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HomeMy WebLinkAbout0162 SKUNKNET ROAD r � ..� � ,yw�; r� '.5....F !' .... .F'�'i �SL�'L � � �,e� :" � �,� ny ,�1`e �! — .. .� � q"G�r �.rr� � .�� I. 1 �� �� �rd � rid.i a t i �" '.fi � r�ll�� F 11 R� � 11. r Yl r rlr...��� `.f e d �. � r - � d. 1�!.i r " 'y'ik a I f f i w ., i �-.� f _. � " _ _ � -k _ ��_ ��� �P+c•.r4'x8r� �' S Hfp. ����C�C r ��''.� �� f �Rb" e!`1ti.��� .. 1� . . _ � ,Q -�- i a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �` Application#O�D 0 Health Division 6 — 5,3 3 Date Issued ` S. Conservation Division Application F ' Tax Collector Permit Fee Treasurer t Z�sl Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ,S'h,WVkA1f7 - AO-lb Village rz✓/ � Owner h4fifT j Alfizt.Dii74 04k Address s 44AV7'A'yt7_ ep"VW a, ezo-1 Telephone Permit Request �/►� �/ys' ,� � G� �o NW ,� G 9' PV s, /L11-f Square feet: 1 st floor:existing proposed_� 2nd floor:existing proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 65-7 � Construction Type Lot Size 33 Aeleo Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) — u? >. Age of Existing Structure Historic House: ❑Yes dNo On Old Kq_ s Highway,: ❑-Yes a Basement Type: ull ❑Crawl ❑Walkout ❑Other 00 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft � r Number of Baths: Full:existing_ new Half:existing new Number of Bedrooms: existing ..3 new Total Room Count(not including baths):existing new First Floor Room Count 3 Heat Type and Fuel: ®'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing —New_ Existing wood/coal stove: ❑Yes O10 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:urexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes W'No If yes, site plan review# Current Use A914&M, Proposed Use � 1 fit? 7q2 A*A6W1W16' BUILDER INFORMATIONName M1V5 GO i� telephone Number (7-0771 Address 4�e �Arh kf"_ IM License# Home Improvement Contractor# Worker's Compensation# C✓(i�3��f s�-7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ��®A i .Wsir✓97MC sI - 4 s 7o7 SIGNATURE DATE r , 'a FOR OFFICIAL USE ONLY `p APPLICATION# i DATE ISSUED t • 4 MAP PARCEL NO. ADDRESS VILLAGE OWNER H DATE OF INSPECTION: F ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ti DATE CLOSED OUT ASSOCIATION PLAN NO. 3 r P r J REScheck Software Version 4.2.0 Compliance Certificate Project Title: Finished Basement Area - Recreation Room/Office Energy Code: 2000 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Glazing Area Percentage: 13% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 162 Skunknet Road Anthony Metrano Owens Coming Basement Systems Centerville,MA 02632 Owens Coming Basement Systems 60 Shawmut Road 60 Shawmut Road Canton,MA 02021 Canton,MA 02021 781 821-0060 781 771-0078 ametrano@ocboston.com ametrano@ocboston.com Compliance:32.4%Better Than Code Maximum UA:37 Your UA:25 Basement Wall 1:Solid Concrete or Masonry 586 30.0 12.0 16 Wall height:7.2' Depth below grade:7.0' Insulation depth:7.0' Window 1:Metal Frame with Thermal Break:Double Pane 3 0.650 2 Door 1:Solid 20 0.350 7 Furnace 1:Forced Hot Air 78 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 2000 IECC requirements in REScheck Version 4.2.0 and to comply with the mandatory requiremen in the Scheck Inspection Checklist. NTH PIZ 1 vo /a: %1/41- CAS Name-true Signature Date 1, i Project Title:Finished Basement Area-Recreation Room/office Report date: 11/16/08 Data filename:C:\Program Files\Check\REScheck\Our.rck Page 1 of 1 . t a Department of dnaustnal ACClaentS Office of Invesligations t 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le1gibly Name (Businessiorganizationllndividual): 6l(fA*S 60IM5, Address: �O� SfI/JGUbfT �oiq� City/State/Zip: 1 -'9�N� �/� &VO/ - Phone#: (70 4001/-0 1;0 ' Are v an employer?Check the appropriate box: Type of project(required): 1. �I am a employer with aT 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ,_,/ 2.❑ I am a sole proprietor or partner- listed on.the attached sheet. $ 7. La Remodeling ship and have no employees 'These sub-contractors have 8. ❑ Demolition working for me in any capacity. work'comp. insurance. 9. Building addition [No workers'comp. insurance 5. ❑ We arc a corporation and its required.] , . officers have exercised their 10.Q Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs•or additions myself.[No workers'-comp. c. 152,§1(4),and we have no 12.Q Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.Q Other *Any applicant that checks box#1 must also fill out the section below sbonting their workers'compensation policy information: t Homeownets who submit this affidavit indicating they ate doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractois that check this box must attached an additional sleet showing the name of the sub-contractors and their workas'comp policy information. I am an employer that is providing workers'compensation insurance for my employees. Below f_s the polky wul job site information. Insurance Company Name:/ Policy#or Self-ins.Lic. #: Expiration Date: =02 / � �lN � Job Site Address: - City/StatelZip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify r er e p nd enalties of perjury that the information provided above is true and correct Si alure: Date: Phone#: (700Y) 000-1--00 6 0; Official use only.-Do not write in this area,to be completed by city or town of ciAL City or Town: Permit/License# Issuing Authority(circle one):.' 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: tev tffnff. Bi dmg�.(1egulations anStandars o t -- _ <� One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 137943 Type: Supplement Card Expiration: 1/29/2009 OWENS CORNING BASEMENT FINISHING r_ ANTHONY METRANO 60 SHAWMUT PARK CANTON, MA 02021 Update Address and return card.Mark reason for change. Address [:]. Renewal Ej Employment E] Lost Cai OPS-CA1 0 50M-07/07-,✓P/C�8440 ✓�P CQ'I1L9r1.692(UF3CLLfIL C�✓�C,(lJ1fLC�ri�wt —\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _- Registration: 137943 Board of Building Regulations and Standards . . ' One Ashburton Place Rm 1301 Expiration: 1l29/2009 Boston,Ma.02108 Type: Supplement Card OWENS CORNING BASEMENT FI AftbF11FUETRANO 60 SHAWMUT PARK CANTON,MA 02021 Administrator Not valid 411thout signature 67' e�omv»w�uuea�i v��aaaar/auaelta Board of Building Regulations and Standards Construction Supervisor License License: CS .98076 Expiraton:.21MOl2 Tr# 98076 Restriction: 00 ANTHONY METRANO 246 MEADOW STREET CARVER,MA 02330 Commissioner � r f 9 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE( NIMO/Y"YY) 10 3 2008 PRODUCER Phone: 781-659-2262 Fax: 781-659-4725 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Andrew G. Gordon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 680 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 299 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Peerless