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" 11 I , , , , �'_ I I , , �� hoklyk ,�_��. 1� , , `��­� , , , ,:,,, , - , -, ,� ,: ,'' �;­, �,�I ­:�_!�,""', "� �,-,, ��;,� -, , , , � I , , . , '� �' "!"'t '$4,,,-,-, . ,1 , lt� ,, ,j I I " " , , - - , I , ,." , 11 I , , , �, -y ,�iv LL,,� '�,�, �, .l.,"� ,"L ;��;"i,�,,,-,,""_',�,,�1�11,.,11 211:11�`1 t I� -�'�"�' ',.�,,��,,�I.,,`�� �f,-,­,��-,��?�� I I li� �� -`-�: ": ') � , ,'�,,�,�,,,,,." ,��llitti!tt,00� , i , I - 1-1 1�.1�_ -0 Aw,400 w0wWw"', �- � - - - -, Uns AM �' . IL�L�l --- - , �; cti ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION CY b Map Parcel Application # Health Division Date Issued ;�:)L -7 Z-- Conservation Division Application Fee Jt Planning Dept. Permit Fee If ' Date Definitive Plan Approved by Planning Board. Historic - OKH _ Preservation/Hyannis Project Street Address Q,0 S o U iC w R(3a A Village e- 3 f Owner f r e- 2 R-y\cy :T _Address 5 0\ IM �.-- Telephone 4 -= 9:5 q Permit Request h P V^ ` +cc t v Vi krA. In�i� C R11G,Inn2 . Square feet: 1 st floor: existing Mproposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 9 SO Construction Type 6/o ici Lot Size O. o c-. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure (bk O Historic House: ❑Yes i No On Old King's Highway: ❑Yes i No Basement Type: ❑ Full Crawl ❑Walkout ij Other X 1 0 Ufii 1 1'4V Basement Finished Area (sq.ft.) Y1 bnQ-- Basement Unfinished Area (sq.ft) 6 kI6 bti I i 60� 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: O Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �rNo Fireplaces: Existing 1 New Existing wood/67o61 stove: 0 Ye4 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exiting ❑,r w Vie_ Attached garage: ❑ existing ❑ new size Shed: dexisting ❑ new size6k18Other: ;, a a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 1� No If yes, site plan review # Current Use e 4 ' Proposed Use 5 me— APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ~ IG �_� d� �r� �r Telephone 56 g- 75�1�-6-3 6 Name rT. `Address D 'IV License # c " 0I PIS M ptZit. MA 90 Home Improvement Contractor# /�i�9 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12 e- 1Q4/-LJ Mcaf 4AV BILd Bo Vroe.-- Ma s� SIGNATURE DATE �. r FOR OFFICIAL USE ONLY `APPLICATION# ,SATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE k OWNER z DATE OF INSPECTION: F I _ � FOUNDATION FRAME INSULATION ICtio��12.- FIREPLACE :t ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . • i The Commonwealth ofMassachusetr . Deponent ofindustrial.4ccidents Office oflnvestigations 600 Washington Street I 6 Bostoty MA 02III www.mass goy/din Workers' Compensation insurance Affidavit: ,guilders/ContractorsXlectzicians/Plambers A' licant Information Please Print Leeibly Name (Business/OrganizahonllndMdaall: O e Address: Ci r. I City/state/Zip: Moo+h 5 0a36o Phone#: �5019 -757 —93( C Gei1 Q,-d�. 1 /71 Are you an employer? Checke appropriate box: L❑ I am*a employer with 4• ❑ I am a general contractor and I T3'loe of Project(required):.. 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 - g, Demolition working for me in any capacity employees and have workers' [No workers'comp.insurance i comp. inMM ce.$. 9• Ej Building addition . required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions myself [No workers'comp.. right of exemption per MGL £ insurance rtagu`ed.]t c. 152,.§1(4), and we have no i2.[]Roofrepars employees. [No workers' 11 V Other 3s Qt r COMP, ingurancaregrtired.] .` fAnY applicant that checks box#I must also fill out the section below showing then workers'compensation policy infnrnwion $omeowners who submit this affidavit indicating they are doing all work and thin hire outside coatrentors must submit a new affidavit indicating such. tContraatars that check this box must attached as additional sheet showing the name ,the sub-contractors end state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'c policy comp.P cy.aumber, I am an employer that isproWding workers compensation info n: insurance for my employees -Below is the policy and job site rmatio Insurance Company Name: Policy#or Self-ins:Lic.# Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' co mpensafion'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 $ne up.to$1,500.00 and/or one-year moPrisonment 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 ce fy ander the pains and penalties of perjury that the information provided above is true and correct Si tore: ,a Date: Phone# 1 e O 17 Offtczal use only. Do not}trite in area to be completed by city or town offzciaL City or.Town: PermitlLicense Issuing Authority(circle one): 1.Board,of Health 2.-Building Department .1,Ci y/Town Clerk 4.ElectricaUnspector 5.Plumb" Inspector 6. Other Contact Person: -Phone#: r T Town table of Barns a . _ .. �; Regulatory Services ` > B Thomas F.Geiler,.Director: _f _ 3 Building Division - Tom Perry,Building Cofnmissioner x. " p. , 200 Main.Stireet,.HYsunis,MA 02601 www.town.barnstable.ma.us a. ,:Y t of�*_ .. :.• ` ,. Office: 568-862-4038 ,. Fax 508=790-6230 Property Owner=Must r Gomplete'and Sign 'Phis Section If UsingwA Builder I, e r 2 , as Owner of the subject property ..hereby authorize Jot O z (, 5 �t C G to act on':mp behalf, in:all atier's:relatrve'to'work autb.orized _ .bythis budding permit application for r {. n (Address of Job) . Signature- f•Owner Date dd�� g. Piint NameELL y If Property Owner is:applyYng for-permit please:complete the y :,Homeowners License Egenption Form onahe``revese side. .' • .' yet_' Y M1Y Z .QFORMS:OWMRPERIviISSION Town of Barnstable Regulatory Services Thomas F.Geiler,Director KA 059. ,• Building Division. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-794-6230 HOMEOWNER LICENSE EXEMPTTON' Please Print ' DATE: JOB LOCATION: number street village "HOMEOWNER": name 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 4 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 2.1.E 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 responsrbrlities,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:fomrs:homeexempt Structural Design Work For: Joe Arcese (owner) 20 Soundview Road Centerville, MA 02632 By Victor A. Popp, PE VPopp, Inc. 30 November 2011 OF Mg8s9cy VICTOR A. GN g POPP O MECHANICAL ; U No.41566 p 2 F SlON • Date: November 30, 2011 VPopp Inc ® Client: Arcese Residence 75 Gardner Street, Hingham, MA 02043 Proiect: 20 Soundview Rd. (781)875-1085 www.vpoppinc.com Pq. / of// Centerville, MA Background: The subject building was a pre-existing, single story cottage/residence which was being renovated "down to the studs." The original house was built in two phases: • an original sloped roof structure on shallow depth CMU block foundation wall with no footings • a west addition built on a CMU wall which extends well below grade reportedly to a spread footing Overall there were no observable parts of the foundation that were in distress, except for the easternmost wall. This section of wall had an opening for plumbing which was created by the removal of CMUs. The wall sections abutting this opening had a slight amount of settlement on both sides of the opening. This settlement caused a few cracks to form in the block wall. The settlement was likely caused by poor soil compaction while backfilling the excavated hole for installing the pipe. Purpose of Analysis: The purpose was to review the suitability of the existing foundation for the work being proposed. It was also to remedy any issues with the settlement on the east wall. Given the site foundation was pre- existing and mostly intact, it was deemed to be impractical to replace the foundation with one that meets current Code. Reference Documents & Codes: Floor plans given to VPOPP Inc. were done by Dale Hatt Design for Henry J. Arcese. MA Building Code (8" ed.) Foundation Review: The entire house is set on a concrete masonry unit foundation (CMU), as follows: • The original (east side) foundation was built without spread footings. It extends 8" below grade, and is typical for 2/3 of the residence. Despite being non-conforming, it was largely intact with some differential settlement on the east side. This appears to be because plumbing was run to the crawlspace. • The