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1035 OLD STAGE ROAD
j�D�v5 �C�l�aC -_� e ���1. . a ,� . . .. .. , . �; �. .. 6 � ,. ; � r � , r _: _ ,. f Y . � , . � � °� . .� o r e f .. a o _ �� E o e a �. 7 .. h ., � .. - . v ,. a .. .: - n , y[) p 1 =P.� �,�_ „..±,.._ +- lax- RINSOP z.1,33.z.:� g-s aS'r• a ors ._ L ♦ v a t dhi 1ko-� a 1 6454 SO not maw; arML 8rt, ry r .x+i sn nM16 r wt rj a�yllt - "� Qy of F @ r Town of Barnstable F ZHE!per tia Building Department Services Brian Florence, CBO M" g Building Commissioner s639. Of BAR4 'aI A'Ev r�,►'�° 200 Main Street, Hyannis, MA , www.town.barnstable.ma.ul,l9o-JA PH �,G•` 48; Office: 508-862-4038 Fax: '508-790-6230 Town of Barnstable Family Apart NAff davit I,being on oath,,depose and state as follows: My name is K t VV% Fr e I am the owner/resident of the property located at: . [02S 61a aMe Ceniew; Ile. , Y^AA 0a(03� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: Cz'`0 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the.Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand-that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to under the pains and penalties of perjury this �O day of S8 Y 2019. �� 56g- 7 9 �C�95 Signature Phone Number Print Name ( Y1�1 r.�2 t q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department . Brian Florence,CBO �sz"� • SC N E® Mass. $ Building Commissioner i4'9 I Ca o! � ArFD Mpil� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment AffidgVit !�2 al _ a I, being on oath, depose and state as follows: ® b. My name is K 1 M �-re a S I am the owner/resident f the property located at: 0,3 Cj O A Sf(Dcbz Ad " a .Ce4c c v l l e m4 06X(0 4__ rn , The following members of my family will be the sole occupants of-the Family Apartment at the aforementioned address: Name & relationship to owner: C&ro 6 De_?�41'c Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J e 2018. dnt� C,- Signature II// Phone Number Print Name `"1 I )M FY- 4 f c1 S q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Richard V. Scali,Director, Building Division C:) "B Paul Roma,Building Commissioner I 59- 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us .1 - ra Office: 508-862-4038 Fax: 08-79062305 - Town of Barnstable Family`Apartment Affidavit - ' I, being on oath, depose and state as follows: My name is J M 4 r e'l l a S I am the owner/resident of the property located-at: : 6 0 fY? - oaC3 The following members of my family will be the sole occupants of the Family Apartment at the. aforementioned address: Name &relationship to owner: -�'r �e 164t C 6th e i Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members..In the event that the listed relatives.vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to f le an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section.240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this.property. If there is no-longer 4-Family Apart ment'atethis location,please explain: R The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other ti Sworn to under the pains and penalties of perjury this day, of D& n- 2017. Signature Phone Number Print Name q:forms/famaffi d.do c .rev 11/08/12 Town of Barnstable Regulatory Services oF�"E rOr�ti Richard V. Scali, Director Building Division B"R'„ "B' Thomas Perry, CBO,Building Commissioner pr i639' � 200 Main Street, Hyannis,MA 02601 ED MA'S www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows My name is j�1'Vl e 1 CS I am the owner/resident of the property located at: LL k The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: C Ord C l C' dY` e\r_ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members.- In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting__or subleasing of s Family Apartment is permitted. nuz I understand that I am required to file an Affidavit annually with theBuildmg Commissioner listing the names and relationship of occupants in said Family Apartment,Y-I also understand that I am required to comply with all conditions imposed by therZB4 SpecWPerm and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Aj artments j agr e to note the Building Commissioner immediately in the event of the sale of this property If there is no longer a Family Apartment at this location,please explain: ' The apai Craent iias e6ffdiainaritled. The;apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this g J�Y1 da of 2016. , Y Signature Phone Number Print Name Kt }'ire, q:forms/famafEd.doc rev 11/08/12 Town of Barnstable , ppSME rqy, Regulatory Services ~� Richard V. Scali,Director BAM STABLE, » Building Division 1639. A•�� Thomas Perry, CBO, Building Commissioner ED MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: .508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: r-- My name is 40—At S I am the owner/resident of the property located at: 103 Ce oa(g ,3a The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:C�C ry �� ` �� e Y , ►� e Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments._I agree to note the Building Commissioner immediately in the event of the sale of tli%S'broperty T' a : If there is no longer a Family Apartment at this location,please explain: .. The apartment has been dismantled. e The apartment has been transferred to the Amnesty Program(Appeal No Other NO Sworn to under the pains and penalties of perjury this 10 day of re. X-201 508 - 915 - 11( 7 Signature Phone Number Print Name 21 S q:forms/famaffid.do c rev 11/08/11 . �h Town of Barnstable Regulatory Services oFt"E r�� Richard V. Scali,Interim Di - 5 Building Division T w 9'"x`MM& Thomas Perry, CBO, Building Cor is �Ar 039 A�0 200 Main Street' Y H annis' MA 02601 FD MA'S www.town.barnstable.maxs Office: 508-862-4038 D { }h DjI t�y ° Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is I '1 1 2 t G1 S I am the owner/resident of the property located at: 03 . c d -5fo, c, - C^ehe�y,'11� , oa623a- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Ca,<-o Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 3[ day2014. _ of 1(1 Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory, Services �TME toy Thomas F. Geiler,Director Buildg � F £1, � in Division '� .f ,_:NC ITM �. MUMSTABM ` Thomas Perry, CBO BuildingCommissioner 200 Main Street,� Hyannis, MA O1n601��=° 1 - R1 12: 31 ED MAr ,. www.town.barnstable.ma.us ��� Office: 508-862-4038 — - �,508-790-6230 DIV a: Mop Town of .Barnstable Family Apartment Affidavit 1, being on oath;depose and,state as follows: J_ c My name is Ill ►v�" ��l lJ I am the owner/resident of the QCL property located at: Q�` S J J a C. - The following members of my family will be the sole occupants of the Family Apartment at`the aforementioned address: ' 1 Name &relationship to owner: C d e Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in:writing. I understand that no.subletting_or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the.names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-4.7.1 Family Apartments._I agree` ' to notes the Building Commissioner immediately in the event of the sale of this property.`, If there is no-longer a Fainily Apartment'at this,location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains,and penalties of perjury this_ day of r Ylj 2013. • Signa e Phone Number Print NameK-1 q:forms/famaffid.doc rev, 1/08/1,1 i Town of Barnstable Regulatory Services of TME Thomas F. Geiler,Director,N OF- BAD R IIi T k Building Division amass Thomas Perry, CBO,Building Commissioner PIN i A ►�e� 260 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us DI t i��'� Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose,and state as follows: My name is kA hCP—i fQ I am the owner/resident of the property located at: 1035 Old !� Cerllm;1(e 44A as(-o 32, The following members of my family will be the sole occupants-of the Family Apartment at the aforementioned address: r nA Name &relationship to'owner: De• �M1 C. Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I.am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explaift: - The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal.No. ) Other Sworn to under the pains and penalties of perjury this J A day of 1 2012. Signature Phone Number Print Name Kim 1 q:forms/famaffi d.do c rev 11/08/11 Town of Barnstable Regulatory Services oFt roy, Thomas F. Geiler, Directorf Cjv,l l I ie a l MALE Building Division HMMSTABLE, ` Thomas Per CBO, Building Commissioner 1 i 1$11 MASS. Perry, g p!039. Aim 200.Main Street, Hyannis, MA 0260.1 . FO Mp'l - www.town.barnsta ble.ma.us Office: 508-862-4038 Lp ;t`£sLt{ Fax: 508-790-6230 Town of Barnstable, Family Apartment Affidavit I, being on oath, depose and state as follows: - My name is 1 /tk1i Fr l t�, I am the owner/resident of the property located at: & o K FREITAS 1035 Old Stage Rd. Centerville;MA 02632 The following members f my ramriy-wiii-u�-« �s.: ��:c� Iiants of the Family Apartment at the aforementioned address. Name & relationship to owner: M Cc�,'�� 1 V 2 r�. �1 {' 1 o �1/l Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is.permitted. 1 understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to nder the pains and penalties.of perjury this day of 2011. O V Signature Phone Number Print Name ► Q S Town of Barnstable. Regulatory Services pF1HE rpy, Thomas F.Geiler,Director ~s Building Division MOM Of 'RIIISTABL BARNSTABLE, •' Tom Perry, Building Commissioner MASS. l 9 . g si ®o 1639. 200 Main Street,Hyannis,MA 02601 SATED 1 A°� www.town.barnstable.ma.us I`SI Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and,state as follows: My name is 1 IM {' r e �� S I am the owner/resident of the property located at: P Cep ef"y ti l l k JyAA o a-6 3 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address.