Insurance 24198 Bay State Basement Systems, LLC INSURERS:Pilgrim Insurance Coman 50 60 ShaMA 02021 t Road Cantonton MA INSURER C:Rena i s,sance Marketing INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN,IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR LTR MIME TYPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY TBD 9/5/2008 9/5/2009 EACH OCCURRENCE $1,000,000 �{ COMMERCIAL GENERAL LIABILITY PREMISES Ee occurence $5 0 0 0 0 CLAIMS MADE WI OCCUR MED EXP(Anyone person). $1 O 0 0 0 PERSONAL&ADV INJURY $j 00Q 000 1 GENERAL AGGREGATE $2,000,000 GENY AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 0 0 O 0 0 0 POLICY PRO- LOC $ AUTOMOBILE LIABILITY PGC10007161409 1/17/2008 1/17/2009 COMBINED SINGLE LIMIT.: ANY AUTO (Ea accident) $1,0 0 0,0 0 0 ALL OWNEDAUTOS � BODILY�INJURY $ X SCHEDULED AUTOS (Parpe ) X HIREDAUTOS BODILY INJURY $ X NON-OWNEDAUTOS - (Per accident) PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY TBD 9/5/2 0 0 8 9/5/2 0 0 9 EACH OCCURRENCE $1 0 0 0 0 0 0 X OCCUR CLAIMS MADE AGGREGATE $1 0 0 D 0 0 0 $ DEDUCTIBLE RETENTION $10,000 $ C WORK�COM�AT�AND C 0371527 5/24/2008 5/24/2009 WcsORYrATU o R EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 0 O O 0 0 0 OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $j Q Q 000 If yyeess,,desaibe under � SPECIALPROVISIONSbebw E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLU91ous ADDED BY ENDORSEMENTI SPECIAL PROVISIONS a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) ACORD CORPORATION 1988 BASEMENT MIT T ' FINISHING SYSTEM [ hag `� TA L S H f E DESCRIPTION The Owens Coming"' Basement Finishing System is comprised of lightweight fiber glass panels.PVC lineals(which replace conventionals} .,,M'r✓ .�{g n@.y., ti %aY'C�`u,5itaf`£ '` �,�'."93' xp Ck,t,2 ,z £ oraming)and foamed PVC trim moldings Ka ywK t r r (which replace trim lumber).The trim moldings snap into the lineals,holding the panels in place. NOs x `� $ �� ✓l' i" Moldings and wall panels are easily removed to i provide easy access to a home's foundation We walls.Because traditional wood and paper= based building materials are replaced with fiber glass and PVC materials,the Basement Finishing System offers inherent resistance to moisture, mold and mildew.'`The system is covered by ""y Z a lifetime limited transferable warranty from Owens Corning. USES fhe Owens Corning"Basement Finishing x �z System is an innovative system designed to '� F insulate and finish basement walls.It insulates, acoustically treats and aesthetically finishes walls in a few simple steps.The system can be installed over both masonry foundation walls PHYSICAL PROPERTIES and interior partition walls built with either wood or metal members. Property Test Method Value For Fiber Gloss Board.- AVAILABILITY Water Vapor Sorption ASTM C 1104 <2%by wt.@ 120NF, 95%RH 94°x 48'x 2-12"_Panels Lineals Compressive Strength ASTM C 165 @ 10'/6 deformation 25 psf Trim Mofdint:: @25%deformation 90 psf Cove Molding Thermal Resistance ASTM C 518 R-1 1 Vertical Battens Normal Density ASTM C 303 3.2 PCF Base Molding For Finished Panel. Outside Corner Casing Noise Reduction Coefficient ASTM C 423 Jamb Extender Type A Mount 0.95 Chair Rail Surface Burning Characteristics ASTM E 84+ Class A Flame Spread 25 Color Choices: -Meets Class A Burn Rating Smoke Developed 450 InteriorTextile Finisr)Tire Classification NFPA-286 Meets Acceptance Panels:"Linen Mist"woven fabric Criteria t Trim:All trim available in White or Woodgrain. Mold Resistance ASTM C 1338 Pass in addition,vertical trim available in fabric look ASTM G 21 Pass finish or fabric wrapped to match panels. +The surface-burning characteristics of the finished composite panet,uere determined in accordance with ASTM E M.This stan- dard measures and describes the properties of materiais,products Or assemblies in response to heat and flame under CODE COMPLIANCE controlled laboratory conditions.Data from ASTM E 84 testing cannot be used to describe or assess the fire hazard or fire risk,of materials.Products or assemblies when considering all of the factors pe+tmem to an assessment of the fire hazard of 2000 BOCA Evaluation #21-24 a Particular end u5e.Values are reported to the nearest 5 rating 2004 ICC Report #NER-635 While the materials and design of the Oveens Corning, s Basement Finishing System resist mold and mildew,the System can rot prevent or mitigate mold if the conditions necessary for mold gtaMh othermse exist in rrour basement See actual warranty for details.Gmitat!ons and ro trict—, oFtrti Town of Barnstable ` Regulatory Services anaxsr BIA v MASS. Thomas F.Geiler,Director 19. �prFOMA'�A,� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02661 www.town.barnstable.mg.us Officer 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder k , I, loglo-bt A4 601 as Owner of the subject property hereby authorize /A42 y Aw" to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) `ala-9 -Signature of Owner Date Print Name > If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. OWENS_ CORNING ! ■■ NM■■rlr N■i■ee■M■■MM■MEMO■ io■o■■ i MEN ONE ■■�■ [I T(��i'JJ■ ■■■■■■■■■ ■■■■■■■■■ ■■■■■■■■i ■■■ ■ ■ ... C�■ .7�`.. ■■�1■■■■■ . ■■■■■■ ■ ■■■■■■■■ ■■■�■ I ■ ■e�nl ■ 1 laidomom■ E■ ■ ■ ■■■■■■ �!. go. !� ■■■ ■■■� ■■■■■■■®■■■■ ■ ■■■�■=■■ ■ ■■■masNo ZZINME golln M WESS9 0 a ' ■ ■■ ■ ■� !■ ■■■■■ ■ All■ ■ In ■■■ ■■ ■ ■■�■■■ ■■e■■ ■■■■■■ molviccalmmil z ' ■ c�' a a■■ looffifil "I'm IN M ■.IM arm ■� .■ ■ ■■■ ■C ■ � c. IN �■in ■■ a ■�:�..■ �i■ e■�w0 �a■ Ili. ■■ ■ , - u:_-. �!!P-�+o ■■M■■■t ■ 05A■ ■■■■■►off ■f�C�'■�r� ' a ■■ ® ®m ■■■■ � ■ ■■ ■■■ ■ MEN NMI ■I■■ r �e■■ ■ ■ ■■ ■■ ■■■ on Big ■ ■ ■■ ■ ■■■■ ■ a ■UAW 'A■ , z am firoll ON mom I . /e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. pT Map i � Parcel W Application# W 0(P� Health Division`. Date Issued 61 Conservation Division Application Fee Tax Collector Permit Fee J�7' 60 Treasurer , •sue .�e Planning Dept. ) - w Date Definitive Plan Approved by Planning Board w Historic-OKH Preservation/Hyannis ; r X Protect�Street Address Village" V I I ` Owner. FI�':l• l y I • D • 1�r _Ja— Address rTelephone: PermitRequestTM W Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District �} Flood Plain Groundwater Overlay Project Valuatio r�J�V ' Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq,ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number I Address License# Home Improvement Contractor# r Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE D � & . \. . \ \ . FOR OFFICIAL USE ONLY ƒ APPLICATION § : \ DATE ISSUED ' i - � MAP Z PARCEL NO : � . . $ ADDRESS VILLAGE OWNER . .