addition foundation is a CMU wall with low height basement. The wall is reported to be over a continuous spread footing. This was verified by the owner's contractor to extend 4' below grade. �O�Fp o� v►CrOR q. 9� Date: November 30, 2011 ti ® VPoPP o� POPP rn' Client: Arcese Residence 75 Gardner Street, Hin VA 1�99. " Proiect: 20 Soundview Rd. I (781) 875-1085 www. cqfq� S 1 ,�� Pq.z of 1 Centerville, MA NAL E ti , The original permit issued did not cover the extent of the work being done. A review of the work being done was requested by the Building Department. On 9/19/2011, Mr. Jeff Losa.n, Building Inspector, and I discussed the foundation in a phone call. We conceptually agreed that since the foundation was pre- existing non-conforming, compliance with current Code would not be required, although areas that were settled or damaged would need to be addressed. Replacing the entire foundation for the proposed work was not deemed practical or necessary. Recommendations: The following is recommended to bring the foundation and wood framing as near to Code as practical given the pre-existing, non-conforming.nature of the site. Note that the wood framing has not been reviewed since it is mostly standard 2x lumber 16" O.C. Foundation: • East Wall: Underpinning recommended at the cutout; careful excavation under the CMU wall and around the plumbing will be required. The concrete can be poured against the walls of the excavated hole. Floor Joists: • The floor framing (2x8 joists) meet MA Code for the proposed 1.4' span Girder: between fireplace and cutout in east wall: • The 3-ply 2x8 girder at the fireplace meets MA Code, with the following changes: ■ add footing mid-span. See Sheet 2 of 4 attached ■ Add header and posts at end of.girder at cutout (See Detail A) _Header between Dining Room and Kitchen: • Quadruple ply LVL: 1-3/4 x 7-1/4 (See Detail B) Other: crawlspace venting; vapor barrier, and insulation plan by others. Given some rot was found on the original joists,.and given the unique humidity requirements of Cape Cod, this is important. P.T. lumber and dehumidification can also help. recommend: diverting roof and storm water flows away from the foundation as much as possible (to distance of 6 feet); use existing positive site grading to do this where possible. • ensure 18" clearance to grade for all recently installed wood products which were not a direct replacement for what was pre-existing framing approved W T&G floor structural floor sheathing (OSB or plywood) • recommend removing. any non P.T. wood product which is accessible and in contact with concrete or soil where possible on pre-existing areas. . End of Report. ® VPOpp Ins y s Date: November 30, 2011 Client: Arcese Residence 75 Gardner Street, Hinghfft- Pnee AlC9' A• , Project: 20 Soundview Rd. (781)875-1085 www. lflr, 9nN1CAL pq of Il Centerville, MA 9 O 2 STEP SS�ONAL ENG Full Foundation area with low height basement Crawlspace (CMU walls over footings) Existing plumbing cutout with cantilvered 3 ply-M girder (max-span=6.5') Crawlspace Slight cracking from settlement at opening —_--_ _---- Temporary CMU Support Crawlspace to be replaced 2xI0 Joists @ I6"O.C. Slight crack Shallow depth 8" CMU wall with no footingsNote:Existing ESN OF,y non-conforming foundation is intact, and therefore appears to be ���P Ass90 adequate for the single story structure.Maintainance of roof �° VICTOR A. EXISTING FOUNDATION drainage system and water diversion is required for continued o POPP m qu 6 MECHANICAL y GENERAL NOTES &RE 'MENTS performance. No. 41566 9 9F o 20 Soundview Dr. o��SSONAt Centerville, MA DATE: OF`j VPOPP INC. N.T.S. 75 Gardner Street; Hingham, MA 0204: (781) 875-1085 www.vpoppinc.com Proposed Wall Header Detail"B" Add I6"xI6"x8"girder support Full Foundation area footing under center of girder.Set with low height basement bottom of footing IT'below sod (CMU walls over footings) floor. Undermine CMU wall(3 places) SN OFMgs o See VICTOR A. �y �� Popp Detail MECHANICAL"Alf -o No.41566 9 9o��ss Co ONAL PROPOSED CHANGE Proposed Porch Detail"C" GENERAL NOTES & RE 'MENTS ® 20 