _ ` Ridge Strap Connections- =°=.`------'—�----,uvm / _-' / ' Gob�Rak� -'---.-��- = ,��gure2GL ^ ����orL/2 �__NA\_ ' Truss- Rafter Connections__------_'gWalls Proprietary_ ~ upon............................. . � -'� ' ° . Lateral(no.nf10d nmUo> � Roof ' --Sheathing Fastening`-_- -.--'.-------�;--�--,_---,-----................. ~-_- . ^ ' ' . - ° . . , ' ^ . . ' | � . ` . | � P L:e ' zSF� oQ ski it�� o-• ,4 .o is tiro S .ig I� • i I i - ------10 0 8'---------- I I ci. er 33g C SZ� 3�i0 'le 0 a� jER E 'r 8� •�, ai8 � z is ' = o° Protect 197 I PROJECT: �iunroom/Poreh/peek for: oR�rvN Bar: - A gene se w°lectee wnrea.s # �) L rlMUr— yAI-HAr—Ur-.I.w PROFESSIONAL WILOIN&OE5*N LOCATION: REVISIONS: Irawn.aum O g.w4..Ow•'yn. O/�!I/I> LONNERGK•RESIDENTIAL 4 Y Madison Ave S��81`,I`'t a�I}�p�1y� xetly N�u� Len.irvcNnnP6—III/IS/I> t�yl5�(�Y��1�1p�,9�aF�/jl Centerville,MA rtsvesMP<om.uamle W eal�:um x ..WmnN.nwe '•�em:a�mr /,zP� k f 16••.c. I r I, �1�. •� A�fi o= II II n II �i1 � d F � � F2 F } @ p i . eT I di R d _ ___________ Fi • - apc4 Yl.a.e la•ea. apuL J.I.I.•la•s.c. I Q • ? $ ..c PTO Ei' �pE a rI v c Iw,..o,e .ew� Pf4 jCCY#19 J I PROJECT: hunroem/Porch/Deck for: oRAwN Br: meAVLe�.li: � KSA design O A LOGATION: _ LREVISIONS: PROFESSIONAL BUILDING DE5I9N R—ENTAL421"(adibnn Avau°ae°Pl.::. eon}erville,r-JA =� o" E - o0 • a" r H • / .. eY.:.Ya r•.a j . 1 / S u R F o o 4 R o 0-------------- F . -------------------- --------- -- Y:r "^ a° - °• " 70 °'"•'°'«".�I�� PrvJtct I97I P h k ORAWNBY: a ,m,.>,.,c u PROJECT: �iunreom/ orc/Dea for: �m.awl.m la ay rIMUr -PAI�HAP—Ur— N m KSA design O z LOCATION: REVISIONS: PROFESSIONAL M L VING OE516N >wPl lnua,11n1bna O Pra6m—y O-4—1-1 I 11> COMMERCIAL•RG51"�MTIAL r..,,l.maeoa.y". Iigit> c �e-�e>�xw:"uur 4 2 1`ladle, Ave ca..Y.y.Yh PL..11 n> kr Gen�erville,l•'IA �,•o'; _, i I � , -:a s o P `c7 i PAY: c o cu � F `° $ 4 : , aP E II 4 0 f - b D e , 0 0 u Z os . AeJwEF.MII.nICF •EcF•.I•El.c�4E.NlµE ' JN ..... M { x a o F° u ;�. a PROJECT: hunroom/ orc/Oec for: DRAWN BY: p gnnocpee Project 19�I P h k eewl9�l �`°la. I�JN��N�iAOLeR-.1�: s q�°ati w �°°ti: T'IMuF— *2AI-NAF—UK— Z KSA design u LOCATION: �" •°"�'°^°""' _ REVI510N5: PROFS5510NAL 6UILDIN6 DESIGN �reeeo-wpe iio ue n�mu�ono'�i' QD F..rm:..row�.lace Irl a wMMeRcuL•ReslveN*uL 4 2 Madison Ave '"°°S"°"";"'"°�"`•"" p....i...eo..yn. I'z'e e cape ee »•ecwacus _ L<n.MUNien pL:n.11 n 9 e•c°e�°Rm° GeM'erville,1-IA GgxemrteeaeelTcea'¢m:wKggcom Ilene mse.lgyel�"iAc� .nl ° I Q y ZI E° 0- i try--- LT n ®= ®®0 E=]E 1 30 -- ------------ r � 1 - --1 - ` in . I Project 19�I PROJECT: hUnroom/rcr,,hlDe�k far: oRAwN er: JF- :i weHNudle � rIMUr- hAl-HAP-Ur- �rt Z P �NpvM>ImMwonloen. m v, _wi wmww. KSA design ". ...�.. W O a m 'T LOCATION: REV51ON5: M-E5510NAL 6UIL0146 DESKN mwe`�a:peaak�•w a' OPr.RmpuY O..y..10/�i/i o LONMERGAL•RESIDEI— 4 2 Madison Ave �.Vt..ad Cs.i.,n.l /9/1> LeumLed•Heeseclrveetts Gen.ervcaWn PLn.i'1/1 t/t n �.>te•Le .Rre 6en1'erville,MA cgeceerts>m>q:cen•imeeseeeslgvcm � V Main Floor 42 Madison Ave. Centerville MA 02632 i a j ./ir,,, _.lst i%r.. /.,:-. f i•: ' ................ ... Ze r m / \ sg ft J / SD 172 sq ft SD LP : �co� 27 s ' c q,# r / 152sgft �' � 97 sq ft G 1 53'-0" _ i r` Basement Floor EXISTING 42 Madison Ave. Centerville MA 02632 Q _° . ,i/i. is .. ,,,:f i.: _ i54. _ „h5. i:. ........----•- ii. --------------- � ,,,y//ii 16'-0° NA Shelves `` f 245 sq ft _ f fl=: 180 sq ft III, s_ -------------- f i zo !I3 �Z�j Lv�o� tM SO" � t y .. V\ '> C s _ j •fit .., - s .. �,<., /x Refrigirator Counter top Kitchen sink, Cabinets above Scale: 1/64: 1 0ft 3 ft 2.4 i6 ft 4.0 in 10ft8.0 r Basement Floor Proposed 42 Madison Ave. Centerville MA 02632 CL :P "'W he[v s :. 245 sq ft \r `AY 180 sq ,ft RZ 77,� i �i U p............................. EZR- "'ARM" L�w�2 LPL Rv,� Lower Bathroom sink No cabinets Scale: 1/64: 1 Oft 3 ft 2.4 i6 ft 4.0 in 10ft8.0 ca FJ HEATLO -90 SPRAY POLYURETHANE FOAM + LJ So Y 0 W&b@ E§voc ro=20 �e Company Name CAPE COD INSULATION Phone Number 508-775-1214 Applicator Names C�i��,� CZ Installation Date vh Jobsite Address 42 MADISON AVE. CENTERVILLE MA. A-Side Lot #'s O Permit Number B-Side Lot #'s 14 al 60 440 Walls 3" 21 280 Attic I t � . CATHEDRAL CEILING 5 1/2" f ` 38 380 i 817-640-4900 • Info@Demilec.com • www.Dem,"4,lecUSA.com cBDEMILEC i Generated by REScheck-Web Software Compliance Certificate Project Addition Energy Code: 2009 IECC Location: Centerville (Barnstable), Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: 12/24/2013 Permit Number: 20133222 Construction Site: Owner/Agent: Designer/Contractor: 42 Madison Ave Timur Sakharuk Centerville 02632 42 Madison Ave Centerville 02632 978-223-3232 -lot s- a ♦ ' Compliance: 0.0%Better Than Code Maximum UA: 83 Your UA: 83 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies ' � "w �'„�'r .r✓, $ . � � fr <e" .� rr :�. .���. d'Rd`ti _ _ ;+'.v .r '��. �. 4 ='�,e. Ceiling: Flat or Scissor Truss 361 38.0 0.0 0.030 11 Wall: Wood Frame, 16in. o.c. 294 21.0 0.0 0.057 8 Window: Vinyl Frame, 2 Pane w/Low-E 72 0.290 21 Door: Glass 78 0.290 23 Floor: All-Wood joist/Truss Over Uncond. Space 351 15.0 0.0 0.057 20 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: Floor R value evaluation Project Title: Addition Report date: 07/27/15 Data filename: Page 1 of 7 REScheck Software Version 5.5. Inspection Checklist Energy Code: 2009 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section plans Verified ". Field Verified 1 Pre-Inspection/Plan Review Complkes� Comments/Assumptions &"Req.ID" Value Value 103.2 Construction drawings and n ❑Complies [PR1]1 documentation demonstrate � � , ❑Does Not energy code compliance for theme a � building envelope. 5,❑Not Observable ❑Not Applicable 103.21 Construction drawings and ❑Complies 403.7 documentation demonstrate �g❑Does Not [PR3]I energy code compliance for � � o t, lighting and mechanical systems. ❑Not Observable .Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the commercial " code. 403.6 , Heating and cooling equipment is; Heating: Heating: ❑Complies [0,112]2 sized per ACCA Manual S based i Btu/hr Btu/hr ❑Does Not :,,.-:,on loads per ACCA Manual J or Cooling: Cooling: other approved methods. ❑Not Observable , a Btu/hr ; Btu/hr ❑Not Applicable S t Additional Comments/Assumptions: 1 High Impact(Tier 1) ZJ Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Addition Report date: 07/27/15 Data filename: Page 2 of 7 Section # Foundation Inspection ` Cornpl�es? CommenfsiAssmptoons & RegAD 303.21 'A protective covering is installed to `❑Complies [F011jz -protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below grade. ;❑Not Observable ❑Not Applicable i 403:8= ;Snow-and ice-melting system controls! [FO12]2 installed. ❑Does Not []Not Observable i ` ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier l) 2 ;'Medium Impact(Tier 2) 3,,;Low Impact(Tier 3) Project Title: Addition Report date: 07/27/15 Data filename: Page 3 of 7 Section Plans,Men t=�eid Veref'ed' # Fram'ing/ Rough M:Inspection C .'Comments/Assumptions & Req.ID° Value Value 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies ;see the Envelope assemblies 402.3.1, average). ❑Does Not ;table for values. 402.3.3, 402.5 ❑Not Observable [FR2]1 ❑Not Applicable 303.1.3 U factors of fenestration products ," y ' 11 ❑Complies [FR4]1 are determined in accordancefi ❑Does Not with the NFRC test procedure e r o r p �, taken from the default table. ;❑Not Observable , 'w y � „..<� c ❑Not Applicable 402.4.4 Fenestration that is not site built � � ❑Complies [FR20)1 is listed and labeled as meeting r ❑Does Not 40, AAMA/WDMA/CSA 101/I.S.2/A440iv or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code �' ❑Not Applicable f q � limits. lighting 402.4.5 IC rated recessed fixture �T❑Complies [FR16:]z sealed at housing/interior finish ❑Does Not and labeled to indicate <_2.0 cfm n §a leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 Supply ducts in attics are R R- ❑Complies [FR12]1 insulated to >_R-8.All other ducts R_ R_ ❑Does Not in unconditioned spaces or :outside the building envelope are ❑Not Observable insulated to >_R-6. °❑Not Applicable 403.2.2 All joints and seams of air ducts, r ❑Complies [FR13]1 air handlers,filter boxes, and w ;❑Does Not ; building cavities used as returntill f y , ducts are sealed. ❑Not Observable ; E r ❑Not Applicable 403.2.3 'Building cavities are not used forj, F ❑Complies 015]3 Esupply ducts. £ ❑Does Not fi a❑Not Observable ❑Not Applicable 403,3 "HVAC piping conveying fluids R R- ❑Complies [FRls7F. above 105 °F or chilled fluids ❑Does Not below 55 °F are insulated to >_R- 3 ❑Not Observable ❑Not Applicable 403.4.E f Circulating service hot water 5 R- z R- ❑Complies [:FR18]2 pipes are insulated to R-2. _ ❑Does Not :. ❑Not Observable ❑Not Applicable 403 5Y` 'Automatic or gravity dampers are F x' x IM f ❑Complies [FR19]z installed on all outdoor air El Does Not 9� intakes and exhausts. ,;�k3,% � �u ❑Not Observable ,, a .. ;❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2:! Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Addition Report date: 07/27/15 Data filename: Page 4 of 7 Section PDans Verified Field Verified #: Insulation t�nspection value GomplEes7 Comments/Assumptions & Reg 1©. Yai'ue 303 1 All installed insulation is labeled ' ;" �� ❑Complies [IN13j2 or the installed R-values ,,,' F ❑ x Does Not .. provided. Mg � �Y r � � ' � ❑Not Observable } "f ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ;❑Complies See the Envelope Assemblies 402.2.5, _❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 303.2, Floor insulation installed per A, p i❑Com les q 402.2.6 manufacturer's instructions, and gfi❑Does Not 1 IN2 in substantial contact with the „� � �... [ ] .. �. � Not Observable underside of the subfloor. 3 K r f ❑x Not Applicable 402.1.1, Wall insulation R-value. If this is a; R R ❑Complies 'See the Envelope Assemblies 402.2.4, mass wall with at least 1/2 of the E❑ Wood ❑ Wood ❑Does Not table for values. 402.2.5 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies. ❑ Steel ❑ Steel `❑Not Applicable 303.2 Wall insulation is installed per '' ❑Complies [IN4]1 manufacturer's instructions. s> g❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 ;jMedium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Addition Report date: 07/27/15 Data filename: Page 5 of 7 Section1 .I Plans Verified Field,Verified:*: # F nal inspection Provisions Complies' Comments/Assumptions & Req.iD Value - Value 402.1.1, Ceiling insulation R-value. Where R- R- ❑Complies ;see the Envelope assemblies 402.2.1, > R-30 is required, R-30 can be ❑ Wood ❑ Wood []Does Not ;table for values. 402.2.2 used if insulation is not E❑ Steel ❑ Steel ❑Not Observable [FI1]1 compressed at eaves. R-30 may be used for 500 ftz or 20% ❑Not Applicable (whichever is less)where sufficient space is not available. 303.1.1.1, Ceiling insulation installed per , { ',]❑Complies 303.2 :manufacturer's instructions. N £aY9 ❑Does Not [F1211 Blown insulation marked every # 300 ftz. ❑Not Observable ❑Not Applicable 402.2.3 Attic access hatch and door R- R ❑Complies [FI3]1 insulation >_R-value of the UDoes Not adjacent assembly. ❑Not Observable , E ❑Not Applicable 402.4.2, Building envelope tightness : ACH 50 = ` ACH 50 = ❑Complies ; 402.4.2.1 :verified by blower door test result. ❑Does Not 3 [FI17]1 of<7 ACH at 50 Pa.This requirement may instead be met []Not Observable :via visual inspection, in which ❑Not Applicable case verification may need to occur during Insulation Inspection. I 403.2.2 Post construction duct tightness cfm cfm ❑Complies [F]4]1 test result of<_8 cfm to outdoors, _ ❑Does Not E or<_12 cfm across systems. Or, ❑Not Observable rough-in test result of<_6 cfm across systems or<_4 cfm ❑Not Applicable without air handler. Rough-in test verification may need to occur during Framing Inspection. 