- Name & relationship V ` to owner: Ce1'�d ( �� cJ tt o tk Q Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names_and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240747.1 Family Apartments.: I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment.has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of KPVC h 2010._ 508 _ V71 ill Signa ure Phone Number Print Name F f e i fas Q/bldg/forms/famaffid . Rev:12/08 Town of Barnstable Regulatory Services . FtHE tp Thomas F. Geiler,Director, o f Building.Division OF BABAS FABLE BARNSTPABLE, ' Tom Perry, Building Commis ' 26MAN 20 Pm 1 00. v� �e39• ��� 200 Main Street,Hyannis,MA 02601 ArEo��A www.town.barnstable.ma.us �11►``1Sli3t� Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is !V`.t KQ d1 V1'1 , fie- I am the.owner/resident of the property located at: I G & J?,eixaa - - 0�G3`�-2 14(3 �, The following members of my family wilhbe tthe sole occupants of the Family Apartment at the aforementioned address: Name& relationship to owner.: C��d` D2.)&�1 e K i r>,S Q+ Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and%r the To',ln of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. -I agree to notify the Building Commissioner immediately in the event.of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to.under the pains and penalties of perjury this J day of. JA I 2009. r) g 5og- q?l.- 5// (0 Signature Phone Number Print Name Q/bld g/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services °FINE T°y� Thomas F.Geiler,Director 4)$ ''ll i:fE Building Division f ' • ; .g BARNSTABLE, Tom Perry, Building Commission ZOpu JAY MASS. 8 1639• �� 200 Main.Street,Hyannis,MA 02601 I0 4 , rF�t �A www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath,.depose and state as follows: � L My name is i✓Vl Tr e--6 I Cl�S I am the owner/resident of the. property located at: od S coil/ -We �a � The following members of my family will.be the sole occupants of the Family Apartment at the aforementioned address: M Name & relationship to owner: Ca w,I r 'C_ W Cif" Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members.. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand.that no subletting or subleasing of said Family Apartment is permitted." I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain:The apartment has been dismantled. The apartment has been transferred to the Amnesty.Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of � Y 2008. Signature Phone Number Print Name Kim Ffe_l Q/b Idg/forms/famaffid Rev:l/03 Town of Barnstable Regulatory Services �°UTNE toy, Thomas F.Geiler,Director Building Division ,ril ��- (' `�TABLE * snRtvsTnatE. ' Tom Perry, Building Commissioner 9� MA38. g �es9• A�0 200 Main Street,Hyannis,MA 02601 2007' FEB 1 2. AM 11 . 3 oTFo � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Kim E� m I am th owner esident of the property located at: -/ 3 j o ca4 f e c V l^ fi l e Vl�l A G d The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Ca to DE' ?&- +I Name &,relationship to owner: The.Family Apartment will be the primary year-round residence for the above-identified family members.. In the event that the listed relatives.vacate.said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of' said Family Apartment is permitted. .I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to.under the,'pains,and penalties of perjury this a�day of 2007. Signature ; ; . ; ._ w -_ _ . __ _ Phone Number r C � Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services pU'THE tp� Thomas F.Geiler,Director Building Division 0i 0 � . tdSIAILE BARNSTABLE, Tom Perry, Building Commissioner 9�A JAN 10� 200 Main Street,Hyannis,MA 02601 i ' 59 www.town.barnstable.ma.us --_..�`0���1 S►OPt Office: 508-862-403 8 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Fr P, I L a S I am the owner/resident of the located at: O a f C �e r V' 0 O`(0 3 a►, property Map and Parcel Number ` 7 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address:. Name &relationship to owner: C � I e .► rn b fi h 2<— Name & relationship to owner: - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this Z D-w day of_a Vi • 2006. Signature Phone Number Print Name K i yY1 F r e 1 r Q/bldg/forms/famaffid Rev:1/03 Bk 19534 p,,324 Town of Barnstable r Regulatory Services. BARWSZABM : Thomas F.Geiler,Director y MASS. ;.13+ Building Division Tom Perry,Building Commissioner. a 200 Maig Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We),the undersigned,being the owner(s)of property situated at 1035 Old Stage Road in Centerville,MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County.District Registry of the Land Court in Book S/ �// , Page p 3Z , or as Document No. , being shown on Assessors'Map 172 as Parcel 159;hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for Carol DePatie, Mother/Mother-in-Law of Owners Michael & Kim Freitas, associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. - The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this+yday of r 200 TOWN OF BARNSTABLE WNER(S) By: uilding Commissioner THE COMMONWEALTH OF MASSACHUSETT.BARNSTABLE COUNTY,SS Date_ ^ Then personally appeared the above-named (owner) P . made oath as to the truth of the foregoing instrument,be ore e lic My Co 'ssion Expires: PHYLLIWIN - z Notary Public _C"Monwealth of Massachusetts 1 My.Cornmi lion Expires >� Marc .7,2009 � Q:word/accessoryagreement Town of Barnstable *Permit;© Fapires 6 m�sftom�tssue Regulatory Services Fee y � + 1ARN3fABLE, • - MASS.1639. Richard V.'Scali,Director , 'rw:a a Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number P Address 0 5 (0//(3/ s e I e"I•l l-e V l4 d oa 3 oZ [�fResidentiA17_ V-alue-of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&=Address_M 1,.1t� t-Y-e- Fre c- oI Sty I �. Cen e� ✓,4ft o �L Contractor's Name ( L. Rod Ci 'r I e-S Er, e Y1 Ul T lee phone"Number_= Home Improvement Contractor License#(if applicable) "`Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance a PC-n op Check one: OCT 2 7 4 ❑.I am a sole proprietor- . 2015 CR I am the Homeowner TOWN OF R ❑ I have Worker's Compensation Insurance 'V BA►I�STABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles)All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) VUplacetnent Windows/doors/slidersr Value (maximum.32)�#of windows1sU� >' - - H a rVe� #of doors . ❑ 'Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ` *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission:-' A copy of the Home Improvement Contractors License&Construction Supervisors License is required. C-_'SIGNATURE:' - -, Q:\WPFILES\FORMS\building permit forms EXPRESS.doc Revised 040215 /f k' 77ie Camrfro"Nv veaIth of Massachusetts Deparmment&f Ind b ial Accidents - O,Bice Of JTI—Wtigations s" 600 Wasiiurgion Street Bosun,CIA 02111 r , wivi mass govldia ,r.. r 'Workers' Campensation Insurance Affidavit:BtdldersiCentractursAEIectricians(Plumbers Applicant Information Please Print Le-obIv -Name(Boshwe ganizatimadivfdaalx 'M I I L l r 2 i U3.5 0 sty e C ��v�`I �I " 03( 3a r - �Citylstatel __ Af j4u an employer?Check the appropriate box: �,�'` Type of project(regnireelj•: I.El am a employer with 4• ❑I am a general contractor and I * have hired the sub-coaidzactors 6. ❑Idew construction employees(full andlor part-time).* , I❑ I am a sole proprietor orpartner- listed on the attached sheet 7- ❑Remodeling s and have no employees gees. These sob-contractors have � emP � $: ❑Demolition worizing for me in any capacity employees a-ad hoer workers' f [Na workers,comp.insurance comp.m urance.l. 9. ❑Building addition d 5. ❑ We are a corporation and its li).❑Electrical repairs or additions —� e , - officers have exercised their 3. I t-am.a homeowner doing all work 11,❑Plumbing repairs or additions myself[No workers'camp- right of exemption per MGL 12.0 Roof repairs ins-manse required..]F c.132, §1(4�and we have no employees.[No workers' 13-0 Other ,. comp-insurance required_] •flay applicant�at checks box 91 most also filloutth�e section balowshuwing the yodels'comp ensafio-upolicginnEmstea� i Iiomevaraers who submit this affidavit indicating they aze&Mg&U woah and then hhe outside contmactors omit submit anew affidavit indicati6-such- Z03ntr Wrs that rhea This boat m=attached an additional sheet dundng the name of the sub-camuwAors and state whether or not those entities ham employees. Ifthesub-contractoeshave employees,theynnsrprovide their workers'comp.palicg number- lam an errrp7o.vr that is pr4n ding it�orkers'eongxwatioru insurance for my*enrpLnyees Setow is fire poUcy and jab rite irtforrnation. Insurance Company Name: tk Pfllicy 44 or Self-ins.Lic.;ff: w A ExpiratioaDate: Job Site AAdsess: rt City/State/Zip, Attach a copy of the corkers'compensation policy declaration page(showing the policy number and expiration date), " Failure to secure coverage as required.under Section 25A of MGL c 157 can lead to the imposition of nrimival penalties of a fine up to$1,500:00 and i'or one-year in4xisoument,-as well as t:hdl penalties.in the form of a STOP WORK ORDER and a fime of up to MO-00 a day against the-violator. Be advised that a copy of this statement may be forwarded to the Office of " Investigations of the DIA.for insurance coverage verification I do hereby certify,under thepairis andpenahies ofpedury that tile informatian-proindi l abm a is pue and correct Sushzre: ` I}ate: '0 1 a7 Official arse only. Da itot amour in ttars area,t*be cainpleted by city orton n official City or Tomm.: r Permiff jcense# r Issuuing kuthority(circle one): 1.Board of Health. 