Soundview Dr. NOTE: Insulation, vapor retarder, and foundation venting by others. Centerville, MA VPOPP INC. DATE: 50F'11 N.T.S. 75 Gardner Street; Hingham, MA 0204; (781) 875-1085 www.vpoppinc.com 4x4 end PT posts anchor in place at center of footings Add short header to support end of exist. girder; use 2 ply 2x8; see detail below. X 6' Underpin CMU wall in 3 places as shown w/20"x2.0"x10" concrete ftgs. H OF Mq`rS VICTOR.4 o POPP m` SST# HU68 or HUC68 A MNo.qA s 6Al v 9� 9�o G/STEVk kQ SST## HH4 S�oNAL )M1 DETAIL A: UNDERPINNING ® CUTOUT 4x4 PT Post VN GENERAL NOTES &RE 'MENTS SST# PB 44 or PBS 44 ® 20 Soundview Dr. Centerville, MA VPOPP INC. DATE: OF'�f N.T.S. 75 Gardner Street; Hingham, MA 0204: (781) 875-1085 www.vpoppinc.com Existing 4-ply LVL (7"x7-%4") 2x4 rafters SST# H2.5 SST# HHT t 6 4x4 Sawn Post; block into interior walls. 1 Solid block posts to foundation Existing ���P�ZH oFMgssq floor �� VICTOR A. Existing o Popp m. c> MECHANICAL y floor o NO.415ss 9FG/STF-91 �Q �SS�ONAL DETAIL B: HEADER Place posts over existing CMUs over existing footing, or add GENERAL NOTES &RE 'MENTS footing, if one does not exist. d ® 20 Soundview Dr. Add I6"xI6"x8" Centerville, MA VPOPP INC. DATE: OF`]'Z N.T.S. 75 Gardner Street; Hingham, MA 0204: 1 w7 (781) 875-1085 www.vpoppinc.com VPOPP Inc 75 Gardner Street; Hingham, MA 02043 781 875-1085 www.vpoppinc.com . HOl D1 'EIr1 HA RQVJA - RAIL, rt-r, To copF (3b''� I 4xq' PoSTJ Ar.►Uilu M Tb, D e c-k- F RA MI►.Yr LA 6 'To L-ia,0 G W l Yr-" LA&S PC-A 000&l ', 12 n SST 'P IBS, .., - 2�c 8 c.encu2 j Po S f ta S ES 6"De �? - /o S?S So NOTU, 71 Orel UNO t STUR r � Z Sol L, Lacs ZOL' - Tb SIt- L' O.C . {4 2X� �D1STS P.rI:� W AIL" L_A-6S HAW. STnv���>t7 J PLC M .a J L JL JL JL JL ' Co 0 CPlE'Cr-- N o� VicCLI p � N Co ECHANICAi 27,6 WC- ,i Date: ►7 - — No.41566 I N S Ioff OK D vi-,) Street: Lo SO RO -r 'L IPPPW L--ALVANttf.10 F�ptLR�wA'►2E� QNI Town: Page 8 of I See Detail "D" � k\OFkfgSs9 Optional Dining P�� �y Room Vaulted Ceiling VICTOR A. POPP 0 MECHANICAL N GENERAL NOTES 86 RE 'MENTS � No.41566 20 Soundview Dr. Centerville, MA FSSlONAI LNG VPOPP INC. DATE: OF I N.T.S. 75 Gardner Street; Hingham, MA 0204: (781) 875-1085 www.vpoppinc.com Existing 2x6 rafter Proposed 2x6 ceiling joist each rafter S S-I6d nails; each end; rafter to ceiling tie Existing 2x4 o 0 0 0 Strapping and drywall LVL Strapping and BEAM r all Joist P hanger Detail "D": OFM Optional Dining Room AsIs- Vaulted Ceiling O VICTOR A. tiG o POPP m' GENERAL NOTES &RE DENTS c� MECHANICAL No.41566 ® 20 Soundview Dr, 9�,c9FG/STEP �`�Q Centerville, MA FSS�ONAL ENG�� VPOPP INC. DATE: F®OF J N.T.S. 75 Gardner Street; Hingham, MA 02043 (781) 875-1085 www.vpoppinc.com o PT'/oil Fove- DclAiL, — Sa . dmple 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Roof BeamL..DiningRmKitchenHdr BC CALL®3.0 Design Report-US 1 span No cantilevers 1 0/12 slope Thursday, November 10, 2011 Build 440 File Name: 20 SOundview Job Name: Joe Arcese Residence Description: DiningRmKitchenHdr Address: 20 Soundview Specifier: Victor Popp, PE City, State, Zip:Centerville, MA, Designer: Victor Popp Customer: Company: Code reports: ESR-1040 Misc: 12 "�. t-+r. .a€a. ? ra.;.mc =a �^�"�, ��7P �`?x�'� � � � a� � '', *�ri. -• "���[ �� 4 ,r+e �- �r r: 'i �,.i+l 12-°°-00 BO,3-1/2" DL 2,036 Ibs B 3 SL 2,340 Ibs DL 2,036 bs lbs SL 2,340 Ibs Total Horizontal Product Length=12-00-00 Live Dead Snow Wind Roof Live Trib.(in) Load Summary Tag Description Load Type Ref. Start End 100% 90% 116% 133% 126% 1 Standard Load Unf.Area(psf) L 00-00-00 12-00-00 25 30 13-00-00 Controls Summary Value %Allowable Duration case Span Disclosure Pos. Moment 12,144 ft-Ibs 63.0% 115% 3 1 -Internal Completeness and accuracy of input must End Shear 3,722 Ibs 33.6% 115% 3 1 -Left be verified by anyone who would rely on Total Load Defl: U211 (0.655") 85.1% 3 1 output as evidence of suitability for Live Load Defl. U395 (0.35") 60.7% 3 1 particular application.Output here based Max Defl. 0.655" 65.5°� 3 1 on building rode-accepted design properties and analysis methods. Span/Depth 19.1 