Loading...
HomeMy WebLinkAbout0063 BAXTER ROAD �ts��� c'��fi,7 ,� I A 1 I Shea, Sall G (� From: Anderson, Robin Sent: Tuesday, November 03, 2020 11:39 AM To: Shea, Sally Cc: Anderson, Robin Subject: Faria Mr. Faria (508-775-5060) does not accept private calls. //dd C� ah 1 (k)W 1 . r-r 2& S � �aAC1 - S 2 G� dj'r7 i Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date oG Map_�)J Parcel 65 Applicant Information Applicants Name Dow) �c.�m Q PP l L�C'��Y TA, Email dress Applicants Address {/ C,�QVI fA1M?15 r Telephone Number�508 -7-7-6 ( F b 2 Listed Unlisted ❑ Business Information New Business? ------------------=------------------ -- Yes No Business is a registered corporation? _____ ___. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _________ Yes No If yes then a Home Occupation Registration is required-See Building Division Staff - - Name of Business.. Business Address t0� Q.X7 2� Y \Qcw 1111 S mc'- .. Type of Business Oa OA -e !1) Building Commissioner Office Use Only Conditio s (1 �n( (i + Nu e _ S,tsn� 6(0 6 Tl fn� V/ Build' Commissibne Dat - v S ' g Clerk Office Use Only '_ . . bbu-s 1 n eS S 0 u't' i o � my �eYsonal ��ucK� y �v�� +o Te51Ws p� my CUs ILO nl-erS o.� � �roviove_ ,My s C. 6,-Y T�1Y I000.TI�� Lvi ask an� A,,,�"a-J c,.u70r»obi)eS J ivy o.,l� aveas w�.re pe�',vii �e� Mo cus�owvws Cars w� �� be c� ''ti'l�' Y�ee�A-eAcy . Y Town of Barnstable of 1He p BuildingDepartment r� ti Brian Florence CBO . Building Commissioner w BAMSTABLE, ' 200 Main Street,Hyannis,MA 02601 v Muss. f6g9• �� www.town.barnstable.ma.us ATED MA'1 A Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: -Permit#: HOME OCCUPATION REGISTRATION Date: d Name: Jay Phone Address: (03 11,66x4fl✓r, Village: 140,0101S ® 0� Name of Business: .1���f\ Type of Business: i_it LU'` " acs� E Jekid"Pi Map/Lotl INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident.of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.' •. There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation: • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,hav ead andkree it the above restrictions for my home occupation I am registering. (� Applicant: Date: ®� Vl� j l Homeoc.doc Rev. 10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 121 0 Map Parc —` Permit# T{fw p Health Division ,"t' St_E Date Issued �d G � Conservation Division ?Z3k 22 k.~F 8; E,4 Application Fee Tax Collector Permit Fe(Y L Treasurer Planning Dept. ACMW Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address d_1,,d,­-:VX Z 1 12 „ !5�,`. Village_/V Owner So 7'��,, fi,�Qi:49 Address Telephone Permit Request 4,.ZWI `74 /a,ZV Square feet: 1st floor: existing 4 5'o proposed a/6 2nd floor: existing A i proposed 0 Total newly Zoning District 16 Flood Plain Groundwater Overlay Project Valuation T Dada Construction Type /,moo el /I Lot Size �/3 a c, Grandfathered: Cl Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 e Historic House: ❑Yes CA<o On Old King's Highway: ❑Yes WTlo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other- �4 ry Z Z c a,4AG Basement Finished Area(sq.ft.) //D Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new Half:existing new — Number of Bedrooms: existing ga new r Total Room Count(not including baths): existing q new R' First Floor Room Count ,6 Heat Type and Fuel: ❑Gas Oil O Electric ❑Other Central Air: ❑Yes Y6 Fireplaces: Existing ,� New Existing wood/coal stove: ❑Yes GD190 Detached garage:Cl existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:('existing ❑new size 65aA4'Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes 0 No If yes, site plan review# Proposed Use 3 -sty BUILDER INFORMATION Name tl W 1y7 Telephone Number 21Z� Address License# Home Improvement Contractor# Worker's Compensation,# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P SIGNATURE ���� � o���L DATE �'� — f 1 } FOR OFFICIAL USE ONLY PERMIT NO. 1 , ' r DATE ISSUED MAP)!PARCEL NO. ' .10 ADDRESS' VILLAGE OWNER DATE OF INSPECTION: r FOUNDATIONDN / 9 d FRAME INSULATION J8 r� @) U C K FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUG FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT a ASSOCIATION PLAN NO. L of Tow of Barnstable Regulatory-Servides s $ Thomas F.Geller,Director Ar 6X9, � Building Division • Tom Perry,Building Commissioner* ' 200 Main street, Hyannis,MA 02601 Office: 508.862.4038 Fax., 508-790-6230 • permit no. • Data • A.FFMAIT SOME UOROYEMENT CONTR.A.CTOR LAW SUPPLEMENT TO PBPJY=APPLICATION MQL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,removal,demolition,or construction of an addition to any pie-existing owr;er-occupied buflaing containing at least one but not more than four dwelling units or to strmetares which are adjacent to such residence or buildin b e done by registered,contractors,with certain exceptions,along with other requirements, • Type of Wa -Fsti=ted Cost d 6;p 1) Address of Work: 121 /-A X Z`—C g h� i /y�'S�Af Al, Date of Appticatioa•, �� ' ' • J Thereby certify that: Re isstmdon is not required for the following reasm(s): []Work excluded bylaw []70b Tinder S 1,000 ' QB ' g not owner-occupied • Downer pulling own permit , Notice is hereby given that: OWnRS PULLING THEIR OWN PERMIT OR DEALING WITH UNR'EGISTH M CONTR&CToRSFORAPPLIC4,dHOMMZ ROYEMENTWORXp0NOTHA.YE ACCESS TO THE AMITRATION PRO GRAM OR.GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTMS OF PERJURY Thereby apply for&permit as the agent of the owner: Date Contractor Name Ite4hstrationNo. �-- OR Owner's Name The Commonwealth of Massachusetts . .department of Industrial Accidents' 660'Washington Street Boston,Mass. 02111'. Workers'. Com ensation Insurance Affidavit-General Businesses // / .,Nti ,y / :�;.,.4y�'•,riuV.vr• .y+:v,•Mq:y,r•+'�,,.': "' .'k -� ..r�.',SsY] / address' ... • � r state: zi hone# _. .. � . . . .._ c work site 1ocafio3i full address [] I am'a sole proprietor and have no one Btuiness Type: []Retail[]RestaurantBai/EatiingEstablishment working in any capacity. Zee[] lei me g-Real Estate,Autos etc.)• ❑I am an em toyer with etn les(full&part timel: Cher I am employer providing workers' compensation for my employees worlong on this job. ,t,, .t:f� r '!•: �,ir;.p• :t••...' •r.a:l` •r:•' t.'t •t .�i'.`1'y, e7 is.,: '` •:1'• •.t.1,•�� :fir • •.u. .l..l. '• t 1:(: 'i' .�.• �' .1 ; .:i .?.:`•''l: . :sr:.:i' •. .i ri�n 'f. 'r.t. ^,.: .'i• ',1"�!, •it:.. '�,� �: •.•..' ..i'"Y.... 1. •' 'an •Yam " .1'I,' •,:,�: •,�Ih�•'l, ':'' "•.. 1,'-'- ' COIn { 6• • dN: r; ' '�:•:'(':?i.;•, •d `, r }•.r: 4•• .f,t :t * •i• .4'r•.?? '� •`+< _ 's `5.e�•.:r. ,:;•;'f.:W^,..: .•7.9, .it>'t�.'•t r• .. ' • 't. ..a y:. 't�•�t,.' ' ';S'.:•r::?;.a:' •,i•k:. _ .i:�- r..�.. :1r L �Z �t'''e:'... e. eddr'essc �`r 'a' {'-•� ti;•,.•,-�'t.•a•'%' ••r=.'::�. ia•. .e.• 'S;• �a. •rk i �a•S�7 't'44i••' � :i' :;' ..:� •.� ,�Y:, •,.+t•. ... '.1 r 5' I am NO a sole proprietor and have hired the independent contractors listed below who have the following workers' _ compensation polices: . �,: ,.,;,•..i+ _ •l ii t-' .L,�•� �•s.'..'� t'r: :i•:'r .�yr.,:,:� :..,. iyr•'t.•:y'..i{.:ti• 'r•r::i''�..ii•� 's ;i.4.i•t ••I19IITe: .iLS. .. ., •�.: aY•:":•!" ;r• - ,j Co 8n t. t''x•i' d•': {rfr Lr.a 't t •'.r Nis :„�:- G s7 + ti address:. � - .1'•:�' s,v 'y� ::•`ins:�•�.. .{:•�•? h"i'• r •1yi' .a•• �•ti:r.•j•i.�,r r;' �,�• �i•' Cl .,,; :''t r.• ..�v:r•i`r C•'I'Yi1'{�9•'' rr�:}.