2.Building Department I Cilyrrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#- Information and lastruefions ' Massachusetts&-1=al Laws chapter 152 requires all employers to provide workers'compensation for their employee. " pm su antto this statute,aa,mTLayae is defined as."-.every person in the service of another under any contact ofhire, express or implied, or WEitben." An empfayer is defin as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing m a Joint ent a-prise,and including the legal representatives of a deceased employer,or the receiver or trustee of an dumal,pa tamsEp,association o other legal entity,employing employees. However the owner of a dwelling horse not more than three apartm and Who resides therein,or the occupant of t$e - dwelling house of m Amer wh employs persons to do ce,construction or repair work on such dwelling house or on the grounds or building therein shall not because of such employment be deemed to be an employer." MGL chapfifr 152,§25C(t7 also that"every state or Io licensing agency shall withhold the issuance or renewal of a license or permit to op,e fE a buskers or to onstruct buildings in the commonwealth for any applicant who has not produced accep le evidence of mplia-nce with the ursum-ance.coverage required." Additionally,MGL chapter 152, §25C(� "Neither th commonwr-atth nor ray of its political subdivisions shall enter m� any contract for the performance o ublic work acceptable evidence of compliance with the incrn�nCe: requ reme ats of this chapter have Been prese to time co andhority ' Applicants Please fDI out the workers'compensation affidavit con Iy,by checlan-g&ee boxes that apply to your sitaation and,if necessary,supply sol—contractors)name(s), addresses) phone number(s) along with their certificates)of basurrance. Limited Liability Companies(LLC)or L mZity-Partnersbips(LLP)wnno employees other than the members or pawners,are not regai and to carry workers' omp alion insurance. If an LLC or LLP does have employees,a policy is repaired.. Be advised that this vitm be subm�-d to the Department of Industrial e be sure sign and date the affidavit The affidavit should Accidents for confirmation of msrn-dnce coverag . AIs be rtt=t-,l to.the city or town that the application for th permit or a is being requested,not the Depawment of Tnrh,Strig Accidents. Should you have any questions time Iai or if you are reposed to obtain a workers' compensation policy,please call tame Dep at the her U st i d.be W. Self-insured companies should enter their self-h mn ce license number on the appropriate lime; City or Town Officials . f _ Please be sure,that the affidavit is complete and priirted egml�ly. The Departs thus provided a space at the bottom of tine affidavit for you to fill out in the event the Office f Investigations has to contact you regarding the applicant- Please;be sure to fill in the pemmit/licrose number whi be used as are e number. In addition, an applicant that must submit multiple permNlicense applications in y given year,need o nit one affidavit indicating current p olicy information Cif necessary)and under"Job Site A Tess"the applicant shout write"all locations hm (cry or town)."A copy of the-affidavit that has been officially ed or marked by the or town maybe provided to the ' must be filled out each Brant as �roofthat a valid affidavit is on file for permits or hcens es. A ne affidavit m applicant P - year.Where a home owner or citizen is obtaining a Ii or permit not related to an usiness or commercial venue (Le. a dog license or permit to bum leaves etc.)said perso is NOT rvUjired to complet this affidavit The Office of Investigations would lake to t$mk you in ce for your cooperation and uld you have any questions, please do not hesitate to give us a call. The Departmenfs address,telephone and fax number: The�a of MassarhuseM Depa dment of llid '0 AwWenta Office of TXt.V :Otio= (500,W bin tQ S`f t Bast�MA I T(,-L #617 727-4900 Q�- 4-06 or 1 SAFF Fax 617-727-7749 Revised 424-07 mass-gov/dia 7 Town of Barnstable Regulatory Services �oFVIM r� Richard V.Scali,Director Building Division saBxmnBr Tom Perry;Building Commissioner MASS. 039. 200 Main Street, Hyannis,MA 02601 �ED �► www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - HOMEOWNER LICENSE EXEMPTION Please Print R DATE• I d/ a , //5 JOB LOCATION:/ D 3 .S Cep C) (03 number -- 'street —- — village ' "HOMEOWNER": 1 1 1 I�e 4- lrl'f ���(r/ C�S D O J ' C�/ l _ _name home phone# work phone,#'. -- CURRENT MAILING ADDRESS: 5 a Mx_ _ city/town state- . _ , zip code""' The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER' Person(s)who owns a parcel of land on which he/she resides or intends to reside;on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building Re t. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. Y � i� The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures ankrequirements and that he/she will comply with said procedures and requirements. �SignatureofHomeowner � , Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1—Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." t 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/s) a understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several townsrYou may care t amend and adopt such a form/certification for use in your community. " Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC i Revised 040215 w 1 ) SF1E t BARNSTABLE, 1619. ,m�' MAM Town of Barnstable �prFD M�A Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 0 601 www.town.barnstable.ma. s Office: 508-862-40 Fax: 508-790-6230 Property Owner ust Co m ete and Sign T is Section. Using A B ' der as Ox f the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building pe apph tion for: (Address of Job) Signature of Owner ate Print Name If Property Owner is applying for permit,please complete the Homeo ners License Exemption Form on the reverse side. QAWPHLESTORMS\building permit forms\E)TRESS.doc Revised 040215 i Town of liars table rtta Regulatory Semces LE Thomas F.Geiler,Di f VAN 22 PM 12: 4.1 Building Division " IARNSTABLE. + - y nsA9s Tom Perry,Building Commissioner Ept��� 200 Main Street, Hyannis,MA Office: 508-862-4038 Fax: 508-790-6230 .Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: r a Name: 61 �2 r=/�T'4 S Phone Address: 46:- O C n Name of Business: fi/4 E j G I'TA A—Em ao411 4e!� G Type of Business:_(/ S i G.V Map/Lot: 14 I 7-) INT ETPr: 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 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. o 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 pickup-truck notto,exceed-one tonzapacity,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 d ee with the above restrictions for my home occupation I am registering. Applicant' Date: a a 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. g - . DATE: a of�8 Fill in please: �- APPLICANT'S YOUR NAME S: hi IE i �4- BUSINESS YOUR HOME ADDRESS:iQ7r ©Lb S7`4&E 2J 4 TELEPHONE # Home Telephone Number +!�:Qg- V 7/ 1; NAME OF CORPORATION :NAME OF NEW BUSINESS---r . - I m C .�.!....-.TYPE OF BUSINESS :: B r7ES%G w IS.THIS A HOME OCCUPATION? ADDRESS OF BUSINESS: o A C v `Z<e MAP/PARCEL NUMBER (Assessing). When starting a new business there are several things you must do in order to be in compliance with the rules and regulations 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 CO MalqE!n ER'S OF ICE This individ i d a p it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authacize ig atdr_e** RULES AND REGULATIONS. FAILURE TO COMMENTS:a�±n e,0lVlPtY.1VIAY HtbULf IN S. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) i This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: r - - Town of Barnstable Regulatory Services ���st+e1• Thomas F.Geiler,Director Building Division snxusTnsn.e. : , v Ma.Ss. Tom Perry,Building Commissioner iOtEp ► 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fa�x:S008-790-6230 Approved: Fee: Z�— Permit#: oZ OCOQ 1 -7 HOME OCCUPATION REGISTRATION Date: to/o Name: /' f CA E F I,Mr Phone#: TOT Y7 Address: /O 3 I-D .Sr,46,'� Ri n Village: G'�/ f ILG/= Name of Business: A 7'0 06 to/Z Type of Business: A&% O 117M&y Map/Lot: sq INTENT: It is the intent of this section to allow the residents of the Toiarri of Barnstable to operate a home occupation Kathun single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordnance, 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 ui traffic above normal residential volumes; and no increase un air or groundwater pollution. After registration�Aatln the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located N't ithin 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 the 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,un excess of uornnal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not%rithin the required front yard. • T7nere is no exterior storage or display of materials or equipment. • 'I'lnere are no connmercial 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 contami ng the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Custonnary Home Occupation is listed or advertised as a business,the street address sliall not be included. • employed in�the Customary Home Occupation who is not a permanent resident of the No person shall bey P Pe dwelling unit. I,the undersigned;have:read mid agree�iritlr the above restrictions for my home occupation I am registering.. a � . Applicant: Date: YAO Homeoc.doc Rev.01/3/08 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 permissionto operate.) Business Certificates are available at the Town Clerk's Office, 1' FL., 367 Main Street, Hyannis;MA.02601 (Town Hall) .. - y 3 0 Fill in p}aase: aus.,.. APPLICANTS YOUR NAME_ YOUR HOME ADDRESS: /O O CClp. 50W- q`19 5"Il (o G Q,►�1 E e.t �.,`6 q e vie boy (o a o <. TELEPHONE # Home Telephone Number.Sa8- L!7/ NAME OF IVEV1/ BUSINESS__A •L TYPE OF BUSINESS_- Clean i YlU 1S THIS A HOME OCCUPATION?. YE5 7 NO C Have you been given approval from NO 1 r lea Ze"ry e S ADDRESS OF BUSINESS o Sfd C of aa6 301 MAP/PARCEL NUMBER 0 7 /. J When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations 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 op- ss m this town. 1. BUILDING COMMA,STCJ ER'S OFFIC ( This individual s n.i6fa d f y permit requirements that pertain to,this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE T A thorize tur ** 0 /COMMENTS: %� -� COMPLY MAY RESULT IN FINES 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: , 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature.* COMMENTS: TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY--FAMILY APARTMENT s PARCEL ID 172 159 GEOBASE `ID 10243 ADDRESS 1035 OLD STAGE ROAD PHONE CENTERVILLE ZIP — LOT 104 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 89013 DESCRIPTION FAMILY APARTMENT OVER GARAGE/PERMIT 82257 PERMIT TYPE BFAMCO TITLE FAMILY APT. CERT. OF OCC. CONTRACTORS: Department of ARCHITECTS: h Regulatory Services TOTAL FEES: $25.00 BOND $.00TME CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, ass. i639. 1 FD MA'S A III BUILDING DlYPSION BY DATE ISSUED 12/12/2005 EXPIRATION DATE TOWN - 4 SBARgSTABLE =° CERTIFICATE OF OC UPANCY--FAMILY APARTMENT PARCEL ID 172 1:59 GROBASENID ` 10243 ADDRESS 10,,35 OLD STAGE ROAD , PHONE " CENTERVILLE ZIP _ LOT 104 BLOCK � LOT SIZE _ DBA DEVELOPMENT DISTRICT CO I PERMIT 39013 DESCRIPTION FAMILY APARTMENT OVER GARAGE/PERMIT 32257 ' PERMIT, TYPE BFAMCO TITLE FAMILY APT. CERT. OF O= CONTRACTORS: Department Of ARCHITECTS: P Regulatory Services TOTAL FEES: 25 00 BOND , 00 a . CONSTRUCTION COSTS 00 f 756 CERTIFICATE OF OCCUOMiCY * BMWSTABLE, s639. 1 • iOrF�MOB a r BUILDING DI ISION BY 1� r BATE ISSUED 12/12/2005 EXPIRATION DATE r 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- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED:UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD • ITIS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING . ESEEN& MI T ,TOWN)OF BARNSTABLE BUILDING PERMIT APPLICATION w Malf' Parcel �� Permit# 7 ,� Health Division odd®a' �� ��� F ` " Date Issued Conservation Division ky. € ,S; Application Fee Tax Collector , Permit Fee , ®® 1 , Treasurer t� i s . f .t SEPTIC SYST q7EM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board " `EAMRROWNNMENTAL CODE AND Historic-OKH Preservation/Hyannis REGULATION Project Street Address I®35 01cl bLaq e— Z,ccl _J. " r F� Villag Owner Address 2�J l�1 .� Telephone' 0 s�� 32 �6a Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size a a � Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 'Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U No . On Old King's Highway: ❑Yes No Basement Type: gFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement.Unfinished Area'(sq.ft) 7�� 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 t ❑ Electric ❑UOther Central Air: ❑Yes No . Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size -. Barn:❑existing.-❑new size Attached garage:U existing Vnew' size Shed:❑existing ❑.new:size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use UILDER INFORMATION Nam (Lrak-� WL2 07 A`>Ii�� _ti �QkTe.lephone N"Umber �-_, � �-4 . Address��o�� � � h License# �gcpl-Q - \ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z d� s FOR OFFICIAL USE ONLY r !i PERMIT NO. •c DATE ISSUED - ,r MAP'/PARCEL NO. i ADDRESS VILLAGE OWNER' I i DATE OF INSPECTION: FOUNDATION ©L" r FRAME - 'U 5 _ ©�\ . =U S INSULATION FIREPLACE ' ELECTRICAL: ROUGH ;FINAL r PLUMBING: ROUGH �, i'FINAL - J !lT co ROUGE M FINAL FINAL BUILDING I co in c) � f DATE CLOSED OUT,, O i co ASSOCIATION PLAN-NO. csa Big 19534 Ps324 "410223 02-15-2005 & 03 = 01 P oFt►+E r�,, . Town of Barnstable Regulatary Services ' Thomas F.Geiler,Director r BARNSfABM y MASS. g 1639. Building Division rFo��a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT . I(We),the undersigned,being the owner(s)of property situated at 1035 Old Stage Road in Centerville,MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book Sl 3/l , Page 093 , or as Document No. ` , being shown on Assessors' Map 172 as Parcel 159,hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for Carol DePatie, Mother/Mother-in-Law of Owners Michael & Kim Freitas, associated with the residential use on the same premises. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules,regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day?WNER(S) �l.0 200 TOWN OF BARNSTABLE By: wilding Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date �; d Then.personally appeared the above-named (owner) .......... j ivja�_zt, made oath as to the truth of the foregoing instrument,be ore e� jIA aryriussion he �A Expires: vA PHKE ,1N SAvv1N s s Notary Public =:ommonwealthof Massachusetts I My Commission Expires PAarch 27,2009 Q:word/accessoryagreement RARNSTABLE REGISTRY OF DEEDD The Commonwealth of Massachusetts -- Department of Industrial Accidents — - 600 Washington Street ty Boston,Mass. .C121'11 Workers' Com ensaiion.•Insurance Affidavit-General Businesses 8ddreSS: IV s d/�X 4 O :: City. (« � state: d�y� ay: r�phone# i work site location(full address): ' ❑ I am.a sole proprietor and have no one Business Type: [I Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including RealEstate,.Autos etc.) ❑I am an emplover with en lees(full& art tim�: ❑ Other �I am an'gnyloyer providing workers' compensation for my employees working on this job.. com�an••7iainet. ter •:i ,'.'�` • i, ;ate,• .' :t'+ • ,.�:•�- • . .Y• • t 8dar'e3S` " - honer V. of i # t .insiirarice.co ' •�` '•�• - i-•'• �- I am a sole proprietor and have hir%rAthe independent contractors listed below who have the following workers' compensation polices: comparty'a'arite'= - Dfi'one` city - •��c•. lIISurBnCe'CO. company, n eiiie• address: .. :' •• ' ' . .t•t:.} .. •r. • . . .• Clay Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. , I do hereby ce ify under th pe allies ojperjury that the information provided above is true a d correct Signature Date Z D� Print name Q •(L w( )�Phane# official use only do not write in this area to be completed by city or town official , city or town: permit/license# :[03Buildingpartment oard ❑-check if immediate response is required Office rtmentcontact person• phone#; (revised Sept 2003) Information and Instructions^ G Massachus . eneral Laws chf pter 152 section 25.requires all employers to provide worker compensation for their.. employees: uoted from the `law", an employee is.defined as every person in service' f another under any contract of hire; express lied; oral or written. individual, artnershi association, corporation or other 1 al entity, or any two or more of An employer is define an partnership, IP tiv of a ceased to er or the receiver or the foregoing engaged in a"" enterprise, and including the legal representa es. ,emp y , trustee of an individual,p ship, association or other legal entity, employing emp ees. 'However the owner of a dwelling house having'not more an three apartments and who resides therein, or occupant of the dwelling house of who lo•s-P ersons to do. tenance, construction or repair work on s h dwelling house or on the grounds or another w emp. Y . er shall�not cause of such eniployment.be deemed to a an employer. binding appurtenant th MGL chapter 152 section 25 also'states,tha ''every state br local licensing ag cy.shall withhold the issuance or renewal of a license or permit to operate a business r to construct buildings in th .commonwealth for any applicant who has not produced acceptable evidence of-co'mp�li ce with the insurance cove age required. Additionally, neither the commonwealth nor.any.of its political subdivisi shall enter into any con act for the performance of public work until acceptable evidence of compliance with the ins requirements of this hapter have been presented to the contracting . authority. Applicants . . Please fill in the workers' compensation affidavit complete by checking the box that applies to your situation..Please supply company name, address.and phone numbers along wi certif sate of insurance as all affidavits maybe submitted to the Department-of Industrial Accidents for confirmation o urance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or to t the application for the permit or license is being li of Industrial Accidents. S uld yo have any questions regarding"the"law"or if you are requested, not the Department required to obtain aworke.