403.1 1 Programmable thermostats YV , < ❑Complies [FI9]2 installed on forced air furnaces. ' ❑Does Not �, z� d ❑Not Observable ❑Not Applicable P P 403 1 2 Heat pump thermostat installed q�� ; `'❑Complies [FI10;]2 on heat pumps. �, ° _, � '❑Does Not ❑Not Observable yr .F. ❑Not Applicable 403 4 Circulating service hot water h ` ❑Complies jFlll]? systems have automatic or ❑Does Not C r� �'rz gf �r J � P accessible manual controls. ❑Not Observable I yr ; ❑Not Applicable I 404.1 50%of lamps in permanent UComplies [FI6]1 fixtures are high efficacy lamps. ❑ 9 Y P r Does Not ❑Not Observable ' ❑Not Applicable 401:3 Compliance certificate posted. ❑Complies y� Y (FI7]2 y ❑Does Not ❑Not Observable ❑NotApplicable 303 3! Manufacturer manuals for " ❑Complies I18]3 mechanical and water heating �� ` x yAw` ❑Does Not ; equipment have been provided. ,� r []Not Observable ❑Not Applicable a Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Addition Report date: 07/27/15 Data filename: Page 6 of 7 1 High Impact(Tier 1) 2']Medium Impact(Tier 2) f 3 ;Low Impact(Tier 3) Project Title: Addition Report date: 07/27/15 Data filename: Page 7 of 7 Efficiency Certificate • ` e v 4� �= Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 15.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): e.. s' a. ' '_ _&i:= 'r Window 0.29 Door 0.29 • •s • s • Heating System: Cooling System: Water Heater: MOM - Name: Date: Comments Town of Barnstable Regulatory Services �1NE Thomas F.Geiler,Director Building Division BAMSTABM Tom Perry,Building Commissioner v ,' �� 200 Main Street,Hyannis,MA 02601 �prFC MA'S A Office: 508-862-4038 Fax: 508-790-6230 December 10, 2013 Timur Sakharuk 42 Madison Ave. Centerville, MA. 02632 RE: 42 Madison Ave., Centerville, Map: 247 Parcel: 097 Dear Property Owner: This letter is in reply to application number 201308475 to remodel a single family dwelling. Unfortunately, the application(s) can not be approved at this time because of the following: 1) Construction documents submitted do not demonstrate compliance with 780 CMR (State Building Code). a) Rafters are over span based on design. b) Structural ridge not detailed. c) Smoke detector locations not detailed. Respectfully, WrL au Local Inspector j effrey.lauzongtown.barnstable.ma.us (508) 862-4034 r -'� TOWN OF,BARNSTABLE BUILDING PERMIT,APPLICATION 0. Map Parcel. : D Application # C'(�O Health'Division _ 'bate Issued Conservation Division Application Fee s® t Planning Dept. Permit Fee f Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 1 .czetli S on y� Village kt,3ve..-Ui\l v Xk C O2 6 3? Owner In \4 01-8.kA--V- Address i 2 (A dU S 0 m A ye Telephone q7 Permit Request wr� beA iM 1 W19- gt�j� ACC-Q.�.. -Ck Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation�I O 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 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ °--) —i Attached garage: ❑ existing 0 new size _Shed: ❑ existing ❑ new size _ Other. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ o Commercial ❑Yes ❑ No If yes, site plan review# , �= v3 Current Use Proposed Use e n APPLICANT INFORMATION-- - (BUILDER OR HOMEOWNER) Name �'j m -�-I�Z S p�1 -t1 tlu-�-fiC Telephone Number q7? 2213 3 2 3 2 Address LI M a cu S O�n A Ve License # 02 63 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE-L DATE - c4 FOR OFFICIAL USE ONLY ( APPLICATION# 'DATE ISSUED s .=-'f:si ry e Y s -MAP-/.PARCEL NO.,;:7 . ' s I` ..ADDRESS VILLAGE OWNER ;r DATE OF INSPECTION: ' !t-XFOUNDATION=,- - !'t FRAME A'INSULATfON FIREPLACE a ELECTRICAL: ROUGH FINAL - a PLUMBING: ROUGH FINAL GAS r;. '= ROUGH {*< FINAL } ��"��INAL•iBUILDING�f-' .,, ;:_ ,- �a " � DATE CLOS:EDtOUT�s>:; ¢_�-: •.- ASSOCIATION PLAN NO. r • ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 `'� :• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ��A licant-Information Please Print Le "bl �—Hanle(B s/Organization/Individual): 4 W A PA-L.K Address--fit 2. OV4 Ave City/State/Zip: Phone.#: q/F 22 3 3 2 3 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with . 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-tim.e).* have hired the sub-contractors .2.0 1 am a sole proprietor or'partner-' listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'comp. insurance comp.insurance.#. required.] 5. ❑ We are a corporation and its. '10.0 Electrical repairs or additions I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other Comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. " Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage_as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of.up to$250.00 a day against the violator.. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify u der t epains andpenalties ofperjury that the information provided abov t is true and correct. Ay Si ature: Date: �Phone-#: s", :gS—Z2 — 2 32 O f only. Do not write in this area,to be completed by city or town official n: Permit/License# 16 hority(circle one): Health.2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in,the service of another under any contract of hire, 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 the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than.three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." ^ 4 MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),.address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC'or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for Confirmation of insurance.coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. Iri addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"Lhe applicant should write"all locations in__(city or " affidavit that has been officially stamped or marked b the city or town may be provided to the i town). ..A copy of the y p Y tY applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license of permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable ��oF tt�ray Regulatory Services Thomas F. Geiler,Director MASM 059.� . Building Division Prfo�'�a � . Tom Perry, Building Commissioner 200 Mairi.Street,_Hyannis,MA 02601 wwwJo wn.b arnstab l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOM) EOWNER LICENSE EXEMPTION Please Print JOB-LOCAT10N I�l q o fo.