� K DATE OF INSPECTION: . . FOUNDATION � FRAME . /* INSULATION . FIREPLACE Z� . \/ ELECTRICAL: ROUGH FINAL \} PLUMBING: ROUGH FINAL 7 GAS: ROUGH FINAL FINAL BUILDINGiE . . \ DATE CLOSED OUT . ASSOCIATION PLAN NO. \ / � . f The Commonwealth of Massachusetts o' Department of Industrial Accidents Office of Investigations a - 600 Washington Street Boston,MA 02111, wlvw.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leibly Name us ) r--Add-ess:, 2 (, -t PC/. icily/State/Zip:_CK�V 1`I�wI I I..� Phone.#: Are you an employer?Check the appropriate box: :Type of project(required):, 1.❑ I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6• ❑New construction . employees(full and/or part-time). Remodelin 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet �• ❑ g ship and have no employees These sub-contractors have g• ❑Demolition: employees and have workers' 'working. for me in any capacity. 9• []Building addition [No ers' comp.insurance comp. insurance 5. We are a corporation and its 10.❑$lectrical repairs or additions r ed.] officers have exercised their 11.❑Plumbing repairs or additions t;3:, am a homeowner doing all work . myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp,insurance required.] +Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContmctors that check this box must attached an additional sheet showing the name of the sub-contractors and state wbether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polidy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the CIA for insurance coverage verification. I do hereby ce d, •and penalties of perjury that the information providUa; oe,is true and correct. _ G; . �Si atur 1 Date: _ Phone k Official use only. Do not write in this area, to be completed by.city or town official City or Town:' .Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector., 6.Other Contact Person: Phone#: . . a , f P� lo,,ti Town of Barnstable Regulatory Services aAmsrABLEMAM 'g Thomas F.Geiler,Director lEc Grp Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or,construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. &Typ Wor-k JL(JC_ Estimated Cost z ddre ss o FWork' FOR n-s:Name - . °t01�L. l / , � �• jam' /! `Date of Application: ` f t/ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 OB}�ilding not owner-occupied caner-pulling own pemu� Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date COwner's Name --.- .l QAr ms:homeaffidav Op THE 1p� Town of Barnstable Regulatory Services sextvsreBM Thomas F. Geiler, Director nrwss. gbpT 019. a.�� Building Division Fa�+ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print JOB-LOCATION. ICl/ G- (%(�li L !�l•r / J�--C/ . a l/� �-�f��� number street 7 village "HOMED NER'' _k w le- ou name n� home phone# work phone# CURRENT Ivt I NG ADD~RESS--ks ?, LL �/ f -2 C2 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable. .Building Department. mini 41m mspe ion `e ures and requirements and that he/she will comply with said procedures and re ire nts Signature of Homeowner— Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. LOT 15 -0.36' I N \� I v o LOT 16 17.069 sq.ft± CONCRETE 0.39 Acres r„ FOUNDATION (� rOx O ado p N 171.04, LOT 47 k JOB # . 96-251 CERTIFIED PLOT PLAN LOCATION SKUNKNET ROAD CENTERVILLE, MA SCALE : 1" = 30' DATE : NOVEMBER 7, 1996 PREPARED FOR: REFERENCE LOT 16 PB 224 PC 127 CHAMPION BUILDERS INC. I HEREBY CERTIFY,THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE �a`1H Of GROUND AS SHOWN HEREON. o�� ARNE orr usoe�ez-mot o H. fmt b08 392-98tlfT OJAL.A I . 26348 0� Bonn cape engineering, inc. o 7 CISTQ' CIVIL ENGINEERS "J��� ��O,y SJQ LA LAND SVRVE'YOR3 ------------ -- 39 main sL Yarmouth, ma 02675 DATE REG. LAND SURVEYOR Lul ` - CFu1 :Dirnens ozx-PinAP e) * z"x 4"Rafters :z' on.centers `�.E FL (Zx6 for z2'shed"tividths)" WOOD PRODUCTS POST and BEAM SHED a"x 4"Loft Joists.0 4' on centers Its all about the wood S" (ax6 for'n'shed widths) 4"x 4"Top Plate Beams "x " Center Support Posts E " • 4"x S" Corner Posts are Oil'tall 3"x 4" Corner Braces ,.Me" F �� k �'�: ' �' • 2"x 4"Wall Purlins f f � �' '� '�' � �� - •.i"x 4"Door and Window frafnes. /8." CDC}�1 ood o0 0'�t,,yM' .4 s S Q • S P .. f,7 •. yw 1J• ring ' (Pressure Treated is optional) Flo 9r .� w W �, w ��, " "� i"Y 6"PT Fl Joists C 16" o.c. . ,i � MS.`° •fir � :✓ � 1 � t zA PT for z2'shed widths)) . Rough Pine.Trim J (pruned pine or red cedar is o tional) ,. P aw!it 811,x 8":Aluminum Louver Vents Standard B din oard and Batten Siding ds or white clapboar cedar shingles are-optional ROOFING: ,, { • 5/8"CDX roof sheathing > � #; } 'µ Choice of shingles and colors = � o • `,;r. , � � �, ��a FREE Pressure Treated Ramp . � ���•�,.- r3v svP(,''•;1.`i,°�j.;n. '44'`.:., r:r.,..-' ��4:�"���":,r=s,"�t« .a ���i. �' 9 '•3�• _ .G. .:4.:....., ..:\::::YM-ir .w i4.~Ytt:-c '`•.f'`<4e'4:•w ui 4.'J T'E' Q v' NOTES: 4i V.:y .-i: � Y� s^rC..! •�i'r' �c -'�'llr}a'. .� �1 ' Y �' _ sb. ��i1 • ;,..-� aka Stock and Custom doors and E ;y windows are available r•Concrete_Block_or optional'SoncItube footings are available .� it1�a roofpitch of 10A2,-and including 4 foots-torage loft, this is theperfect style for the `Mack rat", The loftprovides storage space forsmall and seasonal items such.'as beach chairs and hoses, while maintaining optimal wall and floor space. 'his de ign.adds New England character! °pIME Tohti Town of Barnstable Regulatory Services • BARNSTABLE, y MASS. Thomas F.Geiler,Director �p f63q. ♦0 TF039 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 25, 2007 Robert Our& Merideth Allen 162 Skunknett Rd. Centerville, Ma. 02632 RE: 162 Skunknett Rd., Centerville, MA, Map171 Parcel 006 Dear Property Owners: It has come to the attention of this office that a shed was built on the above referenced property without the benefit of a building permit and the required inspections. The construction of the shed is in violation of 780 CMR 110.1. You must apply for a building permit for the shed by October 9, 2007 or be subject to criminal prosecution .Thank you for your anticipated cooperation in this matter. Please call (508) 862-4034 with any questions. By Order, e Lauzon Local Inspector Qzoning5 1 —° ��� -�- � �S _ TOWN OF BARNSTABLE Bpilding twE Application Ref: 200706231 Permit BAR NSTABLE, Issue Date: 11/08/07 9 MASS: 1639• Applicant: ALLEN,MEREDITH R& Permit Number: B 20072782 Proposed Use: SINGLE FAMILY HOME Expiration Date: 05/07/08 Location 162 SKUNKNET ROAD Zoning District RC Permit Type: SHEDS> 120 SQ FT Map Parcel 171006 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 50.00 License Num OWNER Est Construction Cost$ 500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 12'xl6'SHED THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ALLEN, MEREDITH R u BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 162 SKUNKNET RD INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: JL Building Permit Issued By: do— THIS PERMIT CONVEYS NO RIGHT.TO OCCUPY Aw S'TREET ALLY