•;�:;. •1:� .r •„�- �;.s •i��,A,�.�Cj• .Ir_ .t'.•' • .7` .. ;'1�' ••:' ;1• •z d• '.i`' S•,:r.r:'' •��:' .+v�r.Y�•:•.'• .a� ,I:tS'•" `f9.,ti.` insurance'co. - jj//////j//j%///j/ ••!' i 1 y}t:. '{•. •:}• ::•i IT: t ':+,• `�:�, �.t••' '�r+l ':5.•� i r.•.:I�M1a�. '} coin an. naate: address: > Cl' ,',.. tii.i. .:e•y:' _:'l: •'ti.•r.St 'a.•• '.i.. ii�+yii.•••1. •:' yi,:Sc: '.):;'�{.. i;.•�l•IJ,�, - • .S:r :'=•y%a• :;!' rl,•. :i. .:1. y.' .:s. .7;v.� - � ::,�•: ••�•'a''' ,1: 1�' cr�,•..•' olic ins'ur'aaee'sot!' � Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of n fine up to$1,500.00 and/or one years'imprisonment as well as civ11 penalties In the form of s STOP WORK ORDER and a fine or$100.00 it day against me. I understand that g copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury th the information provided above is true and correct Date Signs �-- Phone# 4�J' Z5'—�DCfl� Print name /� d jj e��)�1� 2! FAR . do not write In this area to be completed by city or town official • " official use only , permitAlcense# ❑Building Department . city or town: ❑Licensing Board ❑Selectmen's Office ❑•cheekif immediate response is required Health Department contact person: phone#; ❑Other _ e (revised Sept 203) - - L Infornriation and Instructions. to ers to rovicle workers' compensation for'thear. Massachusetts General Laws chapter�152 section 25 regiures all emp y P , noted from the law', an employee is.defined as every person in the service'of another under any contract rrriployees, As q of hire, express or irriplie� oral or written. ; p association, corporation or other legal entity, or any two or more of An employer is defined as an individual,partnership, the foregoing engaged in a'joint enferPrise, and including the legal representatives of a deceased,employer, or the receiver or association or other legal entity, employing employees. 'However the owner of a trustee of an individual,-partnership, dwelling house hay-rag not m°re,than three apartments and-who resides therein, or the.occupant of the dwelling house of another who employs persbris to do.maintenance, construction or repair work on such dwelling house 6r on the grounds or building gppurtenant thereto shall not because of such.employment.be deemed to be:an employer. MGL chapter 152 section 25 also'states that every sttate'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 th�l�n�to�e contract for the rerformance of public work until • commonwealth nor.anY.of its political subdivisions shall en yP acceptable evidence of compliance with t�e insurance requirements.of this chapter have been presented to the contracting . authority- . . / Emil Applicants Please fill,in .the workers' compensation affidavit completely,by checking the box that applies to your situation.:Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the company ut a In 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 artment of Industrial Accidents.. Should you have any questions regardin�'the'"law"or if you are requested, not the I?ep b ere•cornpensationpolicy,please call the Department at the niunber'listedbelow. required to obtain a work PEN City or Towns . davit is c' lete.and rinted legibly. The Department has provided a space at the bottom of fne Pleasebe scare tha t the affidavit ornp p 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 pe��cense number.which will be-used as a reference number. The.affidavits,may.be'.retumed to the ure to.nent b .t or FAX,uriless other:arrangements have been rna.de.' The Office of Investigations would hlce to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a-call. /. ONE The Department's address,telephone and fax number:. • , The Commonwealth Of Massachusetts- Department of Industrial Accidents tit�ce of�a�esti�atiens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext-.406 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 V,T6 ,O d Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE / 41=� square feet x$96/sq.foot— �Gl 7 x.00 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&.detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041=. STAND ALONE PERMITS Open Porch x$30.00= • (number) . Deck x$30.00= _ (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) F Permit Fee 1S o Prnioost 780 C?AR Appmdcc J Table J=1b(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling. Wall Floor Basement Slab Heating/Cooling Area'(%) U-value= R-valuej R values R value° Wall Perimeter Equipment Flfici=cy' Package R-value° R-value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal . R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 NIA N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA NIA 83 AFUE W 15% 0.52 30 19• 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE . AA 18% 0.50 30 19 1 19 ]0 6 90 AFUE 1. ADDRESS OF PROPERTY: X W, 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: S' D 3. SQUARE FOOTAGE OF ALL GLAZING: —Z C'D 4. %GLAZING AREA(#3 DIVIDED BY#2): � 5: SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS. ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q4orms4980303a 780 CMR Appendix J Footnotes to Table J$.LM I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 fe of decorative glass may be excluded from a building design with 300 f'of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure; or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. . . •WalI R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlipaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than fine pace of heating equipment,or more than one piece.of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b:If a door contains glass and an aggregate U-value rating for that door is not available,.include the glass area of the door with your windows and use the.opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if.the area-weighted.avemge.U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). ^2 Town of Barnstable regulatory Services Thomas F.Geiler,Director 1ARNs? MA �3 A.m� Building Division r 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: 13 /3 4-X 71�,6 /?w, /S�U,s�iv Agf,,r.5' number street village "HOMEOWNER!': Oh g 0'0 T/ 7 name home phone# work phone# CURRENT MAMING ADDRESS: ,Gez X tr_d 19d, 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 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:fomvs:homeexempt j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map A J,45-- �� Parcel f D—QS r Application # el Health Division Date Issued Conservation Division Application Fee — Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address VillageIf Owner G� Address Telephone eli'd?ii - 775�� Permit Request A? '4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®D d G 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 Kings Highway ❑Yg§ ❑ 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 Ln Number of Bedrooms: existing _new c, rn 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 ORHOMEOWNER) Name , p �� ��i Telephone Number Address R3 � i-,�,` l` icense # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,� r SIGNATURE vr� ter+ �, DATE_Tl� FOR OFFICIAL USE ONLY 1 APPLICATION# DATEISSUED MAP/PARCEL NO. a F ADDRESS VILLAGE OWNER DATE OF INSPECTION: 'T FRAME INSULATION ! FIREPLACE ELECTRICAL: ROUGH FINAL R F 'f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' .DATE CLOSED OUT ASSOCIATION PLAN NO. The Canmltxorl s #h of Hassachuseffr Deparhumt ofb dmstrid Accidents _._.