� number s, street village "Ht� OMFAVdI�ER `Tc wi�r� SG'rlC 'K� 9��—2�3v 3 2�2, name home phone# •work phone# CURRENT 1vtAILING ADDRESS:`L-:,x city/town k state zip code The current exemption for"homeowners"was extended'to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license;provided that the owner acts as supervisor. «. DEFINITION OFEOMEONNNER Persons) who owns a parcel of land on which be/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to,'such use and/or farm structures. A person who cons"cts more than one home iri a two-year period shall not be"'considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable torthe Building Official,that be/she shall be responsible for all such work performed under the building permit. (Section 109,1.1), ff The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she underiiands the Town of Barnstable Building Department minimum inspection procedures and requirements and'that he/she will comply,with said procedures and requirements.Caj_,Z « S� igna ' c of o eawncr � � I y i Approval ofBuilding 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 homeownrrperforming work for which a building permit is requirod.shall be exempt from the provisions of this scction,(Section 1 D9.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a pmon(s)for hire to do such. work,that such Homcownra shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rulcs&Rcgblations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hiirs unlicensed persons._In this case,our Board cannot proceed against the unlicensed person as it would with a licensed.' Supervisor. The homeowner acting�as'Supervisoris Ultimately responstble. To ensure that the homcowncr is fully aware of his/her responsibilitics,many communities require,as part of the permit application, that the homcowncrccrtify that hr/ undc'ritands 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 forrn/ccrtifrcation for use in your community: Q:fonns:homccxcmpt Try Town of Barnstable, f Regulatory Services f uxxsr�s f Thomas F. Geiler,Director E ���� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4039 Fax: 508-790-6230 Property Owner ust Complete and Sign is Section , IfUsinLYAB ilder I> , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to wo autho by this building permit application for: s of Job) 7 Signafure of Owner ate Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the rev Q:FORMS:OWNERPERMISSION rt Ovv� 2 es . A Le PTI A S bov) SOR.Iox . t . r OISIAI !7 Z :fit Rd Ilsvisk'm AoPIM 4 !j Basement Floor 42 Madison Ave. Centerville MA 02632 a 16'-0" r rS.hO'Iv' ' io i:.1�'—/ .fr-jam 1 11 CV {a€c O h�I.f s AV 245 scj ft 180 sq ft SD CO IM o 73 sq HwEl IL- (V �,., ,-.��w� +•a .� �'.`. ..' '` �. ��= .:; •.. �- ..� E�� s�k.,:..aC°na .mac. ..� :,� :;,;a �x•• a. Scale:1/64:1 0ft 3 ft 2.4 i6 ft 4.0 in 10ft8.0in Certified Mai1#70092820000331681695 Town of Barnstable IKE Regulatory Services anxrrsrnacE Thomas F. Geiler, Director slaw. � Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508=790-6304 July 30,•20-10 Lyubov and Timur Sakharuk 42 Madison Ave rt Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE STATE ENVIRONMENTAL CODE, TITLE 5. The property owned by you,located at 42 Madison Ave.,Centerville, MA was inspected on July 29, 2010 by Jim Parziale, Health Inspector for the Town of Barnstable. This . inspection was conducted on the basis of a complaint. The following violations of the State Sanitary Code were observed 410.450 Means of Egress: Observed rooms within basement being used as bedroom without second means of egress. Windows do not fit the definition of egress windows as defined by state building code 780 CMR 3603.10.4. Windows shall have a sill height of not more than 44 inches above the floor and the minimum net clear opening shall be 20 inches by 2,4 inches in either direction. According to current tenant these rooms in the basement are being used as bedrooms. There were a total of three (3) beds observed in the main part of this dwelling. You are directed to correct the violations listed above within twenty four (24) hours of your receipt of this notice.by removing all beds from basement and ceasing,and, desisting from using any part of basement as sleeping quarters. Due to the fact this room in the basement does not have the proper egress it is not considered a bedroom by Health Division. You may request a hearing before the Board of Health if written petition requesting same is received within ten.(10)days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. omas A. McKean, R.S., CHO QAOrder Ietters\HOUSing violations\Rental ordinance\42madisonave oFt ra,, Town of Barnstable ti Regulatory Services s r + BARNSTABLE. 71 MAC, g Thomas F.Geiler,Director t639. oi. & Building Division Tom Perry,Building Commissioner , 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 4, 2010 Timur and Lybov Sa_kharuk 42 Madison Ave. Centerville, MA 02632 4 RE: EXIT ORDER 42 Madison Ave., Centerville Map: 247 Parcel: 097 Dear Property Owner/Occupant: " This letter shall serve as notice that the building department has been informed of a violation of 780 CMR at the above address. The Town of Barnstable Board of Health department identified a bedroom with insufficient emergency escape as required by 780 CMR 5310.1 during a recent inspection at the above referenced address and You are hereby notified that the basement bedroom(s) is (are) dangerous and unsafe and its (their) use must be immediately discontinued. The property must be brought into compliance or be subject to criminal prosecution. . A building permit issued by this:office,and'satisfactory completion of the inspection process is needed for compliance._Failure to comply will result in further action taken by this office. Thank you for immediate attention in this matter. : By Order, r . Lauzon a . Local Inspector Q:zoning5 r