OR SIDEWALK OR AV PART TH4y&jyL9IT1VR:,TEMPORARILY OR:PERMANENTLY; ENCROACHEMENTS,ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING'CODE,MUST BE APPROVED BY THE.JURISDICTION STREET.ORALLY.,GRADES AS WELL AS DEPTH AND LOCATION'OF PUBLIC SEWERS-MAY BE 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 CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 77 JAI Nu"�' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health i LOT 15 ?0 36. O I C N O SS.O LOT 16 17,069 sq.ftf CONCRETE 0.39 Acres r„ FOUNDATION "1 85. O O � O N � 71.04 LOT 47 JOB # 96-251 CER TIFIED PL 0 T PLAN LOCATION : SKUNKNET ROAD CENTERVILLE, MA SCALE : 1" = 30' DATE NOVEMBER 7, 1996 PREPARED FOR: REFERENCE LOT 16 PB 224 PG 127 CHAMPION BUILDERS INC. I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS Of GROUND AS SHOWN�HEREON.CATED ON THE ��``ARNE �y off 608�62-4b41 H. tax 506 582-9BBU " OJALA .26348 Oe� JoRn cape engineeril�g, 11nc. 7/ / , ass GIST[? j VIL CI ENGINEERS -- —/�_ / —U-- —C---------- �ON�LA WSJ IAND SURVEYORS --f39 main st yarmouth. ma 02675 DATE REG. LAND SURVEYOR, r __ _ �� 5�� �� � � ��� � � - � ��,,�-- � c� �`�-' .�- � `� � {III E� F L pFtHE To,�, Town of Barnstable Regulatory Services • BARNSTABLE, Mesa g, Thomas F.Geiler,Director � 10'°IFON,o�04 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 r September 13, 2007 Robert Our 162 Skunknett Rd. Centerville, Ma. 02632 RE: 162 Skunknett Rd. , Centerville Map 171 Parcel : 006 Dear Mr. Our: This letter is in response to an application submitted to do work at the above referenced address. Unfortunately, the application can not be approved at this time because this office has not been provided with all the necessary documents. Specifically, engineering for a steel beam and lvl ridge. If you decide, at a later date, that you wish to go forward with the project you must apply again and provide the necessary documents. If this office can be of any further assistance please do not hesitate to call. I may be reached at (508) 862-4034. Sincerely, 112 YeyZ. Lauzon Local Inspector Q:zoning5 Town of]Barnstable Regulatory Services EARNGrABLE, Thomas F. Geiler,Director MASS. ;. Building Division ., Thomas Perry, CBO,Building Commissioner " 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAIT REVIEW Owner: Map/Parcel: 121 00ro Project Address,&2- 5kU,-k,%e V?-d Builder: yw�e r The following items were noted on reviewing: /uCec1 `Ae erlAc' r S .l Lem ( 1 VL. r 4 ,� �s �-�` ens off- � des► -i5 ��,. 2-x-S�wA I IS �� .2 T.y cr� �? 13h-1 Reviewed by: . I s Date: Q:Forms:Plnrvw i RESIDENTIAL ADDITIONS OR ALTERATIONS If located: ❑ North of Route 6 - any work visible from outside - needs approval from OKH ❑ In Hyannis - If work visible from outside - Check to see if it's included in the ❑ Hyannis Historic Waterfront District- if so it needs approval from them ❑ If ZBA relief(Special Permit or Variance is required for project: ❑Copy of ZBA Decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date. APPL ATION PACKAGE MUST INCLUDE: Map/p el n ber Approval Sign- s from: &1�r ealth Conservation (if exterior work) fe ax Collector reasurer dress name & address quest - full description of.proposed project) TS footage - proposed project mat project cost Co ete Dwelling information for Assessor's Office uilder's information Sig e of plan (shows location & setbacks of house) PI s —5 sets measuring I I"x 17" fully dimensionlized with foundation, floor plan, cross ection, framing schedule & smokes, with a Red S (SB or SH) H e Improvement Contractor's Affidavit Wo is Comp form must include: Insurance Company's name & Worker's Comp.policy umber. Copy of Insurance Compliance Certificate must be on file. Energy Compliance Form op Construction Supervisor's License & Home Improvement Specialist's License Homeowner's License Exemption Form. ❑ Application Fee ❑ Permit Fee -----P operty Owner must sign Property Owner Letter of Permission. ❑ Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission CHIMNEYS ❑ Need Home Improvement License ❑ No plot plan required PIERS & DOCKS ❑ Need Construction Super license AND Home Improvement License Owner cannot pull own permit q-forms/bld gpermits/permi tcheckl ists rev.01/09/07 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 07/06/07 TIME: 15:45 ----,------_------TOTALS----------------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 200704185 PAYMENT METH: CHECK PAYMENT REF: 710 �- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel", Uv Application* 6 q 8� Health Division —f Date Issued Conservation Division Y Application Fee t� . Tax Collector Permit Fee Treasurer Planning Dept. fi -� ""� Date Definitive Plan Approved Y 9 roved b Planning Board ✓ 91 13��� U Historic-OKH Preservation/Hyannis Project Street Address DA d - Village COMMM Owner ZW V/�Vp ffhd&lTITT' &LDQ ress Telephone Vs , a? Permit Request t9N194 ®FT-- v At v Square feet: 1st floor:existing proposed 4�d floor:existing proposed Total new 0 S� Zoning District Flood Plain Groundwater Overlay Project Valuati j Construction Type Lot Size Grandfathered: ❑Yes If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) �/ Age of Existing Structure_l o a Historic House: ❑Yes M4011 On Old King's Highway: ❑Yes VQo 101 Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing_ �l new 3 Total Room Count(not including baths):existing new d First Floor Room Count Heat Type and Fuel: ZGa ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes QNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:&/existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ a Commercial ❑Yes Co If yes, site plan review# w Current Use Proposed Use BUILDER INFO TIO G c Name Telep one Number �0 0 7�S Address�� License# Z 7 m Home Improvement Contractor# Worker's Compensationp# ALL CONSTRUCTION DEBRIS RE ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUBEA A DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE k ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f . .M.-�}i�' th �.4 t.�I Jw"K'M1r� ':• ._ _ . -�-f f•1.... ..` _. ..J'de `.1 F �1 ` jK'''wi{._...� 1 D FA �a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Uv Application# , �6 6 fS i Health Division - —`` - " Date Issued ' Conservation Division Application Fee .W Tax Collector Permit Fee Treasurer Planning Dept. �o�� Date Definitive Plan Approved b Planning Board pp Y 9 Historic-OKH Preservation/Hyannis Project Street Address 110A `�k ik _ Village 02A_ - Owner Z 0 V9- ` ' MCM1 I ( At,,t0Add ress 640 Telephone 13W US .3Z21 7 f Permit Request R N 194 Q FF 40 M A-&yC— 0 ;`` . ,. f ' ' t!�t`•�5, ran #-vL S uare feet-1 st floor:°existin t ro osedj` l.r t ' ' �`* ` 4 a{ ` +q g <.