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 4,376 Ibs n/a 47.6% Unspecified or ask questions,please call B1 Post 3-1/2"x 3-112" 4,376 Ibs n/a 47.6% Unspecified (800)232-0788 before installation. BC CALCO,BC FRAMER®,AJSTM Cautions ALLJOIST®,BC RIM BOARDTM,BCIO, Member is not fully supported at post BO. A connector is required at this bearing. BOISE GLULAMTM SIMPLE FRAMING Member is not fully supported at post B1. A connector is required at this bearing. SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, For roof members with slope(1/4)/12 or less final design must ensure that ponding instability VERSA-STRAND®,VERSA-STUDO are will not occur. trademarks of Boise Cascade,L.L.C. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow surcharge load. Notes �P��ti OF 4f4SS Design meets Code minimum(U180)Total load deflection criteria. N_ Design meets Code minimum(L/240)Live load deflection criteria. �o VICTOR A. Design meets arbitrary(1")Maximum load deflection criteria. POPP m a MECHANICAL co No.41566 -10 9 900 �C/STEP�O FSS/ONAL ►�INI�IC� 1200Rh ffok-POO CA G CQ LA C & Page 1 of 2 i M J. assachUsetts Departm Board°of Building °f Public Safety afety Iding.Regulatiorts and Stand I. !: Cotistructiun Super�:isor Standards ILicense: CS-065517 ' JAWS A DMA o�. J r 38 .� LAKE DR; JR� ti OUTI0 pL1'M MA0 _ t Commissioner pan a. Expiration r L,n , a�t�n t j(Pit �1boS,s7 yc �} J — } A ©MARIq - DAMES O MARA JR ' 38 LAKE DR f f PLYMOUTH Mq p3' .� x+iY r.. J T �®12Z 'l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # (�-OS Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board I I Historic - OKH _Preservation / Hyannis Project Street Address 0 S00 tJQ\At-Lu Village CEI`►"(-�_;2VtLLE Owner Address?2 9#GJCWA JE _ G Telephone 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 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_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) L Name PEA C Telephone Numb 0 FS VX AddressGK��y yE a G License # Lk)"y\A o u E-f , MA 0 ZL F Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DAT (0 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. r lown of Barnstable Regulatory Services M BARNSTABLE. ' MASS. Thomas F. Geiler,Director i639 °rEnra Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-$62-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, Iq C ESIE owner of property located at 2 y V tN O V i t-YQ hereby certify that (uvL M A•9A is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# �b� �, issued on o2 - 201 . I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PROP TY OWNER DATE q/forms/newcontr.. reference R-5 780 CMR rev:l 10410 f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly LiAddress:_37— ame(Business/Organization/Individual): ty/State/Zip: l Vet 0 U g Phone M gn-j 0 3 F Are you an employer?Check the appropriate box: 4 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. []'Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance. 9. ❑Building addition 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions )(required.] am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs_or additions yself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13:0 Other j comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi and the pains andpenakies of perjury that the information provided above is true and correct Si ature: Date: Co- 2 hone#: Og $ S� 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#: c�. �tHE r Town of Barnstable Regulatory Services BARNSTABLE, Thomas F.Geiler,Director irtnss. Building Division prFD MA't A I 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 q Please Print DATE: Z 1 1 Z JOB LOCATION: ` So t)W C)JL&l.V lP V) number street village q ".HOMEOWNER": ' A tQC E d 51— -j 5? 7"76 d name 2 -home 6one# work phone# CURRENT MAILING ADDRESS:_ ✓ Z 0 C, UJ/k T ` /V �C WEV van.o Uri( ( 02�aR 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 pemut (Section 109.1;1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes bylaws,rules and regulations.ons. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that It will comply with said procedures and re uirements. IV /V6re of HomeoWO 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. Q:forms:homeexempt °F'ME r, Town of Barnstable Regulatory Services SSBM M . Thomas F.Geiler,Director 16.19. " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete-'and Sign This Section If Using A Builder 1, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. - Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 �TNE Tpy Town of Barnstable Regulatory Services lnffivsTnsLE, MASS. g, Thomas F.Geiler,Director Fo;o�A.e Building Division Tom Perry,Building Commissioner 200 Main Street,.Hyannis,MA 02601 Office: 508-862-4038 r Fax:`508-790-6230 June 7, 2011 Henry J Arcese IIf 32 Rockway Ave. 3-C Weymouth, Ma. 02188 . Ml• 043 RE 2 Sound View Rd. Centerville, M a a. O p. 247 Parce Dear Mr. Arcese: As you may recall,permit application number 201100780 was issued on or about March 8, 2011.. Sometime after, a stop.work order was issued when this office identified work exceeding the scope of the permit issued. To'date,this issue remains unresolved.In addition,the building remains unsecured and open to the weather. In accordance with 780 CMR, you are hereby ordered to secure the building. This may be achieved with plywood panels installed over the openings. The stop work order remains in effect in regards to the renovations of the building until a proper building permit is obtained for the scope of the work. Please do not hesitate to contact this office at (508) 862-4034 if you have any questions. Thank you for your immediate attention and' anticipated cooperation in this matter. By Order, W'626—n Local Inspector (508) 862-4034 Qzoning5 , i S� P ujoak �erry v rcesc 7TT— i , f 3 2 Rock way Avc. 3-c MQ. OZI$$ r i y if r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0+15 Application # Health Division A wrtn`Ec � Date Issued 3 < << Conservation Division Application Fee Planning Dept. Permit Fee l Date Definitive Plan Approved by Planning Board Qffc 3����► ,Q�- Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner - f" Address Telephone Permit Request iii 4 51 ye&A"_ �- —AM T_"6e_1kAVn" Square feet: 1 st floor: existing Mproposed &A 2nd floor: existing A proposed& , Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �*, ,6eo Construction Type k7en d A,� Lot Size Ar4- Grandfathered: , Yes �ffl NR If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ,&No On Old King's Highway: p Yes Id No Basement Type: M Full ,p Crawl ❑Walkout ❑ Other "7-7:%fir 6a----- Sew Basement Finished Area(sq.ft.)- Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing K new Number of Bedrooms: existing Q new = C) Z Total Room Count (not including baths): existingnew First Floor Room Count--' Heat Type and Fuel: 14 Gas ❑ Oil ❑ Electric ❑ Other ' Central Air: 'es d No Fireplaces: Existing New 0 Existing wood/coal stover❑Yess It No Detached garage:�existing 4;ew size_Pool: ❑ existing ❑ new fte _ Barn: ❑ existing D newt; ize_ Attached garage:Xexisting 4new size _Shed:91 existing ❑ no6size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes M No Ifyes, site plan review# / Current Use ,t� N�h At I vcAJc Ki W Proposed Use 6t e- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ Telephone Number � . _ Address . ek"DcIWA A01 License # r y IA4V Kd�`' - 14A 2 1 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L' SIGNATURE DATE lo q I i r, FOR OFFICIAL USE ONLY ' APPLICATION# f� " DATE ISSUED MAP/PARCEL NO. ADDRESS i VILLAGE , OWNER". `� a DATE OF INSPECTION: FOUNDATION FRAME L INSULATION_ _ FIREPLACE ELECTRICAL: ROUGH ` '.t FINAL`" pil PLUMBING: ROUGH FINAL '. GAS: ROUGH FINAL ' • FINAL BUILDING r DATE"CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts ^; I Department of Industrial Accidents 4 Office of Investigations 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/Organization/Individual): T. hiptC �� Address: 11c. I l l City/State/Zip: Phone #: �__75!9 Are you an employer?Check the,appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ' s. 7• f Remodeling 2. El am a sole proprietor or partner- listed on the attached sheet. $ ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'.comp. insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its officers have exercised their 10.0 Electrical repairs or additions required.] ' 3.