r; RENTAL AGREEMENT �• THIS AGREEMENT made this _ day of by and between Turur Sakharuk , herein called"Landlord,"and herein called "Tenant." Landlord hereby agrees to rent to Tenant the real property located in the City of Centerville, State of Massachusetts, described as follows: room in the single family home herin called "Premises". Commencing on the day of and ends at 12:00 noon on the _th day of at which time this agreement is terminated. Landlord rents the demised premises to .Tenant on the following terms,and conditions: 1.Rent. Rent is $90 per week, due and payable weekly in advance on each Saturday and must be received by 12:00 A.M. In the event rent is not received prior to 12:00 A.M. on the Saturday, regardless of cause, it will be a late charge of twenty dollars ($20). If rent is not received by Sunday 12:00 A.M. you will have to leave. A rental week starts on Monday and ends on Sunday at 12:00 A.M. If you move in on Monday, Tuesday, Wednesday or Thursday you have to pay for the entire week. If you move in Friday, Saturday you have to pay for the half of the week($45). 2.Security Deposit.The Security Deposit of$200 must be paid in full prior to moving into the house.,The ~' deposit will be return on your last day of the stay after you remove all your belongings return keys, and leave. No exceptions. Unpaid rent, damage caused to the premises or to the personal property of the Landlord and cleaning fees may be subtracted from your deposit. 3. Damage to premises. The Tenants acknowledge responsibility for and pay any(1) damages caused by their negligence; (2) actions taken by any person entering the property; (3) damage done by rain, wind etc., if this damage is caused by leaving windows open,broken windows or doors, etc. Tenant agrees not to put or pour any debris, grease,paper towels, Q-tips, tampons, newspaper, food, or any other matter in the sink w. drain or toilets. Tenant agrees to nay the ENTIRE AMOUNT on bills for all sewer cleaning services resulting from clogged-pipes/sewer back-up: The--I agree that no tacks';'nails; screws, etc., will be - driven into the walls,'nor will they be marred or tom by glue or tape. Each Tenant shall pay for all damages he causes to the premises or to the personal property of the Landlord. Any damages that cannot be traced to any particular party with reasonable certainty shall be paid equally by all Tenants. 4.Occupancy.Each Tenant shall be reasonable and professional in his dealings with the other Tenants. a) Except in case of an emergency, no one shall invite or allow any guests or strangers on the Premises. PARTIES ARE STRICTLY PROHIBITED. Any complaints filed with the police department against the tenant will result in expedited eviction. b) Tenants shall not smoke inside the dwelling. Smoking is permitted outside in the designated areas. c) No alcohol or drugs are allowed on the Premises. d) Each Tenant shall respect the other Tenants'privacy,sleep schedules,and reasonable requests. e) Each Tenant agrees to negotiate in good faith,should the need arise. f) No parking space is provided.No cars are allowed on premises. 5. Cleaning and maintenance. You are agrees to keep house clean and in sanitary condition, to maintain the walls, woodwork, floors, furnishings, fixtures, appliances, etc. Tenant agrees to follow all Landlord A instructions. Tenants shall promptly address any concerns about cleanliness with each other in a polite and professional manner. The Tenants shall establish a cleaning schedule. Each and every week one person will o be responsible for. cleaning common areas, taking out trash, washing dishes left in the sink etc. The J Landlord will inspect the Premises once a week. If the Landlord notifies the person on duty to clean up the property,and he/she neglects.to do so,the Landlord may charge a$60 cleaning fee. cot 2008_LeaseShort.doc Page 1 1��' 6. Utilities. Landlord will be responsible for payment of all utilities, garbage, water and sewer charges, telephone,gas,electricity,cable T`d, internet. With the following limitations: a) Electricity. Reasonable usage is expected, Landlord will pay up to $400 per month for the electricity. Tenants agree not to use or install any additional electric appliances such as, but not limited to Air Conditioner, Space Heater,Dehumidifier except those already installed at the premises. b) Gas.No gas heat will be turned on during summer months(from May 15 to September 30). c) Telephone. ,Landlord pays for the basic service providing'unrestricted, unlimited local and toll-free calls to Hyannis area. All other calls;tall, international etc. should be placed by means of the calling card. Collect Calls, Third Party Charges, 90.0 Pay-Per-Call services, as well as subscription for other Calling Features 'are not allowed and blocked. In the event such an additional charge appears on the telephone bill Tenant agree to pay the difference. d) Cable TV. Landlord pays for Basic cable service: No additional channels,pay-per-view etc. can be ordered. e) Garbage. It will be two 64 gallon barrels available for garbage disposal per week. In the event of any additional garbage placed outside the garbage bins Tenants agree to pay $10 per each bag. It is the Tennant responsibility to roll the barrels to the curb side once a week on Wednesday evening. It will be a fee of$40 or for missing the pickup day. f) Internet. Landlord pays for the High Speed internet access. If Tenant wish to use its own computer it will be one time charge of$:10 to setup Wi-Fi access,and$5.weekly`usage fee paid in advance every week together with rent. 7. Computer and internet access. Landlord provides computers and high speed internet access, but landlord will not be responsible for the upkeep of this computer and does not warrant the condition of this equipment. It is a Tenant responsibility to maintain computer virus free and operational. Tenants shall not leave any personal data on the computer hard drive. Landlord is not responsible for personal files left on a hard drive as the hard drive may be formatted at any time. Any illegal activity online is prohibited. You shall not disclose address,telephone 1turtber or nthar p+rent?1 lata (t±211nP. 8.Forwarding Address.Each Tenant shall provide a forwarding address to the Landlord prior to vacating the premises for any reason. s . 