• p p - 2Md floor:existing proposed Total new .Zoning Districts ') 0Flood Plain if ... Groundwater Overlay,X` Project Valuatio� / Construction.Type �, Lot Size d Grandfathered: ❑Yes ®,No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) � . Age of Existing Structure 0 VPS Historic House: ❑Yes o On Old King's Highway: ❑Yes W,No Basement Type: ©,Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing a new Half:existing C/J new Number of Bedrooms: existing 0new ►.. Total Room_ Count(not including baths):'existing�- new First Floor Room Count ��,,: r i � y _tie _ _. _ • Heat Type and Fuel: 0 Gas❑Oil ❑Electric ❑Other Central Air: ❑Yes O°No Fireplaces: Existing J New Existing wood/coal stove: ❑Yes O,No Detached garage:❑existing ❑new size Pool:❑existing ❑new size 4 Barn:❑existing ❑new size Attached garage:®/xisting ❑new size -Shed:❑existing ❑new size Other: Zoning.Board of Appeals Authorization ❑ Appeal.# Recorded❑ f Commercial ❑Yes 0 No If yes, site plan review# - Current Use Proposed Use . r.. - ,�...-_,�, 0 t P��r � BUILDER INFmTeleo TION Name A F�t) / IU � _ ne umber �y0 VP Address i c �klV� o,�' License# zZ Home Improvement Contractor# Worker's Compensationqq# ALL CONSTRUCTION DEBRIS flESUL�TING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE r �// /L/l DATE - / /y I FOR OFFICIAL USE ONLY -� APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �ppTHE Tn.� Town of Barnstable Q, Regulatory Services BARNSTABL.E, : Thomas F.Geiler,Director KA3& r 039. A,�� Building Division t TFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 -------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1 f C!C/ 7 nu ber , tree villa e "HOMEOWNER": JC�� v 6V O ���7 name y home phone# work phone# CURRENT MAILING ADDRESS:- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department. min um ins ection ocedures and requirements and that he/she will comply with said procedures and re ire en Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. -T`HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing woik for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." - Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and.adopt such a form/certification for use in your community. Q:forms:homeexempt The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street �< Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizationt7ndividual):. X— F M C Address: City/State/Zip: - v &Z# C/ `l v� Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I . employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Ej Demolition wor g for me in any capacity. employees and have workers' 9 0 Building addition [N workers'comp.insurance comp. insurance.$' q�ed.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Fj Roof repairs insurance required.)t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] , "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a 5ne up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' ce coverage verification. I do hereby ce 11 t a s and penalties of perjury that the information provided ab e s true and correct; Signature: Date: _ Phone#: �L 3 � Official-use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information anti Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or thstee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the• dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the in.�a»ce requirements of this chapter have been presented'to the contracting authority." Applicants . Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-cont�actor(s)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current and under"Job Site Address"the applicant should write"all-locations in (city-or information if necessary Pp policy mf ( .) town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the. applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-49QG ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia E,�y Town-of Barnstable yP °� Regulatory Services '* �ARxSTABM � Thomas F.Geiler,Director . 639.,Jk Building Division D MP Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790=6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �� ��►'S I I �E�timated Cos IGYJ Address of Work: Owner's Name:,M ( I f TY L' VL01X2. TU_ ' Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 E]B g not owner-occupied UPfmer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply far a permit as the agent of the owner: Date Co Registration No. / U ! Date Owner's Name Q:fmTm:hameaEdav i Talus 4=.I0 tcommu u ;a , I�asallFpels 3�'reseriptfre Padmgd for and T»a-F'aac 'RaidmattalBa3ldinge Rested . &AXfMbM • : I1fIPII1VliT14� al ;dreg Glazing Coiling wan Floor B&=nrat Stab '$ectinglCoolin$ R-vald ' R-Value, R-y4d Wall �Fa3asder FrquiFment Et6deacy9 R.Vdwa Package 370I to 6300 Hrstlag Ilegro Dm�s' 0,40 31; 13 I9 l0 S Ncrmsl + iZ°fd W2 30 i9 19 10. S Alormsl � •6 ' ''S37�FtJB S . 12% 0.30 33 I3 19 10 I3 ® 036 3a 13 49 .3+1/A NIA. l+iormal' U I 19 19 10 ' gr 15% 31 13 —'30——19 I9. 10 W Noraml �3a— �' 13 Zs, NIA NIA y I3%. L42 31 • 19 33 NIA NIA Nosrsai Z 1g°f 0,4� 3g. 13 I9 I 6 90 AF[TE 3% 03G 30 49 i9 i� 8 97 AFV£ a. AT1DRE55 OF PROPER'I''Ya R\o ��LJ�� V���• YL/ SQUARB FOOTAGE OF AUL EXTERIOR AI31S; 3, SQUARE FOOTAGE OF ALL GLAZING: 90 � 4, aka bLAZINO AREA 03 DIVIDED BY02)a J C/ j, $ELEOT PAOIAGE(Q-�AA sea cheat abgva,; 1� NoT OTHER MORE INVOLVED IaTHOD5 OF DET�1G ENERGY REQtTMEMBIgTS ARE AVAILABLL AsK.TJS FOR TEES INEORM.ATICK ' . E�,D�I'GL�SPECTOR�-PFF�DYAI,: , YES,, O, Engineering Dept. (3rd floor) Map -7 t Parcel �ermit# House# (p Date Issued )6 _-Z 'q Board of Health(3rd floor)(8.:15+-'9:30/1:00-4:30) ee Conservation Office (4th floor)(8:30-9:30/1:00 2:00) 101 Z-9 Ck Planning Dept. (1st floor/School Admin. Bldg.) �"�i�R`91 ;SYS ., ' �� �, BE Definitiv an proved by Planning Board �/ -s� 191W '=tl ALLED 0 NCE TOWN OF BARNSTAB � � �� t ' Building Permit Application ;t Projec reetAddress LoT" 1(o' # "07- SK-V l'iy-I J�'T 910AD Village CF_J-4rEQ,U1L(.1E Owner _C 4At P1o,tJ (Su�LksS2S, iNC . Address 3,00 pAy-- Telephone �oR glBza (o(Q 4!3 `Permit Request _To C'oav5T9_%JCT A 3)tKaLC FAqM1Ll1 V��ftu.►►eta First Floor !G square feet Second Floor (o 00 square feet .Construction Type V"000 FRAry\E Estimated Project Cost $ -i-1 -,-6o Zoning District Flood Plain Water Protection Lot Size (-I � o(o q Grandfathered ❑Yes ❑No Dwelling Type: Single Family E( Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes dNo Basement Type: W/Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `7}!(0 Number of Baths: Full: Existing New 1 Half: Existing New 1 No.of Bedrooms: Existing New 3 Total Room.Count(not including baths): Existing New (P First Floor Room Count Heat Type and Fuel: 2(Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ((No Fireplaces: Existing New �_ Existing wood/coal stove ❑Yes @IN0 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ErAttached(size) 19 ' x-1:2 � uTv2 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name MAT NF_YJ T. R cEy Telephone Number 50?, ?)R B (Q(Q 4-B Address CVANv,^ei0N Svtt.DEQ-S IV.JC,• License# CS 04-GO20 3O0 6AY- STQEE>Vl cat)kTE # 155 Home Improvement Contractor# l O 19 ZO 'PIP_f\n&0_0I_E , rVW 0Z3 51 I Worker's Compensation# 4- t(0 O 17-1 q NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Lap 9_N-p_- ��SPoSA F�1ut...iT SIGNATURE DATE AuC uST Z'? 