__._------_._----------- 600 Washangfoa&Y-eet Boston,MA 02111 ' wmv.ina-mgmMia Workers' Compensation Insurance Affidavit:Builders/Conti-actors/Flectricians/Plumbers Arynlirant Information Please Print Legibly cN Organizationlfiodividuaq- �t A (Cit'ylSta Z p Phone 47 Are you an employer? . eck the app:rapriate b - Type of project r Hire 1n J {N' d}- L❑ I am a employer witfi I atxt a g era/ct7n5cactar and i ti_ []Neva ooastraction employees(full and/or part#line)* have hired the suh���tofs. 2_❑ I am a sole proprietor orpariner- listed on the attached sheet_ 7�- ❑Remodeling strip and have no employees contractors have g- ❑Demolition working for me in any capacity employees and have workers' 9_ ❑Building addition o-workers'conip-insurance comp-insurance-1 rt;garred-� 5..❑ We are a corporation and its 1(?-.Q Electrical repairs or additions 3- I am a homeowner doing all work officers ha-m exercised their 1 L❑Plumbing repairs or additions Myself [No workers'come- - rigbl ofeiemptionper MOL 120 Roof repairs insurance rued-]F c-152,§1(4} and we have,no employees_[No workers' I3_❑Other comp-insurance required.-j *Any sppliomt chit ched€s box#1 most also fill out the section below shaving&eir workers'coarpensatian polity infurmition- Snmeownets ar17o submit this arfida9 a]nr tmg t$ey are riving all tra�r and then bile oxide contractors omit saboat a aew affidavit mrhr83ing sodL +Cbutmctors that check this box must attached as additional sheet showing the name of fhe sorts-ooairxmrs and state whether ocnot those agifies have employees. If the sub-contractors have employees,they omit provide their workers'romp.policy number. lam an employer iftat is providing workers'comperrsahan irmArarica for nzy empl eczs Below is Ste poHq anal job site informat691L Insurance CotnpanyName: Policy:9 or Self-ins-Lic.#: Expiration Date: Job Site Address: City/State/Zip: Af#ach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure:coverage as requinedunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as caul 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 Imestxgations of the DIA for insurance,coverage verfEcation_ I do h are blr certify render the pains and penalties of penury Statthe irtjormudian prmided above is hue and correct l3gE of use only. Da not write in this area,to be completed by city or town official_ City or Town:. PtermitflUcense It Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cit0rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 5 ' 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,constriction 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, §25C(6)also states that"every state or Iocal 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-lay 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 situaiion and,if necessary,supply sub-contractor{s)name(s),address(es)and phone number(s)along with their cerbi caie(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 LLa does have employees, a policy is required_ Be advised that this affidavit maybe submitted to the Depaftbnent of Indus�al Accidents for confirmation of insu n nce coverage. Also be sure to sign and date the affidavit '11e affidavit shoulld be returned to the city or town that the application for the permit or license is being requested,not the Deparment 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 tilled 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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 Depaztment of hidu:strial Accidents ' OffxQe offavestig-atiaus 600 Washingtau Strout Boston.MA 02111 TeL#617-727-49OO ext 406 or 1-&77-MASWE Revised 4-24-07 Fax# 617-727-7749 Www.mass,govldia L Town of Barnstable Regulatory Services Richard V.ScaIi,Director ' Building Division swxrSTABILF- Tom Perry,Building Commissioner `b i63v .a 200 Main"Street, Hyannis,MA 02601 www.town_barnstabIema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 9— JOB LOCATION: ^— number i street village 77S S D = - name home phone phone# work phone# CURRENT MAILING ADDRFSS:� c�tyhown 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 siructl es 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 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 Iast 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. QA'YWFffiES\FORMS\building permit fb=\EXPRESS.doc Revised 061313 � E T Town of Barnstable F Regulatory Services iF SEA MASS. M�IEg Richard V.Scali,Director 1639. a�� Building Division om erry, u rig ominissioner" 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 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) 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 IORMS:O WNERPERMISSIONTPOOLS L Lk MSIAIG _. f 10 y� ' N0 ` T' 90 'Gi r Article Preview: Barnstable police: Man offered to trade toddler for heroin- capecodtime... Page 1 of 3 73-172-74-169-170-2669-2322-2647-2644— Search St Hyannis r. 650 e-edition I subscribe I newsletter I deals 201 t�/j-} �- [< 2Sth ANNUALPUTNAM COUNTY i)5 Our 80,.Seomn SPELLING BEE-July 30-Aug a ��.ri DAMN YANKEES-June 23-July4 PRIDE AND PREJUDICE•Aug i 1-15 THE CAPI~ COD TIMES (� LENDM ATENO OW-July Jul BILOKI BLUES-Aug UMMER NIGHT'S IE Ri.LSavEadnYap HnttnCtt6_ LEND MEATENOR•July 14-18 AMIDSUMMER NIGHT'S V THE UNDERPANTS.July 21-2S DREAM-Aug 25.29 HOME NEWS SPORTS BUSINESS ENTERTAINMENT OPINION LIFE MEDIA CLASSIFIEDS JOBS AUTOS REAL ESTATE Thu,May 28,2015» OBITUARIES BUSINESS SERVICES SPECIAL PROJECTS THINGS TO DO CALENDAR CAPECAST WEATHER CAPE WEBCAMS CAPECODONLINE.COM NEWS NOW County,town to discuss cleanup of contaminated wells ... Cape Wind looks to extend state OK of electrical lines ... Barnstable police: Man offered to trade I(�aptain - , toddler for heroincatt�s Rrsr Matthew Sweeney, of Mashpee, has been ordered held without bail after allegedly taking girlfriend's children hostage. ® ® COMMENT �a] Recommend 39 By Haven Orecchio-Egresitz horecchio@capecodonline.com COUPON OF THE WEEK --------------------------------------------- 6 Weeks to Success! Posted May.26,2015 at 9:11 PM 6 Weeks to Success!If what you are doing isn't ; Updated May 27,2015 at 12:30 PM working then The... " The Woman's Workout Company -------- BARNSTABLE—A 22-year-old Mashpee man who SEE All LL ONLINE TODAY MORE» allegedly held his girlfriend's 2-year-old and 6- j 3 for$99 Mothers Day Special! month-Old sons hostage for about three hours The Woman's Workout Company c - _ early Saturday morning,cutting One of them with 14 Day Risk Free'Try-Before-You-Buy" a knife,was ordered held without bail after his i The Woman's Workout Company -arraignment Tuesday in Barnstable District Court. Matthew Sweeney pleaded not guilty to charges of attempted murder,resisting arrest,violation of a protective order,strangulation or suffocation Zoom and intimidating a witness. Matthew Sweeney is escorted into Ciera Taylor, 19,who has been dating Sweeney Barnstable District Court on Tuesday, for about six months,said in an interview at her where he was arraigned on charges including attempted murder,after basement apartment in Hyannis on Saturday that TOP JOBS police said he held his girlfriend's he barricaded himself in her bedroom with her Guest Service Representative children hostage early Saturday two young boys,holding a knife to the toddler's West Yarmouth,Massachusetts