9.Keys..If all keys are not returned,it will be a fee of ten dollars($10)per lost key. Accepted this_day of Timur Sakharuk,Landlord Tenant .tt 2008_LeaseShort.doc Page 2 LE 310 f , 54i R +R`3• r.� w CQ ro OF Bj,n joL 30, 9. f° 3 fix* "w-"- F r f »r • V ' I 1 St V 1 F'• p ' ,. "i rya. 3 Y+�pF� '�-`t� ��✓ TA el E Alt, �., 3`s 2 M R. e > f _ - I S J�b . 1 Ott 11 v 9 �f Gr 30 STA 33. ., ,, •,., { c s_ r i Al q a. } 1� ' t M te { OF BA e r .ram �l s{ i K ` t u s � Y i € t 4 U W N OF 13A R; ;IA , f Vw cl Ao 1 _ _ r �: IOWN OF 5ARNSTA.BfLE . 1 'sue a tl� s r y 3 a ,�� ,+�....�`a i �#4 i^� wkA f �«,'.,,�"�, a"�q• w.we;,, �qyw- � .,��3. �ugfxal ��mmrx�nm �� N�;�,`�'1'1��'�"���;��{.,i� i � k* ++ °�^^ue a-tm NI it t-'�a AN k, s 12 -41 '�r��' pe' �d�'�. ��'a� '� ��''�c� T�,�•.: � �T'Y`� fix �"'c"� t �,. �f�. "E"A n+� a \�:�u.�'..a ks;�.. �.rH«.p'��� ;. � `° 'AN '4 Am ` s Won, son Will r W1,10 Y f# nib I � n I v� ,ti m 1%, ly s i - 247-097 42 MADISON AVE CENTERVILLE, MA 026327 SAKHARUK, LYUBOV & TIMUR Finding: On September 27, 2010 the Building Commissioner and Program Coordinator inspected the proposed accessory unit. The unit is located in the basement level of the home. The unit is configured as a studio with a kitchen, combined living/sleep area and 1 bathroom. The upper main dwelling unit currently contains two-bedrooms, living room, kitchen, play-room and 1 bathroom. The total number of bedrooms on the property currently is three. The property has sufficient driveway capacity. There is adequate parking for both units. The building commissioner described the options to4he homeowners Conditions: + Restore to a Single Family Home-Option - Homeowners can.apply for the appropriate building ,permits and restore the property to a single family home. The sink currently located in the lower level shall be exchanged for a standard bathroom sink. Family Apartment-Option - Homeowners can submit an application for a,family apartment (Building Department). A family member must reside in apartment: • Upgrade the entire home to a hardwired smoke detector system. The family apartment shall contain a minimum of three units one of which must be a combination smoke and carbon monoxide unit. . • A hand rail shall be installed in the hallway leading`down to the family apartment. • Window in bedroom area optional - Does not.require a second means of.egress Accessory Affordable Apartment-Option =Homeowners can submit application for a comprehensive permit (Growth Management Department) Only non family member to reside in apartment. • Upgrade the entire home to a hardwired smoke detector system. The`accessory apartment,. shall contain a minimum of three units one of which must be a combination smoke and carbon monoxide unit. • A hand rail shall be installed in the hallway leading down to the family apartment. • Add a window in the bedroom,area of the accessory apartment,must be an egress window located no more than•42 inches floor to sill. • Add a. second means of egress door. Building commissioner offered two options (1. add door" to right hand side of home- leads from apartment to ground level. 2. Add door to rear of home- leads from apartment to rear deck) • The homeowner will supply a stove and refrigerator for the accessory apartment. With these conditions it is-determined that the site can meet minimum building and safety-criteria and is eligible to proceed through the Accessory Affordable Apartment Program. r - , i Amnesty Apartments Last Name SAKHARUK First Name . LYUBOV 2nd Owner SAKHARUK -2nd Owner TIMUR Last Name First Name Map Parcel 247097 _ Property No 42 Property Street MADISON AVENUE Village CENTERVILLE State MAC Zip 02632 _�... .. Status Prospective Action Required Assessors Use Group Single Family Comp Per Issue Recorded Date u ' Application# tlTyw Permit Issued: C of C Total T. 1J Program Total w 1 Descripton STUDIO,LOWER LEVEL Cert of Occupancy Issued: `Cert of Compliance Issued i Notes 9/27/10 SITE VISIT, PERRY&DABKOWSKI,DESCRIBED OPTIONS TO OWNER`. RESTORE TO SF,APF FOR FAM APT,APPLY TO AMNESTY. IF AMNESTY, WOULD NEED EGRESS WINDOW&DOOR, HARDWIRED SMOKES. NOTES IN FILE. AT 10/4/10 MTG,RA SUGGESTED GIVING OWNERS A DATE, SAY A MONTH, TO:RESPOND-TO OPTIONS s c } rS • , Message Page 1 of 2 Lauzon, Jeffrey From: Lauzon, Jeffrey Sent: Tuesday, August 31, 2o10 3:45 PM To: 'Luba Sakharuk' �- Subject: RE: in regards to 42 Madison Ave. . _ Ms. Sakharuk, Let me be clear,based on the documentation provided by the Barnstable Board of Health inspector and the permitting history of the property, the basement has been finished into an apartment without the benefit of proper permits. Let me reiterate that in order to bring the property into compliance a building permit is needed. The building permit is to restore the building to asingle.family home(by removing the apartment in the basement), and removal of the non-compliant bedroom(s). Pictures clearly show the use. of a bedroom (not a playroom)without the required emergency escape. You were notified of this problem about a month ago and this office has seen nothing to correct the violations. Failure to comply in a timely manner will result in in this office pursuing legal action which may include; but is not,limited to,,.fines:levied for each violation each day the property remains in non-compliance. This office is more than happy to answer any questions you may have to help in the process. . Respectfully, Jeffrey Lauzon Local Inspector (508) 862-4034 L . -----Original Message-----From: Luba Sakharuk [mailto:luba_sakharuk@yahoo.com] Sent: Monday,August 30,2010 2:36 PM { To: Lauzon, Jeffrey Subject: in regards to 42.Madis6n Ave. . Hi Jeff, Sorry it took me a few days to put my thoughts together.