& compensation policy,pleas call the. artment at the number listed below. City or Towns . Please be sure that the affidavit is complete printed legibly. ,The Dep t has provided a space at the bottom of the affidavit for you to fill out in the event the Bice of Investigations has to con you regarding the applicant. Please be sure to fill.in the permit/liceme numb hich will be used as a reference n er. The.affidavits.may.be returned to or FAX unless er arrangements have been made. the Department by mail The Office of Investigations would a to thank you in advance for you cooperation should you have any questions, please do not hesitate to give us a-cle . The Department's address,telepho fe and fax number: ` The Commonwealth Of Massachusetts- �/ Department of Industrial Accidents emce of h wesdgedens 600 Washington Street Boston,Ma. 02111 fag#: (617)727-774.9 phone#: (617) 727-4900 ext:406 Town of Barnstable Regulatory Services + s sras Thomas F.Geller,Director Mass. p`bA 16119. A�� Building Division rED MAC( Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 • � Fax: 508-?90-6230 Office: 508-862-4038 Permit no. - Date AFFIDAVIT HOME Lv2ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Jill Type of Work: ►f, �,� Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby,apply for a permit as the ag nt of the owner: 2 Con t r Name Regis lion No. Dat G� � vlc OR Date Owner's Name QIonns:homeaffidav f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE , New Buildings $100.00 Residential Addition $50.00 a�l Alterations/Renovations $50.00 Building Permit Amendment $25.00 a— FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= ; c� 2 x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXUSTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) - GARAGES(attached&detached) i square feet x$321sq.fL_ ) x.0041= ACCESSORY STRUCTURE>120,sq.ft. G u >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/s .foot= x.0041- STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x S25.00= ' (number) Inground Swimming Pool $60.60 Above Ground Swimming Pool S25.00. Relocation/Moving $150.00 (plus above if applicable) .Permit Fee Projcost ' Rev:063004 E' ti Town: of Barnstable , Regulatory services Thomas F:Geller,Director Building Division TomPerry} Building Comm ssloner 200 Main Street,7iyannis,MA 02601 +w.townb arnstable:ma.us Office: 508-862-4038 Fax: 508-790'-62310 Property Owner Must �.. Complete and Sign This Section If Using A Builder M as Owner of the subject pro erty I . �' ' hereb authorize (to act on m�behalf, Y in all=tters relative to work authorized bythis building permit application for, (Address of Job) LC Signature o Owner Date Print Name siME►O The Town of Barnstable 7 BARNSfABLE.g! Department of Health Safety and Environmental Services - MASS. t639. �0 prFD MPS s Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice "Type of Inspection E CA-1 n e Location 0 3 5- Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The fo wing items need correcting: 1 <a- Qu, Y rov-i U Y►k` 10, t3 e.14. _C,- s - F, - �. s' • �T l r U'1 Y car ' c� �S IJJ Please call: 508-862-4038 r re-inspecti Inspected by 9 Date �L The Town of Barnstable BARNSTABL- Department of Health Safety and Environmental Services 9 MASS. V ��FpMpy�`0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-7"-6230 PLAN REVIEW Owner: F z [ � a S Map/Parcel: P-1 2 /5 1 Project Address: 1 b.I S- 01 A S�f� Rj Builder:G r agje-r jga..r W e� The following items were noted on reviewing: - r 3. ter,�v'� -� c; ►� V- r► UJ a .� 5 hKs s C�Q��z S�10 w-S I t`Y) Uj LJ i3 `a 7 OV1 k Mblre_ -GOAMILIQ c4a- OL1 Y (4e C. -T)e e_ —P© s�.S -feI G(2- /� X Reviewed by: n 0Z// I Date: 2 - 1 4 D 5 �oFINETO The Town of Barnstable B-A•'R�N Agl;TALiB-LE. MASS. r- Department of Health Safety and Environmental Services g. ! A 1639. TFO MP+ Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection I I Location I .J 3 I 6 O cA Permit Number 2 Z S Owner Builder One notice to remain on job site,one notice on file in Building Department. 1 The following items need correcting: ,- 2 . � ve 1� � r 4 1Z-- 1 Please call: 508-862-4038 for re-inspection. Inspected by C �2 U v r Date L- i Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheck Sofware Version 3.6 Release la Data filename:,Z:\GHCC Documents\Jobs\Freitas\Freitas.ResCheck.rck PROJECT TITLE: Freitas CITY: Barnstable STATE: Massachusetts . HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other.(Non-Electric Resistance) WINDOW /WALL RATIO: 0.17 . DATE: 02/01/OS DATE OF PLANS: 01/31/05 PROJECT DESCRIPTION: 4 Garage with In Law Apartment DESIGNER/CONTRACTOR: -Greater Harwich Construction Co., LLC COMPLIANCE: Passes Maximum UA= 132 . Your Home UA= 126 4.5%o Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 700 30.0 0.0 25 Wall 1: Wood Frame, 16"o.c. 648 15.0 0.0 42 Window: 2446: Vinyl Frame, Double Pane with Low-E. 36 0.340 12 Window: 2442: Vinyl Frame, Double Pane with Low-E 33 0.340 11 Door: FWG 6068: Glass 40 0.330 13 Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 700 30.0 0.0 23 Boiler 1: Other(Except Gas-Fired Steam),, 80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.6 Release la(formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard st 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 ` REScheck Inspection Checklist Massachusetts Energy Code - REScheck Software Version 3.6 Release la DATE: 02/01/O5 . PROJECT TITLE: Freitas Bldg. Dept. Use Ceilings; [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss; R-30.0 cavity insulation Comments: �. Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Windows: - [ ] 1. Window: 2446: Vinyl Frame, Double Pane with Low-E, U-factor: 0.340 j For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Window: 2442: Vinyl Frame, Double Pane with Low-E, U-factor: 0.340 For,windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: i . Multi-Span Floor Beam[2003 International Building Code(01 NDS)1 Ver:6.00.7 Jay_Malaspino,CAD Designs.on:02-01-2005:09:47:54 AM `Proiect_GHCC FREITAS Location: rear deck girder Summary: (2) 1.5 IN x 7.251Nx 10.0 FT(5+5)/#2.-Southem Pine-Wet Use - Section Adequate By:66.6% Controlling Factor:Section Modulus/Depth Required 5.62 In Laminations are to be fully connected to provide uniform transfer of loads to all members Center Span Deflections: Dead Load: DLD-Center- 0.00 IN Live Load: LLD-Center- 0.03 IN=U2314 Total Load: TLD-Center- 0.03 IN=U2093 Right Span Deflections: Dead Load: DLD-Right= 0.00 IN Live Load: LLD-Right 0.03 IN=U2314 Total Load: TLD-Right= 0.03 IN=U2093 Center.Span Left End Reactions(Support A): Live Load: LL-Rxn-A= 788 LB Dead Load: DL-Rxn-A= 122 LB_ Total Load: TL-Rxn-A= 910 LB Design For Uplift Loads(Includes Uplift Factor of Safety) Rxn A-min= -31 LB Bearing Len. th Required(Beam only,support capacity not checked): BL-A= 0.80 1N Center Span Right End Reactions(Support B): Live Load: LL-Rxn-B= 2250 LB Dead Load: DL-Rxn-B= 408 LB Total Load: TL-Rxn-B= 2658 LB Bearing Length Required(Beam only,support capacity not checked): BL-B= 2.34 IN Right End Reactions(Support C): Live Load: LL-Rxn-C= 788 LB Dead Load: DL-Rxn-C= 122 LB Total Load: TL-Rxn-C= 910 LB Design For Uplift Loads(Includes Uplift Factor of Safetv) Rxn-C-min= -31 LB Bearing Len. Required(Beam only,support capacity not checked): BL-C= 0.80 IN Dead Load Uplift F.S.: FS= 1.5 Beam Data: Center Span Length: L2= 5.0 FT Center Span Unbraced Lenqth-Top of Beam: Lu2-Top= 0.0 FT_ Center Span Unbraced Length-Bottom of.Beam: Lu2-Bottom= 5.0 FT Right Span Length: L3= 5.0 FT Right Span Unbraced Length-Top of Beam: Lu3-Top= 0.0 FT Right Span Unbraced Length-Bottom of Beam:, Lu3-Bottom= 5.0. FT Live Load Deflect. Criteria: U 360 Total Load Deflect.Criteria: L1 240 Center Span Loading: Uniform Load: Floor Live Load: FLL-2 60.0 PSF Floor Dead Load: FDL-2= 10.0 PSF Floor Tributary Width Side One: Trib-1-2= 4.0 FT Floor Tributary Width Side Two: Trib-2-2= 2.0 FT Beam Self Weight: BSW= 5 PLF Wall Load: Wall-2= 0 PLF Total Live Load: wL-2= 360 PLF Total Dead Load: wD-2= 60 PLF Total Load: wT-2= 425 PLF Right Span.Loading: Uniform Load: Floor Live Load: FLL-3= 60.0 PSF Floor Dead Load: FDL-3=. 10.0 PSF Floor Tributary Width Side One: Trib-1-3= 4.0 FT Floor Tributary Width Side Two: Trib-2-3= 2.0 FT Beam Self Weight: BSW= 5 PLF Wall Load: Wall-3= 0 PLF Total Live Load wL-3= 360 . PLF Total Dead Load: - wD-3= 60 PLF Total Load: wT-3- 425 PLF Properties For:#2-Southern Pine Bending Stress: Fb= 1200 PSI Shear Stress: Fv= 175 PSI Modulus of Elasticity: E=, 1600000 PSI Stress Perpendicularto'Grain: Fc_perp= 565 PSI Adjusted.Properties Fb'(.Compression.Face in Tension): Fb`= : . 1611 PSI Adjustment Factors:Cd=1.00 Cm=0.85 CI=0.99 Cf=1.00 FV: FV= 170 PSI Adjustment Factors: Cd=1.00 Cm=0.97 E': E'= 1440000 PSI Adjustment Factors: Cm--0.90 Page'.2 Multi-Span Floor Beamf 2003 International Building Code(01 NDS)1 Ver.6.00.7 Bv:Jav Malaspino,CAD Designs on:02-01-2005:09:47:54 AM Project: GHCC FREITAS-Location: rear deck girder Fc'_perp: Fd_perp= 379 PSI Adiustment Factors: Cm=0.67 Design Requirements: Controlling Moment: M= -1329 FT-LB Over right support of span 2(Center Span) Critical moment created by combining all dead loads and live loads on span(s)2,3 Controlling Shear: V= 1074 LB At a distance d from right support of span 2'(Center Span) Critical shear created by combining all dead loads and live loads on span(s)2,3 Comparisons With Required Sections: Section Modulus(Moment): Sreq= 15.78 IN3 S= 26.28 IN3 Area(Shear): Areq= 9.49 IN2 A= 21.75 IN2 Moment of Inertia.(Deflection): Ireq 14.82 IN4 95.27 IN4 4 Multi-Span Floor Beam[2003 Intemational Building Code(01 NDS)]Ver:6.00.7 By:Jay Malaspino,CAD Designs on:02-01-2005 Project: GHCC FREITAS-Location: rear deck girder Summary: (2) 1.5 IN x 7.25 IN x 10.0 FT(5+5)/#2-Southern Pine-Wet Use Section Adequate By:66.6% Controlling Factor.Section Modulus/Depth Required 5.62 In LOADING DIAGRAM VY A B C Center Span =5 ft Right Span =5 ft Reactions Live Load Dead Load Total Load .Uplift Load A 788 Lb 122 Lb 910 Lb 31 Lb B 2250 Lb 408 Lb 2658 Lb 0 Lb C 788 Lb 122 Lb 910 Lb -31 Lb Center Span Uniform Loading Live Load Dead Load Self Weig h ht Total Load W 360 Plf 60 Plf 5 Plf 425 Plf I Right Span Uniform Loading Live Load Dead Load Self Weight Total Load W 360 Plf 60 Plf 5 Plf 425 Plf "Nov 1 ?On5 'Ifj :58��,a� � iux . tsiU-UaPt- ,nvuL11 U4-'11111 ; va :L14 , 1 �151 P. 4. 