The Cove at morning.Merrily Cassidy/Cape Cod Yarmouth Times throat,in an effort to avoid being arrested for attacking her earlier in the night. Plumber Sandwich,MA,USA Cape Cod Times "He was like,'I'm sorry.I didn't mean to hurt you.I love you.Don't do this,don't call the cops on Classified Ads me because I'll have to kill you if you do,"'Taylor said."I said,'All right,Matt,let's just go to bed."' Hair Stylist Taylor later texted a friend,who called police,and just before 1 a.m.Saturday officers responded Mashpee,MA,USA Cape Cod Times to 63 Baxter Road for a report of a"domestic incident involving a knife,"according to court Classified Ads documents. DENTAL ASSISTANT Hyannis,Massachusetts Harbor Health When they arrived,Taylor told officers that Sweeney had choked her after she woke him up from a Services Inc daylong,drug-related sleep,records show. When Taylor upstairs came to unlock the door for the officers,Sweeney yelled out,"I'm not going back to jail!"and slammed the basement door,according to a report from Barnstable police Officer Katherine Ross,one of seven officers who initially responded to the scene. Taylor,who became visibly upset,told Ross her sons were asleep in that room and Sweeney was armed with a knife,the report says. PRINT+ONLINE SUBSCRIBER ACTIVATION I REGISTER SUBSCRIBE 2 of 3 Premium Clicks used this month http://www.capecodtimes.com/article/20150526/NEWS/150529534 5/28/2015 Article Preview: Barnstable police: Man offered to trade toddler for heroin- capecodtime... Page 2 of 3 After officers learned that Sweeney was armed,they tried to get into the bedroom,but Sweeney TOP HOMES called out,"Don't open that door or I will kill these kids,"prompting Barnstable police Sgt.Michael Eastham,MA-$454.500-Eastham-Bayside of Damery to call in a Cape Cod regional SWAT team negotiator,the report says. town,near the Windmill.This lovely home offers a total of 4 BRs,3 BTHs INCLUDING a Legal Sweeney told officers he was starting to get"dope sick"and he didn't know what he would do if Efficiency Apartment in the... .....___..................._.......................__.............. ............._...._.._....__. that happened,and then offered to trade one of the children for heroin,court records say. Chatham,MA-$599,900-Steps to Ridgevale Beach on beautiful Nantucket Sound from this 3 Throughout the incident,Sweeney exchanged more than 50 text messages with Taylor,who bedroom 2 bath contemporary cape.The first begged him to release her children to police. floor features hardwood floors,living... ............._...................._.................................................._._......_......._......_..... More Top Homes "I need two grams of dope or say goodbye to(the 2-year-old)i love how u guys would rather this kid get hurt then give up some of your drugs,"one of the text messages from Sweeney,which Taylor released to the Times on Saturday,read. "If all the cops don't go upstairs its going to get real messy,"another said."No matter wat this is going to end in blood mine the cops or the kids its like a game show." Taylor then sent Sweeney a picture of a Suboxone prescription. » STAY INFORMED "We of this for you.We know you're sick and you need help," Email Sign up Today g Y y y p,"she wrote."Let the kids out first and you will get them(.)We want you to feel better and get you into treatment." Newsletter Sign up for our newsletter and have the top headlines from your community delivered right When speaking with Sweeney through the bedroom door,Ross could hear that both children were to your inbox. crying and the 2-year-old was calling for his mother,the police report says. When the SWAT team arrived,Taylor told officers she did not know what kind of drugs Sweeney CAPE COD DIRECTORY had taken. Featured Businesses Sweeney then yelled to the officers who surrounded the door,"If you don't quit and leave me Loading... alone,I'm gonna start cutting up the kids to show you how serious I am,"the report says. Find Cape Cod Attractions • At this point,officers entered the room and saw Sweeney holding the 2-year-old against his chest Search business by—keyWOrd-..- Ji search with the knife to his throat.Two officers then used stun guns on Sweeney and took him into Add your business here+ custody,the report says. The toddler had a cut near his eye,a bruised bump on his forehead and a scratch on his neck,the report says.He and his brother were evaluated at Cape Cod Hospital and released to Taylor, according to court documents. Taylor said Saturday that Sweeney had been violent with her in the past but had always been close CALENDAR to her oldest son,and she was shocked that he put his life in danger. At one point during the standoff,Taylor thought her worst nightmare had come true when the 2- year-old,who had been crying for what seemed like hours,suddenly stopped. Then she received another text message from Sweeney. "I can't believe u were this stupid u killed ur kids not me." At his arraignment Tuesday,Sweeney appeared to have a black eye. The judge granted a one-year extension to a restraining order that Taylor had previously taken out and ordered that Sweeney be held without bail until a dangerousness hearing June 2. —Follow Haven Orecchio-Egresitz on Twitter:@HavenCCT. Comment or view comments READER REACTION Login with: 2 Comments PRINT+ONLINE SUBSCRIBER ACTIVATION REGISTER SUBSCRIBE 2 of 3 Premium Clicks used this month I http://www.capecodtimes.com/article/20150526/NEWS/150529534 5/28/2015 f The Commonwealth of Massachuseto Department of Industrial Accidents Office oflnves6gations 606 Washington Street Boston, AM 02111 - www.mass.govidia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name(Businesslor niTation/individnaI): a ,6 z:9, :,9- 1 - Address: ° Ci /State/Zi 7" — - 0 , Are you an employer? Check the appropriate ox: Type of project(required); .❑ I am a employer with i I am a general contractor and I * �' have hired the sub-contractors" 6. ❑New construction employees.(full and/or part-time), . ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8, 0 Demolition - working for me in any capacity employees and have workers' insurance�t 9: wilding addition [No workers'comp.in comsurance P• 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.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.❑Roof repairs insurance required.]t. c. 152, §1(4), and we have no employees. No workers' 13:❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, <tContractors that check this box must attached an additional'sheet showing the name of the sub-contractors and state whether or not those entities-have- employees. If the sub-contractors have employees,they must provide their workers'comp•policy number. x_ I am an employer that is providing workers'compensation insurance for my employees.- Below is the policy and job site information Insurance Company Name: Liz f14 /�/t� N ,��,yt6lC`C ClM i C Policy#or Self-ins. Lic.M f Ufa Expiration Date: Job Site Address: �, .�x�-tC/P �Qs ®/�g(g g / City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy num er 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. . I do hereby certify under the pains and penalties of perjury that the information provided above is true and correc'4 Sienature: Date Phone#: r'V 77 Sr D if D' Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle.one): " 1".Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector 6. Other Contact Person: Phone#: s t Town of-Barnstable t Regulatory Services t se�Rxrrwsr.u, F Thomas F.Geiler,Director p$A059. ��� Building Division lEv r�a't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 62601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION PIease Print DATE: JOB LOCATION: / /V 4N/ l number street —� village I � "HOMEOWNER": i� ro? � �'�/�6" '�5-0�J' 7 name home phone# work phone# CURRENT MAILING ADDRESS: 6�= a,4 X t_rl2 A c' /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 Biulding 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 s 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 fon-itcertification.for use in your community. Q:forms:homeexempt wry.. ...J:♦ E r Town of Barnstable Regulatory Services • =A4tNSTABLE, + hsAss. Thomas F.Geiler,Director �A 1639. � Building Division . Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us . Office: 508-862-403 8 Fax: 508-790-6230 roperty Owner Must Compl to and Sign This Sec ' n'- I UsinLr A Builder f as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho ' d by this buildin ermit Address of Job) Pool fences'and arms are the responsibility of the a licant. Pools are not to be filled r utilized before fence is installed and final inspections are pe formed and accepted. Signature of Owner Signature of Applicant Print Name - -�Print Name Date Q:FORMS:OVR,ThW RMISSIONPOOLS 62012 f ,4co CERTIFICATE OF LIABILITY INSURANCE M'°°"" ' 8/8/201/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION-ONLY AND CONFERS NO RIGHTS UPOWTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER.THE COVERAGE AFFORDED BY.THE POLICIES BELOW:",*THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate`°does not confer rights to the M certificate holder in lieu of such endorsements: PRODUCER u•:' :a ., ".,� �,,.;� �a - t De - . r• - - ,.e ,, p -, l Win... ...e+ --�. NAME: Eastern Insurance G[ou LLC-.Maln PHONE T (FAX NO. - 2 233 W44 est Central Street ,- E-MAIWE No.L, Natick-MA 01760-_------ --.- - ADDRESS: k r n 1_•- . - _ - - INSURERS AFFORDING COVERAGE ti' I NAIC p •' - . INSURER A:Americin Fire&Cas6ally INSURED ... 31438. ".,' . ...INSURER B: ~.id A&E Forms Inc INSURER c • 32.General Holway Road INSURER o So Yarmouth MA 02664 . 'INSURER E.: _ INSURER F: - - COVERAGES CERTIFICATE NUMBER:547139328 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ANSR WVD POLICY NUMBER MM DNYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY Y BKA135361,8898 /4/2013 /412014 EACH OCCURRENCE $1,000,000 X - - - DAMAGETORENTED COMMERCIAL GENERAL LIABILITY - - PREMISES Ea occurrence $100,000 CLAIMS-MADE �OCCUR - - .° MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 - - _ GENERAL AGGREGATE $2,000,000 - . GEN'L AGGREGATE LIMIT APPLIES PER: t""'" PRODUCTS-'COMP/OP AGG $2,000,000 - g X i POLICY PRO;4}, ..; "LOC 1 -.. ��r,.i' i` q -. - $ 4 A`` AUTOMOBILE LIABILITY 13AW53618898 I4I2013 l4/2014 >x a .*_ .1-4 Ea accident) $1,000,000. ANY AUTO } 4 ' " `1` t M BODILY INJURY(Per person) $ ALL OWNED', x SCHEDULED 'BODILY INJURY(Per accident AUTOS AUTOS )BO $' - r.. ., 'T' .,. - X_ X NON-OWNED OPE Y n PR RT DAMAGE HIRED AUTOS e ., `, '"'� '- "` Peraccident' $ . - - - $- .. UMBRELLA LIAB OCCUR - EACH OCCURRENCE $._ EXCESS LIARH CLAIMS-MADE - - - AGGREGATE $- DIED RETENTION$ - - E..... ._ $ B WORKERS COMPENSATION D8WECCM4380 ?. /4/2013" /4/2014 X I WC STATU- - - OTH- - AND EMPLOYERS'LIABILITY - ' ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? - N/A (Mandatory in NH) -- - - ''--•-+Y - E:C.DISEASE--EA EMPLOYE $500,006 1f Yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach AC6RD-101;Additional Remarks Schedule,if more space is.required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION., DATE THEREOF,,:NOTICE WILL BE DELIVERED IN Robert Faria ACCORDANCE WITH THE POLICY PROVISIONS. 83 Baxter Avenue , Hyannis MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) r The ACORD name and logo are registered marks of ACORD AC40R"® DATE(MM/DD/YYYY) / CERTIFICATE OF LIABILITY INSURANCE 8i8i2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kath Silvia NAME: y The Fair Insurance Agency Inc. PHONE (508)775-3131 A/C No: (508)790-1677 619 Main Street EbM a •kathy@thefairagency.com Suite 7 INSURERS AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURERA:Scottsdale Insurance CO INSURED INSURER B:AIM 2615b Shoreline Construction, - INSURERC: 87 Pond Street INSURERD: INSURER E Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER:CL138800575 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS _ GENERAL LIABILITY - - EACH OCCURRENCE $- 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurrence 50000$ r A CLAIMS-MADE OCCUR PS1746292 /1/2013 /1/2014 MED EXP(Any one person) $ 5,000 ,.. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO- F1 LOC $ JFCT COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY - - - - Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS " Per accident. $ $ UMBRELLA LIAB 'OCCUR l EACH OCCURRENCE $ t. EXCESS LIAB :CLAIMS-MADE AGGREGATE $ DED + 'RETENTION$ $ B WORKERS COMPENSATION. WC STATUCRY - I OTH- AND EMPLOYERS'LIABILITY '_ - ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A - - (Mandatory in NH) WC7027057012613 8/9/2013 8/9/2014 E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE-CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Robert Faria ACCORDANCE WITH THE POLICY PROVISIONS. 63 Baxter Road Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) c 9 -2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD G (� , I OFI E ` Town of Barnstable Regulatory Services g Y * BARNSTABLE, MASS. Richard V. Scali, Director .i63q ♦0 %639 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 May 29, 2015 Robert Faria 63 Baxter Road Hyannis, MA 02601 Re: Basement Apartment Dear Mr. Faria, g 4 This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by June 18, 2015 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation,per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /blc 4 ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .31® Parcel SPA Permit# Health Division6p)-_ 1 0S _ Date Issued D Conservation Division •, So 7 7 2005 JUL, 7 A" 8: j 4 Application Fee � "nTax Collector Permit Fee TreasurerDIVISION.__e______ Planning Dept. CIMMIED SEMAMNT Date Definitive Plan Approved by Planning Board �� ` Cj Historic-OKH Preservation/Hyannis Project Street Address �-71,-_ Qt� Gl Village ` Owner W-- - Address Telephone 1-5-0 Jr) — '7 7 Ste' y D f e) Permit Request'Ez,L Zid �61 4�,�c 7? / Square feet: 1 st floor: existing �,V ft proposed 2nd floor: existing 2`R�L proposed 32 Total new . .z G Zoning District Flood Plain Groundwater Overlay Project Valuation`/�, o e6l, Construction Type W Lot Size'yb Grandfathered: ❑Yes G3'No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -7 4s Historic House: ❑Yes CWo On Old King's Highway: ❑I s W-Wo Basement Type: ❑Full ❑Crawl ❑Walkout Other ., L Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) -A,e e Number of Baths: Full: existing A. new �� Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 7 new o First Floor Room Count 7 Heat Type and Fuel: ®"Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes Ulf"No Fireplaces: Existing Z New_d Existing wood/coal stove: ❑Yes 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 4es U� No If yes,site plan review# Current Use --- Proposed Use BUILDER INFORMATION Name._ *,m -Z? J`- „��,� Telephone Number L,S^®SI­7-7 �, D 6 el Address 53 13. xIe—IZ c�l License# CZA aG,[�/ -1)t A Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY �t PERMIT-NO. DATE ISSUED MAP/PARCEL NO. ` ADDRESS VILLAGE .f OWNER DATE OF INSPECTION: FOUNDATION FRAME - o� q-t -per cm INSULATION ►.