µ In general, i just went from•being confused on how we could buy the house without knowing the previous owner needed permits when they finished the basement and never got them to how to fix,the situation now. We had all kinds of inspectors looking at the house before we bought it, even from the fire , department and. nobody brought up the fact that there was something illegal., We have pictures and.appraisal report,.advertisement:.:It was built about_15`years', ago, long prior to us buying the house. I know you most likely can't explain that,mess, -but'hopefully you can help me figure out where to gotnext. Y Aft& I read your letter, I thought well, that's-too bad but I°will go ahead.,and apply for all the permits that I need, except I.have no idea.which ones I do need and where do-I begin as far as applying. This is just a finished room--in the basement which we can accessifrom upstairs but it also has the walkout door. All we want to use it for is for a play room or at least storage. Would I need different permits? Do I need one for replacing carpet with laminate? 8/31/2010 - Message Page 2 of 2 That's petty much the only major thing we did in. that basement area besides patching a few holes in the walls, painting-and putting some shelfs in for storage. Then, when we were talking-on the phone a:few weeks ago and you said I can go' ahead and apply for permits,, but I will not get them anyway, that's when_I got totally confused. If I cannot get any permits, then.what it is`that;,i need.to take down? I really appreciate any'clarification you'couidagive'me. Thank you, Luba 8/31/2010 TOWN OF BB31NST88LE REpo]&T SQpPLEWZNT88T/C0NTINII ON i&EPORT lie NAME (LAST, z MIDDLE) DIVISION ro r� 2 NOTE DETAILS i 08SERVA ONS-ITEMIZE EVIDENCE, SERIAL IS ETC. () —t- o elf �0 Gt- do /' C c r YAP aJn AD 2 �.r 5 ew-oc�e ° AN dJ r N G� P�/ d1200� ti /o PAGE ww.��w�w-� wV ... Y: ....•....,:r r....- .5. •. ... Y; •'n r.r : i 4. .. .. r , 6 RESIDENTIAL PROPERTY MAP,NO. LOT NO. 42 Madison Avenue FIRE DISTRICT SUMMARY STREET pf - J- y ��?_- -? ' Centerville LAND -12 5 247 97 / 0) BLDGS. OWNER G�r �,.. % q CEO TOTAL 111c O J _.. .._. LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. 0) TOTAL LAND Eaton Alice & Eldredge , Beverly Ann -25-81 3311 218 ( 1 . 00 N BLDGS. TOTAL n/ /Q NN LAND BLDGS. i TOTAL LAND BLDGS. O1 — TOTAL LAND 01 BLDGS. TOTAL LAND J BLDGS. TOTAL LAND BLDGS. INTERIOR INSPECTED: S� T TOTAL DATE: 6 r . ..!.' LAND ACREAGE COMPUTATIONS >>; BLDGS. ND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL �, 0 12- 000 $5 I 2 5 0 LAND CLEARED FRONT OI BLDGS. REAR TOTAL WOODS$SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR FLAND O1O C 7 LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT Fr.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. PURCH. DATE r mic. Slab Bsmt.Garage f St. Shower Ext. Walls PORCH. PRICE. �idck Walls Attic Fl. &Stairs Toilet _.. Roof RENT .iinne Walls Fin.Attic Two Fixt. Bath Floors rers INTERIOR FINISH Lavatory Extra ,v ;smt. F '1 1 2 3 Sink �'�'`" 3 5 Q r/Z y laster Water Clo. Extra Attic EXTERIOR WALLS Knotty Y Knot Pine Water Only 'g onuble Siding Plywood V No Plumbing Bsmt.Fin. mgle Siding Pfasterboard Int. Fin. Shingles TILING 3 6 Blk. G F P Bath Fl. Heat XV 0 �) .,ce Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. V Bath Fl. &Walls Fireplace ,.om. Brk.On HEATING Toilet Rm.Fl. Q�Sp Plumbing .olid Com. Brk. Hot Air Toilet Rm.Fl. &Wains. ------- team Toilet Rm. Fl. &Walls Tiling alanket Ins. Hot Water St. Shower :coot Ins. Air Cond. Tub Area Total Floor Furn. I/ ROOFING COMPUTATIONS tsph.-Shingle Pipeless Furn. 7,2 S.F. 5_1I-L0 1'Jood Shingle No Heat SD S.F. .� S'Q •,�2 5, _ sbs_Shingle Oil Burner S.F. Slate Coal Stoker S.F. `c file Gas S.F. OUTBUILDINGS ROOF TYPE Electric ; flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED �able Mansard FIREPLACES S•F. Pier Found. Floor 4brel Fireplace Stack Wall Found. 0.H.Door LIST D FLO R Fireplace Sgle. Sdg. Roll Roofing Conc. LIGHTING Dble.Sdg. Shingle Roof x iarth No Elect. DATE `Fr, - Shingle Walls Plumbing i'ine �+ riardwood ROOMS LCementBlk. ElectricAsph.Tile Bsmt. 1st TOTAL Int. Finish PRICED [angle 2nd 3rd FACTOR p.•.• . REPLACEMENT o) -II OCCUPANCY CONSTRUCTION / SIZE AREA CLASS AGE REMOD. COND. REPL.pVAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. O WLG. ��' h C /! J LI 1 `rJ' 1 �`I I L SO 1 6- V-ar _ 1 ' y, _3 4 - 5 "6 7 8 _9 10 TOTAL iOPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. LJu42 SUNSET AVE 09 RB 300 09CO 07/09/95 1041 00 S>AC R247 097- 152462 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Land By/Date S,e Dimensmn v UNIT ADJ'D.UNIT ACRES/UNITS VALUE Daxdption E L D R E D G E. J AM E S H MAP— __;/ eo. FF-D thlActes LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE D L A ti n 1 37,500 CARDS IN ACCOUNT — 10 1BLDG_S.IT 1 x _.5 =10c 150 49999.9 74999.99 _50 37500 43LDG(S)—CARD-1 1 65,900 01 OF 01 #PL MADISON AVE CENT 8ATi4S 2.0 U x C= 100 7000.00 7000.00 1.00 7J00 3 4 R 1924 0032 MARKET 76200 *4741/099 FORM M—'792 INCOME *,35P0911—El SE A DI PPRAISED VA E JI �ARCEL SUMMARY I Si F ND 37500 T OGS 6590C IIMPS M IhI OT.AL 103400 NCNST DEED REFERENCE Tye 1 DATE Racercl R I O R Y EAR VALUE T Bwk Page Mat. MO. yr.D Seim Price AND 37500 S 4751/1581 1 110/8.5 A 63000 BLDGS 65900 3878/325: 09/83 TOTAL 103400 • I 1 BUILDING PERMIT Number Data Type Amount LAND LAND—ADJ INC hi SE SF—ELUS FEATURES HLD—ADDS UiVI7i; 37500 7000 Class Co'Units bs Unfits Base Rate Adj.Rate A r 8 I' Age Dept. COontl. CND Loc 4b R.G Rapt Cost New Atll Rapt Valee Stories Height Rwms ed Rme Baths 1 I Fia. I PaHyw.11 Fec. 02C 030 110 110 63.60 69.96 51 75 19 80 100 80 82435 6590J 1.J 6 2 2.0 9.0 Oescnption Rate Square Feet Repl.Cost MKT.INDEX: 1 D V IMP.BV/DATE: / SCALE: 1/0 0•8 2 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 6 .96 1044 730.38 W L,�, ,, ; FWD 65 3.50 84 714 N *------18------* STYLE 03RANCH 0_!i FWD 35 6.50 72 612 7 7 ES-rGN-'aIJJMT -92 DFSIGN--koJUS-T- 1U:00 FWD 35 8.50 126 1071 FWD ! ! EXT_ER-WA—U=S- -JT OTSO-TVXME-------- :O *-------------36------54-----*--------------* EAT/AC-TYPE- -J2 ,A-Y---------------U-0 L INT-_R F-I 13N- JU ----------U.O ! ! IfVT"T:LAYOOT- -TZ UER�7NORMAI----1T.