1 •Orisons-Main Street-286-02M ® a Hyannis-Bearse's VAby-776-6112 o Weilileet-Commercial Street-349-3734 e • Pocasset-Badow's Landing Rd,-56.',-2271 •South Dennis-Rte. 134-39P,6071 e' � 0 Martha's Vineyard-Vineyard Haven-6�3-3374 i. ors-Route:53-,617158fr4394 r -- GREATER HARWICK FREITAS JOB FREITAS„7UB ;~REITAS 1035 OLD STAGE ROAD 1035 0 11 STAGE RO CE�Ti.'I,E Q � ytV YT,LE, 508-432-4360 508-432-4360 Sti.B. 25 Shipment #: 1 ACCT#6 CUSTOMER P.O#I TERMS ORDER# ORDER DATE SLSMN INVOICEM INVOICE DATE 432' 8060 CONTRACTOR 40154177 � 04./04/05 138 40161140 04/27/05 ORDERED B/O SHIPPED U/M DESCRIPTION PRICE AMOUNT ATT: J E 0 1 EA 2866 AR 'PS-21C 4-9/16; oilmen SGL BORE; G; STAN SILL ;2858.F5210 PO 0 41114 # 49'28--WiT Qt'v r 1 Expected 04/06/05 Z 0 1 EA 2868 R90$ 5-210 4-9/16; SGL BORE, N ; STAN SILL ;2868.PS210 F0 4111417 VEND 4928--WIT Qty : 1 Expected : 04/08/05 SHI?PING INSTRUCTIONS www**;'x w**x**r.x rr kx c r r * * rxxx• Atf WED 4/2'7 k..1t,.t-'M1+'k.tx*:F***};Yr it K•x x:e• Yt t�'NR�Y tR'I.'�'k***s**xi'y�t w,h Yr*'** r6 h. APR 2 . � a -------- ------ . r 1 27, 2005 06:23:43 OT.179 3 2 MERCHANDISE 385.89 SHIP VIA 071' ER 0.00 INVOICE — - �xrrxx,rxxkt'x*� PAGE 1 .OF 1 a � TAX r__�(0,� .. _ 1y•29 ,NECHAM, BEN FREIGHT � 0.00 Signature: TOTAL. South Dennis k*PER ?RICE BREAK** 405.18 �, R.:.._. ' t'jlterm �nL THEF x [FIEF u1AiTRU TbermaTrtt DOORS Fire Rated Doors M. _ --Fire faxed Ikx is -_--- --- 9U Afintite Steel Doors_ f-m-R atecd Therma-Tru Door's available set-up in wear. Thernia Iru fire-Tared steel doors cttrobirte the strength and dtsrah:l'aty o€steel:With Mlle Zit-minute fire doof5 oil t},9s pggP [te available as door.;oruy cr:xt-up in a?a CA- 90-s nlnUie rare 51iF4E prF SSUri lating.�f17?ItI 3 6nl S tlYe rated Steel Si CI pIS f atUl^: L" hoot SV.steIIY: • U(),Minute Ul-*'B'Label Fire Twe,3 •Stupasses A.STWI ir15'2 fue Eadtical[ce'l�st - . Wood iamtr-20-Minute Rated.-Finger-Joint 1 Phal d(labeled] ±' • 24 Gauge Galvanized Steel • Primed Steel Surface Finv;er Joint&Prir•.led • Solid i:it.5lalatin t(t:xe a Single Rare-I10 Inck =- • i'remiurn'Self Suthna Si t yr/tivt7raigriln Cop(es'uli Fin ish) j • steel Edges ° 13ackset-2-3,14' k!; Filler-Ci4assaO Fire-.Fist,d FiFaergTecs.s Doors— Me doers are stevi-edged, rtialdrig them ultabk,fOC use ire WhdetminiUMS..office Fiber-Giassic stainable erd paint.'ble tire-rated RL buildings or light:.omtnercial h%tildinas—anywhere fire safety is a consideration, doors offer beauty and performance,plus a 20-I11 j= lttey can be ordered pre-hung,making irl<stallation easy. _ Wamcck-Hersey,Inc.tixa,ating_ "Fhe;rrebuilt wi !! ! fire barrier core that extends through the full cox door. Available in two st}ttes,the!eie ideal for Leis. between the house and garage- Built of durable fiberglass,Fiber-Classic doors wo I Warp like Wood,and they resist dents and dings. { i resistant than Hood,fiber-Classic doors offer ssl against break-in. (PaSSes 11..TM B-152,CAN 4-S104,l.FLC.S 104 and Ut . FCF100 FGFt+1J 50C 5r11 S20 sss Ito - Sntooila-Fire 'Dire-Rea-terF i glass DoolS- _T 10'x{Q' 5'x.2n' 3*x'3 Mesh fight Mesh light Mesh light ~+ � Slrtoctith-`~ire patntable;fret:-rated fiberglass _---- ---_-_—.- . --------__, �" dcvn offer reliable protection trom fire with a '. -- — solid fire barrier coo-and a N minute 1 : St�ecl Split-tan*Frame— 'r Watuttik- Irrc.rise xaLing. fti.,sit of tough 'r1S2_TfIlE-1•Itf'$51Ze1 spilljarrSl?frame technology eI1sU'es irlaXIMUrn Iit and perti.-trmance � fiberglass,the doors Iesist der1f5 and diaAtg5,and i a._ p tovidP add4�d plotecti�n against loess l Ma nP1k Y,f 1WStn 1&-fN11 P. n%xier - F i i lei to choose o a e n timeless s i+xc ak ir.- ',Kith thsP y Veatures includc- from and dtstutctive detailed tires,Smooth-Piro gJua'dxa tesz frame • rise with any-lherrna-7Yu datar and Yrsnge. M „nP do-urewiin doors otfcr protection and good Jm-ks. •Standard strike of 4-'18"115.1 ANSI or 1£ut�Siusiab7!rf (passes ASTivf E-152,CAN 4 1Cr.,UI.0 S104, 1 x1apler plate fair fill-lipped strike plate. andIrl.10B codes.;l" t:- Uptional"Tstiike inserts mailable. Sy7lfll? SSFt in , 7' *911-1nim-ite PO4tiVe PreSSUie fire-rating - - - remium Series ^x and a 2U-aunt m k t+se ems? t ��� ; x•. � �� i ;? unrtlpn ion T z i Fire-Raked)feet Doors— + � t, t WHI('04arnock-H�rscj;lrr}. jl .1 •;hat all alumincalt basr lhxtLshold(induditig mrUgntsral Premium Series st",I d•:xlr.,offer a public aces s)for adiicxl durability. r; 20-minute Warnadr Hersey Inc. {�! j ; •ntcs .ASlt k2074-UDrnthS-Label, fxeraring. 3xteaaovrti with Ili.Ira C,arnJ'111C' 1�_?cr+drs*Y 24-gauge galvanized steel skins _ (. and a solid polyurethane toant Fire Doors in Split steel FTtnme i.. :xire offer altnost double.the t x. t?escrE ion Size DI all-Opening ` i R-value of pulyst;frerre sere door r in Yu e ; r Witea used to a Thcrna-Tru steel f,te door 1 Stogy:Unk 2'-S" 31'h!'x 8 t'fz' 's- and Names Stem. I 2'-q" 33' "x�31';z' i 1 5'Then v5etl in ,357e,tra=[,u �1�1!f AS-210 Y , I,. steel Bxe wor and trams PS 10ir t,t. A.: ;. I Puiz!ic.Acrss - 'llfl'!i� I 1n,ar„ ,:.I,:i1a'WviW'tl,f,fl'R rem f Uniformly Loaded Floor Beam[AISC 9th Ed ASD I Ver.6.00.7 1 By:Jay Malaspino;CAD Designs on:02-01-2005`.09:49:03 AM Proiect:GHCC FREITAS-Location:garage girder Summary: _ �. A36.W12x35_x 24A FT"j Section Adequate By:84.6% Controlling Factor: Moment of Inertia Deflections: Dead Load: DLD= 0.14 IN Live Load: LLD= 0.43 IN=U664 Total Load: TLD= 0.57 IN=U502 Reactions(Each End): Live Load: LL-Rxn= 5760 LB Dead Load: DL-Rxn= 1860 LB Total Load: TL-Rxn= 7620 LB Bearing Length Required(Beam only,support capacity not checked): BL 0.82 IN. Beam Data: Span: L= 24.0 FT Unbraced Length-Top of Beam: Lu= 0.0 FT Live Load Deflect.Criteria: U 360 Total Load Deflect. Criteria: U 240 Floor Loading: Floor Live Load-Side One: _ LL1= 40..0 PSF Floor Dead Load-Side One: DL1= 10.0 PSF Tributary Width-Side One: a TW1= 6.0 FT Floor Live Load-Side Two: LL2= 40.0 PSF Floor Dead Load-Side Two: DL2= 10.0 PSF Tributary Width-Side Two: TW2= 6.0 FT Wall Load: WALL= 0 PLF Beam Loading: Beam Total Live Load: wL= 480 PLF Beam Self Weight: BSW= 35 PLF Beam Total Dead Load: wD= 155 PLF Total Maximum Load: WT= 635 PLF Properties for:W12x35/A36 Yield Stress: Fy= 36 KSI Modulus of Elasticity: E= 29000 KSI Depth: d= 12.50 IN Web Thickness: tw= 0.30 IN Flange Width: bf= 6.56 IN Flange Thickness: tf= 0.52 IN Distance to Web Toe of Fillet: k= 0.82 IN Moment of Inertia About X-X Axis: Ix= 285.00 IN4 Section Modulus About X-X Axis: Sx= 45.60 IN3 Radius of Gyration of Compression Flange+1/3 of Web: rt= 1.74 IN De'sign Properties per AISC Steel Construction Manual: Flange Buckling Ratio: FBR= 6.31 Allowable Flange Buckling Ratio: AFBR= 10.83 Web Budding Ratio: WBR= 41.67 Allowable Web Buckling-Ratio: AWBR 106.67 Controlling Unbraced Length: Lb= 6.0 FT Limiting Unbraced Length for Fb=.66'Fy: Lc= 6.92 FT Allowable Bending Stress: Fb= 23.76 KSI Web Height to Thickness Ratio: h/tvr= 38.2 Limiting Web Height to Thickness Ratio for Fv=.4"Fy: h/tw-limit= 63.33 Allowable Shear Stress: Fv= 14.4 KSI Design Requirements Comparison: Controlling Moment: : M= . 45720 FT-LB Nominal Moment Strength: Mr= 90288 FT-LB Controlling Shear. V= 7620 LB Nominal Shear Strength: Vr= 54000 LB Moment of Inertia(Deflection): Ireq= . 154.42 IN4 285.00 IN4 Ecopy J� Uniformly Loaded Floor Beam[AISC 9th Ed ASD]Ver.6.00.7 By:Jay Malaspino,CAD Designs on:02-01-2005 Project: GHCC FREITAS-Location:garage girder Summary: A36 W12x35 x 24.0 FT Section Adequate By:84.6% Controlling Factor.Moment of Inertia' LOADING DIAGRAM W A B Span =24 ft Reactions Live Load Dead Load Total Load .Uplift Load A 5760 Lb 1860 Lb 7620 Lb 0 Lb B 5760 Lb 1860 Lb 7620 Lb 0 Lb Span Uniform Loading Live Load Dead Load Self Weight Total Load W 480 Plf 120 Plf 35 Plf . 635 Plf. Greater Harwich Construction Co. LLC. P.O. Box 858 565A Route 28 Harwichport,MA 02646 (508)432-4360 (508)432-4707(fax) To Whom It May Concern: Michael & Kim Freitas, the homeowners at: 1035 Old Stage Road Centerville, MA 02632 hereby grant permission for Greater Harwich Construction Co.,LLC and its agents,to act on our behalf during the board of appeals procedures as well as the duration of the construction project. --e Sincerely, Confidential Page 1 11/24/2004 ®- uuI—u0-ZUU4 WED 02,33 PM MARK SYLVIA INSURANCE 5084209227 I ° P_01/03 '°° ' ���? i PRODUCER - ' CERTIFICATE-- • ' ATE Off' LIABILITY INSURANCE- IC MARK SY LVIA INSURANCE508-428-0440 DATE(06/2004 Y AGE T 969 MAI STREET MCY HIS CERTIFICATE IS ISSUED qg q 10/06/2004 ONLY AND CON MATTER R OF OSTERVI LE, MA 02655 HOLDER, TFIIS CER NO RIGHTS. UPON THE INFRTIFIC OI ALTER THE COVERAGE AFFORDED CATE DOES NOT AM ND CERTIFICATI ' , EXTEND or I INSURED ..-_.._.. - INSURERS AFFORDING COVERAGE G EATER FIARWICH CONSTRUCTION INSURER A; FARM FAMILY CASU I NAIC ax P BOX 858 �,INSURER a: ALTY INSURANCE I H RWICHPORT, �_._. . L MA 026g6 INsuRFRc• _... .. ' I INSURER O: COVEN __ .... THE POLICIES F INSURANCE LISTED CONDITION A!IigyE BEEN ISSUED TO THE INSURED NAMED ALCOVE FO I ANY REQUIRE ENT, TERM OR CONDITION OF ANY C MAY PERTAIN,THE INSURANCE AFFORDEC 8Y T E ONTRACT OR OTHP CuDO R THE POLICY PERIOD INDICA E POLICIES.AG RH IN LIMIT.-SHOW H POLICIES DESCRIBED HEREIN S S BJEICT TO APE THEOT WHIC EXCL g N MAY HAVE BEEN REDUCED 8 �Nsri 'pp:lY PAID CLAIMS, WHICH THIS CERTIFICATE MA IBE ONS ISITHSTANSUED I .._... EXCLUSIONS AND CONDITIONS OF SU�H GENER/LLIABILITY POLICYNt?MBER POLICYEFFECTIVE A I POLICY EXPIRATION7- ,. -,-, .