1C1R( BUILDING PERMIT DENI HE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED MAP[PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _ cr FRAME INSULATION 2 — 1 — 24— 3 _ FIREPLACES Y �? ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH I FINAL ` Q i , 'FINAL BUILDING DATE CLOSED OUT: ASSOCIATION PLAN NO. .s, X TOWN -OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 171 '006 GEOBASE ID 9856 ADDRESS 162. SKUNKNET ROAD PHONE (508)888-6648 Centerville ZIP I-LOT 16 BLOCK LOT SIZE DBA DEVELOPMEN" DISTRICT CO +' PERMIT > 22903 DESCRIPTION SINGLE FAMILY DWELLING (PMTAt18800) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY � COt2RACTo Department of Health Safety Y i _ . and Environmental-Services TOTAL FEES: tNE BOND $.00 Ox CONSTRUCTION COSTS,._„ $.00 "" Qi► 7" CERTIFICATE. OF OCCUPANCY * BARMABLE. MASS. OWNER CHAMPION BUILDERS, • INC. ; 039. A� .ADDRESS 800 OAK STREET, #155 PEMBROKE, MA BUILDIN . IV SION,, ---- BY DATE ISSUED 05/06/1997 EXPIRATION DATE a. y OWN UN 1dti.k N STABLE Ny R • BUILDING PERMIT . • PkRCEL ID 111 006 1 GKOBA SE ID 985� ADDRESS 162k,SKUNKNET ROAD PHONE (608)888-6648. Centerville ZIP - ,LOT 16 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO VERMIT 18800 DESCRIPTION SINGLE FAMILY DWELLING (SEW.PMT.496-533) PERMIT TYPE BUILD `TITLE NEW RESIDENTIAL BLDG PM'T' CONTRACTORS: DACEY, MATT Department of Health, Safety ARCHITECTS: and.Environmental Services TOTAL FEES.- . $241:4 BOND $.00 T11E j CONSTRUCTION COSTS $77,880.00 E 101 _SINGLE FAM HOME DETACHED 1 PRIVATE P.Q . * BARNSTABLF, + MASS. 039�- OWNER- ION BUILDERS,, INC F� ADDRESS AK STREET ` #155 u s ROKE, MA - _. BUILDiINNC I�IVIS •4 `\ BY ..� 'i1SSV 19/24/1. ?XPIRAfION DATE THIS PERMI CONVEYS N j RIGH' 'CUPY ANY STREET,ALLEY A SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROFi, )T SPECIFICALLY PERMITl 'JNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPT� "ATION OF PUBLIC SE_W� 1AY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS 'PERMIT DOES NOT RELEASE THE AP,; FRGM;THE CONDITION' ' ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTION, A BRED ' FOR ALL CONSTRUCTION WORK: APPROVED i ANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS GR•FOOTINGS THIS CARD :PT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN M.!3E.WHERE A CERTIFICATE OF.00CU- PERMITS ARE REQUVRED _FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. ,A FINAL INSPECTION BEFORE OCCUPANCY. -r- ® A i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS e. p p 450000,00009l 2 cg- .fj/b7cc�i - j 1!7 - _r/ 3 1 H6ANG71NCTI N APPROVALS ENGINEERING DEPARTMENT 2� ! m /� /�� BO D OF HEALTH OTHER: SITE LAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PEAMIT 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. 1 i• � y � A 4 ,�� ,n.; a. �s�;. ,.�.,yd *1 '�yam. 4 '�x ;k! o. � y k~- ` • �� ,: K, is yi,.. �.. .s � v _ The Commonwealth ojMassachusetts Department of Industrial Accidents exce 811fiYeSl/ MOOS - 600 Washington Street Boston,Mass 02111 Workers'Compensation Insurance Affida/it • - - - a name: location: ocl 0- l s-,�— _ l-7 Q M f3a� � 0� S� phone# �/ T U� 3600 I am a homeowner performing all work myself. I am a sole proprietor and have no one workin;in any capacity 1 am an employer providing workers' compensation for my employees working on this job. address: city: phone#• insurance co. C I 0 NA ir\)su(zAtae, t D policy# C 4—l G O I Z—1.� 0 I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name* address ci phone#• insurance co. _ policy# company name: address: city: phone#• . . . . insurance co. policy# Jkttach additions)abeet if nece»_irJ _ -iY � "M"�"" T"-��"P 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 S1,500.00 and/or one years'imprisonment as well as civil penalties in the fo-m of a STOP WORK ORDER and a fine c .5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t do hereky certij• ai an penalties of perjury that the information provided above is true and correct. Signature Date AUC-,y ST' Z't �1�1� Print name A D -hone# (o n B"Z� -Nob official use only do not write in this area to be completed by city or town official city or town: permit/license q riBuilding Department Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; nOther (revised 3M PIA) - OCT 10 'yG 02:55FY°1 5087756029 P.2 :.► Op(FiE Tp - The Town of Barnstable ,6 ���� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508.790-6227 Ralph Crosser r Fax: 508-790-6230 Building Commissioner f . October 17, 1996 s John W.Kenney,Attorney At Law ' 12 Center Place i 1550 Route 28 Centerville,MA 02632 1 ' Re: Lots 14,15,16&17 Skunknet Road,Centerville Map/parcels 171/004,005,006,007 (142, 152,162&172 Skunknet Road,Centerville) Dear Attorney Kenney: Thank,you for your clarification of the beneficiaries on lots 14. 17 on Skunknet Road in Centerville. Based on this information,)believe the lots are buildable from a zoning standpoint, Sincerely, Ralph M. Crossen 13uilding Commissioner PNC/kiu k ` °F"E The Town of Barnstable 9� 16 9. `0�' Department of Health Safety and Environmental Services ArFDMo�°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 24, 1996 w Re: 142, 152, 162& 172 Skunknet Road,Centerville,MA Map/parcel numbers 171/004,005,006&007 TO,WHOM IT MAY CONCERN: This letter will verify that, in accordance with our meeting on October 22, 1996,You have agreed to do the following as a condition of all building permits being released after foundation permits: 1. Upgrade the section of Skunknet Road in front of your lots 16 feet wide with six inch dense graded stone and two inches of 3/4 inch crushed stone on top. 2. In addition, if the water main is not in front of your lots, it has to be extended. Sincerely, Ralph M.Crossen Building Commissioner RMC/km •1 • � �/ie �oayzmaiuuea�c a�✓�aaaczc%uaetla ' !,' DEPARTMENT OF PUBLIC SAFETY r License: ;;.CO,NS.TR-UCTION SUPERVISOR Yulber,' Expires �MATIHEY J DACEY �� , .. PO�BOX•`1558 i �BUIIAROS BAY, MA 02532 COMMISSIONER i - M IRICTIONS: 1G { 00 - None 1A - Masonry only �> tG - 1 E 2 Faoily Hooes wit, - �.'. 14 pl V• 1 , •� 1 `' 11111 i - � •� f is i ! j i. a r f a 1 t 41 t �11+ JeO P J i t it - 1 ; . 1 a � i ! 