��"vj= �_Z_o5 /`- �l 14�L.0 s FIREPLACE { ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL ti. FINAL BUILDING a a� i l DATE CLOSED OUT ' ASSOCIATION PLAN NO. s i t ram.i The Commonwealth of Massachusetts Department of Industrial Accidents Mee ofifinumprAw 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit������//y��������� name address: /3 city �/,T Jy.J�/ i PS state: work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ElRetail ElRestaurant/Bar/Bating Establishment working in any capacity. OfficeElSales(including Real Estate,Autos etc.) ❑I am an em loyer with employees(full& art time . ther / % � I am an employer providing workers' compensation for my ployees working on this job. company name: address: .... city' phone# instirance.co;,. olioo # d. I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: comiiany address:. •.., City' phone#', ' insurance co. O11C # company naiiie. address city: phone#i insurance eo. olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. Signature s L ��1�!/ Date — 7- 9 -q Print name Phone# j.official use only do not write in this area to be completed by city or town official . city or town: permittlicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department L(mmised ontact person: phone#; ❑Other Sept 2003) 5. � Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 BMW of Immsugoons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 Town of Barnstable f . Regulatory Services 13ARNSsAsIIM Thomas F. Geller,Director 1639, �,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 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 re gistered contractors,with certain exceptions,along with other requirements. Type of Work:;; z /N-A Estimated Cost Address of Work: Owner's Name: Date of Application: '7 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied gOwner pulling own permit Notice is hereby given that:• OWNERS PULLING THEIR OWNF PERMIT O WR DEALING WITH U�KDGO NOT HAVE • ISTERED CONTRACTORS FOR APPLICABLE HOME IlI2PROVEMENT OR ACCESS TO TEE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PER MY I hereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date ORS,--- , Date Owner's Name 7'shte.TS.Z.Ib(coatlaued) th rmil 1<ueh trYe Psak:gd far Qae zndTx'4,FtmitY Rssidiatlsl gaildia�Bated with prrscziF ' MIMtMiTM •Hcasing/Caaling hiAXMUM�& Ceiiing Wdl Flaar Hiw �dd Equigmcu F�isieneY� Arts'COM U-Yalula R-valula R"Ylduct R-Yalua' R-ysluc� &mlurr Par�Se 5701 to 6500 Hestfng Degrce Ds7ss 6 Naratnl gg 13 I9 10 6 Nam al Q 121/1 0.40 30 19 10 6 15 AFLTE R 121/1 0.57 13 19 10 Normal s 1211/4 0.50 38 13 71 NIA WA Normal T 15y. 036 38 19 19 10 6 1S A VE V ISY. 0.46 38 13 � NIA 1•llA 0.44 38 6 15 AFUE 0.5Z 30 19 19 10 Normal 13 4S NIA N!A X 18`!. 09Z 3a NIA Normal 19 ?S NIA 6 90 AFM Y 18 . 0.4Z SE 13 14 la Z 18% O.SO ]0 I9 19 SO 6 94 AFUE , 1. ADDR SQE55 OF PROPERTY'. DARE FOOTAGE OF ALL EXTERIOR�7yrALLS: ' �. 3. SQUARE FOOTAGE OF ALL GLAZING' 4, 0/1GLAZIriG AREA(#3 DNIDED BY 42)'. 5, S-BLECT PACKAGE(Q-, 'see chart above); TROI)S OF G ENERGY gEQUIREMENT5 NOTE: OTHERMORE INVOLVED FS aRTHISINFORMA ARE AVAILABLE, ASK B�,D�G�SpECTOR APPROVAL; • N0; YES; q•focros-�803 03 a , oFt�>•� Town of Barnstable Regulatory Services Thomas F.Geiler,Director BABNBTABM "�S : ��� Building Division ArF p �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,Na 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 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-occu�ied 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. rgnature 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 assuring 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 L-o cJX-ra®tea o F P RC3 P E R-rY Gu ova Es AA^Y ova OY BE ^CCLJ IRATE STANDARD LEGEND NOTE:not all symbols will appear on a map \ I 310 4—::Z GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH '7T" 101 ' \ r : ORCHARD OR NURSERY P 3 '-x - - V—V-YV EDGE OF CONIFEROUS TREES MARSH AREA 6 Si5 —• • •— EDGE OF WATER DIRT ROAD y DRIVEWAY i 15�PARKING LOT PAVED ROAD - - - — DRAINAGE DITCH \Sx' - - - - - I PATH/TRAIL \ \I' MAP 310 PARCEL LINE** MAP 1 Q ---- 53 2P„Df----MAP 21E--PARCEL NUMBER #1660 E HOUSE NUMBER j 4\ "" 63 2 FOOT CONTOUR LINE 83 ---- a __ _ --1�—. 10 FOOT CONTOUR LINE Elevation based on NGVD29 ------------- 4.9 SPOT ELEVATION STONE WALL MAP 310 /I � 5 —X— FENCE 5 O RETAINING WALL -+ 5 MAP 10 ; - --__ _ � RAIL ROAD TRACK 91 5 © STONEJETTY MAP 310 \ x 5 C� S SWIMMING POOL- 8 J ' PORCH/DECK 56 5 5 U CI BUILDING/STRUCTURE 97 \� x DOCK/PIER HYDRANT 1O a VALVE ® MANHOLE MAP 31 t MAP 10 a POST o'P FLAGPOLE T O W N O F B A R N S T A B L E G E O G R A P H I C I N F O R M A T I O N S Y S T E M S U N I T p SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATASOURCES:Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James -- 1"=100'scole map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE TOWER wt 0 25 50 National Ma�Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topog essoraphy,and vegetation were mapped to meet National Map Accuracy Standards o LIGHT POLE O ELECTRIC BOX 1 INCH=50 FEET* enlarged sm e. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assrs tax maps. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l d Parcel_� � �S° s Permit# F 3 02 V o Sav,&m Acc7- -A a8*5 Health Division Date Issued '� O Conservation Division Application Fee �'4 o d Tax Collector Permit FeecSO• Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board / --b Historic-OKH Preservation/Hyannis10 Project Street Address • 3 x Village A1L1,4AJN MA fit. Owner Address Telephone C7' o TJ•- -77 S'—; ®G Permit Request _ A.'ST7c,t. LZ 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 Structure7d Historic House: ❑Yes W'6o On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other &,-yz F Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) !e&r2 , Number of Baths: Full: existing / new / Half: existing new Number of Bedrooms: existing_ new a Total Room Count(not including baths): existing T new First Floor Room Count Heat Type and Fuel Ideas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Z No Fireplaces: Existing f New Q _ Existing wood/coal stove: ❑Yes &<O Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing 0 new size Attached garage:❑existing ❑new size Shed:dexisting ❑new size Other: 1 C t" Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Cn Commercial ❑Yes ❑ No If yes,site plan review# Z Current Use Proposed Use n BUILDER INFORMATION Name ,/Y— /54,1z�A? Telephone Number 4�6 0 — t;12 Address F:7� 4X4eg fid License# �-- ��, Home Improvement Contractor# l,7jwz5- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO y // /9 /tA ,b SIGNATURE �� /� DATE 1 FOR OFFICIAL USE ONLY .PERMIT NO. D ISSUED MAP/PARCEL NO. ADDRESS VILLAGE I .. i ' 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. i � ` -_---__ The Commonwealth of Massachusetts _ - Department of Industrial Accidents - 6o0 Washington Street Boston,Mass. .02111 Workers' Com ensation,•Ilisurance Affidavit-General Busineises -- name: OK address: city �.r.r��e l !Y state: f/00 _ ziv:41 �G 1 Rhone#L S �"1 �7 S^=S a G work site location(full address): I am.a sole proprietor and have no one Business Type: • Retail❑RestauranVBai/Eating EstabI shmeut worlang in any capacity. Ofice[] Sales('including Real Esiatt Autos etc.), ❑I am an employer with em to ees full& art time.. Other : .. I am an eu�ployer providing workers' compensation for my employees worlsing on this job.. cou filiy,nsinet ad$rb'ssE` - :�,.. t .tic ��ii.