• - I CO OIERCIALGENERAL.I.IABILITY >OO1XO482 • '�' ' I O6/03/2004�I� \�' 'EACHOCCURRENCE ..._.._ I CLAIMS MADE X ; occult I• 06/03/2005 _ LIMITS X C NTRACTO,RS 6AMAGE TO RENTED "' REMISES Ea cccurence) ME EXP(Any one , o0 000 r I X IA VANTAGE SPECIAL r:on) $ I GEN'L A ADV INJURY CRE_G_AT_E LI T RSONAL✓« - S,000 I MI APPLIE9PER:I ' " GENF•RALAGG C' PO.ICY PRO) R GATE I$ 00,000 J LOC I i PRODUCTS,11 20 AU ... ,I $ :... 1,000,000 i I.._....I AN AUTO I IAl, OWNEDAUTOS COMOINED SINGLE LIMIT (ES Sec)denr I ) .-. ..._ ...__I-s- -. . I I I SC EDUL60AUTOS '- IMIR DAUTCS I DODILYINJURY NOI,OWNFDAUTOS I I _.. DODILY INJURY - • !PROP@ _ i I GA RAGELIABILITY - RTY DAMAGE I (Per, y AN AUTO I i IAUTOONLY,EAACCIDENT -._• 1 ;S/ MSRELLA LABIUTY OTHER TH UTO ONLY CARXCIFO C ACC $ - .... _ UR AGO $ _ ! CIAIMS MADE I � EACH OCCURRENCE y I I I DE71BCE C I I AGGREGATE -J I . . . S . RET NTION i. WORKERS COM►ENSATION AND -• ' i A EMPLOYER9,L, SILITY ANY PROPRIETc R/PARTNER/EXECUTIVE 2001 W6324STg7U $ OFFICER/MEMB•R CXCLUDED� I O6/24/ZOO TORY LIMITS: X HM';05/08/200,5 fPECI Yes,AL PR a 4�der E.L.EACH ACCIDENT SPECIAL PROV IONS Un(cw � � i - .. IJ. ..�. 500,000 1 OTHER I E.L.DISEASE)EA F,MPLOYEE $ 500 OOO I E,L.DISEASE,POLICYLIMIT $ j I 500 006 DESCRIp710NOFOPE 710NS/LOCATIONSlVEHICLESIEXCLUSION9ADDEDBYENDORSEMENT/SPECIAL PROVISION9 CARPENTRY CERTIFICATE H LID R SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GR ATER HARWICH CONSTRUCTION CO, LLC DATE THEREOF,THE ISSUINO INSURER WILL ENDEAVOR TO MAp, F (508)432-4707 NOTICE TO THE CERTIFICATE HOLDER oiAM 3�— DAYS WRITTEN I IMPOSE NO OBLIGATION OR LIABILITY,OP N FT,BUT FAILURE 70 DO 90 SHALL E`D-TQ,u L--Fy,,., --- P �IIf THE 9N84R �+(`ENTS OR REPRE9ENTATIV2$ fiR..IT$, ( { ' AUTHORRED"I"RESENTATIVE I A(;ORD (200108) .4� .I. ----ACORD C PO ^ION 1988 f r- Received Ti-mi Oct . 6, 12:49PM f C e ula ons and Standards Board o Buil ing R g 1 One Ashburton Place - Room 130 Boston. Massachusetts 0 108 Registration Home Improvemgn C,,, ractor 142519 Registration Ltd Liability Partnership j Expiration: 4/7/2006 Harwich Construction Co. LLCM - Grater H William Shelley, Jr. 565A Route 28 Harwichport, MA 02646 � Lost Card _.• Update Address and return card.Mark reason for change 5 Address [] Renewal ❑ Employment Iid for individul use only �7 � �. ✓ License or registration Board of Building Regulations and Standards before the expiration date' If found return to: Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR One Ashburton Place Rm 1301 Registratiorti, 14251r9i"�� .� --—I Boston,Ma.02108 Exprratron 4G712006 l=T pe Ltd Liability Partnership Grater Ha reia-On°tu j f William Shelley, (. " x - i"` G Not valid witho t signature 565A Route 28 `� � '" Harwichport,MA 02646 �` Administrator I t.: �� - ' � ✓�ie -c�ammw�.ausea� d�./G�izaaac,�uaec�` ` j r BOARD:OF BUILDING REGULATIONS - License CONSTRUCTION.SUPERVISOR ! NumbEt:ic.S - 086268 4 — I BIrf6 tef61t96 Ezp�res fZ/Ex5/2006 r.no- 86268 1 Eiesti�sted i WILLIAM. PO HARWICHPORT, MA 02646` Administrafiir j I i I i 7o Assessor's offioe Ost floor): THE 1 Assessor's map.and lot number .... 22...1, .-...1 ...... ARM .... . �� �a A o 0 Board of Health (3rd floor): !l le. A( . �a %- O fo - $TA� Sewage Permit number• .................: r'J ���a' ®� Engin�.ering Department (3rd floor): a M a � House'number ..........:................... -....���. .... .. �!���R® E e a. fR< APPLVECATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN R GUL TOWN OF BARNSTABLE BUILDING INSPECTOR i S-e- roo o (a v cF APPLICATION FOR PERMIT TO ......................................T.............°.a'.m-e—Ir............................. ............... TYPEOF CONSTRUCTION ...................................................................................................,................................. ..............................� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . � j p Location ./03� 6�C1/ t3 Q� �eiV j�"e> a- D ���•.................... ............�-.�.�`... ....... . �........v.�... .. Proposed Use Zoning District ....... �........................................:.............Fire District ...1,.t�•t? CYV/� ..�4 1. {f?l lel r ........ Name of Owner ..!"` ... .... a..... c�........Address /D ' D� .......... Z �d ...(_ sec' W/ J �. ............ Name of. Builder .... ...........................................Address .......Jlhn-� ............ ........................ Nameof Architect ..................................................................Address ...........................................................:•....................... Number of Rooms ........ .. ... .. ...................................................Foundation ......0 ....................................................... .............. d .. .... ...........Exlerior ....:J.......... .......................... ............Roofng ...... ............................................ Floors ....... ......'�! ....... .................. ........................................Interior .......... //Gc �/ / Heating ....LOtz tT,. (j.. .........Plumbing - 0D Fireplace ..... l1.:...................................................................Approximate Cost ..........r�/ ()00.................... ........ ......... Definitive Plan Approved by Planning Board ________________________ _Lot and Building with Dimensions 4________19 _______ . Area �....... ......... :.... Diagram of7/ ee ...................................:.... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. SC - Name ZU.............. .. ...................... . ........................... Construction Supervisor's License .................................... MAL1,1GREN, RICRARD H. 30009 ADD DORMER No .......... Permit for .................................... Single Fa*-inily Dwelling .............7..........................;................................ Location .......1.03.5...Old...Stage...Rodd................. .... . ...... ........ Centerville ............................................................................... Owner ......Richar-d--H..-.2da1mgr-en................... Type of Construction .....F.rame............................ .................................................... ........................... Plot ............................ Lot ................................ Permit Granted ........Oc.t.o.ber...7.?...........19 86 .... . . ...... Date of Inspection ...................................;19 Date. Completed ......................................19 zl M F., So 2 s M r to M TOWN OF BARNSTABLE Permit No. 2Q289------- - ----------------- x Building Inspector f s,U°rAU Cash --------------—---------— '°o OCCUPANCY PERMIT Bond ___ X No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Douglas W. Lebel Address Box 164, Marstons Mills lot #104, 1035 Old Stages Road, Centerville Wiring Inspector ` � � Inspection date (A41 Plumbing Inspector/ + �.....+ Inspection date Gas Inspector Inspection date Engineering Department Z/� ,so, ,W �, Inspection date ( `�J / THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS.,e- . 4 �"C7rf.9tn ^ 19......__ .............................Blding..Inspector............................._ ' X 00 f0 MCHARO A. `+ RAxa{R Q LOGAT1O" � �I/ILLS SCA 13ATE ca1'a-t I C6jzZ`I F -( T$4AT' TNEr �:00 QbATl0Q 5WA>-AJ .J Pt-"j W ER E O►.l GOMPLYS, W 1 TN THE AWD SET$ACtC VC-4WIZEM +JTS OF TNe LoT ( O -TowU oF' �3AtL►�,�A�3��. C;�-���Z.t-��ca..� ��6�1�A�? DATE . �'�".�. B Q XTC tZ �- ►-AYE 14-tc_ 1ZE6ISrr--2SD LAWcp Sueva,(ozS TNIS DC...A►J IS IJOT ESASEt� 0'4 A,N OSTEV-V%L_L.E o MASS. 11�I4;rE7tJAIENT -4 Ti4E~ St4GWLx) aQPL_1 cA.�.,T- ti1bT gE usca To 0e.TEeMI44& 1oT Uwa-5 ��cJG LEA Assessor's map and lot number. . .......a:............�.5.�.. �f --' � Scp;C SYSTEM MUST BE I G! c-: ••- �, � •.7� INSTALLED IN COMPLIANCE 0, �j 1�,,,,,,,,,,,,,,,,,,,• WITH ARTICLE It STATE •...: Se" e.:Permit number ...... .......... ..... SANITARY CODE AND TOWN �FTHE rO 2 ° TOWN OF BARNS - E 1!f � O n � � Wa; Z SAHH-9TADLfE i ��i "A ` 1'6�39• j R.UILDING ' INSPECTOR �0 w APPLICATION, FOR PERMIT TO . . % ......... 1.... .................................................. .?.sr.`�G t4�.. 1 `< • TYPE OF CONSTRUCTION,_,.. / as ................................................19........ !, I PTO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the ollowing information: Location ...LSO.. .. .... �.�..... ``„��......... .. ............ .... 1..er... .. ..:C..c'......................... Proposed Use ! .:........... Zoning District .........�1�.... Fire District ...L,/ �flfl. ..,..�.Q"'t�rif ....... ..... .. ......... Name of Owner ...... .:.. .. ....! ..... .......... ................:......Address .....Rio n!...... /.Y...� 4..�t eaZe.. Name of Builder .....Address /10.1 Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....r��.......................................................Foundation .... ..� 4�a a-.. .... ...y�.......... Exterior ....,1 1... ..01141d...0 .......Roofing ........, �............................................... ��Floors ........................................................Interior ...... ........ . .. ......... ............................., Heating ....... ........4v t ...........................Plumbing .... . Fireplace ......... ..............................................................Approximate Cost ...........e�_P,..'Cl Q................................ Definitive Plan Approved by Planning Board ________________________________19___:____. Area ........... Diagram of Lot and Building with Dimensions Fee �E .................a.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town Barnstable regarding the above construction. 