-0 ! ! INT'ER:] I,�TCTY- -J2�A74E-A� EXTFK=--TJ=O ! 18 FCJJT 3Tf'JCT- -JG ------------------U=O D W20 BASE ! E L0-0-R-C-0-V R - -UO ------------------TT.-O E T-1A—. Av e 2:82 Bde{ 1044 ! ! ROOF-TYPF____ _OT349tE=7FSPH-_S-H---U=O BUILDING DIMENSIONS '! L_�i.T R IrJTL L11 (Fc R A G� IT.0 T BAS NZJ E54 S18 W1$ S02 W36 .. FWD DUyC47ATZ7N- - -Jt -OURED--COOL-----94.-9 A FWD E05 507 E12 N07 W12 W05 18---- -------------- - --- ------------------- i FWD E36 NO2 E02 S05 E06 S01 E07 X-5—*--17-----36-------------* 5 6 -----NEI-,—K30k OD S AC-14YANNTS------- L N06 FWD W13 W02 S02 W36 - FWD 7 FWD 7 *-6--* ! LAND TOTAL MARKET N20 E36 N07 E18 S07 W18 W36 S20 ! ! *--7--* PARCEL 37500 103400 FWD . _ *----12---* AREA 3775 VARIANCE +0 +2639 STANDARD 25 [ ] [R247 097 . ] LOC] 0042 SUNSET AVE' CTY] 09 TDS] 300 CO KEY] 152462 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 ELDREDGE, JAMES H MAP] AREA] 55AC JV] MTG] 0000 ELDREDGE, KATHLEEN A SP1] SP21 SP31 42 MADISON AVE UT11 UT21 . 50 SQ FT] 1044 CENTERVILLE MA 02632 AYB11951 EYB11975 OBS] CONST] 0000 LAND 37500 IMP 65900 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 103400 REA CLASSIFIED #LAND 1 37, 500 ASD LND 37500 ASD IMP 65900 ASD OTH #BLDG (S) -CARD-1 1 65, 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL MADISON AVE CENT TAX EXEMPT #RR 1924 0032 RESIDENT' L 103400 103400 103400 *4741/099 FORM M-792 OPEN SPACE *85P0911-E1 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 10/85 PRICE] 63000 ORB] 4751/158 AFD] I A LAST ACTIVITY] 08/08/88 PCR] Y R247 097 . P P R A I S A L D A T A. KEY 152462 ELDREDGE, JAMES H LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 37, 500 65, 900 1 A-COST 103 , 400 B-MKT 76, 200 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 1044 JUST-VAL 103 , 400 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 55AC ----------------------------- NEIGHBORHOOD 55AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 375001 LAND-MEAN +0% 1034001 79286 IMPROVED-MEAN -170-. 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] f FTNETp�y J TOWN OF BARNSTABLE br � _ !fps O� •t. :l _ {,� i E9$$$TADLL i } t tt UILDING INSPECTOR ppo,1639. FQ MAXP,� \00 1 ,. µ- � a. �.s . 7 .t• ^b � .y ? APPLICATION FOR PERMIT TO .................................................... .................................................... TYPE OF CONSTRUCTION ................................................................................ i .................................... ................... f.........19.7?� z TO THE INSPECTOR OF BUILDINGS: 'The undersigned hereby applies for na permit according to thye'ffollowing information: Location .......,Z ... '(...�...:.!!'-4?:,.....��MS!`�...............oft .. .r .w"-�!v. .� L . . '. ...:............... ProposedUse .:...... .................................................................................................................. ........................... ZoningDistrict •:.......................................................................Fire-District .............................................................................. r ,Name of Owner L ...................Address .^ -r.... r Name of Builder`o, C.X! .....................................Address '... ... .............................................. ........... .................................... Name of'Architect ...Address ...................................................: Numberof Rooms ...............Foundation�. Z....................... ..................................................0 ......:...... Exterior .t171 Roofing ......... '?..... / ..........................,............................. Floors ................... ....................................... Interior &4.4 ..... ...................................... Heating ...........................................................................:.......Plumbing ........:::71777:---. .................................................. Fireplace ........................ .......................................Approximate Cost ............... . ...................... Difinitive Plan Approved,by Planning Board --------------;-----------------Y9________, 6 `{ Diagram of Lot and Building with Dimensions ti • i HE PRO •AL J/J/ /lANIT�'���ff1�Yj���J'�1A"' R `.:.1UPIDL(.Y, (S ..,PV ,� ._ DIS v.. AND D4///1,QC'/{/��,.�l tld .'{/p �a_� - /a/4/Lr /bgr//!J?\1 l ilt.I\f CED TOWN OF BARNSTABLE. BOARD OF HEALTH A LiCENISED PAII!JST OBTAIN SEWAGE PERI11T, AND fNSTALL. SYS7Efvh. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................. . . ......... ................................................. - Eadxao^ Alice , 14758 add tosingle ` No --.�.�—.— Parnoi� for .................................... family dwe I ling - ' � --.--.--�..----'....—.-..--~---.—. . � � 1&O Nadiomn Avezome (m1�� l�iII I�u�dl � Loco�on --.._^.---______~__� _� ��°"=^�x ^ ___.__~=u ___.________._ ' �I��� � Owner ---.---.��.���-----------' | ^ ' � Type of ConstConstruction .......f ra Construction .--nue........................ � ^^---'—'—'~'~^--'--^'--'---------' ' . Plot -------..—.. �� -----.-----. \ { � � � ) � February 23 72 Permit Granted ........................................ ' `c u Date of Inspection —_-----. ]9 ( ~ nota ��" l� Completed ' --v'--'� — ° ----'' �~ E 1 6D PERMIT REFUSED \�� . l� ----.~—...----.--.--~-- '—'-----'--'-----'--''—^------^' . . ^ . . ` . —~----------'-----'-------'—''' ' —^`'-^—^^—'''--^'—^^~`'`^^'-^^^'-'—`—^—'` � . � � —^''^`^—^~^-'--^'`^^—^^^^^^—^^~—~^^—' ~ Approved ................................................. Yg � ' / ----------~...----.—...,.—. , ^ ` —.---..--.---~—.-----.......-' / .