=ri'' •i:, .9' :�4 "9� ':ti` _ _ city: tihoiiily • :;.. irisararice.co: I am a sole proprietor and have hired the independent contractors linked below who have the following workers' :" .compensation polices: coinDanVaaIIYer - ?ti •i:. ,.' is<;:;,_ .., , {''•'•' .. fione` cites. p i; :: irisurence c - - � A. company n ante. .::,:..,:.;:•..: . ... .....;;•{.' _ . lIISllranc_co: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a ifne up to$1,500.00 and/or one years'imprisonment as well as cM penalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under thepains and penalties ofperjury that the information provided above is true and correct Signature- %G �l�i��i Aef � l Date Print name � �i � i ;, Phone# .-D�" >?'�' ��D L 0 . official use only . do not write in this area to be completed by city of town official city or town: permittlicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: ___ _ _ _ phone#; ❑Other (mvised Sept 2003) Information and Instructions. Massachusetts General Laws chfapter�152 section 25 pequires all erngloyers.to provide workers' compensation for their.. employees: As quoted from the"law", 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 mgre.of the foregoing engaged in ajoint 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 bean employer. ., MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address.and phone numbers along with a certificate of insurance as all affidavits 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 regardirig`the-"law"or if you are required to.obtain a:workers.'compensation policy,please call the Department at the number listed below. , MEN City or Towns . Please be sure that the affidavit is complete andprinted 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. The.affidavits.may.be:returned to the Department by mail or FAX unless othei arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 1Vlassachiasetts- Department.of Industrial Accidents BIWA of IM91gawns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext.406 Town of Barnstable y Regulatory Services s Thomas F.Geller,Director 16119, a`�� Building Division QED pAA'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requites that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied din containing at least one but not more than four dwelling units or to structures which are adjacent to building they b g such residence or building be done by registered contractors,with certain exceptions,along with o requirements. T e of Work ✓ `G c%6� Estimated Cos 'U yp Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME WROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date . Contractor Name Registration No. " OR Date Owner's Name Q:focros:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 C ca O d Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120,sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 ' >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0041= square feet x$96/sq.foot= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck �_x$30.00= -20 . 00 (number) Fireplace/Chimney x$25.00= (number) Inground Stivimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 • (plus above if applicable) Permit Fee .3 0 . 00 Prolcost Rev:063004 Town of Barnstable THE 1p�, „�' •'Lo; Regulatory Services STAS Thomas F.Geiler,Director Mass. 9�A 0 9. ,.�' Building Division leo MA+" Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 6•— O JOB LOCATION: 2"9XTa21 'RAI., number street village "HOMEOWNER':f�3&,6 -,_- zR to C J-02)— 7 Zh-1-06 O name home phone# work phone# CURRENT MAILING ADDRESS: f5-ti�,, ^C a ��iry/own �/ � �� state 0 611 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. r 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 ladk 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �,/0 Parcels` "� Application Health Division Date Issued _3 b rr Conservation Division Application Feel ,`i� Planning Dept. Permit Fee 3. 8 Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis J, Project Street Address l� �; e[ E CAD Village i Owner %CT dress ?-,3 f4 T 01-0, Telephone Permit Request At D AJ A *Pe v i r 1v tvT Square feet: 1 st floor: existing proposed 2nd floor: existing Cs proposed s!L)Q Total never Zoning District J3 Flood Plain 04IT&AC__Groundwater Overlay Project Valuation4l Construction Type 00 � :.y r Lot Size .4� Grandfathered: ❑Yes [a o If yes, attach suppgrting doetimentation. Dwelling Type: Single Family � Two Family ❑ Multi-Fa:�O�Ion its) _ ;v � Age of Existing Structure S Historic House:.. ©-Yes Old King's Highway: ❑:Yes Itao y Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) A11A Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new J . Half: existing / new Number of Bedrooms: existing e!new Total Room Count (not inclu ing baths): existing new First Floor Room Count Heat Type and Fuel: � - ❑ Oil ❑ Electric ❑ Other yp e Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes Flo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes U410 If yes, site plan review # Current Use JY41L! / Proposed Use x2j5!�/ V,6 L APPLICANT INFORMATION (BUILDER OR HOMEOWNER) J Name �� )29/,6 Telephone Number Address License License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 41 / / DATE �'� FOR OFFICIAL USE ONLY ` APPLICATION# y A DATE ISSUED r 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. l 0 'pf "7 q t3 131V lj� _ S OKE DETECTORS REVIEWED BARNSTABLE BUI G DEPT. DATE e I FIRE DEPARTMENT DATE CARBOf�MONOXIDE ALARMS BOTH SIGNATURES ARE REQUIRED FOR PERMITING MUST BE INSTALLED PER MASSACHgSETTS BUILDING CODE IAA ORTANT-UPGRADE — —REQUIRES THE UPGRADING OF STAT BUILDIN( ODE EN �� c ,��' c /� SMO E DETECTOR RE SLEEPING AREAS ARE ADDED OR CREATED. '" (\ ONE R MORE p}O ; A SEPARATE PERMIT IS REQUIRED FOR THE IN LLATIO N OF SMOKE DETECTORS-THE ELECTRICAL C PER IT N SATISFY THIS REQUIREMENT. (- 11�4 /3 �am+r =ixl i� d 3,1 okk T °7-7 r to s t, " P �? 3*b7 cy }� vv /t A, f � i c RIJ�eE oFFser - RNISM PITCH It"SION a 0 e TO OMGJNAL PLANS y NEM DORT=. (� EXISP1 �EX15TiNG� l RJOHT SIDE EL.EVA` ON sc v4 =r-o T r , n• N NUJ DO.'MIR Z Z ul Q EXISTING STING Z LU � to 0. W 4ak LU �EXI5TINQ Q X lu �U- 4 (a r � C E4IEE'T I OF 3 i I-EFT-SI®E ELEVATION 1/4°=T-O' .JOB. 0417 . 5 DRAWN BY, KW DATE: 7/5/05 1- * BARNSTABLE ' \ ML¢1V/C/PAL AIRPORT 4 � � O rr ' //,i `4 •Cry POND Rpvo UTE 28 r.�'36iiiiiiiiiiii`.9� •`�,.� v1 '�1 f9yyo y LOCUS MAP DECK PLAN REF 11519E SH.•I ASSESSOR'S MAP- 310-53 ZONING.- "RB" ��• i PROPOSED ORIGINAL SETBACKS: 20'-10'-10' ADDITION coVER PLOT PLAN OF LAND PORCH LOCATED AT sHED 63 BAXTER ROAD SHEDHYANNIS, MA 9 PREPARED FOR.- 21 ROBERT A FARIA AREA=15419fS.F. LOT 53 SCALE.