01 Name .... .... ................. ......... ................................ Label, Douglas W. . 4 � 20289 I ��� m�m�� F��nnh for ..............«—. — ................................ ' , single family dwelling ` ' ---~---------.-------,-----. ' ^ ���� Old,Stage �m�� ' Location --'--.—..—.-..�------------ - - �. r ________���ter���l�__________. 0J � ' Owner ----.�������—.�..������—.--.--.. Type ofCons�uc�on ......................... ����--.. ------.--------------~.---- ' Pl ot —.�.------. �� .---����---- ^ - ' �co�a l� -�8 ' Permit Granted -------------.ly Date of Inspection ....................................lg uo,e Completed , /9 // ' PERMIT REFUSED . . ' ^ l� ----.--' —~--..~,..----.--, � . . . \ ---.— —.— ' � ' ~ ^—~--.. � —.�. ' . . . � ............. ...�xE���......��....���/���:�s�--�. | , ^ ' ------.."— ~..~--.—~--..--..— ' Approved ................................................ lA ' - ' -------.--------..----.-----.. ^ � / -------''---'—'--------^^^^^^^— ' � . ST d l� oPw _ AcE of LAiNE -� LOGa 5 LOCATION MAP CO IN �Q ' cs • O R' � O0O �'j �tic�F 1 .0' (7(9 t 75' PROPOSED ADDITION OT - 104 S) 037 3 7 S / Ft • L.-!)T /0 OWNER : GREA. TER HARW I CH CONSTRUCTION &ALO R A N ENGINEERING , INC �y 941 MA I N STREET, SO. HARW I CH, MA 02661 3 `. ,;` �t,_PHEN n 432-2878 CERTIFIED PLOT PLAN. K. BAR_NS,TABLE, MA l cerflFy fhof, fhe bul /ding on ' fhls - lof is: locafed as shown obo-ve and con Forms- fo the setback requlremenfs of fhe Town oFBARNSTABLE and ! s not locofed wl fhln a high Flood hazard area. I0J5 OLD STAGE ROAD CEN TER VILLE, MA PROJECT 04 - 2 98 SCALE : I " a 20 DA TE : I /25/OS I , �sT Low3 LOCATION MAP- 0 cS' �o Cb ti°' ooT�� 1 .0' - 0 I .0' POURED CONCRETE . FOUNDATION 15 , 037 S . F . 0 . 34 Ac . ± LOT ,1.05 LOT 103 OWNERS: MICHA EL KIM FREI TA S MRR=&N-'' ENGINEERING ' IN 941 MAIN STREET, SO . HARWICH, MA 02661 432-2878 CER TIFIED FO UNDA TION PL AN IN B RNS TABL E. MA l cer0fy fhof fhe bul /ding on fhIs /of /s /ocofed. as shown above rand conforms fo fhe setback requirements of fhe Town of xNOFMAss BRNSTABLE. and Is not located wl fh1n a high F/ood.:;hazard area. 1035 :OLD STA GE ROAD BARNSTABLE, MA No.9ORE 398 PROJECT : 04 - 298 SCALE : I " s 20 ' DATE-: 4/ 15/05 � � fo the best of my knmvledge these plays were drawn to CA ) P05101n 5 _ - comply with owner's and'/a 6ullder's specifications .. T0P05EJ AMIf10N J EX15fINb.1VU5` -. aid anu,dnar'ges made to them after prints are made. .will a builder's 1 ihe con cip add'hiaal ense and responsibility,- tracts k'ESIf7ENfIAI-IiJAAE 7ESIGN M. (508)398-'tlkk - i - iais and enclosed Kf I-EN PE5IGN FAX C 508)398-4144 - shall verify al oncr dravii CA7 - P—cins is riot liable for errors once coo5tmctian has ENEP.GI'CALC'S. - . bin ' - EP.AHIING p6AN5 . - W0017 GEAM FtFOFT5 .jaq@cad611e5icjn5,biz - .Mile everu effort'nas been made in the preparaten of N2 VIEW5(INf.9 W) WE65hfE. - - . this plan to avoid mistakes,the maker can rot quararltee - - .. against Inman errs.fhe contractor of the Job mist check PNIMMf 12 WALKINP.OWH5 WWW;CaOUc51cjn5,17iZ all dimensions aid other detailsp or to construction and - . - be srdely responsible thereafter. - - _ AREA5 FOOTAGE ® ® F.IN15H F1,000,AF�A 5oUAlT Ff. r O -FIN19fP.M5EMEWApIIl N/A ®®® ®®®® - G�N��PJ, N05. ®=®® ®®®® SrFboopAr A N '' .. .I AM wOKT.5 fO COMPLY ATH 14E LAr5f ADO°'ED . 2Nb FL00p AAA ®I�®® ®®®® CO:NON C`'G MA DU7[%MOODE EGIn0N w5OND ANY cuN c r wNeuLDING ou MENf5 -IN151-W AMC AF:A N/A - ` 2,^N trvN GIMEN5ION5 RAVE PFCEPENCE - - O' - fOtAL FINISN'rb00C:AREA PO NOT 5C&L m�PFAWIN65 MIx.AFEA _ ' .. 3..DESIGN LOAGs GAP.ArES SMLKEns'"%i EVIEWED IMPORTANT .- UPGRA®E REQUIRE P5.F covE�EnponcHEs U rLOGI' 90 P.S.'. r CEILINGt 20 C% J D - P5F " - 5eIXS O PPS Ff WOODEN 17ECK5 CJ STATE BUILDING CODE REQUIRES THE UPGRADING OF C- 2_ SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN IN9J.AnON (MINIMUM FEOH'P=N�EN15.5EE MAX.%ECK AGE INb�X B ' DING APT.;_ DATE' ONE OR MORE SLEEPING AREAS ARE ADDED OR'CREATED. N51,A`ONNEEDEP) ,. CREATED. TI11 AGE � NOTE, A SEPARATE PERMIT IS REQUIRED FOR THE FL 5 R FPONT& FFAP.EI;�VATIONS INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL IL -ILINu WA 2 FlE "h `IT ' �'� PERMIT DOES NOT SATISFY THIS REQUIREMENT. �wnL NNGSaDEPpWGwxL . rl':°NII.S ONA`T XJLO FU�cRS UM_SS OfF€pWl`r„ -� �- enYN SIGNATUA -Alt '.r ED FOR PERMrMNG — G1 rG �T& C?IGNT[ ��VA110N5 • _.. - �, FOUNPATON PLAN n - .. ,.. -OUz oR=f COGr REONREMEN'.TITLE PAGE NOT TO SCALE I r �y r ' - •. � :3`A`6 W�oA MIND CLEA°P'ENINC GF 20' LPENINNEKFER. oOp f_L�. - ._ - - - .. DC'ECnON ANGASILL FEILd4F LE55 MPN 4^ dF hE'FLOO° �, ST I'L • _ ", 5..A L WNPON5 WMIN 18"OF fHE FLOUT AND WITHIN �'7 G OOf�r IrAN .. 2"6 ANY POOP.5PLL NAVE IFmri ED aAZING. 2NV I r 6 ,r. •. - 9m. wL.1Ul%OI'.SiOWER EiwL05.YiS PP.E f0 DE<4PZEG W71N -m,i i----- ---i . 5lREtYGLPZWG. . Cr?O55 S�C11ON �. _ � PLL rX'EFIO°V✓iNGOVzS A"r f0 GOIT.1.�p.AZ- Vr,ALL UlffP OR DOOP5 AP.E fo DE 5a.ID C�W M�D - 11. CONIEC'A.L SMOKE 171 7ECfCP,5 fo Hoek ELECTRICAL . - - .- 1 1- •5Y51YM PNO WiE1d.00K EACH 50 MAf W-tN ANY ONE 15 - r . 9. .——— _ . 1 _ irFr'-.G THEY PLL WILL 5OiND. W M AN OPEN FLA�MVEfJ(5 C W/`.Ck:EM p,rp,•N.H 0 ,_('� 1 uv ' • 15. DAMFO0M5 AND UILIN R0OM5 A'�f0 6E VENTEP f0� -. - v \ � I PATF, OF _ I ' - ——— ——— oU!SIDE WMAMINIMUM G.A90 C.F.M.FAN. - u = - OOHNG ARE fO DEAF ON UND1511MLI LEVEL 501E 1 z . - .. C"VOO OF PNY ORGANIC hMTERIAii AND SrtPPED AS 2, � �NAL I SSU f0 MAINTAIN ME:,Eru.l'SG'7E,°`r16`_Low THE FINK. O dVF-.501L DEAFING PF 5510 A55UWED f0 DE 2000 P.5.1. V \ I/30/05 .. _ ALL CONCaTE fO DE U5ED fo HAVE A MINIMUM(ir - ' '?GO 0.51 LOMP<ESSION 51RENGiN W 28 GAYS. _ I lo. .0 L WOOL IN CONiPLf Wm1 CONC,FE210 DE - ' __________________ ____ b 19. WATERWOGrDAXMENFWPLLSDEi'GTwDALKFI!LING. Ile/ - - 5CA E JU55 . - + ii7. 3:'NA POCKEfS W CONCw1E(0 NAVE I/2"AP.S'PLE Af .. 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MA � 1 - 1R.TGHT ELEVATION � LEFT ELEVATION� S 0 U P4 PKE OF FIN& 155T I/30/05 -75 I NOT�n � N n 6 E >✓f� T R.� P,O.E):(B53 HAPVVICH 7/2 1 '-10 1/2" 10" 24'0" 2 ��. 0 - I N I ----------------- -- --- ---- I I ---------- --'— _ L— I ' I I-- --- ---------------- -- I I . I I I I 0 i I FX15IN6 FOUNDATION I r� WOP05En FOUNDATION LI c>nI I . obi rPTI 'u r I I �V) Paep cow o I coMr:awonnma t- _-_- ---_ --------- ---------_------- ---- -------j PATS OF -L I I --------- —-- .I � � I I � FINAL ISSUE . . - I o I N t L � 'I rrapow�m,F��avoN •I° ° -° ozcrowYrl For rapala f ° �-----------------------=----------- I —————— — —---—————— — ' -----=------------ ——————————————— Q LU 24 0 _ 4,_0,. lik 32'-O" 5CALF UNI,�`, - OTHEI?WI5 FOUNDATION PLAN -q- --q r\ oil n3r GREATER Hni�V e';r�y 7�J c rr-,U P:0 610.(853 i i . � WWDOJJ SCFEDLLE IDK 1PLool DI4 15 X1 .75 R/O IDE`-CP•pf10N COU IMMdFAC-R COMM:NfS 56 7/e" 50I/B%57 I/9 DOJ31-E FIAYn 2996R`kN _ _ _ 3 Z 295/8"%527/8" 701/8X561/9 DODLE Ftld1G 2492 ANDER`,EN � I � - I 2 29 5/a"X56 7/e" 1§01/6071/4 I DalU WZ 12996 ANDERSEN I 2.. 1591/9"X56 7/e" I60%57119 MLLLED Wlf 2496 MILLION ANDE.R`.EN �.. - 2 S41/9X79I/2" 60X80 51-IDER-GLA55 FWG 5068 - ANDERSEN . .anlNE G4 DECK PDOVE. t61G'001 DF29:CaMfE F iLLED - .. FoonPz`MM 101,C01mg FILLED 1 IZ %�Ae'>CONCP.E2 FILLED 50No 9DE.AM _ 7FTA1ED 2 X e'5 - � .. 23-10 1/4" i • '4'-5 1/4"�. '-0 3/4" N r-- -- 0 2 . -41/4" p_ 5'-2 1/2' 3',10 1 4 5'-4 3/4" 13-23/4' -6 1/- i1'6" u u O 'rest StC�2PGE. - ---- -- -------- uNr�p 1I 5fi 15 ° o0 EXISTING FXI5TING 0 — PATH �XISi ING KITCHEN . PECK EXI5TIN6 PEN 0 ppOpOSEP 2 CAP,GAp.AGE � � - b �. 2668 2O6a (I r�a C `/ � C% G , ___ ______ ___________ _______.____ _ - - — a — —————7————— - - no6a zeaa WI2 X 35 s'EEl ABM - �L I I ——— -— r————-—— — EXIStiNG' EXI5TIN6 PINING n00M 1 i q B9 lffi GIVING p00M Z PATE OF I I I FINAL 155UE I I 1 1 coven L I cov 1/30/05 SCALE UW55 5 6�. 6_6�, q,_p,� NOI�tG p OTNEnWI5E 4 I/411 - 1' lzs IST FLOOR PLAN � o GREATER P.0 GO L),53 Ory FLOCP. IG�M6NSIONS I2/0 Iwsa'IPnoN. C(XIE IMMAFACfIF.YP, ICOMMENfs _ - 295/Z"X567/8" 701/ZX571/4 DgDLE Fl1JG Z496 IPNDE T I 'S '2 295/8"X527/P" 50I/C%561/5 DOIAE NNG 2442 PNDEP-5111 '® 2 129 5/8"X56 7/8" 501/ZX571/9 DGU E NPJG 2446 PNd2`kN I" 2 591/4"X567/8" bGX571/4. Mll.CED Wli 2446 MILLION I ANDEPP5EN - - - 2 591/4X791/2" bGX60 YIDER-CLASS rm Zd68 1AIMMM -------------------- FPIOp05�t7 A �X1 PWPI bpCK • - 23'-101/4 4'-51/4" 31"?,1/2" N 7,2,� 6 0 _ _ I'L':1G" 6 0 .� u o 2446 ULLION - r7WGL611 C 00 ppOp0 b LIVING/ EX15MC4 12ININ6 .fA c� I 13A11I rp k �X15MC,13Enp00M # I O FX15TING PFPPO0M # 2 f KITCHEN 4'<3,2 2665 2263 S o 6OW POCKET OQ'F: t'p p0 S r)p00M `.. 2666 PxKE-.DOOR 6AtN ----------------- --- ----- -- --- -- ACCESS PANEL nAT� OF ` Q 6 6„ FINAL 155UF a 2442 2442 2442 2.6„ --3'6" - z'6" � �\ 1/50/0� 26 d - 752,_G., - _ - SCALD UNL�55 NOTE - � OTN�pW15� co 21D FLOOR PLAN � o GREATER HAP-, '`*,H C,Jr..,c Tpilj P.U. • @ 161, O.C; • E `�.nlbG�VENT � t(,x 8 I bGEp 130Apb 235# THIYE TA13 A5P ALT ApppOX, P. SHINGLES OVEp l/2" Cr7X COLLA?T15 @ 52",O,C, 4 9/ pLYW00n 16" 1211 p AMOX, 5OFFIT V�NTr &I,WINPOWS 2 X 8 t?A tP,5 IN5UI.A110N @.16 O.C.TO 13F ANP P5EN . 1 u. 0 cri p�13 ATION 12" 88'' -2X4 �121 5TUP5 @ 16'' O,C, 2Nb FLOOp TO MATCH FXI511N6 2Nn FL,HEIGHT :_ P OWED J0 U �i 2 X 4 STUDS @ 1611 O,C, -NEIGHI TO 13E �2.X.JO F1,009 INI2"X 35/_8�'FIPECOt7E ,. t n bETEt?MMP IN I Lt? 30� 5TM 1-BEAM 5HEETlZOCK ON.COMMON ` JOISTS @ 16" FELb WSULATION O,C, WALL ANf7 CEILINGS 41, Poup, f7 Z PATE OF CONCpETE.5.A3 FINAL I55UF ppE55UP,�TMAtP 2 X 6 51LL OVEp SIbL SEAL U 7" SCALE UNLE55 NOTEn POUP02 CON PETS u" OTNEC?INISE FOUNPA110N 9` X 8'' roue, l7 CON pETE FOOTINGS IFZ' X 9" } -�- CROSS SECTION A