(0 I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 3.❑Other *Any applicant that checks box,#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box'niust attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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. Lie. #: Expiration Date: Job Site Address: 'City/State/Zip: Attach a copy of the Workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250A0 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 the nd penalties of perjury that the information provided above is true and correct. o Si nature: Date: 1 - t Phone#: `J a 5D 5,8 F only. Do not write in this area,to be completed by city or town official n:. Permit/License# hority(circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector sons Phone#c Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments-and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §2�C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely;by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(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 policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or 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 to any business or commercial venture (i.e. a dog license or'permit to burn 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 m i Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia Town of Barnstable P�aft�r�o � Regulatory Services Thomas F, Geiler,Director <. BARNSTABLE, _ - raAs.�. ' Building Division. PrED '�a Tom Perry, Bading.Commissioner 200 Mairi.Street,_Hyannis,MA 02601 yw town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Z d r JOB ILOCATM 6nUAM. e/It number street village "HOMEOWNER": name home phone# work phone# , S CURRENT MAILING ADDRBSSgd%1 :K'Q AL Z AU4- 1A M'M)444 1 city/town r state zip code T r— current exemption for"homeowners"was extended to include owner-occupied dwellings of six units�or`lcss and to allow homeowners to engage an individual for hire who:does not possess a license,provided that the owner acts as supervisor. DEFT MON OF HOMEONV ER Persoa(s)who owns a parcel of land on which he/she resides or-iatends 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 constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that-be/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 Depar in. cDt inspection procedures and requirements and that be/sbe will comply with said procedures and require nts. .. f = 5i a ' c of Hom wncr, 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 cxcmpt from the provisions of this section.(Scction 1D9.1.1 -Licensing of constrvc6on Supervisors);provided that if the homeowner engages a person(s)for,hire to do such work,that such Homeowner shall act as supavisor. Many hamcowncts who use this exemption are unaware that they arc assurring thc.responstbilities of e supervisor(see Appendix Q, Rules&Regulations for Liccnsing.Construction Supervisors,Section 2.15) This lack of awareness oftenrosults in serious problems,particularly when the homcowncr hires unlicensed persons. In this case,our Board cannot proceed.against the unlicensed person as it would with a licensed Supervisor. The homcowna acting as Supervisor is ultimately responsible. To ensure that the hornwwncr 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 fora-)certification for use in your community. Q:forms:homccxcmpt ). 1 T r ti Town of Barnstable Regulatory Services � EA.ttNSTASLE. ' - v Thomas F. Geiler,Director E0 ` Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862 4038 Fax: 508-790-6230 Property Owner Must Complete-and Sign This Section If Using A Builder CMA� as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized. by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for pen-nit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION �sltwDow!94 DOOILS f 14 ki AN PEA6S&I a 9 I r [_ -FT Trr 3 77 G l D !t _ a - f I L y. 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