1 r I I a � II 1 I. N IN tom, 'v`lam Ckbi I G I (e, 'AAA D2c��2 ARB PINE 11 OR f - WOOD PRODUCTS Its all about the Noocl a N � �LL C14AT14AM LOFT 514ED - 12' x 16' (Elevations - Scaler 1/4" = 1) LEFT REAR - - _ -- -16 1 _ x6 > a r FLOOR FRAMING SPE ONS CICATI - FRONT (2 x 8 Pressure Treated @ 16" o.c.) RIGHT 0.1,30 Tia(3E3 q' MsrJsrnjAvh ►3F�-ow GRADF- 2z CaN �' . .. ..... -- - ----- -- LA 0 CA td ® . ® ® ® ® 0 r) lo I Piapp .Ra $�G v3 R�� R R '7g Q� (i(��9 S'�5g '� c� f a-1 ``9- `2 fit' DN a ur -�5� � O ? z -ram P � g Mq rn �O N N c) `O OJ v N = \zCo z fA Z -73CD � z Q � z - o Q rn x MR > 'a > v cmi a m O 7Z A C� 713 y Z Cam_ j m -i r Q z G Cl� xi O O Ti vi i rr, .n _ i m I T cv rn m VKN a > a a C { m A) m m Q rn PMWN PY JAY M. CAP OUR RESEDENCE (508) 598-4I44 www,caddeslgns;biz b�SIGNS 162 SKUNKNET ROAD - CENTERVILLE, MA z � o CLEARY CONSTRUCTION INC. oam v PICK CLMY (508) 896-5558mm ' II � ;III��''�1'6I�I�e'01�1�I�s0111i'I���Bel�I;hBe��1��Be��IQ�.�IBahI�h�9el�Ia��IBe��1���Ba�j'>II i----- -- IIJI�IIJI�IIII�I� �;Ilyll�;ll�;llyll��llq I i___ ■ !II,!li,!li,!II,!li,lll,l4 7---���� _I --__=_ ■■■ II��II�IIIiIP��ll�llll�ll • I I I ,■■■ !ly!I,�!I,�Il,�llyll,ill ► ■ III I�■�' II�iIIII�IiJllli�ll — II;II,II;II,II,II,II i I�I�I�I�I�I�I 1 1 II ■II ■ 1 ■� I ■ IIIIIII � � � 1 .II.II�I(I.IIIIIII — j i lit.It.■fit !11_11���1� _ !,�i❑i■i iII!I'!I lil�1 I�IiI!II,!JII iI!II!I�IIIIIII!! � I_■ _ _ _ �I■II1 CM I ■ ■ ■ I'�� ■■■■ lIiI iIIil�!ati Iitl�lIi�I�!��d iIl�IIi iI�!aIi Iitl�lIi�I�!��i tIli�IIi iI�!Ii— �■��� i!I il!II!I� �■ �1 ■ ♦I �,Ijp _ ,�Il,illyll,ill,ill 111� i�■�� :��i i !i�������I!I!! d ■■ I� II I� I� I� — — i!Ililjliljlilllilil!lilil ■I � ■� ■I .II i ■■ illlilllilililllil� i�Ili�!li�!li�! !I I�I�I�I�II�I� 11I 11� 1I �1� � �•-•••-� I�I�I�I�I Il�ll�ll�llllplllli — — 1.-- �I�I�I�I�II �iil�lll'ill�l11411411�d1h 1 � �� �I �I �•11�� �-1 IIII�I�I�I�I�I�I • I II �I!�I !II. 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I ir1-1 USH 1_b i 111:1;�1 ■lil1i09D0101111 111 'lelillll�Il1i191i1'le1�191ilOO�i191E101�:101�I01�1;�Ej101�19Ei0lel�I�E1jpeLlll IIIOI]J'Il llp Q`I'1�.110�,'AI/�.ILIOaI IIIII'/lAllllr�.o�AI,1�110�.'A11�IIOQ.`/'/11II0�.1',111'.DaA'ill/Iltll OUR RESEDENCE •. - - ®® 0 RIGHT ELEVATION - 0 CROSS SECTION A 2 X 10 Rvlv5 a I6"O.L. ® � - - ®® EXtEN7 EX5tING t 5J 4"X 14"LVL FOR �ROOP-MAfCN Ptf01 PJDCE YENf� SfgIL11APL RB7CE [�] 12" Ir' APPROX.- Pam. APPBOX.- p� 5 0116" N �. 2117, . - R-3OMLAfION 2X6a`.Lm J0155 0161,O.L. SOPPtf vEw-� - W a`PAR aM00AW5 . OVER 1/2"a7X PLYW0017 -FR0W WALL ON Y' �� Z PATS OF �WrnW FINAI. 155U� ® &15 MSII.ATION V 2xasfltus �� 3I IV o/ a I6"O,G. v � ma a:DAR Si W5 R-SO II�E11.AfI0N OVER 1/r'CDX PLMOA7 W8 X 21 51UL I-6EAM Af MO 2 X 6 a:LMG JMOKT5 PLOOR J015 f0 . EXSfING 2 fS SCAI.� UNI.�55 NOT19 � OTNA��WIS� LEFT ELEVATION 22'-C' ir- - — — — — — — — — — — — — — � I I • I II I . oX I .. I s� z I • I � I I I � I - - - - - - - - - - - - - - � I 6'_2° ® I - - - - - - - -� - — — — — -- - V , I I it I � — � I I I I I 6-2" � - I • I I I � I . L I i I � i • � I— ' I . I I I a il I — � — — — — — — — — 24- AWN 1(5208) 398-�}I�� l�Jl 6Y JAY M CAP O R RESEDE �`! CE (508 www,caddeslgns,biz n�51 G N 5 162 SKUNKNET ROAD - CENTERV LLE, 'MA z 7- D ;? CL�AR� CONSTRUCTION o O STRUCTION INC. N PICK CI.MY (508) 896-5558 i i i i 24'-0" 11-0 3-0 - II § I ¢�I i I II 6 _ o � S.� I .I I � � I o z D _ O OO o --I 2666 N � � o0 2466 N ]� It I� N S o 0 m fl z o 0 v b N ai S1 n w � I 7-0" 12-0 12'-0' 24-0 7 �Y JAY M.( C/�}� OUR RES]IDENC.E 50808) 398-�}I�}�} l � www,cadde5ign5,61z 162 SKUNKNET ROAD - CENTERVMU, MA z D z o C EARY CONS RUCUON INC. 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CAP OUR RESIDENCE (508) 596-4144 www.caddesigns,bz n 51GN5 162 SKUNKNET ROAD - CENTERVILLE, MA © CLEARY CONSTRUCTION INC. v "` PICK CEAVY (508) 896-5558 � � t DD i Un ®® ®® y y ® , r) o IL ® Ro td � k tz � ®® ® O � 0 � f Ijil iAm7, Qv, p a - � ka g ` _ HIM ��� \77 Eli n`� V^5 �`DS` $ O x� .g P � - E ?._ °3 E tn� >� "'N fN o'er O`R v ,?co z v P z�s ``7` N =E- �`�� fi -7 p sec F � � v _ oo � zza � zoo ^ X -t` O Z a N o a oo a 7o r n 1 n 7 5 C•CC ➢ rn R m r < cooy m rn m Z O x r� m c � z 0 m s S o rn o O a A n � m T O C., 3 O Z Z Z Z z N mr. 'v CZC �NJI Y D D 9 - ril � ? Zrno Z � J o (t 6Y JAY M, 08) 398-�}I�}�} CAP OUR RESIDENCE CE C 508 www,cadde5lgn5,6Iz b�SIGNS 162 SKUNKNET ROAD — CENTERVILLE Nu CLEARY CONSTRUCTION INC. PICK CLEAV`( (508) 896-5558 I i I ;i!,i�iaisio6�oisiii6ii°iiii6�ii�iiii6iao'ii6!i°i��iaii°iii!6iiii�i�6!i°s,�i!6! !? 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CAP OUR RESIDENCE C 508) 398-�I�}�} www.caddesigns,biz b�SIGNS 162 SKUNKNET ROAD - CENTERVILLE, MA \ � zD Im z CLEARY CONSTRUCTION INC. # _ p SICK CI SAY C 508) 896-5558 i 24-0 II b o II b 11 N II � I k y Q p ' z 9 pxxxRm 2666 O 2466 N 7K N_ O O fl z O O N pf n y O 7 V , v v Ll v v v W b Ul 24'-0" VMVM COY JAY M, (5oa) CAP OUR RESIDENCE 08 398-�}I�� �`! www.cadde51gn5,biz n�SIG�1S 162 SKUNKNET ROAD - CENTERVILLE, MA \ zD „ z N o CLEARY CONSTRUCTION INC. "` PICK CCLWY (908) 696-5 B AW 1-2 N I N II II I s �r 7 Cl1 II I .2666 UI a 2v 7� O I ® b 2 a I z b I. 11 zsW U� N I ao�r I Q N � I I I I O I OI z� I I O I V � I i 24-a' i nMWN 6Y JAY M. CAP OUR RESMENCE C 508) 398-hlh�fi www,caddeslgns,biz n�51 G N 5 162 SKUNKNET ROAD - CENTERVILLE, MA CLEARY CONSTRUCTION INC. — v7k v �1CK C1.�A�Y (508) 896-5558 I ®® I ®® I 24'a a zra va 24'a —20a I m I a a � a � -- ►,�,� eg 2698 o i q 0 0 6 Z zeee �y B'-T 3'6• Tir N � b Qj is a D~ e'a rra 4a 20a 24'a e-0 Ta 9a ¢a rra 24a 17t?AWN(3Y JAY M. CAP OUR RESEDENCE www,caddeslgns,biz n�51GN5 162 SKUNKNET ROAD CENTERVILLE, MA _ a CLEA.RY CONSTRUCTION INC. v `" NICK CI SAY (908) 896-9958 SCOPE OF- WOR.K . fo the best of my knowledge these plans were drawn to comply with owner's and/or 6udder'5 specifications and any changes made to them after prints are made 1) REMOVE RAFTERS ROOF OVER GARAGE adI be done at oar's onm/or bu a cent �DENgPL NO DESGN I'N. (508) I8 4144 additional expense old responslbllfty. The contractor 2) INSTALL NEW ROOF SYSTEM / ROOM OVER GARAGE Pesiverify o dimensions errors enclosed drawls, s KNMAYT0fN DESGN FAX (508)3984144 Deslcpls Is not liable for errors once construction has E�pfTy CPLG'S. 6ecan, fk'AANNG pI AN5 E-MAID 3) DIVIDE EXISTING UPSTAIRS BEDROOM INTO NEW CLOSET WOOD REAM MIRM5 @cadde51GIn5,Iilz While every effort has been made in the preparation of W VIEW5(INf.8'EXf) WEBSIfE this plan to avoid mistakes,the maker can not gTararrtee against human error. The contractor of the)ob nLrA check ANIMATED WAXWOIYk5 WWW,CadGIe5lgI5,bIz . _ all dimensions and other details prior to construction and 6e solely responsible thereafter, FIN15H FLOOR AREA 5QM Ff. ® FINI5f?PA5EMENf AREA N/A �N�SAL 01�G N 5UN - 15t FLOOR AREA 1. ALL WCRK 15 fO GOMFLY WIV fie LA95f APOPTEV 2NI7 FLOOR AREA VMON GY fit MA D19LVIN6 COLS WIf10N x 6 MB)ANY - COIMORTGANW1,121NGREOUREMENP5. FINI51WAfTICAffA N/A' OvTRRSSMEEV ometaO . fOf&FIN15H FLOOR AREA w ® O 190 NIX 5CA,E TNT MWIN65 MI5C,AREA [T �4 s. M516NLOA175: 6AW5 N/A �1®® � 2°Pp COVR7 PORC S N/A V s FLOOR 40 F5?. WOODEN 12ECK5 N/A ®®®® 5fNR5 100 F.S.F. VEd.S 60 P.Sf. p/ Yl/IA��r!V IN�V{r! X « 4. IWiLATiON WIN"Rf01AREMENf5-5EE MA50W REPORT FOR IN5CLATION WE= WALLS I OFLOOR5 auNc RLL 2, FPONf& ITW�L VA110N5 -5. ALL EXIENOR WAIL A'ENNY6 8 DEAAN4'WAIL O �ENN�f°�vEsa'° E��E55°�ER SE 3 INmcnrEn. �ffr& 06K�L�VAWN5 -CI?055 51�C110N u . � � FIr�cOVE stEe,RocR INISIVE GARACk e q, t'I.AN v TITLE PAGE NOT O SCALE HOLM FOR FIRECOMREWREMEW. �OUNt7A110N 7. EACH DEVROOM TO FWVE A MNM1M WWOW OPENING OF �L . 