• 1"-20' ASSESSORS OCTOBER 28, 2004 LOT 310—53 � � REV LOT 53 ��° �������^ss ®� REV ASSESSORS ®cva�P�G y-C��O c�`��® REV LOT 310-49 ASSESSORS s7EPHEy LOT 310-52 ®� 1 - yr ® oCY�= =7Z.59 YANKEE SURVEY CONSULTANTS / F== °Q® UNIT 1, 40B INDUSTRY ROAD �+ ® � No s�, � ®� P. 0. BOX 265 MARSTONS. MILLS, MASS. 02648 ASSESSORS 16�`��'�' TEL• 428—0055 FAX.' 420—5553 LOT 310-50 SHEET I OF 1 JOB / 53768 JF e n it A II w 46'-0' 2'-0' 2'-0" 27'-0' 14'-0° u 61-2" 71-40 7i-4tl 6'-2tl C i i 4 W f`+ i Q i 451-0" D b PROJECT; FARIA RESIDENCE GAOzooksARCHITEMRAL GRAPHICS (03 BAXTER ROAD MYANNIS,MA N 1O SEAW LANE HYANNIS, I"IA 02601 g PLAN PHONE 77.E-661 Cr P� 9Q L A A I a C J� M r I D A o 4 � D $ PROJECT: FARIA RESIDENCE GA DI ARRCHrmcruRAL c9RAPHICs 1 65 5AXTER ROAD NYANN IS,MA 10 SEABOARD LANE HYANNIS, MA 02601 g J ELEVAT IONSQN _ l. 27---0° Ott ____'_4___—t_.___�___— I ' I All o .I 0° w � MATCW EXISTING • jR n P b o ° J b y� PROJECT, m FARIA RESIDENCE GA0zooksAW,-HM=RAL GRAPHICS 63 BAXTER ROAD �IYANNIS,MA 10 SEABOARD LANE HYANNIS, r'IA 02W g W PI-AN / SECTION PHONE: 508-775-OW1 _ J .. V } 4W-d - B'-0' 25'-00 1 I OF,, RES ' DETECTORS REVIEWEDLPT, pgTEEXISTING DECK _ fZ 4S4 = EPARTMENT p-` A`ARE REQUIRED FOR PERMITTING r _ . to n II IMP®RT �T �- UPGRADE REQUIRED I Ex rENOED I I _ �� STATE BUILDING CODE REQUIRES THE UPGRADING OF KITCHEN I I SMOKE DETF^tQRS FOR THE ENTIRE DWELLING WHEN. ( ONE OR MORE�LvePING AREAS ARE ADDED OR CREATED, ZNOTE: A ?RATE PERMIT fS REQUIRED FOR THE r O INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL. ® PERMIT SATISFY THIS REQUtREMF�IT o _, - LdIDENC - I � II BEDROOI"I I x� _�--,, W Q II Z IItu II tu I I. o a Z tu Q o Q X (L (V u- NOTE � WINDQdB BY OWNER CGNTRALTOR SHALL VERIFY SWEET 2 OF 3 LOCATWNS♦DR'I OICNS PR10R TO WINOGN OROER i INSTAL AT1OM 22'-0' 45'-d NEW WALL R rVVED MALLC________7 RFST FLOM PLAN EXISTING WALL O sc.Am v a?-C JOB, 0417 DRAWN $Y= KW ]DATE, 9/1/04 i 4 A w � � Q a J� w Q P � a wfZor=r: FARIA RESIDENCE GADZ0,0kSARCHITECMRAL GRAPHIC a (03 BAXTER ROAD MYANN IS,MA 10 SEABOARD LANE HYANNIS, MA O?W EI.EVATIDNS PHONE.- a 775-WW1 2T-0' Rt - f ------------------------------ _-d----4----y-- -`--'----- -`� t - �xl o° MATCH ISTING ia > o b PROJECTt m XTE RESIDENCE CADzookqAFRCHITE=RAL GRAPHIC (03 BAXTER ROAD NYANNIS,MA 10 SEAWARD LANE HYANNIS, MA DPI PLAN / SECTION PHONE 775-W31 31 s� �. BARNSTABLE MUNICIPAL AIRPORT s c O gpUTE 28 LOCUS MAP PLAN REF 11519E SH:1 .01 2 w ASSESSORS MAP 310-53 ZONING.- "RB" , i PROPOSED ORIGINAL SETBACKS.- 20 —10 —10 ADDITION co vER PLOT PLAN OF LAND PORCH LOCATED AT SHED 6'3 BAXTER ROAD SH� HYANNIS, MA 9 3� PREPARED FOR.- �1 ROBERT A FARIA AREA=15419fS.F LOT 53 SCALE: I"=20' ASSESSORS OCTOBER 28, 2004 LOT 310-53 REV- LOT 53 � �0 F rta;,s �� REV ASSESSORS ,c5� LOT 310—49 ASSESSORS ® cam F� ` `�� e REV rn LOT 310-52 YANKEE SURVEY CONSULTANTS UNIT 1, 40B INDUSTRY ROAD s u P. 0. BOX 265 ASSESSORS �d vt��� MARSTONS MILLS, MASS. 02648 TEL• 428—0055 FAX 420—5553 LOT 310-50IF+. �. SHEET I OF 1 JOB ,¢! 53768 JF 1' 27-0^ W-o° 7'-40 T-A" V-2° a--o° - m _ q z • � ----------- ---------- mw ----------- —————————— T-0° . II I I O 4 _ O . 3 �� - 0 �TEP9 PROJECT;FARIARESIDENCE GADzooksARCHiTEcruRAL GRAPHICS M 63 BAXTER ROAD NYANN15,MA N 10 SEABOARD LANE HYANN15, MA O2601 a W DECK PLAN PHONE 508-775-6631 NEIN DORMER Elogri 4r SMOKE DETECTORS JREViEv Z 4:r BARNST�LVUILDjG DEPT. DA! T7 oz J) FIRE DEPARTMENT TE 9307H SIGNATURES ARE REQUIRED FOR PERMITTING j -Z IMPORTANT (o)UPGRADE REQUIRED STATE BUILDING CODE RECjUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEpAiRATE pERRKfT IS REQUIRED FOR THE NEW DOWER INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL T SATISFY THIS REQUIREMENT. PERMIT DOES NO z z tu Z LLI ILJ uj atU (L > tU LLI -J x I ul LL < SWEET I OF 3 : All DRAWN BY: K"� 7 Hill I !II , III Hit if I i 1 t lki i ji iMlij If 'IIII�' ll'i ►Ill I I IIII I I ' I I� II Wit :lj H .—H, OE� > IlIIII I�II I IIIII'l lIIIIllIiII Jill! lid I !,i Iu i 'd w I ;!1 it II 1 ld ,l M it i ii 1 j 1 J 1 it ;it 1 1 1 1 nM -————— ————— If j ti Wf Lj I !I it 1 1 if 2ql-ol PROJECT FARIA RESIDENCE II 63 BAXTER ROAD HYANNISr1A LkNE HY'A,',\\JJN-\1'S,II�r-'� 02,0601 PLAN PHON 1106-775-0031 i HP it l; � m l ot go D D n V1 111 \ \ 7?-�6 mz �� \ N Im A m Z� ;� A 1 j � Z g r. p PROJECT + FARIA RESIDENCE � rn �/_-0�✓ �'ic� ,�``�+�� J��`.L Ojj�� //_mil '�� 63 BARTER ROAD NYANNIS,MA � W SECTION PHONE: 58- 75 0-G3± ��v BARNSTABLE MUNICIPAL AIRPORT S ri cp O POND RpUTE 28 1.17 LOCUS MAP PLAN REF. 115198 SH. 1 D :: ♦.01 �c� � r ,.•-- r q.� O., ASSESSOR'S 1lIAP.• 310-53 ZONING: "RB" � � f° '\ � �'• -PROPOSED ORIGINAL SETBACKS.- 20 -10 10 / 5� ! ADDITION P Rcx PLOT PLAN OF LAND LOCATED AT '\ ED* SHED s 63 RAXTER ROAD HYANNI , MA PREPARED FOR• 21 ROBERT A FARIA AREA=15419-i S.F. - LOT 53 SCALE.- 1 »=20' {ASSESSORS OCTOBER 28, 2004 + �° LOT 310=53 LOT 53 �� REV. - ASSESSORS ; ?�� REV ASSESSORS / < REV- LOT 310-49 r rn� LOT 310-52 l� YANKEE SURVEY CONSULTANTS UNIT 1, 40B INDUSTRY ROAD P. O. BOX 265 ASSESSORS - v % MARSTONS MILLS, MASS. 02648 o `mot TED•. .428-0055 FAX 420-555.3 LOT 310 50 SHEET 1 OF 1 . JOB , 53768 JF BARNSTABLE MUNICIPAL AIRPORT .- cp O ROUTE 28 LOCUS MAP DECK PLAN REF., 115198 SH.•1 2 i w ASSESSORS MAP.- 310—53 ZONING.- "RB" ' a' ORIGINAL SETBACKS.- 20 —10 —10 "�� �- iPROPOSED ADDITION co vER PLOT PLAN OF LAND" PORCH LOCATED AT sHED 63 BAXTER ROAD SHED_ HYANNIS, MA PREPARED FOR.- �1 ROBERT A FARIA AREA=15419JtS.F LOT 53 SCALE: 1"=20' OCTOBER 28, 2004 ASSESSORS LOT 310-53 A�,��� REV LOT 53 OFFar.sss��� REV ASSESSORS ASSESSORS REV LOT 310-49 arc �sTErHSN `�^^�� rn LOT 310-52 � YANKEE SURVEY CONSULTANTS ROAD T 1 4 INDUSTRY- � UNIT OB IN P. 0. BOX 265 ASSESSORS ���t�,�,j. MARSTONS MILLS, MASS. 02648 `r TEL- 428-0055 FAX 420-5553 LOT 310-50 SHEET 1 OF 1 JOB ,# 53768 JF 4 e t ` f $t e lZ -r CD 4 m� w 4 [t ` v , <:. v+*t ... } _. � "K'xs a ....,. _s.,r.�t'� n._ ,J✓f+'`�` Li�. ' - -•b" ..... ...rs... ..ry.r ...,.w•. ._.,y. ""'.._..._.�,�.. 1.-..-r++.+w-,._.....-»«�.,_.r...--.:w,.,.._....__,.., .,w...-.• 771 t i 009 x. 1 Y z j: r rw s�•+n-«� .................. ,.�'enr;'eNIC'w!" _ r ,.... ._.-.....�..�......»e+-....,+F.�.�:#�:-+.r.. „>.-a...•_ „s+• .. .. ol i . . . r. 41, Ntt 7-1 14V Al (rF ,y -p.... ,: ,>,......>.. ..-» ,.._.ram.• y. R _ .,rr 1 _ M y f � 4 - � J � •. Y - y,.�-ts,t`�� 1'.•,[y S r'• •-.'G,r.,A _.".` �. e.,...-_,......- .... __ ` f.�'7!�•,.r�y€., -t ���,,,,..r.�.:_. / f t --'r1s s; # # jp;. ,... �.._ 4 j f , • T 5 Ae eo��21-' � ,c/i9 It%Of xTF2 .eo. r�►nr�is Mir ' � _ ' ,y t r r �i #Is e. g o,.•�. F.D. CIAMR RIE�.L 4N:- I'IT s-zs 15 ARCH1TE.CTVRAL DEY_- w _ .....:;�,....�... ....._�..�:..�._ �..,...�..'•R-...�,_:�;.; ...�.,�...�..�,�...... . �._.. ._ ..,. _ fbt�wrJOglfoN G� op,CoN S _ �.. �u Ai*4. Arlo 2, ro Co Atsj2acT-roti! 2. SOME P(w1. wr ,4y V *Xy— FiFc"O C0PJD rr`aws .7uP�f2CC—yE AZAW .3. Sr2yCraYvc. C, N'r N ;159 .S'/-+rHLL /3E n ,09,06 ONE 1 ---- ------ --------- - — r � a � 4. N/�1�rNC e _P .Shy?I�f�n'G re der VviT•K dal CmNJMoq "4rLS 9•`eOG6 /7J rEiC W/rG'M• yv o 0 0 Fiegn/1�n! 6. o i�E -- - Lo r or C � ! + �; a/�rlv;►~pr,n�� „ . �r°Ni'E� ��.:.: � ��f--lN�:a ` f �} 1 ic X r.+'/'iN Y XS 7-q4, ` } j .�F�l� _ � � �� •._- ! '3 f +...n.4.•.w.. 1 � _....-ar. j . .} -«.e.- _. _... .+,......w.......- �..�...._...._- ...... _. ..._.... w+-....---s•-< f + � j , f ----`' ;�Xl:? c t "004 AAW1in P ' t h { `i �. L7[=/fir S'�► f i.. .5 ,..,),� �' ,�..� ! �"""F, •�' %NOF Xal w F.D. CIA.M6RIELLCM No.,9rm Fr ARCHITECTURAL. DESIGN o4.9