5.S 50.Pf.WIM A MIN,O.EAR NOF 20"X 24'IN E.l}ER V6F.0 5 15T PWOV PLAN ® -" fI0N A197A5�.I.FEICiNf LE55 E55 TH"M1 44"OFF fFE FLAIR. 8. 12 ALL w�mOUR W1 I, V I ire FLOOR MD. 6. 2NP FLOOD FLAN 12"OF ANY DOOR SHN.L HAVE fEMPEIiED A.AZINIG. 9. &L MD OR SHOWER eNO.O9LRE5 ARE TO BE CLAMP NTH WEN6L1 NiG. �, �XI5T1NG FI.00p t'I,ANS & OV��VI�WS N .. 10. ALL EXIEROR W WO16 ARE TO eE VaME aAZEV M17 ALL EX1WOR VOOR55 ARE fO De 501.117 CM WWM WEATIMIMPPING. II. 11EMAWIWMOCXE EACH 50 TPAfWWNANY ONE 155PL 9, SMOKE .DETECTORS RE SYSTEM AT31 INPEk1.IXK EPA150 iHAf Vv}eN ANY Ore IS TRIPPED ffEY ALL WILL 50 M. 12. FWAVE COMDn5TION AIR VENTS(W/5CREEW FOR ANY IO, t- � Pi 171 APPLIANCE WtM AN CPEN FLAME. v \ 0. DA"D0M5ANVUMIfYRO0M6AMfODEVENIfVTOflk UILDING DEPT. A VAS OF A1f51De W1MA IN A A TAB E B z M MIiMOF 90GPM FAN. 11 O - 14, POOPING ARE TO DEAR ON ISN715T1mr LEVEL 50L 12, INAL 155U� VEVAV OF ANY AZGANL MAIERALS AW SfEFFEV Aar` REAY,REV TO MAJNIAIN fit MWOEV VEPTH MON TIE FINN, ((\\ \\ . ORAPE,500,DMIZ,FRE55I� uMEDATEA55Vf0 DE 2000P.5.1. FIRE DEPARTMENT 511510.7 15, RMITTING t .. .. _ 15. ALL CONCRETE fO DE II5EV fO HAVE A MINIAL M OF J 2.500 P.S.I.COVFW56ION 5TREWfH IN 25 VAYS. I Q' 16, ALL WOW N WWACf Wm1 CONCRETE fO Ve FRE55URE 1REASP. 15 i 17. WAERFRO°PDASEMENnWALS RPM DAO�FILLIZ, 16, IMPORTANT — UPGRADE REQUIRED 5c&. uW55 18. DEAM paKE151N CONO�fE f0 HAVE I/2"NRSPPGE Af N0I19 — — — i 51PE5AVENV5 WIN AMINMLMOF ''0EMN6. 1-7 STATE BUILDING CODE REQUIRES THE UPGRADING.OF- O�I I�p.WIS� O PML 5P EV T MI I eS AN7 CELLMS NTO HAM U 18 ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. 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C/"V/ OUR RESIDENCE (508) 398-h1 h� WW.Cadde5lgns,6,lz n SIGNS 162 SKUNKKNEr ROAD - CENTERVILLE, Iu�A CLEARY CONSTRUCTION Co _ o PICK CI MZY ow) 896-5558 i i - I 30'_2" 2'-0" 22'-0" r-- - - - - - - - - - - - - - -� I • I I : I ox IaI z � I ° I Ia - - - - - - - - � � � I `a I cA � I'� � i •' L � ' o I , I •�11 I r — — — — — — - - I = 24'-O" I7PAWN 6Y JAY M. CAP OUR RESIDENCE WWW.CaddC51gn5,biz n�5IGN5 162 SKUNKNET ROAD — CENTERVIII,E, MA � z a z o C LEARY CONSTRUCTION INC. # p = NICK C1,WZY C 508) 896-5558 i I i i 2* II b a I D I - - - - J II II II Q p ' z qM 9 Q O O - m z666 N O 2466 I� N z e®e {Y' ® N Q 7 � b I I I 24'-C' VMVM PY JAY M, CAP. OUR RESIDENCE (508) 598-4I44 WWWX C51gn5,biz n�51GN5 162 SKUNKNET ROAD - CENTERVILLE, MA o CLEARY CONSTRUCTION INC. 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PICK UARY t 508) 596-5558 i AW 1-2 N I - N II I IQ 7 a�—III I II I 2 - O 71S - - 7c m Q2 m ® b 2a I b zW6 � let I a.05r I O � z� N I � I � � I � I � I � = I l?k I 4'-0" 20-0 24'-0" VMV M [3Y JAY M. CA OUR RESIDENCE (508) 398-h1 h� www,cmdeslgns,biz 162 SKUNKNET ROAD - CENTERVILLE, MA S1 - z �, o CLEARY CONSTRUCTION INC. VICK CMARY (508) 896-5558 I 2W1 -0` 22'O S S p s � O ® w 4 y a z zees e'.r .s•�• r-n• C m I r � d; Mp— e N 20a nMVM PY JAY M, CAb OUR RESIDENCE (508) wwwXaddesicgns,blz 5 162 SKuNKNET ROAD - CENTERVILLE, MA a CLEA.RY CONSTRUCTION INC. v "` SICK MAP( C 508> 896-5558 SEPTIC PROFILE, - -1 T.O.F. AT EL. .�2 s TEST HOLE LOGS } -- -- (NOT TO SC94 ---__...._-. ACCESS COVER TO WITHIN Ir OF FlN. GRADE ACCESS COVER (WATERTIGHT) TO ? I �.- ENGINEER:_. WITHIN e" OF FlN. GRADE �< UM .7$' OF COVER OVER PRECAST St -.� ` ;�I 2�G SLOPE REQUIRED OVER SYSTEM WITNESS: -- __may%-.__�"ac-�2•�-,.. ._ R _ _RUN PIPE LEVEL ___ 2' DOUBLE I FOR FIRST 2' WASHED PEASTONE '� �` ' DATE: So,11�1 _ PROPOSED 1500 -u_- - ORIFICES TO HE 3/8' TO 5/��- ` N GALLON SEPTIC - _ 4q.c. PERC. RATE = LZ_�4j TANK (H-10 } LL "-� --- v v `� �a.•• lt o0 00 00 600 0o a 1 I nor'F�4 1� L_Z�/ �a�9IIn�_QLl1a�_411n�.. 'T:J \ cuss__------.___. solLs Pay -3v LONG BY ! WIDE fr CRUSHED STONE OR MECHANICAL , COMPACTION. (15.221 [21) -.- - -- I �T DEPTH OF FLOW �___ 3/4" TO i--1/2' DOUBLE WASHED STONE SLOPE) TEE SIZES: (_I-X SLOPE) (-t-z SLOPE) (��T I.l��c}t rJ F i v'CF�-T�f1 = a'� Cr INLET DEPTH •• 100 rt�S j � 4 c es OUTLET DEPTH - t4 1 s ! �.s _ L LOCATION MAP ou *--- -- �-t--b i i ASSESSORS MAP _-_��t \ PARCEL LEACHING FOUNDATION-- �p - _ SEPTIC TANK ---- 21 __. -___ D' BOX , FACILITY _ T__ 6 c- 4-1. 4 ,o �� �, A-7 FLOOD ZONE _ BUILDING ZONE: I j SETBACKS: FRONT - 2v 5 Y �w 2.lIs •� �'lv I .c• SIDE - I REAR - - - P tom,; I I I j I PLAN REFERENCE: ` - -- Ao s. �►,.v 4, .'- ems- -�,.o -43 :d _ i 7-v 1.4 �. -0 L� S 14 ._ d. } 2.6144 (� 1 aE NO III..:. ac OT _ ( �i / �! ►��� ::a+ r SEPTIC DESIGN: (GARBAGE DISPOSER IS ._1+�Q� A-'�' h=�� "- fi f , DESIGN FLOW BEDROOMS (._ilk GPD) = 3'�^O GPD 1. DATUM IS USE A 33-e GPD DESIGN FLOW 2. MUNICIPAL WATER IS .A`�AI �►.- ___-____ S 'EPTIC TANK: 760 GPD (__ _.) _ 4,,►tr'o GALLONS 3. MINIMUM PIPE PITCH TO 8E 1/8" PER FOOT. = � ,Iq 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-H {n I A 1 ,{ ( USE A GALLON SEPTIC TANK 5. PIPE JOINTS TO BE MADE WATERTIGHT. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. b.I�. ____..____. _._�_____.__: ____ ____._ ENVIRONMENTAL CODE TITLE V. BOTTOM:_3v_x_1 _ ( T ) = 333 GPD 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING. ` F '`j0 333 O 4 o ,r. TOTAL: l _ S.f. ____ GPD rfl��� te - ,��� 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 4. t' ;r ate I. INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LE END - 100.0 PROPOSED SPOT ELEVATION r 100x0 EXISTING SPOI ELEVATION c' I Z 1 04' PROPOSED CONTOUR SITE AND SEWAGE PLAN OF EXISTING CONTOUR - - HOARD of HFALni IN THE TOWN OF: L 1 t1 s 4.o' MA e APPROVED DATE jj 4 ' PREPARED FOR: �- N��'��►�r� �,,.�� 1�p� fa-�, � 1-t�► 2G 0 20 &40 Feet }} i SCALE: � s_ a DATE: down cape engineering, inc. CIVIL ENGINEERS LAND SURVEYORS PHONE 508-362-4541 H FAX 508-362-988fl o3q main st. yarmouth, ma 02676 JOB# 9�- z DATZ � ` in in in i co 0 --- — .O CNI 00 • o o r � • a, - , Lu 0 h 1 IL - r, e r � a � HATE :5r scAlE NNAIW �, - -- CNECA : °° / .���s Pam-►�L � I- -�:�,,�.;' r SHEET # o ` 'i Go co 0 Ul rvo, Zllt_(_)v--j v�-T t WI 0 H C)o 40 Cq Ln es LL LL LU ILI 7 "Iz- xlls Ice, CO rz e,t-0 III U 4 V2- XV _T t5 I 2 tt -� o -FA f ui 0 RATE HAWN ! 17., CNECO co REV. Pl r ���.1�� .1/ i�-�(/� ✓ �� I I O �'✓ �� � -� I Of�-J �� SHEET f Y l_^ �_ - - -- _ II} 147 - _T - 47a00, ._ `�_._ _ ` �._�. — _ _-- �� ITS -- _ -/�� ✓� ,, _ _ l �. Ti .� , VI'A Fay f --- - - - __ r _ - _ _ T ._ BAT[ suit - MAU CNEtt'/ m REV. CQ F' I SHEET 0